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1

Ancillary services market in California  

SciTech Connect

This report includes sections on the following topics: (1) California restructured electricity system overview; (2) Reliability criteria; (3) Design of the California ISO ancillary services market; (4) Operation of ancillary services markets; (5) Ancillary services markets redesign; and (6) Conclusions.

Gomez, T.; Marnay, C.; Siddiqui, A.; Liew, L.; Khavkin, M.

1999-07-01

2

Ancillary Services Provided from DER  

SciTech Connect

Distributed energy resources (DER) are quickly making their way to industry primarily as backup generation. They are effective at starting and then producing full-load power within a few seconds. The distribution system is aging and transmission system development has not kept up with the growth in load and generation. The nation's transmission system is stressed with heavy power flows over long distances, and many areas are experiencing problems in providing the power quality needed to satisfy customers. Thus, a new market for DER is beginning to emerge. DER can alleviate the burden on the distribution system by providing ancillary services while providing a cost adjustment for the DER owner. This report describes 10 types of ancillary services that distributed generation (DG) can provide to the distribution system. Of these 10 services the feasibility, control strategy, effectiveness, and cost benefits are all analyzed as in the context of a future utility-power market. In this market, services will be provided at a local level that will benefit the customer, the distribution utility, and the transmission company.

Campbell, J.B.

2005-12-21

3

Ancillary data services of NASA's Navigation and Ancillary Information Facility  

Microsoft Academic Search

JPL's Navigation and Ancillary Information Facility (NAIF) has primary responsibility for design and implementation of the SPICE ancillary information system, supporting a wide range of space science mission design, observation planning and data analysis functions. NAIF also serves as the ancillary data node of the Planetary Data System (PDS). As part of the PDS, NAIF archives SPICE and other ancillary

Charles H. Acton

1996-01-01

4

Creating competitive markets for ancillary services  

SciTech Connect

This report describes the structure of, and results from, a spreadsheet model. The model simulates markets for seven services: losses, regulation, spinning reserve, supplemental reserve,load following, energy imbalance, and voltage support. For completeness, the model also calculates costs for system control, although this service will continue to be provided solely the the system operator under cost-based prices. This computer model demonstrated the likely complexity of markets for energy and ancillary services. This complexity arises because these markets are highly interdependent. Because these markets are interactive, the costs and therefore the prices of these services will vary considerably as functions of system load and the current spot price of energy. The price of ancillary services in aggregate is highly correlated with the price of energy. A base-case utility was developed for use with the model and included in the report.

Hirst, E.; Kirby, B.

1997-10-01

5

Controlling distributed energy constrained resources for power system ancillary services  

Microsoft Academic Search

Demand response, load control and control of distributed energy storage devices are gaining attention as mechanisms to support power system operation in “smart grids”, for example by providing ancillary services such as spinning reserves and regulation. This paper addresses some of the key open questions in developing algorithms to communicate with and control large populations of distributed resources, and borrows

Ashwin Kashyap; Duncan Callaway

2010-01-01

6

Demand Response Resources for Energy and Ancillary Services (Presentation)  

SciTech Connect

Demand response (DR) resources present a potentially important source of grid flexibility particularly on future systems with high penetrations of variable wind an solar power generation. However, DR in grid models is limited by data availability and modeling complexity. This presentation focuses on the co-optimization of DR resources to provide energy and ancillary services in a production cost model of the Colorado test system. We assume each DR resource can provide energy services by either shedding load or shifting its use between different times, as well as operating

Hummon, M.

2014-04-01

7

Effective Ancillary Services Market Designs on High Wind Power Penetration Systems: Preprint  

SciTech Connect

This paper focuses on how the ancillary service market designs are implemented and how they may require changes on systems with greater penetrations of variable renewable energy suppliers, in particular wind power. Ancillary services markets have been developed in many of the restructured power system regions throughout the world. Ancillary services include the services that support the provision of energy to support power system reliability. The ancillary services markets are tied tightly to the design of the energy market and to the physics of the system and therefore careful consideration of power system economics and engineering must be considered in their design. This paper focuses on how the ancillary service market designs are implemented and how they may require changes on systems with greater penetrations of variable renewable energy suppliers, in particular wind power.

Ela, E.; Kirby, B.; Navid, N.; Smith, J. C.

2011-12-01

8

Commercial Building Loads Providing Ancillary Services in PJM  

SciTech Connect

The adoption of low carbon energy technologies such as variable renewable energy and electric vehicles, coupled with the efficacy of energy efficiency to reduce traditional base load has increased the uncertainty inherent in the net load shape. Handling this variability with slower, traditional resources leads to inefficient system dispatch, and in some cases may compromise reliability. Grid operators are looking to future energy technologies, such as automated demand response (DR), to provide capacity-based reliability services as the need for these services increase. While DR resources are expected to have the flexibility characteristics operators are looking for, demonstrations are necessary to build confidence in their capabilities. Additionally, building owners are uncertain of the monetary value and operational burden of providing these services. To address this, the present study demonstrates the ability of demand response resources providing two ancillary services in the PJM territory, synchronous reserve and regulation, using an OpenADR 2.0b signaling architecture. The loads under control include HVAC and lighting at a big box retail store and variable frequency fan loads. The study examines performance characteristics of the resource: the speed of response, communications latencies in the architecture, and accuracy of response. It also examines the frequency and duration of events and the value in the marketplace which can be used to examine if the opportunity is sufficient to entice building owners to participate.

MacDonald, Jason; Kiliccote, Sila; Boch, Jim; Chen, Jonathan; Nawy, Robert

2014-06-27

9

Data Centers to Offer Ancillary Services Mahdi Ghamkhari and Hamed Mohsenian-Rad  

E-print Network

}@ee.ucr.edu Abstract-- Considering the growing number of Internet and cloud computing data centers being built the potential for Internet and cloud computing data centers to participate in an ancillary service market are among the benefits in supplying ancillary services from load resources [2]. Load resources are paid

Mohsenian-Rad, Hamed

10

77 FR 40413 - Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric...Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric...open-access transmission tariff (OATT), and accounting and reporting requirements....

2012-07-09

11

Ancillary Data Services of NASA's Planetary Data System  

NASA Technical Reports Server (NTRS)

JPL's Navigation and Ancillary Information Facility (NAIF) has primary responsibility for design and implementation of the SPICE ancillary information system, supporting a wide range of space science mission design, observation planning and data analysis functions/activities. NAIF also serves as the geometry and ancillary data node of the Planetary Data System (PDS). As part of the PDS, NAIF archives SPICE and other ancillary data produced by flight projects. NAIF then distributes these data, and associated data access software and high-level tools, to researchers funded by NASA's Office of Space Science. Support for a broader user community is also offered to the extent resources permit. This paper describes the SPICE system and customer support offered by NAIF.

Acton, C.

1994-01-01

12

75 FR 22125 - Market-Based Rates for Wholesale Sales of Electric Energy, Capacity and Ancillary Services by...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Commission [Docket No. RM04-7-006] Market-Based Rates for Wholesale Sales of Electric Energy, Capacity and Ancillary Services...1\\ Market-Based Rates for Wholesale Sales of Electric Energy, Capacity and Ancillary...

2010-04-27

13

Short-Term Output Variations in Wind Farms--Implications for Ancillary Services in the United States: Preprint  

SciTech Connect

With the advent of competition in the electric power marketplace, this paper reviews changes that affect wind and other renewable energy technologies, and discusses the role of federal and state policies in the recent wind installations in the United States. In particular, it reviews the implications of ancillary service requirements on a wind farm and presents initial operating results of monitoring one Midwest wind farm. Under federal energy policy, each generator must purchase, or otherwise provide for, ancillary services, such as dispatch, regulation, operation reserve, voltage regulation, and scheduling required to move power to load. As a renewable technology that depends on the forces of nature, short-term output variations are inherently greater for a wind farm than for a gas-fired combined cycle or a supercritical coal-fired unit.

Cadogan, J. [U.S. Department of Energy (US); Milligan, M. [National Renewable Energy Laboratory (US); Wan, Y. [National Renewable Energy Laboratory (US); Kirby, B. [Oak Ridge National Laboratory (US)

2001-09-21

14

42 CFR 413.316 - Determining payment amounts: Ancillary services.  

Code of Federal Regulations, 2014 CFR

...DISEASE SERVICES; OPTIONAL PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES Prospectively Determined Payment Rates for Low-Volume Skilled Nursing Facilities, for Cost Reporting Periods Beginning Prior to July 1, 1998...

2014-10-01

15

42 CFR 413.316 - Determining payment amounts: Ancillary services.  

Code of Federal Regulations, 2010 CFR

...DISEASE SERVICES; OPTIONAL PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES Prospectively Determined Payment Rates for Low-Volume Skilled Nursing Facilities, for Cost Reporting Periods Beginning Prior to July 1, 1998...

2010-10-01

16

42 CFR 413.316 - Determining payment amounts: Ancillary services.  

Code of Federal Regulations, 2011 CFR

...DISEASE SERVICES; OPTIONAL PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES Prospectively Determined Payment Rates for Low-Volume Skilled Nursing Facilities, for Cost Reporting Periods Beginning Prior to July 1, 1998...

2011-10-01

17

42 CFR 413.316 - Determining payment amounts: Ancillary services.  

Code of Federal Regulations, 2013 CFR

...DISEASE SERVICES; OPTIONAL PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES Prospectively Determined Payment Rates for Low-Volume Skilled Nursing Facilities, for Cost Reporting Periods Beginning Prior to July 1, 1998...

2013-10-01

18

DR Resources for Energy and Ancillary Services in the West  

E-print Network

or decrease) with increased penetration of variable renewable generation like wind and solar power, Space Heating, Water Heating · Municipal · Freshwater Pumping, Highway Lighting, Wastewater Pumping · Industrial · Agricultural Irrigation Pumping, Data Centers, Refrigerated Warehouses #12;DR Services provided

19

Organizational boundaries of medical practice: the case of physician ownership of ancillary services  

PubMed Central

Physician ownership of in-office ancillary services (IOASs) has come under increasing scrutiny. Advocates of argue that IOASs allow physicians to supervise the quality and coordination of care. Critics have argued that IOASs create financial incentives for physicians to increase ancillary service volume. In this paper we develop a conceptual framework to evaluate the tradeoffs associated with physician ownership of IOASs. There is some evidence supporting the existence of scope and transaction economies in IOASs. Improvement in flow and continuity of care are likely to generate scope economies and improvements in quality monitoring and reductions in consumer transaction costs are likely to generate transaction economies. Other factors include the capture of upstream and downstream profits, but these incentives are likely to be small compared to scope and transaction economies. Policy debates on the merits of IOASs should include an explicit assessment of these tradeoffs. This research was supported in part by funding from the American Association of Orthopaedic Surgeons (AAOS). PMID:22828324

2012-01-01

20

Development of a Tool for Pressure Ulcer Risk Assessment and Preventive Interventions in Ancillary Services Patients  

Microsoft Academic Search

Development of a Tool for Pressure Ulcer Risk Assessment\\u000aand Preventive Interventions in Ancillary Services Patients\\u000aMonica S. Messer\\u000aAbstract\\u000aThe incidence of nosocomial pressure ulcers has increased 70 percent in U.S. hospitals over the past 15 years despite implementation of preventive guidelines and the wide-spread use of validated risk assessment tools. Most preventive efforts have been focused primarily on

Monica Shutts Messer

2012-01-01

21

DR Resources for Energy and Ancillary Services in the West (Presentation)  

SciTech Connect

Demand response (DR) resources present a potentially important source of grid flexibility however, DR in grid models is limited by data availability and modeling complexity. This presentation focuses on the co-optimization of DR resources to provide energy and ancillary services in a production cost model of the Colorado "test system". We assume each DR resource can provide energy services by either shedding load or shifting its use between different times, as well as operating reserves: frequency regulation, contingency reserve, and flexibility (or ramping) reserve. There are significant variations in the availabilities of different types of DR resources, which affect both the operational savings as well as the revenue for each DR resource. The results presented include the system-wide avoided fuel and generator start-up costs as well as the composite revenue for each DR resource by energy and operating reserves.

Hummon, M.; Kiliccote, S.

2014-04-01

22

Cost-Causation-Based Tariffs for Wind Ancillary Service Impacts: Preprint  

SciTech Connect

Conference paper discussing the integration cost of wind. Although specific tariffs for wind generation for ancillary services are uncommon, we anticipate that balancing authorities (control areas) and other entities will move toward such tariffs. Tariffs for regulation and imbalance services should be cost-based, recognize the relevant time scales that correspond with utility operational cycles, and properly allocate those costs to those entities that cause the balancing authority to incur the costs. In this paper, we present methods for separating wind's impact into regulation and load following (imbalance) time scales. We show that approximating these impacts with simpler methods can significantly distort cost causation and even cause confusion between the relevant time scales. We present results from NREL's wind data collection program to illustrate the dangers of linearly scaling wind resource data from small wind plants to approximate the wind resource data from large wind plants. Finally, we provide a framework for developing regulation and imbalance tariffs, we outline methods to begin examining contingency reserve requirements for wind plants, we provide guidance on the important characteristics to consider, and we provide hypothetical cases that the tariff can be tested against to determine whether the results are desired.

Kirby, B.; Milligan, M.; Wan, Y.

2006-06-01

23

Yoga as an ancillary treatment for neurological and psychiatric disorders: a review.  

PubMed

Yoga is gaining acceptance as an ancillary medical treatment, but there have been few studies evaluating its therapeutic benefits in neurological and major psychiatric conditions. The authors reviewed the literature in English on the efficacy of yoga for these disorders. Only randomized, controlled trials were included, with the exception of the only study of yoga for bipolar disorder, which was observational. Trials were excluded if yoga was not the central component of the intervention. Of seven randomized, controlled trials of yoga in patients with neurological disorders, six found significant, positive effects. Of 13 randomized, controlled trials of yoga in patients with psychiatric disorders, 10 found significant, positive effects. These results, although encouraging, indicate that additional randomized, controlled studies are needed to critically define the benefits of yoga for both neurological and psychiatric disorders. PMID:22772663

Meyer, Hilary B; Katsman, Alina; Sones, Alexander C; Auerbach, Daniel E; Ames, Donna; Rubin, Robert T

2012-01-01

24

Brief review: The role of ancillary tests in the neurological determination of death  

Microsoft Academic Search

Purpose  The acceptance of brain death by society has allowed for the discontinuation of “life support” and the transplantation of\\u000a organs. In Canada we accept the clinical criteria for brain death (essentially brain stem death) when they can be legitimately\\u000a applied. Ancillary tests are needed when these clinical criteria cannot be applied or when there are confounders. Ancillary\\u000a tests include tests

G. Bryan Young; Sam D. Shemie; Christopher James Doig; Jeannie Teitelbaum

2006-01-01

25

Secure provision of reactive power ancillary services in competitive electricity markets  

NASA Astrophysics Data System (ADS)

The research work presented in this thesis discusses various complex issues associated with reactive power management and pricing in the context of new operating paradigms in deregulated power systems, proposing appropriate policy solutions. An integrated two-level framework for reactive power management is set forth, which is both suitable for a competitive market and ensures a secure and reliable operation of the associated power system. The framework is generic in nature and can be adopted for any electricity market structure. The proposed hierarchical reactive power market structure comprises two stages: procurement of reactive power resources on a seasonal basis, and real-time reactive power dispatch. The main objective of the proposed framework is to provide appropriate reactive power support from service providers at least cost, while ensuring a secure operation of the power system. The proposed procurement procedure is based on a two-step optimization model. First, the marginal benefits of reactive power supply from each provider, with respect to system security, are obtained by solving a loadability-maximization problem subject to transmission security constraints imposed by voltage and thermal limits. Second, the selected set of generators is determined by solving an optimal power flow (OPF)-based auction. This auction maximizes a societal advantage function comprising generators' offers and their corresponding marginal benefits with respect to system security, and considering all transmission system constraints. The proposed procedure yields the selected set of generators and zonal price components, which would form the basis for seasonal contracts between the system operator and the selected reactive power service providers. The main objective of the proposed reactive power dispatch model is to minimize the total payment burden on the Independent System Operator (ISO), which is associated with reactive power dispatch. The real power generation is decoupled and assumed to be fixed during the reactive power dispatch procedures; however, the effect of reactive power on real power is considered in the model by calculating the required reduction in real power output of a generator due to an increase in its reactive power supply. In this case, real power generation is allowed to be rescheduled, within given limits, from the already dispatched levels obtained from the energy market clearing process. The proposed dispatch model achieves the main objective of an ISO in a competitive electricity market, which is to provide the required reactive power support from generators at least cost while ensuring a secure operation of the power system. The proposed reactive power procurement and dispatch models capture both the technical and economic aspects of power system operation in competitive electricity markets; however, from an optimization point of view, these models represent non-convex mixed integer non-linear programming (MINLP) problems due to the presence of binary variables associated with the different regions of reactive power operation in a synchronous generator. Such MINLP optimization problems are difficult to solve, especially for an actual power system. A novel Generator Reactive Power Classification (GRPC) algorithm is proposed in this thesis to address this issue, with the advantage of iteratively solving the optimization models as a series of non-linear programming (NLP) sub-problems. The proposed reactive power procurement and dispatch models are implemented and tested on the CIGRE 32-bus system, with several case studies that represent different practical operating scenarios. The developed models are also compared with other approaches for reactive power provision, and the results demonstrate the robustness and effectiveness of the proposed model. The results clearly reveal the main features of the proposed models for optimal provision of reactive power ancillary service, in order to suit the requirements of an ISO under today's stressed system conditions in a competitive market environment.

El-Samahy, Ismael

26

Ancillary investigations in uveitis  

PubMed Central

Ancillary investigations are the backbone of uveitis work-up both for anterior and posterior segment diseases. They help in making the diagnosis, ruling out certain differential diagnosis and monitoring inflammation during the follow-up. This review aims to be an overview describing the role of commonly used investigations for uveitis. PMID:23803477

Gupta, Vishali; Gupta, Amod

2013-01-01

27

Using Dimmable Lighting for Regulation Capacity and Non-Spinning Reserves in the Ancillary Services Market. A Feasibility Study.  

SciTech Connect

The objective of this Feasibility Study was to identify the potential of dimmable lighting for providing regulation capacity and contingency reserves if massively-deployed throughout the State. We found that one half of the total electric lighting load in the California commercial sector is bottled up in larger buildings that are greater an 50,000 square feet. Retrofitting large California buildings with dimmable lighting to enable fast DR lighting would require an investment of about $1.8 billion and a"fleet" of about 56 million dimming ballasts. By upgrading the existing installed base of lighting and controls (primarily in large commercial facilities) a substantial amount of ancillary services could be provided. Though not widely deployed, today's state-of-the art lighting systems, control systems and communication networks could be used for this application. The same lighting control equipment that is appropriate for fast DR is also appropriate for achieving energy efficiency with lighting on a daily basis. Thus fast DR can leverage the capabilities that are provided by a conventional dimming lighting control system. If dimmable lighting were massively deployed throughout large California buildings (because mandated by law, for example) dimmable lighting could realistically supply 380 MW of non-spinning reserve, 47percent of the total non-spinning reserves needed in 2007.

Rubinstein, Francis; Xiaolei, Li; Watson, David S.

2010-12-03

28

Peer-to-Peer Consultations: Ancillary Services Peer Exchange with India: Experience from South Africa, Europe & the United States (Fact Sheet)  

SciTech Connect

In support of national and subnational decision makers, the 21st Century Power Partnership regularly works with country partners to organize peer-to-peer consultations on critical issues. In March 2014, 21CPP collaborated with the Regulatory Assistance Project - India to host two peer-to-peer exchanges among experts from India, South Africa, Europe, and the United States to discuss the provision of ancillary services, particularly in the context of added variability and uncertainty from renewable energy. This factsheet provides a high level summary of the peer-to-peer consultation.

Not Available

2014-05-01

29

47 CFR 25.149 - Application requirements for ancillary terrestrial components in the mobile-satellite service...  

Code of Federal Regulations, 2012 CFR

...Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES SATELLITE COMMUNICATIONS Applications and Licenses...1093 of this chapter for Satellite Communications Services devices....

2012-10-01

30

47 CFR 25.149 - Application requirements for ancillary terrestrial components in the Mobile-Satellite Service...  

Code of Federal Regulations, 2013 CFR

...Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES SATELLITE COMMUNICATIONS Applications and Licenses...1093 of this chapter for Satellite Communications Services devices....

2013-10-01

31

47 CFR 25.149 - Application requirements for ancillary terrestrial components in the mobile-satellite service...  

Code of Federal Regulations, 2011 CFR

...Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES SATELLITE COMMUNICATIONS Applications and Licenses...1093 of this chapter for Satellite Communications Services devices....

2011-10-01

32

47 CFR 25.149 - Application requirements for ancillary terrestrial components in the mobile-satellite service...  

Code of Federal Regulations, 2010 CFR

...Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES SATELLITE COMMUNICATIONS Applications and Licenses...1093 of this chapter for Satellite Communications Services devices....

2010-10-01

33

47 CFR 25.255 - Procedures for resolving harmful interference related to operation of ancillary terrestrial...  

Code of Federal Regulations, 2010 CFR

... Procedures for resolving harmful interference related to operation of ancillary... Procedures for resolving harmful interference related to operation of ancillary...GHz and 2 GHz bands. If harmful interference is caused to other services by...

2010-10-01

34

47 CFR 25.255 - Procedures for resolving harmful interference related to operation of ancillary terrestrial...  

Code of Federal Regulations, 2012 CFR

... Procedures for resolving harmful interference related to operation of ancillary... Procedures for resolving harmful interference related to operation of ancillary...GHz and 2 GHz bands. If harmful interference is caused to other services by...

2012-10-01

35

47 CFR 25.255 - Procedures for resolving harmful interference related to operation of ancillary terrestrial...  

Code of Federal Regulations, 2013 CFR

... Procedures for resolving harmful interference related to operation of ancillary... Procedures for resolving harmful interference related to operation of ancillary...6/2.4 GHz bands. If harmful interference is caused to other services by...

2013-10-01

36

47 CFR 25.255 - Procedures for resolving harmful interference related to operation of ancillary terrestrial...  

Code of Federal Regulations, 2014 CFR

... Procedures for resolving harmful interference related to operation of ancillary... Procedures for resolving harmful interference related to operation of ancillary...6/2.4 GHz bands. If harmful interference is caused to other services by...

2014-10-01

37

47 CFR 25.255 - Procedures for resolving harmful interference related to operation of ancillary terrestrial...  

Code of Federal Regulations, 2011 CFR

... Procedures for resolving harmful interference related to operation of ancillary... Procedures for resolving harmful interference related to operation of ancillary...GHz and 2 GHz bands. If harmful interference is caused to other services by...

2011-10-01

38

Using satellite imagery as ancillary data for increasing the precision of estimates for the Forest Inventory and Analysis program of the USDA Forest Service  

Microsoft Academic Search

Forest inventory programs report estimates of forest variables for areas of interest ranging in size from mu- nicipalities, to counties, to states or provinces. Because of numerous factors, sample sizes are often insufficient to esti- mate attributes as precisely as is desired, unless the estimation process is enhanced using ancillary data. Classified satellite imagery has been shown to be an

Ronald E. McRoberts; Geoffrey R. Holden; Mark D. Nelson; Greg C. Liknes; Dale D. Gormanson

2005-01-01

39

75 FR 54445 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)  

Federal Register 2010, 2011, 2012, 2013, 2014

...Senior Executive Service; Financial Management Service Performance Review Board (PRB) AGENCY: Financial Management Service, Fiscal Service...appointment of members to the Financial Management Service (FMS)...

2010-09-07

40

76 FR 63351 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)  

Federal Register 2010, 2011, 2012, 2013, 2014

...Senior Executive Service; Financial Management Service Performance Review Board (PRB) AGENCY: Financial Management Service, Treasury. ACTION...appointment of members to the Financial Management Service (FMS)...

2011-10-12

41

77 FR 60177 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)  

Federal Register 2010, 2011, 2012, 2013, 2014

...Senior Executive Service; Financial Management Service Performance Review Board (PRB) AGENCY: Financial Management Service, Treasury. ACTION...appointment of members to the Financial Management Service (FMS)...

2012-10-02

42

Review the CSC AmeriCorps service  

E-print Network

Review the CSC AmeriCorps service criteria Determine which priority area you would like to serve that aligns with the CSC service criteria Contact your CSU campus AmeriCorps Coordinator to obtain enrollment the enrollment paperwork Complete an in-person or online Orientation session to understand the CSC Ameri

43

Community Service and Continuing Education: Literature Review.  

ERIC Educational Resources Information Center

This review was undertaken to explore and analyze the literature in the ERIC Clearinghouse on Adult Education in terms of three important questions about Title I of the Higher Education Act of 1965. First, what is the relationship between community service and continuing education as revealed in the substance, audience, and methods of Title I…

Whipple, James B.

44

Review of Semantic Web Service Discovery Methods  

Microsoft Academic Search

Discovering web services is the process of finding web services that satisfy specific requirements. Rich and formal representations of services and interactions are required for principled selection of services, context-aware analysis and satisfaction of requests, as well as dynamic interaction and negotiation with the service providers. Semantic technologies facilitate specialization and generalization of service needs as well as service composition.

Le Duy Ngan; Markus Kirchberg; Rajaraman Kanagasabai

2010-01-01

45

Evaluation of the Service Review Model with Performance Scorecards  

ERIC Educational Resources Information Center

The current study combined a management technique termed "Service Review" with performance scorecards to enhance staff and consumer behavior in a human service setting consisting of 11 supervisors and 56 front-line staff working with 9 adult consumers with challenging behaviors. Results of our intervention showed that service review and scorecards…

Szabo, Thomas G.; Williams, W. Larry; Rafacz, Sharlet D.; Newsome, William; Lydon, Christina A.

2012-01-01

46

Radiation Safety Guide For Ancillary Personnel  

E-print Network

Radiation Safety Guide For Ancillary Personnel University of Washington Radiation Safety Office 203 Hall Health Center Seattle, WA 98195 (206) 543-0463 #12;INTRODUCTION The Radiation Safety Office has developed this guide to provide basic radiation safety information for ancillary personnel (i.e. custodial

Wilcock, William

47

78 FR 5516 - Senior Executive Service Performance Review Board Membership  

Federal Register 2010, 2011, 2012, 2013, 2014

...OCCUPATIONAL SAFETY AND HEALTH...Executive Service Performance Review Board Membership AGENCY: Occupational Safety and Health...members to the Performance Review Board (PRB) of the Occupational Safety and...

2013-01-25

48

76 FR 39926 - Senior Executive Service Performance Review Board Membership  

Federal Register 2010, 2011, 2012, 2013, 2014

...OCCUPATIONAL SAFETY AND HEALTH...Executive Service Performance Review Board Membership AGENCY: Occupational Safety and Health...members to the Performance Review Board (PRB) of the Occupational Safety and...

2011-07-07

49

75 FR 14214 - Senior Executive Service Performance Review Board Membership  

Federal Register 2010, 2011, 2012, 2013, 2014

...OCCUPATIONAL SAFETY AND HEALTH...Executive Service Performance Review Board Membership AGENCY: Occupational Safety and Health...members to the Performance Review Board (PRB) of the Occupational Safety and...

2010-03-24

50

76 FR 81998 - Senior Executive Service Performance Review Board Membership  

Federal Register 2010, 2011, 2012, 2013, 2014

...OCCUPATIONAL SAFETY AND HEALTH...Executive Service Performance Review Board Membership AGENCY: Occupational Safety and Health...members to the Performance Review Board (PRB) of the Occupational Safety and...

2011-12-29

51

78 FR 63310 - Senior Executive Service; Fiscal Service Performance Review Board  

Federal Register 2010, 2011, 2012, 2013, 2014

...members of the Fiscal Service Performance Review Board (PRB) for...The PRB reviews the performance appraisals of career senior...recommendations regarding proposed performance appraisals, ratings, bonuses, pay adjustments, and...

2013-10-23

52

Student Services Review: Grossmont College Disabled Student Programs and Services.  

ERIC Educational Resources Information Center

An overview is provided of the support services and special activities provided by Grossmont College's Disabled Student Programs and Services (DSPS). Following introductory material on the philosophy and objectives of the DSPS, the report describes the methods used to identify the instructional development and support needs of DSPS students during…

Lee, Mimi; Mueler, Toni

53

Diffusion of Innovations in Service Organizations: Systematic Review and Recommendations  

PubMed Central

This article summarizes an extensive literature review addressing the question, How can we spread and sustain innovations in health service delivery and organization? It considers both content (defining and measuring the diffusion of innovation in organizations) and process (reviewing the literature in a systematic and reproducible way). This article discusses (1) a parsimonious and evidence-based model for considering the diffusion of innovations in health service organizations, (2) clear knowledge gaps where further research should be focused, and (3) a robust and transferable methodology for systematically reviewing health service policy and management. Both the model and the method should be tested more widely in a range of contexts. PMID:15595944

Greenhalgh, Trisha; Robert, Glenn; Macfarlane, Fraser; Bate, Paul; Kyriakidou, Olivia

2004-01-01

54

78 FR 73568 - Senior Executive Service-Performance Review Board  

Federal Register 2010, 2011, 2012, 2013, 2014

...Notice is hereby given of the appointment of members of the OPM Performance Review Board. FOR FURTHER INFORMATION CONTACT: Carmen Garcia, Employee Services--OPM Human Resources, Office of Personnel Management, 1900 E Street NW., Washington, DC...

2013-12-06

55

14 CFR 21.477 - Data review and service experience.  

Code of Federal Regulations, 2010 CFR

...Procedures § 21.477 Data review and service experience. (a) If the Administrator finds that a product for which an STC was issued under this subpart does not meet the applicable airworthiness requirements, or that an unsafe feature or...

2010-01-01

56

76 FR 20323 - Hydrographic Services Review Panel Meeting  

Federal Register 2010, 2011, 2012, 2013, 2014

...Review Panel (HSRP) is a Federal Advisory Committee established to advise the Under Secretary of Commerce for Oceans and Atmosphere on matters related to the responsibilities and authorities set forth in section 303 of the Hydrographic Services...

2011-04-12

57

77 FR 67634 - Hydrographic Services Review Panel Meeting  

Federal Register 2010, 2011, 2012, 2013, 2014

...Review Panel (HSRP) is a Federal Advisory Committee established to advise the Under Secretary of Commerce for Oceans and Atmosphere on matters related to the responsibilities and authorities set forth in section 303 of the Hydrographic Services...

2012-11-13

58

75 FR 20816 - Hydrographic Services Review Panel Meeting  

Federal Register 2010, 2011, 2012, 2013, 2014

...Review Panel (HSRP) is a Federal Advisory Committee established to advise the Under Secretary of Commerce for Oceans and Atmosphere on matters related to the responsibilities and authorities set forth in section 303 of the Hydrographic Services...

2010-04-21

59

76 FR 80902 - Senior Executive Service; Performance Review Board; Members  

Federal Register 2010, 2011, 2012, 2013, 2014

...serve as members of the Performance Review Board for the Court Services and Offender Supervision Agency: Thomas Williams, Jasper Ormond, Cedric Hendricks, James Williams, Linda Mays, William Kirkendale, Susan Shaffer, Clifford Keenan, and...

2011-12-27

60

76 FR 55677 - Senior Executive Service (SES) Performance Review Board  

Federal Register 2010, 2011, 2012, 2013, 2014

...Performance Review Board of the General Services Administration: Susan F. Brita, Deputy Administrator--Chair. Gail T. Lovelace, Assistant Administrator and Chief Leadership Officer. Anthony E. Costa, Chief People Officer. David E. Foley,...

2011-09-08

61

75 FR 4453 - Health Services Research and Development Service Merit Review Board; Notice of Meeting  

Federal Register 2010, 2011, 2012, 2013, 2014

...NRI) Review 8 a.m.-5 p.m. Career Development Award (CDA) Review 4:30 p.m.-5:30 p.m. Director and Chair Meeting...simultaneously. 8 a.m.-1 p.m. Career Development Award (CDA) Review continued 8 a.m.-5 p.m. Health Services...

2010-01-27

62

International services marketing: review of research, 1980-1998  

Microsoft Academic Search

The literature on international services marketing from 31 academic journals in the period 1980 to 1998 is reviewed. This time frame contains the largest proportion of scholarly works published on international services marketing to date. Results reveal that the extant literature is relatively sparse, with much research focused on highly specific industries or topic areas. Major findings from leading sectors

Gary Knight

1999-01-01

63

Pre-Service Reading Teacher Efficacy and Tutoring: A Review  

Microsoft Academic Search

Teachers’ personal self-efficacy about their ability to motivate students and encourage learning has been shown to affect\\u000a the classroom they create and student achievement. Therefore, research has been conducted on ways to increase teacher efficacy\\u000a for in-service and pre-service teachers. One area of research that has been explored is the impact of field experiences on\\u000a pre-service teachers. This review explores

Heather R. Haverback; Susan J. Parault

2008-01-01

64

75 FR 20809 - Hydrographic Services Review Panel  

Federal Register 2010, 2011, 2012, 2013, 2014

...navigation data, products and services; coastal management; fisheries management; coastal and marine spatial planning; geodesy; water levels; and other science-related fields to submit applications for Panel membership. To apply for membership...

2010-04-21

65

77 FR 76001 - Hydrographic Services Review Panel  

Federal Register 2010, 2011, 2012, 2013, 2014

...navigation data, products and services; coastal management; fisheries management; coastal and marine spatial planning; geodesy; water levels; and other science-related fields to apply for Panel membership. To apply for membership on the...

2012-12-26

66

78 FR 50037 - Hydrographic Services Review Panel  

Federal Register 2010, 2011, 2012, 2013, 2014

...individuals with expertise in navigation data, products and services; marine cartography and geospatial information systems; geodesy; physical oceanography; coastal resource management, including fisheries management and regional marine planning; and...

2013-08-16

67

76 FR 32957 - Hydrographic Services Review Panel  

Federal Register 2010, 2011, 2012, 2013, 2014

...navigation data, products and services; coastal management; fisheries management; coastal and marine spatial planning; geodesy; water levels; and other science-related fields to apply for Panel membership. To apply for membership on the...

2011-06-07

68

Determinants of HIV Outpatient Service Utilization: A Systematic Review.  

PubMed

Demands on HIV services are increasing as a consequence of the increased life-expectancy of HIV patients in the highly active antiretroviral therapy era. Understanding the factors that influence utilization of ambulatory HIV services is useful for planning service provision. This study reviewed factors associated with utilization of hospital based HIV out-patient services. Studies reporting person-based utilization rates of HIV-specific outpatient services broken down by patient or healthcare characteristics were eligible for inclusion. The Andersen Behavioral Model was used to organize the information extracted into pre-disposing, enabling and need components. Ten studies were included in the final review. Older age, private insurance, urban residence, lower CD4 counts, a diagnosis of AIDS, or anti-retroviral treatment were associated with higher utilization rates. The results of this review are consistent with existing knowledge regarding HIV patients' use of health services. Little information was identified on the influence of health service characteristics on utilization of out-patient services. PMID:24907780

Brennan, Aline; Morley, Deirdre; O'Leary, Aisling C; Bergin, Colm J; Horgan, Mary

2015-01-01

69

A Review of Telehealth Service Implementation Frameworks  

PubMed Central

Despite the potential of telehealth services to increase the quality and accessibility of healthcare, the success rate of such services has been disappointing. The purpose of this paper is to find and compare existing frameworks for the implementation of telehealth services that can contribute to the success rate of future endeavors. After a thorough discussion of these frameworks, this paper outlines the development methodologies in terms of theoretical background, methodology and validation. Finally, the common themes and formats are identified for consideration in future implementation. It was confirmed that a holistic implementation approach is needed, which includes technology, organizational structures, change management, economic feasibility, societal impacts, perceptions, user-friendliness, evaluation and evidence, legislation, policy and governance. Furthermore, there is some scope for scientifically rigorous framework development and validation approaches. PMID:24464237

van Dyk, Liezl

2014-01-01

70

Review of the Rural Manpower Service, 1972.  

ERIC Educational Resources Information Center

In response to a public complaint filed with the Secretary of Labor alleging discriminatory practice by the Rural Manpower Service (RMS), an investigation of the charges was conducted. The petition was filed on behalf of 16 organizations and 398 specifically named individuals, and it accused the RMS of exploiting migrant farm workers. The…

Manpower Administration (DOL), Washington, DC.

71

17 CFR 240.3b-15 - Definition of ancillary portfolio management securities activities.  

Code of Federal Regulations, 2012 CFR

...Definition of ancillary portfolio management securities activities. 240.3b-15...Definition of ancillary portfolio management securities activities. (a) The term ancillary portfolio management securities activities means...

2012-04-01

72

17 CFR 240.3b-15 - Definition of ancillary portfolio management securities activities.  

Code of Federal Regulations, 2011 CFR

...Definition of ancillary portfolio management securities activities. 240.3b-15...Definition of ancillary portfolio management securities activities. (a) The term ancillary portfolio management securities activities means...

2011-04-01

73

17 CFR 240.3b-15 - Definition of ancillary portfolio management securities activities.  

Code of Federal Regulations, 2013 CFR

...Definition of ancillary portfolio management securities activities. 240.3b-15...Definition of ancillary portfolio management securities activities. (a) The term ancillary portfolio management securities activities means...

2013-04-01

74

17 CFR 240.3b-15 - Definition of ancillary portfolio management securities activities.  

Code of Federal Regulations, 2014 CFR

...Definition of ancillary portfolio management securities activities. 240.3b-15...Definition of ancillary portfolio management securities activities. (a) The term ancillary portfolio management securities activities means...

2014-04-01

75

17 CFR 240.3b-15 - Definition of ancillary portfolio management securities activities.  

Code of Federal Regulations, 2010 CFR

...Definition of ancillary portfolio management securities activities. 240.3b-15...Definition of ancillary portfolio management securities activities. (a) The term ancillary portfolio management securities activities means...

2010-04-01

76

76 FR 28767 - Desert Southwest Customer Service Region-Rate Order No. WAPA-152  

Federal Register 2010, 2011, 2012, 2013, 2014

...Intertie) and Ancillary Services Rates for Western Area...existing NITS and Ancillary Services formula rates expire...FURTHER INFORMATION CONTACT: Mr. Darrick Moe...Manager, Desert Southwest Customer Service Region, Western...

2011-05-18

77

42 CFR 416.171 - Determination of payment rates for ASC services.  

Code of Federal Regulations, 2010 CFR

...416.164(b), with the exception of radiology services as provided in § 416.164...surgical procedures and covered ancillary radiology services. Notwithstanding the provisions...offices or for any covered ancillary radiology service, the national unadjusted...

2010-10-01

78

42 CFR 416.171 - Determination of payment rates for ASC services.  

Code of Federal Regulations, 2013 CFR

...416.164(b), with the exception of radiology services as provided in § 416.164...surgical procedures and covered ancillary radiology services. Notwithstanding the provisions...offices or for any covered ancillary radiology service, excluding those listed...

2013-10-01

79

42 CFR 416.171 - Determination of payment rates for ASC services.  

Code of Federal Regulations, 2014 CFR

...416.164(b), with the exception of radiology services as provided in § 416.164...surgical procedures and covered ancillary radiology services. Notwithstanding the provisions...offices or for any covered ancillary radiology service, excluding those listed...

2014-10-01

80

42 CFR 416.171 - Determination of payment rates for ASC services.  

Code of Federal Regulations, 2011 CFR

...416.164(b), with the exception of radiology services as provided in § 416.164...surgical procedures and covered ancillary radiology services. Notwithstanding the provisions...offices or for any covered ancillary radiology service, the national unadjusted...

2011-10-01

81

42 CFR 416.171 - Determination of payment rates for ASC services.  

Code of Federal Regulations, 2012 CFR

...416.164(b), with the exception of radiology services as provided in § 416.164...surgical procedures and covered ancillary radiology services. Notwithstanding the provisions...offices or for any covered ancillary radiology service, excluding those listed...

2012-10-01

82

International outsourcing of information technology services: review and future directions  

Microsoft Academic Search

Purpose – The purpose of this paper is to review the development of the empirical literature on international outsourcing of information technology services (ITS) over the 1992-2007 period and to identify future research areas. Design\\/methodology\\/approach – A sample of 78 empirical academic publications on international outsourcing of ITS conducted between 1992 and 2007 across 46 scholarly journals constitutes the main

Doren Chadee; Revti Raman

2009-01-01

83

Health and social services integration: a review of concepts and models.  

PubMed

Health and social services integration is particularly relevant for populations whose needs span physical health, mental health, housing, and disability services, along with others. Veterans, homeless, chronically ill, and aging are among those populations. This review examines recent peer-reviewed literature about different approaches to services integration, rationales behind those approaches, and successes of those approaches, including factors that make them succeed or fail. The focus here is on services that cross disciplinary boundaries; that is, those that integrate health services with social services, health services with mental health services, or one social service with a categorically different social service. PMID:22873935

Fisher, Michael P; Elnitsky, Christine

2012-01-01

84

47 CFR 76.930 - Initiation of review of basic cable service and equipment rates.  

Code of Federal Regulations, 2011 CFR

...Section 76.930 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Cable Rate Regulation § 76.930 Initiation of review of basic cable service and...

2011-10-01

85

Reactive Power Support Services in Electricity Markets  

E-print Network

this Project For information about this project contact: Peter W. Sauer, Project Leader Professor ElectricalReactive Power Support Services in Electricity Markets Costing and Pricing of Ancillary Services Reactive Power Support Services in Electricity Markets Costing and Pricing of Ancillary Services Project

86

Utilization of Ancillary Studies in the Cytologic Diagnosis of Biliary and Pancreatic Lesions  

PubMed Central

The Papanicolaou Society of Cytopathology has developed a set of guidelines for pancreatobiliary cytology including indications for endoscopic ultrasound-guided fine-needle aspiration, terminology and nomenclature of pancreatobiliary disease, ancillary testing, and post-biopsy management. All documents are based on the expertise of the authors, a review of the literature, discussions of the draft document at several national and international meetings, and synthesis of selected online comments of the draft document. This document presents the results of these discussions regarding the use of ancillary testing in the cytologic diagnosis of biliary and pancreatic lesions. Currently, fluorescence in situ hybridization (FISH) appears to be the most clinically relevant ancillary technique for cytology of bile duct strictures. The addition of FISH analysis to routine cytologic evaluation appears to yield the highest sensitivity without loss in specificity. Loss of immunohistochemical staining for the protein product of the SMAD4 gene and positive staining for mesothelin support a diagnosis of ductal adenocarcinoma. Immunohistochemical markers for endocrine and exocrine differentiation are sufficient for a diagnosis of endocrine and acinar tumors. Nuclear staining for beta-catenin supports a diagnosis of solid-pseudopapilary neoplasm. Cyst fluid analysis for amylase and carcinoembryonic antigen aids in the preoperative classification of pancreatic cysts. Many gene mutations (KRAS, GNAS, VHL, RNF43, and CTNNB1) may be of aid in the diagnosis of cystic neoplasms. Other ancillary techniques do not appear to improve diagnostic sensitivity sufficiently to justify their increased costs. PMID:24639398

Layfield, Lester J.; Ehya, Hormoz; Filie, Armando C.; Hruban, Ralph H.; Jhala, Nirag; Joseph, Loren; Vielh, Philippe; Pitman, Martha B.

2015-01-01

87

Endoscopic ultrasound guided fine needle aspiration and useful ancillary methods  

PubMed Central

The role of endoscopic ultrasound (EUS) in evaluating pancreatic pathology has been well documented from the beginning of its clinical use. High spatial resolution and the close proximity to the evaluated organs within the mediastinum and abdominal cavity allow detection of small focal lesions and precise tissue acquisition from suspected lesions within the reach of this method. Fine needle aspiration (FNA) is considered of additional value to EUS and is performed to obtain tissue diagnosis. Tissue acquisition from suspected lesions for cytological or histological analysis allows, not only the differentiation between malignant and non-malignant lesions, but, in most cases, also the accurate distinction between the various types of malignant lesions. It is well documented that the best results are achieved only if an adequate sample is obtained for further analysis, if the material is processed in an appropriate way, and if adequate ancillary methods are performed. This is a multi-step process and could be quite a challenge in some cases. In this article, we discuss the technical aspects of tissue acquisition by EUS-guided-FNA (EUS-FNA), as well as the role of an on-site cytopathologist, various means of specimen processing, and the selection of the appropriate ancillary method for providing an accurate tissue diagnosis and maximizing the yield of this method. The main goal of this review is to alert endosonographers, not only to the different possibilities of tissue acquisition, namely EUS-FNA, but also to bring to their attention the importance of proper sample processing in the evaluation of various lesions in the gastrointestinal tract and other accessible organs. All aspects of tissue acquisition (needles, suction, use of stylet, complications, etc.) have been well discussed lately. Adequate tissue samples enable comprehensive diagnoses, which answer the main clinical questions, thus enabling targeted therapy. PMID:25339816

Tadic, Mario; Stoos-Veic, Tajana; Kusec, Rajko

2014-01-01

88

Health and Social Services Integration: A Review of Concepts and Models  

Microsoft Academic Search

Health and social services integration is particularly relevant for populations whose needs span physical health, mental health, housing, and disability services, along with others. Veterans, homeless, chronically ill, and aging are among those populations. This review examines recent peer-reviewed literature about different approaches to services integration, rationales behind those approaches, and successes of those approaches, including factors that make them

Michael P. Fisher; Christine Elnitsky

2012-01-01

89

Ancillary human health benefits of improved air quality resulting from climate change mitigation  

PubMed Central

Background Greenhouse gas (GHG) mitigation policies can provide ancillary benefits in terms of short-term improvements in air quality and associated health benefits. Several studies have analyzed the ancillary impacts of GHG policies for a variety of locations, pollutants, and policies. In this paper we review the existing evidence on ancillary health benefits relating to air pollution from various GHG strategies and provide a framework for such analysis. Methods We evaluate techniques used in different stages of such research for estimation of: (1) changes in air pollutant concentrations; (2) avoided adverse health endpoints; and (3) economic valuation of health consequences. The limitations and merits of various methods are examined. Finally, we conclude with recommendations for ancillary benefits analysis and related research gaps in the relevant disciplines. Results We found that to date most assessments have focused their analysis more heavily on one aspect of the framework (e.g., economic analysis). While a wide range of methods was applied to various policies and regions, results from multiple studies provide strong evidence that the short-term public health and economic benefits of ancillary benefits related to GHG mitigation strategies are substantial. Further, results of these analyses are likely to be underestimates because there are a number of important unquantified health and economic endpoints. Conclusion Remaining challenges include integrating the understanding of the relative toxicity of particulate matter by components or sources, developing better estimates of public health and environmental impacts on selected sub-populations, and devising new methods for evaluating heretofore unquantified and non-monetized benefits. PMID:18671873

Bell, Michelle L; Davis, Devra L; Cifuentes, Luis A; Krupnick, Alan J; Morgenstern, Richard D; Thurston, George D

2008-01-01

90

78 FR 78415 - Submission for Review: Customer Service Surveys, OMB Control No. 3206-0236  

Federal Register 2010, 2011, 2012, 2013, 2014

...Review: Customer Service Surveys, OMB Control No. 3206-0236 AGENCY: U.S. Office of Personnel Management. ACTION...comment on the information collection request (ICR) 3206-0236, Customer Service Surveys. As required by the...

