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1

Ancillary Services Review Guide, 1983.  

National Technical Information Service (NTIS)

This guide is designed to assist those individuals/organizations who are interested in ancillary services review (ASR) programs. The background and overview of ASR is presented. A step-by-step methodology for the development and implementation of an ASR p...

S. M. McCue

1981-01-01

2

Loads Providing Ancillary Services: Review of International Experience  

SciTech Connect

In this study, we examine the arrangements for and experiences of end-use loads providing ancillary services (AS) in five electricity markets: Australia, the United Kingdom (UK), the Nordic market, and the ERCOT and PJM markets in the United States. Our objective in undertaking this review of international experience was to identify specific approaches or market designs that have enabled customer loads to effectively deliver various ancillary services (AS) products. We hope that this report will contribute to the ongoing discussion in the U.S. and elsewhere regarding what institutional and technical developments are needed to ensure that customer loads can meaningfully participate in all wholesale electricity markets.

Heffner, Grayson; Goldman, Charles; Kintner-Meyer, Michael

2007-05-01

3

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

4

Unbundling electricity: Ancillary services  

SciTech Connect

The US electricity industry, dominated by vertically integrated, retail-monopoly, regulated utilities, is undergoing enormous changes. The industry, within the next few years, will evolve into a deintegrated, competitive-market dominated, less regulated industry. Part of this process involves unbundling electric generation from transmission, which raises the issue of ancillary services. Since the Federal Energy Regulatory Commission (FERC) published its March 1995 proposed rule on open-access transmission, ancillary services have been an important topic. Ancillary services are those functions performed by the equipment and people that generate, control, transmit, and distribute electricity to support the basic services of generating capacity, energy supply, and power delivery. These services cost US electricity consumers about $12 billion a year. This article examines the functions performed by the equipment and people that generate, control, transmit, and distribute electricity to support the basic services of generating capacity, energy supply, and power delivery.

Kirby, B.; Hirst, E. [Oak Ridge National Lab., TN (United States)

1996-06-01

5

Loads Providing Ancillary Services: Review of InternationalExperience-- Technical Appendix: Market Descriptions  

SciTech Connect

In this study, we examine the arrangements for andexperiences of end-use loads providing ancillary services (AS) in fiveelectricity markets: Australia, the United Kingdom (UK), the Nordicmarket, and the ERCOT and PJM markets in the United States. Our objectivein undertaking this review of international experience was to identifyspecific approaches or market designs that have enabled customer loads toeffectively deliver various ancillary services (AS) products. We hopethat this report will contribute to the ongoing discussion in the U.S.and elsewhere regarding what institutional and technical developments areneeded to ensure that customer loads can meaningfully participate in allwholesale electricity markets.

Grayson Heffner, Charles Goldman, Kintner-Meyer, M; Kirby, Brendan

2007-05-01

6

Reconsidering the measurement of ancillary service performance.  

PubMed

Prospective payment reimbursement systems have forced hospitals to review their costs more carefully. The result of the increased emphasis on costs is that many hospitals use costs, rather than margin, to judge the performance of ancillary services. However, arbitrary selection of performance measures for ancillary services can result in managerial decisions contrary to hospital objectives. Managerial accounting systems provide models which assist in the development of performance measures for ancillary services. Selection of appropriate performance measures provides managers with the incentive to pursue goals congruent with those of the hospital overall. This article reviews the design and implementation of managerial accounting systems, and considers the impact of prospective payment systems and proposed changes in capital reimbursement on this process. PMID:10317937

Griffin, D T; Rauscher, J A

1987-08-01

7

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

8

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

9

Ancillary-service details: Dynamic scheduling  

SciTech Connect

Dynamic scheduling (DS) is the electronic transfer from one control area to another of the time-varying electricity consumption associated with a load or the time-varying electricity production associated with a generator. Although electric utilities have been using this technique for at least two decades, its use is growing in popularity and importance. This growth is a consequence of the major changes under way in US bulk-power markets, in particular efforts to unbundle generation from transmission and to increase competition among generation providers. DS can promote competition and increase choices. It allows consumers to purchase certain services from entities outside their physical-host area and it allows generators to sell certain services to entities other than their physical host. These services include regulation (following minute-to-minute variations in load) and operating reserves, among others. Such an increase in the number of possible suppliers and customers should encourage innovation and reduce the costs and prices of providing electricity services. The purpose of the project reported here was to collect and analyze data on utility experiences with DS. Chapter 2 provides additional details and examples of the definitions of DS. Chapter 3 explains why DS might be an attractive service that customers and generators, as well as transmission providers, might wan to use. Chapter 4 presents some of the many current DS examples the authors uncovered in their interviews. Chapter 5 discusses the costs and cost-effectiveness of DS. Chapter 6 explains what they believe can and cannot be electronically moved from one control area to another, primarily in terms of the six ancillary services that FERC defined in Order 888. Chapter 7 discusses the need for additional research on DS.

