National Institute of Aging--1973. Hearing, Ninety-third Congress, first session on H.R. 65 ... March 16, 1973.

"Serial no. 93-16."

Geographic base file system--uses, maintenance, problem solving : conference proceedings, November 16-17, 1971, Arlington, Tex.

Issued May 1972; revised November 1976.

To revise and codify the nationality laws of the United States into a comprehensive nationality code. Hearings before the Committee on immigration and naturalization, House of representatives, Seventy-sixth Congress, first session, on H. R. 6127, superseded by H. R. 9980, a bill to revise and codify the nationality laws of the United States into a comprehensive nationality code. January 17, February 13, 20, 27, 28, March 5, April 11, 16, 23, May 2, 3, 7, 9, 13, 14, and June 5, 1940 ...

Samuel Dickstein, chairman.

Na 1 Nachlass Max Horkheimer, 805 - Verschiedene Essays, Manuskripte, Entwürfe und Notizen u.a. aus dem Umkreis / bzgl. "Dialektik der Aufklärung" (p. XI 6a - XI 16.1-17)

"Notes. Verschiedene Essays"; Diese Mappe enthielt ursprünglich Fassungen von Aphorismen aus dem Umkreis von "Dialektik der Aufklärung", die den entsprechenden Stücken zugeordnet wurden; außerdem:; 1. Auszüge aus Thomas Hobbes, Leviathan; englisch, Anfang und Schluss fehlen. Typoskript, 5 Blatt; 2. Das Allgemeine nicht tiefer als das Besondere [= "Klassifikation" in der 'Dialektik der Aufklärung']. Typoskript, 1 Blatt; 3. Müßiggang als Merkmal vorbürgerlichen und nachbürgerlichen Zeitalters [GS 12, S. 315]. Typoskript, 1 Blatt; Thesen über Antisemitismus; Zumindest teilweise Vorarbeiten zum Kapitel "Elemente des Antisemitismus" der 'Dialektik der Aufklärung', 1943:; 1. Teilstück aus Abschnitt IV der "Elemente". Typoskript mit eigenen Korrekturen und Manuskript, 4 Blatt; 2. Teilstück aus Abschnitt V der "Elemente". Typoskript, 2 Blatt; 3. Antisemitismus als rationalisierte Ideosynkrasie. Typoskript mit eigenen Korrekturen, 1 Blatt; 4. Mimikry und Selbsterhaltung, Teilstücke:; 4a) Typoskript mit eigenen Korrekturen, 1 Blatt; 4b) Typoskript mit eigenen Korrekturen, 2 Blatt; 4c) Typoskript mit eigenen Korrekturen, 1 Blatt; 5. Technokratie und Faschismus. Teilstück, Typoskript, 1 Blatt; 6. Antisemitismus als verschobener Haß gegen kapitalistische Ausbeutung; Protokoll einer Diskussion zwischen Max Horkheimer und Theodor W. Adorno. Typoskript, 2 Blatt; 7. Über antisemitische Ideosynkrasie; Protokoll einer Diskussion zwischen Max Horkheimer und Theodor W. Adorno zur "Dialektik der Aufklärung", 'Elemte des Antisemitismus', These 4. Fragment, Typoskript, 1 Blatt; 8. Über Mimesis; Protokoll einer Diskussion zwischen Max Horkheimer und Theodor W. Adorno [GS 12, S. 587 ff.]. Typoskript, 3 Blatt; 9. - 10. Über Probleme der Erkenntnis des Antisemitismus in der Tradition der Humanwissenschaften. Typoskript, englisch, mit eigenen Korrekturen, 2 Blatt; 11. Völkischer Antisemitismus; Korrekturblatt. Manuskript, 4 Blatt; 12. Eigene und handschriftliche Notizen, 22 Blatt; 13. Exzerpte aus Werken Friedrich Nietzsches. Typoskript, 3 Blatt; 14. Exzerpt aus Gregorovius: "Wanderjahre in Italien". Typoskript, 1 Blatt; 15. Adorno, Theodor W.: Über antisemitische Propaganda. Typoskript mit eigenen Korrekturen, 6 Blatt; 16. Adorno, Theodor W.: Eigene Notizen, 3 Blatt; 17. 1 Zeitungsausschnitt, 1 Blatt; Manuskripte und Entwürfe als Vorarbeiten oder aus dem Umkreis der "Dialektik der Aufklärung":; 1. Über das Verhältnis von Naturbeherrschung und gesellschaftlicher Herrschaft; [von Theodor W. Adorno ?]