2013-12-26

91

75 FR 43423 - 1998 Biennial Regulatory Review-Private Land Mobile Radio Services  

Federal Register 2010, 2011, 2012, 2013, 2014

...Regulatory Review--Private Land Mobile Radio Services AGENCY: Federal Communications...denies the petition filed by the Personal Radio Steering Group (PRSG) regarding certain Multi-Use Radio Service (MURS) rules. In essence,...

2010-07-26

92

Evaluation report: dialysis and ancillary equipment.  

PubMed

As part of the continuing programme of evaluation of medical equipment sponsored by the UK Health Departments, the evaluation of dialysis and ancillary equipment is being carried out within the University of Sheffield, under the direction of Professor M. M. Black. 'Health Equipment Information' Number 148, published in December 1985, carries full reports on the Cobe Centry 2Rx haemodialysis system with double blood pump module (DBPM), the Lucas Medical 2100 haemodialysis system, and the Permutit Series 8 water softener. It also contains summaries of full reports on the Organon-Teknika Sorbsystem and Cordis-Dow Seratron haemodialysis systems, and the Gordonsal RD500 and Elga Mediro D water softeners, which were published in 'HEI' 136. Readers should note that the Cordis Seratron and Lucas 2100 models are no longer available in the UK. Extracts of the evaluations of the Cobe Centry 2Rx + DBPM and the Permutit Series B models, together with summaries and overall comparisons, are given below. 'HEI' (ISSN 0261-0736) is free to NHS staff and 5.00 pounds/copy to others. Editorial enquiries to DHSS Scientific and Technical Branch, 14 Russell Square, London WC1B 5EP. PMID:3735384

1986-01-01

93

National review of maternity services 2008: women influencing change  

PubMed Central

Background In 2009 the Australian government announced a major program of reform with the move to primary maternity care. The reform agenda represents a dramatic change to maternity care provision in a society that has embraced technology across all aspects of life including childbirth. Methods A critical discourse analysis of selected submissions in the consultation process to the national review of maternity services 2008 was undertaken to identify the contributions of individual women, consumer groups and organisations representing the interests of women. Results Findings from this critical discourse analysis revealed extensive similarities between the discourses identified in the submissions with the direction of the 2009 proposed primary maternity care reform agenda. The rise of consumer influence in maternity care policy reflects a changing of the guard as doctors' traditional authority is questioned by strong consumer organisations and informed consumers. Conclusions Unified consumer influence advocating a move away from obstetric -led maternity care for all pregnant women appears to be synergistic with the ethos of corporate governance and a neoliberal approach to maternity service policy. The silent voice of one consumer group (women happy with their obstetric-led care) in the consultation process has inadvertently contributed to a consensus of opinion in support of the reforms in the absence of the counter viewpoint. PMID:21762522

2011-01-01

94

76 FR 7883 - Postal Service Rate Adjustment  

Federal Register 2010, 2011, 2012, 2013, 2014

...operator's territory with accompanying ancillary services. Id. at 7-8. The Postal Service identifies specific terms that distinguish...details on disclaimers, barcoding, and software. The Postal Service contends that the instant agreement...

2011-02-11

95

Level 2 Ancillary Products and Datasets Algorithm Theoretical Basis  

NASA Technical Reports Server (NTRS)

This Algorithm Theoretical Basis (ATB) document describes the algorithms used to generate the parameters of certain ancillary products and datasets used during Level 2 processing of Multi-angle Imaging SpectroRadiometer (MIST) data.

Diner, D.; Abdou, W.; Gordon, H.; Kahn, R.; Knyazikhin, Y.; Martonchik, J.; McDonald, D.; McMuldroch, S.; Myneni, R.; West, R.

1999-01-01

96

Ancillary Care: From Theory to Practice in International Clinical Research  

PubMed Central

How international research might contribute to justice in global health has not been substantively addressed by bioethics. This article describes how the provision of ancillary care can link international clinical research to the reduction of global health disparities. It identifies the ancillary care obligations supported by a theory of global justice, showing that Jennifer Ruger’s health capability paradigm requires the delivery of ancillary care to trial participants for a limited subset of conditions that cause severe morbidity and mortality. Empirical research on the Shoklo Malaria Research Unit’s (SMRU) vivax malaria treatment trial was then undertaken to demonstrate whether and how these obligations might be upheld in a resource-poor setting. Our findings show that fulfilment of the ancillary care obligations is feasible where there is commitment from chief investigators and funders and is strongly facilitated by SMRU’s dual role as a research unit and medical non-governmental organization. PMID:23864908

Pratt, Bridget; Zion, Deborah; Lwin, Khin Maung; Cheah, Phaik Yeong; Nosten, Francois; Loff, Bebe

2013-01-01

97

1. EXTERIOR VIEW TO THE NORTHWEST OF ANCILLARY STRUCTURES ASSOCIATED ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

1. EXTERIOR VIEW TO THE NORTHWEST OF ANCILLARY STRUCTURES ASSOCIATED WITH AND SURROUNDING BUILDING 3210. - Nevada Test Site, Test Cell C Facility, Elevated Water Tower, Area 25, Jackass Flats, Road J, Mercury, Nye County, NV

98

76 FR 69798 - Senior Executive Service; Departmental Performance Review Board  

Federal Register 2010, 2011, 2012, 2013, 2014

...Services and Enforcement, Internal Revenue Service Elizabeth Tucker, Deputy Commissioner, Operations Support, Internal Revenue...Freis, Jr., Director, Financial Crimes Enforcement Network David A. Lebryk, Commissioner, Financial Management Service...

2011-11-09

99

Design of Ancillary Service Markets1 Shmuel S. Oren,  

E-print Network

real time control of the transmission system that enables operation of a competitive energy market by an Independent System Operator (ISO) that is responsible for real time load balancing, congestion management in the US and around the world is the designation of a system operator that is responsible for the reliable

100

Distributed Smart Grid Asset Control Strategies for Providing Ancillary Services  

SciTech Connect

With large-scale plans to integrate renewable generation driven mainly by state-level renewable portfolio requirements, more resources will be needed to compensate for the uncertainty and variability associated with intermittent generation resources. Distributed assets can be used to mitigate the concerns associated with renewable energy resources and to keep costs down. Under such conditions, performing primary frequency control using only supply-side resources becomes not only prohibitively expensive but also technically difficult. It is therefore important to explore how a sufficient proportion of the loads could assume a routine role in primary frequency control to maintain the stability of the system at an acceptable cost. The main objective of this project is to develop a novel hierarchical distributed framework for frequency based load control. The framework involves two decision layers. The top decision layer determines the optimal gain for aggregated loads for each load bus. The gains are computed using decentralized robust control methods, and will be broadcast to the corresponding participating loads every control period. The second layer consists of a large number of heterogeneous devices, which switch probabilistically during contingencies so that aggregated power change matches the desired amount according to the most recently received gains. The simulation results show great potential to enable systematic design of demand-side primary frequency control with stability guarantees on the overall power system. The proposed design systematically accounts for the interactions between the total load response and bulk power system frequency dynamics. It also guarantees frequency stability under a wide range of time varying operating conditions. The local device-level load response rules fully respect the device constraints (such as temperature setpoint, compressor time delays of HVACs, or arrival and departure of the deferrable loads), which are crucial for implementing real load control programs. The promise of autonomous, Grid Friendly™ response by smart appliances in the form of under-frequency load shedding was demonstrated in the GridWise Olympic Peninsula Demonstration in 2006. Each controller monitored the power grid voltage signal and requested that electrical load be shed by its appliance whenever electric power-grid frequency fell below 59.95 Hz. The controllers and their appliances responded reliably to each shallow under-frequency event, which was an average of one event per day and shed their loads for the durations of these events. Another objective of this project was to perform extensive simulation studies to investigate the impact of a population of Grid Friendly™ Appliances (GFAs) on the bulk power system frequency stability. The GFAs considered in this report are represented as demonstration units with water heaters individually modeled.

Kalsi, Karanjit; Zhang, Wei; Lian, Jianming; Marinovici, Laurentiu D.; Moya, Christian; Dagle, Jeffery E.

2013-10-30

101

2008 Review of Information Infrastructure and Services (IIS-08) Late last year I commissioned a review of the University's information infrastructure and  

E-print Network

2008 Review of Information Infrastructure and Services (IIS-08) Late last year I commissioned a review of the University's information infrastructure and services. It was designed as an internal review the review became unavailable and in order to expedite the review process I asked one of the external members

Botea, Adi

102

78 FR 55766 - Submission for Review: Civil Service Retirement System Survivor Annuitant Express Pay Application...  

Federal Register 2010, 2011, 2012, 2013, 2014

...MANAGEMENT Submission for Review: Civil Service Retirement System Survivor...request (ICR) 3206-0233, Civil Service Retirement System Survivor...other technological collection techniques or other forms of information...25-51 will be used by the Civil Service Retirement System...

2013-09-11

103

47 CFR 76.945 - Procedures for Commission review of basic service rates.  

Code of Federal Regulations, 2010 CFR

...for Commission review of basic service rates. (a) Upon...franchising authority. (b) Basic service and equipment rate schedule...or a copy generated by FCC software. Failure to file on the...rate must submit a cost-of-service showing sufficient to...

2010-10-01

104

Product and equipment strategies for surgical services.  

PubMed

One of the most difficult challenges a materiel manager can face is designing different programs to support materiel management services for specific clinical and ancillary areas of the hospital. While basic service standards for purchasing and logistic services should exist for all areas, a large part of how effective a materiel management department is depends on customized program development. In other words, fine tuning services to major customers, such as the Operating Room, can mean the difference between simply filling supply orders and aggressive cost control. This article reviews how Baystate Medical Center (Springfield, MA) maintains consistency in standardizing materiel services while adapting to the requirements of individual departments, such as Surgical Services. PMID:10144004

Mauro, C

1995-07-01

105

77 FR 24933 - Hydrographic Services Review Panel Meeting  

Federal Register 2010, 2011, 2012, 2013, 2014

...multi-mission application of NOAA's geospatial, tide and water level, and hydrographic products...Arctic regional navigation and geospatial, tide and water level, products, services and...improvements to NOAA's navigation, geospatial, tide and water level products, services...

2012-04-26

106

75 FR 59697 - Hydrographic Services Review Panel Meeting  

Federal Register 2010, 2011, 2012, 2013, 2014

...Official (DFO), National Ocean Service (NOS), Office of...Coast Governors' Agreement on Ocean Health, Columbia River and...and hydrographic surveying, climate change and sea level rise impacts...Office of Coast Survey, National Ocean Service, National Oceanic...

2010-09-28

107

Ascent/descent ancillary data production user's guide  

NASA Technical Reports Server (NTRS)

The Ascent/Descent Ancillary Data Product, also called the A/D BET because it contains a Best Estimate of the Trajectory (BET), is a collection of trajectory, attitude, and atmospheric related parameters computed for the ascent and descent phases of each Shuttle Mission. These computations are executed shortly after the event in a post-flight environment. A collection of several routines including some stand-alone routines constitute what is called the Ascent/Descent Ancillary Data Production Program. A User's Guide for that program is given. It is intended to provide the reader with all the information necessary to generate an Ascent or a Descent Ancillary Data Product. It includes descriptions of the input data and output data for each routine, and contains explicit instructions on how to run each routine. A description of the final output product is given.

Brans, H. R.; Seacord, A. W., II; Ulmer, J. W.

1986-01-01

108

A Search and Analysis Tool for HESSI Ancillary Observations  

NASA Astrophysics Data System (ADS)

To fully maximize its scientific return, the HESSI mission will rely heavily on coordinated analysis of context (or ancillary) observations from ground- and space-based observatories. To facilitate this analysis, we have developed an archive and software system that allows users to search, browse, and retrieve ancillary data for HESSI-observed flares. The system includes images, spectra, and lightcurves that span a wide range of wavelengths (radio, optical, UV/EUV, soft X-rays, and hard X-rays) as well as magnetic field observations. These observations are mirrored within 24 hours from remote sites around the world to a central server at the NASA/GSFC Solar Data Analysis Center. The central archive currently includes Yohkoh (SXT), SOHO (EIT, MDI), TRACE, H-alpha (Meudon), radio (RSTN, OVSA, Phoenix, Nancay, Nobeyama) and the Czech Hard X-ray Spectrometer observations. This poster will demonstrate an IDL interface that we have developed for accessing the HESSI ancillary data archive. [EOB

Zarro, D. M.; Tolbert, K.; Dennis, B.

2001-12-01

109

OFT ascent/descent ancillary data requirements document  

NASA Technical Reports Server (NTRS)

Requirements are presented for the ascent/descent (A/D) navigation and attitude-dependent ancillary data products to be generated for the space shuttle orbiter in support of orbital flight test requirements, MPAD guidance and navigation performance assessment, and the mission evaluation team. It was intended that this document serve as the sole requirements control instrument between MPB/MPAD and the A/D ancillary data users. The requirements are primarily functional in nature, but some detail level requirements are also included.

Bond, A. C., Jr.; Abramson, B.

1978-01-01

110

An Ancillary Pumping System for the APS Vacuum System  

NASA Astrophysics Data System (ADS)

An ancillary pumping system has been designed and installed in the Advanced Photon Source storage ring. This vacuum system has the ability to pump sectors of the storage ring down from room pressure to UHV. The ancillary system is a ``dry'' system that uses a combination of turbomolecular pumps and oil-free roughing pumps. The benefits of this system are: the reduction of equipment needed for in-tunnel maintenance, rapid response to vacuum energencies, and a guard to accidental exposures to hydrocarbon contamination. The operational logic and the pump interlock and controls are described.

Walters, D.; Noonan, J.; Gagliano, J.; Harris, G.; Svirtun, V.

1997-05-01

111

76 FR 60840 - Updated OGE Senior Executive Service Performance Review Board  

Federal Register 2010, 2011, 2012, 2013, 2014

...OFFICE OF GOVERNMENT ETHICS Updated OGE Senior Executive Service Performance...Review Board AGENCY: Office of Government Ethics (OGE). ACTION: Notice...Deputy Director, Office of Government Ethics, Suite 500, 1201 New York Avenue,...

2011-09-30

112

75 FR 62540 - Updated OGE Senior Executive Service Performance Review Board  

Federal Register 2010, 2011, 2012, 2013, 2014

...OFFICE OF GOVERNMENT ETHICS Updated OGE Senior Executive Service Performance...Review Board AGENCY: Office of Government Ethics (OGE). ACTION: Notice...General Counsel, Office of Government Ethics, Suite 500, 1201 New York Avenue,...

2010-10-12

113

77 FR 64521 - Updated OGE Senior Executive Service Performance Review Board  

Federal Register 2010, 2011, 2012, 2013, 2014

...OFFICE OF GOVERNMENT ETHICS Updated OGE Senior Executive Service Performance...Review Board AGENCY: Office of Government Ethics (OGE). ACTION: Notice...Deputy Director, Office of Government Ethics, Suite 500, 1201 New York Avenue...

2012-10-22

114

78 FR 76148 - Updated OGE Senior Executive Service Performance Review Board  

Federal Register 2010, 2011, 2012, 2013, 2014

...OFFICE OF GOVERNMENT ETHICS Updated OGE Senior Executive Service Performance...Review Board AGENCY: Office of Government Ethics (OGE). ACTION: Notice...Program Counsel, Office of Government Ethics, Suite 500, 1201 New York Avenue...

2013-12-16

115

78 FR 26664 - Submission for Review: CyberCorps®: Scholarship For Service (SFS) Registration Web Site  

Federal Register 2010, 2011, 2012, 2013, 2014

...for Review: CyberCorps[supreg]: Scholarship For Service (SFS) Registration Web...selected 4-year colleges and universities scholarship grants to attract students to the information...Participating students who receive scholarships from this program are required to...

2013-05-07

116

75 FR 60864 - Senior Executive Service Combined Performance Review Board (PRB)  

Federal Register 2010, 2011, 2012, 2013, 2014

...notice announces the appointment of members of the Combined Performance Review Board (PRB) for the Bureau of Engraving and Printing (BEP), Financial Management Service (FMS), Bureau of the Public Debt (BPD), United States Mint (USM), Alcohol...

2010-10-01

117

76 FR 64428 - Senior Executive Service; Combined Performance Review Board (PRB)  

Federal Register 2010, 2011, 2012, 2013, 2014

...members of the Combined Performance Review Board (PRB) for the Bureau of the Public Debt (BPD), the Bureau of Engraving and Printing (BEP), the Financial Management Service (FMS), the United [[Page 64429

2011-10-18

118

78 FR 58383 - Senior Executive Service; Combined Performance Review Board (PRB)  

Federal Register 2010, 2011, 2012, 2013, 2014

...Mint (USM), the Fiscal Service (FS), the Financial Crimes Enforcement Network (FinCEN), the Bureau of Engraving and Printing (BEP), and the Alcohol and Tobacco Tax and Trade Bureau (TTB). The Combined PRB reviews the performance appraisals...

2013-09-23

119

77 FR 58585 - Appointment of Members of Senior Executive Services Performance Review Board  

Federal Register 2010, 2011, 2012, 2013, 2014

...appointed to the ONDCP Senior Executive Service Performance Review Board: Mr. Jeffery J. Teitz, Ms. Martha Gagne, Mr. Robert W. Denniston, and Ms. Michelle C. Marx. FOR FURTHER INFORMATION CONTACT: Please direct any questions to Edward H....

2012-09-21

120

BOOK REVIEWS Charles C. Bullock and Michael J. Mahon. Introduction to Recreation Services for  

E-print Network

or leisure-studiescurricula.Yet it appearsasifthetextistargeted notsomuchforthetherapeutic recreation studentBOOK REVIEWS Charles C. Bullock and Michael J. Mahon. Introduction to Recreation Services and Recreation University of Southern Mississippi Hattiesburg, Mississippi, USA Introduction to Recreation

Martin, Steven

121

The quality of private pharmacy services in low and middle-income countries: A systematic review  

Microsoft Academic Search

Aim of the review In low and middle income countries private pharmacies are considered a valuable resource for health advice and medicines\\u000a in many communities. However the quality of the service they provide has often been questioned and is unclear. This paper\\u000a reviews the evidence regarding the quality of professional services from private pharmacies in low and middle-income countries.\\u000a Method

Felicity Smith

2009-01-01

122

Financial Report of Ontario Universities 1995-96. Ancillary Enterprises.  

ERIC Educational Resources Information Center

This supplementary volume has been compiled from submissions prepared by each of the provincially assisted universities and federated and affiliated colleges of Ontario (Canada). The information in this volume provides further details concerning sources of revenue and types of expenses as reported for various ancillary operations. These include…

Council of Ontario Universities, Toronto.

123

The Ancillary Harvest of Atlantic Menhaden, Brevoortia tyrannus, Roe  

E-print Network

The Ancillary Harvest of Atlantic Menhaden, Brevoortia tyrannus, Roe on the North Carolina Coast:joseph.w.smith@noaa.gov ABSTRACT--Gravid Atlantic menhaden, "mammy shad," which are the largest men- Brevoortia tyrannus tyrannus, is probably the most abundant clupeid on the U.S. East ern Seaboard. Atlantic menhaden form large

124

ABOUT THE JOURNAL Founded in 1927, Social Service Review is devoted to the publication  

E-print Network

ABOUT THE JOURNAL Founded in 1927, Social Service Review is devoted to the publication of thought disciplines engaged in research on human behavior, social systems, history, public policy, and social services. The journal welcomes contributions on a wide range of topics, such as child welfare, poverty, homelessness

Mateo, Jill M.

125

Retirement Plans2013 Investment Performance Review Human Resources, Support Services Building,  

E-print Network

is an important tool to help you plan your journey. Human Resource Services is responsible for the dayWestern Retirement Plans2013 Investment Performance Review Human Resources, Support Services and the University make contributions to your plan. Your responsibility is to make decisions on the most appropriate

Lennard, William N.

126

Output based Facilities Management Specifications in Output based Facilities Management Specifications in Output based Facilities Management Specifications in Output based Facilities Management Specifications in the National Health Service: Literature review and the National Health Service: Literature review and the National Health Service: Literature review and the National Health Service: Literature review and directional outcomes directional outcomes directional outcomes directional outcomes  

Microsoft Academic Search

This review supported an investigation into the level of use and methods of performance management of Output-based facilities service specifications within the NHS. One hundred and ten works were assessed, related to five key themes: Outsourcing, Service Specifications, Performance Measures, Quality Aspects of Performance and Applicable Measures for Facilities Contracts Performance. Study of this literature revealed a bias towards opinion

Robert Heavisides

127

Systematic Review of Service-Learning in Youth Physical Activity Settings  

ERIC Educational Resources Information Center

The extent to which service-learning exists in the field of kinesiology broadly, and more specifically related to the physical activity of youth, remains largely unknown. The purpose of this study was to conduct a systematic review of the service-learning literature in kinesiology, with a specific focus on youth physical activity settings.…

Carson, Russell L.; Raguse, Allison L.

2014-01-01

128

The Impact of Medical Interpreter Services on the Quality of Health Care: A Systematic Review  

Microsoft Academic Search

Twenty-one million Americans are limited in English proficiency (LEP), but little is known about the effect of medical interpreter services on health care quality. A systematic literature review was conducted on the impact of interpreter services on quality of care. Five database searches yielded 2,640 citations and a final database of 36 articles, after applying exclusion criteria. Multiple studies document

Glenn Flores

2005-01-01

129

A Critical Review of the Literature on Student Services and Retention.  

ERIC Educational Resources Information Center

This article presents a review of literature on topics and theoretical frameworks relevant to the interrelated concerns of student services and freshman retention. The first section identifies information related to the stages, processes, and perspectives from which student service personnel interact with students. A second section focuses on…

Hutto, Claude P.

130

A Review of Healthcare Service and Education Provision of Autism Spectrum Condition in Mainland China  

ERIC Educational Resources Information Center

Little is known about the current situation regarding Autism Spectrum Conditions in mainland China. Electronic databases and bibliographies were searched to identify literature on service provision for ASC in both English and Chinese databases. 14 studies and 6 reports were reviewed. The findings of identified papers on service provision were…

Sun, Xiang; Allison, Carrie; Auyeung, Bonnie; Baron-Cohen, Simon; Brayne, Carol

2013-01-01

131

Engine Tune-up Service. Unit 4: Secondary Circuit. Review Exercise Book. Automotive Mechanics Curriculum.  

ERIC Educational Resources Information Center

This book of pretests and review exercises is designed to accompany the Engine Tune-Up Service Student Guide for Unit 4, Secondary Circuit, available separately as CE 031 214. Focus of the exercises and pretests is testing and servicing the secondary ignition circuit. Pretests and performance checklists are provided for each of the seven…

Bacon, E. Miles

132

Abstract--This paper proposes a two-level framework for the operation of a competitive market for reactive power ancillary  

E-print Network

for reactive power ancillary services. It is argued that the first-level, i.e. reactive power procurement, be on a seasonal basis while the second-level, i.e. reactive power dispatch, be close to real-time operation. To this effect, a reactive power procurement market model is proposed here taking into consideration system

Cañizares, Claudio A.

133

76 FR 57947 - Senior Executive Service Performance Review Board Membership  

Federal Register 2010, 2011, 2012, 2013, 2014

...Assistant Inspector General for Inspections. Department of Health and Human Services Phone Number: (202) 619-3148. CIGIE...Tonie Jones--Inspector General. National Endowment for the Humanities Phone Number: (202) 606-8350. CIGIE...

2011-09-19

134

75 FR 55816 - Senior Executive Service Performance Review Board Membership  

Federal Register 2010, 2011, 2012, 2013, 2014

...General for National Security and Energy Audits. Department of Health and Human Services Phone Number: (202) 619-3148. CIGIE...Brachfeld--Inspector General. National Endowment for the Humanities Phone Number: (202) 606-8350. CIGIE...

2010-09-14

135

32 CFR 881.3 - Individual Service Review Board.  

Code of Federal Regulations, 2010 CFR

...DEPARTMENT OF THE AIR FORCE MILITARY PERSONNEL DETERMINATION OF ACTIVE MILITARY SERVICE AND DISCHARGE FOR...Headquarters Air Force Personnel Center (HQ AFPC/CC...The Board consists of military members in grade...

2010-07-01

136

32 CFR 881.3 - Individual Service Review Board.  

Code of Federal Regulations, 2011 CFR

...DEPARTMENT OF THE AIR FORCE MILITARY PERSONNEL DETERMINATION OF ACTIVE MILITARY SERVICE AND DISCHARGE FOR...Headquarters Air Force Personnel Center (HQ AFPC/CC...The Board consists of military members in grade...

2011-07-01

137

76 FR 61346 - Senior Executive Service Performance Review Board  

Federal Register 2010, 2011, 2012, 2013, 2014

...executives are appointed to the DoD OIG, PRB: Kathy Buller Deputy Inspector General, (Foreign Service) Peace Corps Asa E. Cunningham Assistant Inspector General for Inspections and Special Investigations, Department of Labor Richard K. Delmar Counsel...

2011-10-04

138

Total Mercury, Methylmercury, Methylmercury Production Potential, and Ancillary Streambed-Sediment and Pore-  

E-print Network

Total Mercury, Methylmercury, Methylmercury Production Potential, and Ancillary Streambed Oak Creek, Wisconsin (center). (All photographs by the authors.) #12;Total Mercury, Methylmercury.E., 2008, Total mercury, methylmercury, methylmercury production potential, and ancillary streambed

139

46 CFR 58.25-80 - Automatic pilots and ancillary steering gear.  

Code of Federal Regulations, 2011 CFR

...58.25-80 Automatic pilots and ancillary...gear. (a) Automatic pilots and ancillary...steering-gear control systems, must be arranged...steering-gear control system required in...disconnect the automatic equipment...

2011-10-01

140

46 CFR 58.25-80 - Automatic pilots and ancillary steering gear.  

Code of Federal Regulations, 2012 CFR

...58.25-80 Automatic pilots and ancillary...gear. (a) Automatic pilots and ancillary...steering-gear control systems, must be arranged...steering-gear control system required in...disconnect the automatic equipment...

2012-10-01

141

46 CFR 58.25-80 - Automatic pilots and ancillary steering gear.  

Code of Federal Regulations, 2013 CFR

...58.25-80 Automatic pilots and ancillary...gear. (a) Automatic pilots and ancillary...steering-gear control systems, must be arranged...steering-gear control system required in...disconnect the automatic equipment...

2013-10-01

142

The Production and Archiving of Navigation and Ancillary Data for the Galileo Mission  

NASA Technical Reports Server (NTRS)

The Galileo Mission to Jupiter is using the SPICE formats developed by the Navigation and Ancillary Information Facility, a node of the Planetary Data System, to archive its navigation and ancillary data.

Miller, J.; Clarke, T.

1994-01-01

143

Student Service Members/Veterans in Higher Education: A Systematic Review  

ERIC Educational Resources Information Center

We systematically reviewed the data-based peer-reviewed research examining student service members/veterans (SSM/V) in higher education. Compared to civilian peers, SSM/V exhibit disproportionately higher rates of health risk behaviors and psychological symptoms, and personal and educational adjustment difficulties (i.e., inability to connect with…

Barry, Adam E.; Whiteman, Shawn D.; MacDermid Wadsworth, Shelley

2014-01-01

144

Improving the Quality of Services in Residential Treatment Facilities: A Strength-Based Consultative Review Process  

ERIC Educational Resources Information Center

This descriptive case study reports on the positive impact of a consultative review methodology used to conduct quality assurance reviews as part of the Residential Treatment Center Evaluation Project. The study details improvement in the quality of services provided to youth in unmonitored residential treatment facilities. Improvements were…

Pavkov, Thomas W.; Lourie, Ira S.; Hug, Richard W.; Negash, Sesen

2010-01-01

145

Homelessness: Local Program Planning and Review Guides Services for Homeless Children and Youth  

ERIC Educational Resources Information Center

Three review formats are enclosed in this publication, along with two basic service checklists and a comprehensive program review guide. These formats were developed to serve as tools to be used locally by school district personnel and Boards of Education in the development of quality policies and procedures to serve homeless children and youth.…

Iowa Department of Education, 2004

2004-01-01

146

75 FR 39734 - Health Services Research and Development Service Merit Review Board; Notice of Meeting  

Federal Register 2010, 2011, 2012, 2013, 2014

...and oral review of the research proposals and critiques...the Board is to review research and development applications...the testing of new methods of health care delivery and management, and nursing research. Applications are...

2010-07-12

147

Moral Reasoning of In-Service and Pre-Service Teachers: A Review of the Research  

ERIC Educational Resources Information Center

Although concerns about the moral domain of teaching have been expressed for more than 30 years, empirical studies investigating moral reasoning of in-service and pre-service teachers are sparse. Even fewer studies have investigated the effectiveness of educational interventions to advance moral reasoning in these populations. The purpose of this…

Cummings, Rhoda; Harlow, Steve; Maddux, Cleborne D.

2007-01-01

148

76 FR 29013 - Senior Executive Service; Performance Review Board; Members  

Federal Register 2010, 2011, 2012, 2013, 2014

...established for the National Capital Planning Commission also makes...Review Board for the National Capital Planning Commission: Deidre...CONTACT: Phyllis A. Vessels, Human Resources Officer, National Capital Planning Commission, 401...

2011-05-19

149

European air transport public service obligations: a periodic review  

Microsoft Academic Search

The ‘Third Package’ of European Union air transport liberalisation measures came into effect on 1 January 1993 and has substantially reduced the restrictions on interstate flight operations. The package of measures also includes provision for the member states to impose ‘public service obligations’ on low-density routes which were deemed necessary for the purposes of regional development. In this paper, it

Aisling Reynolds-Feighan

1995-01-01

150

An Initial Review of Cloud Computing Services Research Development  

Microsoft Academic Search

Cloud computing, possibly the most significant new technique in the 21st century, is now bringing enormous impact to the society, especially the business world. It provides services that set clients free from worrying about data processing problems so that they can focus on their major businesses. In this article, characteristics of it will be discussed with several examples, in order

Zhao Wei

2010-01-01

151

32 CFR Appendix B to Part 47 - The DoD Civilian/Military Service Review Board and the Advisory Panel  

Code of Federal Regulations, 2011 CFR

... false The DoD Civilian/Military Service Review Board and the...OF THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN ACTIVE DUTY SERVICE...Part 47—The DoD Civilian/Military Service Review Board and...

2011-07-01

152

32 CFR Appendix B to Part 47 - The DoD Civilian/Military Service Review Board and the Advisory Panel  

Code of Federal Regulations, 2010 CFR

... false The DoD Civilian/Military Service Review Board and the...OF THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN ACTIVE DUTY SERVICE...Part 47—The DoD Civilian/Military Service Review Board and...

2010-07-01

153

Ancillary investigations to diagnose parkinsonism: a prospective clinical study.  

PubMed

Various ancillary investigations can assist clinicians in the differential diagnosis of patients with parkinsonism. It is unknown which test offers greatest diagnostic value in clinical practice. We included 156 consecutive patients with parkinsonism, but with an initially uncertain diagnosis. At baseline, all patients underwent extensive clinical testing and the following ancillary investigations: brain magnetic resonance imaging (MRI); (123)I-iodobenzamide single photon-emission computed tomography (IBZM-SPECT); analysis of cerebrospinal fluid (CSF); and anal sphincter electromyography (EMG). The final diagnosis was established after 3-year follow-up by two movement disorder specialists, according to international consensus criteria. We determined the diagnostic value by comparing the baseline clinical parameters and ancillary studies with the final diagnosis. Out of a potential 138 parameters, univariate analysis identified 35 parameters that discriminated Parkinson's disease (PD, n = 62) and atypical parkinsonism (AP, n = 94), with AUC of 0.55-0.81. Stepwise logistic regression showed that the combination of tandem gait, axial UPDRS subscore, slow saccadic eye movements and dysphagia yielded an AUC of 0.93, adjusted for optimism. The combination of tandem gait and axial UDPRS subscore yielded an AUC of 0.90. None of the ancillary investigations alone or in combination with clinical testing improved this clinically based diagnostic accuracy, not even in a subgroup of patients with the greatest diagnostic uncertainty at baseline. Our study demonstrates that a comprehensive set of clinical tests provides good accuracy to differentiate PD from AP. Our results also suggest that routine MRI, IBZM-SPECT, CSF analysis and anal sphincter EMG do not improve this diagnostic accuracy. Future work should evaluate the possible diagnostic value of more advanced diagnostic tests. PMID:25381460

Aerts, M B; Esselink, R A J; Abdo, W F; Meijer, F J A; Drost, G; Norgren, N; Janssen, M J R; Borm, G F; Bloem, B R; Verbeek, M M

2014-11-01

154

Increased survival with beta-blockers: importance of ancillary properties.  

PubMed

To assess the relative importance of ancillary properties (ie, intrinsic sympathomimetic activity (ISA), beta 1-selectivity, membrane stabilizing activity, and lipophilicity) in the effect of beta-blockers on mortality, a meta-analysis of all available secondary and primary prevention trials was performed. Seventy-one trials evaluating the effect on mortality after myocardial infarction (MI) were identified. The overall relative risk (RR) of mortality during beta-blocker treatment versus placebo was 0.89 (95% confidence interval [CI] 0.84-0.93), with a trend according to time of intervention: very early intervention RR 0.94 (95% CI 0.87-1.01), early intervention RR 0.91 (95% CI 0.81-1.01), and late intervention RR 0.80 (95% CI 0.73-0.88). Results were similar or even more marked for the end points one-week mortality, reinfarction, and sudden death. beta 1-selectivity, lipophilicity, absence of membrane stabilizing property, and absence of ISA were associated with a greater risk reduction compared with beta-blockers with the opposite ancillary property. When the effect of the three most frequently used beta-blocking drugs (atenolol, metoprolol, and propranolol) were compared, the drug with the combination of ancillary properties showing the most pronounced beneficial effects (metoprolol) had the most marked effect on survival. A similar trend was observed when the five published primary prevention trials comparing beta-blockers and diuretics in patients with hypertension were considered, but the number of studies was too low to allow for definite conclusions. We conclude that beta-blockade after MI leads to a substantial reduction in mortality. The so-called 'class-effect' of beta-blockers, however, can be questioned, because ancillary properties appear to play an important role in the efficacy of these drugs. PMID:9122425

Soriano, J B; Hoes, A W; Meems, L; Grobbee, D E

1997-01-01

155

Health status in the ambulance services: a systematic review  

Microsoft Academic Search

BACKGROUND: Researchers have become increasingly aware that ambulance personnel may be at risk of developing work-related health problems. This article systematically explores the literature on health problems and work-related and individual health predictors in the ambulance services. METHODS: We identified the relevant empirical literature by searching several electronic databases including Medline, EMBASE, PsychINFO, CINAHL, and ISI Web of Science. Other

Tom Sterud; Řivind Ekeberg; Erlend Hem

2006-01-01

156

Quantum computation mediated by ancillary qudits and spin coherent states  

NASA Astrophysics Data System (ADS)

Models of universal quantum computation in which the required interactions between register (computational) qubits are mediated by some ancillary system are highly relevant to experimental realizations of a quantum computer. We introduce such a universal model that employs a d -dimensional ancillary qudit. The ancilla-register interactions take the form of controlled displacements operators, with a displacement operator defined on the periodic and discrete lattice phase space of a qudit. We show that these interactions can implement controlled phase gates on the register by utilizing geometric phases that are created when closed loops are traversed in this phase space. The extra degrees of freedom of the ancilla can be harnessed to reduce the number of operations required for certain gate sequences. In particular, we see that the computational advantages of the quantum bus (qubus) architecture, which employs a field-mode ancilla, are also applicable to this model. We then explore an alternative ancilla-mediated model which employs a spin ensemble as the ancillary system and again the interactions with the register qubits are via controlled displacement operators, with a displacement operator defined on the Bloch sphere phase space of the spin coherent states of the ensemble. We discuss the computational advantages of this model and its relationship with the qubus architecture.

Proctor, Timothy J.; Dooley, Shane; Kendon, Viv

2015-01-01

157

Quantum computation mediated by ancillary qudits and spin coherent states  

E-print Network

Models of universal quantum computation in which the required interactions between register (computational) qubits are mediated by some ancillary system are highly relevant to experimental realisations of a quantum computer. We introduce such a universal model that employs a $d$-dimensional ancillary qudit. The ancilla-register interactions take the form of controlled displacements operators, with a displacement operator defined on the periodic and discrete lattice phase space of a qudit. We show that these interactions can implement controlled phase gates on the register by utilising geometric phases that are created when closed loops are traversed in this phase space. The extra degrees of freedom of the ancilla can be harnessed to reduce the number of operations required for certain gate sequences. In particular, we see that the computational advantages of the quantum bus (qubus) architecture, which employs a field-mode ancilla, are also applicable to this model. We then explore an alternative ancilla-mediated model which employs a spin-ensemble as the ancillary system and again the interactions with the register qubits are via controlled displacement operators, with a displacement operator defined on the Bloch sphere phase space of the spin coherent states of the ensemble. We discuss the computational advantages of this model and its relationship with the qubus architecture.

Timothy J. Proctor; Shane Dooley; Viv Kendon

2014-12-09

158

Transition Services for Youth with Autism: A Systematic Review  

ERIC Educational Resources Information Center

Purpose: As the number of individuals diagnosed with autism spectrum disorders (ASDs) rises, attention is increasingly focused on employment outcomes for individuals with ASD who are exiting public school settings. This review aimed to identify what works in transition programs to help students with ASD obtain competitive employment after…

Westbrook, John D.; Fong, Carlton J.; Nye, Chad; Williams, Ann; Wendt, Oliver; Cortopassi, Tara

2015-01-01

159

Activity-based costing in services: literature bibliometric review.  

PubMed

This article is aimed at structuring a bibliography portfolio to treat the application of the ABC method in service and contribute to discussions within the scientific community. The methodology followed a three-stage procedure: Planning, execution and Synthesis. Also, the process ProKnow-C (Knowledge Process Development - Constructivist) was used in the execution stage. International databases were used to collect information (ISI Web of Knowledge and Scopus). As a result, we obtained a bibliography portfolio of 21 articles (with scientific recognition) dealing with the proposed theme. PMID:23518506

Stefano, Nara Medianeira; Filho, Nelson Casarotto

2013-12-01

160

Do Online Mental Health Services Improve Help-Seeking for Young People? A Systematic Review  

PubMed Central

Background Young people regularly use online services to seek help and look for information about mental health problems. Yet little is known about the effects that online services have on mental health and whether these services facilitate help-seeking in young people. Objective This systematic review investigates the effectiveness of online services in facilitating mental health help-seeking in young people. Methods Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, literature searches were conducted in PubMed, PsycINFO, and the Cochrane library. Out of 608 publications identified, 18 studies fulfilled the inclusion criteria of investigating online mental health services and help-seeking in young people aged 14-25 years. Results Two qualitative, 12 cross-sectional, one quasi-experimental, and three randomized controlled trials (RCTs) were reviewed. There was no change in help-seeking behavior found in the RCTs, while the quasi-experimental study found a slight but significant increase in help-seeking. The cross-sectional studies reported that online services facilitated seeking help from a professional source for an average of 35% of users. The majority of the studies included small sample sizes and a high proportion of young women. Help-seeking was often a secondary outcome, with only 22% (4/18) of studies using adequate measures of help-seeking. The majority of studies identified in this review were of low quality and likely to be biased. Across all studies, young people regularly used and were generally satisfied with online mental health resources. Facilitators and barriers to help-seeking were also identified. Conclusions Few studies examine the effects of online services on mental health help-seeking. Further research is needed to determine whether online mental health services effectively facilitate help-seeking for young people. PMID:24594922

Mangan, Cheryl; Sanci, Lena

2014-01-01

161

42 CFR 416.164 - Scope of ASC services.  

Code of Federal Regulations, 2012 CFR

...housekeeping items and services; (13) Materials, including supplies and equipment for the administration and monitoring of anesthesia; and (14) Supervision of the services of an anesthetist by the operating surgeon. (b) Covered ancillary...

2012-10-01

162

42 CFR 416.164 - Scope of ASC services.  

Code of Federal Regulations, 2014 CFR

...housekeeping items and services; (13) Materials, including supplies and equipment for the administration and monitoring of anesthesia; and (14) Supervision of the services of an anesthetist by the operating surgeon. (b) Covered ancillary...

2014-10-01

163

Monitoring access to out-of-hours care services in Scotland – a review  

PubMed Central

Objectives Changes in the contractual responsibilities of primary care practitioners and health boards have resulted in a plethora of arrangements relating to out-of-hours healthcare services. Rather than being guaranteed access to a GP (usually either their own or another through a local GP co-operative), patients have a number of alternative routes to services. Our objective was to identify and assess the availability and adequacy of relevant standards, responsibilities and information systems in Scotland to monitor the impact of contractual changes to out-of-hours healthcare services on equity of access. Design Cross-sectional study. Setting All providers of primary care out-of-hours services in Scotland. Participants Not applicable. Main outcome measures First, identification and policy review of current standards and performance monitoring systems, data and information, primarily through directly contacting national and local organizations responsible for monitoring out-of-hours care, supplemented by literature searches to highlight specific issues arising from the review; and second, mapping of data items by out-of-hours provider type to identify overlap and significant gaps. Results In Scotland, data monitoring systems have not kept pace with changes in the organization of out-of-hours care, so the impact on access to services for different population groups is unknown. There are significant gaps in information collected with respect to workforce, distribution of services, service utilisation and clinical outcomes. Conclusions Since 2004 there have been major changes to the way patients access out-of-hours healthcare in the UK. In Scotland, none of the current systems provide information on whether the new services satisfy the key NHS principle of equity of access. There is an urgent need for a comprehensive review of data standards and systems relating to out-of-hours care in order to monitor and evaluate inputs, processes and outcomes of care not least in respect of access and fairness of distribution of resources. PMID:21502215

Godden, Sylvia; Hilton, Simon; Pollock, Allyson M

2011-01-01

164

Medical services for outdoor rock music festivals.  

PubMed Central

This paper describes the medical services provided at an outdoor rock music festival near Toronto and reviews similar services at other outdoor concerts as reported in the literature. Between 0.5% and 1.5% of concertgoers were reported to have used medical services, proportions that may be useful in planning for future festivals. Most of the medical problems encountered were minor, although life-threatening problems occasionally occurred. Alcohol and drug abuse were common but led to major medical problems in only small proportions of patients. Guidelines for planning are suggested that include recommendations about facilities, supplies and equipment, transportation and communications, staffing and procedures. The need for liaison with the concert promoters, the police, ambulance officials and local hospital personnel is noted, and the use of the nonmedical ancillary staff is encouraged. PMID:7074491

Chapman, K. R.; Carmichael, F. J.; Goode, J. E.

1982-01-01

165

Computer Technology in Clinical Psychology Services for People with Mental Retardation: A Review.  

ERIC Educational Resources Information Center

Review of the literature on computer technology in clinical psychology services for people with mental retardation is organized around stages of a scientist-practitioner working model: assessment, formulation, and intervention. Examples of technologies to facilitate work at each stage are given. Practical difficulties with implementation of…

Davies, Sara; Hastings, Richard P.

2003-01-01

166

Evidence for Substance Abuse Services and Policy Research: A Systematic Review of National Databases  

ERIC Educational Resources Information Center

We reviewed 39 national government- and nongovernment-sponsored data sets related to substance addiction policy. These data sets describe patients with substance use disorders (SUDs), treatment providers and the services they offer, and/or expenditures on treatment. Findings indicate the availability of reliable data on the prevalence of SUD and…

Coffey, Rosanna M.; Levit, Katharine R.; Kassed, Cheryl A.; McLellan, A. Thomas; Chalk, Mady; Brady, Thomas M.; Vandivort-Warren, Rita

2009-01-01

167

PESTICIDE-WILDLIFE STUDIES A Review of Fish and Wildlife Service  

E-print Network

exposure to a concentration of 1.0 ppm of the indicated pesticide. ................................ 16 2APESTICIDE-WILDLIFE STUDIES A Review of Fish and Wildlife Service Investigations During 1961. Janzen, Director Bureau of Commercial Fisheries, Donald L. McKernan, Director PESTICIDE - WILDLIFE

168

PESTICIDE-WILDLIFE STUDIES, 1963 A Review of Fish and Wildlife Service  

E-print Network

. Mollusks .. Fish ·.... Chronic exposure of fish to pesticides. Bioassay techniques .. Residue studiesPESTICIDE-WILDLIFE STUDIES, 1963 A Review of Fish and Wildlife Service Investigations During "ence F. Pau zke, Commissloner dllfe, Daniel H. Janzen, Director , 0 nald I. cKernan, Director PESTICIDE

169

Test Review: Roberts, G. E., & Gruber, C. (2005). "Roberts-2." Los Angeles: Western Psychological Services  

ERIC Educational Resources Information Center

This article provides a review of Roberts-2, an individually administered narrative measure published by Western Psychological Services. Roberts-2 is a substantial revision of the earlier version of this measure, the Roberts Apperception Test for Children (RATC; McArthur & Roberts, 1982). Roberts-2 is composed of 16 stimulus cards that direct…

Flanagan, Rosemary

2008-01-01

170

Engine Tune-Up Service. Unit 3: Primary Circuit. Review Exercise Book. Automotive Mechanics Curriculum.  

ERIC Educational Resources Information Center

This book of pretests and review exercises is designed to accompany the Engine Tune-Up Service Student Guide for Unit 3, Primary Circuit, available separately as CE 031 211. Focus of the exercises and pretests is testing the primary ignition circuit. Pretests and performance checklists are provided for each of the eight performance objectives…

Bacon, E. Miles

171

Administrative Review at the Iowa State University Library Technical Services Division: A Case Study.  

ERIC Educational Resources Information Center

A personnel appraisal tool was developed at the Iowa State University Library for professionals supervised by the Assistant Director for Technical Services and the Head of the Monographs Department, to evaluate both their supervisors' performance and the appraisal review as an educational tool to improve administrator performance. A Technical…

Peterson, Lorna

172

A guide for the utilization of Health Insurance Review and Assessment Service National Patient Samples.  

