Rule-Makers or Rule-Takers? Exploring the Transatlantic Trade and Investment Partnership

The Transatlantic Trade and Investment Partnership (TTIP) is an effort by the United States and the European Union to reposition themselves for a world of diffuse economic power and intensified global competition. It is a next-generation economic negotiation that breaks the mould of traditional trade agreements. At the heart of the ongoing talks is the question whether and in which areas the two major democratic actors in the global economy can address costly frictions generated by their deep commercial integration by aligning rules and other instruments. The aim is to reduce duplication in various ways in areas where levels of regulatory protection are equivalent as well as to foster wide-ranging regulatory cooperation and set a benchmark for high-quality global norms. In this volume, European and American experts explain the economic context of TTIP and its geopolitical implications, and then explore the challenges and consequences of US-EU negotiations across numerous sensitive areas, ranging from food safety and public procurement to economic and regulatory assessments of technical barriers to trade, automotive, chemicals, energy, services, investor-state dispute settlement mechanisms and regulatory cooperation. Their insights cut through the confusion and tremendous public controversies now swirling around TTIP, and help decision-makers understand how the United States and the European Union can remain rule-makers rather than rule-takers in a globalising world in which their relative influence is waning.

Segurança rodoviária infantil : conhecimentos e atitudes dos pais na utilização do sistema de retenção no recém-nascido

Enquadramento: A segurança é um direito da criança, que deve ser assegurado pelos pais e sociedade em geral, pois devido à sua vulnerabilidade estão sujeitas a um maior risco de lesões e morte. O transporte seguro de recém-nascidos/crianças em automóveis é uma preocupação, pois os acidentes de viação são a principal causa de mortalidade e morbilidade nesta faixa etária. Nos acidentes rodoviários, o uso correto de um sistema de retenção para crianças (SRC), desde o nascimento, constitui uma forma eficaz de proteção. Objetivos: Caracterizar os conhecimentos e atitudes dos pais no uso do SRC; analisar a influência do processo de aquisição e de informação dos pais sobre o uso do SRC; identificar a relação entre as variáveis sociodemográficas dos pais e o uso de SRC; determinar se os conhecimentos são mediadores das atitudes dos pais na utilização do SRC. Métodos: Estudo quantitativo, transversal, descritivo e correlacional, realizado numa amostra não probabilística, por conveniência de 112 pais de recém-nascidos, mães com média de idade de 30,37 anos (Dp=5,63) e pai 33,91 (Dp=6,09). Para recolha de informação utilizou-se um questionário, construído para o efeito, que os pais preencheram 24-48h após o parto durante os meses de março a maio de um centro hospitalar da região norte de Portugal. Resultados: Maioritariamente tinham como escolaridade o ensino secundário e entre 1 a 4 filhos. O SRC fazia parte do ―enxoval‖ do bebé em 54,5% dos participantes, destes, 72,3% já o tinha experimentado no automóvel e pretendiam usá-lo na alta desde a maternidade 97,3%. Contudo, apurou-se que apenas 47,3% o faria de forma adequada, apesar de 83% referir conhecer a legislação e todos reconhecerem que previne lesões em caso de acidente e 67% admitir ter conhecimentos adequados sobre SRC. Concluiu-se haver relação entre os conhecimentos e a idade e a escolaridade das mães, e pelos resultados obtidos, inferimos que melhores conhecimentos conduzem a melhores atitudes na utilização do SRC. Conclusões: Os resultados indicam que os conhecimentos dos pais sobre o uso adequado de SRC continuam insuficientes. Este facto justifica o investimento no ensino, treino e preparação dos pais para a alta segura desde a maternidade, momento particularmente sensível, e que será determinante nas atitudes de promoção da segurança rodoviária das crianças e adolescentes. Palavras-chave: Segurança; Recém-nascido; Sistema de retenção; Conhecimentos; Atitudes.

Graft preservation solutions in cardiovascular surgery.

Vein grafts are still the most commonly used graft material in cardiovascular surgery and much effort has been spent in recent years on investigating the optimal harvesting technique. One other related topic of similar importance remained more or less an incidental one. The storage solutions of vein grafts following procurement and prior to implantation are, despite their assumed impact, a relatively neglected theme. There is no doubt that the endothelium plays a key role in long-term patency of vein grafts, but the effects of the different storage solutions on the endothelium remain unclear : In a review of the literature, we could find 20 specific papers that addressed the question, of which the currently available preservation solutions are superior, harmless, damaging or ineffective. The focus lies on saline and autologous whole blood. Besides these two storage media, novel or alternative solutions have been investigated with surprising findings. In addition, a few words will be spent on potential alternatives and novel solutions on the market. As there is currently no randomized clinical trial regarding saline versus autologous whole blood available, this review compares all previous studies and methods of analysis to provide a certain level of evidence on this topic. In summary, saline has negative effects on the endothelial layers and therefore may compromise graft patency. Related factors, such as distension pressure, may outbalance the initial benefit of autologous whole blood or storage solutions and intensify the harmful effects of warm saline. In addition, there is no uniform consent on the superiority of autologous whole blood for vein graft storage. This may open the door to alternatives such as the University of Wisconsin solution or one of the specific designed storage solutions like TiProtec™ or Somaluthion™. Whether these preservation solutions are superior or advantageous remains the subject of further studies.