. Entwurf, Typoskript, 3 Blatt; 2. Theodor W. Adorno [?]: Über Mythologie und Aufklärung. Typoskript mit eigenen Korrekturen, 13 Blatt; 3. Über das Verhältnis von Ökonomie und Politik in Liberalismus und Spätkapitalismus [GS 12, S. 316 - 318]. Typoskript mit eigenen Korrekturen, 3 Blatt; 4. Über den Begriff des Geistes in der materialistischen Aufklärung: Element der Macht. Teilstück, Typoskript und Manuskript, 1 Blatt; 5. Eigene Notizen u.a. über: Verhältnis von Geist und Natur, Verhältnis der Freudschen Methode zum Positivismus; Entwurf des Romans über Neville Chamberlain; 1942:; 1. "Grober Umriß der Handlung". Typoskript, 12 Blatt; 2. Anfang des Romans [GS 12, S. 329 - 341]:; 2a) Typoskript mit eigenen Korrekturen, 3 Blatt und eigene Notiz, 1 Blatt; 2b) Typoskript mit eigenen Korrekturen, 2 Blatt; 2c) Typoskript mit eigenen Korrekturen, 1 Blatt; 3. Exzerpte aus Schriften über Chamberlain, gesammelt von Herbert Marcuse. Typoskript, 8 Blatt, mit einer eigenen Notiz von Friedrich Pollock für Max Horkheimer, 1 Blatt; 4. Abschriften aus Zeitungsartikeln über Chamberlain. Typoskript, 22 Blatt; 5. Bibliotheks-Leihscheine und Literaturangaben. Handschriftliche Notizen, 10 Blatt; Über Psychoanalyse; um 1942. Fragment, Typoskript mit eigenen Korrekturen, 4 Blatt; Über Rackets, ihre Bedeutung von der Antike bis zum Kapitalismus; Zu einer Theorie des Proletariats; 1942:; 1. Notizen zum Programm des Buches, 30.8.1942. 2 Blatt; 2. Exzerpte aus Schriften zur Geschichte der Rackets (von Theodor W. Adorno). Typroskript, 30 Blatt; "Betrachtungen zum Curfew" [GS 5, S. 351 - 353]; um 1942:; a) Typoskript mit eigenen Korrekturen, 3 Blatt; b) Typoskript mit eigenen Korrekturen, 3 Blatt; c) Teilstück, Typoskript mit eigenen Korrekturen, 2 Blatt; d) Teilstück, Typoskript mit eigenen Korrekturen, 2 Blatt; e) Typoskript-Manuskript, 2 Blatt; "Sociology of Art" [GS 5, S. 360 - 363], 1942/1943; veröffentlicht in "Encyclopedia of the Arts", New York, 1946:; a) Typoskript, 4 Blatt; b) Photokopie des Drucks, 2 Blatt; Adorno, Theodor W.: Über Paul Tillich, "Man and Society in Religious Socialism"; Entwurf eines Briefs, 16.2.1944. Typoskript mit handschriftlichen Korrekturen von Theodor W. Adorno. 26 Blatt; "The Crisis of the Family", aus Max Horkheimers "Autorität und Familie. Allgemeiner Teil" (Paris 1936) zusammengestellt und übersetzt von Norbert Guterman (S. 63-76 und 49 - 63), 1945 ? Typoskript, 29 Blatt; New Yorker Notizen [II], 1945:; 1. "Dialektik - Mittelwek"; "Notizen zur Dialektik" [GS 12, S. 297 - 302]. Typoskript mit eigenen Korrekturen, 8 Blatt; 2. "Ritterlichkeit" [GS 12, S. 225 - 227]. Typoskript mit eigenen Korrekturen, 4 Blatt; 3. "Soziologische Unterscheidungen" [GS 12, S. 302 - 303]. Typoskript, 2 Blatt; 4. "Vertragstheorie". a) Typoskript, 6 Blatt. b) Typoskript mit eigenen Korrekturen, 7 Blatt; 5. "Bürgerliche Welt" [GS 12, S. 227 - 232]. Typoskript, 8 Blatt; 6. "Enge des Herzens" [GS 12, S. 232 - 234]. Typoskript, 2 Blatt; 7. "Unabänderlichkeit?" [GS 12, S. 234 - 237]. Typoskript mit eigenen Korrekturen, 6 Blatt; 8. "Die Juden und der Eid" [GS 12, S. 303 - 305]:; 8a) Typoskript mit eigenen Korrekturen, 3 Blatt; 8b) Typoskript mit handschriftlichen Korrekturen, 3 Blatt; 8c) Typoskript mit eigenen Korrekturen, 2 Blatt; 9. "Das Rationale und das Irrationale" [GS 12, S. 306]. Typoskript, 1 Blatt; 10. "Zur Dialektik" - "Zur Architektur" - "Zum Commerce" - "Text zu einer Illustration aus 'La Femme 100 tetes'" [GS 12, S. 306 - 308]. Typoskript, 2 Blatt; 11. "On Vivisection" = Brief an Ned R. Healy, New York, 22.3.1945. Typoskript, 2 Blatt; 12. "Der 'Schrecken' in der französischen Revolution" [GS 12, S. 238 - 239]. Typoskript mit eigenen Korrekturen, 3 Blatt; 13. "Autorität und Vernunft" [GS 12, S. 239 - 243]:; 13a) Typoskript mit eigenen Korrekturen, 6 Blatt; 13b) Typoskript mit dem Titel "Faschismus und gesellschaftliche Ordnung", 6 Blatt; 13c) Typoskript mit eigenen Korrekturen, 7 Blatt; 14. "Zum Gottesbegriff":; 14a) Typoskript, 4 Blatt; 14b) Typoskript mit eigenen Korrekturen, 4 Blatt; 15. "Der Mensch verändert sich in der Geschichte" [GS 12, S. 244 - 246]:; 15a) Typoskript, 3 Blatt; 15b) Typoskript, 3 Blatt; 16. "Zur materialistischen Geschichtstheorie" [GS 12, S. 246 - 247]. Typoskript, 2 Blatt; 17. "Die schlechten Elemente des Liberalismus" [GS 12, S. 247 - 249]:; 17a) Typoskript, 3 Blatt; 17b) Typoskript mit eigenen Korrekturen, 3 Blatt;