PubMed

The claims data of the Health Insurance Review and Assessment Service (HIRA) is an important source of information for healthcare service research. The claims data of HIRA is collected when healthcare service providers submit a claim to HIRA to be reimbursed for a service that they provided to patients. To improve the accessibility of healthcare service researchers to claims data of HIRA, HIRA has developed the Patient Samples which are extracted using a stratified randomized sampling method. The Patient Samples of HIRA consist of five tables: a table for general information (Table 20) containing socio-demographic information such as gender, age and medical aid, indicators for inpatient and outpatient services; a table for specific information on healthcare services provided (Table 30); a table for diagnostic information (Table 40); a table for outpatient prescriptions (Table 53) and a table for information on healthcare service providers (Table of providers). Researchers who are interested in using the Patient Sample data for research can apply via HIRA's website (https://www.hira.or.kr). PMID:25078381

Kim, Logyoung; Kim, Jee-Ae; Kim, Sanghyun

2014-01-01

173

A guide for the utilization of Health Insurance Review and Assessment Service National Patient Samples  

PubMed Central

The claims data of the Health Insurance Review and Assessment Service (HIRA) is an important source of information for healthcare service research. The claims data of HIRA is collected when healthcare service providers submit a claim to HIRA to be reimbursed for a service that they provided to patients. To improve the accessibility of healthcare service researchers to claims data of HIRA, HIRA has developed the Patient Samples which are extracted using a stratified randomized sampling method. The Patient Samples of HIRA consist of five tables: a table for general information (Table 20) containing socio-demographic information such as gender, age and medical aid, indicators for inpatient and outpatient services; a table for specific information on healthcare services provided (Table 30); a table for diagnostic information (Table 40); a table for outpatient prescriptions (Table 53) and a table for information on healthcare service providers (Table of providers). Researchers who are interested in using the Patient Sample data for research can apply via HIRA’s website (https://www.hira.or.kr). PMID:25078381

Kim, Logyoung; Kim, Jee-Ae; Kim, Sanghyun

2014-01-01

174

A review of space robotics technologies for on-orbit servicing  

NASA Astrophysics Data System (ADS)

Space robotics is considered one of the most promising approaches for on-orbit servicing (OOS) missions such as docking, berthing, refueling, repairing, upgrading, transporting, rescuing, and orbital debris removal. Many enabling techniques have been developed in the past two decades and several technology demonstration missions have been completed. A number of manned on-orbit servicing missions were successfully accomplished but unmanned, fully autonomous, servicing missions have not been done yet. Furthermore, all previous unmanned technology demonstration missions were designed to service cooperative targets only. Robotic servicing of a non-cooperative satellite is still an open research area facing many technical challenges. One of the greatest challenges is to ensure the servicing spacecraft safely and reliably docks with the target spacecraft or capture the target to stabilize it for subsequent servicing. This is especially important if the target has an unknown motion and kinematics/dynamics properties. Obviously, further research and development of the enabling technologies are needed. To motivate and facilitate such research and development, this paper provides a literature review of the recently developed technologies related to the kinematics, dynamics, control and verification of space robotic systems for manned and unmanned on-orbit servicing missions.

Flores-Abad, Angel; Ma, Ou; Pham, Khanh; Ulrich, Steve

2014-07-01

175

Treatment of calf diarrhea: antimicrobial and ancillary treatments.  

PubMed

Adjunct treatment of diarrhea should be routinely undertaken in all calves with systemic signs of illness, manifest as fever, inappetance, or lethargy. Ancillary treatments with documented efficacy in undifferentiated calf diarrhea include parenteral administration of antimicrobials with a predominantly gram negative spectrum of activity, parenteral administration of non-steroidal anti-inflammatory agents such as meloxicam and flunixin meglumine, and continued feeding of cow's milk. Halofuginone and azithromycin have efficacy in calves with diarrhea due to Cryptosporidium parvum, and their administration should be considered in calves documented or suspected to have cryptosporidiosis. PMID:19174285

Constable, Peter D

2009-03-01

176

19. VIEW LOOKING SOUTHWEST TOWARDS THE ANCILLARY BUILDINGS. FROM LEFT ...  

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

19. VIEW LOOKING SOUTHWEST TOWARDS THE ANCILLARY BUILDINGS. FROM LEFT TO RIGHT BACKGROUND, RETORT BUILDING, STORAGE, SMELTER BUILDING, GARAGE. THE NORTHWEST CORNER OF THE VANNER ROOM IS IN THE FOREGROUND AND LEFT. A 2000 DODGE GRAND CARAVAN IS IN THE FOREGROUND CENTER. THEIR USE OF THE SHED TO THE REAR OF THE AUTOMOBILE IS UNCERTAIN, ALTHOUGH IT IS CONNECTED TO THE MILL AT THE BASE OF THE WEST SIDE OF THE AMALGAMATING PANS ROOM. - Standard Gold Mill, East of Bodie Creek, Northeast of Bodie, Bodie, Mono County, CA

177

The APOGEE Low-Mass Star Ancillary Project  

NASA Astrophysics Data System (ADS)

As a high-resolution, near-infrared, fiber-fed instrument, APOGEE presents a unique opportunity to obtain multi-epoch radial velocity measurements of a large number of low-mass stars. These observations will reveal unseen companions, improving our understanding of stellar multiplicity at the bottom of the Main Sequence, and may even identify candidate sub-stellar companions. These same data contains an unprecedented wealth of information about the kinematics, rotation, and metallicities of these stars. I will describe the status of our Ancillary Science program, and ongoing efforts to get the best possible radial velocity precision from the APOGEE data.

Blake, Cullen; Mahadevan, Suvrath; Deshpande, Rohit; Bender, Chad F.; Terrien, Ryan; Crepp, Justin R.; Carlberg, Joleen K.; Nidever, David L.; Stassun, Keivan; Hawley, Suzanne L.; Hearty, Fred; Allende-Prieto, Carlos

2015-01-01

178

ADHD and transitions to adult mental health services: a scoping review.  

PubMed

There is increased awareness that attention deficit hyperactivity disorder (ADHD) continues into adulthood. Thus, health services are faced with a new challenge in providing a 'smooth' transition to adult services appropriate for young people with ADHD. This scoping review sought to identify the literature addressing transition for young people with ADHD to adult mental health services (AMHS). A scoping review, in which the search terms 'ADHD' and 'Transition' or 'Transfer' were entered into eight healthcare publication databases facilitated by NHS Evidence to identify both published and unpublished papers between 2000 and June 2013. Additional informal searches were also undertaken. Twenty-three papers were selected for this review. This review confirms the lack of research explicitly tracking transition from Paediatrics/Child and Adolescent Mental Health Services (CAMHS) to AMHS for young people with ADHD. Only four papers directly studying transition for ADHD patients were identified. Three further studies surveyed clinician perspectives. Taken together, the studies address a number of issues in relation to transition, including the developmental course of ADHD symptoms, appropriate adult care, knowledge and communication, unmet need, comorbidities, environmental demands and medication cessation/dosage during the transition period. While literature surrounding transition exists, the scope of the evidence showing successful and unsuccessful transition activity from Paediatric and CAMHS to AMHS for young people with ADHD is limited. Future quality research in the form of audits, longitudinal tracking studies and service evaluations are required if we are truly to understand and identify what is needed and currently available for successful transition to an appropriate adult service for ADHD patients. PMID:24164052

Swift, K D; Sayal, K; Hollis, C

2014-11-01

179

Patterns of access to community palliative care services: a literature review.  

PubMed

Policies state that access to palliative care should be provided according to principles of equity. Such principles would include the absence of disparities in access to health care that are systematically associated with social advantage. A review of the literature a decade ago identified that patients with different characteristics used community palliative care services in variable ways that appeared inequitable. The objective of this literature review was to review recent literature to identify whether such variability remains. Searching included the use of electronic databases, scrutinizing bibliographies, and hand searching journals. Articles were included if they were published after 1997 (the date of the previous review) up to the beginning of 2008, and if they reported any data that investigated the characteristics of adult patients in relation to their relative utilization of community palliative care services, with reference to a comparator population. Forty-eight studies met the inclusion criteria. Patients still access community palliative care services in variable ways. Those who are older, male, from ethnic minority populations, not married, without a home carer, are socioeconomically disadvantaged, and who do not have cancer are all less likely to access community palliative care services. These studies do not identify the reasons for such variable access, or whether such variability is warranted with reference to clinical need or other factors. Studies tend to focus on access to specialist palliative care services without looking at the complexities of service use. Studies need to move beyond description of utilization patterns, and examine whether such patterns are inequitable, and what is happening in the referral or other processes that may result in such patterns. PMID:19097748

Walshe, Catherine; Todd, Chris; Caress, Ann; Chew-Graham, Carolyn

2009-05-01

180

Impact of Accreditation on the Quality of Healthcare Services: a Systematic Review of the Literature  

PubMed Central

BACKGROUND AND OBJECTIVE: Accreditation is usually a voluntary program in which trained external peer reviewers evaluate a healthcare organization's compliance and compare it with pre-established performance standards. The aim of this study was to evaluate the impact of accreditation programs on the quality of healthcare services METHODS: We did a systematic review of the literature to evaluate the impact of accreditation programs on the quality of healthcare services. Several databases were systematically searched, including Medline, Embase, Healthstar, and Cinhal. RESULTS: Twenty-six studies evaluating the impact of accreditation were identified. The majority of the studies showed general accreditation for acute myocardial infarction (AMI), trauma, ambulatory surgical care, infection control and pain management; and subspecialty accreditation programs to significantly improve the process of care provided by healthcare services by improving the structure and organization of healthcare facilities. Several studies showed that general accreditation programs significantly improve clinical outcomes and the quality of care of these clinical conditions and showed a significant positive impact of subspecialty accreditation programs in improving clinical outcomes in different subspecialties, including sleep medicine, chest pain management and trauma management. CONCLUSIONS: There is consistent evidence that shows that accreditation programs improve the process of care provided by healthcare services. There is considerable evidence to show that accreditation programs improve clinical outcomes of a wide spectrum of clinical conditions. Accreditation programs should be supported as a tool to improve the quality of healthcare services. PMID:21808119

Alkhenizan, Abdullah; Shaw, Charles

2011-01-01

181

Histopathological Diagnostic Discrepancies in Soft Tissue Tumours Referred to a Specialist Centre: Reassessment in the Era of Ancillary Molecular Diagnosis  

PubMed Central

Introduction. Soft tissue tumour pathology is a highly specialised area of surgical pathology, but soft tissue neoplasms can occur at virtually all sites and are therefore encountered by a wide population of surgical pathologists. Potential sarcomas require referral to specialist centres for review by pathologists who see a large number of soft tissue lesions and where appropriate ancillary investigations can be performed. We have previously assessed the types of diagnostic discrepancies between referring and final diagnosis for soft tissue lesions referred to our tertiary centre. We now reaudit this 6 years later, assessing changes in discrepancy patterns, particularly in relation to the now widespread use of ancillary molecular diagnostic techniques which were not prevalent in our original study. Materials and Methods. We compared the sarcoma unit's histopathology reports with referring reports on 348 specimens from 286 patients with suspected or proven soft tissue tumours in a one-year period. Results. Diagnostic agreement was seen in 250 cases (71.8%), with 57 (16.4%) major and 41 (11.8%) minor discrepancies. There were 23 cases of benign/malignant discrepancies (23.5% of all discrepancies). 50 ancillary molecular tests were performed, 33 for aiding diagnosis and 17 mutational analyses for gastrointestinal stromal tumour to guide therapy. Findings from ancillary techniques contributed to 3 major and 4 minor discrepancies. While the results were broadly similar to those of the previous study, there was an increase in frequency of major discrepancies. Conclusion. Six years following our previous study and notably now in an era of widespread ancillary molecular diagnosis, the overall discrepancy rate between referral and tertiary centre diagnosis remains similar, but there is an increase in frequency of major discrepancies likely to alter patient management. A possible reason for the increase in major discrepancies is the increasing lack of exposure to soft tissue cases in nonspecialist centres in a time of subspecialisation. The findings support the national guidelines in which all suspected soft tissue tumour pathology specimens should be referred to a specialist sarcoma unit. PMID:25165418

Thway, Khin; Mubako, Taka

2014-01-01

182

Music therapy services in pediatric oncology: a national clinical practice review.  

PubMed

This article presents the results of a national clinical practice review conducted in Australia of music therapy services in pediatric oncology hospitals. Literature specifically related to music therapy and symptom management in pediatric oncology is reviewed. The results from a national benchmarking survey distributed to all music therapists working with children with cancer in Australian pediatric hospitals are discussed. Patient and family feedback provided from a quality improvement activity conducted at a major pediatric tertiary hospital is summarized, and considerations for future growth as a profession and further research is proposed. PMID:25027188

Tucquet, Belinda; Leung, Maggie

2014-01-01

183

Effectiveness of School-Based Mental Health Services for Children: A 10Year Research Review  

Microsoft Academic Search

A review of the literature from 1985 to 1995 on school-based mental health services for children was conducted using a computerized data-base search. Of the 5,046 references initially identified, 228 were program evaluations. Three inclusion criteria were applied to those studies: use of random assignment to the intervention; inclusion of a control group; and use of standardized outcome measures. Only

Kimberly Hoagwood; Holly D. Erwin

1997-01-01

184

A review of health interpreter services in a rural community: a total quality management approach.  

PubMed

The current focus in health care is on total quality management (TQM), a process that involves ongoing quality improvement and benefits both internal and external customers. In order to comply with the values of TQM, the Griffith Murrumbidgee Health Service set up a team to review the use of interpreters in a healthcare setting. Staff from a number of wards/units filled out a survey sheet regarding interpreter services for each patient/client presenting for service during a 1-month period. The results showed that (i) there was a marked tendency by staff to use non-accredited interpreters; and (ii) staff who used non-accredited interpreters tended to inappropriately assess patient/client interpreting needs and to be unfamiliar with the Health Care Interpreter Policy. The TQM team subsequently devised several strategies for change. PMID:9437944

Giacomelli, J

1997-08-01

185

Exploring the ancillary benefits of the Kyoto Protocol for air pollution in Europe  

Microsoft Academic Search

An integrated approach to climate change and regional air pollution can harvest considerable ancillary benefits in terms of environmental impacts and costs. This is because both problems are caused to a large extent by the same activity (fossil fuel combustion). Substantial ancillary benefits were found for regional air pollution (SO2, NOx, VOC and particulate matter) of implementing the Kyoto Protocol

D. P. van Vuurena; J. Cofala; H. E. Eerensa; R. Oostenrijk; C. Heyes; Z. Klimont; M. G. J. den Elzen; M. Amann

2006-01-01

186

A Review on influencing criteria for selecting supplier of information technology services in the hospital  

PubMed Central

Organizations try to outsource their activities as much as possible in order to prevent the problems and use organizational capabilities in Information Technology (IT) field. The purpose of this paper was first, to express the effective criteria for selecting suppliers of IT services, second, to explain the advantages and disadvantages of outsourcing IT in hospitals. This study was narrative review, which search was conducted with the help of libraries, books, conference proceedings, and databases of Science Direct, PubMed, Proquest, Springer, and SID (Scientific Information Database). In our searches, we employed the following keywords and their combinations: Outsourcing, information technology, hospital, decision making, and criteria. The preliminary search resulted in 120 articles, which were published between 2000 and 2013 during July 2013. After a careful analysis of the content of each paper, a total of 46 papers were selected based on their relevancy. The criteria and sub-criteria influencing outsourcing decisions in Iranian hospitals were identified in six major categories including administrative issues, issues related to the service/product, technology factors, environmental factors, risks, and economic factors associated with 15 sub-criteria containing business integration, dependence on suppliers, human resources, focus on core competencies, facilities and physical capital, innovation, quality, speed of service delivery, flexibility, market capabilities, geographical location, security, management control, cost, and financial capability. Identify the advantages and disadvantages of outsourcing and effective criteria in IT services supplier selection causes the managers be able to take the most appropriate decision to select supplier of IT services. This is a general review on influencing criteria for electing of supplier of information technology services in hospitals. PMID:25540781

Ajami, Sima; Rajabzadeh, Ahmad; Ketabi, Saeedeh

2014-01-01

187

Public service quality improvements: a case for exemption from IRB review of public administration research.  

PubMed

Should the exemption from Institutional Review Board (IRB) evaluations currently in place for quality improvements research be extended to public administration research that addresses questions of improving the quality of public service delivery? As a means to both reduce the level of disdain held by a group of social science researchers for IRBs and to reduce the cost of review for minimal risk studies, I argue here that much of the current public administration research should also be exempted from normal processes of review by IRBs on the basis of their similarity to Quality Improvements (QI) research, a category of studies already granted exemption. This argument dovetails provisions currently in place for studies of public service and public benefit, but reframes these exemptions in the language of "quality improvements," which may be a more comfortable language for IRBs concerned to demonstrate compliance for review of all fields. To expedite this argument into the practices of IRBs, I included a checklist that researchers could use to self-identify their studies as QI, not research as such. PMID:24228974

Jordan, Sara R

2014-01-01

188

Improved wetland remote sensing in Yellowstone National Park using classification trees to combine TM imagery and ancillary environmental data  

USGS Publications Warehouse

The U.S. Fish and Wildlife Service uses the term palustrine wetland to describe vegetated wetlands traditionally identified as marsh, bog, fen, swamp, or wet meadow. Landsat TM imagery was combined with image texture and ancillary environmental data to model probabilities of palustrine wetland occurrence in Yellowstone National Park using classification trees. Model training and test locations were identified from National Wetlands Inventory maps, and classification trees were built for seven years spanning a range of annual precipitation. At a coarse level, palustrine wetland was separated from upland. At a finer level, five palustrine wetland types were discriminated: aquatic bed (PAB), emergent (PEM), forested (PFO), scrub-shrub (PSS), and unconsolidated shore (PUS). TM-derived variables alone were relatively accurate at separating wetland from upland, but model error rates dropped incrementally as image texture, DEM-derived terrain variables, and other ancillary GIS layers were added. For classification trees making use of all available predictors, average overall test error rates were 7.8% for palustrine wetland/upland models and 17.0% for palustrine wetland type models, with consistent accuracies across years. However, models were prone to wetland over-prediction. While the predominant PEM class was classified with omission and commission error rates less than 14%, we had difficulty identifying the PAB and PSS classes. Ancillary vegetation information greatly improved PSS classification and moderately improved PFO discrimination. Association with geothermal areas distinguished PUS wetlands. Wetland over-prediction was exacerbated by class imbalance in likely combination with spatial and spectral limitations of the TM sensor. Wetland probability surfaces may be more informative than hard classification, and appear to respond to climate-driven wetland variability. The developed method is portable, relatively easy to implement, and should be applicable in other settings and over larger extents. ?? 2006 Elsevier Inc. All rights reserved.

Wright, C.; Gallant, A.

2007-01-01

189

Foreign direct investment and trade in health services: a review of the literature.  

PubMed

Globalization is a key challenge facing health policy-makers. A significant aspect of this is direct trade in health services, a result of the rise of transnational corporations, challenges in health care financing, porous borders and improved technology creating the scope for increased 'foreign direct investment' (FDI) in health care. This has gathered momentum with the General Agreement on Trade in Services (GATS), which aims to further liberalize trade in services, and within which FDI has been noted as perhaps the most critical area for trade negotiation. Given the rapid development of this area, there are little empirical data. This paper therefore seeks to provide the first comprehensive and systematic review of evidence concerning FDI and health services. This process included electronic bibliographic database searches, website searches and correspondence with experts in the area of trade in health services, from which 76 papers, books and reports were reviewed. Perhaps due to the rapid developments in this area, most of the literature is speculative, polarized between those arguing for the benefits of liberalization and those arguing against. However, there seem to be three issues which emerge as of most importance: (i) the extent to which a national health system is commercialized per se is of more significance than whether investment in it is foreign or domestic; (ii) the national regulatory environment and its 'strength' will significantly determine the economic and health impact of FDI, the effectiveness of safeguard measures, and the stability of GATS commitments; and (iii) any negotiations will depend upon parties having a common understanding of what is being negotiated, and the interpretation of key definitions is thus critical. Each of these issues is explored in some depth, with the overall conclusion that countries should take a step back and first think through the risks and benefits of commercialization of their health sector, rather than being sidetracked in to considering the level of foreign investment. PMID:15450706

Smith, Richard D

2004-12-01

190

Ethnic Factors in Mental Health Service Utilisation among People with Intellectual Disability in High-Income Countries: Systematic Review  

ERIC Educational Resources Information Center

Background: An emerging literature suggests that ethnic and cultural factors influence service utilisation among people with intellectual disability (ID), but this has not previously been reviewed. Aims: To investigate possible ethnic variation in uptake of mental health services in children, adolescents and adults with ID in high-income…

Dura-Vila, G.; Hodes, M.

2012-01-01

191

The impact of computerized provider order entry systems on medical-imaging services: a systematic review  

PubMed Central

Background Computerized provider order entry (CPOE) systems have been strongly promoted as a means to improve the quality and efficiency of healthcare. Methods This systematic review aimed to assess the evidence of the impact of CPOE on medical-imaging services and patient outcomes. Results Fourteen studies met the inclusion criteria, most of which (10/14) used a pre-/postintervention comparison design. Eight studies demonstrated benefits, such as decreased test utilization, associated with decision-support systems promoting adherence to test ordering guidelines. Three studies evaluating medical-imaging ordering and reporting times showed statistically significant decreases in turnaround times. Conclusions The findings reveal the potential for CPOE to contribute to significant efficiency and effectiveness gains in imaging services. The diversity and scope of the research evidence can be strengthened through increased attention to the circumstances and mechanisms that contribute to the success (or otherwise) of CPOE and its contribution to the enhancement of patient care delivery. PMID:21385821

Prgomet, Mirela; Markewycz, Andrew; Adams, Edwina; Westbrook, Johanna I

2011-01-01

192

Autism spectrum disorders: a review of measures for clinical, health services and cost–effectiveness applications  

PubMed Central

Autism spectrum disorders (ASDs) are characterized by impairments in social interaction, communication and behavioral functioning that can affect the health-related quality-of-life outcomes of the affected child and the family. ASDs have increased in prevalence, leading to a demand for improved understanding of the comparative effectiveness of different pharmacologic, behavioral, medical and alternative treatments for children as well as systems for providing services. This review describes outcome instruments that can be used for clinical, health services and cost–effectiveness applications. There is a pressing need to identify the most appropriate instruments for measuring health-related quality-of-life outcomes in this population. Studies evaluating the cost–effectiveness of interventions or treatments for children with ASDs using the cost per quality-adjusted life year metric are lacking. Researchers have the potential to contribute greatly to the field of autism by quantifying outcomes that can inform optimal treatment strategies. PMID:22971035

Payakachat, Nalin; Tilford, J Mick; Kovacs, Erica; Kuhlthau, Karen

2012-01-01

193

The effectiveness of M-health technologies for improving health and health services: a systematic review protocol  

Microsoft Academic Search

BACKGROUND: The application of mobile computing and communication technology is rapidly expanding in the fields of health care and public health. This systematic review will summarise the evidence for the effectiveness of mobile technology interventions for improving health and health service outcomes (M-health) around the world. FINDINGS: To be included in the review interventions must aim to improve or promote

Caroline Free; Gemma Phillips; Lambert Felix; Leandro Galli; Vikram Patel; Philip Edwards

2010-01-01

194

Evidence-Based Systematic Review: Effects of Different Service Delivery Models on Communication Outcomes for Elementary School-Age Children  

ERIC Educational Resources Information Center

Purpose: The purpose of this investigation was to conduct an evidence-based systematic review (EBSR) of peer-reviewed articles from the last 30 years about the effect of different service delivery models on speech-language intervention outcomes for elementary school-age students. Method: A computer search of electronic databases was conducted to…

Cirrin, Frank M.; Schooling, Tracy L.; Nelson, Nickola W.; Diehl, Sylvia F.; Flynn, Perry F.; Staskowski, Maureen; Torrey, T. Zoann; Adamczyk, Deborah F.

2010-01-01

195

Systematic Review and Narrative Synthesis of the Effectiveness of Contraceptive Service Interventions for Young People, Delivered in Health Care Settings  

ERIC Educational Resources Information Center

A systematic review and narrative synthesis to determine the effectiveness of contraception service interventions for young people delivered in health care premises was undertaken. We searched 12 key health and medical databases, reference lists of included papers and systematic reviews and cited reference searches on included articles. All…

Blank, Lindsay; Baxter, Susan K.; Payne, Nick; Guillaume, Louise R.; Squires, Hazel

2012-01-01

196

Estimating Net Primary Productivity Using Satellite and Ancillary Data  

NASA Technical Reports Server (NTRS)

The net primary productivity (C) or the annual rate of carbon accumulation per unit ground area by terrestrial plant communities is the difference of gross photosynthesis (A(sub g)) and respiration (R) per unit ground area. Available field observations show that R is a large and variable fraction of A(sub g), although it is generally recognized that there are considerable difficulties in determining these fluxes, and thus pose challenge in assessing the accuracy. Further uncertainties arise in extrapolating field measurements (which are acquired over a hectare or so area) to regional scale. Here, an approach is presented for determining these fluxes using satellite and ancillary data to be representative of regional scale and allow assessment of interannual variation. A, has been expressed as the product of radiation use efficiency for gross photosynthesis by an unstressed canopy and intercepted photosynthetically active radiation, which is then adjusted for stresses due to soil water shortage and temperature away from optimum. R has been calculated as the sum of growth and maintenance components (respectively, R(sub g) and R(sub m)).The R(sub m) has been determined from nitrogen content of plant tissue per unit ground area, while R(sub g) has been obtained as a fraction of the difference of A(sub g) and R(sub m). Results for five consecutive years (1986-1990) are presented for the Amazon-Tocontins, Mississippi, and Ob River basins.

Choudhury, Bhaskar J.

2002-01-01

197

Measuring Quality in Emergency Medical Services: A Review of Clinical Performance Indicators  

PubMed Central

Measuring quality in Emergency Medical Services (EMSs) systems is challenging. This paper reviews the current approaches to measuring quality in health care and EMS with a focus on currently used clinical performance indicators in EMS systems (US and international systems). The different types of performance indicators, the advantages and limitations of each type, and the evidence-based prehospital clinical bundles are discussed. This paper aims at introducing emergency physicians and health care providers to quality initiatives in EMS and serves as a reference for tools that EMS medical directors can use to launch new or modify existing quality control programs in their systems. PMID:22046554

El Sayed, Mazen J.

2012-01-01

198

Comprehensive adolescent health programs that include sexual and reproductive health services: a systematic review.  

PubMed

We systematically reviewed peer-reviewed and gray literature on comprehensive adolescent health (CAH) programs (1998-2013), including sexual and reproductive health services. We screened 36?119 records and extracted articles using predefined criteria. We synthesized data into descriptive characteristics and assessed quality by evidence level. We extracted data on 46 programs, of which 19 were defined as comprehensive. Ten met all inclusion criteria. Most were US based; others were implemented in Egypt, Ethiopia, and Mexico. Three programs displayed rigorous evidence; 5 had strong and 2 had modest evidence. Those with rigorous or strong evidence directly or indirectly influenced adolescent sexual and reproductive health. The long-term impact of many CAH programs cannot be proven because of insufficient evaluations. Evaluation approaches that take into account the complex operating conditions of many programs are needed to better understand mechanisms behind program effects. PMID:25320876

Kĺgesten, Anna; Parekh, Jenita; Tunçalp, Ozge; Turke, Shani; Blum, Robert William

2014-12-01

199

Undocumented Migrants in Canada: A scope literature review on health, access to services, and working conditions  

PubMed Central

It is estimated that there are 30 to 40 million undocumented workers worldwide. Although undocumented migration has become an issue of high international relevance, it has been strikingly understudied in Canada, especially with respect to its impact on health. The purpose of this study is to explore the concept of undocumentedness in Canada through a scoping review of peer-reviewed and grey literature written in English, French, Portuguese and Spanish between 2002 and 2008. The specific aims are to: i) summarize and disseminate current academic and community-based findings on the health, service access and working conditions of undocumented migrants in Canada; ii) examine the sources and use of evidence; iii) identify significant gaps in existing knowledge; iv) set recommendations for policy and research, including considerations on transnationalism, ethics, interdisciplinary approaches, gender differences, resilience, and impact on the children of non-status parents. PMID:19657739

Carrasco, Christine; Gastaldo, Denise

2011-01-01

200

A systematic review of health service interventions to improve linkage with or retention in HIV care.  

PubMed

The importance of early linkage to and continuing retention in HIV care is increasingly recognised, particularly in light of the implications poor linkage and retention rates have for the effectiveness of HIV treatment as prevention strategies. The purpose of this systematic review was to examine the effectiveness of healthcare interventions in improving patient linkage to or retention in HIV care. We systematically searched PubMed (MEDLINE and PubMed-only citations) and EMBASE databases for articles reporting the original results of randomised controlled trials, and used a standard data collection form to extract information on study characteristics and outcome data. Five articles met the inclusion criteria, of which two articles focused on linkage to care and three on retention in care. The methodological quality, both of internal and external validity, of most of the trials was suboptimal. Wide variation in the interventions and outcome measures meant synthesis of the results using meta-analysis was not appropriate. This review shows evidence that interventions based on supporting patient self-management improves linkage to, and possibly retention in, care. Interventions aimed at delivery service design may also be effective, although evidence in this review was limited. It is vital that interventions are developed to improve patient engagement in HIV care. The dearth of research identified by this review highlights the need for well-designed trials of interventions in this area in the future. PMID:24354712

Brennan, Aline; Browne, John P; Horgan, Mary

2014-01-01

201

21 CFR 830.340 - Voluntary submission of ancillary device identification information.  

Code of Federal Regulations, 2014 CFR

...DEVICE IDENTIFICATION Global Unique Device Identification Database § 830.340 Voluntary submission of ancillary device identification...submit any information to the Global Unique Device Identification Database (GUDID) other than that specified by § 830.310,...

2014-04-01

202

Utilization of Ancillary Data Sets for SMAP Algorithm Development and Product Generation  

NASA Technical Reports Server (NTRS)

Algorithms being developed for the Soil Moisture Active Passive (SMAP) mission require a variety of both static and ancillary data. The selection of the most appropriate source for each ancillary data parameter is driven by a number of considerations, including accuracy, latency, availability, and consistency across all SMAP products and with SMOS (Soil Moisture Ocean Salinity). It is anticipated that initial selection of all ancillary datasets, which are needed for ongoing algorithm development activities on the SMAP algorithm testbed at JPL, will be completed within the year. These datasets will be updated as new or improved sources become available, and all selections and changes will be documented for the benefit of the user community. Wise choices in ancillary data will help to enable SMAP to provide new global measurements of soil moisture and freeze/thaw state at the targeted accuracy necessary to tackle hydrologically-relevant societal issues.

ONeill, P.; Podest, E.; Njoku, E.

2011-01-01

203

Generating non-classical states from spin coherent states via interaction with ancillary spins  

NASA Astrophysics Data System (ADS)

The generation of non-classical states of large quantum systems has attracted much interest from a foundational perspective, but also because of the significant potential of such states in emerging quantum technologies. In this paper we consider the possibility of generating non-classical states of a system of spins by interaction with an ancillary system, starting from an easily prepared initial state. We extend previous results for an ancillary system comprising a single spin to bigger ancillary systems and the interaction strength is enhanced by a factor of the number of ancillary spins. Depending on initial conditions, we find - by a combination of approximation and numerics - that the system of spins can evolve to spin cat states, spin squeezed states or to multiple cat states. We also discuss some candidate systems for implementation of the Hamiltonian necessary to generate these non-classical states.

Dooley, Shane; Joo, Jaewoo; Proctor, Timothy; Spiller, Timothy P.

2015-02-01

204

Extending NASA's SPICE ancillary information system to meet future mission needs  

NASA Technical Reports Server (NTRS)

This paper summarizes the architecture, capabilities, characteristics and uses of the current SPICE ancillary information system, and then outlines plans and ideas for how this system can be extended to meet future space mission requirements.

Acton, C.; Bachman, N.; Elson, L.; Semenov, B.; Turner, F.; Wright, E.

2002-01-01

205

TECHNOLOGY NEEDS AND STATUS ON CLOSURE OF DOE RADIOACTIVE WASTE TANK ANCILLARY SYSTEMS  

SciTech Connect

This paper summarizes the current state of art of sampling, characterizing, retrieving, transferring and treating the incidental waste and stabilizing the void space in tank ancillary systems and the needs involved with closure of these systems. The overall effort for closing tank and ancillary systems is very large and is in the initial stages of being addressed in a systematic manner. It was recognized in doing this effort, that gaps in both technology and material application for characterization and removal of residual waste and closure of ancillary systems would be identified. Great efficiencies are to be gained by defining the technology need areas early in the closure process and providing recommendations for technical programs to improve the closure strategies. Therefore, this paper will not only summarize the state of closure of ancillary systems but also provide recommendations to address the technology gaps identified in this assessment.

Burns, H; Sharon Marra, S; Christine Langton, C

2009-01-21

206

Generating non-classical states from spin coherent states via interaction with ancillary spins  

E-print Network

The generation of non-classical states of large quantum systems has attracted much interest from a foundational perspective, but also because of the significant potential of such states in emerging quantum technologies. In this paper we consider the possibility of generating non-classical states of a system of spins by interaction with an ancillary system, starting from an easily prepared initial state . We extend previous results for an ancillary system comprising a single spin to bigger ancillary systems and the interaction strength is enhanced by a factor of the number of ancillary spins. Depending on initial conditions, we find -- by a combination of approximation and numerics -- that the system of spins can evolve to spin cat states, spin squeezed states or to multiple cat states. We also discuss some candidate systems for implementation of the Hamiltonian necessary to generate these non-classical states.

Shane Dooley; Jaewoo Joo; Timothy Proctor; Timothy Spiller

2014-06-23

207

Workshop on environmental assessment. [Regulation of applications of nuclear energy and related ancillary systems  

SciTech Connect

Objectives of the workshop were: to review and evaluate the state-of-the-art of environmental impact assessments as applied to the regulation of applications of nuclear energy and related ancillary systems; to identify areas where existing technology allows establishing acceptable methods or standard practices that will meet the requirements of the NRC regulations, standards and guides for both normal operations and off-standard conditions including accident considerations; to illuminate topics where existing models or analytical methods are deficient because of unverified assumptions, a paucity of empirical data, conflicting results reported in the literature or a need for observation of operation systems; to compile, analyze and synthesize a prioritized set of research needs to advance the state-of-the-art to the level which will meet all of the requirements of the Commission's regulations, standards and guides; and to develop bases for maintaining the core of regulatory guidance at the optimum level balancing technical capabilities with practical considerations of cost and value to the regulatory process. The discussion held in small group sessions on aquatic, atmospheric, and terrestrial pathways are presented. The following research needs were identified as common to all three groups: validation of models; characterization of source terms; development of screening techniques; basis for de minimis levels of contamination; and updating of objectives for environmental monitoring programs.

Watson, E.C. (comp.)

1982-07-01

208

ECCAD : Emissions of Atmospheric Compounds and Compilation of Ancillary Data  

NASA Astrophysics Data System (ADS)

There is considerable uncertainty in estimating surface emissions of atmospheric compounds for the recent past and up to now, no single data set exists which would describe the geographical and temporal distribution of emissions for all species relevant to air quality, atmospheric composition change and climate change in a comprehensive and consistent manner. We will describe the ECCAD project, which has two major goals. The first goal is to provide scientific users with an easy access to a large number of existing datasets on surface emissions of atmospheric compounds at the global and regional scales. We are also providing access to ancillary data required to quantify surface emissions. The other goal is to provide data manipulation tools as well as statistical information over the different regions (climatic regions, continents, oceans, OECD regions, etc.). These tools allow an easy identification of each dataset characteristicss and differences between the datasets. Visualization tools are also provided, and the users can download the data of interest. The data in ECCAD are currently used in different international projects. The most recent addition to the database include the emissions developed in support of the IPCC AR5 report, and the data used in the MACC and CITYZEN European projects. The emissions are provided as gridded data at a 0.5 or 1° spatial resolution. Time periodicity and temporal coverage periods vary among the datasets from one year to up to 150 years. The database will be described, and examples of the tools will be presented. We will also provide information on the access to the datasets.

Sabine, Darras; Claire, Granier; Vincent, Pignot; Renaud, Bodichon; Aude, Mieville; Cathy, Liousse; Mireille, Paulin; Cathy, Boonne

2010-05-01

209

ECCAD : Emission of Atmospheric Compounds & Compilation of Ancillary Data  

NASA Astrophysics Data System (ADS)

There is considerable uncertainty in estimating surface emissions of atmospheric compounds for the recent past and up to now, no single data set exists which would describe the geographical and temporal distribution of emissions for all species relevant to air quality, atmospheric composition change and climate change in a comprehensive and consistent manner. We will describe the ECCAD project, which has two major goals. The first goal is to provide scientific users with an easy access to a large number of existing datasets on surface emissions of atmospheric compounds at the global and regional scales. We are also providing access to ancillary data required to quantify surface emissions. The other goal is to provide data manipulation tools as well as statistical information over the different regions (climatic regions, continents, oceans, OECD regions, etc.). These tools allow an easy identification of each dataset characteristics and differences between the datasets. Visualization tools are also provided, and the users can download the data of interest. The data in ECCAD are currently used in different international projects. The most recent addition to the database include the emissions developed in support of the IPCC AR5 report, and the data used in the MACC and CITYZEN European projects. The emissions are provided as gridded data at a 0.5 or 1° spatial resolution. Time periodicity and temporal coverage periods vary among the datasets from one year to up to 150 years. The database will be described, and examples of the tools will be presented. We will also provide information on the access to the datasets.

Darras, S.; Granier, C.; Pignot, V.; Bodichon, R.; Boonne, C.; Liousse, C.; Paulin, M.

2010-12-01

210

Still too far to walk: Literature review of the determinants of delivery service use  

PubMed Central

Background Skilled attendance at childbirth is crucial for decreasing maternal and neonatal mortality, yet many women in low- and middle-income countries deliver outside of health facilities, without skilled help. The main conceptual framework in this field implicitly looks at home births with complications. We expand this to include "preventive" facility delivery for uncomplicated childbirth, and review the kinds of determinants studied in the literature, their hypothesized mechanisms of action and the typical findings, as well as methodological difficulties encountered. Methods We searched PubMed and Ovid databases for reviews and ascertained relevant articles from these and other sources. Twenty determinants identified were grouped under four themes: (1) sociocultural factors, (2) perceived benefit/need of skilled attendance, (3) economic accessibility and (4) physical accessibility. Results There is ample evidence that higher maternal age, education and household wealth and lower parity increase use, as does urban residence. Facility use in the previous delivery and antenatal care use are also highly predictive of health facility use for the index delivery, though this may be due to confounding by service availability and other factors. Obstetric complications also increase use but are rarely studied. Quality of care is judged to be essential in qualitative studies but is not easily measured in surveys, or without linking facility records with women. Distance to health facilities decreases use, but is also difficult to determine. Challenges in comparing results between studies include differences in methods, context-specificity and the substantial overlap between complex variables. Conclusion Studies of the determinants of skilled attendance concentrate on sociocultural and economic accessibility variables and neglect variables of perceived benefit/need and physical accessibility. To draw valid conclusions, it is important to consider as many influential factors as possible in any analysis of delivery service use. The increasing availability of georeferenced data provides the opportunity to link health facility data with large-scale household data, enabling researchers to explore the influences of distance and service quality. PMID:19671156

Gabrysch, Sabine; Campbell, Oona MR

2009-01-01

211

Services  

Microsoft Academic Search

The OPC UA Services are defining the data communication on application level. Services are methods used by an OPC UA client\\u000a to access the data of the Information Model provided by an OPC UA server. Similar to Classic OPC, where the OPC specifications\\u000a just defined Application Programming Interface (APIs) bet?ween applications, the Services define the communication interface\\u000a between UA applications.

Wolfgang Mahnke; Stefan-Helmut Leitner

212

Effective in-service training design and delivery: evidence from an integrative literature review  

PubMed Central

Background In-service training represents a significant financial investment for supporting continued competence of the health care workforce. An integrative review of the education and training literature was conducted to identify effective training approaches for health worker continuing professional education (CPE) and what evidence exists of outcomes derived from CPE. Methods A literature review was conducted from multiple databases including PubMed, the Cochrane Library and Cumulative Index to Nursing and Allied Health Literature (CINAHL) between May and June 2011. The initial review of titles and abstracts produced 244 results. Articles selected for analysis after two quality reviews consisted of systematic reviews, randomized controlled trials (RCTs) and programme evaluations published in peer-reviewed journals from 2000 to 2011 in the English language. The articles analysed included 37 systematic reviews and 32 RCTs. The research questions focused on the evidence supporting educational techniques, frequency, setting and media used to deliver instruction for continuing health professional education. Results The evidence suggests the use of multiple techniques that allow for interaction and enable learners to process and apply information. Case-based learning, clinical simulations, practice and feedback are identified as effective educational techniques. Didactic techniques that involve passive instruction, such as reading or lecture, have been found to have little or no impact on learning outcomes. Repetitive interventions, rather than single interventions, were shown to be superior for learning outcomes. Settings similar to the workplace improved skill acquisition and performance. Computer-based learning can be equally or more effective than live instruction and more cost efficient if effective techniques are used. Effective techniques can lead to improvements in knowledge and skill outcomes and clinical practice behaviours, but there is less evidence directly linking CPE to improved clinical outcomes. Very limited quality data are available from low- to middle-income countries. Conclusions Educational techniques are critical to learning outcomes. Targeted, repetitive interventions can result in better learning outcomes. Setting should be selected to support relevant and realistic practice and increase efficiency. Media should be selected based on the potential to support effective educational techniques and efficiency of instruction. CPE can lead to improved learning outcomes if effective techniques are used. Limited data indicate that there may also be an effect on improving clinical practice behaviours. The research agenda calls for well-constructed evaluations of culturally appropriate combinations of technique, setting, frequency and media, developed for and tested among all levels of health workers in low- and middle-income countries. PMID:24083659

2013-01-01

213

A Review of Services and Interventions for Runaway and Homeless Youth: Moving Forward  

PubMed Central

Research focused on the impact of community-based services and treatment interventions designed to intervene in the lives of runaway and homeless youth has increased in the last two decades in the U.S. and internationally. In light of the tremendous need for identifying effective strategies to end homelessness and its associated problems among youth, this paper summarizes and critiques the findings of the extant literature including U.S., international, and qualitative studies. Thirty-two papers met criteria for inclusion in the review. Among the conclusions are that comprehensive interventions which target the varied and interconnected needs of these youth and families may be worthy of more study than studies that isolate the intervention focus on one problem. Also, more research incorporating design strategies that increase the reliability and validity of study findings is needed. Other preliminary conclusions and future directions are offered. PMID:20161294

Slesnick, Natasha; Dashora, Pushpanjali; Letcher, Amber; Erdem, Gizem; Serovich, Julianne

2009-01-01

214

Informing evidence-based practice: a review of research analyzing adult protective services data.  

PubMed

The mission of Adult Protective Services (APS) is to protect older and vulnerable adults from abuse, neglect, and exploitation. The complexity of APS cases and the potential for life-changing interventions point to the need for research that examines and evaluates APS practices. A literature review identified 50 studies published during a 16-year period that used APS agencies, clients, data, or resources to test hypotheses regarding elder abuse. The analysis revealed promising efforts toward knowledge development about elder mistreatment and self-neglect. This article provides an overview of salient findings, notes the scarcity of studies that analyze the effectiveness of APS, and highlights the need for additional research. Lessons learned are described, and APS practitioners and researchers are urged to work collaboratively to develop key practice-related questions about APS processes and outcomes that can be tested with appropriate research methodologies. PMID:24965804

Ernst, Joy Swanson; Ramsey-Klawsnik, Holly; Schillerstrom, Jason E; Dayton, Carol; Mixson, Paula; Counihan, Mary

2014-01-01

215

Systematic review of facility-based sexual and reproductive health services for female sex workers in Africa  

PubMed Central

Background Several biological, behavioural, and structural risk factors place female sex workers (FSWs) at heightened risk of HIV, sexually transmitted infections (STIs), and other adverse sexual and reproductive health (SRH) outcomes. FSW projects in many settings have demonstrated effective ways of altering this risk, improving the health and wellbeing of these women. Yet the optimum delivery model of FSW projects in Africa is unclear. This systematic review describes intervention packages, service-delivery models, and extent of government involvement in these services in Africa. Methods On 22 November 2012, we searched Web of Science and MEDLINE, without date restrictions, for studies describing clinical and non-clinical facility-based SRH prevention and care services for FSWs in low- and middle-income countries in Africa. We also identified articles in key non-indexed journals and on websites of international organizations. A single reviewer screened titles and abstracts, and extracted data from articles using standardised tools. Results We located 149 articles, which described 54 projects. Most were localised and small-scale; focused on research activities (rather than on large-scale service delivery); operated with little coordination, either nationally or regionally; and had scanty government support (instead a range of international donors generally funded services). Almost all sites only addressed HIV prevention and STIs. Most services distributed male condoms, but only 10% provided female condoms. HIV services mainly encompassed HIV counselling and testing; few offered HIV care and treatment such as CD4 testing or antiretroviral therapy (ART). While STI services were more comprehensive, periodic presumptive treatment was only provided in 11 instances. Services often ignored broader SRH needs such as family planning, cervical cancer screening, and gender-based violence services. Conclusions Sex work programmes in Africa have limited coverage and a narrow scope of services and are poorly coordinated with broader HIV and SRH services. To improve FSWs’ health and reduce onward HIV transmission, access to ART needs to be addressed urgently. Nevertheless, HIV prevention should remain the mainstay of services. Service delivery models that integrate broader SRH services and address structural risk factors are much needed. Government-led FSW services of high quality and scale would markedly reduce SRH vulnerabilities of FSWs in Africa. PMID:24916010

2014-01-01

216

Factors supporting good partnership working between generalist and specialist palliative care services: a systematic review  

PubMed Central

Background The care that most people receive at the end of their lives is provided not by specialist palliative care professionals but by generalists such as GPs, district nurses and others who have not undertaken specialist training in palliative care. A key focus of recent UK policy is improving partnership working across the spectrum of palliative care provision. However there is little evidence to suggest factors which support collaborative working between specialist and generalist palliative care providers Aim To explore factors that support partnership working between specialist and generalist palliative care providers. Design Systematic review. Method A systematic review of studies relating to partnership working between specialist and generalist palliative care providers was undertaken. Six electronic databases were searched for papers published up until January 2011. Results Of the 159 articles initially identified, 22 papers met the criteria for inclusion. Factors supporting good partnership working included: good communication between providers; clear definition of roles and responsibilities; opportunities for shared learning and education; appropriate and timely access to specialist palliative care services; and coordinated care. Conclusion Multiple examples exist of good partnership working between specialist and generalist providers; however, there is little consistency regarding how models of collaborative working are developed, and which models are most effective. Little is known about the direct impact of collaborative working on patient outcomes. Further research is required to gain the direct perspectives of health professionals and patients regarding collaborative working in palliative care, and to develop appropriate and cost-effective models for partnership working. PMID:22546595

Gardiner, Clare; Gott, Merryn; Ingleton, Christine

2012-01-01

217

Using scoping review methods to describe current capacity and prescribe change in Canadian SCI rehabilitation service delivery  

PubMed Central

Objective To describe the methodology used to conduct a scoping review of spinal cord injury (SCI) rehabilitation service delivery in Canada, and to explain the reporting process intended to advance future service delivery. Evidence acquisition A SCI rehabilitation framework derived from the International Classification of Function, Disability and Health was developed to describe the goals and interprofessional processes of rehabilitation. An adapted Arksey and O'Malley (2005) methodological framework was used to conduct a scoping review of SCI rehabilitation services in Canada. Data were obtained from multiple relevant sources via survey (N = 3572 data fields) from 13 of 15 Canadian tertiary SCI rehabilitation sites, systematic reviews, white papers, literature reviews, clinical practice resources, and clinicians. Multidisciplinary teams of content experts (n = 17), assisted with data interpretation and validation by articulating practice trends, gaps, and priorities. Evidence synthesis The findings will be presented in an atlas, which includes aggregate national data regarding impairment and demographic characteristics, service utilization, available resources (staff and capital equipment), specialized services, local expertise, and current best practice indicators, outcome measures, and clinical guidelines. Data were collated and synthesized relative to specific rehabilitation goals. The current state of SCI rehabilitation service delivery (specific to each rehabilitation goal) is summarized in a report card within three domains, knowledge generation, clinical application, and policy change, and specifies key 2020 priorities. Conclusion These findings should prompt critical evaluation of current Canadian SCI rehabilitation service delivery while specifying enhancements in knowledge generation, clinical application and policy change domains likely to assist with achievement of best practices by 2020. PMID:23031176

Craven, Catharine; Balioussis, Christina; Verrier, Molly C.; Hsieh, Jane T.; Cherban, Erin; Rasheed, Amir; Noonan, Vanessa; Wolfe, Dalton

2012-01-01

218

78 FR 66972 - Submission for Review: Designation of Beneficiary: Civil Service Retirement System (CSRS), SF 2808  

Federal Register 2010, 2011, 2012, 2013, 2014

...Designation of Beneficiary: Civil Service Retirement System...Designation of Beneficiary: Civil Service Retirement System...other technological collection techniques or other forms of information...lump sum payment due from the Civil Service Retirement and...