Hirst, E.; Kirby, B.

1997-01-01

10

Physician ancillary services: fad or fashion? Part 1.  

PubMed

Ancillary services are quite fashionable in today's medical practice, but perhaps you've wondered if they are only a fad. If you're considering adding services to increase your revenue, you're not too late; this trend seems here to stay. Doing your homework and due diligence is key to the success of your ancillary service. Before introducing a service into your practice or investing in an ancillary venture, make sure that you get off on sound footing. Major investments call for experienced consulting and tapping into financial, operational, and legal specialists to address specific needs. Part 1 of this two-part article defines ancillary services and addresses the following topics: performing the feasibility study; writing the business plan; and addressing the legal and regulatory issues. Part 2 will discuss financing arrangements, opening, operational, and ongoing management elements critical to success. PMID:16471393

Reiboldt, John

2005-01-01

11

Physician ancillary services: fad or fashion? Part 2.  

PubMed

Ancillary services are quite fashionable in today's medical practice, but perhaps you've wondered if they were only a fad. If you're considering adding services to increase your revenue, you're not too late; this trend seems here to stay. Doing your homework and due diligence is key to the success of your ancillary business. Before introducing a service into your practice or investing in an ancillary venture, make sure that you get off on sound footing. Major investments call for experienced consulting and tapping into financial, operational, and legal specialists to address specific needs. Part 1 defined ancillary services and addressed performing the feasibility study and writing the business plan. In this second part, legal and regulatory issues, financing arrangements, opening, and operational and ongoing management elements critical to success are all explored. PMID:16562521

Reiboldt, John

2006-01-01

12

Coordination of Distributed Energy Resources for Provision of Ancillary Services: Architectures and Algorithms  

E-print Network

Coordination of Distributed Energy Resources for Provision of Ancillary Services: Architectures networks implies that, under proper coordination mechanisms, they can collectively provide substantial of the DER coordination problem for enabling their utilization to provide ancillary services. We also provide

Liberzon, Daniel

13

Efficient bidding for hydro power plants in markets for energy and ancillary services  

E-print Network

In order to preserve stability of electricity supply generators must provide ancillary services in addition to energy production. Hydroelectric resources have significant ancillary service capability because of their dynamic ...

Perekhodtsev, Dmitri

2006-01-01

14

San Diego Gas & Electric Company v. Sellers of Energy and Ancillary Services  

E-print Network

Fact Sheet San Diego Gas & Electric Company v. Sellers of Energy and Ancillary Services Docket No Company, San Diego Gas & Electric Company, the People of the State of California, ex rel. Edmund G. Brown

Laughlin, Robert B.

15

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

Federal Register 2010, 2011, 2012, 2013

...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

16

Audit of subsidized ancillary services at the Nevada Test site  

SciTech Connect

The Department and its contractors have participated in at least six reviews since 1991 encompassing aspects of subsidies at the test site. Several of these reviews resulted in reports recommending reductions to the housing, food, and bus services. A strategic planning report completed in November 1994, for example, recommended closing certain food service facilities, increasing housing rates to fair market value, and studying a bus depot system. Other reports echoed the same themes. The Department should be credited for recognizing that actions should be taken to reduce subsidy costs. Moreover, the Acting Manager, Nevada Operations office, has been proactive in reducing the busing subsidy by decreasing the number of buses and bus routes. The Acting Manager has also been fully supportive of the effort to further reduce subsidies. We appreciate these efforts.