A novel, bedside technique to rapidly identify umbilical cord blood units with high total nucleated cell numbers

BACKGROUND With increasing demand for umbilical cord blood units (CBUs) with total nucleated cell (TNC) counts of more than 150 × 10(7) , preshipping assessment is mandatory. Umbilical cord blood processing requires aseptic techniques and laboratories with specific air quality and cleanliness. Our aim was to establish a fast and efficient method for determining TNC counts at the obstetric ward without exposing the CBU to the environment. STUDY DESIGN AND METHODS Data from a total of 151 cord blood donations at a single procurement site were included in this prospective study. We measured TNC counts in cord blood aliquots taken from the umbilical cord (TNCCord ), from placenta (TNCPlac ), and from a tubing segment of the sterile collection system (TNCTS ). TNC counts were compared to reference TNC counts in the CBU which were ascertained at the cord blood bank (TNCCBU ). RESULTS TNCTS counts (173 ± 33 × 10(7) cells; calculated for 1 unit) correlated fully with the TNCCBU reference counts (166 ± 33 × 10(7) cells, Pearson's r = 0.97, p < 0.0001). In contrast, TNCCord and TNCPlac counts were more disparate from the reference (r = 0.92 and r = 0.87, respectively). CONCLUSIONS A novel method of measuring TNC counts in tubing segments from the sterile cord blood collection system allows rapid and correct identification of CBUs with high cell numbers at the obstetric ward without exposing cells to the environment. This approach may contribute to cost efficacy as only CBUs with satisfactory TNC counts need to be shipped to the cord blood bank.

Handbook of definitions of materials and end products used in "M" and "L" orders issued by the War production board through March 1, 1943.

Reproduced from typewritten copy.

Professional minority consulting firms /

Previously published as: Nation-wide roster of professional minority consulting firms

Industrial supply and distribution in Puerto Rico.

On cover: Prepared by the Economic Development Administration of the Commonwealth of Puerto Rico for the Small Business Administration, Washington.

Reauthorization of GSA and multiple award program : hearing before the Committee on Governmental Affairs, United States Senate, One Hundred Second Congress, second session, on S. 1958 ... and S. 2619 ... June 11, 1992.

"S. 1958, to authorize functions and activities under the Federal Property and Administrative Services Act of 1949, to amend laws relating to federal procurement, and for other purposes and S. 2619, to amend the Federal Property and Amdinistrative Services Act of 1949 to enact provisions governing the negotiation and award of contracts under the multiple award schedule program of the Feneral Services Administration"

Resource recovery plant implementation : guides for municipal officials

157.1. Planning and overview.--157.2. Technologies.--157.3. Markets.--157.5. Procurement.--157.6. Accounting format.--157.7. Risks and contracts.

Improved conventional force capability : raising the nuclear threshold : a staff study /

Mode of access: Internet.

Comparison of behavior of bowhead whales of the Davis Strait and Bering/Beaufort stocks /

Mode of access: Internet.

Department of Defense appropriations for 1963 : hearings before the subcommittee ... Eighty-seventh Congress, second session.

pt. 1. Military personnel.--pt. 2. Secretary of defense; Chairman, Joint chiefs of staff; Service secretaries and chiefs of staff; overall financial statements.--pt. 3. Operation and maintenance.--pt. 4. Procurement.--pt. 5. Research, development, test, and evaluation.--pt. 6. Appropriation language; Army reserve components; Chemical and biological warfare programs, Army; Testimony of members of Congress, organizations, and interested individuals.

Department of Defense appropriations for 1962 : hearings before the subcomittee ... Eighty-seventh Congress, first session.

pt. 1. Overall financial statements, military personnel.--pt. 2. Operation and maintenance.--pt. 3. Secretary of defense; Chairman, Joint chiefs of staff; Service secretaries and chiefs of staff.--pt. 4. Research, development, test, and evaluation.--pt. 5. Procurement.--pt. 6. Nuclear propulsion; appropriation language; amendments to the budget, 1962; statements of members of Congress, organizations, and interested individuals.

Department of Defense appropriations for 1966 : hearings ... Eighty-ninth Congress, first session.

Includes Supplemental defense appropriations for 1966.

Department of Defense appropriations for 1967 : hearings before a subcommittee of the Committee on Appropriations, House of Representatives, Eighty-ninth Congress, second session.

Includes index.