2013-11-07

219

47 CFR 76.930 - Initiation of review of basic cable service and equipment rates.  

Code of Federal Regulations, 2010 CFR

...schedule of rates for the basic service tier and associated equipment...regulate rates for the basic service tier. Basic service and equipment rate schedule...or a copy generated by FCC software. Failure to file on the...

2010-10-01

220

42 CFR 456.6 - Review by State medical agency of appropriateness and quality of services.  

Code of Federal Regulations, 2010 CFR

...agency of appropriateness and quality of services. 456.6 Section 456...agency of appropriateness and quality of services. (a) The Medicaid...of the appropriateness and quality of Medicaid services. (b) The purpose...

2010-10-01

221

42 CFR 456.6 - Review by State medical agency of appropriateness and quality of services.  

Code of Federal Regulations, 2011 CFR

...agency of appropriateness and quality of services. 456.6 Section 456...agency of appropriateness and quality of services. (a) The Medicaid...of the appropriateness and quality of Medicaid services. (b) The purpose...

2011-10-01

222

77 FR 63417 - Senior Executive Service; Departmental Performance Review Board Members  

Federal Register 2010, 2011, 2012, 2013, 2014

...Services and Enforcement, Internal Revenue Service Elizabeth Tucker, Deputy Commissioner, Operations Support, Internal Revenue...Alvarado, Deputy Director, Financial Crimes Enforcement Network David A. Lebryk, Commissioner, Financial Management Service...

2012-10-16

223

Review of Jamaica Public Service Company, Ltd. least-cost expansion plan.  

SciTech Connect

Argonne National Laboratory has been asked to review the least-cost expansion plan (LCEP) of the Jamaica Public Service Company, Ltd. (JPSCo). The material that has been initially provided to Argonne included: (1) An electronic copy of the data and results from JPSCo's running the WASP electric system expansion planning model, (2) Approximately 20 pages of a document 'JPSCo Generation Expansion Plan', marked 'DRAFT 002', date unknown, and (3) The report 'JPSCo Least Cost Generation Expansion Plans, (1999-2009)', January 1999. It was noticed that the 20 pages from the 'DRAFT 002' document were different from the January 1999 report. An explanation was provided to Argonne that the excerpt was from an earlier draft and that the review should focus on the January 1999 report. Further, the electronic copy of the WASP case did not correspond to either the January 1999 report or to the 20-page excerpt. Again, the reason for these discrepancies was that the WASP case provided to Argonne was an earlier case and not the final one that was presented in the report. Based on the review of the available material, Argonne experts have prepared and submitted to the National Investment Bank of Jamaica (NIBJ) a preliminary draft report containing the initial findings, comments, questions and observations. As many of the comments and questions raised in the preliminary review needed to be discussed with the appropriate staff of JPSCo and other Jamaican experts, a 3-day mission to Jamaica was carried out by one Argonne expert (V. Koritarov) in the period July 20-23, 1999. Besides JPSCo experts, the discussions and the review of the LCEP during the mission included several experts from NIBJ, Ministry of Energy, and the Petroleum Corporation of Jamaica. Mr. Koritarov also worked with the JPSCo technical staff to reconstruct the WASP base case that was used as a basis for the January 1999 report. The first step was to verify that the results obtained after the resimulation of this case were identical to those presented in the January 1999 report. Then, in the next step, the Argonne expert and JPSCo team reviewed this case in detail and performed certain modifications and improvements of data where necessary. These modifications and data adjustments resulted in a new base case that served as a basis for further review and for the sensitivity analyses. Several sensitivity analyses were performed together with JPSCo experts and the results were discussed with the JPSCo management and other Jamaican experts at the end of the mission. Additional sensitivity analyses, as well as the cases for high and low load forecasts, were conducted by Mr. Koritarov after returning from Jamaica. The main findings of the review and issues that have been discussed with the Jamaican team can be summarized.

Koritarov, V.; Buehring, W.; Cirillo, R.; Decision and Information Sciences

2008-02-28

224

Information about Support Services for Families of Young Children with Hearing Loss: A Review of Some Useful Outcomes and Challenges  

ERIC Educational Resources Information Center

This paper is concerned with reviewing some useful effects of information about support services provided to families of young children with hearing loss and the challenges of providing this information to families. Evidence indicates that 95 percent of young children with hearing loss have hearing parents. With no previous experience of hearing…

Eleweke, C. Jonah; Gilbert, Sharon; Bays, Debbie; Austin, Ellen

2008-01-01

225

Effects of User Fee Exemptions on the Provision and Use of Maternal Health Services: A Review of Literature  

PubMed Central

User fee removal has been put forward as an approach to increasing priority health service utilization, reducing impoverishment, and ultimately reducing maternal and neonatal mortality. However, user fees are a source of facility revenue in many low-income countries, often used for purchasing drugs and supplies and paying incentives to health workers. This paper reviews evidence on the effects of user fee exemptions on maternal health service utilization, service provision, and outcomes, including both supply-side and demand-side effects. We reviewed 19 peer-reviewed research articles addressing user fee exemptions and maternal health services or outcomes published since 1990. Studies were identified through a USAID-commissioned call for evidence, key word search, and screening process. Teams of reviewers assigned criteria-based quality scores to each paper and prepared structured narrative reviews. The grade of the evidence was found to be relatively weak, mainly from short-term, non-controlled studies. The introduction of user fee exemptions appears to have resulted in increased rates of facility-based deliveries and caesarean sections in some contexts. Impacts on maternal and neonatal mortality have not been conclusively demonstrated; exemptions for delivery care may contribute to modest reductions in institutional maternal mortality but the evidence is very weak. User fee exemptions were found to have negative, neutral, or inconclusive effects on availability of inputs, provider motivation, and quality of services. The extent to which user fee revenue lost by facilities is replaced can directly affect service provision and may have unintended consequences for provider motivation. Few studies have looked at the equity effects of fee removal, despite clear evidence that fees disproportionately burden the poor. This review highlights potential and documented benefits (increased use of maternity services) as well as risks (decreased provider motivation and quality) of user fee exemption policies for maternal health services. Governments should link user fee exemption policies with the replacement of lost revenue for facilities as well as broader health system improvements, including facility upgrades, ensured supply of needed inputs, and improved human resources for health. Removing user fees may increase uptake but will not reduce mortality proportionally if the quality of facility-based care is poor. More rigorous evaluations of both demand- and supply-side effects of mature fee exemption programmes are needed.

Makinen, Marty; Madhavan, Supriya; Conlon, Claudia M.

2013-01-01

226

76 FR 41726 - Reporting Ancillary Airline Passenger Revenues  

Federal Register 2010, 2011, 2012, 2013, 2014

...transportation, third-party services such as hotel rooms, car rentals, and pick-up and...15. Commissions on Travel Packages--Hotel/Car Rental/etc. 16. Travel Insurance...the airport or may be confined to their hotel or place of visit. We invite...

2011-07-15

227

Evidence related to the use of ancillary drugs in bovine respiratory disease (anti-inflammatory and others): are they justified or not?  

PubMed

The therapeutic approach for bovine respiratory disease (BRD) includes antimicrobial treatment due to the frequent implication of bacteria. The data concerning the use of ancillary drugs (such as anti-inflammatory drugs or immunomodulators) are scant and often are based on experimental models of BRD. The effect of NSAIDs on pulmonary lesions, despite appearing beneficial, remains to be confirmed in well-designed, long-term trials. The impact on weight gain is inconsistent in these studies. This review emphasized the need for articles concerning clinical trials to clearly state study inclusion criteria, and definitions of clinical scores, relapses, and treatment failures to be properly evaluated. PMID:22374115

Francoz, David; Buczinski, Sébastien; Apley, Mike

2012-03-01

228

Primary care services. In search of alternative ways of providing services that are affordable, accessible and appropriate. A review of recent literature.  

PubMed

Services where the G.P. is the central health professional or "team leader" may satisfactorily provide first-contact medical services. Major problems reported in literature are related to inequity in distribution, and the fee-for-service practice that limits access for those on lower incomes and encourages high throughput. There is a heavy reliance on pharmaceuticals as the main treatment, with health promotion and educative services, and counselling, being generally low. While alternative or complementary therapies may address problems of "failed medicine", these don't answer issues of accessibility, or self-responsibility. Studies on nurse practitioners as the first contact in primary level care demonstrate that technically they can function competently and safely amongst a similar clientele, and that the clients find nurses both satisfactory and acceptable as health care providers. While the quality of care is comparable to that offered by a G.P., the cost is less, both directly to user, or more generally to society. This is related to lower costs of education and remuneration, and that lower costs of pharmaceuticals and diagnostic tests are generated. In addition, the health promotion and educative functions of nurses are overall more prominent, and effective in enhancing peoples self-responsibility in health through improving competence and awareness. User-participation and involvement in health services, and empowerment and self responsibility in health, are therefore more likely to be an outcome of a service in which health promotion and educational activities are central, rather than when medical interventions are the focus. In conclusion, this review of recent literature has raised questions about services currently provided by general practitioners, and as presently funded.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:1816893

North, N

1991-07-01

229

Professional Supervision of Home Aide Service: Some Empirical Issues.  

ERIC Educational Resources Information Center

Applied gerontological research of home care service to aged people associates the provision of the service with maintenance of independence, relief of collateral stress, prevention of unnecessary institutionalization and higher contentment. Although these beneficial effects are related to home care, the service is generally regarded as ancillary

Beckman, Alan C.; And Others

230

Chronic kidney disease and support provided by home care services: a systematic review  

PubMed Central

Background Chronic diseases, such as chronic kidney disease (CKD), are growing in incidence and prevalence, in part due to an aging population. Support provided through home care services may be useful in attaining a more efficient and higher quality care for CKD patients. Methods A systematic review was performed to identify studies examining home care interventions among adult CKD patients incorporating all outcomes. Studies examining home care services as an alternative to acute, post-acute or hospice care and those for long-term maintenance in patients’ homes were included. Studies with only a home training intervention and those without an applied research component were excluded. Results Seventeen studies (10 cohort, 4 non-comparative, 2 cross-sectional, 1 randomized) examined the support provided by home care services in 15,058 CKD patients. Fourteen studies included peritoneal dialysis (PD), two incorporated hemodialysis (HD) and one included both PD and HD patients in their treatment groups. Sixteen studies focused on the dialysis phase of care in their study samples and one study included information from both the dialysis and pre-dialysis phases of care. Study settings included nine single hospital/dialysis centers and three regional/metropolitan areas and five were at the national level. Studies primarily focused on nurse assisted home care patients and mostly examined PD related clinical outcomes. In PD studies with comparators, peritonitis risks and technique survival rates were similar across home care assisted patients and comparators. The risk of mortality, however, was higher for home care assisted PD patients. While most studies adjusted for age and comorbidities, information about multidimensional prognostic indices that take into account physical, psychological, cognitive, functional and social factors among CKD patients was not easily available. Conclusions Most studies focused on nurse assisted home care patients on dialysis. The majority were single site studies incorporating small patient populations. There are gaps in the literature regarding the utility of providing home care to CKD patients and the impact this has on healthcare resources. PMID:25033891

2014-01-01

231

Using Ancillary Information to Reduce Sample Size in Discovery Sampling and the Effects of Measurement Error  

SciTech Connect

Discovery sampling is a tool used in a discovery auditing. The purpose of such an audit is to provide evidence that some (usually large) inventory of items complies with a defined set of criteria by inspecting (or measuring) a representative sample drawn from the inventory. If any of the items in the sample fail compliance (defective items), then the audit has discovered an impropriety, which often triggers some action. However finding defective items in a sample is an unusual event--auditors expect the inventory to be in compliance because they come to the audit with an ''innocent until proven guilty attitude''. As part of their work product, the auditors must provide a confidence statement about compliance level of the inventory. Clearly the more items they inspect, the greater their confidence, but more inspection means more cost. Audit costs can be purely economic, but in some cases, the cost is political because more inspection means more intrusion, which communicates an attitude of distrust. Thus, auditors have every incentive to minimize the number of items in the sample. Indeed, in some cases the sample size can be specifically limited by a prior agreement or an ongoing policy. Statements of confidence about the results of a discovery sample generally use the method of confidence intervals. After finding no defectives in the sample, the auditors provide a range of values that bracket the number of defective items that could credibly be in the inventory. They also state a level of confidence for the interval, usually 90% or 95%. For example, the auditors might say: ''We believe that this inventory of 1,000 items contains no more than 10 defectives with a confidence of 95%''. Frequently clients ask their auditors questions such as: How many items do you need to measure to be 95% confident that there are no more than 10 defectives in the entire inventory? Sometimes when the auditors answer with big numbers like ''300'', their clients balk. They balk because a big sample size might bust the budget, or the number seems intuitively excessive. To reduce the sample size, you can increase the tolerable number of defectives, the ''10'' in the preceding example, or back off on the confidence level, say from 95% to 90%. Auditors also frequently bump up the sample size as a safety factor. They know that something can go wrong. For example, they might find out that the measurements or inspections were subject to errors. Unless the auditors know exactly how measurement error affects sample size, they might be forced to give up the safety factor. Clients often choose to ''live dangerously'' (without a compelling argument to the contrary) to save money. Thus, sometimes the auditor finds that ''you just can't get there from here'', because the goals of the audit and the resources available are inherently in conflict. For discovery audits, there is a way out of this apparent conundrum. It turns out that the classical method of confidence intervals uses an implicit and very conservative assumption. We will see that this assumption is too pessimistic and too conservative in the context of a discovery audit. If we abandon this assumption and use ancillary information about the inventory, then we can significantly reduce the sample size required to achieve the desired confidence level. We will see exactly how the classical method ignores this ancillary information and misses the opportunity for an efficient audit. In the following sections, we first review the standard approach using confidence intervals. Then we present a method that incorporates the ancillary information about the inventory to design a very efficient discovery audit. We also provide results on how measurement errors affect the audit, and how exactly how much the sample size must be modified to compensate for these errors. Finally, we state asymptotic formulas that provide useful approximations for large inventories. It is suggested that the reader review the glossary of symbols while reading the body and the appendices as there are numerous special symbols and notati

Axelrod, M

2005-08-18

232

Review of radiological surveys of the General Services Administration's Raritan Depot in Edison, New Jersey  

SciTech Connect

This report reviews two recent radiological surveys of the General Services Administration (GSA) Raritan Depot in Edison, New Jersey, that were conducted after somewhat elevated levels of radiation were detected within a depot building. The first survey indicated gamma radiation levels were higher than natural background levels in some buildings and identified the probable source of the radiation as gypsum-like building tiles that contained natural uranium-chain radionuclides at a level 20 times higher than other materials. Elevated levels of radon and radon decay products also were detected in some buildings. A follow-on survey was conducted to confirm the January measurements and to measure radiation levels at other locations: additional buildings at the depot, buildings on the Middlesex County College campus, and a possible outdoor disposal site. EPA measurements established that ceiling material is the primary source of the radiation. Radioisotope analysis of the ceiling tile material from buildings with elevated radiation levels showed the presence of radium-226 at levels of approximately 25 picocuries per gram (pCi/g); this material would thus have to be treated as hazardous waste, should it be removed. This report critiques the methodology and results of the two surveys and recommends further action.

Herzenberg, C.L.; Winter, R.C.

1986-10-01

233

Mortality from flash floods: a review of national weather service reports, 1969-81.  

PubMed Central

Of all weather-related disasters that occur in the United States, floods are the main cause of death, and most flood-related deaths are attributed to flash floods. Whenever a weather-related disaster involves 30 or more deaths or more than $100 million in property damage, the National Weather Service (NWS) forms a survey team to investigate the disaster and write a report of findings. All NWS survey reports on flash floods issued during 1969-81 were reviewed to determine the mortality resulting from such floods, the effect of warnings on mortality, and the circumstances contributing to death. A total of 1,185 deaths were associated with 32 flash floods, an average of 37 deaths per flash flood. The highest average number of deaths per event was associated with the four flash floods in which dams broke after heavy rains. Although there were 18 flash floods in 1977-81 and only 14 in 1969-76, the number of deaths was 2 1/2 times greater during the earlier period. More than twice as many deaths were associated with flash floods for which the survey team considered the warnings inadequate than with those with warnings considered adequate. Ninety-three percent of the deaths were due to drowning and 42 percent of these drownings were car related. The other drownings occurred in homes, at campsites, or when persons were crossing bridges and streams. The need for monitoring dams during periods of heavy rainfall is highlighted. PMID:6419273

French, J; Ing, R; Von Allmen, S; Wood, R

1983-01-01

234

Evaluation of three ancillary treatments in the management of equine grass sickness.  

PubMed

Brotizolam, acetylcysteine and aloe vera gel were evaluated as ancillary treatments for 29 cases of equine grass sickness. None of the treatments had any significant beneficial effect on the survival of the horses. However, 11 of 13 horses with mild chronic grass sickness survived solely with intensive nursing care. PMID:12403518

Fintl, C; McGorum, B C

2002-09-28

235

Advanced technology for ancillary coal cleaning operations. Technical progress report, September--December, 1987  

SciTech Connect

The work under contract number DE-AC22-87PC97881 is devoted to experimental research and development to investigate the feasibility of novel ancillary coal-cleaning technologies that offer a potential for reduced capital and operating costs. The ancilliary operations that are specifically addressed in this work include pulse enhanced drying, fines reconstitution by extrusion, and hydraulic wave comminution.

Not Available

1994-09-01

236

Dictyostelium Myb transcription factors function at culmination as activators of ancillary stalk differentiation.  

PubMed

ecmB and mrrA are expressed in the cups that cradle Dictyostelium spore heads, and MybE is necessary for their expression in lower but not upper cup cells. A Myb site within the mrrA promoter is necessary for expression in both cups. Thus, multiple Myb proteins are required for ancillary stalk differentiation. PMID:17237363

Tsujioka, Masatsune; Zhukovskaya, Natasha; Yamada, Yoko; Fukuzawa, Masashi; Ross, Susan; Williams, Jeffrey G

2007-03-01

237

Developing an Internationally-Applicable Service Specification for Continence Care: Systematic Review, Evidence Synthesis and Expert Consensus  

PubMed Central

Background Global demographic trends suggest that the incidence of both urinary and faecal incontinence will rise in the coming years, bringing significant health and economic implications for both patients and payers. There is limited organisational evidence to guide payers and providers about service configuration which will deliver efficient guideline-compliant, high-quality patient care. Objectives To create, using evidence from a systematic review, qualitative data and expert consensus an internationally applicable service specification for continence care. Method Evidence was obtained from a systematic and grey literature review of published randomised controlled trials and quasi-experimental studies reporting efficacy of continence service design at the level of the community dwelling patient with either bladder or bowel incontinence, governmental reports and policy frameworks supplemented by data from 47 semi-structured interviews with clinicians, patients, patient-representatives and policy experts from four geographies broadly representative of different healthcare systems. Results A number of themes related to current and potential future organisation of continence care were identified from the data. A modular service specification with eight core components was created including case detection, initial assessment and treatment, case co-ordination, caregiver support, community-based support, specialist assessment and treatment, use of containment products, and use of technology. Within this framework important key recommendations are: ensure robust referral pathways, shift assessment for case coordination to nurses specializing in continence care, promote self-management and technology, use comprehensive assessment tools and service performance targets based on outcome and operational measures. Conclusions This study has defined practice gaps in the provision of continence services and described eight core components of a service specification for incontinence that commissioners and payers of health and social care could consider using to provide high-quality continence care. A shift towards a community-delivered, nurse-led model appears to be associated with clinical and cost-effective care for people with bladder and bowel incontinence. PMID:25121511

Wagg, Adrian S.; Newman, Diane K.; Leichsenring, Kai; van Houten, Paul

2014-01-01

238

Determinants of male involvement in maternal and child health services in sub-Saharan Africa: a review  

PubMed Central

Introduction Male participation is a crucial component in the optimization of Maternal and Child Health (MCH) services. This is especially so where prevention strategies to decrease Mother-to-Child Transmission (MTCT) of Human Immunodeficiency Virus (HIV) are sought. This study aims to identify determinants of male partners’ involvement in MCH activities, focusing specifically on HIV prevention of maternal to child transmission (PMTCT) in sub-Saharan Africa. Methods Literature review was conducted using the following data bases: Pubmed/MEDLINE; CINAHL; EMBASE; COCHRANE; Psych INFORMATION and the websites of the International AIDS Society (IAS), the International AIDS Conference and the International Conference on AIDS in Africa (ICASA) 2011. Results We included 34 studies in this review, which reported on male participation in MCH and PMTCT services. The majority of studies defined male participation as male involvement solely during antenatal HIV testing. Other studies defined male involvement as any male participation in HIV couple counseling. We identified three main determinants for male participation in PMTCT services: 1) Socio-demographic factors such as level of education, income status; 2) health services related factors such as opening hours of services, behavior of health providers and the lack of space to accommodate male partners; and 3) Sociologic factors such as beliefs, attitudes and communication between men and women. Conclusion There are many challenges to increase male involvement/participation in PMTCT services. So far, few interventions addressing these challenges have been evaluated and reported. It is clear however that improvement of antenatal care services by making them more male friendly, and health education campaigns to change beliefs and attitudes of men are absolutely needed. PMID:23171709

2012-01-01

239

78 FR 21952 - Submission for OMB Review; Proposed Collection; Comment Request; General Services Administration...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (GSA) AGENCY...effort to streamline the process to seek feedback from the public on service delivery...Clearance for the Collection of Qualitative Feedback on Agency Service Delivery'' to...

2013-04-12

240

41 CFR 102-118.650 - Can a TSP request a review of a settlement action by the Administrator of General Services?  

Code of Federal Regulations, 2011 CFR

...2011-01-01 false Can a TSP request a review of a settlement action by the Administrator...102-118.650 Can a TSP request a review of a settlement action by the Administrator...Services? Yes, a TSP desiring a review of a settlement action taken by...

2011-01-01

241

41 CFR 102-118.650 - Can a TSP request a review of a settlement action by the Administrator of General Services?  

Code of Federal Regulations, 2014 CFR

...2014-01-01 false Can a TSP request a review of a settlement action by the Administrator...102-118.650 Can a TSP request a review of a settlement action by the Administrator...Services? Yes, a TSP desiring a review of a settlement action taken by...

2014-01-01

242

41 CFR 102-118.650 - Can a TSP request a review of a settlement action by the Administrator of General Services?  

Code of Federal Regulations, 2012 CFR

...2012-01-01 false Can a TSP request a review of a settlement action by the Administrator...102-118.650 Can a TSP request a review of a settlement action by the Administrator...Services? Yes, a TSP desiring a review of a settlement action taken by...

2012-01-01

243

41 CFR 102-118.650 - Can a TSP request a review of a settlement action by the Administrator of General Services?  

Code of Federal Regulations, 2010 CFR

...2010-07-01 false Can a TSP request a review of a settlement action by the Administrator...102-118.650 Can a TSP request a review of a settlement action by the Administrator...Services? Yes, a TSP desiring a review of a settlement action taken by...

2010-07-01

244

41 CFR 102-118.650 - Can a TSP request a review of a settlement action by the Administrator of General Services?  

Code of Federal Regulations, 2013 CFR

...2013-07-01 false Can a TSP request a review of a settlement action by the Administrator...102-118.650 Can a TSP request a review of a settlement action by the Administrator...Services? Yes, a TSP desiring a review of a settlement action taken by...

2013-07-01

245

47 CFR 25.149 - Application requirements for ancillary terrestrial components in Mobile-Satellite Service...  

Code of Federal Regulations, 2014 CFR

...i) Operational NGSO MSS ATC systems shall maintain an in-orbit spare satellite. (ii) Operational GSO MSS ATC systems...within one year of commencing operations and launch it into orbit during the next commercially reasonable launch window...

2014-10-01

246

Optimal operation for a wind-hydro power plant to participate to ancillary services  

Microsoft Academic Search

To limit the impact of the intermittence of wind power, a water storage ability of the hydraulic storage plant combined with a wind power plant, called the wind-hydro power system (WS), is used. The main objective is to limit the active power output variations of wind energy resource taking into account the grid needs and the available stored energy. The

P. D. Nguyen Ngoc; T. Pham; S. Bacha; D. Roye

2009-01-01

247

Managing Sustainable Demand-side Infrastructure for Power System Ancillary Services  

NASA Astrophysics Data System (ADS)

Widespread access to renewable electricity is seen as a viable method to mitigate carbon emissions, although problematic are the issues associated with the integration of the generation systems within current power system configurations. Wind power plants are the primary large-scale renewable generation technology applied globally, but display considerable short-term supply variability that is difficult to predict. Power systems are currently not designed to operate under these conditions, and results in the need to increase operating reserve in order to guarantee stability. Often, operating conventional generation as reserve is both technically and economically inefficient, which can overshadow positive benefits associated with renewable energy exploitation. The purpose of this thesis is to introduce and assess an alternative method of enhancing power system operations through the control of electric loads. In particular, this thesis focuses on managing highly-distributed sustainable demand-side infrastructure, in the form of heat pumps, electric vehicles, and electrolyzers, as dispatchable short-term energy balancing resources. The main contribution of the thesis is an optimal control strategy capable of simultaneously balancing grid- and demand-side objectives. The viability of the load control strategy is assessed through model-based simulations that explicitly track end-use functionality of responsive devices within a power systems analysis typically implemented to observe the effects of integrated wind energy systems. Results indicate that there is great potential for the proposed method to displace the need for increased reserve capacity in systems considering a high penetration of wind energy, thereby allowing conventional generation to operate more efficiently and avoid the need for possible capacity expansions.

Parkinson, Simon Christopher

248

Analysis and characterization of ancillary service demand response strategies for variable air volume HVAC systems  

E-print Network

Output variability and prediction difficulties with respect to solar and wind electricity resources increase the requirement of grid-scale reserve capacity and add strain to existing firm generators used for reserves and ...

Blum, David H. (David Henry)

2013-01-01

249

An electrical dissecting method of AC branch with FACTS for ancillary service assessment  

Microsoft Academic Search

This paper presents a new electrical dissecting method of AC branch installed with phase-shifter, which satisfies basic principles and laws of electric power network. With this method, the deep-seated electrical information between sources and flows, such as the contribution information of sources and flows, can be obtained. The dissected sub-branches are equivalent to the initial branch, and the dissecting procedure

Tang Yi; Yu Ji-Lai; Liu Xian Linz

2004-01-01

250

A Literature Review of the Use of GIS-Based Measures of Access to Health Care Services  

Microsoft Academic Search

The increasing availability of Geographical Information Systems (GIS) in health organisations, together with the proliferation\\u000a of spatially disaggregate data, has led to a number of studies that have been concerned with developing measures of access\\u000a to health care services. The main aim of this paper is to review the use of GIS-based measures in exploring the relationship\\u000a between geographic access,

Gary Higgs

2004-01-01

251

Techniques of induced abortion, their health implications and service aspects: a review of the literature  

PubMed Central

This literature review indicates that menstrual regulation during the fifth to seventh week of pregnancy is not always as free from risk as has sometimes been claimed. In particular, it has a higher failure rate, in terms of continued pregnancy, than has abortion by suction in later stages of pregnancy. Vacuum aspiration is still the method of choice until the beginning of the eleventh week of pregnancy. After that, it seems to be slightly more hazardous than dilatation and curettage (D & C). Preoperative cervical dilatation seems to be beneficial after the tenth week, even though its effectiveness in preventing cervical tears and subsequent cervical incompetence in primigravidae remains to be definitely proven. For second trimester abortions, there is an urgent need for controlled studies, in the thirteenth to fifteenth week, to compare the increasingly popular modified D & C technique with various two-stage techniques, both in terms of safety and of cost-effectiveness. Prostaglandins for second trimester abortions have not quite fulfilled their promise as a relatively risk-free technique; they do, however, decrease the time interval between the administration of the abortifacient and the expulsion of the fetus. Aspects of abortion care other than the purely technical ones are much less well covered by research. For instance, very little is known about the acceptability of various abortion and anaesthetic techniques to either pregnant women or hospital staff. More studies are also needed on the interaction of pregnant women with the service providers at various levels and on how this affects their subsequent reproductive behaviour. PMID:314360

Edström, Karin

1979-01-01

252

Evaluation research in occupational health services: general principles and a systematic review of empirical studies  

PubMed Central

OBJECTIVES: To study the nature and extent of evaluation research in occupational health services (OHSs). METHODS: Literature review of evaluation research in OHSs. On the basis of a conceptual model of OHS evaluation, empirical studies are categorised into aspects of input, process, output, outcome, and OHS core activities. RESULTS: Many methods to evaluate OHSs or OHS activities exist, depending on the objective and object of evaluation. The amount of empirical studies on evaluation of OHSs or OHS activities that met the non-restrictive inclusion criteria, was remarkably limited. Most of the 52 studies were more descriptive than evaluative. The methodological quality of most studies was not high. A differentiated picture of the evidence of effectiveness of OHSs arises. Occupational health consultations and occupational rehabilitation are hardly studied despite much time spent on the consultation by occupational physicians in most countries. The lack of effectiveness and efficiency of the pre-employment examination should lead to its abandonment as a means of selection of personnel by OHSs. Periodic health monitoring or surveillance, and education on occupational health hazards can be carried out with reasonable process quality. Identification and evaluation of occupational health hazards by a workplace survey can be done with a high output quality, which, however, does not guarantee a favourable outcome. CONCLUSIONS: Although rigorous study designs are not always applicable or feasible in daily practice, much more effort should be directed at the scientific evaluation of OHSs and OHS instruments. To develop evidence-based occupational health care the quality of evaluation studies should be improved. In particular, process and outcome of consultation and rehabilitation activities of occupational physicians need to be studied more.   PMID:10474531

Hulshof, C. T.; Verbeek, J. H.; van Dijk, F. J.; van der Weide, W. E.; Braam, I. T.

1999-01-01

253

A systematic review of the evidence on service user involvement in interpersonal skills training of mental health students.  

PubMed

Service user involvement has become a common feature of education programmes for mental health students. However, little is known about the effects of this type of education on the interpersonal skills of students taking part. This paper reports findings from a systematic review that formed part of a wider investigation into service user involvement in teaching interpersonal skills. The review aimed to locate and assess the quality of the published evidence relating to the effects of service user involvement on mental health students interpersonal skills and to synthesize results, using a definition of interpersonal skill that includes attitudes, empathy and skills as its key components. Results from this study indicate that the quality of evidence in this area is poor. However, sufficient synthesis of the evidence base was possible to allow conclusions and recommendations for both research and practice. Conclusions were that the involvement of service users in this area is both acceptable and valuable for students and had specific impacts on attitudes, empathy and skills. Some difficulties and reservations about the style of involvement are discussed. Recommendations for the conduct of future research are also made. PMID:22845684

Perry, J; Watkins, M; Gilbert, A; Rawlinson, J

2013-08-01

254

Use of quality information in decision-making about health and social care services - a systematic review.  

PubMed

User choice and personalisation have been at the centre of health and social care policies in many countries. Exercising choice can be especially challenging for people with long-term conditions (LTC) or disabilities. Information about the quality, cost and availability of services is central to user choice. This study used systematic review methods to synthesise evidence in three main areas: (i) how people with LTC or disabilities and their family carers find and access information about the quality of services; (ii) how quality information is used in decision-making; and (iii) what type of quality information is most useful. Quality information was defined broadly and could include formal quality reports (e.g. inspection reports, report cards, etc.), information about the characteristics of a service or provider (e.g. number and qualifications of staff, facilities, etc.) and informal reports about quality (e.g. personal experience, etc.). Literature searches were carried out using electronic databases in January 2012. Thirteen papers reporting findings from empirical studies published between 2001 and 2012 were included in the review. The majority of papers (n = 9) had a qualitative design. The analysis highlighted the use of multiple sources of information in decision-making about services and in particular the importance of informal sources and extended social networks in accessing information. There is limited awareness and use of 'official' and online information sources. Service users or family carers place greater emphasis on general information and structural indicators. Clinical or quality-of-life outcomes are often difficult to interpret and apply. Trust emerged a key issue in relation to quality information. Experiential and subjective information is highly valued and trusted. Various barriers to the effective use of quality information in making choices about services are identified. Implications for policy and future research are discussed. PMID:25243842

Turnpenny, Agnes; Beadle-Brown, Julie

2014-09-22

255

Evaluation of Landscape Structure Using AVIRIS Quicklooks and Ancillary Data  

NASA Technical Reports Server (NTRS)

Currently the best tool for examining landscape structure is remote sensing, because remotely sensed data provide complete and repeatable coverage over landscapes in many climatic regimes. Many sensors, with a variety of spatial scales and temporal repeat cycles, are available. The Airborne Visible/Infrared Imaging Spectrometer (AVIRIS) has imaged over 4000 scenes from over 100 different sites throughout North America. For each of these scenes, one-band "quicklook" images have been produced for review by AVIRIS investigators. These quicklooks are free, publicly available over the Internet, and provide the most complete set of landscape structure data yet produced. This paper describes the methodologies used to evaluate the landscape structure of quicklooks and generate corresponding datasets for climate, topography and land use. A brief discussion of preliminary results is included at the end. Since quicklooks correspond exactly to their parent AVIRIS scenes, the methods used to derive climate, topography and land use data should be applicable to any AVIRIS analysis.

Sanderson, Eric W.; Ustin, Susan L.

1998-01-01

256

Overcoming access barriers to health services through membership-based microfinance organizations: a review of evidence from South Asia  

PubMed Central

It is a challenge for the poor to overcome the barriers to accessing health services. Membership-based microfinance with associated health programmes can improve health outcomes for the poor. This study reviewed the evidence published between 1993 and 2013 on the role of membership-based microfinance with associated health programmes in improving health outcomes for the poor in South Asia. A total of 661 papers were identified and 26 selected for inclusion, based on the relevance and rigour of the research methods. Of these 26, five were evidence reviews. Of the remaining 21 papers, 12 were from India, seven from Bangladesh, and one each from Sri Lanka and Indonesia. Three papers addressed more than one theme. Five key themes emerged from the review: (i) the impact of microfinance programmes on the social and economic situation of the poor; (ii) the impact of microfinance programmes on community health; (iii) the impact of integrated microfinance health programmes on raising client awareness; (iv) the impact of integrated microfinance health programmes on financing health care; and (v) the impact of integrated microfinance health programmes on affordable health-care products and services. The review provides new evidence on the pathways through which microfinance helps to improve population health and value for money for such programmes. Among countries with large populations in the informal sector, there is a strong case for policy-makers to support these groups in providing access to life-saving health care among the poor.

Saha, Somen; Annear, Peter Leslie

2015-01-01

257

76 FR 64429 - Senior Executive Service; Public Debt Performance Review Board (PRB)  

Federal Register 2010, 2011, 2012, 2013, 2014

...members of the Public Debt Performance Review Board (PRB) for...The PRB reviews the performance appraisals of career senior...recommendations regarding proposed performance appraisals, ratings, bonuses, pay adjustments, and...

2011-10-18

258

77 FR 65248 - Senior Executive Service; Public Debt Performance Review Board  

Federal Register 2010, 2011, 2012, 2013, 2014

...members of the Public Debt Performance Review Board (PRB) for...The PRB reviews the performance appraisals of career senior...recommendations regarding proposed performance appraisals, ratings, bonuses, pay adjustments, and...

2012-10-25

259

75 FR 59800 - Senior Executive Service; Public Debt Performance Review Board (PRB)  

Federal Register 2010, 2011, 2012, 2013, 2014

...members of the Public Debt Performance Review Board (PRB) for...The PRB reviews the performance appraisals of career senior...recommendations regarding proposed performance appraisals, ratings, bonuses, pay adjustments, and...

2010-09-28

260

Study of Food Service Management Companies in School Nutrition Programs. Contract Review Results.  

ERIC Educational Resources Information Center

In fall 1990, the U.S. Department of Agriculture's (USDA's) Food and Nutrition Service (FNS) contracted with Price Waterhouse to complete a study of the use of food-service management companies (FSMCs) by school districts that participate in the National School Lunch Program (NSLP) and the Tentative findings include: (1) contracts between school…

Price Waterhouse, Washington, DC. Office of Government Services.

261

75 FR 28858 - Agency Information Collection (Service Data Manual) Activities Under OMB Review  

Federal Register 2010, 2011, 2012, 2013, 2014

...211-70, Service Data Manual (previously...a currently approved collection. Abstract: VAAR clause...211-70, Service Data Manual, requires a...operator's manuals and maintenance/repair manuals when...required to respond to a collection of information...

2010-05-24

262

78 FR 44191 - Agency Information Collection (Service Data Manual) Activities Under OMB Review  

Federal Register 2010, 2011, 2012, 2013, 2014

...211-70, Service Data Manual. OMB Control...a currently approved collection. Abstract: VAAR clause...211-70, Service Data Manual, requires a...operator's manuals and maintenance/repair manuals when...required to respond to a collection of information...

2013-07-23

263

Book Review of Emerging Markets for Ecosystem Services: A Case Study of the Panama Canal Watershed  

Technology Transfer Automated Retrieval System (TEKTRAN)

This book is an outstanding contribution to our current, applied knowledge on markets of ecosystems services. In an integrated framework of study, the authors assessed the opportunities and limitations of carbon sequestration mainly via reforestation, hydrological services (water quantity and qualit...

264

Providing Services in the United Kingdom to People with an Intellectual Disability Who Present Behaviour Which Challenges: A Review of the Literature  

ERIC Educational Resources Information Center

There is ongoing debate about the best model of service provision for people with an intellectual disability who present severe behavioural challenges. The present paper reviewed research which evaluated a range of UK service provision in terms of impact on challenging behaviour and other quality of life indices. A literature search was carried…

McKenzie, Karen

2011-01-01

265

Science Enabling Roles and Services of SPDF  

NASA Astrophysics Data System (ADS)

The current Heliophysics Science Data Management Policy defines the roles of the Space Physics Data Facility (SPDF) project as a heliophysics active Final Archive, a focus for critical data infrastructure services and a center of excellence for data and ancillary information services. This presentation will highlight some of our current activities and our understanding of why and how our services are useful to researchers, as well as SPDF's programmatic emphasis in the coming year. We will discuss how, in cooperation with the Heliophysics Virtual discipline Observatories (VxOs), we are working closely with the RBSP and MMS mission teams to support their decisions to use CDF as a primary format for their public data products, to leverage the ongoing data flows and capabilities of CDAWeb (directly and through external clients such as Autoplot) to serve their data in a multi-mission context and to use SSCWeb to assist community science planning and analysis. Among other current activities, we will also discuss and demonstrate our continuing effort to make the Virtual Space Physics Observatory (VSPO) service comprehensive in all significant and NASA relevant heliophysics data. The OMNI and OMNI High Resolution datasets remain current and heavily cited in publications. We are expanding our FTP file services to include online archived non-CDF data from all active missions, which is a re-hosting of this function from NSSDC's FTP site. We have extended the definitions of time in CDF to unambiguously and consistently handle leap seconds. We are improving SSCWeb for much faster performance, more capabilities and a web services interface to Query functionality. We will also review how CDAWeb data can be easily accessed within IDL and new features in CDAWeb.

McGuire, R. E.; Bilitza, D.; Candey, R. M.; Chimiak, R. A.; Cooper, J. F.; Garcia, L. N.; Harris, B. T.; Johnson, R. C.; King, J. H.; Kovalick, T. J.; Lal, N.; Leckner, H. A.; Liu, M. H.; Papitashvili, N. E.; Roberts, D.

2011-12-01

266

Recovery Act Weekly Video: 200 Area Asbestos Removal, U-Ancillary Demolition, 200 West Transfer Building Footings  

SciTech Connect

A weekly update of the Recovery Act at work. Demolition of U-Ancillary that was contaminated with uranium and asbestos as well as removing asbestos from the Steam Generation Plant in the 200 East Area.

None

2010-01-01

267

77 FR 56824 - Notice of Submission for OMB Review; Office of Special Education and Rehabilitative Services...  

Federal Register 2010, 2011, 2012, 2013, 2014

...scholars who are/were the recipients of scholarships. The information collected will provide...rehabilitative services. Students who receive scholarships under this program are required to...settings for every year of full-time scholarship support. Section 302...

2012-09-14

268

75 FR 62921 - Senior Executive Service; Legal Division Performance Review Board  

Federal Register 2010, 2011, 2012, 2013, 2014

...Christopher J. Meade, Principal Deputy General Counsel; Mark Monborne, Assistant General Counsel (Enforcement & Intelligence); Clarissa C. Potter, Deputy Chief Counsel (Technical), Internal Revenue Service; Kevin Rice, Chief Counsel, Bureau of...

2010-10-13

269

76 FR 60128 - Senior Executive Service; Legal Division Performance Review Board  

Federal Register 2010, 2011, 2012, 2013, 2014

...and Finance); George Bostick, Benefits Tax Counsel; Michael Caballero, International Tax Counsel; Himamauli Das...Healthcare Program, Internal Revenue Service; M.J.K. Maher, Jr., Deputy Assistant General Counsel (Enforcement &...

2011-09-28

270

77 FR 50545 - Members of Senior Executive Service Performance Review Boards  

Federal Register 2010, 2011, 2012, 2013, 2014

...Officer (CFO) Heather C. Maloy, Commissioner, LB&I Stephen L. Manning, Associate CIO, User and Network Services (IT) Rosemary D. Marcuss, Director, Research, Analysis and Statistics (RAS) C. Andre Martin, Director, Investigative and...

2012-08-21

271

77 FR 66663 - Senior Executive Service; Combined Performance Review Board (PRB)  

Federal Register 2010, 2011, 2012, 2013, 2014

...PRB) for the Bureau of the Public Debt (BPD), the Financial Management Service (FMS), the Bureau of Engraving and Printing (BEP), the United States Mint, the Alcohol and Tobacco Tax and Trade Bureau (TTB), and the Financial Crimes...

2012-11-06

272

75 FR 13131 - General Services Administration Acquisition Regulation; Submission for OMB Review; GSA Advantage...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Schedules (FSS) contractors must participate in the GSA Advantage![reg] system at 552.238-55. It is an online shopping service which, via the Electronic Commerce clause at 552.238-56, receives catalogs, invoices and text...

2010-03-18

273

77 FR 18306 - Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance  

Federal Register 2010, 2011, 2012, 2013, 2014

...service that larger air carriers are providing...areas within the air traffic control system. DATES...airport delays, and traffic levels. The identification...operators, and air carriers to pinpoint delays under their control....

2012-03-27

274

77 FR 50138 - Submission for OMB Review; Comment Request: Collection of Customer Service, Demographic, and...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Smoking/Tobacco Use Information From the National Cancer Institute's Cancer Information Service (CIS) Clients (NCI) SUMMARY...the Paperwork Reduction Act of 1995, the National Cancer Institute (NCI), the National Institutes of...

2012-08-20

275

[Ecosystem services evaluation based on geographic information system and remote sensing technology: a review].  

PubMed

Ecosystem services evaluation is a hot topic in current ecosystem management, and has a close link with human beings welfare. This paper summarized the research progress on the evaluation of ecosystem services based on geographic information system (GIS) and remote sensing (RS) technology, which could be reduced to the following three characters, i. e., ecological economics theory is widely applied as a key method in quantifying ecosystem services, GIS and RS technology play a key role in multi-source data acquisition, spatiotemporal analysis, and integrated platform, and ecosystem mechanism model becomes a powerful tool for understanding the relationships between natural phenomena and human activities. Aiming at the present research status and its inadequacies, this paper put forward an "Assembly Line" framework, which was a distributed one with scalable characteristics, and discussed the future development trend of the integration research on ecosystem services evaluation based on GIS and RS technologies. PMID:22384609

Li, Wen-Jie; Zhang, Shi-Huang; Wang, Hui-Min

2011-12-01

276

78 FR 18285 - General Services Administration Acquisition Regulation; Submission for OMB Review; Modifications...  

Federal Register 2010, 2011, 2012, 2013, 2014

...before: April 25, 2013. FOR FURTHER INFORMATION CONTACT: Ms. Dana Munson, General Services Acquisition Policy Division, GSA, (202) 357-9652 or email Dana.Munson@gsa.gov for clarification of content. For information...

2013-03-26

277

77 FR 58380 - General Services Administration Acquisition Regulation; Submission for OMB Review; Price...  

Federal Register 2010, 2011, 2012, 2013, 2014

...information provided. FOR FURTHER INFORMATION CONTACT: Ms. Dana Munson, Procurement Analyst, General Services Acquisition Policy Division, GSA, (202) 357-9652 or email Dana.Munson@gsa.gov. SUPPLEMENTARY INFORMATION: A. Purpose The...

2012-09-20

278

77 FR 40883 - General Services Administration Acquisition Regulation; Submission for OMB Review; Identification...  

Federal Register 2010, 2011, 2012, 2013, 2014

...August 10, 2012. FOR FURTHER INFORMATION CONTACT: Ms. Dana Munson, Procurement Analyst, General Services Acquisition Policy...GSA, at telephone (202) 357-9652 or via email to dana.munson@gsa.gov. ADDRESSES: Submit comments identified by...

2012-07-11

279

77 FR 26763 - General Services Administration Acquisition Regulation; Submission for OMB Review; Contract...  

Federal Register 2010, 2011, 2012, 2013, 2014

...or before: June 6, 2012. FOR FURTHER INFORMATION CONTACT: Ms. Dana Munson, General Services Acquisition Policy Division, GSA, (202) 357-9652 or email Dana.Munson@gsa.gov. ADDRESSES: Submit comments identified by Information...

2012-05-07

280

77 FR 18818 - General Services Administration Acquisition Regulation; Submission for OMB Review; Contract...  

Federal Register 2010, 2011, 2012, 2013, 2014

...April 27, 2012. FOR FURTHER INFORMATION CONTACT: Ms. Dana Munson, Procurement Analyst, General Services Acquisition Policy Division, at (202) 357-9652 or via email to dana.munson@gsa.gov. ADDRESSES: Submit comments identified by...

2012-03-28

281

78 FR 57156 - General Services Administration Acquisition Regulation; Submission for OMB Review; Modifications...  

Federal Register 2010, 2011, 2012, 2013, 2014

...before: October 17, 2013. FOR FURTHER INFORMATION CONTACT: Ms. Dana Munson, General Services Acquisition Policy Division, GSA, 202-357-9652 or email Dana.Munson@gsa.gov for clarification of content. For information pertaining...