NONE

1995-09-08

17

Managing Sustainable Demand-side Infrastructure for Power System Ancillary Services  

E-print Network

Christopher Parkinson B.Sc.E., University of Saskatchewan, 2008 A Thesis Submitted in Partial Fulfillment Christopher Parkinson, 2011 University of Victoria All rights reserved. This thesis may not be reproduced Sustainable Demand-side Infrastructure for Power System Ancillary Services by Simon Christopher Parkinson B

Victoria, University of

18

Energy and ancillary service dispatch for the interim ISO New England electricity market  

Microsoft Academic Search

Since the Federal Energy Regulatory Commission's (FERC) order no. 888 has mandated the establishment of unbundled electricity markets in the newly deregulated environment, competitive bidding of ancillary services, along with bidding of energy, becomes increasingly important. In this paper, an optimization-based framework for solving a multi-commodity electricity market dispatch problem is presented. In compliance with New England Power Pool (NEPOOL)

Kwok W. Cheung; Payman Shamsollahi; David Sun; James Milligan; Mike Potishnak

2000-01-01

19

The future impact of wind on BPA power system ancillary services  

Microsoft Academic Search

Wind power is growing in a very fast pace as an alternative generating resource. As the ratio of wind power over total system capacity increases, the impact of wind on various system aspects becomes significant. This paper presents a methodology to study the future impact of wind on BPA power system ancillary services including load following and regulation. Existing approaches

Yuri V. Makarov; Shuai Lu; Bart McManus; John Pease

2008-01-01

20

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

21

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

22

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

23

Design of Ancillary Service Markets1 Shmuel S. Oren,  

E-print Network

, CA 94720 Oren@IEOR.Berkeley.edu 1 The work described in this paper was coordinated by the Consortium service markets are the primary determinants of efficiency and liquidity in these markets that in turn price reversals as the primary symptom of the design flaws. It States: "In a competitive market, higher

24

Alternative Approaches for Incentivizing the Frequency Responsive Reserve Ancillary Service  

SciTech Connect

Frequency responsive reserve is the autonomous response of generators and demand response to deviations of system frequency, usually as a result of the instantaneous outage of a large supplier. Frequency responsive reserve arrests the frequency decline resulting in the stabilization of system frequency, and avoids the triggering of under-frequency load-shedding or the reaching of unstable frequencies that could ultimately lead to system blackouts. It is a crucial service required to maintain a reliable and secure power system. Regions with restructured electricity markets have historically had a lack of incentives for frequency responsive reserve because generators inherently provided the response and on large interconnected systems, more than sufficient response has been available. This may not be the case in future systems due to new technologies and declining response. This paper discusses the issues that can occur without proper incentives and even disincentives, and proposes alternatives to introduce incentives for resources to provide frequency responsive reserve to ensure an efficient and reliable power system.

Ela, E.; Milligan, M.; Kirby, B.; Tuohy, A.; Brooks, D.

2012-03-01

25

Open Automated Demand Response Communications in Demand Response for Wholesale Ancillary Services  

SciTech Connect

The Pacific Gas and Electric Company (PG&E) is conducting a pilot program to investigate the technical feasibility of bidding certain demand response (DR) resources into the California Independent System Operator's (CAISO) day-ahead market for ancillary services nonspinning reserve. Three facilities, a retail store, a local government office building, and a bakery, are recruited into the pilot program. For each facility, hourly demand, and load curtailment potential are forecasted two days ahead and submitted to the CAISO the day before the operation as an available resource. These DR resources are optimized against all other generation resources in the CAISO ancillary service. Each facility is equipped with four-second real time telemetry equipment to ensure resource accountability and visibility to CAISO operators. When CAISO requests DR resources, PG&E's OpenADR (Open Automated DR) communications infrastructure is utilized to deliver DR signals to the facilities energy management and control systems (EMCS). The pre-programmed DR strategies are triggered without a human in the loop. This paper describes the automated system architecture and the flow of information to trigger and monitor the performance of the DR events. We outline the DR strategies at each of the participating facilities. At one site a real time electric measurement feedback loop is implemented to assure the delivery of CAISO dispatched demand reductions. Finally, we present results from each of the facilities and discuss findings.

Kiliccote, Sila; Piette, Mary Ann; Ghatikar, Girish; Koch, Ed; Hennage, Dan; Hernandez, John; Chiu, Albert; Sezgen, Osman; Goodin, John

2009-11-06

26

MIDWEST ISO CO-OPTIMIZATION BASED REAL-TIME DISPATCH AND PRICING OF ENERGY AND ANCILLARY SERVICES  

E-print Network

off-line or a transmission line goes out of service. Midwest ISO's co-optimized energy and AS market Xingwang Ma, Yonghong Chen, Jie Wan 1 ABSTRACT ­ Midwest ISO's real-time market design with energy and ancillary service co-optimization is reported in this paper. The key components of Midwest ISO's real

Tesfatsion, Leigh

27

An Assessment of the Use and Impact of Ancillary Prenatal Care Services to Medicaid Women in Managed Care  