The threat of predictable and unpredictable pain: Differential effects on central nervous system processing?

Central nervous system performance is disrupted by pain and by the threat of pain. It is not known whether disruption caused by the threat of pain is dependent on the likelihood of pain occurring. We hypothesised that when a painful stimulus is possible but unpredictable central nervous system performance is reduced, but when the pain is predictable and unavoidable it is not. Sixteen healthy subjects performed a reaction time task during predictable and unpredictable conditions (100% and 50% probability of pain, respectively). Group data showed increased reaction time with the threat of pain by 50 ms (95% Cl 16 to 83 ms) for the predictable condition and 46 ms (95% CI 12 to 80 ms) for the unpredictable condition (p < 0.01 for both), but there was no difference between predictable and unpredictable conditions (p = 0.41). However, individual data showed that there was a differential effect in 75% of subjects (p < 0.05 for all) and that there was a greater effect of predictable pain for some subjects and a greater effect of unpredictable pain for others. Reaction time was related to reported anxiety (r = 0.49, p = 0.02 for both conditions). The predictability of a painful stimulus may have a differential effect on central nervous system performance within individuals, but anxiety about the impending pain appears to be important in determining this effect.

Prospective case review of a global e-health system for doctors in developing countries

The Swinfen Charitable Trust has managed email consultations for doctors in developing countries since 1999. The process was handled manually for the first three years and then subsequently using an automatic message-handling system. We conducted a prospective review of email consultations between referring doctors and consulting specialists during six months of automatic operation (December 2003 to May 2004). During the study period 125 consultations took place. These concerned a wide range of specialties (e.g. orthopaedics 17%, dermatology 16%, obstetrics and gynaecology 11%, radiology 10%). Of these referrals, 33% (41) were for paediatric cases. Consulting specialists, who were based in five countries, were volunteers. Referring doctors were from 24 hospitals in 12 developing countries. The median time from referral to definitive reply was 1.5 days (interquartile range 0.6-4.9). There was an 85% response rate (n = 106) to a survey concerning the value of the consultation to the referring doctor. All the referring doctors who responded made positive comments about the service and half said that it improved their management of the case. The second-opinion consultation system operated by the Swinfen Charitable Trust represents an example of a global e-health system operated for altruistic, rather than commercial, reasons.