2013-09-17

282

77 FR 27746 - Notice of Submission for OMB Review; Office of Special Education and Rehabilitative Services...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Rehabilitative Services; Annual Protection and Advocacy...PAAT) Program Performance Report, Form RSA 661 SUMMARY: The Annual Protection and Advocacy...December 30 each year. The Annual PAAT Performance Report has enabled RSA to...

2012-05-11

283

The International Latitude Service A Historical Review, From The Beginning To Its Foundation In 1899 And The Period Until 1922  

NASA Astrophysics Data System (ADS)

The study of Polar Motion (PM) is associated withthe work of the InternationalLatitude Service (ILS), the International PolarMotion Service (IPMS) and theBureau International de l'Heure (BIH), andthen the International Earth RotationService (IERS). After reviewing briefly thehistory of early PM research, thescientific objective of the ILS including itsrealizing, and the activities of all thecited services and giving information on thePM time series available from mid-19thcentury to the present, important details onthe events and results are presentedover the period until 1922. It is shown, inwhich way the Geodetic Institute Potsdamcontributed to the foundation of the ILS andtook part in its activities through thework of Helmert, Albrecht, Wanach and Mahnkopf.Based on international scientificcooperation, the results were the rectangularcoordinates of the Polar Motion from1890.0 to 1922.7 at 0.1 year intervals, inparticular those derived from the latitudeobservations at independent stations from 1890.0to 1899.8, and those derived fromthe latitude observations at the ILS stationsfrom 1899.9 to 1922.7.

Höpfner, Joachim

284

The implications of the feminization of the primary care physician workforce on service supply: a systematic review.  

PubMed

There is a widespread perception that the increasing proportion of female physicians in most developed countries is contributing to a primary care service shortage because females work less and provide less patient care compared with their male counterparts. There has, however, been no comprehensive investigation of the effects of primary care physician (PCP) workforce feminization on service supply. We undertook a systematic review to examine the current evidence that quantifies the effect of feminization on time spent working, intensity and scope of work, and practice characteristics. We searched Medline, Embase, and Web of Science from 1991 to 2013 using variations of the terms 'primary care', 'women', 'manpower', and 'supply and distribution'; screened the abstracts of all articles; and entered those meeting our inclusion criteria into a data abstraction tool. Original research comparing male to female PCPs on measures of years of practice, time spent working, intensity of work, scope of work, or practice characteristics was included. We screened 1,271 unique abstracts and selected 74 studies for full-text review. Of these, 34 met the inclusion criteria. Years of practice, hours of work, intensity of work, scope of work, and practice characteristics featured in 12%, 53%, 42%, 50%, and 21% of studies respectively. Female PCPs self-report fewer hours of work than male PCPs, have fewer patient encounters, and deliver fewer services, but spend longer with their patients during a contact and deal with more separate presenting problems in one visit. They write fewer prescriptions but refer to diagnostic services and specialist physicians more often. The studies included in this review suggest that the feminization of the workforce is likely to have a small negative impact on the availability of primary health care services, and that the drivers of observed differences between male and female PCPs are complex and nuanced. The true scale of the impact of these findings on future effective physician supply is difficult to determine with currently available evidence, given that few studies looked at trends over time, and results from those that did are inconsistent. Additional research examining gender differences in practice patterns and scope of work is warranted. PMID:24898264

Hedden, Lindsay; Barer, Morris L; Cardiff, Karen; McGrail, Kimberlyn M; Law, Michael R; Bourgeault, Ivy L

2014-01-01

285

The implications of the feminization of the primary care physician workforce on service supply: a systematic review  

PubMed Central

There is a widespread perception that the increasing proportion of female physicians in most developed countries is contributing to a primary care service shortage because females work less and provide less patient care compared with their male counterparts. There has, however, been no comprehensive investigation of the effects of primary care physician (PCP) workforce feminization on service supply. We undertook a systematic review to examine the current evidence that quantifies the effect of feminization on time spent working, intensity and scope of work, and practice characteristics. We searched Medline, Embase, and Web of Science from 1991 to 2013 using variations of the terms ‘primary care’, ‘women’, ‘manpower’, and ‘supply and distribution’; screened the abstracts of all articles; and entered those meeting our inclusion criteria into a data abstraction tool. Original research comparing male to female PCPs on measures of years of practice, time spent working, intensity of work, scope of work, or practice characteristics was included. We screened 1,271 unique abstracts and selected 74 studies for full-text review. Of these, 34 met the inclusion criteria. Years of practice, hours of work, intensity of work, scope of work, and practice characteristics featured in 12%, 53%, 42%, 50%, and 21% of studies respectively. Female PCPs self-report fewer hours of work than male PCPs, have fewer patient encounters, and deliver fewer services, but spend longer with their patients during a contact and deal with more separate presenting problems in one visit. They write fewer prescriptions but refer to diagnostic services and specialist physicians more often. The studies included in this review suggest that the feminization of the workforce is likely to have a small negative impact on the availability of primary health care services, and that the drivers of observed differences between male and female PCPs are complex and nuanced. The true scale of the impact of these findings on future effective physician supply is difficult to determine with currently available evidence, given that few studies looked at trends over time, and results from those that did are inconsistent. Additional research examining gender differences in practice patterns and scope of work is warranted. PMID:24898264

2014-01-01

286

75 FR 21716 - Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance...  

Federal Register 2010, 2011, 2012, 2013, 2014

...agencies outside BTS for review, analysis and possible use in regulatory and other administrative matters. Anne Suissa, Director, Office of Airline Information. [FR Doc. 2010-9556 Filed 4-23-10; 8:45 am] BILLING CODE...

2010-04-26

287

An integrative review and evidence-based conceptual model of the essential components of pre-service education  

PubMed Central

Background With decreasing global resources, a pervasive critical shortage of skilled health workers, and a growing disease burden in many countries, the need to maximize the effectiveness and efficiency of pre-service education in low-and middle-income countries has never been greater. Methods We performed an integrative review of the literature to analyse factors contributing to quality pre-service education and created a conceptual model that shows the links between essential elements of quality pre-service education and desired outcomes. Results The literature contains a rich discussion of factors that contribute to quality pre-service education, including the following: (1) targeted recruitment of qualified students from rural and low-resource settings appears to be a particularly effective strategy for retaining students in vulnerable communities after graduation; (2) evidence supports a competency-based curriculum, but there is no clear evidence supporting specific curricular models such as problem-based learning; (3) the health workforce must be well prepared to address national health priorities; (4) the role of the preceptor and preceptors’ skills in clinical teaching, identifying student learning needs, assessing student learning, and prioritizing and time management are particularly important; (5) modern, Internet-enabled medical libraries, skills and simulation laboratories, and computer laboratories to support computer-aided instruction are elements of infrastructure meriting strong consideration; and (6) all students must receive sufficient clinical practice opportunities in high-quality clinical learning environments in order to graduate with the competencies required for effective practice. Few studies make a link between PSE and impact on the health system. Nevertheless, it is logical that the production of a trained and competent staff through high-quality pre-service education and continuing professional development activities is the foundation required to achieve the desired health outcomes. Professional regulation, deployment practices, workplace environment upon graduation and other service delivery contextual factors were analysed as influencing factors that affect educational outcomes and health impact. Conclusions Our model for pre-service education reflects the investments that must be made by countries into programmes capable of leading to graduates who are competent for the health occupations and professions at the time of their entry into the workforce. PMID:23984867

2013-01-01

288

Services for Graduate Students: A Review of Academic Library Web Sites  

ERIC Educational Resources Information Center

A library's Web site is well recognized as the gateway to the library for the vast majority of users. Choosing the most user-friendly Web architecture to reflect the many services libraries offer is a complex process, and librarians are still experimenting to find what works best for their users. As part of a redesign of the Oregon State…

Rempel, Hannah Gascho

2010-01-01

289

42 CFR 414.24 - Review, revision, and addition of RVUs for physician services.  

Code of Federal Regulations, 2010 CFR

... PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES...those revisions in a final notice published in the...date specified in the final notice. (b) Revision...less often than every 5 years. (2) After considering...comments, CMS publishes a final notice in the...

2010-10-01

290

A Review of Selected Ecosystem Services Supplied by Coastal Wetlands of the Laurentian Great Lakes  

EPA Science Inventory

Significant ecosystem services derive from the coastal wetlands of the Laurentian Great Lakes even though they have undergone substantial declines since European settlement. Basin-wide, two-thirds of the original coastal wetlands have been lost, and the remaining 126,000 ha of US...

291

9 CFR 351.5 - Conditions of eligibility for certification service; review of applications.  

Code of Federal Regulations, 2011 CFR

...CERTIFICATION CERTIFICATION OF TECHNICAL ANIMAL FATS FOR EXPORT Procedure for Obtaining Service...rendered at the plant into technical animal fat eligible for export, or storage for export...materials and the rendered technical animal fat described in paragraph (a)(1)...

2011-01-01

292

Review of ICT-based services for identified unmet needs in people with dementia  

Microsoft Academic Search

Some of the needs that people with dementia and their informal carers currently perceive as insufficiently met by regular care and support services might be alleviated, or even be met, using modern Information and Communication Technology (ICT). The study described in this paper was designed to provide an insight into the state of the art in ICT solutions that could

S. Lauriks; A. Reinersmann; H. G. Van der Roest; F. J. M. Meiland; R. J. Davies; F. Moelaert; M. D. Mulvenna; C. D. Nugent; R. M. Dröes

2007-01-01

293

Financial incentives for return of service in underserved areas: a systematic review  

Microsoft Academic Search

BACKGROUND: In many geographic regions, both in developing and in developed countries, the number of health workers is insufficient to achieve population health goals. Financial incentives for return of service are intended to alleviate health worker shortages: A (future) health worker enters into a contract to work for a number of years in an underserved area in exchange for a

Till Bärnighausen; David E. Bloom

2009-01-01

294

Gender-Related Barriers and Delays in Accessing Tuberculosis Diagnostic and Treatment Services: A Systematic Review of Qualitative Studies  

PubMed Central

Background. Tuberculosis (TB) remains a significant global public health problem with known gender-related (male versus female) disparities. We reviewed the qualitative evidence (written/spoken narrative) for gender-related differences limiting TB service access from symptom onset to treatment initiation. Methods. Following a systematic process, we searched 12 electronic databases, included qualitative studies that assessed gender differences in accessing TB diagnostic and treatment services, abstracted data, and assessed study validity. Using a modified “inductive coding” system, we synthesized emergent themes within defined barriers and delays limiting access at the individual and provider/system levels and examined gender-related differences. Results. Among 13,448 studies, 28 studies were included. All were conducted in developing countries and assessed individual-level barriers; 11 (39%) assessed provider/system-level barriers, 18 (64%) surveyed persons with suspected or diagnosed TB, and 7 (25%) exclusively surveyed randomly sampled community members or health care workers. Each barrier affected both genders but had gender-variable nature and impact reflecting sociodemographic themes. Women experienced financial and physical dependence, lower general literacy, and household stigma, whereas men faced work-related financial and physical barriers and community-based stigma. Conclusions. In developing countries, barriers limiting access to TB care have context-specific gender-related differences that can inform integrated interventions to optimize TB services. PMID:24900921

Akande, Tokunbo; Shankar, Anita V.; McIntire, Katherine N.; Gounder, Celine R.; Gupta, Amita; Yang, Wei-Teng

2014-01-01

295

Training and deployment of lay refugee/internally displaced persons to provide basic health services in camps: a systematic review  

PubMed Central

Background Training of lay refugees/internally displaced persons (IDPs) and deploying them to provide basic health services to other women, children, and families in camps is perceived to be associated with public health benefits. However, there is limited evidence to support this hypothesis. Objectives To assess the effects of interventions to train and deploy lay refugees and/or IDPs for the provision of basic health service to other women, children, and families in camps. Methods PubMed, Science and Social Science Citation Indices, PsycINFO, EMBASE, POPLINE, CINAHL, and reference lists of relevant articles were searched (from inception to June 30, 2014) with the aim of identifying studies that reported the effects of interventions that trained and deployed lay refugees and/or IDPs for the provision of basic health service to other women, children, and families in camps. Two investigators independently reviewed all titles and abstracts to identify potentially relevant articles. Discrepancies were resolved by repeated review, discussion, and consensus. Study quality assessment was undertaken using standard protocols. Results Ten studies (five cross-sectional, four pre-post, and one post-test only) conducted in Africa (Guinea and Tanzania), Central America (Belize), and Asia (Myanmar) were included. The studies demonstrated some positive impact on population health associated with training and deployment of trained lay refugees/IDPs as health workers in camps. Reported effects included increased service coverage, increased knowledge about disease symptoms and prevention, increased adoption of improved treatment seeking and protective behaviors, increased uptake of services, and improved access to reproductive health information. One study, which assessed the effect of peer refugee health education on sexual and reproductive health, did not demonstrate a marked reduction in unintended pregnancies among refugee/IDP women. Conclusion Although available evidence suggests a positive impact of training and deployment of lay refugees/IDPs as health workers in camps, existing body of evidence is weak, and calls for a re-examination of current practices. Interventions that promote training and deployment of lay refugees/IDPs as health workers in camps should include strong evaluation components in order to facilitate assessment of effects on population health. PMID:25280734

Ehiri, John E.; Gunn, Jayleen K.L.; Center, Katherine E.; Li, Ying; Rouhani, Mae; Ezeanolue, Echezona E.

2014-01-01

296

Associations of structural and functional social support with diabetes prevalence in U.S. Hispanics/Latinos: Results from the HCHS/SOL Sociocultural Ancillary Study.  

PubMed

Little research has examined associations of social support with diabetes (or other physical health outcomes) in Hispanics, who are at elevated risk. We examined associations between social support and diabetes prevalence in the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. Participants were 5,181 adults, 18-74 years old, representing diverse Hispanic backgrounds, who underwent baseline exam with fasting blood draw, oral glucose tolerance test, medication review, sociodemographic assessment, and sociocultural exam with functional and structural social support measures. In adjusted analyses, one standard deviation higher structural and functional social support related to 16 and 15 % lower odds, respectively, of having diabetes. Structural and functional support were related to both previously diagnosed diabetes (OR = .84 and .88, respectively) and newly recognized diabetes prevalence (OR = .84 and .83, respectively). Higher functional and structural social support are associated with lower diabetes prevalence in Hispanics/Latinos. PMID:25107504

Gallo, Linda C; Fortmann, Addie L; McCurley, Jessica L; Isasi, Carmen R; Penedo, Frank J; Daviglus, Martha L; Roesch, Scott C; Talavera, Gregory A; Gouskova, Natalia; Gonzalez, Franklyn; Schneiderman, Neil; Carnethon, Mercedes R

2015-02-01

297

Inhaled hyaluronic acid as ancillary treatment in children with bacterial acute rhinopharyngitis.  

PubMed

Acute rhinopharyngitis (ARP) is the most common upper respiratory infection in children and represents a social problem for both the pharmaco-economic impact and a burden for the family. Topical antibiotic therapy is usually effective in bacterial ARP, but ancillary treatment might improve its efficacy. Hyaluronic acid (HA) is a promising molecule that has been recently proposed in upper respiratory disorders. Therefore, the purpose of this study was to evaluate the effects of ancillary HA treatment in children with bacterial ARP. Globally, 51 children (27 males, mean age 5.9 ± 2.1 years) with bacterial ARP were enrolled in the study. At baseline, children were randomly assigned to the treatment with: 125 mg of thiamphenicol diluted in 4 mL of saline isotonic solution twice daily (group A) or with 125 mg of thiamphenicol plus 4 ml of sodium hyaluronate 0.2% plus xylitol 5% (Aluneb, Sakura Italia) twice daily (group B) administered by the nasal device Rinowash (Airliquide Medical System, Italy) and connected to an aerosol nebulizer with pneumatic compressor (1.5 bar per 5 L/min) Nebula (Airliquide Medical System, Italy), for 10 days. sVAS, nasopharyngeal spotting, neutrophils and bacteria were assessed at baseline and after the treatment. Both treatments induced significant reduction of symptom perception, spotting, neutrophil and bacteria count. However, thiamphenicol plus HA was able to significantly induce a greater effect on sVAS (p=0.006), neutrophil count (p=0.01), and bacteria count (p=0.0003) than thiamphenicol alone. In conclusion, this study provides the first evidence that intranasal HA, as ancillary treatment, may be able to improve topical antibiotic efficacy in children with bacterial ARP. PMID:25316142

Varricchio, A; Capasso, M; Avvisati, F; Varricchio, A M; De Lucia, A; Brunese, F P; Ciprandi, G

2014-01-01

298

Use of Qualitative Methods in Published Health Services and Management Research: A 10-Year Review  

PubMed Central

Over the past 10 years, the field of health services and management research has seen renewed interest in the use of qualitative research methods. This article examines the volume and characteristics of qualitative research articles published in nine major health services and management journals between 1998 and 2008. Qualitative research articles comprise 9% of research articles published in these journals. Although the publication rate of qualitative research articles has not kept pace with that of quantitative research articles, citation analysis suggests that qualitative research articles contribute comparably to the field’s knowledge base. A wide range of policy and management topics has been examined using qualitative methods. Case study designs, interviews, and documentary sources were the most frequently used methods. Half of qualitative research articles provided little or no detail about key aspects the study’s methods. Implications are discussed and recommendations are offered for promoting the publication of qualitative research. PMID:20675353

Weiner, Bryan J.; Amick, Halle R.; Lund, Jennifer L.; Lee, Shoou-Yih Daniel; Hoff, Timothy J.

2011-01-01

299

Priorities of legislatively active veteran services organizations: a content analysis and review for health promotion initiatives.  

PubMed

Military and Veterans Service Organizations (MVSOs) have a unique opportunity to influence legislation and advocate for the interests of their members. However, little is known about what legislative priorities MVSOs see as important. Understanding the legislative priorities of MVSOs can inform efforts by health scientists to promote policy and laws designed to improve the health of our nation's veterans. Using a mixed methods approach, we conducted a thematic analysis of legislative priorities MVSOs promote with their legislative agendas. Most commonly, MVSOs addressed issues related to disability evaluations and ratings with the Veterans Administration and access to Veterans Administration services. Other common themes identified as priorities include benefits such as retirement, education, housing assistance for veterans, and TRICARE benefits. Findings highlight the broad range of topics MVSOs identify as legislative priorities as well as some health issues that receive relatively limited attention. PMID:25373063

Jahnke, Sara A; Haddock, Christopher K; Carlos Poston, Walker S; Jitnarin, Nattinee

2014-11-01

300

78 FR 78416 - Submission for Review: Program Services Evaluation Surveys, OMB Control No. 3206-0252  

Federal Register 2010, 2011, 2012, 2013, 2014

The Office of Personnel Management (OPM) offers the general public and other Federal agencies the opportunity to comment on the information collection request (ICR) 3206-0252, Program Services Evaluation Surveys. As required by the Paperwork Reduction Act of 1995, (Pub. L. 104-13, 44 U.S.C. chapter 35) as amended by the Clinger-Cohen Act (Pub. L. 104-106), OPM is soliciting comments for this......

2013-12-26

301

Community hospitals – the place of local service provision in a modernising NHS: an integrative thematic literature review  

PubMed Central

Background Recent developments within the United Kingdom's (UK) health care system have re-awakened interest in community hospitals (CHs) and their role in the provision of health care. This integrative literature review sought to identify and assess the current evidence base for CHs. Methods A range of electronic reference databases were searched from January 1984 to either December 2004 or February 2005: Medline, Embase, Web of Knowledge, BNI, CINAHL, HMIC, ASSIA, PsychInfo, SIGLE, Dissertation Abstracts, Cochrane Library, Kings Fund website, using both keywords and text words. Thematic analysis identified recurrent themes across the literature; narrative analyses were written for each theme, identifying unifying concepts and discrepant issues. Results The search strategy identified over 16,000 international references. We included papers of any study design focussing on hospitals in which care was led principally by general practitioners or nurses. Papers from developing countries were excluded. A review of titles revealed 641 potentially relevant references; abstract appraisal identified 161 references for review. During data extraction, a further 48 papers were excluded, leaving 113 papers in the final review. The most common methodological approaches were cross-sectional/descriptive studies, commentaries and expert opinion. There were few experimental studies, systematic reviews, economic studies or studies that reported on longer-term outcomes. The key themes identified were origin and location of CHs; their place in the continuum of care; services provided; effectiveness, efficiency and equity of CHs; and views of patients and staff. In general, there was a lack of robust evidence for the role of CHs, which is partly due to the ad hoc nature of their development and lack of clear strategic vision for their future. Evidence for the effectiveness and efficiency of the services provided was limited. Most people admitted to CHs appeared to be older, suggesting that admittance to CHs was age-related rather than condition-related. Conclusion Overall the literature surveyed was long on opinion and short of robust studies on CHs. While lack of evidence on CHs does not imply lack of effect, there is an urgent need to develop a research agenda that addresses the key issues of health care delivery in the CH setting. PMID:17184517

Heaney, David; Black, Corri; O'Donnell, Catherine A; Stark, Cameron; van Teijlingen, Edwin

2006-01-01

302

5 CFR 2424.22 - Exclusive representative's petition for review; purpose; content; severance; service.  

Code of Federal Regulations, 2014 CFR

...b) of this section, the exclusive representative is required in the petition for review to, among other things, inform the Authority of the exact wording and meaning...as well as how the proposal or provision is intended to work; (2) Specific citation to any law, rule, regulation...Severance. The exclusive representative may, but is not required to, include in the......

2014-01-01

303

5 CFR 2424.22 - Exclusive representative's petition for review; purpose; content; severance; service.  

Code of Federal Regulations, 2010 CFR

...b) of this section, the exclusive representative is required in the petition for review to, among other things, inform the Authority of the exact wording and meaning...as well as how the proposal or provision is intended to work; (2) Specific citation to any law, rule, regulation...Severance. The exclusive representative may, but is not required to, include in the......

2010-01-01

304

A systematic review of economic analyses of telehealth services using real time video communication  

Microsoft Academic Search

BACKGROUND: Telehealth is the delivery of health care at a distance, using information and communication technology. The major rationales for its introduction have been to decrease costs, improve efficiency and increase access in health care delivery. This systematic review assesses the economic value of one type of telehealth delivery - synchronous or real time video communication - rather than examining

Victoria A Wade; Jonathan Karnon; Adam G Elshaug; Janet E Hiller

2010-01-01

305

School Health Nursing Services Progress Review: Report of 1996 National Meeting.  

ERIC Educational Resources Information Center

Presents information from a 1996 meeting by the Centers for Disease Control and Prevention's Division of Adolescent and School Health and the American Nurses Association's National Center for School Health Nursing. Participants reviewed progress since 1994 on seven critical needs, updated priority actions, determined strategies for achieving…

Brainerd, Elaine

1998-01-01

306

Is there scope for cost savings and efficiency gains in HIV services? A systematic review of the evidence from low- and middle-income countries  

PubMed Central

Abstract Objective To synthesize the data available – on costs, efficiency and economies of scale and scope – for the six basic programmes of the UNAIDS Strategic Investment Framework, to inform those planning the scale-up of human immunodeficiency virus (HIV) services in low- and middle-income countries. Methods The relevant peer-reviewed and “grey” literature from low- and middle-income countries was systematically reviewed. Search and analysis followed Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Findings Of the 82 empirical costing and efficiency studies identified, nine provided data on economies of scale. Scale explained much of the variation in the costs of several HIV services, particularly those of targeted HIV prevention for key populations and HIV testing and treatment. There is some evidence of economies of scope from integrating HIV counselling and testing services with several other services. Cost efficiency may also be improved by reducing input prices, task shifting and improving client adherence. Conclusion HIV programmes need to optimize the scale of service provision to achieve efficiency. Interventions that may enhance the potential for economies of scale include intensifying demand-creation activities, reducing the costs for service users, expanding existing programmes rather than creating new structures, and reducing attrition of existing service users. Models for integrated service delivery – which is, potentially, more efficient than the implementation of stand-alone services – should be investigated further. Further experimental evidence is required to understand how to best achieve efficiency gains in HIV programmes and assess the cost–effectiveness of each service-delivery model. PMID:25110375

Siapka, Mariana; Remme, Michelle; Obure, Carol Dayo; Maier, Claudia B; Dehne, Karl L

2014-01-01

307

Reviews  

NASA Astrophysics Data System (ADS)

A-LEVEL RESOURCES REVIEWS SPECIAL AS and A2 books and resources: deciding what to buy? SUMMARY Exam boards, specifications and support materials OCR (Oxford Cambridge and RSA Examinations) CORRECTION BOOK REVIEW Good Practice in Science Teaching WEB WATCH Astronomy and cosmology DVD REVIEW The Video Encyclopedia of Physics Demonstrations SOFTWARE REVIEW Graph Paper Printer

2001-07-01

308

Reviews  

NASA Astrophysics Data System (ADS)

A-LEVEL REVIEWS SPECIAL Pre-university textbook special OVERVIEW How to make a textbook BOOK STYLES AND CULTURES What we expect in the USA REVIEW CRITERIA Comparing Advanced Level Texts WEB WATCH Simulations BOOK REVIEW Behaviour in Schools BOOK REVIEW Shocking Science

2001-05-01

309

Protocol: a realist review of user fee exemption policies for health services in Africa.  

PubMed

Background Four years prior to the Millenium Development Goals (MDGs) deadline, low- and middle-income countries and international stakeholders are looking for evidence-based policies to improve access to healthcare for the most vulnerable populations. User fee exemption policies are one of the potential solutions. However, the evidence is disparate, and systematic reviews have failed to provide valuable lessons. The authors propose to produce an innovative synthesis of the available evidence on user fee exemption policies in Africa to feed the policy-making process. Methods The authors will carry out a realist review to answer the following research question: what are the outcomes of user fee exemption policies implemented in Africa? why do they produce such outcomes? and what contextual elements come into play? This type of review aims to understand how contextual elements influence the production of outcomes through the activation of specific mechanisms, in the form of context-mechanism-outcome configurations. The review will be conducted in five steps: (1) identifying with key stakeholders the mechanisms underlying user fee exemption policies to develop the analytical framework, (2) searching for and selecting primary data, (3) assessing the quality of evidence using the Mixed-Method Appraisal Tool, (4) extracting the data using the analytical framework and (5) synthesising the data in the form of context-mechanism-outcomes configurations. The output will be a middle-range theory specifying how user fee exemption policies work, for what populations and under what circumstances. Ethics and dissemination The two main target audiences are researchers who are looking for examples to implement a realist review, and policy-makers and international stakeholders looking for lessons learnt on user fee exemption. For the latter, a knowledge-sharing strategy involving local scientific and policy networks will be implemented. The study has been approved by the ethics committee of the CHUM Research Centre (CR-CHUM). It received funding from the Canadian Institutes of Health Research. The funders will not have any role in study design; collection, management, analysis, and interpretation of data; writing of the report and the decision to submit the report for publication, including who will have ultimate authority over each of these activities. PMID:22275427

Robert, Emilie; Ridde, Valéry; Marchal, Bruno; Fournier, Pierre

2012-01-01

310

Barriers to access and minority ethnic carers' satisfaction with social care services in the community: a systematic review of qualitative and quantitative literature  

PubMed Central

As populations age, the numbers of carers overall and numbers of carers from minority ethnic groups in particular are rising. Evidence suggests that carers from all sections of the community and particularly carers from minority groups often fail to access care services. This may relate to barriers in accessing services and service dissatisfaction. The aim of this systematic review was to identify and summarise minority ethnic carers' perceptions of barriers to accessing community social care services and their satisfaction with these services if accessed. The following databases were searched from their start until July 2013: Social Care Online, Social Policy and Research, Scopus, PsychINFO, HMIC, ASSIA, MEDLINE, Embase, CINAHL Plus and AMED. Thirteen studies met the inclusion criteria. Most investigated either barriers to access or satisfaction levels, although three explored both. Only 4 studies investigated minority ethnic carers' satisfaction with social care, although 12 studies reported perceived barriers to accessing services. Few studies compared minority ethnic carers' perceptions with majority ethnic groups, making it difficult to identify issues specific to minority groups. Most barriers described were potentially relevant to all carers, irrespective of ethnic group. They included attitudinal barriers such as not wanting to involve outsiders or not seeing the need for services and practical barriers such as low awareness of services and service availability. Issues specific to minority ethnic groups included language barriers and concerns about services' cultural or religious appropriateness. Studies investigating satisfaction with services reported a mixture of satisfaction and dissatisfaction. Barriers common to all groups should not be underestimated and a better understanding of the relationship between perceived barriers to accessing services and dissatisfaction with services is needed before the experiences of all carers can be improved. PMID:25135207

Greenwood, Nan; Habibi, Ruth; Smith, Raymond; Manthorpe, Jill

2015-01-01

311

Barriers to access and minority ethnic carers' satisfaction with social care services in the community: a systematic review of qualitative and quantitative literature.  

PubMed

As populations age, the numbers of carers overall and numbers of carers from minority ethnic groups in particular are rising. Evidence suggests that carers from all sections of the community and particularly carers from minority groups often fail to access care services. This may relate to barriers in accessing services and service dissatisfaction. The aim of this systematic review was to identify and summarise minority ethnic carers' perceptions of barriers to accessing community social care services and their satisfaction with these services if accessed. The following databases were searched from their start until July 2013: Social Care Online, Social Policy and Research, Scopus, PsychINFO, HMIC, ASSIA, MEDLINE, Embase, CINAHL Plus and AMED. Thirteen studies met the inclusion criteria. Most investigated either barriers to access or satisfaction levels, although three explored both. Only 4 studies investigated minority ethnic carers' satisfaction with social care, although 12 studies reported perceived barriers to accessing services. Few studies compared minority ethnic carers' perceptions with majority ethnic groups, making it difficult to identify issues specific to minority groups. Most barriers described were potentially relevant to all carers, irrespective of ethnic group. They included attitudinal barriers such as not wanting to involve outsiders or not seeing the need for services and practical barriers such as low awareness of services and service availability. Issues specific to minority ethnic groups included language barriers and concerns about services' cultural or religious appropriateness. Studies investigating satisfaction with services reported a mixture of satisfaction and dissatisfaction. Barriers common to all groups should not be underestimated and a better understanding of the relationship between perceived barriers to accessing services and dissatisfaction with services is needed before the experiences of all carers can be improved. PMID:25135207

Greenwood, Nan; Habibi, Ruth; Smith, Raymond; Manthorpe, Jill

2015-01-01

312

The economic consequences of deinstitutionalisation of mental health services: lessons from a systematic review of European experience.  

PubMed

Many European mental health systems are undergoing change as community-centred care replaces large-scale institutions. We review empirical evidence from three countries (UK, Germany, Italy) that have made good progress with this rebalancing of care. We focus particularly on the economic consequences of deinstitutionalisation. A systematic literature review was conducted using a broad search strategy in accordance with established guidelines. We searched the International Bibliography of the Social Sciences, Health Management Information Consortium, British Nursing Index and PUBMED/Medline to 2008. The on-line search was supplemented by advice and assistance from contacts with government departments, European Commission, professional networks and known local experts. Community-based models of care are not inherently more costly than institutions, once account is taken of individuals' needs and the quality of care. New community-based care arrangements could be more expensive than long-stay hospital care but may still be seen as more cost-effective because, when properly set up and managed, they deliver better outcomes. Understanding the economic consequences of deinstitutionalisation is fundamental to success. Local stakeholders and budget controllers need to be aware of the underlying policy and operational plan. Joint planning and commissioning or devolving certain powers and responsibilities to care managers may aid development of effective and cost-effective care. People's needs, preferences and circumstances vary, and so their service requirements and support costs also vary, opening up the possibility for purposive targeting of services on needs to improve the ability of a care system to improve well-being from constrained resources. As the institutional/community balance shifts, strategic planning should also ensure that the new care arrangements address the specific contexts of different patient groups. Decision-makers have to plan a dynamic community-based system to match the needs of people moving from institutions, and must take the long view. PMID:21143545

Knapp, Martin; Beecham, Jennifer; McDaid, David; Matosevic, Tihana; Smith, Monique

2011-03-01

313

The Permanent Service for Mean Sea Level: A review of recent updates  

NASA Astrophysics Data System (ADS)

The Permanent Service for Mean Sea Level (PSMSL) is the internationally recognised global sea level databank for long term sea level change information from tide gauges. Established in 1933, the PSMSL continues to be responsible for the collection, publication, analysis and interpretation of sea level data. The PSMSL is in the process of joining the recently formed ICSU World Data System (WDS), the successor to the Federation of Astronomical and Geophysical Data Analysis Services, of which the PSMSL was a member for many years. Membership of the WDS requires the PSMSL to meet criteria covering policies, organisational framework, management of data, metadata, services and technical infrastructure. The PSMSL continues to have close links with the Intergovernmental Oceanographic Commission's Global Sea Level Observing System (GLOSS). Currently the PSMSL databank of monthly and annual mean sea level data holds around 61,500 station years from over 2100 stations and in the region of 200 authorities worldwide. Data undergo careful quality control, including ensuring year to year continuity, before addition to the databank. Where possible, data is reduced to a common datum for time series analysis. Here, we present an analysis of the present state of the PSMSL and GLOSS data holdings, describing some of the recent improvements in the catalogue and highlighting some of the geographic regions where data coverage remains poor. We also describe recent efforts to improve interoperability with providers of other data of interest to the sea level community. The PSMSL have worked to link our stations with those of the Systčme d'Observation du Niveau des Eaux Littorales (SONEL), the University of Hawaii Sea Level Center (UHSLC) and the Vlaams Instituut voor de Zee (VLIZ). This will enable users of the PSMSL website to discover high frequency sea level and GPS records at or near PSMSL stations. Finally, we introduce some products planned to be added to the PSMSL website in the near future. These will allow visitors to the website to explore and download data from the PSMSL catalogue using the Google Maps Javascript API.

Matthews, A. P.; Bradshaw, E.; Gordon, K. M.; Holgate, S. J.; Jevrejeva, S.; Rickards, L. J.; Tamisiea, M. E.; Woodworth, P. L.

2012-04-01

314

Literature review: Afghanistan women's health crisis, health service delivery, and ethical issues for international aid.  

PubMed

The literature indicates that the health of women in Afghanistan is poor. In 1997 maternal mortality in Afghanistan was one of the worst in the world. Difficulties in establishing health services revolve around fundamentalist Islamic ideas and ongoing violence within Afghanistan. The literature holds advice on key behaviours for health professionals who may chose to work in Afghanistan. The literature also identifies the local level action that is occurring as the issue of women's health is recognised. Humanitarian assistance has been provided, with international aid agencies having to weigh the ethical responsibilities they hold and one agency tragically facing the violent loss of its own staff. Easy answers are not in the literature, merely an opportunity to understand, consider, and take action about what is facing women in Afghanistan and those who try to help. PMID:16893809

Turner, Helen

2006-09-01

315

Cost accounting models used for price-setting of health services: an international review.  

PubMed

The aim of the article was to present and compare cost accounting models which are used in the area of healthcare for pricing purposes in different countries. Cost information generated by hospitals is further used by regulatory bodies for setting or updating prices of public health services. The article presents a set of examples from different countries of the European Union, Australia and the United States and concentrates on DRG-based payment systems as they primarily use cost information for pricing. Differences between countries concern the methodology used, as well as the data collection process and the scope of the regulations on cost accounting. The article indicates that the accuracy of the calculation is only one of the factors that determine the choice of the cost accounting methodology. Important aspects are also the selection of the reference hospitals, precise and detailed regulations and the existence of complex healthcare information systems in hospitals. PMID:25082465

Raulinajtys-Grzybek, Monika

2014-12-01

316

Music therapy for service users with dementia: a critical review of the literature.  

PubMed

Dementia is an organic mental health problem that has been estimated to affect over 23 million people worldwide. With increasing life expectancy in most countries, it has been estimated that the prevalence of dementia will continue to significantly increase in the next two decades. Dementia leads to cognitive impairments most notably short-term memory loss and impairments in functioning and quality of life (QOL). National policy in the UK advocates the importance of early diagnosis, treatment and social inclusion in maintaining a good QOL. First-line treatment options often involve drug therapies aimed at slowing down the progression of the illness and antipsychotic medication to address challenging behaviours. To date, research into non-pharmacological interventions has been limited. In this manuscript, we review the literature that has reported evaluations of the effects of music therapy, a non-pharmacological intervention. The results of six studies reviewed suggest that music therapy may have potential benefits in reducing anxiety, depression and agitated behaviour displayed by elderly people with dementia as well as improving cognitive functioning and QOL. Furthermore, music therapy is a safe and low-cost intervention that could potentially be offered by mental health nurses and other carers working in residential settings. PMID:25303405

Blackburn, R; Bradshaw, T

2014-12-01

317

Wheelchair interventions, services and provision for disabled children: a mixed-method systematic review and conceptual framework  

PubMed Central

Background Wheelchairs for disabled children (?18 years) can provide health, developmental and social benefits. World Health Organisation and United Kingdom Government reports demonstrate the need for improved access to wheelchairs both locally and internationally. The use of health economics within this field is lacking. Provision of wheelchairs based on cost-effectiveness evidence is not currently possible. We conducted the first systematic review in this field to incorporate evidence of effectiveness, service user perspectives, policy intentions and cost-effectiveness in order to develop a conceptual framework to inform future research and service development. Methods We used an adapted EPPI-Centre mixed-method systematic review design with narrative summary, thematic and narrative synthesis. 11 databases were searched. Studies were appraised for quality using one of seven appropriate tools. A conceptual framework was developed from synthesised evidence. Results 22 studies and 14 policies/guidelines were included. Powered wheelchairs appear to offer benefits in reduced need for caregiver assistance; improved communicative, personal-social and cognitive development; and improved mobility function and independent movement. From 14 months of age children can learn some degree of powered wheelchair driving competence. However, effectiveness evidence was limited and low quality. Children and parents placed emphasis on improving social skill and independence. Participation in wider society and development of meaningful relationships were key desired outcomes. Policy intentions and aspirations are in line with the perspectives of children and parents, although translation of policy recommendations into practice is lacking. Conclusions There is a distinct lack of high quality effectiveness and economic evidence in this field. Social and health needs should be seen as equally important when assessing the mobility needs of disabled children. Disabled children and parents placed highest priority on independence and psychosocial outcomes of wheelchair interventions. Translation of policy and guidelines into practice is lacking and more effective implementation strategies are required to improve services and outcomes. Future research should focus on outcome measure development, developing economic evaluation tools and incorporating these into high quality studies to address known research gaps. The novel conceptual framework maps current gaps in evidence and outlines areas for development. PMID:25034517

2014-01-01

318

Distributed denial of service (DDoS) attack in cloud- assisted wireless body area networks: a systematic literature review.  

PubMed

Wireless Body Area Networks (WBANs) have emerged as a promising technology that has shown enormous potential in improving the quality of healthcare, and has thus found a broad range of medical applications from ubiquitous health monitoring to emergency medical response systems. The huge amount of highly sensitive data collected and generated by WBAN nodes requires an ascendable and secure storage and processing infrastructure. Given the limited resources of WBAN nodes for storage and processing, the integration of WBANs and cloud computing may provide a powerful solution. However, despite the benefits of cloud-assisted WBAN, several security issues and challenges remain. Among these, data availability is the most nagging security issue. The most serious threat to data availability is a distributed denial of service (DDoS) attack that directly affects the all-time availability of a patient's data. The existing solutions for standalone WBANs and sensor networks are not applicable in the cloud. The purpose of this review paper is to identify the most threatening types of DDoS attacks affecting the availability of a cloud-assisted WBAN and review the state-of-the-art detection mechanisms for the identified DDoS attacks. PMID:25218122

Latif, Rabia; Abbas, Haider; Assar, Saďd

2014-11-01

319

76 FR 9786 - NIOSH Dose Reconstruction Program Ten-Year Review-Phase I Report on Customer Service; Request for...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Department of Health and Human Services. ACTION: Request for...I Report on Customer Service.'' This publication...Secretary of Health and Human Services under the Energy Employees...NIOSH Docket Office, Robert A. Taft...

2011-02-22

320

76 FR 39926 - Submission for Review: SF 2800, Application for Death Benefits Under the Civil Service Retirement...  

Federal Register 2010, 2011, 2012, 2013, 2014

...for Death Benefits Under the Civil Service Retirement System...for Death Benefits Under the Civil Service Retirement System and...other technological collection techniques or other forms of information...for Death Benefits under the Civil Service Retirement...

2011-07-07

321

76 FR 82002 - Submission for Review: SF 2800, Application for Death Benefits Under the Civil Service Retirement...  

Federal Register 2010, 2011, 2012, 2013, 2014

...for Death Benefits Under the Civil Service Retirement System...for Death Benefits Under the Civil Service Retirement System and...other technological collection techniques or other forms of information...for Death Benefits under the Civil Service Retirement...

2011-12-29

322

Implementation factors and their effect on e-Health service adoption in rural communities: a systematic literature review  

PubMed Central

Background An ageing population is seen as a threat to the quality of life and health in rural communities, and it is often assumed that e-Health services can address this issue. As successful e-Health implementation in organizations has proven difficult, this systematic literature review considers whether this is so for rural communities. This review identifies the critical implementation factors and, following the change model of Pettigrew and Whipp, classifies them in terms of “context”, “process”, and “content”. Through this lens, we analyze the empirical findings found in the literature to address the question: How do context, process, and content factors of e-Health implementation influence its adoption in rural communities? Methods We conducted a systematic literature review. This review included papers that met six inclusion and exclusion criteria and had sufficient methodological quality. Findings were categorized in a classification matrix to identify promoting and restraining implementation factors and to explore whether any interactions between context, process, and content affect adoption. Results Of the 5,896 abstracts initially identified, only 51 papers met all our criteria and were included in the review. We distinguished five different perspectives on rural e-Health implementation in these papers. Further, we list the context, process, and content implementation factors found to either promote or restrain rural e-Health adoption. Many implementation factors appear repeatedly, but there are also some contradictory results. Based on a further analysis of the papers’ findings, we argue that interaction effects between context, process, and content elements of change may explain these contradictory results. More specifically, three themes that appear crucial in e-Health implementation in rural communities surfaced: the dual effects of geographical isolation, the targeting of underprivileged groups, and the changes in ownership required for sustainable e-Health adoption. Conclusions Rural e-Health implementation is an emerging, rapidly developing, field. Too often, e-Health adoption fails due to underestimating implementation factors and their interactions. We argue that rural e-Health implementation only leads to sustainable adoption (i.e. it “sticks”) when the implementation carefully considers and aligns the e-Health content (the “clicks”), the pre-existing structures in the context (the “bricks”), and the interventions in the implementation process (the “tricks”). PMID:23311452

2013-01-01

323

The effectiveness of HIV partner counseling and referral services in increasing identification of HIV-positive individuals a systematic review.  

PubMed

Partner counseling and referral services (PCRS) are part of the spectrum of care for HIV-positive people and their sexual or needle-sharing partners. Referral includes notifying partners of exposure, after which they are (ideally) tested and receive prevention or risk reduction counseling or enter into care (if they test positive). Using The Guide to Community Preventive Services's methods for systematic reviews, the effectiveness of PCRS was evaluated, including partner notification, in identifying a population at high risk of HIV infection and in increasing testing in those populations. In this review, PCRS efforts using provider referral were found to be effective in reaching a population with a high prevalence of HIV. Nine studies qualified for the review. In these studies, a range of one to eight partners was identified per index case (a person newly diagnosed with HIV who has partners who should be notified); a mean of 67% of identified partners were found and notified of their potential exposure to HIV, and a mean of 63% of those notified were tested (previously known "positives" were not tested). Of those tested, a mean of 20% were HIV positive. Therefore, even given that not all partners could be found and notified and that some who could be found did not accept testing, 1% to 8% of people named as potentially exposed and not previously known to be HIV positive were identified as HIV positive through partner notification (although these people were not necessarily infected by the index case). Evidence was insufficient to determine whether PCRS, including partner notification, was also effective in changing behavior or reducing transmission because available studies did not generally report on these outcomes. Little empirical evidence was available to assess potential harm of the interventions, but current studies have not shown substantial harms. Based on Community Guide rules of evidence, sufficient evidence shows that PCRS with partner notification by a public health professional ("provider referral") effectively increases identification of a high-prevalence target population for HIV testing. PMID:17675019

Hogben, Matthew; McNally, Tarra; McPheeters, Melissa; Hutchinson, Angela B

2007-08-01

324

Human African Trypanosomiasis Diagnosis in First-Line Health Services of Endemic Countries, a Systematic Review  

PubMed Central

While the incidence of Human African Trypanosomiasis (HAT) is decreasing, the control approach is shifting from active population screening by mobile teams to passive case detection in primary care centers. We conducted a systematic review of the literature between 1970 and 2011 to assess which diagnostic tools are most suitable for use in first-line health facilities in endemic countries. Our search retrieved 16 different screening and confirmation tests for HAT. The thermostable format of the Card Agglutination Test for Trypanosomiasis (CATT test) was the most appropriate screening test. Lateral flow antibody detection tests could become alternative screening tests in the near future. Confirmation of HAT diagnosis still depends on visualizing the parasite in direct microscopy. All other currently available confirmation tests are either technically too demanding and/or lack sensitivity and thus rather inappropriate for use at health center level. Novel applications of molecular tests may have potential for use at district hospital level. PMID:23209860

Mitashi, Patrick; Hasker, Epco; Lejon, Veerle; Kande, Victor; Muyembe, Jean-Jacques; Lutumba, Pascal; Boelaert, Marleen

2012-01-01

325

A critical review of studies of the association between demands for hospital services and air pollution.  

PubMed Central

Studies of the associations between air pollution and hospital admissions and emergency room use are reviewed, including studies of air pollution episodes, time-series analyses, and cross-sectional analyses. These studies encompass a variety of methods of analysis and levels of air quality. Findings from all three types of studies were generally consistent in that almost all of the studies reviewed found statistically significant associations between hospital use and air pollution; this unanimity may have resulted in part from publication bias. These associations were characterized by elasticities of the order of 0.20; i.e., a 100% change in air pollution was associated with a change in hospital use of about 20%, for specific diagnoses. Respiratory diagnoses were emphasized by most studies; cardiac diagnoses were included in five of them. The air pollutants most often associated with changes in hospital use were particulate matter, sulfur oxides, and oxidants. Apart from the major air pollution episodes, there was no obvious link between air pollution level and the significance or magnitudes of the associations. Long-term indicators of hospitalization appeared to also be influenced by medical care supply factors, including the numbers of beds and physicians per capita. These nonpathological causal factors could also have influenced the findings of the time-series studies by introducing extraneous factors in the patterns of admissions. Although consistent associations have been shown between hospital use and air pollution, further research is required to distinguish among potentially responsible pollutants and to deduce specific dose-response relationships of general utility. PMID:8243395

Lipfert, F W

1993-01-01

326

Microturbine Power Conversion Technology Review  

SciTech Connect

In this study, the Oak Ridge National Laboratory (ORNL) is performing a technology review to assess the market for commercially available power electronic converters that can be used to connect microturbines to either the electric grid or local loads. The intent of the review is to facilitate an assessment of the present status of marketed power conversion technology to determine how versatile the designs are for potentially providing different services to the grid based on changes in market direction, new industry standards, and the critical needs of the local service provider. The project includes data gathering efforts and documentation of the state-of-the-art design approaches that are being used by microturbine manufacturers in their power conversion electronics development and refinement. This project task entails a review of power converters used in microturbines sized between 20 kW and 1 MW. The power converters permit microturbine generators, with their non-synchronous, high frequency output, to interface with the grid or local loads. The power converters produce 50- to 60-Hz power that can be used for local loads or, using interface electronics, synchronized for connection to the local feeder and/or microgrid. The power electronics enable operation in a stand-alone mode as a voltage source or in grid-connect mode as a current source. Some microturbines are designed to automatically switch between the two modes. The information obtained in this data gathering effort will provide a basis for determining how close the microturbine industry is to providing services such as voltage regulation, combined control of both voltage and current, fast/seamless mode transfers, enhanced reliability, reduced cost converters, reactive power supply, power quality, and other ancillary services. Some power quality improvements will require the addition of storage devices; therefore, the task should also determine what must be done to enable the power conversion circuits to accept a varying dc voltage source. The study will also look at technical issues pertaining to the interconnection and coordinated/compatible operation of multiple microturbines. It is important to know today if modifications to provide improved operation and additional services will entail complete redesign, selected component changes, software modifications, or the addition of power storage devices. This project is designed to provide a strong technical foundation for determining present technical needs and identifying recommendations for future work.