Microsoft Academic Search

Objectives: Managed care plans under Medicaid are becoming a usual source of care for low-income pregnant women. This study describes an ancillary prenatal care service intervention developed by one managed care organization (MCO) for Medicaid-enrolled women, assesses the extent to which the intervention services were used, and appraises the influence of the intervention on prenatal care participation. Method: There were

Greg R. Alexander; Thomas C. Hulsey; Kathleen Foley; Elizabeth Keller; Katherine Cairns

1997-01-01

28

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

Federal Register 2010, 2011, 2012, 2013

...the contents of this document via the Internet through the Commission's Home Page...From the Commission's Home Page on the Internet, this information is available on eLibrary...of Ancillary Services; Accounting and Financial Reporting for New Electric Storage...

2013-07-30

29

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

30

Ancillary testing for diagnosis of brain death: a protocol for a systematic review and meta-analysis  

PubMed Central

Background The essential clinical diagnostic components of brain death must include evidence for an established etiology capable of causing brain death, two independent clinical confirmations of the absence of all brainstem reflexes and an apnea test, and exclude confounders that can mimic brain death. Numerous confounders can render the clinical neurological determination of death (NDD) virtually impossible. As such, clinicians must rely on additional ancillary testing. Methods/design We will conduct a systematic review and a meta-analysis of ancillary testing for the neurological determination of death. The primary objective of this systematic review is to evaluate the accuracy of these ancillary tests compared to the three accepted reference standards: (1) clinical diagnosis, (2) four-vessel angiography and (3) radionuclide imaging. This objective will be investigated using two different populations with different baseline risks of brain death: comatose patients and patients with a neurological determination of death. We will search MEDLINE, EMBASE and the Cochrane Central databases for retrospective and prospective diagnostic test studies and interventional studies. We will report study characteristics and assess methodological quality using QUADAS-2, which is used to assess the quality of diagnostic tests. If pooling is appropriate, we will compute parameter estimates using a bivariate model to produce summary receiver operating curves, summary operating points (pooled sensitivity and specificity), and 95% confidence regions around the summary operating point. Clinical and methodological subgroup and sensitivity analyses will be performed to explore heterogeneity. Discussion The results of this project will provide a critical evidence base for the neurological determination of death. The results will help clinicians to select ancillary tests based on the best available evidence. Our systematic review will also identify the strengths and weaknesses in the current evidence for the use of ancillary tests in diagnosing brain death. It will serve as a foundation for further research and the development of prospective studies on currently used or novel techniques for NDD. Protocol registration PROSPERO Registration Number: CRD42013005907 PMID:24206574

2013-01-01

31

Cell blocks in cytopathology: a review of preparative methods, utility in diagnosis and role in ancillary studies.  

PubMed

The cell block (CB) is a routine procedure in cytopathology that has gained importance because of its pivotal role in diagnosis and ancillary studies. There is no precise review in the published literature that deals with the various methods of preparation of CB, its utility in diagnosis, immunocytochemistry (ICC) or molecular testing, and its drawbacks. An extensive literature search on CB in cytology using internet search engines was performed for this review employing the following keywords: cell block, cytoblock, cytology, cytopathology, methods, preparation, fixatives, diagnostic yield, ancillary and molecular studies. Ever since its introduction more than a century ago, the CB technique has undergone numerous modifications to improve the quality of the procedure; however, the overall principle remains the same in each method. CBs can be prepared from virtually all varieties of cytological samples. In today's era of personalized medicine, cytological specimens, including CBs, augment the utility of cytological samples in analysing the molecular alterations as effectively as surgical biopsies or resection specimens. With the availability of molecular targeted therapy for many cancers, a large number of recent studies have used cytological material or CBs for molecular characterization. The various techniques of CB preparation with different fixatives, their advantages and limitations, and issues of diagnostic yield are discussed in this review. PMID:25113785

Jain, D; Mathur, S R; Iyer, V K

2014-12-01

32

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

33

ELECTRIC INDUSTRY RESTRUCTURING, ANCILLARY SERVICES, AND THE POTENTIAL IMPACT ON WIND  

Microsoft Academic Search

This paper begins to look at issues of concern to wind in a restructured electric industry. The paper first briefly looks at the range of unbundled services and comments on their unique significance to wind. To illustrate the concerns that arise with restructuring, the paper then takes a more detailed look at a single service: regulation. Finally, the paper takes

Brendan Kirby; Eric Hirst; Brian Parsons; Kevin Porter; John B. Cadogan

34

Longitudinal outcomes for treated opiate use and the use of ancillary medical and social services.  