HPV-16 L1 VLP vaccine elicits a broad-spectrum of cytokine responses in whole blood

Here, we evaluated innate and adaptive immune system cytokine responses induced by HPV-16 L1 VLP in whole blood (WB) cultures from individuals receiving the vaccine (n = 20) or placebo (n = 4) before and after vaccination. 11 cytokines were measured: IL- 1 beta, IL-2, IL-4, IL-5, IL-6, IL-8, 1L- 10, IL- 12, IFN-gamma, TNF-alpha, and GM-CSF using multiplex bead arrays. Cytokine profiles from WB samples clearly discriminated between vaccine and placebo recipients and between pre and post-vaccination responses. Significant increases in Th1, Th2 and inflammatory cytokines were observed in WB assays following vaccination. Results from WB assays were compared against parallel PBMC-based assays in a subset of patients. Differences between whole blood assay and PBMC were observed, with the highest levels of induction found for WB for several cytokines. Our results indicate that multiplex assays for cytokine profiling in WB are an efficient toot for assessing broad spectrum, innate and adaptive immune responses to vaccines and identifying immunologic correlates of protection in efficacy studies. (c) 2005 Elsevier Ltd. All rights reserved.

Impacts of feeding system and season on milk composition and Cheddar cheese yield in a subtropical environment

Milk obtained from cows on 2 subtropical dairy feeding systems were compared for their suitability for Cheddar cheese manufacture. Cheeses were made in a small-scale cheesemaking plant capable of making 2 blocks ( about 2 kg each) of Cheddar cheese concurrently. Its repeatability was tested over 10 separate cheesemaking days with no significant differences being found between the 2 vats in cheesemaking parameters or cheese characteristics. In the feeding trial, 16 pairs of Holstein - Friesian cows were used in 2 feeding systems (M1, rain-grown tropical grass pastures and oats; and M5, a feedlot, based on maize/barley silage and lucerne hay) over 2 seasons ( spring and autumn corresponding to early and late lactation, respectively). Total dry matter, crude protein (kg/cow. day) and metabolisable energy (MJ/cow.day) intakes were 17, 2.7, and 187 for M1 and 24, 4, 260 for M5, respectively. M5 cows produced higher milk yields and milk with higher protein and casein levels than the M1 cows, but the total solids and fat levels were similar (P > 0.05) for both M1 and M5 cows. The yield and yield efficiency of cheese produced from the 2 feeding systems were also not significantly different. The results suggest that intensive tropical pasture systems can produce milk suitable for Cheddar cheese manufacture when cows are supplemented with a high energy concentrate. Season and stage of lactation had a much greater effect than feeding system on milk and cheesemaking characteristics with autumn ( late lactation) milk having higher protein and fat contents and producing higher cheese yields.

Impact of the fiber type and dispersion management on the performance of a NRZ 16 x 40 Gb/s DWDM transmission system

We examine the impact of the fiber type and dispersion management on the performance of a 16 × 40 Gb/s dense wavelength-division-multiplexing nonreturn-to-zero transmission system. The transmission line is composed of G.652 or G.655 fiber with periodic dispersion compensation and hybrid Raman erbium-doped fiber amplifier amplification.

Complete Integrability of a Nonlinear Elliptic System, Generating Bi-umbilical Foliated Semi-symmetric Hypersurfaces in R^4

Николай Кутев, Величка Милушева - Намираме експлицитно всичките би-омбилични фолирани полусиметрични повърхнини в четиримерното евклидово пространство R^4

A Necessary and Sufficient Condition for the Existence of an (n,r)-arc in PG(2,q) and Its Applications

ACM Computing Classification System (1998): E.4.