Staunton, R.H.

2003-07-21

327

Special Section: Health Information Technology and Mental Health Services Research: A Path Forward Behavioral Intervention Technologies: Evidence review and recommendations for  

E-print Network

Special Section: Health Information Technology and Mental Health Services Research: A Path Forward by the Agency for Healthcare Research and Quality and the National Institute of Mental Health was charged with reviewing the state of research on behavioral intervention technologies (BITs) in mental health

Chisholm, Rex L.

328

REVISED POLICY ON SERVING ALCOHOLIC BEVERAGES and NEW ALCOHOL SERVICES PERMIT FORM This spring UNL Police reviewed UNL's Alcohol Permit procedures and guidelines to the Nebraska Liquor  

E-print Network

REVISED POLICY ON SERVING ALCOHOLIC BEVERAGES and NEW ALCOHOL SERVICES PERMIT FORM This spring UNL Police reviewed UNL's Alcohol Permit procedures and guidelines to the Nebraska Liquor Control Act to obtain a UNL alcohol permit. Earlier policy drafts were shared with the Deans and selected campus

Logan, David

329

Engaging with research ethics in central Francophone Africa: reflections on a workshop about ancillary care  

PubMed Central

Research ethics is predominantly taught and practiced in Anglophone countries, particularly those in North America and Western Europe. Initiatives to build research ethics capacity in developing countries must attempt to avoid imposing foreign frameworks and engage with ethical issues in research that are locally relevant. This article describes the process and outcomes of a capacity-building workshop that took place in Kinshasa, Democratic Republic of Congo in the summer of 2011. Although the workshop focused on a specific ethical theme – the responsibilities of researchers to provide health-related care to their research participants – we argue that the structure of the workshop offers a useful method for engaging with research ethics in general, and the theme of ancillary care encourages a broad perspective on research ethics that is highly pertinent in low-income countries. The workshop follows an interactive, locally driven model that could be fruitfully replicated in similar settings. PMID:22866822

2012-01-01

330

Estimating commercial property prices: an application of cokriging with housing prices as ancillary information  

NASA Astrophysics Data System (ADS)

A vast majority of the recent literature on spatial hedonic analysis has been concerned with residential property values, with only very few examples of studies focused on commercial property prices. The dearth of studies can be attributed to some of the challenges faced in the analysis of commercial properties, in particular the scarcity of information compared to residential transactions. In order to address this issue, in this paper we propose the use of cokriging and housing prices as ancillary information to estimate commercial property prices. Cokriging takes into account the spatial autocorrelation structure of property prices, and the use of more abundant information on housing prices helps to improve the accuracy of property value estimates. A case study of Toledo in Spain, a city for which commercial activity stemming from tourism is one of the key elements of the economy in the city, demonstrates that substantial accuracy and precision gains can be obtained from the use of cokriging.

Montero-Lorenzo, José-María; Larraz-Iribas, Beatriz; Páez, Antonio

2009-12-01

331

47 CFR 1.9049 - Special provisions relating to spectrum leasing arrangements involving the ancillary terrestrial...  

Code of Federal Regulations, 2014 CFR

...terrestrial component of Mobile Satellite Services. 1.9049 Section...Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRACTICE...terrestrial component of Mobile Satellite Services. (a) A license...of this subpart, a Mobile Satellite Service licensee with...

2014-10-01

332

Territorial user rights for fisheries as ancillary instruments for marine coastal conservation in Chile.  

PubMed

Territorial user rights for fisheries have been advocated as a way to achieve sustainable resource management. However, few researchers have empirically assessed their potential as ancillary marine conservation instruments by comparing them to no-take marine protected areas. In kelp (Lessonia trabeculata) forests of central Chile, we compared species richness, density, and biomass of macroinvertebrates and reef fishes among territorial-user-right areas with low-level and high-level enforcement, no-take marine protected areas, and open-access areas in 42 100-m subtidal transects. We also assessed structural complexity of the kelp forest and substratum composition. Multivariate randomized permutation tests indicated macroinvertebrate and reef fish communities associated with the different access regimes differed significantly. Substratum composition and structural complexity of kelp forest did not differ among access regimes. Univariate analyses showed species richness, biomass, and density of macroinvertebrates and reef fishes were greater in highly enforced territorial-user-right areas and no-take marine protected areas than in open-access areas. Densities of macroinvertebrates and reef fishes of economic importance were not significantly different between highly enforced territorial-user-right and no-take marine protected areas. Densities of economically important macroinvertebrates in areas with low-level enforcement were significantly lower than those in areas with high-level enforcement and no-take marine protected areas but were significantly higher than in areas with open access. Territorial-user-right areas could be important ancillary conservation instruments if they are well enforced. PMID:22971114

Gelcich, Stefan; Fernández, Miriam; Godoy, Natalio; Canepa, Antonio; Prado, Luis; Castilla, Juan Carlos

2012-12-01

333

Using Ancillary Information to Improve Hypocenter Estimation: Bayesian Single Event Location (BSEL).  

SciTech Connect

We have developed and tested an algorithm, Bayesian Single Event Location (BSEL), for esti- mating the location of a seismic event. The estimation approach di*ers from established non-linear regression techniques by using a Bayesian prior probability density function (prior PDF) to incor- porate ancillary physical basis constraints about event location. P􀀀wave arrival times from seismic events are used in the development. Depth, a focus of this paper, may be modeled with a prior PDF (potentially skewed) that captures physical basis bounds from ancillary event characteristics. For instance the surface wave Rg is present in a waveform only when an event is shallow. A high- condence Rg detection in one or more event waveforms implies a shallow-skewed prior PDF for the depth parameter. This PDF is constructed from a physically-based Rayleigh wave depth excitation eigenfunction that is based on the minimum period of observation from a spectrogram analysis and estimated near-source elastic parameters. The proposed Bayesian algorithm is illustrated with events that demonstrate its congruity with established hypocenter estimation methods and its application potential. The BSEL method is applied to the Mw 5.6 Dillon, MT earthquake of July 26, 2005 and a shallow Mw 4 earthquake that occurred near Bardwell, KY on June 6, 2003. In both cases we simulate BSEL on a small subset of arrival time data to illustrate the power of the technique. No Rg was actually observed for the Dillon, MT earthquake, but we used the minimum observed period of a Rayleigh wave (7 seconds) to reduce the depth and origin time uncertainty. A strong Rg was observed from the Bardwell, KY earthquake that places very strong constraints on depth and origin time

Fagan, Deborah; Taylor, Steve R.; Schult, Frederick R.; Anderson, Dale N.

2009-04-01

334

Using Noninferiority Tests to Evaluate Telemedicine and E-Health Services: Systematic Review  

PubMed Central

Background An increasing number of studies within the field of telemedicine and e-health are designed as noninferiority studies, aiming to show that the telemedicine/e-health solution is not inferior to the traditional way of treating patients. Objective The objective is to review and sum up the status of noninferiority studies within this field, describing advantages and pitfalls of this approach. Methods PubMed was searched according to defined criteria, and 16 relevant articles were identified from the period 2008-June 2011. Results Most of the studies were related to the fields of psychiatry and emergency medicine, and most were published in journals relating to these fields or in general scientific or general medicine journals. All the studies claimed to be noninferiority studies, but 7 out of 16 tested for statistical differences as a proxy of noninferiority. Conclusions The methodological quality of the studies varied. We discuss optimal procedures for future noninferiority studies within the field of telemedicine and e-health and situations in which this approach is most appropriate. PMID:23022989

Johnsen, Jan-Are K; Skrřvseth, Stein Olav; Wynn, Rolf

2012-01-01

335

Direct-to-Consumer Genetic Testing and Personal Genomics Services: A Review of Recent Empirical Studies  

PubMed Central

Direct-to-consumer genetic testing (DTC-GT) has sparked much controversy and undergone dramatic changes in its brief history. Debates over appropriate health policies regarding DTC-GT would benefit from empirical research on its benefits, harms, and limitations. We review the recent literature (2011-present) and summarize findings across (1) content analyses of DTC-GT websites, (2) studies of consumer perspectives and experiences, and (3) surveys of relevant health care providers. Findings suggest that neither the health benefits envisioned by DTC-GT proponents (e.g., significant improvements in positive health behaviors) nor the worst fears expressed by its critics (e.g., catastrophic psychological distress and misunderstanding of test results, undue burden on the health care system) have materialized to date. However, research in this area is in its early stages and possesses numerous key limitations. We note needs for future studies to illuminate the impact of DTC-GT and thereby guide practice and policy regarding this rapidly evolving approach to personal genomics. PMID:24058877

Ostergren, Jenny

2013-01-01

336

How does copayment for health care services affect demand, health and redistribution? A systematic review of the empirical evidence from 1990 to 2011.  

PubMed

This article reviews the quantitative evidence on the behavioural effects of copayment within the health area across a wide range of countries. The review distinguishes itself from previous similar reviews by having a high degree of transparency for the search strategy used to identify the studies included in the review as well as the criteria for inclusion and by including the most recent literature. Empirical studies were identified by performing searches in EconLit. The literature search identified a total of 47 studies of the behavioural effects of copayment. Considering the demand effects, the majority of the reviewed studies found that copayment reduces the use of prescription medicine, consultations with general practitioners and specialists, and ambulatory care, respectively. The literature found no significant effects of copayment on the prevalence of hospitalisations. The empirical evidence on whether copayment for some services, but not for others, causes substitution from the services that are subject to copayment to the 'free' services rather than lower total use is sparse and mixed. Likewise, the health effects of copayment have only been analysed empirically in a limited number of studies, of which half did not find any significant effects in the short term. Finally, the empirical evidence on the distributional consequences of copayment indicates that individuals with low income and in particular need of care generally reduce their use relatively more than the remaining population in consequence of copayment. Hence, it is clear that copayment involves some important economic and political trade-offs. PMID:23989938

Kiil, Astrid; Houlberg, Kurt

2014-11-01

337

Development of a solid polymer electrolyte electrolysis cell module and ancillary components for a breadboard water electrolysis system  

NASA Technical Reports Server (NTRS)

Solid polymer electrolyte technology in a water electrolysis system along with ancillary components to generate oxygen and hydrogen for a manned space station application are considered. Standard commercial components are utilized wherever possible. Presented are the results of investigations, surveys, tests, conclusions and recommendations for future development efforts.

Porter, F. J., Jr.

1972-01-01

338

EVALUATION OF A NEW MICROVOLUME 3HSC ELECTRON CAPTURE DETECTOR AND ANCILLARY DATA SYSTEM FOR PESTICIDE RESIDUE ANALYSIS  

EPA Science Inventory

The performance of a linearized 3HSc electron capture detector (ECD) and its ancillary data system was evaluated for use in the analysis of pesticide residues. Serial dilutions of pesticide standards were used to determine the maximum linear range and sensitivity of the detector....

339

Review of ICT-Based Services for Identified Unmet Needs in People with Dementia  

NASA Astrophysics Data System (ADS)

Some of the needs that people with dementia and their informal carers currently perceive as insufficiently met by regular care and support services might be alleviated, or even be met, using modern Information and Communication Technology (ICT). The study described in this chapter was designed to provide an insight into the state of the art in ICT solutions that could contribute to meet the most frequently mentioned unmet needs by people with dementia and their informal carers. These needs can be summarized as (1) the need for general and personalized information; (2) the need for support with regard to symptoms of dementia; (3) the need for social contact and company; and (4) the need for health monitoring and perceived safety. Databases that were searched include PubMed, Cinahl, Psychinfo, Google (Scholar), INSPEC and IEEE. In total 22 websites and 46 publications were included that satisfied the following criteria: the article reports on people with dementia and/or their informal carers and discusses an ICT device that has been tested within the target group and has proven to be helpful. Within the first need area 18 relevant websites and three studies were included; within the second need area 4 websites and 20 publications were included. Within the third and fourth need area 11 and 12 publications were included, respectively. Most articles reported on uncontrolled studies. It is concluded that the informational websites offer helpful information for carers but seem less attuned to the person with dementia and do not offer personalized information. ICT solutions aimed at compensating for disabilities, such as memory problems and daily activities, demonstrate that people with mild to moderate dementia are capable of handling simple electronic equipment and can benefit from it in terms of more confidence and enhanced positive affect. Instrumental ICT support for coping with behavioural and psychological changes in dementia is relatively disregarded as yet, while support for social contact can be effectively realized through, for example, simplified (mobile) phones or videophones or (entertainment) robots. GPS technology and monitoring systems are proven to result in enhanced feelings of safety and less fear and anxiety. Though these results are promising, more controlled studies in which the developed ICT solutions are tested in real-life situations are needed before implementing them in the care for people with dementia. It is recommended that future studies also focus on the integration of the current techniques and solutions.

Lauriks, Steve; Reinersmann, Annika; van der Roest, Henriëtte Geralde; Meiland, Franka; Davies, Richard; Moelaert, Ferial; Mulvenna, Maurice D.; Nugent, Chris D.; Dröes, Rose-Marie

340

Review of ICT-based services for identified unmet needs in people with dementia.  

PubMed

Some of the needs that people with dementia and their informal carers currently perceive as insufficiently met by regular care and support services might be alleviated, or even be met, using modern Information and Communication Technology (ICT). The study described in this paper was designed to provide an insight into the state of the art in ICT solutions that could contribute to meet the most frequently mentioned unmet needs by people with dementia and their informal carers. These needs can be summarized as (1) the need for general and personalized information; (2) the need for support with regard to symptoms of dementia; (3) the need for social contact and company; and (4) the need for health monitoring and perceived safety. Databases that were searched include: PubMed, Cinahl, Psychinfo, Google (Scholar), INSPEC and IEEE. In total 22 websites and 46 publications were included that satisfied the following criteria: the article reports on people with dementia and/or their informal carers and discusses an ICT-device that has been tested within the target group and has proven to be helpful. Within the first need area 18 relevant websites and three studies were included; within the second need area 4 websites and 20 publications were included. Within the third and fourth need area 11 and 12 publications were included respectively. Most articles reported on uncontrolled studies. It is concluded that the informational websites offer helpful information for carers but seem less attuned to the person with dementia and do not offer personalized information. ICT solutions aimed at compensating for disabilities, such as memory problems and daily activities demonstrate that people with mild to moderate dementia are capable of handling simple electronic equipment and can benefit from it in terms of more confidence and enhanced positive effect. Instrumental ICT-support for coping with behavioral and psychological changes in dementia is relatively disregarded as yet, while support for social contact can be effectively realized through, for example, simplified (mobile) phones or videophones or (entertainment) robots. GPS technology and monitoring systems are proven to result in enhanced feelings of safety and less fear and anxiety. Though these results are promising, more controlled studies in which the developed ICT solutions are tested in real life situations are needed before implementing them in the care for people with dementia. It is recommended that future studies also focus on the integration of the current techniques and solutions. PMID:17869590

Lauriks, S; Reinersmann, A; Van der Roest, H G; Meiland, F J M; Davies, R J; Moelaert, F; Mulvenna, M D; Nugent, C D; Dröes, R M

2007-10-01

341

There are no randomized controlled trials that support the United States Preventive Services Task Force guideline on screening for depression in primary care: a systematic review  

PubMed Central

Background The United States Preventive Services Task Force (USPSTF) recommends screening adults for depression in primary care settings when staff-assisted depression management programs are available. This recommendation, however, is based on evidence from depression management programs conducted with patients already identified as depressed, even though screening is intended to identify depressed patients not already recognized or treated. The objective of this systematic review was to evaluate whether there is evidence from randomized controlled trials (RCTs) that depression screening benefits patients in primary care, using an explicit definition of screening. Methods We re-evaluated RCTs included in the 2009 USPSTF evidence review on depression screening, including only trials that compared depression outcomes between screened and non-screened patients and met the following three criteria: determined patient eligibility and randomized prior to screening; excluded patients already diagnosed with a recent episode of depression or already being treated for depression; and provided the same level of depression treatment services to patients identified as depressed in the screening and non-screening trial arms. We also reviewed studies included in a recent Cochrane systematic review, but not the USPSTF review; conducted a focused search to update the USPSTF review; and reviewed trial registries. Results Of the nine RCTs included in the USPSTF review, four fulfilled none of three criteria for a test of depression screening, four fulfilled one of three criteria, and one fulfilled two of three criteria. There were two additional RCTs included only in the Cochrane review, and each fulfilled one of three criteria. No eligible RCTs were found via the updated review. Conclusions The USPSTF recommendation to screen adults for depression in primary care settings when staff-assisted depression management programs are available is not supported by evidence from any RCTs that are directly relevant to the recommendation. The USPSTF should re-evaluate this recommendation. Please see related article: http://www.biomedcentral.com/1741-7015/12/14 Registration PROSPERO (#CRD42013004276) PMID:24472580

2014-01-01

342

Reviews  

ERIC Educational Resources Information Center

Reviews 17 books and curriculum materials of interest to secondary science teachers. Topics include plant science, pollution, fishes, science investigations, general zoology, neurobiology, electronics, and the environment. (MLH)

Schodde, P.; Ed.

1976-01-01

343

Empirical studies on informal patient payments for health care services: a systematic and critical review of research methods and instruments  

PubMed Central

Background Empirical evidence demonstrates that informal patient payments are an important feature of many health care systems. However, the study of these payments is a challenging task because of their potentially illegal and sensitive nature. The aim of this paper is to provide a systematic review and analysis of key methodological difficulties in measuring informal patient payments. Methods The systematic review was based on the following eligibility criteria: English language publications that reported on empirical studies measuring informal patient payments. There were no limitations with regard to the year of publication. The content of the publications was analysed qualitatively and the results were organised in the form of tables. Data sources were Econlit, Econpapers, Medline, PubMed, ScienceDirect, SocINDEX. Results Informal payments for health care services are most often investigated in studies involving patients or the general public, but providers and officials are also sample units in some studies. The majority of the studies apply a single mode of data collection that involves either face-to-face interviews or group discussions. One of the main methodological difficulties reported in the publication concerns the inability of some respondents to distinguish between official and unofficial payments. Another complication is associated with the refusal of some respondents to answer questions on informal patient payments. We do not exclude the possibility that we have missed studies that reported in non-English language journals as well as very recent studies that are not yet published. Conclusions Given the recent evidence from research on survey methods, a self-administrated questionnaire during a face-to-face interview could be a suitable mode of collecting sensitive data, such as data on informal patient payments. PMID:20849658

2010-01-01

344

Reviews.  

ERIC Educational Resources Information Center

Reviews three computer software packages for Apple II computers. Includes "Simulation of Hemoglobin Function,""Solution Equilibrium Problems," and "Thin-Layer Chromatography." Contains ratings of ease of use, subject matter content, pedagogic value, and student reaction according to two separate reviewers for each program. (CW)

Journal of Chemical Education, 1988

1988-01-01

345

Reviews  

NASA Astrophysics Data System (ADS)

BOOK REVIEWS (164) Salters GCSE Science: Teacher and Technician Resource Pack, Year 10 The NEW World of Mr Tompkins The Heinemann Science Scheme: Book 1 Advanced Physics Readers: Astrophysics Using the Internet in Secondary Schools, 2nd edition CD-ROM REVIEW (168) Particle Physics: A Keyhole to the Birth of Time (version 2) WEB WATCH (169) Hunting for new physics sites CORRECTION (171)

2002-03-01

346

Reviews  

NASA Astrophysics Data System (ADS)

CD-ROM REVIEWS (449) It's Physics Furry Elephant: Electricity Explained BOOK REVIEWS (450) What Are the Chances? Voodoo Deaths, Office Gossip and Other Adventures in Probability Dictionary of Mechanics: A handbook for teachers and students Intermediate 2 Physics PLACES TO VISIT (452) Spaceguard Centre WEB WATCH (455) Risk

2002-09-01

347

The effectiveness of service delivery initiatives at improving patients' waiting times in clinical radiology departments: a systematic review.  

PubMed

We reviewed the literature for the impact of service delivery initiatives (SDIs) on patients' waiting times within radiology departments. We searched MEDLINE, EMBASE, CINAHL, INSPEC and The Cochrane Library for relevant articles published between 1995 and February, 2013. The Cochrane EPOC risk of bias tool was used to assess the risk of bias on studies that met specified design criteria. Fifty-seven studies met the inclusion criteria. The types of SDI implemented included extended scope practice (ESP, three studies), quality management (12 studies), productivity-enhancing technologies (PETs, 29 studies), multiple interventions (11 studies), outsourcing and pay-for-performance (one study each). The uncontrolled pre- and post-intervention and the post-intervention designs were used in 54 (95%) of the studies. The reporting quality was poor: many of the studies did not test and/or report the statistical significance of their results. The studies were highly heterogeneous, therefore meta-analysis was inappropriate. The following type of SDIs showed promising results: extended scope practice; quality management methodologies including Six Sigma, Lean methodology, and continuous quality improvement; productivity-enhancing technologies including speech recognition reporting, teleradiology and computerised physician order entry systems. We have suggested improved study design and the mapping of the definitions of patient waiting times in radiology to generic timelines as a starting point for moving towards a situation where it becomes less restrictive to compare and/or pool the results of future studies in a meta-analysis. PMID:24888629

Olisemeke, B; Chen, Y F; Hemming, K; Girling, A

2014-12-01

348

Personal Services Agreements Policy  

E-print Network

, purchase orders, purchase requisitions and invoices. In the past, reviews and approvals for Personal: Services acquired for the state's direct benefit in its operations. 1.1.3. Purchased services to provide such services. 1.1.4. Services: The furnishing of labor, time, or effort. #12;Personal Services

349

Evaluation of freely available ancillary data used for detailed soil mapping in Brazil  

NASA Astrophysics Data System (ADS)

Brazil is one of the world's largest food producers, and is home of both largest rainforest and largest supply of renewable fresh water on Earth. However, it lacks detailed soil information in extensive areas of the country. The best soil map covering the entire country was published at a scale of 1:5,000,000. Termination of governmental support for systematic soil mapping in the 1980's made detailed soil mapping of the whole country a very difficult task to accomplish. Nowadays, due to new user-driven demands (e.g. precision agriculture), most detailed soil maps are produced for small size areas. Many of them rely on as is freely available ancillary data, although their accuracy is usually not reported or unknown. Results from a validation exercise that we performed using ground control points from a small hilly catchment (20 km˛) in Southern Brazil (-53.7995şE, -29.6355şN) indicate that most freely available ancillary data needs some type of correction before use. Georeferenced and orthorectified RapidEye imagery (recently acquired by the Brazilian government) has a horizontal accuracy (root-mean-square error, RMSE) of 37 m, which is worse than the value published in the metadata (32 m). Like any remote sensing imagery, RapidEye imagery needs to be correctly registered before its use for soil mapping. Topographic maps produced by the Brazilian Army and derived geological maps (scale of 1:25,000) have a horizontal accuracy of 65 m, which is more than four times the maximum value allowed by Brazilian legislation (15 m). Worse results were found for geological maps derived from 1:50,000 topographic maps (RMSE = 147 m), for which the maximum allowed value is 30 m. In most cases positional errors are of systematic origin and can be easily corrected (e.g., affine transformation). ASTER GDEM has many holes and is very noisy, making it of little use in the studied area. TOPODATA, which is SRTM kriged from originally 3 to 1 arc-second by the Brazilian National Institute for Space Research, has a vertical accuracy of 19 m and is strongly affected by double-oblique stripes which were intensified by kriging. Many spurious sinks were created which are not easily corrected using either frequency filters or sink-filling algorithms. The exceptions are SRTM v4.1, which is the most vertically accurate DEM available (RMSE = 18.7 m), and Google Earth imagery compiled from various sources (positional accuracy of RMSE = 8 m). It is likely that most mapping efforts will continue to be employed in small size areas to fulfill local user-driven demands in the forthcoming years. Also, many new techniques and technologies will possibly be developed and employed for soil mapping. However, employing better quality ancillary data still is a challenge to be overcome to produce high-quality soil information to allow better decision making and land use policy in Brazil.

Samuel-Rosa, Alessandro; Anjos, Lúcia; Vasques, Gustavo; Heuvelink, Gerard

2014-05-01

350

Using ancillary information to improve hypocenter estimation: Bayesian single event location (BSEL)  

SciTech Connect

We have developed and tested an algorithm, Bayesian Single Event Location (BSEL), for estimating the location of a seismic event. The main driver for our research is the inadequate representation of ancillary information in the hypocenter estimation procedure. The added benefit is that we have also addressed instability issues often encountered with historical NLR solvers (e.g., non-convergence or seismically infeasible results). BSEL differs from established nonlinear regression techniques by using a Bayesian prior probability density function (prior PDF) to incorporate ancillary physical basis constraints about event location. P-wave arrival times from seismic events are used in the development. Depth, a focus of this paper, may be modeled with a prior PDF (potentially skewed) that captures physical basis bounds from surface wave observations. This PDF is constructed from a Rayleigh wave depth excitation eigenfunction that is based on the observed minimum period from a spectrogram analysis and estimated near-source elastic parameters. For example, if the surface wave is an Rg phase, it potentially provides a strong constraint for depth, which has important implications for remote monitoring of nuclear explosions. The proposed Bayesian algorithm is illustrated with events that demonstrate its congruity with established hypocenter estimation methods and its application potential. The BSEL method is applied to three events: (1) A shallow Mw 4 earthquake that occurred near Bardwell, KY on June 6, 2003, (2) the Mw 5.6 earthquake of July 26, 2005 that occurred near Dillon, MT, and (3) a deep Mw 5.7 earthquake that occurred off the coast of Japan on April 22, 1980. A strong Rg was observed from the Bardwell, KY earthquake that places very strong constraints on depth and origin time. No Rg was observed for the Dillon, MT earthquake, but we used the minimum observed period of a Rayleigh wave (7 seconds) to reduce the depth and origin time uncertainty. Because the Japan event was deep, there is no observed surface wave energy. We utilize the prior generated from the Dillon, MT event to show that even in the case when a prior is inappropriately applied, high quality data will overcome its influence and result in a reasonable hypocenter estimate.

Anderson, Dale N [Los Alamos National Laboratory

2008-01-01

351

Community health worker interventions to improve access to health care services for older adults from ethnic minorities: a systematic review.  

PubMed

BackgroundThe health status of older adults belonging to ethnic minorities in Western countries is an important public issue because their health is often less favourable than that of older adults from the majority population. In addition, the number of older adults belonging to ethnic minorities is increasing rapidly in Western countries. The introduction of community health workers (CHWs) has proven to be successful in addressing health disparities among ethnic minorities; however, an overview of CHWżs benefits for older adults is absent in the literature. We reviewed the literature to explore whether CHWs are also effective in improving the health and the delivery of health care services to ethnic minority older adults in Western countries.MethodsWe searched the PubMed database (2002-Present) for RCTs published on the use of CHWs in Western countries.ResultsOut of the 729 studies identified, seven studies met our inclusion criteria. The effectiveness of the implementation of CHW programmes in older adults belonging to ethnic minorities is not univocal. In two studies, we found no significant differences. In five studies, we found some positive effects. We did not find negative effects in any of the studies. For better interpretation of the results, effect ratios (ERs) were calculated as the number of positive findings divided by the total number of measured findings. Substantial effects on the access to care (mean ERż=ż0.58) and on health behaviour (mean ERż=ż0.45) were found. The mean ER for health outcomes was considerably lower (mean ERż=ż0.17).ConclusionWe found indications that CHWs serve as a means of improving health care use and health behaviour and, to a lesser extent, health outcomes among ethnic minority older adults. Further research is required to draw more solid conclusions on the effectiveness of CHW interventions in this target group. This is particularly important for Western countries in which the number of ethnic minority older adults has increased significantly because their health status is mostly unfavourable and their access to health care services is often limited. PMID:25391432

Verhagen, Ilona; Steunenberg, Bas; de Wit, Niek J; Ros, Wynand

2014-11-13

352

Immigrant women’s experiences of maternity-care services in Canada: a protocol for systematic review using a narrative synthesis  

PubMed Central

Background Canada’s diverse society and statutory commitment to multiculturalism means that the synthesis of knowledge related to the health care experiences of immigrants is essential to realize the health potential for future Canadians. Although concerns about the maternity experiences of immigrants in Canada are relatively new, recent national guidelines explicitly call for tailoring of services to user needs. We are therefore assessing the experiences of immigrant women in Canada accessing maternity-care services. We are focusing on: 1) accessibility and acceptability (as an important dimension of access) to maternity-care services as perceived and experienced by immigrant women, and 2) the birth and postnatal outcomes of these women. Methods The aim of this study is to use a narrative synthesis, incorporating both a systematic review using narrative synthesis of reports of empirical research (qualitative, quantitative, and mixed-method designs), and a literature review of non-empirically based reports, both of which include ‘grey’ literature. The study aims to provide stakeholders with perspectives on maternity-care services as experienced by immigrant women. To achieve this, we are using integrated knowledge translation, partnering with key stakeholders to ensure topic relevancy and to tailor recommendations for effective translation into future policy and practice/programming. Two search phases and a three-stage selection process are being conducted (database search retrieved 1487 hits excluding duplicates) to provide evidence to contribute jointly to both the narrative synthesis and the non-empirical literature review. The narrative synthesis will be informed by the previous framework published in 2006 by Popay et al., using identified tools for each of its four elements. The non-empirical literature review will build upon the narrative-synthesis findings and/or identify omissions or gaps in the empirical research literature. The integrated knowledge translation plan will ensure that key messages are delivered in an audience-specific manner to optimize their effect on policy and practice change throughout the health service, and the public health, immigration and community sectors. Discussion Narrative-synthesis methods of systematic review facilitate understanding and acknowledgement of the broader influences of theoretical and contextual variables, such as race, gender, socioeconomic status, and geographical location. They also enable understanding of the shaping of differences between reported outcomes and study designs related to childbearing populations, and the development and implementation of maternity services and health interventions across diverse settings. PROSPERO registration Number 2185. PMID:22651573

2012-01-01

353

The SPICE concept - An approach to providing geometric and other ancillary information needed for interpretation of data returned from space science instruments  

NASA Technical Reports Server (NTRS)

The Navigation Ancillary Information Facility (NAIF), acting under the direction of NASA's Office of Space Science and Applications, and with substantial participation of the planetary science community, is designing and implementing an ancillary data system - called SPICE - to assist scientists in planning and interpreting scientific observations taken from spaceborne instruments. The principal objective of the implemented SPICE system is that it will hold the essential geometric and related ancillary information needed to recover the full value of science instrument data, and that it will facilitate correlations of individual instrument datasets with data obtained from other instruments on the same or other spacecraft.

Acton, Charles H., Jr.

1990-01-01

354

Providing Reliability Services through Demand Response: A Prelimnary Evaluation of the Demand Response Capabilities of Alcoa Inc.  

SciTech Connect

Demand response is the largest underutilized reliability resource in North America. Historic demand response programs have focused on reducing overall electricity consumption (increasing efficiency) and shaving peaks but have not typically been used for immediate reliability response. Many of these programs have been successful but demand response remains a limited resource. The Federal Energy Regulatory Commission (FERC) report, 'Assessment of Demand Response and Advanced Metering' (FERC 2006) found that only five percent of customers are on some form of demand response program. Collectively they represent an estimated 37,000 MW of response potential. These programs reduce overall energy consumption, lower green house gas emissions by allowing fossil fuel generators to operate at increased efficiency and reduce stress on the power system during periods of peak loading. As the country continues to restructure energy markets with sophisticated marginal cost models that attempt to minimize total energy costs, the ability of demand response to create meaningful shifts in the supply and demand equations is critical to creating a sustainable and balanced economic response to energy issues. Restructured energy market prices are set by the cost of the next incremental unit of energy, so that as additional generation is brought into the market, the cost for the entire market increases. The benefit of demand response is that it reduces overall demand and shifts the entire market to a lower pricing level. This can be very effective in mitigating price volatility or scarcity pricing as the power system responds to changing demand schedules, loss of large generators, or loss of transmission. As a global producer of alumina, primary aluminum, and fabricated aluminum products, Alcoa Inc., has the capability to provide demand response services through its manufacturing facilities and uniquely through its aluminum smelting facilities. For a typical aluminum smelter, electric power accounts for 30% to 40% of the factory cost of producing primary aluminum. In the continental United States, Alcoa Inc. currently owns and/or operates ten aluminum smelters and many associated fabricating facilities with a combined average load of over 2,600 MW. This presents Alcoa Inc. with a significant opportunity to respond in areas where economic opportunities exist to help mitigate rising energy costs by supplying demand response services into the energy system. This report is organized into seven chapters. The first chapter is the introduction and discusses the intention of this report. The second chapter contains the background. In this chapter, topics include: the motivation for Alcoa to provide demand response; ancillary service definitions; the basics behind aluminum smelting; and a discussion of suggested ancillary services that would be particularly useful for Alcoa to supply. Chapter 3 is concerned with the independent system operator, the Midwest ISO. Here the discussion examines the evolving Midwest ISO market structure including specific definitions, requirements, and necessary components to provide ancillary services. This section is followed by information concerning the Midwest ISO's classifications of demand response parties. Chapter 4 investigates the available opportunities at Alcoa's Warrick facility. Chapter 5 involves an in-depth discussion of the regulation service that Alcoa's Warrick facility can provide and the current interactions with Midwest ISO. Chapter 6 reviews future plans and expectations for Alcoa providing ancillary services into the market. Last, chapter 7, details the conclusion and recommendations of this paper.

Starke, Michael R [ORNL; Kirby, Brendan J [ORNL; Kueck, John D [ORNL; Todd, Duane [Alcoa; Caulfield, Michael [Alcoa; Helms, Brian [Alcoa

2009-02-01

355

Responsibilities to plan for ancillary care pose ethical challenges for nutrition research in the community setting.  

PubMed

Investigators who conduct nutrition research in the community setting, particularly among underserved populations, face the ethical question of whether and how to respond to participants' unmet health needs. The research ethics literature conceptualizes this question as one of ancillary care (AC): what is the nature and extent of researchers' ethical responsibilities, if any, to provide or facilitate health care that research participants need but that is not necessary to ensure the safety or scientific validity of the research? In this paper, we highlight 3 ethical challenges involved in the planning of AC responses for nutrition research conducted in the community setting: influence of provision of AC on primary study outcomes as an issue of trial design; whether to extend the provision of AC beyond research participants to nonparticipants with the same health needs; and how best to train field workers who may be the most likely members of the study team to encounter the health needs anticipated among participants. Although the global ethical discussion of AC is gaining in depth, breadth, and practical influence, it remains relatively uninformed by perspectives specific to nutrition research. Our objective is to encourage nutrition researchers to engage proactively in the emerging ethical discussion of AC, so that their relevant experiences and concerns can be taken into account in the eventual formation of ethical guidelines and policies. PMID:22933751

Merritt, Maria W; Taylor, Holly A

2012-10-01

356

Effects of ancillary ligands on selectivity of protein labeling with platinum(II) chloro complexes  

SciTech Connect

Potassium (2,6-pyridinedicarboxylato)chloroplatinate(II) was synthesized. The molecular structure of the complex in (n-Bu){sub 4}N(Pt(dipic)Cl){center dot}0.5H{sub 2}O was determined by x-ray crystallography. The (Pt(dipic)Cl){sup {minus}} is essentially planar and contains a Pt(II) atom, a tridentate dipicolinate dianion ligand, and a unidentate Cl{sup {minus}} ligand. The bis(bidentate) complex trans-(Pt(dipic){sub 2}){sup 2{minus}} was also observed by {sup 1}H NMR. A red gel-like substance was observed when the yellow aqueous solution of K(Pt(dipic)Cl) was cooled or concentrated. The K(Pt(dipic)Cl) molecules form stacks in the solid state and gel-like substance but remain monomeric over a wide range of concentrations and temperatures. The reactivity and selectivity of(Pt(dipic)Cl){sup {minus}} toward cytochromes c from horse and tuna were studied. The new transition-metal reagent is specific for methionine residues. Di(2-pyridyl-{beta}-ethyl)sulfidochloroplatinum(II) chloride dihydrate was also synthesized. This complex labels histidine and methionine residues in cytochrome c. The ancillary ligands in these platinum(II) complexes clearly determine the selectivity of protein labeling. 106 refs., 10 figs., 11 tabs.

Zhou, Xia-Ying.

1990-02-01

357

star Miner: A suit of classifiers for spatial, temporal, ancillary, and remote sensing data mining  

SciTech Connect

Thematic classification of multi-spectral remotely sensed imagery for large geographic regions requires complex algorithms and feature selection techniques. Traditional statistical classifiers rely exclusively on spectral characteristics, but thematic classes are often spectrally overlapping. The spectral response distributions of thematic classes are dependent on many factors including terrain, slope, aspect, soil type, and atmospheric conditions present during the image acquisition. With the availability of geo-spatial databases, it is possible to exploit the knowledge derived from these ancillary geo-spatial databases to improve the classification accuracies. However, it is not easy to incorporate this additional knowledge into traditional statistical classification methods. On the other hand, knowledge-based and neural network classifiers can readily incorporate these spatial databases, but these systems are often complex to train and their accuracy is only slightly better than statistical classifiers. In this paper we present a new suit of classifiers developed through NASA funding, which addresses many of these problems and provide a framework for mining multi-spectral and temporal remote sensing images guided by geo-spatial databases.

Burk, Thomas E [University of Minnesota; Bhaduri, Budhendra L [ORNL

2008-01-01

358

Tree height estimation using Shuttle Radar Topography Mission and ancillary data  

NASA Astrophysics Data System (ADS)

In this dissertation, two methods for estimating tree height using Shuttle Radar Topography Mission (SRTM) and ancillary data are developed and tested. Since the SRTM data set is near-global, the methods developed could be applied to large portions of the world, although the scale-up process is beyond the scope of this work. Previous tree height estimation algorithms have been confined to much smaller data sets. Development of the methods began with validation of the SRTM height data for selected test areas in Southeastern Michigan. Validation statistically characterized the noise in the SRTM height data. The next stage in the development of the first tree height estimation algorithm was the construction of a simplified forward model to relate the observed SRTM data to tree heights, which model relied on a forward model specific to the red pine tree structure. The simplified model was inverted using standard methods to yield tree height as a function of SRTM data. The second algorithm was much more general, not requiring a structure-specific forward model. The resulting tree height estimation algorithm were tested on actual and simulated SRTM data. The simulated data was produced by a simulator from the literature. Two SAR/INSAR simulators, one high-resolution and the other low-resolution, were also developed as a part of this work. Simulated images from the low-resolution simulator were used as an input to further test the first tree height estimation algorithm.

Brown, Charles Gordon

359

Producing Alaska interim land cover maps from Landsat digital and ancillary data  

USGS Publications Warehouse

In 1985, the U.S. Geological Survey initiated a research program to produce 1:250,000-scale land cover maps of Alaska using digital Landsat multispectral scanner data and ancillary data and to evaluate the potential of establishing a statewide land cover mapping program using this approach. The geometrically corrected and resampled Landsat pixel data are registered to a Universal Transverse Mercator (UTM) projection, along with arc-second digital elevation model data used as an aid in the final computer classification. Areas summaries of the land cover classes are extracted by merging the Landsat digital classification files with the U.S. Bureau of Land Management's Public Land Survey digital file. Registration of the digital land cover data is verified and control points are identified so that a laser plotter can products screened film separate for printing the classification data at map scale directly from the digital file. The final land cover classification is retained both as a color map at 1:250,000 scale registered to the U.S. Geological Survey base map, with area summaries by township and range on the reverse, and as a digital file where it may be used as a category in a geographic information system.

Fitzpatrick-Lins, Katherine; Doughty, Eileen Flanagan; Shasby, Mark; Loveland, Thomas R.; Benjamin, Susan

1987-01-01

360

Synthesis, characterization and properties of copper(I) complexes with bis(diphenylphosphino)-ferrocene ancillary ligand  

NASA Astrophysics Data System (ADS)

Three copper(I) complexes (2-4) containing dppf ancillary ligand (dppf = bis(diphenylphosphino)-ferrocene) were synthesized when chloride-bridged copper(I) complex 1 reacted with acetanilide and characterized by IR, element analysis and NMR spectrum. And the crystal structures of complexes 2 and 4 have been determined by X-ray diffraction method. Complex 2, an acetate-bridged copper(I) complex, was obtained under N2 atmosphere in un-dried solvent; the acetate ion came from the hydrolysis reaction of acetanilide due to residual water in solvent. Acetanilide was deprotonated and coordinated with the copper(I) centre to form a copper(I) amidate complex 3 when reacted in pre-dried solvent. In addition, a known complex 4, the oxidation product of dppf, was isolated from the same reaction system when reacted in air atmosphere. CV and TG experiments were carried out to check the electron transfer properties and thermal stabilities of complexes 2-3. Finally, the arylation reaction of complex 3 with iodobenzene was performed to study the reaction mechanism of copper(I) catalyzed Goldberg reaction.

Liu, Xinfang; Zhang, Songlin; Ding, Yuqiang

2012-06-01

361

THERACOM: a systematic review of the evidence base for interventions to improve Therapeutic Communications between black and minority ethnic populations and staff in specialist mental health services  

PubMed Central

Background Black and Minority Ethnic (BME) groups in receipt of specialist mental health care have reported higher rates of detention under the mental health act, less use of psychological therapies, and more dissatisfaction. Although many explanations have been put forward to explain this, a failure of therapeutic communications may explain poorer satisfaction, disengagement from services and ethnic variations in access to less coercive care. Interventions that improve therapeutic communications may offer new approaches to tackle ethnic inequalities in experiences and outcomes. Methods The THERACOM project is an HTA-funded evidence synthesis review of interventions to improve therapeutic communications between black and minority ethnic patients in contact with specialist mental health services and staff providing those services. This article sets out the protocol methods for a necessarily broad review topic, including appropriate search strategies, dilemmas for classifying different types of therapeutic communications and expectations of the types of interventions to improve them. The review methods will accommodate unexpected types of study and interventions. The findings will be reported in 2013, including a synthesis of the quantitative and grey literature. Discussion A particular methodological challenge is to identify and rate the quality of many different study types, for example, randomised controlled trials, observational quantitative studies, qualitative studies and case studies, which comprise the full range of hierarchies of evidence. We discuss the preliminary methodological challenges and some solutions. (PROSPERO registration number: CRD42011001661). PMID:23442299

2013-01-01

362

Engineering Task Plan for the Integrity Assessment Examination of Double Contained Receiver Tanks (DCRT) Catch Tanks and Ancillary facilities  

SciTech Connect

This Engineering Task Plan (ETP) presents the integrity assessment examination of three DCRTs, seven catch tanks, and two ancillary facilities located in the 200 East and West Areas of the Hanford Site. The integrity assessment examinations, as described in this ETP, will provide the necessary information to enable the independently qualified registered professional engineer (IQRPE) to assess the condition and integrity of these facilities. The plan is consistent with the Double-Shell Tank Waste Transfer Facilities Integrity Assessment Plan.

BECKER, D.L.

2000-05-23

363

Reviews.  

ERIC Educational Resources Information Center

Computer software, audiovisuals, and books are reviewed. Includes topics on interfacing, ionic equilibrium, space, the classification system, Acquired Immune Disease Syndrome, evolution, human body processes, energy, pesticides, teaching school, cells, and geological aspects. Availability, price, and a description of each are provided. (RT)

Repak, Arthur J.; And Others

1988-01-01

364

Reviews.  

ERIC Educational Resources Information Center

Reviews two computer programs: "Molecular Graphics," which allows molecule manipulation in three-dimensional space (requiring IBM PC with 512K, EGA monitor, and math coprocessor); and "Periodic Law," a database which contains up to 20 items of information on each of the first 103 elements (Apple II or IBM PC). (MVL)

Journal of Chemical Education, 1988

1988-01-01

365

Reviews  

NASA Astrophysics Data System (ADS)

BOOK REVIEWS (353) Dr Dyer's Academy Further Advanced Physics Physics 11-14, with Biology 11-14 and Chemistry 11-14 Nelson Modular Science: Books 1 and 2 Key Science: Physics, 3rd Edition Nelson Science: Physics, 2nd Edition Physics for AQA: Separate Award, Coordinated Award Physical Processes: A Visual Approach WEB WATCH (359) Physics Favourites: John Miller's selection

2002-07-01

366

Reviews.  

ERIC Educational Resources Information Center

Reviews a software planetarium package called "Sky Travel." Includes two audiovisuals: "Conquest of Space" and "Windows on Science: Earth Science"; and four books: "Small Energy Sources: Choices that Work,""Stonehenge Complete,""Uneasy Careers and Intimate Lives: Women in Science 1789-1979," and "The Rise of Urbanization and the Decline of…

Science Teacher, 1989

1989-01-01

367

Reviews.  

ERIC Educational Resources Information Center

Reviews four organic chemistry computer programs and three books. Software includes: (1) NMR Simulator 7--for IBM or Macintosh, (2) Nucleic Acid Structure and Synthesis--for IBM, (3) Molecular Design Editor--for Apple II, and (4) Synthetic Adventure--for Apple II and IBM. Book topics include physical chemistry, polymer pioneers, and the basics of…

Newland, Robert J.; And Others

1988-01-01

368

Reviews.  

ERIC Educational Resources Information Center

Reviews three computer software packages for chemistry education including "Osmosis and Diffusion" and "E.M.E. Titration Lab" for Apple II and "Simplex-V: An Interactive Computer Program for Experimental Optimization" for IBM PC. Summary ratings include ease of use, content, pedagogic value, student reaction, and cost. (CW)

Journal of Chemical Education, 1988

1988-01-01

369

Reviews.  

ERIC Educational Resources Information Center

Presents information and concerns regarding computer courseware, books, and audiovisual materials reviewed by teachers. Covers a variety of topics including dissection of common classroom specimens, medicine, acid rain projects, molecules, the water cycle, erosion, plankton, and evolution. Notes on availability, price, and needed equipment, where…

Science Teacher, 1988

1988-01-01

370

Reviews  

NASA Astrophysics Data System (ADS)

DISTANCE-LEARNING COURSES (263) Planetary Science and Astronomy BOOK REVIEWS (263) A New Kind of Science Planetary Science: The Science of Planets Around Stars EQUIPMENT (265) The Science Enhancement Program (SEP) Geiger Counter WEB WATCH (265) Revision sites SOFTWARE (267) Exploration of Physics Volume 1

2003-05-01

371

Map of risks for the implementation of radio-frequency identification: application of ancillaries in the University Hospital Jean Verdier.  