PubMed

Using an extended Maudsley Addiction Profile, 404 opiate users entering treatment across Ireland were interviewed at intake and at 1 year and 3 years between 2003 and 2006. At 3 years clients were abstinent, in treatment, or relapsed. Analysis of lifetime use of treatment services revealed that greater proportions of those who were drug free at 3 years had counselling in the past. Multiple regression revealed that the number of previous treatment episodes had a significant positive effect on outcomes. Findings are important during times of financial constraint when treatment providers are under pressure to cut back to core services. PMID:20141468

Comiskey, Catherine Maria; Stapleton, Robert

2010-03-01

35

Are routine ancillary stains required to diagnose Helicobacter infection in gastric biopsy specimens? An institutional quality assurance review.  

PubMed

Gastric biopsies are often done to evaluate for Helicobacter gastritis. Given the oncogenic association with Helicobacter gastritis and the relative ease of therapy, it is important for pathology departments to identify all positive cases. We describe an institutional quality assurance study of an institutional method for the diagnosis of Helicobacter gastritis. We reviewed 356 gastric biopsy specimens from a 4-week period at 1 institution. Approximately half were evaluated by 4 methods, H&E stain, Giemsa stain, Warthin-Starry stain, and Helicobacter immunostain, while the remainder were stained only with H&E and Helicobacter immunostains. There were 30 cases of Helicobacter gastritis diagnosed; about 83% of cases were diagnosed on the initial H&E-stained slides. Our study highlights a quality assurance study and a head-to head comparison of 4 methods not previously reported and supports the use of ancillary stains at the discretion of the sign-out pathologist. PMID:22261451

Hartman, Douglas J; Owens, Scott R

2012-02-01

36

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

37

Wind Farm Power Fluctuations, Ancillary Services, and System Operating Impact Analysis Activities in the United States: Preprint  

SciTech Connect

With ever increasing penetration of wind capacity and growing interest in wind power by electric utilities and other power providers, questions about the impacts and costs associated with maintaining a stable grid is receiving lots of attention. These issues are important, both in competitive and regulated monopoly markets.To evaluate the range of ancillary service impact of wind power plants, wind power plant output fluctuations on the order of seconds to minutes must be known. However, the data required for a credible analysis has not been widely available. The National Renewable Energy Laboratory (NREL), through its own efforts, and in conjunction with a wide group of stakeholders including other national labs, consultants, developers, utilities, and the non-profit Utility Wind Interest Group, has initiated measurement and analysis activities. The efforts are ongoing. While final system-cost results are not available, this paper will describe the progress to date and present typical results and statistical analysis. In addition, methods will be explained with the aim of soliciting feedback from others looking at similar issues worldwide.

Parsons, B. K. (National Renewable Energy Laboratory); Wan, Y. (National Renewable Energy Laboratory); Kirby, B. (Oak Ridge National Laboratory)

2001-07-01

38

30 CFR 250.208 - If I conduct ancillary activities, what notices must I provide?  

Code of Federal Regulations, 2010 CFR

...ancillary activities, what notices must I provide? 250.208 Section 250.208 Mineral Resources MINERALS MANAGEMENT SERVICE...SHELF Plans and Information Ancillary Activities § 250.208 If I conduct ancillary activities, what...

2010-07-01

39

77 FR 25105 - Reporting of Ancillary Airline Passenger Revenues  

Federal Register 2010, 2011, 2012, 2013

...already collect the ancillary fee revenue identified in the proposed...information about the ancillary fee revenue identified in the NPRM...regarding the reporting of ancillary fee revenue? 2. The Metric Used...self-service bag drop, at the gate, or at the jet bridge?...

2012-04-27

40

How to perform a feasibility study and market analysis to determine if an ancillary service makes sense.  

PubMed

A feasibility study, as the name implies, is a study of the viability of a business venture. The study is an analysis of the market potential of the new products or services to be offered and investigates the primary issues related to the new business. This article discusses the elements that are essential for a valid feasibility study. PMID:18061763

Brockman, Ken

2008-01-01

41

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

Federal Register 2010, 2011, 2012, 2013

...Senior Executive Service; Performance Review Board; Members AGENCY...Senior Executive Service Performance Review Board...by the Office of Personnel Management, one or more Performance Review Boards (PRB)...