A randomised controlled trial of the clinical effectiveness and cost-effectiveness of the levonorgestrel-releasing intrauterine system in primary care against standard treatment for menorrhagia:the ECLIPSE trial

BACKGROUND: Heavy menstrual bleeding (HMB) is a common problem, yet evidence to inform decisions about initial medical treatment is limited. OBJECTIVES: To assess the clinical effectiveness and cost-effectiveness of the levonorgestrel-releasing intrauterine system (LNG-IUS) (Mirena(®), Bayer) compared with usual medical treatment, with exploration of women's perspectives on treatment. DESIGN: A pragmatic, multicentre randomised trial with an economic evaluation and a longitudinal qualitative study. SETTING: Women who presented in primary care. PARTICIPANTS: A total of 571 women with HMB. A purposeful sample of 27 women who were randomised or ineligible owing to treatment preference participated in semistructured face-to-face interviews around 2 and 12 months after commencing treatment. INTERVENTIONS: LNG-IUS or usual medical treatment (tranexamic acid, mefenamic acid, combined oestrogen-progestogen or progesterone alone). Women could subsequently swap or cease their allocated treatment. OUTCOME MEASURES: The primary outcome was the patient-reported score on the Menorrhagia Multi-Attribute Scale (MMAS) assessed over a 2-year period and then again at 5 years. Secondary outcomes included general quality of life (QoL), sexual activity, surgical intervention and safety. Data were analysed using iterative constant comparison. A state transition model-based cost-utility analysis was undertaken alongside the randomised trial. Quality-adjusted life-years (QALYs) were derived from the European Quality of Life-5 Dimensions (EQ-5D) and the Short Form questionnaire-6 Dimensions (SF-6D). The intention-to-treat analyses were reported as cost per QALY gained. Uncertainty was explored by conducting both deterministic and probabilistic sensitivity analyses. RESULTS: The MMAS total scores improved significantly in both groups at all time points, but were significantly greater for the LNG-IUS than for usual treatment [mean difference over 2 years was 13.4 points, 95% confidence interval (CI) 9.9 to 16.9 points; p < 0.001]. However, this difference between groups was reduced and no longer significant by 5 years (mean difference in scores 3.9 points, 95% CI -0.6 to 8.3 points; p = 0.09). By 5 years, only 47% of women had a LNG-IUS in place and 15% were still taking usual medical treatment. Five-year surgery rates were low, at 20%, and were similar, irrespective of initial treatments. There were no significant differences in serious adverse events between groups. Using the EQ-5D, at 2 years, the relative cost-effectiveness of the LNG-IUS compared with usual medical treatment was £1600 per QALY, which by 5 years was reduced to £114 per QALY. Using the SF-6D, usual medical treatment dominates the LNG-IUS. The qualitative findings show that women's experiences and expectations of medical treatments for HMB vary considerably and change over time. Women had high expectations of a prompt effect from medical treatments. CONCLUSIONS: The LNG-IUS, compared with usual medical therapies, resulted in greater improvement over 2 years in women's assessments of the effect of HMB on their daily routine, including work, social and family life, and psychological and physical well-being. At 5 years, the differences were no longer significant. A similar low proportion of women required surgical intervention in both groups. The LNG-IUS is cost-effective in both the short and medium term, using the method generally recommended by the National Institute for Health and Care Excellence. Using the alternative measures to value QoL will have a considerable impact on cost-effectiveness decisions. It will be important to explore the clinical and health-care trajectories of the ECLIPSE (clinical effectiveness and cost-effectiveness of levonorgestrel-releasing intrauterine system in primary care against standard treatment for menorrhagia) trial participants to 10 years, by which time half of the cohort will have reached menopause. TRIAL REGISTRATION: Current Controlled Trials ISRCTN86566246. FUNDING: This project was funded by the NIHR Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 19, No. 88. See the NIHR Journals Library website for further project information.

Medicines optimisation for young people with juvenile arthritis and other long-term conditions:system-level barriers to engagement