PubMed

Ancillaries are surgical instruments, such as orthopedical instruments set for reconstruction of knee (a mounting arm...) used to implant or extract prosthesis. Their management involves the departments of sterilization and surgery as well as the suppliers. Such a long circuit exposes the instruments to potential risk hazards like a lack of traceability as the suspicion of Creutzfeldt-Jakob. In order to reduce the risk of errors we will propose the implementation of radio-frequency identification (RFID) to trace the ancillaries during each step of the supply chain. The objective of our study is to analyze and to map the risks associated with RFID implementation. A preliminary analysis of risks (APR) is conducted to map out the hazards for the implementation of RFID. The APR identifies 162 scenarios with a maximum risk connected to environment and technology. To reduce the risks identified, 22 courses of action are proposed, such as audits, training, and internal controls. For each action, a procedure has been designed and evaluated. This preliminary analysis of risks allows targeting the potential dangers for the RFID implementation applied to ancillaries and reduces them significantly. PMID:20187581

Bertrand, E; Schlatter, J

2010-01-01

372

78 FR 46177 - Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric...  

Federal Register 2010, 2011, 2012, 2013, 2014

...energy storage, flywheels, thermal energy storage systems, and hydrogen...chemical, mechanical, and thermal energies. \\203\\ Although hydroelectric...Superconducting Magnetic Storage 5. Thermal * * * * * 363 Energy Storage...

2013-07-30

373

72 FR 39904 - Market-Based Rates for Wholesale Sales of Electric Energy, Capacity and Ancillary Services by...  

Federal Register 2010, 2011, 2012, 2013, 2014

...under FPA section 203. \\222\\ National Grid plc, 117 FERC ] 61,080 (2006...and CT in ISO-NE.\\226\\ In National Grid plc, the Commission again found two submarkets...at 61,401-02. \\227\\ In National Grid plc, 117 FERC ] 61,080 at P 26,...

2007-07-20

374

76 FR 36400 - Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Document Availability 55. In addition to publishing the full text of this document in the Federal Register, the Commission...Internet, this information is available on eLibrary. The full text of this document is available on eLibrary in PDF and...

2011-06-22

375

Glycemic control among U.S. Hispanics/Latinos with diabetes from the HCHS/SOL Sociocultural Ancillary Study: Do structural and functional social support play a role?  

PubMed

Social support is one potential source of health-related resiliency in Hispanics with diabetes. This study examined relationships of structural (i.e., social integration) and functional (i.e., perceived) social support with glycemic control (glycosylated hemoglobin; HbA1c) in the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. This study included 766 men and women representing multiple Hispanic ethnic backgrounds, aged 18-74 years, with diagnosed diabetes who completed fasting blood draw, medication review, and measures of sociodemographic factors, medical history, structural support (Cohen Social Network Index), and functional support (Interpersonal Support Evaluation List-12). After adjusting for sociodemographic covariates and medication, a one standard deviation increase in functional support was related to an 0.18 % higher HbA1c (p = 0.04). A similar trend was observed for structural support; however, this effect was non-significant in adjusted models. Greater functional support was associated with poorer glycemic control in Hispanics. PMID:25107503

Fortmann, Addie L; Roesch, Scott C; Penedo, Frank J; Isasi, Carmen R; Carnethon, Mercedes R; Corsino, Leonor; Schneiderman, Neil; Daviglus, Martha L; Teng, Yanping; Giachello, Aida; Gonzalez, Franklyn; Gallo, Linda C

2015-02-01

376

New Challenges in Agricultural Advisory Services from a Research Perspective: A Literature Review, Synthesis and Research Agenda  

ERIC Educational Resources Information Center

Purpose: Agricultural advisory services are perceived by many actors involved in rural development as a key driver behind innovation processes in agriculture. However, changes in national and global contexts cause dramatic changes in the orientation of advisory services, their organisation and their methods of intervention. This article aims to…

Faure, Guy; Desjeux, Yann; Gasselin, Pierre

2012-01-01

377

Comparative study and review of grid, cloud, utility computing and software as a service for use by libraries  

Microsoft Academic Search

Purpose – Grid computing, cloud computing (CC), utility computing and software as a service are emerging technologies predicted to result in massive consolidation as meta-level computing services of everything beneath one umbrella in the future. The purpose of this study is to foster the understanding and differentiation, by using the three aforementioned types of computing technologies and software, as a

Ahmed Patel; Ali Seyfi; Yiqi Tew; Ayman Jaradat

2011-01-01

378

A Review of the Elements of Human Well-Being with an Emphasis on the Contribution of Ecosystem Services  

EPA Science Inventory

Natural ecosystems perform fundamental life-support services upon which human civilization depends. However, many people believe that Nature provides these services for free and therefore, they are of little or no value. While we do not pay for them; we pay significantly for th...

379

A Review of the Elements of Human Well-Being with Emphasis on the Contribution of Ecosystem Services  

EPA Science Inventory

Natural ecosystems perform fundamental life-support services upon which human civilization depends. However, many people believe that Nature provides these services for free and therefore, they are of little or no value. While we do not pay for them; we pay significantly for thei...

380

76 FR 28439 - Submission for OMB Review; Comment Request; NCI Cancer Genetics Services Directory Web-Based...  

Federal Register 2010, 2011, 2012, 2013, 2014

...NCI Cancer Genetics Services Directory Web-Based Application Form and Update Mailer...NCI Cancer Genetics Services Directory Web-based Application Form and Update Mailer...purpose of the online application form and the Web-based update mailer is to collect...

2011-05-17

381

Review on the implementation process of community-based health planning and services (CHPS) program in Ghana  

Microsoft Academic Search

PROBLEM: The community based health planning and services (CHPS) program has been introduced into the health system of Ghana in the year 1999-2000. The objectives of the program are to improve equity in access to basic health services, improve efficiency and responsiveness to client needs and to develop effective intersectoral collaboration. Ever since the introduction of this program national scaling

V. E. A. Apetorgbor

2009-01-01

382

Services and Accomplishments  

Microsoft Academic Search

Bellevue Utilities consists of the following divisions: Engineering, Resource Management and Customer Service, and Operations and Maintenance (O&M). Engineering plans and builds the City's water, sewer and storm drainage systems and provides project review and construction quality control for development projects. Resource Management and Customer Service provides billing services for customers, develops rates and budgets, provides contract management service for

Kelsey Creeks

2010-01-01

383

DSMS Services and Capabilities  

NASA Technical Reports Server (NTRS)

This viewgraph presentation reviews Interplanetary Network Directorate Deep Space Mission Systems services and support capabilities. The contents include: 1) Organization Chart; 2) IND DSMS Support Facilities; 3) Standard Services; and 4) Support Capabilities including Telemetry, command and tracking.

Luers, Edward B.; Kwok, Andrew

2006-01-01

384

A case study review of technical and technology issues for transition of a utility load management program to provide system reliability resources in restructured electricity markets  

SciTech Connect

Utility load management programs--including direct load control and interruptible load programs--were employed by utilities in the past as system reliability resources. With electricity industry restructuring, the context for these programs has changed; the market that was once controlled by vertically integrated utilities has become competitive, raising the question: can existing load management programs be modified so that they can effectively participate in competitive energy markets? In the short run, modified and/or improved operation of load management programs may be the most effective form of demand-side response available to the electricity system today. However, in light of recent technological advances in metering, communication, and load control, utility load management programs must be carefully reviewed in order to determine appropriate investments to support this transition. This report investigates the feasibility of and options for modifying an existing utility load management system so that it might provide reliability services (i.e. ancillary services) in the competitive markets that have resulted from electricity industry restructuring. The report is a case study of Southern California Edison's (SCE) load management programs. SCE was chosen because it operates one of the largest load management programs in the country and it operates them within a competitive wholesale electricity market. The report describes a wide range of existing and soon-to-be-available communication, control, and metering technologies that could be used to facilitate the evolution of SCE's load management programs and systems to provision of reliability services. The fundamental finding of this report is that, with modifications, SCE's load management infrastructure could be transitioned to provide critical ancillary services in competitive electricity markets, employing currently or soon-to-be available load control technologies.

Weller, G.H.

2001-07-15

385

Initial assessment of strategic plans for improving the performance of veterinary services in developing countries: a review of OIE PVS gap analysis reports.  

PubMed

The World Organisation for Animal Health (OIE) carries out Gap Analysis missions (if a country so wishes) as part of its programme to assess and improve the Performance of Veterinary Services (the 'PVS Pathway') in Member Countries. These Gap Analysis missions have found that many national Veterinary Services comply to only a limited extent with the international standards established by the OIE and that their competence is compromised by poor governance. This failure threatens animal and public health not only nationally but also internationally. The OIE PVS Gap Analysis reports reviewed found that all the Veterinary Services have a strong vision and commitmentto improvement but are held back by a weak chain of command, inadequate and outdated legislation, insufficient funding, weak technical competencies, compromised technical independence, poor communications and limited joint programmes. There are weaknesses across all the core technical areas of trade, animal health, veterinary public health and veterinary laboratories and also in the overall management of the Veterinary Services. The OIE PVS Gap Analysis missions recommend significant increases in budget in all countries. PMID:23413738

Weaver, J; Leon, E; Edan, M; D'Alessio, F

2012-08-01

386

Serous effusions: diagnosis of malignancy beyond cytomorphology. An analytic review  

PubMed Central

In this brief review, the role of various ancillary techniques to detect malignancy in effusion fluid are evaluated and discussed. The data were collected from a large number of research articles published in various medical journals. The role of these techniques to increase the diagnostic accuracy in serous effusions is emphasised. PMID:14612599

Mohanty, S; Dey, P

2003-01-01

387

Are the dental health needs of adults with illegal drug dependence being met by current service provision in the United Kingdom?: a literature review.  

PubMed

This literature review outlines the current issues and debates relating to the dental health of adults with drug dependence. The dental health of adults with illegal drug dependence (IDD) continues to be under debate throughout dental practice, and the most appropriate model of care suitable to meet the high complex needs of this client group remains uncertain. The study aims to review and critically analyze available research relating to the oral health effects of illegal drug misuse and the dental health needs and status of adults with drug dependence. Second, it aims to identify and critically evaluate current models of dental service/care delivery, including relevant best practice guidance and potential barriers to dental access for adults with IDD. The available literature pertaining to dental health and adults with drug dependence are systematically reviewed and critically analyzed and evaluated in order to execute a rigorous investigation. The oral effects along with general medical complications associated with IDD are increasingly being recognized. There are substantive negative effects of IDD on oral health, particularly for those with opioid dependence; therefore, these clients have high complex dental needs and low use of dental services. Adults with drug dependence comprise a group with special dental needs and therefore need greater access to dental care than most people due to their high level of need. A high awareness of the implications for oral health care for adults with drug dependence is essential. Dental professionals have a key role in supporting the rehabilitation of these patients from potentially severe or fatal addictions. There is a distinct lack of national policy and guidance relating specifically to adults with drug dependence, and therefore, problems persist. Key findings and recommendations are presented to enhance the development of dental services for adults with IDD. PMID:24335736

Hewson, Victoria; Wray, Jane

2012-10-01

388

48 CFR 2937.103-70 - Department of Labor checklist to aid analysis and review of requirements for service contracts.  

Code of Federal Regulations, 2011 CFR

...Department of Labor checklist to aid analysis and review of requirements...Following is a checklist to aid analysis and review of requirements...contractor to provide advice, analysis and evaluation, opinions...contractor's current or future business? (7) Will the work...

2011-10-01

389

48 CFR 2937.103-70 - Department of Labor checklist to aid analysis and review of requirements for service contracts.  

Code of Federal Regulations, 2014 CFR

...Department of Labor checklist to aid analysis and review of requirements...Following is a checklist to aid analysis and review of requirements...contractor to provide advice, analysis and evaluation, opinions...contractor's current or future business? (7) Will the work...

2014-10-01

390

48 CFR 2937.103-70 - Department of Labor checklist to aid analysis and review of requirements for service contracts.  

Code of Federal Regulations, 2012 CFR

...Department of Labor checklist to aid analysis and review of requirements...Following is a checklist to aid analysis and review of requirements...contractor to provide advice, analysis and evaluation, opinions...contractor's current or future business? (7) Will the work...

2012-10-01

391

48 CFR 2937.103-70 - Department of Labor checklist to aid analysis and review of requirements for service contracts.  

Code of Federal Regulations, 2013 CFR

...Department of Labor checklist to aid analysis and review of requirements...Following is a checklist to aid analysis and review of requirements...contractor to provide advice, analysis and evaluation, opinions...contractor's current or future business? (7) Will the work...

2013-10-01

392

48 CFR 2937.103-70 - Department of Labor checklist to aid analysis and review of requirements for service contracts.  

Code of Federal Regulations, 2010 CFR

...Department of Labor checklist to aid analysis and review of requirements...Following is a checklist to aid analysis and review of requirements...contractor to provide advice, analysis and evaluation, opinions...contractor's current or future business? (7) Will the work...

2010-10-01

393

Isomerism in rhodium(I) N,S-donor heteroscorpionates: ring substituent and ancillary ligand effects.  

PubMed

The heteroscorpionate ligands [HB(taz)(2)(pz(R))](-) (pz(R) = pz, pz(Me2), pz(Ph)) and [HB(taz)(pz)(2)](-), synthesised from the appropriate potassium hydrotris(pyrazolyl)borate salt and 4-ethyl-3-methyl-5-thioxo-1,2,4-triazole (Htaz), react with [{Rh(cod)(?-Cl)}(2)] to give [Rh(cod)Tx] {Tx = HB(taz)(2)(pz), HB(taz)(2)(pz(Me2)), HB(taz)(2)(pz(Ph)), HB(taz)(pz)(2)}; the heteroscorpionate rhodaboratrane [Rh{B(taz)(2)(pz(Me2))}{HB(taz)(2)(pz(Me2))}] is the only isolable product from the reaction of [{Rh(nbd)(?-Cl)}(2)] with K[HB(taz)(2)(pz(Me2))]. Carbonylation of the cod complexes gave a mixture of [Rh(CO)(2)Tx] and [(RhTx)(2)(?-CO)(3)] which reacts with PR(3) to give [Rh(CO)(PR(3))Tx] (R = Cy, NMe(2), Ph, OPh). In the solid state the complexes are square planar with the particular structure dependent on the steric and/or electronic properties of the scorpionate and ancillary ligands. The complex [Rh(cod){HB(taz)(pz)(2)}] has the heteroscorpionate ?(2)[N(2)]-coordinated to rhodium with the B-H bond directed away from the rhodium square plane while [Rh(cod){HB(taz)(2)(pz(Me2))}] is ?(2)[SN]-coordinated, with the B-H bond directed towards the metal. The complexes [Rh(CO)(PPh(3)){HB(taz)(2)(pz)}] and [Rh(CO)(PPh(3)){HB(taz)(2)(pz(Me2))}] are also ?(2)[SN]-coordinated but with the pyrazolyl ring cis to PPh(3); in the former the B-H bond is directed towards rhodium while in the latter the ring is pseudo-parallel to the rhodium square plane, as also found for [Rh(CO)(2){HB(taz)(2)(pz(Me2))}]. The analogues [Rh(CO)(PR(3)){HB(taz)(2)(pz(Me2))}] (R = Cy, NMe(2)) have the phosphines trans to the pyrazolyl ring. Uniquely, [Rh(CO)(PPh(3)){HB(taz)(2)(pz(Ph))}] is ?(2)[S(2)]-coordinated. A qualitative mechanism is given for the rapid ring-exchange, and hence isomerisation, observed in solution. PMID:21038065

Blagg, Robin J; Connelly, Neil G; Haddow, Mairi F; Hamilton, Alex; Lusi, Matteo; Orpen, A Guy; Ridgway, Benjamin M

2010-12-28

394

A systematic review of the effect of primary care-based service innovations on quality and patterns of referral to specialist secondary care.  

PubMed Central

BACKGROUND: Innovations are proliferating at the primary-secondary care interface, affecting referral to secondary care and resource use. Evidence about the range of effects and implications for the healthcare system of different types of innovation have not previously been summarised. AIM: To review the available evidence on initiatives affecting primary care referral to specialist secondary care. SETTING: Studies of primary-secondary care interface. METHOD: Systematic review of trials, using adapted Cochrane Collaboration (effective practice and organisation of care) criteria. Studies from 1980 to 2001 were identified from a wide range of sources. Strict inclusion criteria were applied, and relevant clinical, service and cost data extracted using an agreed protocol. The main outcome measures were referral rates to specialist secondary care. RESULTS: Of the 139 studies initially identified. 34 met the review criteria. An updated search added a further 10 studies. Two studies provided economic analysis only. Referral was not the primary outcome of interest in the majority of included studies. Professional interventions generally had an impact on referral rates consistent with the intended change in clinician behaviour. Similarly, specialist 'outreach' or other primary care-based specialist provider schemes had at least a small effect upon referral rates to secondary care with the direction of effect being that intended or rational from a clinical and sociological perspective. Of the financial interventions, one was aimed primarily at changing the numbers or proportion of referrals from primary to specialist secondary care, and the direction of change was as expected in all cases. The quality of the reporting of the economic components of the 14 studies giving economic data was poor in many cases. When grouped by intervention type, no overall pattern of change in referral costs or total costs emerged. CONCLUSION: The studies identified were extremely diverse in methodology, clinical subject, organisational form, and quality of evidence. The number of good quality evaluations of innovative schemes to enhance the existing capacity of primary care was small, but increasing. Well-evaluated service initiatives in this area should be supported. Organisational innovations in the structure of service provision need not increase total costs to the National Health Service (NHS), even though costs associated with referral may increase. This review provides limited, partial, and conditional support for current primary care-oriented NHS policy developments in the United Kingdom. PMID:14702909

Faulkner, Alex; Mills, Nicola; Bainton, David; Baxter, Kate; Kinnersley, Paul; Peters, Tim J; Sharp, Deborah

2003-01-01

395

Impact of community-based support services on antiretroviral treatment programme delivery and outcomes in resource-limited countries: a synthetic review  

PubMed Central

Background Task-shifting to lay community health providers is increasingly suggested as a potential strategy to overcome the barriers to sustainable antiretroviral treatment (ART) scale-up in high-HIV-prevalence, resource-limited settings. The dearth of systematic scientific evidence on the contributory role and function of these forms of community mobilisation has rendered a formal evaluation of the published results of existing community support programmes a research priority. Methods We reviewed the relevant published work for the period from November 2003 to December 2011 in accordance with the guidelines for a synthetic review. ISI Web of Knowledge, Science Direct, BioMed Central, OVID Medline, PubMed, Social Services Abstracts, and Sociological Abstracts and a number of relevant websites were searched. Results The reviewed literature reported an unambiguous positive impact of community support on a wide range of aspects, including access, coverage, adherence, virological and immunological outcomes, patient retention and survival. Looking at the mechanisms through which community support can impact ART programmes, the review indicates that community support initiatives are a promising strategy to address five often cited challenges to ART scale-up, namely (1) the lack of integration of ART services into the general health system; (2) the growing need for comprehensive care, (3) patient empowerment, (4) and defaulter tracing; and (5) the crippling shortage in human resources for health. The literature indicates that by linking HIV/AIDS-care to other primary health care programmes, by providing psychosocial care in addition to the technical-medical care from nurses and doctors, by empowering patients towards self-management and by tracing defaulters, well-organised community support initiatives are a vital part of any sustainable public-sector ART programme. Conclusions The review demonstrates that community support initiatives are a potentially effective strategy to address the growing shortage of health workers, and to broaden care to accommodate the needs associated with chronic HIV/AIDS. The existing evidence suggests that community support programmes, although not necessarily cheap or easy, remain a good investment to improve coverage of communities with much needed health services, such as ART. For this reason, health policy makers, managers, and providers must acknowledge and strengthen the role of community support in the fight against HIV/AIDS. PMID:22776682

2012-01-01

396

Chemiluminescence detection with water-soluble iridium(III) complexes containing a sulfonate-functionalised ancillary ligand.  

PubMed

The chemiluminescence from four cyclometalated iridium(III) complexes containing an ancillary bathophenanthroline-disulfonate ligand exhibited a wide range of emission colours (green to red), and in some cases intensities that are far greater than the commonly employed benchmark reagent, [Ru(bpy)3](2+). A similar complex incorporating a sulfonated triazolylpyridine-based ligand enabled the emission to be shifted into the blue region of the spectrum, but the responses with this complex were relatively poor. DFT calculations of electronic structure and emission spectra support the experimental findings. PMID:25271898

Truong, Josephine; Spilstead, Kara B; Barbante, Gregory J; Doeven, Egan H; Wilson, David J D; Barnett, Neil W; Henderson, Luke C; Altimari, Jarrad M; Hockey, Samantha C; Zhou, Ming; Francis, Paul S

2014-11-21

397

77 FR 37908 - Federal Supply Service; Submission for OMB Review; Standard Form (SF) 123, Transfer Order-Surplus...  

Federal Register 2010, 2011, 2012, 2013, 2014

...Submission for OMB Review; Standard Form (SF) 123, Transfer Order--Surplus Personal Property...requirement regarding Standard Form (SF) 123, transfer order-surplus personal property...Collection 3090- 0014, Standard Form (SF) 123, Transfer Order--Surplus Personal...

2012-06-25

398

Review of SISA Student Dissertations on Library and Information Systems and Services in Eastern and Southern Africa.  

ERIC Educational Resources Information Center

Analyzes student dissertations at the School of Information Studies for Africa (SISA) at Addis Ababa University (Ethiopia) in order to present an overview of the library and information systems and services available in seven eastern and southern African countries: Ethiopia, Kenya, Malawi, Sudan, Tanzania, Uganda, and Zambia. (Author/LRW)

Chowdhury, G. G.; Tadesse, Taye T.

1995-01-01

399

The utilisation of mental health services by children and young people from a refugee background: a systematic literature review  

Microsoft Academic Search

People from refugee background are known to be vulnerable to the development of mental health problems and to suicide because of the pre-migration events they have experienced and the difficulties associated with moving from their homeland to a usually different society. Concerns have been expressed that, in spite of this, young refugees' rates of contact with mental-health services are substantially

Erminia Colucci; Josef Szwarc; Harry Minas; Georgia Paxton; Carmel Guerra

2012-01-01

400

A Review of the Major Issues and Problems of Welfare Reform; A Background Paper Developed for the Community Services Administration.  

ERIC Educational Resources Information Center

This background paper was developed for the Community Services Administration (CSA) in order to provide background information concerning welfare reform. It examines possible public assistance strategies, such as the following: (1) broad-based cash transfer (negative income tax, wage rate subsidies, demogrants, and family allowances), (2)…

Technical Assistance Research Programs, Inc., Washington, DC.

401

On combining multi-normalization and ancillary measures for the optimal score level fusion of fingerprint and voice biometrics  

NASA Astrophysics Data System (ADS)

In this paper, we have considered the utility of multi-normalization and ancillary measures, for the optimal score level fusion of fingerprint and voice biometrics. An efficient matching score preprocessing technique based on multi-normalization is employed for improving the performance of the multimodal system, under various noise conditions. Ancillary measures derived from the feature space and the score space are used in addition to the matching score vectors, for weighing the modalities, based on their relative degradation. Reliability (dispersion) and the separability (inter-/intra-class distance and d-prime statistics) measures under various noise conditions are estimated from the individual modalities, during the training/validation stage. The `best integration weights' are then computed by algebraically combining these measures using the weighted sum rule. The computed integration weights are then optimized against the recognition accuracy using techniques such as grid search, genetic algorithm and particle swarm optimization. The experimental results show that, the proposed biometric solution leads to considerable improvement in the recognition performance even under low signal-to-noise ratio (SNR) conditions and reduces the false acceptance rate (FAR) and false rejection rate (FRR), making the system useful for security as well as forensic applications.

Mohammed Anzar, Sharafudeen Thaha; Sathidevi, Puthumangalathu Savithri

2014-12-01

402

Photocatalytic Conversion of CO2 to CO using Rhenium Bipyridine Platforms Containing Ancillary Phenyl or BODIPY Moieties.  

PubMed

Harnessing of solar energy to drive the reduction of carbon dioxide to fuels requires the development of efficient catalysts that absorb sunlight. In this work, we detail the synthesis, electrochemistry and photophysical properties of a set of homologous fac-Re(I)(CO)3 complexes containing either an ancillary phenyl (8) or BODIPY (12) substituent. These studies demonstrate that both the electronic properties of the rhenium center and BODIPY chromophore are maintained for these complexes. Photolysis studies demonstrate that both assemblies 8 and 12 are competent catalysts for the photochemical reduction of CO2 to CO in DMF using triethanolamine (TEOA) as a sacrificial reductant. Both compounds 8 and 12 display TOFs for photocatalytic CO production upon irradiation with light (?ex ? 400 nm) of ~5 hr(-1) with TON values of approximately 20. Although structural and photophysical measurements demonstrate that electronic coupling between the BODIPY and fac-Re(I)(CO)3 units is limited for complex 12, this work clearly shows that the photoactive BODIPY moiety is tolerated during catalysis and does not interfere with the observed photochemistry. When taken together, these results provide a clear roadmap for the development of advanced rhenium bipyridine complexes bearing ancillary BODIPY groups for the efficient photocatalytic reduction of CO2 using visible light. PMID:24015374

Andrade, Gabriel A; Pistner, Allen J; Yap, Glenn P A; Lutterman, Daniel A; Rosenthal, Joel

2013-08-01

403

Use of GIS and ancillary variables to predict volatile organic compound and nitrogen dioxide levels at unmonitored locations  

NASA Astrophysics Data System (ADS)

In late 1999, passive air sampling of nitrogen dioxide (NO 2) and volatile organic compounds was conducted at 22 school locations and two intensive sites in El Paso, Texas. Our goal was to predict concentrations of NO 2 and benzene, toluene, ethylbenzene, o-xylene, and m, p-xylene at a total of 55 schools. The predictive equations were developed by regressing the passive monitor measurements at the 22 monitored schools on land-use variables derived from a geographic information system (GIS). These GIS-based ancillary variables included distance to the nearest border crossing, elevation, population density, distance to roads with specified traffic volumes, traffic intensity around the schools, and distance to the nearest petroleum facility. The reliability of the predictive equations was assessed at the two intensive monitoring sites. For all pollutants, the most useful predictive ancillary variables were elevation, population density, distance to a border crossing, and distance to a petroleum facility. For estimating NO 2, traffic intensity was also important.

Smith, Luther; Mukerjee, Shaibal; Gonzales, Melissa; Stallings, Casson; Neas, Lucas; Norris, Gary; Özkaynak, Halűk

404

Photocatalytic Conversion of CO2 to CO using Rhenium Bipyridine Platforms Containing Ancillary Phenyl or BODIPY Moieties  

PubMed Central

Harnessing of solar energy to drive the reduction of carbon dioxide to fuels requires the development of efficient catalysts that absorb sunlight. In this work, we detail the synthesis, electrochemistry and photophysical properties of a set of homologous fac-ReI(CO)3 complexes containing either an ancillary phenyl (8) or BODIPY (12) substituent. These studies demonstrate that both the electronic properties of the rhenium center and BODIPY chromophore are maintained for these complexes. Photolysis studies demonstrate that both assemblies 8 and 12 are competent catalysts for the photochemical reduction of CO2 to CO in DMF using triethanolamine (TEOA) as a sacrificial reductant. Both compounds 8 and 12 display TOFs for photocatalytic CO production upon irradiation with light (?ex ? 400 nm) of ~5 hr?1 with TON values of approximately 20. Although structural and photophysical measurements demonstrate that electronic coupling between the BODIPY and fac-ReI(CO)3 units is limited for complex 12, this work clearly shows that the photoactive BODIPY moiety is tolerated during catalysis and does not interfere with the observed photochemistry. When taken together, these results provide a clear roadmap for the development of advanced rhenium bipyridine complexes bearing ancillary BODIPY groups for the efficient photocatalytic reduction of CO2 using visible light. PMID:24015374

Andrade, Gabriel A.; Pistner, Allen J.; Yap, Glenn P.A.; Lutterman, Daniel A.; Rosenthal, Joel

2013-01-01

405

Transportation vulnerability as a barrier to service utilization for HIV-positive individuals.  

PubMed

Research suggests that transportation vulnerability can negatively impact adherence to HIV-related medical treatment. Moreover, transportation can be a barrier to accessing ancillary services which can increase positive health outcomes for HIV-positive individuals. This study examines transportation vulnerability and its impact on HIV-related health and ancillary service utilization in the Mid-South Region. Focus groups and interviews were conducted with service providers and HIV-positive individuals, and survey data were collected from HIV-positive individuals (N=309) using the five A's of access to frame transportation vulnerability: availability, accessibility, accommodation, affordability, and acceptability. Study results indicate that transportation vulnerability can present significant barriers to service utilization for HIV-positive individuals, including insufficient transportation infrastructure, incompatible fit between transportation and health systems, and insensitivity to privacy issues. One consequence of transportation vulnerability is reliance upon weaving together multiple modes of transport to access care and ancillary services, creating additional barriers to service utilization and medical adherence. The research team recommends more investment in public transit systems, expanded services, and innovative approaches to solving procedural problems. PMID:23876086

Sagrestano, Lynda M; Clay, Joy; Finerman, Ruthbeth; Gooch, Jennifer; Rapino, Melanie

2014-01-01

406

The Contribution of Sexual and Reproductive Health Services to the Fight against HIV\\/AIDS: A Review  

Microsoft Academic Search

Approximately 80% of HIV cases are transmitted sexually and a further 10% perinatally or during breastfeeding. Hence, the health sector has looked to sexual and reproductive health programmes for leadership and guidance in providing information and counselling to prevent these forms of transmission, and more recently to undertake some aspects of treatment. This paper reviews and assesses the contributions made

Ian Askew; Marge Berer

2003-01-01

407

How Western Does Business: An Explanation of Western's Products and Services  

SciTech Connect

The mission of the Western Area Power Administration is to market and deliver reliable, renewable, cost-based hydroelectric power and related services. This guide provides an overview of Western’s history and how Western carries out that mission and provides electrical, transmission and ancillary services. It also discusses how we develop plans for marketing our most valuable resources—long-term firm capacity and energy.

none,

2012-10-01

408

Can working with the private for-profit sector improve utilization of quality health services by the poor? A systematic review of the literature  

PubMed Central

Background There has been a growing interest in the role of the private for-profit sector in health service provision in low- and middle-income countries. The private sector represents an important source of care for all socioeconomic groups, including the poorest and substantial concerns have been raised about the quality of care it provides. Interventions have been developed to address these technical failures and simultaneously take advantage of the potential for involving private providers to achieve public health goals. Limited information is available on the extent to which these interventions have successfully expanded access to quality health services for poor and disadvantaged populations. This paper addresses this knowledge gap by presenting the results of a systematic literature review on the effectiveness of working with private for-profit providers to reach the poor. Methods The search topic of the systematic literature review was the effectiveness of interventions working with the private for-profit sector to improve utilization of quality health services by the poor. Interventions included social marketing, use of vouchers, pre-packaging of drugs, franchising, training, regulation, accreditation and contracting-out. The search for published literature used a series of electronic databases including PubMed, Popline, HMIC and CabHealth Global Health. The search for grey and unpublished literature used documents available on the World Wide Web. We focused on studies which evaluated the impact of interventions on utilization and/or quality of services and which provided information on the socioeconomic status of the beneficiary populations. Results A total of 2483 references were retrieved, of which 52 qualified as impact evaluations. Data were available on the average socioeconomic status of recipient communities for 5 interventions, and on the distribution of benefits across socioeconomic groups for 5 interventions. Conclusion Few studies provided evidence on the impact of private sector interventions on quality and/or utilization of care by the poor. It was, however, evident that many interventions have worked successfully in poor communities and positive equity impacts can be inferred from interventions that work with types of providers predominantly used by poor people. Better evidence of the equity impact of interventions working with the private sector is needed for more robust conclusions to be drawn. PMID:17988396

Patouillard, Edith; Goodman, Catherine A; Hanson, Kara G; Mills, Anne J

2007-01-01

409

Human factors engineering control-room-design review/audit report: Palo Verde Nuclear Generating Station, Arizona Public Service Company  

SciTech Connect

A human factors engineering design review of the Palo Verde control room simulator was performed at the site on September 15 through September 17, 1981. Observed human factors design discrepancies were given priority ratings. This report summarizes the team's observations of the control room design and layout and of the control room operators' interface with the control room environment. A list of the human factors strengths observed in the Palo Verde control room simulator is given.

Savage, J.W.; Lappa, D.A.

1981-10-09

410

[Hospital-at-home in older patients: A scoping review on opportunities of developing Comprehensive Geriatric Assessment based services.  

PubMed

This scoping review focused on the opportunity of developing new hospital-at-home schemes in our health systems adapted to older patients with complex conditions due to acute illness. A review was conducted on articles including, randomized controlled trials, systematic reviews and meta-analysis in PubMed and Cochrane Library, from January 1990 to July 2013. Search terms were: hospital-at-home, Early Supported Discharge, hospital in the home and home hospitalization. An analysis was performed to include: the intervention model (admission avoidance or early discharge), age, diagnosis, main inclusion criteria and intervention characteristics (disciplines involved, duration of intervention, main outcomes and objectives). It is concluded that there are several models of hospital-at-home care, with favorable clinical outcomes. The majority of teams in our country focused on acute health care in the less elderly with chronic diseases. Other schemes based on comprehensive geriatric assessment and interdisciplinary teams specialized in complex interventions are also highlighted. The development of comprehensive geriatric assessment based hospital-at-home care by teams led by geriatricians is an opportunity to develop alternatives to conventional hospitalization interventions tailored to older patients. PMID:24948521

Mas, Miquel Ŕngel; Santaeugčnia, Sebastiŕ

2014-06-16

411

Rare earth metal bis(alkyl) complexes bearing a monodentate arylamido ancillary ligand: Synthesis, structure, and Olefin polymerization catalysis  

Microsoft Academic Search

The reaction of Ln(CH2SiMe3)3(thf)2 with 1 equiv. of the amine ligand 2,6-iPr2C6H3NH(SiMe3) gave the corresponding amido-ligated rare earth metal bis(alkyl) complexes [2,6-iPr2C6H3N(SiMe3)]Ln(CH2SiMe3)2(thf) (Ln=Sc (1), Y (2), Ho (3), Lu (4)), which represent rare examples of bis(alkyl) rare earth metal complexes bearing a monodentate anionic ancillary ligand. In the case of Gd, a similar reaction gave the bimetallic complex Gd2(?-CH2SiMe2NC6H3iPr2-2,6)3(thf)3 (5)

Yunjie Luo; Masayoshi Nishiura; Zhaomin Hou

2007-01-01

412

Macular Pigment Imaging in AREDS2 Participants: An Ancillary Study of AREDS2 Subjects Enrolled at the Moran Eye Center  

PubMed Central

Purpose. Age-Related Eye Disease Study 2 (AREDS2) is a randomized, placebo-controlled study designed to determine whether supplementation with 10 mg of lutein and 2 mg of zeaxanthin per day can slow the rate of progression of age-related macular degeneration (AMD). Although some biomarkers of response to carotenoid supplementation such as serum concentrations are part of the AREDS2 protocol, measurement of carotenoid concentrations in the eye and other tissues is not. In this approved ancillary study, macular pigment optical density (MPOD), macular pigment distributions, and skin carotenoid levels at enrollment and at each annual visit were measured to assess baseline carotenoid status and to monitor response to assigned interventions. Methods. All subjects enrolled at the Moran Eye Center had MPOD and macular pigment spatial distributions measured by dual-wavelength autofluorescence imaging and total skin carotenoids measured by resonance Raman spectroscopy. Results. Baseline MPOD in enrolled subjects was unusually high relative to an age-matched control group that did not consume carotenoid supplements regularly, consistent with the high rate of habitual lutein and zeaxanthin consumption in Utah AREDS2 subjects prior to enrollment. MPOD did not correlate with serum or skin carotenoid measurements. Conclusions. Useful information is provided through this ancillary study on the ocular carotenoid status of AREDS2 participants in the target tissue of lutein and zeaxanthin supplementation: The macula. When treatment assignments are unmasked at the conclusion of the study, unique tissue-based insights will be provided on the progression of AMD in response to long-term, high-dose carotenoid supplementation versus diet alone. (ClinicalTrials.gov number, NCT00345176.) PMID:22879423

Bernstein, Paul S.; Ahmed, Faisal; Liu, Aihua; Allman, Susan; Sheng, Xiaoming; Sharifzadeh, Mohsen; Ermakov, Igor; Gellermann, Werner

2012-01-01

413

Communications and media services  

NASA Technical Reports Server (NTRS)

NASA's internal and external communication methods are reviewed. NASA information services for the media, for the public, and for employees are discussed. Consideration is given to electron information distribution, the NASA TV-audio system, the NASA broadcast news service, astronaut appearances, technology and information exhibits, speaker services, and NASA news reports for internal communications. Also, the NASA worldwide electronic mail network is described and trends for future NASA communications and media services are outlined.

Mcculla, James W.; Kukowski, James F.

1990-01-01

414

Suitability of Miscanthus species for managing inorganic and organic contaminated land and restoring ecosystem services. A review.  

PubMed

The mitigation of potential health hazards and land scarcity due to land use change can be addressed by restoring functional and ecosystem services of contaminated land. Physico-chemical remediation options are criticized as being costly and not providing environment-friendly solutions. The use of plants and associated microorganisms could be a sustainable, cost-effective option to reduce pollutant exposure. Phytomanagement aims at using valuable non-food crops to alleviate environmental and health risks induced by pollutants, and at restoring ecosystem services. Suitable plant species must be tolerant to contaminants, reduce their transfer into the food chain, and efficiently produce marketable biomass. Based on Miscanthus' capacity to sequestrate inorganic contaminants into the root system and to induce dissipation of persistent organic contaminants in soil, these plant species are favorable for phytostabilization and phytodegradation. Among Miscanthus species, the noninvasive hybrid Miscanthus × giganteus, with a high lignocellulosic content, is a promising biomass crop for the bio-economy, notably the biorefinery and bioenergy industries. Planting this species on contaminated and marginal land is a promising option to avoid changes in arable land use to mitigate the food vs. biofuel controversy. Key issues in promoting sustainable management of Miscanthus sp. on contaminated land are: (a) crop suitability, integration, and sustainability in a region with a potential local market; (b) site suitability in relation to the species' requirements and potential, (c) biotic interactions in the landscape diversity; and (d) increase in shoot yields in line with various stressors (e.g., pollutants, drought, cold temperatures), and with minimal inputs. PMID:24905642

Nsanganwimana, Florien; Pourrut, Bertrand; Mench, Michel; Douay, Francis

2014-10-01

415

Analysis of energy use in building services of the industrial sector in California: A literature review and a preliminary characterization  

SciTech Connect

Energy use patterns in many of California's fastest-growing industries are not typical of those in the mix of industries elsewhere in the US. Many California firms operate small and medium-sized facilities, often in buildings used simultaneously or interchangeably for commercial (office, retail, warehouse) and industrial activities. In these industrial subsectors, the energy required for building services'' to provide occupant comfort and necessities (lighting, HVAC, office equipment, computers, etc.) may be at least as important as the more familiar process energy requirements -- especially for electricity and on-peak demand. In this report, published or unpublished information on energy use for building services in the industrial sector have been compiled and analyzed. Seven different sources of information and data relevant to California have been identified. Most of these are studies and/or projects sponsored by the Department of Energy, the California Energy Commission, and local utilities. The objectives of these studies were diverse: most focused on industrial energy use in general, and, in one case, the objective was to analyze energy use in commercial buildings. Only one of these studies focused directly on non-process energy use in industrial buildings. Our analysis of Northern California data for five selected industries shows that the contribution of total electricity consumption for lighting ranges from 9.5% in frozen fruits to 29.1% in instruments; for air-conditioning, it ranges from nonexistent in frozen fruits to 35% in instrument manufacturing. None of the five industries selected had significant electrical space heating. Gas space heating ranges from 5% in motor vehicles facilities to more than 58% in the instrument manufacturing industry. 15 refs., 15 figs., 9 tabs.

Akbari, H.; Borgers, T.; Gadgil, A.; Sezgen, O.

1991-04-01

416

The Impact of Patient Language Proficiency and Interpreter Service Use on the Quality of Psychiatric Care: A Systematic Review  

PubMed Central

Objective To determine the effects of limited English proficiency and use of interpreters on the quality of psychiatric care. Methods A systematic literature search for English-language publications was conducted in PubMed, PsycInfo, and CINAHL and by review of the reference lists of included articles and expert sources. Of 321 citations, 26 peer-reviewed articles met inclusion criteria by reporting primary data on the clinical care for psychiatric disorders among patients with limited proficiency in English or in the providers’ language. Results Little systematic research has addressed the impact of language proficiency or interpreter use on the quality of psychiatric care in contemporary US settings. Therefore, the literature to date is insufficient to inform evidence-based guidelines for improving quality of care among patients with limited English proficiency. Nonetheless, evaluation in a patient’s non-primary language can lead to incomplete or distorted mental status assessment whereas assessments conducted via untrained interpreters may contain interpreting errors. Consequences of interpreter errors include clinicians’ failure to identify disordered thought or delusional content. Use of professional interpreters may improve disclosure and attenuate some difficulties. Diagnostic agreement, collaborative treatment planning, and referral for specialty care may be compromised. Conclusions Clinicians should become aware of the types of quality problems that may occur when evaluating patients in a non-primary language or via an interpreter. Given demographic trends in the US, future research should aim to address the deficit in the evidence base to guide clinical practice and policy. PMID:20675834

Bauer, Amy M.; Alegría, Margarita

2010-01-01

417

Effect of Ancillary Ligand on Electronic Structure as Probed by 51V Solid-State NMR Spectroscopy for Vanadium-o-Dioxolene Complexes  

PubMed Central

A series of vanadium(V) complexes with o-dioxolene (catecholato) ligands and an ancillary ligand, (N-(salicylideneaminato)ethylenediamine) (hensal), were investigated using 51V solid-state magic angle spinning NMR spectroscopy (51V MAS NMR) to assess the local environment of the vanadium(V). The solid-state 51V NMR parameters of vanadium(V) complexes with a related potentially tetradentate ancillary ligand (N-salicylidene-N?-(2-hydroxyethyl)ethylenediamine) (h2shed) were previously shown to be associated with the size of the HOMO-LUMO gap in the complex, and as such provide insights on the interaction between metal ion and ligand (P. B. Chatterjee, et al., Inorg. Chem 50 (2011) 9794). Our results show that the modification of the ancillary ligand does not impact the observed trend between complexes ranging from catechols with electron rich to electron poor substituents. However, the ancillary ligand does impact the size of the HOMO-LUMO separation in the parent complex and thus the solid-state vanadium NMR chemical shift of the unsubstituted vanadium complex. For these complexes significant changes observed in the isotropic shifts and more modest changes detected in the CQ reflect the electronic changes in the complex as the catechol is varied. However, no obvious trend was observed in the chemical shift anisotropies (?? and ??) with the variation in the catechol. The electronic changes in the coordination environment of the vanadium can be described using solid-state 51V NMR spectroscopy. PMID:24353476

Goncharova-Zapata, Olga; Chatterjee, Pabitra B.; Hou, Guangjin; Quinn, Laurence L.; Li, Mingyue; Yehl, Jenna

2013-01-01

418

U.S. GEOLOGICAL SURVEY SEDIMENT AND ANCILLARY DATA ON THE WORLD WIDE WEB Lisa M. Turcios, Student Trainee (Hydrology), and  

E-print Network

U.S. GEOLOGICAL SURVEY SEDIMENT AND ANCILLARY DATA ON THE WORLD WIDE WEB Lisa M. Turcios, Student@usgs.gov. Abstract: A retrieval from the U.S. Geological Survey National Water Information System World Wide Web), peak flow, ground water, and water quality. The National Water Information System on the World Wide Web

Torgersen, Christian

419

Service, services and products: rethinking operations strategy  

Microsoft Academic Search

Purpose – This paper proposes a new approach to operations and supply strategy in the light of recent developments in the analysis of the respective roles of products and services in delivering benefits to customers. Design\\/methodology\\/approach – Reviews and synthesises concepts from operations management (OM), marketing, economics and related areas. Examples of product and service combinations are considered, drawing attention

Martin Spring; Luis Araujo

2009-01-01

420

Re-revisiting Andersen’s Behavioral Model of Health Services Use: a systematic review of studies from 1998–2011  

PubMed Central

Objective: This systematic review aims to assess the use and implementation of the Behavioral Model of Health Services Use developed by Ronald M. Andersen in recent studies explicity using this model. Methods: A systematic search was conducted using PubMed in April 2011. The search strategy aimed to identify all articles in which the Andersen model had been applied and which had been published between 1998 and March 2011 in English or German. The search yielded a total of 328 articles. Two researchers independently reviewed the retrieved articles for possible inclusion using a three-step selection process (1. title/author, 2. abstract, 3. full text) with pre-defined inclusion and exclusion criteria for each step. 16 studies met all of the inclusion criteria and were used for analysis. A data extraction form was developed to collect information from articles on 17 categories including author, title, population description, aim of the study, methodological approach, use of the Andersen model, applied model version, and main results. The data collected were collated into six main categories and are presented accordingly. Results: Andersen’s Behavioral Model (BM) has been used extensively in studies investigating the use of health services. The studies identified for this review showed that the model has been used in several areas of the health care system and in relation to very different diseases. The 1995 version of the BM was the version most frequently applied in the studies. However, the studies showed substantial differences in the variables used. The majority of the reviewed studies included age (N=15), marital status (N=13), gender/sex (N=12), education (N=11), and ethnicity (N=10) as predisposing factors and income/financial situation (N=10), health insurance (N=9), and having a usual source of care/family doctor (N=9) as enabling factors. As need factors, most of the studies included evaluated health status (N=13) and self-reported/perceived health (N=9) as well as a very wide variety of diseases. Although associations were found between the main factors examined in the studies and the utilization of health care, there was a lack of consistency in these findings. The context of the studies reviewed and the characteristics of the study populations seemed to have a strong impact on the existence, strength and direction of these associations. Conclusions: Although the frequently used BM was explicitly employed as the theoretical background for the reviewed studies, their operationalizations of the model revealed that only a small common set of variables was used and that there were huge variations in the way these variables were categorized, especially as it concerns predisposing and enabling factors. This may stem from the secondary data sets used in the majority of the studies, which limited the variables available for study. Primary studies are urgently needed to enrich our understanding of health care utilization and the complexity of the processes shown in the BM. PMID:23133505

Babitsch, Birgit; Gohl, Daniela; von Lengerke, Thomas

2012-01-01

421

Narrative reviews  

PubMed Central

Although qualitative researches (QR) are invaluable in understanding complex healthcare situations, the quantitative systematic reviews could not treat them. To improve quality of healthcare services, results of QR should be considered in healthcare decision-making processes. Several methods and theories for synthesizing evidences of QR have been developed. In order to activate the narrative reviews and mixed methods reviews in Korean healthcare academies, I arranged the related nomenclatures and suggested some issues to conduct them. PMID:25223334

Bae, Jong-Myon

2014-01-01

422

UNIVERSITY SERVICES SERVICE CATALOGUE  

E-print Network

D. UPRINT COPIER SERVICES (DEPARTMENTAL AND PUBLIC).................. 11 E. TRAVEL AND HOTEL ....................................................................................................... 16 F. SUSTAINABILITY

Barthelat, Francois

423

SYNTHESIS OF EXISTING INFORMATION ON MEADOW JUMPING MICE (ZAPUS HUDSONIUS) IN THE NORTHERN GREAT PLAINS An information review compiled for the U.S. Fish and Wildlife Service, Region 6, Denver, Colorado  

Microsoft Academic Search

New evidence indicates that a subspecies of meadow jumping mouse occurring in Colorado and Wyoming (Zapus hudsonius preblei) that is listed as threatened under the Endangered Species Act may be genetically indistinguishable from another subspecies that occurs in the Black Hills and Bear Lodge Mountains to the north. This review was undertaken to provide the U.S. Fish & Wildlife Service

Paul M. Cryan

424

Cysteine cathepsins and cystatins: from ancillary tasks to prominent status in lung diseases.  