2011-05-19

42

78 FR 28243 - Senior Executive Service; Performance Review Board; Members  

Federal Register 2010, 2011, 2012, 2013

...Senior Executive Service; Performance Review Board; Members AGENCY...Senior Executive Service Performance Review Board...by the Office of Personnel Management, one or more Performance Review Boards (PRB)...

2013-05-14

43

Financial Report of Ontario Universities, 1996-97. Ancillary Enterprises.  

ERIC Educational Resources Information Center

This report provides detailed information on ancillary enterprises at provincially assisted universities and at affiliated and federated colleges in Ontario (Canada) for the fiscal year that ended April 30, 1997. Such enterprises include school stores (including bookstores), food services, residences, conferences, parking, publishing, and other…

Council of Ontario Universities, Toronto.

44

14 CFR 21.477 - Data review and service experience.  

Code of Federal Regulations, 2010 CFR

...2010-01-01 2010-01-01 false Data review and service experience. 21...Authorization Procedures § 21.477 Data review and service experience. (a) If the Administrator finds that a product for which an...

2010-01-01

45

14 CFR 21.277 - Data review and service experience.  

Code of Federal Regulations, 2010 CFR

...2010-01-01 2010-01-01 false Data review and service experience. 21...Authorization Procedures § 21.277 Data review and service experience. (a) If the Administrator finds that a product for which a...

2010-01-01

46

Eric Review: Service Learning in the Community College  

Microsoft Academic Search

After presenting a comprehensive definition of service learning in postsecondary education, the author reviews the literature on service learning at community colleges. In addition to discussing national initiatives to promote service learning experiences for students, this review provides examples of service learning programs and summarizes best practices for starting and managing such programs based on case studies in the literature.

Carol A. Kozeracki

2000-01-01

47

Competitive ancillary service procurement in California  

SciTech Connect

California has undertaken a major restructuring of its electricity utility sector. Most electricity is now sold in open markets operated by the PX and other entities. Bilateral contracting among some market participants is also permitted. A group of independent generating companies bids into these markets together with out of state resources. In addition to these markets, CAISO operates markets for both imbalance energy and AS, a quite unusual feature of the California system. These markets were initially quite chaotic and were rife with market power problems. However, various reforms have now created a system that functions well. During the restructuring process, special provisions were made to protect public purpose programs, including renewable generation.

Marnay, Chris; Siddiqui, Afzal S.; Khavkin, Mark

2000-01-01

48

Demand Response and Ancillary Services September 2008  

E-print Network

participation in ISO and RTO markets 2. Summary of different DR product types available in several ISO and RTO regions 3. Detailed look at programs offered in PJM, highlighting in particular: ­ Capacity / emergency programs The purpose of this presentation is to offer insight into the mechanics of demand response

49

Ancillary-service details: operating reserves.  

National Technical Information Service (NTIS)

Operating reserves are the front lines in the defense of bulk-power systems against major generation and transmission outages. Operating reserves are provided by generating units that can increase their output rapidly to restore the system to generation/l...

E. Hirst, B. Kirby

1997-01-01

50

Ancillary-service details: operating reserves  

SciTech Connect

Operating reserves are the front lines in the defense of bulk-power systems against major generation and transmission outages. Operating reserves are provided by generating units that can increase their output rapidly to restore the system to generation/load balance after a major disturbance occurs. Dramatic changes are under way in the U.S. electricity sector, in particular the unbundling of generation from transmission and the increasingly competitive nature of bulk-power markets. Therefore, it is important to revisit the industry`s definitions of, procurement of, and payment for operating reserves. The procedures traditionally used by vertically integrated utilities may not serve the needs of an increasingly fragmented and competitive electricity industry. This report examines the past and current functions of, as well as the national and regional requirements for, operating reserves. We examine the data and analysis that support minimum-operating-reserve requirements. We obtained data on the number and severity of generator outages for three large U.S. electrical systems, including a power pool, a regional reliability council, and a utility. These limited data sets show a range of 15 to 40 major (>500 MW) outages a year for systems ranging in size from 20, 000 MW to 48,000 MW of peak demand. Finally, we discuss several emerging issues related to the underlying technical support for minimum operating-reserve requirements, alternative ways to pay for these reserves, the data needed to support the analysis of these requirements, and the mix of functions that are currently included within operating reserves.

Hirst, E.; Kirby, B.

1997-11-01

51

75 FR 27375 - Review of Nonpostal Services Language  

Federal Register 2010, 2011, 2012, 2013

...457] Review of Nonpostal Services Language AGENCY: Postal Regulatory Commission...services Mail Classification Schedule language. It solicits comments to assist in this...Mail Classification Schedule (MCS) language for its authorized nonpostal...