To explore the views of pharmacy and rheumatology stakeholders about system-related barriers to medicines optimisation activities with young people with long-term conditions. A three-phase consensus-building study comprising (1) focus groups with community and hospital pharmacists; (2) semi-structured telephone interviews with lay and professional adolescent rheumatology stakeholders and pharmacy policymakers, and (3) multidisciplinary discussion groups with community and hospital pharmacists and rheumatology staff. Qualitative verbatim transcripts from phases 1 and 2 were subjected to framework analysis. Themes from phase 1 underpinned a briefing for phase 2 interviewees. Themes from phases 1 and 2 generated elements of good pharmacy practice and current/future pharmacy roles for ranking in phase 3. Results from phase 3 prioritisation and ranking exercises were captured on self-completion data collection forms, entered into an Excel spreadsheet and subjected to descriptive statistical analysis. Institutional ethical approval was given by Aston University Health and Life Sciences Research Ethics Committee. Four focus groups were conducted with 18 pharmacists across England, Scotland and Wales (7 hospital, 10 community and 1 community/public health). Fifteen stakeholders took part in telephone interviews (3 pharmacist commissioners; 2 pharmacist policymakers; 2 pharmacy staff members (1 community and 1 hospital); 4 rheumatologists; 1 specialist nurse, and 3 lay juvenile arthritis advocates). Twenty-five participants took part in three discussion groups in adolescent rheumatology centres across England and Scotland (9 community pharmacists; 4 hospital pharmacists; 6 rheumatologists; 5 specialist nurses, and 1 physiotherapist). In all phases of the study, system-level issues were acknowledged as barriers to more engagement with young people and families. Community pharmacists in the focus groups reported that opportunities for engaging with young people were low if parents collected prescriptions alone, which was agreed by other stakeholders. Moreover, institutional/company prescription collection policies – an activity largely disallowed for a young person under 16 without an accompanying parent - were identified by hospital and community pharmacists as barriers to open discussion and engagement. Few community pharmacists reported using Medicines Use Review (England/Wales) or Chronic Medication Service (Scotland) as a medicines optimisation activity with young people; many were unsure about consent procedures. Despite these limitations, rheumatology stakeholders ranked highly the potential of pharmacists empowering young people with general health care skills, such as repeat prescription ordering. The pharmacy profession lacks vision for its role in the care of young people with long-term conditions. Pharmacists and rheumatology stakeholders identified system-level barriers to more engagement with young people who take medicines regularly. We acknowledge that the modest number of participants may have had a specific interest and thus bias for the topic, but this underscores their frank admission of the challenges. Professional guidance and policy, practice frameworks and institutional/company policies must promote flexibility for pharmacy staff to recognise and empower young people who are able to give consent and take responsibility for medicines activities. This will increase mutual confidence and trust, and foster pharmacy’s role in teaching general health care skills. In this way, pharmacists will be able to build long-term relationships with young people and families.

R-codes, and coral abundance, water temperature and transect characteristics of nearshore reefs in Belize

Coral reefs are increasingly threatened by global and local anthropogenic stressors, such as rising seawater temperature and nutrient enrichment. These two stressors vary widely across the reef face and parsing out their influence on coral communities at reef system scales has been particularly challenging. Here, we investigate the influence of temperature and nutrients on coral community traits and life history strategies on lagoonal reefs across the Belize Mesoamerican Barrier Reef System (MBRS). A novel metric was developed using ultra-high-resolution sea surface temperatures (SST) to classify reefs as enduring low (lowTP), moderate (modTP), or extreme (extTP) temperature parameters over 10 years (2003 to 2012). Chlorophyll-a (chl a) records obtained for the same interval were employed as a proxy for bulk nutrients and these records were complemented with in situ measurements to "sea truth" nutrient content across the three reef types. Chl a concentrations were highest at extTP sites, medial at modTP sites and lowest at lowTP sites. Coral species richness, abundance, diversity, density, and percent cover were lower at extTP sites compared to lowTP and modTP sites, but these reef community traits did not differ between lowTP and modTP sites. Coral life history strategy analyses showed that extTP sites were dominated by hardy stress-tolerant and fast-growing weedy coral species, while lowTP and modTP sites consisted of competitive, generalist, weedy, and stress-tolerant coral species. These results suggest that differences in coral community traits and life history strategies between extTP and lowTP/modTP sites were driven primarily by temperature differences with differences in nutrients across site types playing a lesser role. Dominance of weedy and stress-tolerant genera at extTP sites suggests that corals utilizing these two life history strategies may be better suited to cope with warmer oceans and thus may warrant further protective status during this climate change interval. Data associated with this project are archived here, including: -SST data -Satellite Chl a data -Nutrient measurements -Raw coral community survey data For questions contact Justin Baumann (j.baumann3 gmail.com)