PubMed

Abstract Human cysteine cathepsins (family C1, clan CA) have long been regarded as ubiquitous household enzymes, primarily involved in the recycling and degradation of proteins in lysosomes. This opinion has changed considerably during recent decades, however, with the demonstration of their involvement in various physiological processes. A growing body of evidence supports the theory that cathepsins play specific functions in lung homeostasis and pathophysiological events such as asthma, lung fibrosis (including idiopathic pulmonary fibrosis), chronic obstructive pulmonary disease (embracing emphysema and chronic bronchitis), silicosis, bronchopulmonary dysplasia or tumor invasion. The objective of this review is to provide an update on the current knowledge of the role of these enzymes in the lung. Particular attention has been paid to the understanding of the role of these proteases and their natural inhibitors, cystatins (family I25, clan IH), in TGF-?1-driven fibrotic processes with an emphasis on lung fibrosis. PMID:25178906

Lalmanach, Gilles; Saidi, Ahlame; Marchand-Adam, Sylvain; Lecaille, Fabien; Kasabova, Mariana

2015-02-01

425

Ancillary Care in South African HIV Vaccine Trials: Addressing Needs, Drafting Protocols, and Engaging Community  

PubMed Central

There has been debate about sponsor-investigator ethical responsibilities to address participants’ medical needs in trials in resource-constrained contexts. Certain ethical guidelines make detailed recommendations. This study explored whether ethical guideline recommendations for care in HIV vaccine trials were being met, and whether stakeholders were facing difficulties addressed by guidelines. It sampled key stakeholders involved in two trials across five sites in South Africa, and reviewed relevant documentation. It concluded that sites were largely meeting guideline recommendations for addressing needs, with some exceeding these. Recommendations for writing protocols were only partially achieved. Recommendations for engaging participating community were mostly met, except for “moral negotiation” recommendations. Suggestions are made to strengthen practices, and to improve guidelines so they address empirical concerns. PMID:24572086

Slack, Catherine M.

2014-01-01

426

75 FR 44760 - Export Trade Certificate of Review  

Federal Register 2010, 2011, 2012, 2013, 2014

...Review to Saintilien Enterprise Inc., doing business as Saintilien Global Services (``SGS'') (Application ...Review to Saintilien Enterprise Inc., doing business as Saintilien Global Services (``SGS''). This notice...

2010-07-29

427

Benchmarking mechanical ventilation services in teaching hospitals.  

PubMed

The purpose of this investigation was to examine the technical efficiency of mechanical ventilation nonsurgery (DRG 475) among University Hospital Consortium (UHC) hospitals that consists of volunteer, teaching hospitals across the nation. The data for this study was retrieved from the 1997 UHC database that includes charge and discharge information for 69 hospitals. Data on 7961 patients classified with mechanical ventilation were aggregated to the hospital level. We retained data from a total of 62 hospitals, the other seven hospitals had missing data. The research questions were (1) Do UHC hospitals differ significantly in their efficiencies in the treatment of mechanically ventilated patients? (2) What inputs and outputs contribute most to the inefficiencies associated with mechanical ventilation? Of the 62 hospitals analyzed using data envelopment analysis technique, 10 were considered efficient and 52 were inefficient as compared to their benchmark peers. Efficient and inefficient hospitals did significantly differ between the transferred output variable and between the respiratory, laboratory, and radiology input variables. All inputs demonstrated excessive resource utilization among inefficient hospitals as compared to efficient hospitals. A total reduction of about $19 million dollars in ancillary services would need to occur for inefficient hospitals to approach the frontier of efficient hospitals. This study demonstrates that mechanical ventilation is costly, yet the specified ancillary services are capable of being reduced yielding technical efficiency as demonstrated by 10 efficient hospitals. PMID:12018609

O'Neal, Pamela V; Ozcan, Yasar A; Ma, Yanqiang

2002-06-01

428

Personal Services Agreements Waivers  

E-print Network

mapping, reviewing, surveying, and data collection for which CSM does not have staff qualified to perform; additionally, judges need to be independent and impartial. 3. Software Maintenance: Include the services

429

The health care burden of high grade chronic obstructive pulmonary disease in Korea: analysis of the Korean Health Insurance Review and Assessment Service data  

PubMed Central

Background Patients with high grade chronic pulmonary obstructive disease (COPD) account for much of the COPD-related mortality and incur excessive financial burdens and medical care utilization. We aimed to determine the characteristics and medical care use of such patients using nationwide data from the Korean Health Insurance Review and Assessment Service in 2009. Materials and methods Patients with COPD were identified by searching with the International Classification of Diseases–10th Revision for those using medication. Patients with high grade COPD were selected based on their patterns of tertiary institute visits and medication use. Results The numbers of patients with high grade COPD increased rapidly in Korea during the study period, and they showed a high prevalence of comorbid disease. The total medical costs were over three times higher in patients with high grade COPD compared with those without it ($3,744 versus $1,183; P < 0.001). Medication costs comprised the largest portion of medical cost, but most impact came from hospitalization and exacerbation in both groups of patients. COPD grade and hospitalization in the previous year were the major factors affecting medical costs and days of utilizing health care resources. Conclusion Patients with high grade COPD impose a high economic burden on the health care system in Korea. Prevention of progression to high grade COPD is important, both clinically and economically. PMID:24277985

Kim, JinHee; Rhee, Chin Kook; Yoo, Kwang Ha; Kim, Young Sam; Lee, Sei Won; Park, Yong Bum; Lee, Jin Hwa; Oh, YeonMok; Lee, Sang Do; Kim, Yuri; Kim, KyungJoo; Yoon, HyoungKyu

2013-01-01

430

Reducing costs of managing and accessing navigation and ancillary data by relying on the extensive capabilities of NASA's spice system  

NASA Technical Reports Server (NTRS)

The SPICE system of navigation and ancillary data possesses a number of traits that make its use in modern space missions of all types highly cost efficient. The core of the system is a software library providing API interfaces for storing and retrieving such data as trajectories, orientations, time conversions, and instrument geometry parameters. Applications used at any stage of a mission life cycle can call SPICE APIs to access this data and compute geometric quantities required for observation planning, engineering assessment and science data analysis. SPICE is implemented in three different languages, supported on 20+ computer environments, and distributed with complete source code and documentation. It includes capabilities that are extensively tested by everyday use in many active projects and are applicable to all types of space missions - flyby, orbiters, observatories, landers and rovers. While a customer's initial SPICE adaptation for the first mission or experiment requires a modest effort, this initial effort pays off because adaptation for subsequent missions/experiments is just a small fraction of the initial investment, with the majority of tools based on SPICE requiring no or very minor changes.

Semenov, Boris V.; Acton, Charles H., Jr.; Bachman, Nathaniel J.; Elson, Lee S.; Wright, Edward D.

2005-01-01

431

A quantum algorithm for obtaining the lowest eigenstate of a Hamiltonian assisted with an ancillary qubit system  

NASA Astrophysics Data System (ADS)

We propose a quantum algorithm to obtain the lowest eigenstate of any Hamiltonian simulated by a quantum computer. The proposed algorithm begins with an arbitrary initial state of the simulated system. A finite series of transforms is iteratively applied to the initial state assisted with an ancillary qubit. The fraction of the lowest eigenstate in the initial state is then amplified up to 1. We prove that our algorithm can faithfully work for any arbitrary Hamiltonian in the theoretical analysis. Numerical analyses are also carried out. We firstly provide a numerical proof-of-principle demonstration with a simple Hamiltonian in order to compare our scheme with the so-called "Demon-like algorithmic cooling (DLAC)", recently proposed in Xu (Nat Photonics 8:113, 2014). The result shows a good agreement with our theoretical analysis, exhibiting the comparable behavior to the best `cooling' with the DLAC method. We then consider a random Hamiltonian model for further analysis of our algorithm. By numerical simulations, we show that the total number of iterations is proportional to , where is the difference between the two lowest eigenvalues and is an error defined as the probability that the finally obtained system state is in an unexpected (i.e., not the lowest) eigenstate.

Bang, Jeongho; Lee, Seung-Woo; Lee, Chang-Woo; Jeong, Hyunseok

2015-01-01

432

Monte-Carlo Simulator and Ancillary Response Generator of Suzaku XRT/XIS System for Spatially Extended Source Analysis  

E-print Network

We have developed a framework for the Monte-Carlo simulation of the X-Ray Telescopes (XRT) and the X-ray Imaging Spectrometers (XIS) onboard Suzaku, mainly for the scientific analysis of spatially and spectroscopically complex celestial sources. A photon-by-photon instrumental simulator is built on the ANL platform, which has been successfully used in ASCA data analysis. The simulator has a modular structure, in which the XRT simulation is based on a ray-tracing library, while the XIS simulation utilizes a spectral "Redistribution Matrix File" (RMF), generated separately by other tools. Instrumental characteristics and calibration results, e.g., XRT geometry, reflectivity, mutual alignments, thermal shield transmission, build-up of the contamination on the XIS optical blocking filters (OBF), are incorporated as completely as possible. Most of this information is available in the form of the FITS (Flexible Image Transport System) files in the standard calibration database (CALDB). This simulator can also be utilized to generate an "Ancillary Response File" (ARF), which describes the XRT response and the amount of OBF contamination. The ARF is dependent on the spatial distribution of the celestial target and the photon accumulation region on the detector, as well as observing conditions such as the observation date and satellite attitude. We describe principles of the simulator and the ARF generator, and demonstrate their performance in comparison with in-flight data.

Y. Ishisaki; Y. Maeda; R. Fujimoto; M. Ozaki; K. Ebisawa; T. Takahashi; Y. Ueda; Y. Ogasaka; A. Ptak; K. Mukai; K. Hamaguchi; M. Hirayama; T. Kotani; H. Kubo; R. Shibata; M. Ebara; A. Furuzawa; R. Iizuka; H. Inoue; H. Mori; S. Okada; Y. Yokoyama; H. Matsumoto; H. Nakajima; H. Yamaguchi; N. Anabuki; N. Tawa; M. Nagai; S. Katsuda; K. Hayashida; A. Bamba; E. D. Miller; K. Sato; N. Y. Yamasaki

2006-10-04

433

Antecedents of Team Creativity and the Mediating Effect of Knowledge Sharing: Bayesian Network Approach to PLS Modeling as an Ancillary Role  

Microsoft Academic Search

\\u000a Central points of this paper are placed on team creativity and Bayesian network approach as an assistant means. Above all,\\u000a we seek to intensify our PLS model by using Bayesian network (BN) approach as an ancillary role. Beyond managers’ control,\\u000a we emphasize a voluntarily and informally emergent structure and introduce a social network perspective within team creativity.\\u000a In this sense,

Kun Chang Lee; Dae Sung Lee; Young Wook Seo; Nam Young Jo

2011-01-01

434

Cost and Cost-Effectiveness of Treating Smear-Positive Tuberculosis by Health Extension Workers in Ethiopia: An Ancillary Cost-Effectiveness Analysis of Community Randomized Trial  

Microsoft Academic Search

BackgroundEvidence for policy- and decision-making related to the cost of delivering tuberculosis (TB) control is lacking in Ethiopia. We aimed to determine the cost and cost-effectiveness of involving health extension workers (HEWs) in TB treatment under a community-based initiative in Ethiopia. This paper presents an ancillary cost-effectiveness analysis of data from a RCT, from which the main outcomes have already

Daniel G. Datiko; Bernt Lindtjřrn; J. Jaime Miranda

2010-01-01

435

Economic and social factors are some of the most common barriers preventing women from accessing maternal and newborn child health (MNCH) and prevention of mother-to-child transmission (PMTCT) services: a literature review.  

PubMed

Support to health programming has increasingly placed an emphasis on health systems strengthening. Integration of prevention of mother-to-child transmission (PMTCT) and maternal and newborn child health (MNCH) services has been one of the areas where there has been a shift from a siloed to a more integrated approach. The scale-up of anti-retroviral therapy has made services increasingly available while also bringing them closer to those in need. However, addressing supply side issues around the availability and quality of care at the health centre level alone cannot guarantee better results without a more explicit focus on access issues. Access to PMTCT care and treatment services is affected by a number of barriers which influence decisions of women to seek care. This paper reviews published qualitative and quantitative studies that look at demand side barriers to PMTCT services and proposes a categorisation of these barriers. It notes that access to PMTCT services as well as eventual uptake and retention in PMTCT care starts with access to MNCH in general. While poverty often prevents women, regardless of HIV status, from accessing MNCH services, women living with HIV who are in need of PMTCT services face an additional set of PMTCT barriers. This review proposes four categories of barriers to accessing PMTCT: social norms and knowledge, socioeconomic status, physiological status and psychological conditions. Social norms and knowledge and socioeconomic status stand out. Transport is the most frequently mentioned socioeconomic barrier. With regard to social norms and knowledge, non-disclosure, stigma and partner relations are the most commonly cited barriers. Some studies also cite physiological barriers. Barriers related to social norms and knowledge, socioeconomic status and physiology can all be affected by the mental and psychological state of the individual to create a psychological barrier to access. Increased coverage and uptake of PMTCT services can be achieved if policy makers and programme managers better understand the barriers that may prevent their potential target population from taking up and adhering to their services. The categorisation presented in this review provides further insight into the type of barriers that may exist . PMID:24691921

hIarlaithe, Micheal O; Grede, Nils; de Pee, Saskia; Bloem, Martin

2014-10-01

436

Monitoring US agriculture: the US Department of Agriculture, National Agricultural Statistics Service, Cropland Data Layer Program  

Microsoft Academic Search

The National Agricultural Statistics Service (NASS) of the US Department of Agriculture (USDA) produces the Cropland Data Layer (CDL) product, which is a raster-formatted, geo-referenced, crop-specific, land cover map. CDL program inputs include medium resolution satellite imagery, USDA collected ground truth and other ancillary data, such as the National Land Cover Data set. A decision tree-supervised classification method is used

Claire Boryan; Zhengwei Yang; Rick Mueller; Mike Craig

2011-01-01

437

GFDL Laboratory Review, June 30 July 2, 2009 Service (1f) U.S.DOC/NOAA/OAR/GFDL 6/30/2009 7/2/2009 Page 1  

E-print Network

; Reviewer Leo Donner: Reviewer Anand Gnanadesikan: Reviewer Richard Gudgel: Contributing Author Thomas); Coordinating Lead Author (Chapter 6); Contributing Author; Reviewer; Senate Commerce Committee, Senator J. McCain: Contributing Author M. Daniel Schwarzkopf: Contributing Author Richard Slater: Contributing Author Brian Soden

438

Effect of rapid HIV testing on HIV incidence and services in populations at high risk for HIV exposure: an equity-focused systematic review  

PubMed Central

Objective To assess the effects of rapid voluntary counselling and testing (VCT) for HIV on HIV incidence and uptake of HIV/AIDS services in people at high risk for HIV exposure. Design Cochrane systematic review and meta-analysis. Data sources We searched PubMed, EMBASE, AIDSearch, LILACS, Global Health, Medline Africa, PsychInfo, CINAHL, Cochrane CENTRAL, Cochrane HIV/AIDS Group Specialized Register and grey literature from 1 January 2001 to 5 June 2014 without language restriction. Data selection We included controlled studies that compared rapid VCT with conventional testing among people at risk for HIV exposure. Data extraction Two reviewers extracted data. We used Cochrane risk of bias tool and GRADE criteria: risk of bias, inconsistency, indirectness, imprecision and publication bias. For observational studies we used the Newcastle-Ottawa Scale. We used the PRISMA-Equity reporting guideline. Results From 2441 articles, we included 8 randomised controlled trials and 5 observational studies. Rapid VCT was associated with a threefold increase in HIV-testing uptake (relative risk (RR)=2.95 95% CI 1.69 to 5.16) and a twofold increase in the receipt of test results (RR=2.14, 95% CI 1.08 to 4.24). Women accepted testing more often than men in rapid VCT arm, but no differences in effect for age or socioeconomic status. Observational studies also showed rapid VCT led to higher rates of uptake of testing. Heterogeneity was high. A cluster-randomised trial reported an 11% reduction in HIV incidence in intervention communities (RR=0.89, 95% CI=0.63 to 1.24) over 3?years trial. Conclusions Rapid VCT in health facilities and communities was associated with a large increase in HIV-testing uptake and receipt of results. This has implications for WHO guidelines. The routine use of rapid VCT may also help avoid human rights violations among marginalised populations where testing may occur without informed consent and where existing stigma may create barriers to testing. PMID:25510889

Pottie, Kevin; Medu, Olanrewaju; Welch, Vivian; Dahal, Govinda P; Tyndall, Mark; Rader, Tamara; Wells, George

2014-01-01

439

The Effectiveness of Mobile-Health Technologies to Improve Health Care Service Delivery Processes: A Systematic Review and Meta-Analysis  

PubMed Central

Background Mobile health interventions could have beneficial effects on health care delivery processes. We aimed to conduct a systematic review of controlled trials of mobile technology interventions to improve health care delivery processes. Methods and Findings We searched for all controlled trials of mobile technology based health interventions using MEDLINE, EMBASE, PsycINFO, Global Health, Web of Science, Cochrane Library, UK NHS HTA (Jan 1990–Sept 2010). Two authors independently extracted data on allocation concealment, allocation sequence, blinding, completeness of follow-up, and measures of effect. We calculated effect estimates and we used random effects meta-analysis to give pooled estimates. We identified 42 trials. None of the trials had low risk of bias. Seven trials of health care provider support reported 25 outcomes regarding appropriate disease management, of which 11 showed statistically significant benefits. One trial reported a statistically significant improvement in nurse/surgeon communication using mobile phones. Two trials reported statistically significant reductions in correct diagnoses using mobile technology photos compared to gold standard. The pooled effect on appointment attendance using text message (short message service or SMS) reminders versus no reminder was increased, with a relative risk (RR) of 1.06 (95% CI 1.05–1.07, I2?=?6%). The pooled effects on the number of cancelled appointments was not significantly increased RR 1.08 (95% CI 0.89–1.30). There was no difference in attendance using SMS reminders versus other reminders (RR 0.98, 95% CI 0.94–1.02, respectively). To address the limitation of the older search, we also reviewed more recent literature. Conclusions The results for health care provider support interventions on diagnosis and management outcomes are generally consistent with modest benefits. Trials using mobile technology-based photos reported reductions in correct diagnoses when compared to the gold standard. SMS appointment reminders have modest benefits and may be appropriate for implementation. High quality trials measuring clinical outcomes are needed. Please see later in the article for the Editors' Summary PMID:23458994

Free, Caroline; Phillips, Gemma; Watson, Louise; Galli, Leandro; Felix, Lambert; Edwards, Phil; Patel, Vikram; Haines, Andy

2013-01-01

440

Four homochiral coordination polymers contain N-acetyl-L-tyrosine and different N-donor ligand: Influence of metal cations, ancillary ligands and coordination modes  

SciTech Connect

Using the chiral ligand N-acetyl-L-tyrosine (Hacty) and maintaining identical reaction conditions, Zn(II), Co(II), and Cd(II) salts provided four novel homochiral coordination polymers ([Zn(acty)(bipy){sub 2}(H{sub 2}O){sub 2}]·NO{sub 3}·2H{sub 2}O){sub n}1, ([Co(acty)(bipy){sub 2}(H{sub 2}O){sub 2}]·NO{sub 3}·2H{sub 2}O){sub n}2, ([Cd(acty){sub 2}(bipy)H{sub 2}O]·H{sub 2}O){sub n}3, and ([Cd(acty)(bpe){sub 2}(Ac)]·6H{sub 2}O){sub n}4 (bipy=4,4?-bipyridine; bpe=1,2-di(4-pyridyl)ethane) in the presence of ancillary ligands. Compounds 1 and 2 are isostructural 1D chain structures. The neighboring chains are further linked into a 3D supramolecular structure via ??? stacking and hydrogen bond interactions. Compound 3 shows a 2D network and 4 generates 1D infinite chains along the c-axis. Compounds 3 and 4 are further connected into 3D supramolecular network by hydrogen bond interactions. More importantly, coordination in acyl oxygen atoms and ancillary ligands (bpe) as monodentate decorating ligands in 4 are rarely reported. Ancillary ligands and metal cations significantly influence the structure of the complexes. The photoluminescence properties of 1, 3, and 4 were studied at room temperature. Circular dichroism (CD) of the complexes have been investigated. - Graphical abstract: Four new homochiral coordination polymers were prepared and structurally characterized, which investigate the influence of the ancillary ligands and metal ions on the design and synthesis of coordination polymers. Display Omitted - Highlights: • It is rarely reported that the chiral coordination polymers prepared with N-acetyl-L-tyrosine ligands. • The alkalescent acetyl oxygen atom is difficult to participate in coordination but it is happened in the N-acetyl-L-tyrosine ligands. • The ancillary ligands (4,4?-bipy and bpe) are present in an unusual coordination modes, monodentate decorating ligands in 1, 2 and 4. • Structure comparative analyses results indicate that the secondary ligands and metal ions influence the fabrication of these inorganic–organic arrangements.

Li, Meng-Li; Song, Hui-Hua, E-mail: flower9486@163.com

2013-10-15

441

Organization of rehabilitation services.  

PubMed

In the past 20 years there have been many changes in the way that neurological rehabilitation is delivered worldwide. This is in part a reflection of improved acute medical therapies and intensive care and also related to the development of a more holistic approach to recovery, embracing the principles of the WHO International Classification of Functioning as a model for rehabilitation. Traditionally, rehabilitation services have tended to develop piecemeal according to local resources and need. By definition such services should be driven by a patient-centered approach and thus there is wide variety in service provision nationally and internationally. This chapter describes the background to current service set-ups and provision, exploring models of rehabilitation delivery and common presentations in neurological rehabilitation. Relevant legislation and guidance documents are reviewed. The text provides an overview of different aspects of rehabilitation services including acute and inpatient provision, outpatient services, community-based rehabilitation, residential facilities, and vocational services. PMID:23312635

Graham, Laura A

2013-01-01

442

Patterns of antipsychotic prescription to patients with schizophrenia in Korea: results from the health insurance review & assessment service-national patient sample.  

PubMed

This study aimed to analyze the patterns of antipsychotic prescription to patients with schizophrenia in Korea. Using the Health Insurance Review & Assessment Service-National Patients Sample (HIRA-NPS), which was a stratified sampling from the entire population under the Korean national health security system (2009), descriptive statistics for the patterns of the monopharmacy and polypharmacy, neuropsychiatric co-medications, and prescribed individual antipsychotic for patients with schizophrenia were performed. Comparisons of socioeconomic and clinical factors were performed among patients prescribed only with first- and second-generation antipsychotics. Of 126,961 patients with schizophrenia (age 18-80 yr), 13,369 were prescribed with antipsychotic monopharmacy and the rest 113,592 with polypharmacy. Two or more antipsychotics were prescribed to 31.34% of the patients. Antiparkinson medications (66.60%), anxiolytics (65.42%), mood stabilizers (36.74%), and antidepressants (25.90%) were co-medicated. Patients who were prescribed only with first-generation antipsychotics (n=26,254) were characterized by significantly older age, greater proportion of male, higher proportion of medicaid, higher total medical cost, lower self-payment cost, and higher co-medication rates of antiparkinson agents and anxiolytics than those who were prescribed only with second-generation antipsychotics (n=67,361). In this study, it has been reported substantial prescription rates of first-generation antipsychotics and antipsychotic polypharmacy and relatively small prescription rate of clozapine to patients with schizophrenia. Since this study has firstly presented the patterns of antipsychotic prescription to schizophrenic patients in Korean national population, the findings of this study can be compared with those of later investigations about this theme. PMID:24851031

Park, Seon-Cheol; Lee, Myung-Soo; Kang, Seung-Gul; Lee, Seung-Hwan

2014-05-01

443

Prevalence of Bovine Tuberculosis in Egyptian Cattle and the Standardization of the Interferon-gamma Assay as an Ancillary Test.  

PubMed

Bovine tuberculosis (bTB) caused primarily by Mycobacterium bovis continues to cause significant losses in the cattle industry and is a major public health problem. Despite its worldwide application, the IFN-? assay has not been applied in Egypt. The aim of this study was to determine the appropriate cut-off value of IFN-? assay to complement the skin test screening in Egypt. The relative sensitivity (Ser ) of PPD and antigen cocktail-based IFN-? assays (IFN-?-BA and IFN-?-EC) was analysed retrospectively, relative to bTB confirmatory tests (culture and PCR), using single cervical tuberculin (SCT) test reactors during 2011-2013. The absolute specificity (Sp) was studied using blood samples collected from cattle from one bTB-free herd. Analysis of the bTB database-generated sheets indicates the infection rate had decreased from 2009 to 2012 and then increased in 2013. The disease is concentrated in the Egyptian Nile Delta and Valley relative to elsewhere in the country. The cut-offs for IFN-?-EC assay could be optimized to provide higher sensitivity, comparable to cut-offs for IFN-?-BA assay. Data analysis suggests (PPDbOD  > 0.1, PPDbOD  - NILOD  > 0.05 and PPDbOD  > PPDaOD ) and (ECOD  - NILOD  ? 0.1) cut-off strategies to get optimal IFN-?-BA and IFN-?-EC assays results respectively. To our knowledge, this is the first report describing the prevalence of bTB in cattle in Egypt and pointing out the appropriate cut-off criteria to optimize IFN-? assay as a routine ancillary test for diagnosis of bTB in Egypt. PMID:25408173

Abdellrazeq, G S; El-Naggar, M M; Osman, H S; Davis, W C; Singh, M

2014-11-19

444

The Millennium Cohort Family Study: a prospective evaluation of the health and well-being of military service members and their families.  

PubMed

The need to understand the impact of war on military families has never been greater than during the past decade, with more than three million military spouses and children affected by deployments to Operations Iraqi Freedom and Enduring Freedom. Understanding the impact of the recent conflicts on families is a national priority, however, most studies have examined spouses and children individually, rather than concurrently as families. The Department of Defense (DoD) has recently initiated the largest study of military families in US military history (the Millennium Cohort Family Study), which includes dyads of military service members and their spouses (n?>?10,000). This study includes US military families across the globe with planned follow-up for 21+ years to evaluate the impact of military experiences on families, including both during and after military service time. This review provides a comprehensive description of this landmark study including details on the research objectives, methodology, survey instrument, ancillary data sets, and analytic plans. The Millennium Cohort Family Study offers a unique opportunity to define the challenges that military families experience, and to advance the understanding of protective and vulnerability factors for designing training and treatment programs that will benefit military families today and into the future. PMID:24912670

Crum-Cianflone, Nancy F; Fairbank, John A; Marmar, Charlie R; Schlenger, William

2014-09-01

445

Semantic Services Distribution Services  

E-print Network

resource DB DB HTTP task planning Execution agent agent query query agent agent broker agent analysis agent Interface Interface Application Data Source Mediator AURORA Homogenization/Integration Service Schema Export Event Notification Service Schema Export #12;RI RH RH RH Application/User W W W OI OH OH OH W W W

Ă?zsu, M. Tamer

446

Student Services Student Services  

E-print Network

faculty to build an environment maximizing student growth and academic success. To achieve these goals in the integration of their academic and personal development through quality programs and services. We believe, safety, academic support services, leadership and civic engagement opportunities, student activities

Collett Jr., Jeffrey L.

447

The US framework for understanding, preventing, and caring for the mental health needs of service members who served in combat in Afghanistan and Iraq: a brief review of the issues and the research  

PubMed Central

This paper reviews the psychological health research conducted in the United States in support of combat veterans from Iraq and Afghanistan, using the Military Psychological Health Research Continuum, which includes foundational science, epidemiology, etiology, prevention and screening, treatment, follow-up care, and services research. The review is limited to those studies involving combat veterans and military families. This review discusses perplexing issues regarding the impact of combat on the mental health of service members such as risk and resilience factors of mental health, biomarkers of posttraumatic stress syndrome (PTSD), mental health training, psychological screening, psychological debriefing, third location decompression, combat and suicide, the usefulness of psychotherapy and drug therapy for treating PTSD, role of advanced technology, telemedicine and virtual reality, methods to reduce stigma and barriers to care, and best approaches to the dissemination of evidence-based interventions. The mental health research of special populations such as women, National Guardsmen and reservists, and military families is also presented. The review concludes by identifying future areas of research. PMID:25206943

Castro, Carl Andrew

2014-01-01

448

The US framework for understanding, preventing, and caring for the mental health needs of service members who served in combat in Afghanistan and Iraq: a brief review of the issues and the research.  

PubMed

This paper reviews the psychological health research conducted in the United States in support of combat veterans from Iraq and Afghanistan, using the Military Psychological Health Research Continuum, which includes foundational science, epidemiology, etiology, prevention and screening, treatment, follow-up care, and services research. The review is limited to those studies involving combat veterans and military families. This review discusses perplexing issues regarding the impact of combat on the mental health of service members such as risk and resilience factors of mental health, biomarkers of posttraumatic stress syndrome (PTSD), mental health training, psychological screening, psychological debriefing, third location decompression, combat and suicide, the usefulness of psychotherapy and drug therapy for treating PTSD, role of advanced technology, telemedicine and virtual reality, methods to reduce stigma and barriers to care, and best approaches to the dissemination of evidence-based interventions. The mental health research of special populations such as women, National Guardsmen and reservists, and military families is also presented. The review concludes by identifying future areas of research. PMID:25206943

Castro, Carl Andrew

2014-01-01

449

Bedrock Geologic Map of New Hampshire, a Digital Representation of Lyons and Others 1997 Map and Ancillary Files  

USGS Publications Warehouse

The New Hampshire Geological Survey collects data and performs research on the land, mineral, and water resources of the State, and disseminates the findings of such research to the public through maps, reports, and other publications. The Bedrock Geologic Map of New Hampshire, by John B. Lyons, Wallace A. Bothner, Robert H. Moench, and James B. Thompson, was published in paper format by the U.S. Geological Survey (USGS) in 1997. The online version of this CD contains digital datasets of the State map that are intended to assist the professional geologist, land-use planners, water resource professionals, and engineers and to inform the interested layperson. In addition to the bedrock geology, the datasets include geopolitical and hydrologic information, such as political boundaries, quadrangle boundaries, hydrologic units, and water-well data. A more thorough explanation for each of these datasets may be found in the accompanying metadata files. The data are spatially referenced and may be used in a geographic information system (GIS). ArcExplorer, the Environmental Systems Research Institute's (ESRI) free GIS data viewer, is available at http://www.esri.com/software/arcexplorer. ArcExplorer provides basic functions that are needed to harness the power and versatility of the spatial datasets. Additional information on the viewer and other ESRI products may be found on the ArcExplorer website. Although extensive review and revisions of the data have been performed by the USGS and the New Hampshire Geological Survey, these data represent interpretations made by professional geologists using the best available data, and are intended to provide general geologic information. Use of these data at scales larger than 1:250,000 will not provide greater accuracy. The data are not intended to replace site-specific or specific-use investigations. The U.S. Geological Survey, New Hampshire Geological Survey, and State of New Hampshire make no representation or warranty, expressed or implied, regarding the use, accuracy, or completeness of the data presented herein, or from a map printed from these data; nor shall the act of distribution constitute any such warranty. The New Hampshire Geological Survey disclaims any legal responsibility or liability for interpretations made from the map, or decisions based thereon. For more information on New Hampshire Geological Survey programs please visit the State's website at http://des.nh.gov/Geology/. New Hampshire Geographically Referenced Analysis and Information Transfer System (NH GRANIT) provides access to statewide GIS (http://www.granit.unh.edu/). Questions about this CD or about other datasets should be directed to the New Hampshire Department of Environmental Services.

Bennett, Derek S.; Lyons, John B.; Wittkop, Chad A.; Dicken, Connie L.

2006-01-01

450

41 CFR 102-72.67 - What work is covered under an ancillary repair and alteration delegation?  

Code of Federal Regulations, 2011 CFR

...Schedule; (3) That are routine and non-complex in nature, such as routine painting or carpeting, simple hanging of drywall, basic electrical or plumbing work, landscaping, and similar non-complex services; and (4) That are necessary...

2011-01-01

451

41 CFR 102-72.67 - What work is covered under an ancillary repair and alteration delegation?  

Code of Federal Regulations, 2010 CFR

...Schedule; (3) That are routine and non-complex in nature, such as routine painting or carpeting, simple hanging of drywall, basic electrical or plumbing work, landscaping, and similar non-complex services; and (4) That are necessary...

2010-07-01

452

A database perspective of the transition from single-use (ancillary-based) systems to integrated models supporting clinical care and research in a MUMPS-based system.  

PubMed

The Composite Health Care System (CHCS), a MUMPS-based hospital information system (HIS), has evolved from the Decentralized Hospital Computer Program (DHCP) installed within VA Hospitals. The authors explore the evolution of an ancillary-based system toward an integrated model with a look at its current state and possible future. The history and relationships between orders of different types tie specific patient-related data into a logical and temporal model. Diagrams demonstrate how the database structure has evolved to support clinical needs for integration. It is suggested that a fully integrated model is capable of meeting traditional HIS needs. PMID:1770853

Siegel, J; Kirkland, D

1991-01-01

453

Transforming Space Missions into Service Oriented Architectures  

NASA Technical Reports Server (NTRS)

This viewgraph presentation reviews the vision of the sensor web enablement via a Service Oriented Architecture (SOA). An generic example is given of a user finding a service through the Web, and initiating a request for the desired observation. The parts that comprise this system and how they interact are reviewed. The advantages of the use of SOA are reviewed.

Mandl, Dan; Frye, Stuart; Cappelaere, Pat

2006-01-01

454

42 CFR 24.5 - Peer review.  

Code of Federal Regulations, 2011 CFR

...5 Section 24.5 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES PERSONNEL SENIOR BIOMEDICAL RESEARCH SERVICE § 24.5 Peer review. An individual may not be considered for appointment into the SBRS unless...

2011-10-01

455

State-of-practice review of ultrasonic in-service inspection of Class I system piping in commercial nuclear power plants  

SciTech Connect

The Pacific Northwest Laboratory conducted a survey to determine the state of practice of ultrasonic in-service inspection of primary system piping in light water reactors. Personnel at four utilities, five inspection organizations, and three domestic reactor manufacturers were interviewed. The intention of the study was to provide a better understanding of the actual practices employed in in-service inspection of primary system piping and of the difficulties encountered.

Morris, C.J.; Becker, F.L.

1982-08-01

456

Archives and History Office Program Review Committee 2007 Report The SLAC Archives and History Office (AHO) is part of the Technical Information Services (TIS)  

E-print Network

Archives and History Office Program Review Committee ­ 2007 Report The SLAC Archives and History-friendly access to particle physics information. TIS includes the Archives and History Office, the Library and History Office was held on 14-15 September, 2007. The program review committee membership represented

Wechsler, Risa H.

457

WWW Search Tools in Reference Services.  

ERIC Educational Resources Information Center

Provides an introduction to World Wide Web search tools for reference services. Discusses characteristics of search services and types of tools available, including search engines/robot-generated databases, directories, metasearch engines, and review/rating sites. (AEF)

Kimmel, Stacey

1997-01-01

458

Integrated snow and avalanche monitoring system for Indian Himalaya using multi-temporal satellite imagery and ancillary data  

NASA Astrophysics Data System (ADS)

The variations in the local climate, environment and altitude as well as fast snow cover build up and rapid changes in snow characteristics with passage of winter are major contributing factors to make snow avalanches as one of the threatening problems in the North West Himalaya. For sustainable development of these mountainous areas, a number of multi-purpose projects are being planned. In recent times, the danger of natural and man-made hazards is increasing and the availability of water is fluctuating; and thus, making the project implementation difficult. To overcome these difficulties to a great extent, an integrated monitoring system is required for short term as well as long term assessment of snowcover variation and avalanche hazard. In order to monitor the spatial extent of snow cover, satellite data can be employed on an operational basis. Spectral settings as well as the temporal and spatial resolution make time series NOAA-AVHHR and MODIS sensor data well suited for operational snow cover monitoring at regional or continental scale; Indian Remote Sensing Satellite (IRS) LISS, WiFS and AWiFS sensor data suitable for studies at larger scale; and microwave data for extraction of snow wetness information.. In the present paper, an attempt is made to study the trends of changes in snow characteristics and related avalanche phenomenon using time series multi-temporal, multi-resolution satellite data with respect to different ranges in Western Himalaya, namely Pir Panjal range, Great Himalaya range, Zanskar range, Ladakh range and Great Karakoram range. The operational processing of these data included geocoding, calibration, terrain normalization, classification, statistical post classification and derivation of snow cover statistics. The calibration and normalization of imageries allowed the application of physically based classification thresholds possible for albedo, brightness temperature and the Normalized Difference Snow Index (NDSI) parameters. Different methods have been used for the analysis of the temporal changes in satellite images. Multi-sensor data fusion techniques have been applied to increase the accuracy of classification, and also for extraction of necessary information about characteristics of snow and avalanches and the ground conditions. The results of the analysis of time series of last two winters are reported. The study confirms that significant changes in snow characteristics and wetness are mainly due to large variations in temperature at these altitudes, which contribute towards avalanche activities in early winter. A definite relationship has been observed between snow wetness, altitude and period of the year with respect to the probability of an avalanche occurrence. Snow wetness is found to be inversely proportional to the altitude, whereas probability of an avalanche is directly proportional to the wetness of snow, lying either over thin grass or boulder-covered ground. The results were verified through extensive field measurements. The emphasis has been laid on establishment of a dense network of Automatic Weather Stations (AWS), Upper Air Stations (UAS) and observatories in entire Himalaya; development of GIS based data bases using satellite imageries and other ancillary data for weather, snow and land cover monitoring. Records of past years will provide base information for realistic estimation of the impact of climatic changes and confidence to predict the weather and avalanches in various regions of Himalaya. Key Words: Integrated Monitoring System, Time series multi-sensor/multi-temporal Satellite Imageries, Multi-sensor Data Fusion, Change Detection, Snow characteristics

Sharma, S. S.; Mani, Sneh; Mathur, P.

459

Integrated snow and avalanche monitoring syatem for Indian Himalaya using multi-temporal satellite imagery and ancillary data  

NASA Astrophysics Data System (ADS)

The variations in the local climate, environment and altitude as well as fast snow cover build up and rapid changes in snow characteristics with passage of winter are major contributing factors to make snow avalanches as one of the threatening problems in the North West Himalaya. For sustainable development of these mountainous areas, a number of multi-purpose projects are being planned. In recent times, the danger of natural and man-made hazards is increasing and the availability of water is fluctuating; and thus, making the project implementation difficult. To overcome these difficulties to a great extent, an integrated monitoring system is required for short term as well as long term assessment of snowcover variation and avalanche hazard. In order to monitor the spatial extent of snow cover, satellite data can be employed on an operational basis. Spectral settings as well as the temporal and spatial resolution make time series NOAA-AVHHR and MODIS sensor data well suited for operational snow cover monitoring at regional or continental scale; Indian Remote Sensing Satellite (IRS) LISS, WiFS and AWiFS sensor data suitable for studies at larger scale; and microwave data for extraction of snow wetness information.. In the present paper, an attempt is made to study the trends of changes in snow characteristics and related avalanche phenomenon using time series multi-temporal, multi-resolution satellite data with respect to different ranges in Western Himalaya, namely Pir Panjal range, Great Himalaya range, Zanskar range, Ladakh range and Great Karakoram range. The operational processing of these data included geocoding, calibration, terrain normalization, classification, statistical post classification and derivation of snow cover statistics. The calibration and normalization of imageries allowed the application of physically based classification thresholds possible for albedo, brightness temperature and the Normalized Difference Snow Index (NDSI) parameters. Different methods have been used for the analysis of the temporal changes in satellite images. Multi-sensor data fusion techniques have been applied to increase the accuracy of classification, and also for extraction of necessary information about characteristics of snow and avalanches and the ground conditions. The results of the analysis of time series of last two winters are reported. The study confirms that significant changes in snow characteristics and wetness are mainly due to large variations in temperature at these altitudes, which contribute towards avalanche activities in early winter. A definite relationship has been observed between snow wetness, altitude and period of the year with respect to the probability of an avalanche occurrence. Snow wetness is found to be inversely proportional to the altitude, whereas probability of an avalanche is directly proportional to the wetness of snow, lying either over thin grass or boulder-covered ground. The results were verified through extensive field measurements. The emphasis has been laid on establishment of a dense network of Automatic Weather Stations (AWS), Upper Air Stations (UAS) and observatories in entire Himalaya; development of GIS based data bases using satellite imageries and other ancillary data for weather, snow and land cover monitoring. Records of past years will provide base information for realistic estimation of the impact of climatic changes and confidence to predict the weather and avalanches in various regions of Himalaya. Key Words: Integrated Monitoring System, Time series multi-sensor/multi-temporal Satellite Imageries, Multi-sensor Data Fusion, Change Detection, Snow characteristics

Sharma, S. S.; Mani, Sneh; Mathur, P.

460

Synthesis, characterization, dynamics and reactivity toward amination of ?3-allyl palladium complexes bearing mixed ancillary ligands. Evaluation of the electronic characteristics of the ligands from kinetic data.  

PubMed

On the basis of an original protocol, we have synthesized several complexes of the type [Pd(?(3)-C(3)H(3)R(2))(LL')]ClO(4) (R = H, Me; L, L' = PPh(3), P(OEt)(3), 2,6-dimethylphenylisocyanide, t-butylisocyanide, 1,3-dimesitylimidazolidine, 1,3-dimesitylimidazol-2-ylidene). The complexes, some of which are completely new species, were fully characterized and their behaviour in solution was studied by means of (1)H NMR. The reactions of the complexes bearing the symmetric allyl moiety [Pd(?(3)-C(3)H(5))(LL')]ClO(4) with piperidine in the presence of the olefin dimethylfumarate were followed under kinetically controlled conditions. Formation of allyl-amine and of the palladium(0) derivatives [Pd(?(2)-dmfu)(LL'] was observed. The reaction rates k(2) proved to be strongly dependent on the ancillary ligand nature and allowed a direct comparison among the electronic characteristics of the ligands. The reactivity trend determined appears to be mainly influenced by the capability of the ancillary ligands in transferring electron density to the metal centre and consequently on the allyl fragment. PMID:21152653

Canovese, Luciano; Visentin, Fabiano; Levi, Carlo; Dolmella, Alessandro

2011-01-28

461

Focusing on customer service.  

PubMed

This booklet is devoted to a consideration of how good customer service in family planning programs can generate demand for products and services, bring customers back, and reduce costs. Customer service is defined as increasing client satisfaction through continuous concern for client preferences, staff accountability to clients, and respect for the rights of clients. Issues discussed include the introduction of a customer service approach and gaining staff commitment. The experience of PROSALUD in Bolivia in recruiting appropriate staff, supervising staff, soliciting client feedback, and marketing services is offered as an example of a successful customer service approach. The key customer service functions are described as 1) establishing a welcoming atmosphere, 2) streamlining client flow, 3) personalizing client services, and 4) organizing and providing clear information to clients. The role of the manager in developing procedures is explored, and the COPE (Client-Oriented Provider-Efficient) process is presented as a good way to begin to make improvements. Techniques in staff training in customer service include brainstorming, role playing, using case studies (examples of which are provided), and engaging in practice sessions. Training also leads to the development of effective customer service attitudes, and the differences between these and organizational/staff-focused attitudes are illustrated in a chart. The use of communication skills (asking open-ended questions, helping clients express their concerns, engaging in active listening, and handling difficult situations) is considered. Good recovery skills are important when things go wrong. Gathering and using client feedback is the next topic considered. This involves identifying, recording, and discussing customer service issues as well as taking action on these issues and evaluating the results. The booklet ends by providing a sample of customer service indicators, considering the maintenance of a customer service focus, and reporting comments from the reviewers of the booklet. PMID:12320174

1996-01-01

462

Accounting Review  

NSDL National Science Digital Library

Pamela Peterson Drake, Professor of Finance at Florida Atlantic University, has prepared this site to â??refresh a student's accounting knowledge in preparation for further studies in finance.â?ť Topics on the site include the foundations of accounting, balance sheets, income statements, statements of cash flow, and additional disclosure. Each topic contains a thorough explanation with examples. At the end of the review, there is a quiz for visitors to test their knowledge of accounting basics. This is a useful resource for students in accounting services, and also for educators to incorporate into their classrooms with minimal or no adaptation to the review needed.

Peterson Drake, Pamela, 1954-

463

University Services Management Services  

E-print Network

of Finance, Human Resources, Information Technology, and the Office of the Vice President. Management the highest quality direction and support in the areas of finance, information technology, human resources resources and our value The Management Services team primary objective over the past several years has been

Webb, Peter

464

Student Services Student Services  

E-print Network

with academic faculty to build an environment maximizing student growth and academic success. To achieve and facilitates academic success through services and programs designed to support adult learners and student facilitates the academic success of adult learners and student veterans through individual meetings, referrals

465

Organizations That Offer Support Services  

MedlinePLUS

... help finding support services? View more than 100 organizations nationwide that provide emotional, practical, and financial support ... Groups Treatment Review our tips to find helpful organizations and resources in your community. Print E-mail ...

466

Can working with the private for-profit sector improve utilization of quality health services by the poor? A systematic review of the literature  

Microsoft Academic Search

BACKGROUND: There has been a growing interest in the role of the private for-profit sector in health service provision in low- and middle-income countries. The private sector represents an important source of care for all socioeconomic groups, including the poorest and substantial concerns have been raised about the quality of care it provides. Interventions have been developed to address these

Edith Patouillard; Catherine A Goodman; Kara G Hanson; Anne J Mills

2007-01-01

467

Mental health services for rural elderly: Innovative service strategies  

Microsoft Academic Search

This paper reviews issues in planning and delivering mental health services to rural dwelling elderly. First, comparative data on the prevalence of mental illness among rural elderly, and the availability and accessibility of mental health services in rural areas are presented to provide a basis for subsequent discussion. Next, several strategies for improving the development and delivery of geriatric mental

Zona Chalifoux; Jane B. Neese; Kathleen C. Buckwalter; Eugene Litwak; Ivo L. Abraham

1996-01-01

468

1994 Fish and Wildlife Service and National Marine Fisheries Service  

E-print Network

Wildlife and Plants: Notice of Interagency Cooperative Policy for Peer Review in Endangered Species Act by the Services under authority of the Endangered Species Act of 1973 (Act), as amended, and associated of Endangered Species, U.S. Fish and Wildlife Service, ARLSQ 452, 18th and C Streets, NW., Washington, D

469