2010-05-14

52

78 FR 44563 - Senior Executive Service (SES) Performance Review Board  

Federal Register 2010, 2011, 2012, 2013

...FEDERAL LABOR RELATIONS AUTHORITY Senior Executive Service...Performance Review Board AGENCY: Federal Labor Relations Authority. ACTION: Notice...SUMMARY: The Federal Labor Relations Authority (FLRA) publishes the...

2013-07-24

53

76 FR 69770 - Senior Executive Service Performance Review Board  

Federal Register 2010, 2011, 2012, 2013

...OFFICE OF PERSONNEL MANAGEMENT Senior Executive Service Performance Review Board AGENCY: Office of Personnel Management. ACTION: Notice...the Office of Personnel Management, one or more SES performance review boards. The...

2011-11-09

54

78 FR 73568 - Senior Executive Service-Performance Review Board  

Federal Register 2010, 2011, 2012, 2013

...OFFICE OF PERSONNEL MANAGEMENT Senior Executive Service-Performance Review Board AGENCY: Office of Personnel Management. ACTION: Notice...Office of Personnel Management, one or more SES performance review boards....

2013-12-06

55

75 FR 68385 - Senior Executive Service-Performance Review Board  

Federal Register 2010, 2011, 2012, 2013

...OFFICE OF PERSONNEL MANAGEMENT Senior Executive Service-Performance Review Board AGENCY: Office of Personnel Management. ACTION: Notice...Office of Personnel Management, one or more SES performance review boards....

2010-11-05

56

77 FR 66191 - Senior Executive Service-Performance Review Board  

Federal Register 2010, 2011, 2012, 2013

...OFFICE OF PERSONNEL MANAGEMENT Senior Executive Service--Performance Review Board AGENCY: Office of Personnel Management. ACTION: Notice...Office of Personnel Management, one or more SES performance review boards....

2012-11-02

57

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

58

StudentAthlete Academic Services Evaluation and Review  

E-print Network

Athlete Academic Services Evaluation and Review Focus of Report As required by the NCAA Division I Committee effectiveness of SAAS. As specified in the NCAA/N4A "Academic Services Evaluation Guide," we reviewed (Associate Professor of Educational Leadership and Policy Studies) and the Chair of the President's Advisory

Kaminsky, Werner

59

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

60

Agents and Semantic Services: A Critical Review  

Microsoft Academic Search

Web Services have been hailed as the latest silver bullet for enabling business process representation and integration. In recent years,\\u000a industry has developed a variety of standards, e.g. SOAP, WSDL, UDDI, BPEL for web services discovery, description, and distributed\\u000a execution over the Web. These industry standards have emphasized description of service interfaces. However, they have many\\u000a limitations with respect to

Katia P. Sycara

2008-01-01

61

A Review of Quality of Service Architectures  

Microsoft Academic Search

The integration of distributed multimedia systems support into a communications architecture, including new multiservice networks, is important in realising end-to-end quality of service (QoS) guarantees. A key obser- vation is that quality of service provides a unifying theme around which new QoS architecture can be construct- ed. For applications relying on the transfer of multimedia, and in particular continuous media

Cristina Aurrecoechea; Andrew Campbell; Linda Hauw

1996-01-01

62

Service-learning in baccalaureate nursing education: a literature review.  

PubMed

Service-learning is an educational pedagogy that provides students with an opportunity to apply classroom learning to real-world situations, while meeting a specific community need. The purpose of this literature review is to identify what type of baccalaureate nursing courses utilize service-learning, to determine the level at which baccalaureate nursing students are being engaged in service-learning, and to evaluate the efficacy of service-learning to meet curricular objectives. Suggestions are made for instructors who are considering integrating service-learning into their curriculum. PMID:24127182

Murray, Billie S

2013-11-01

63

77 FR 67634 - Hydrographic Services Review Panel Meeting  

Federal Register 2010, 2011, 2012, 2013

...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

64

76 FR 61091 - Hydrographic Services Review Panel Meeting  

Federal Register 2010, 2011, 2012, 2013

...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...

2011-10-03

65

75 FR 20816 - Hydrographic Services Review Panel Meeting  

Federal Register 2010, 2011, 2012, 2013

...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

66

76 FR 20323 - Hydrographic Services Review Panel Meeting  

Federal Register 2010, 2011, 2012, 2013

...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

67

77 FR 24933 - Hydrographic Services Review Panel Meeting  

Federal Register 2010, 2011, 2012, 2013

...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...

2012-04-26

68

School-Based Mental Health Services: A Research Review  

Microsoft Academic Search

This paper provides a synthetic review of research on school-based mental health services. Schools play an increasingly important role in providing mental health services to children, yet most school-based programs being provided have no evidence to support their impact. A computerized search of references published between 1985 and 1999 was used to identify studies of school-based mental health services for

Michelle Rones; Kimberly Hoagwood

2000-01-01

69

A review of telehealth service implementation frameworks.  

PubMed

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

2014-02-01

70

Review the CSC AmeriCorps service  

E-print Network

Corps Coordinator to get your required FBI background check Bring a copy of your driver's license & either valid passport OR birth certificate for citizenship verification to your scheduled FBI scan Print out your FBI of your FBI scan. Now you're ready to start serving! Remember to record your service hours

71

Applications of location-based services: a selected review  

Microsoft Academic Search

This article reviews a selected set of location–based services (LBS) that have been published in the research literature, focussing on mobile guides, transport support, gaming, assistive technology and health. The research needs and opportunities in each area are evaluated and the connections between each category of LBS are discussed. The review illustrates the enormous diversity of forms in which LBS

Jonathan Raper; Georg Gartner; Hassan Karimi; Chris Rizos

2007-01-01

72

DRAFT FOR NOAA FISHERIES SERVICE REVIEW Regulatory Impact Review and Initial Regulatory Flexibility Analysis  

E-print Network

DRAFT FOR NOAA FISHERIES SERVICE REVIEW Regulatory Impact Review and Initial Regulatory Flexibility Impact Review (RIR) and Initial Regulatory Flexibility Analysis (IRFA) for seven proposed actions small entities, as defined in the Regulatory Flexibility Act. Comment Due Date: A public comment period

73

Measurement of patient satisfaction with community pharmacy services: a review  

Microsoft Academic Search

Aim of the review The aim of this review is to conduct an in-depth analysis of the available literature in order to identify and evaluate studies\\u000a measuring patient satisfaction with pharmacy services delivered by pharmacists in a community setting. Method An extensive literature search was conducted in five databases (Medline, Scopus, Embase, Psychinfo, International Pharmaceutical\\u000a Abstracts) using the search terms

Pradnya Naik Panvelkar; Bandana Saini; Carol Armour

2009-01-01

74

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

75

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

76

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

77

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

78

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

79

Abortion Law, Policy and Services in India: A Critical Review  

Microsoft Academic Search

Despite 30 years of liberal legislation, the majority of women in India still lack access to safe abortion care. This paper critically reviews the history of abortion law and policy in India since the 1960s and research on abortion service delivery. Amendments in 2002 and 2003 to the 1971 Medical Termination of Pregnancy Act, including devolution of regulation of abortion

Siddhivinayak S Hirve

2004-01-01

80

A. ESTABLISHMENT OF CREDIT - ALL CLASSES OF SERVICE Each applicant for utility service, including applicants who will obtain their electric power and ancillary services from an Energy Service Provider, will be required to satisfactorily establish credit which will be deemed established upon qualifying under any one of the following  

Microsoft Academic Search

1. If applicant makes a cash deposit to secure payment of bills for service in the amount prescribed in Rule No. 7; or 2. If applicant has been a customer of the Utility for a similar type of service within the past two years if billed monthly, three years if billed bimonthly, service was not disconnected due to non- payment

2001-01-01

81

76 FR 35949 - Agency Information Collection Activity (Servicer's Staff Appraisal Reviewer (SAR) Application...  

Federal Register 2010, 2011, 2012, 2013

...Servicer's Staff Appraisal Reviewer (SAR) Application) Under OMB Review...includes the actual data collection instrument. DATES: Comments must be submitted...Servicer's Staff Appraisal Reviewer (SAR) Application, VA Form 26-0829...as Staff Appraisal Reviewer (SAR). Servicers SAR's will...

2011-06-20

82

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

Federal Register 2010, 2011, 2012, 2013

...GENERAL SERVICES ADMINISTRATION [OMB Control No. 3090-0027...Sequence 8] General Services Administration Acquisition Regulation; Submission for OMB Review; Contract Administration, Quality Assurance (GSAR...

2012-03-28

83

Endocervical glandular lesions: controversial aspects and ancillary techniques  

PubMed Central

The incidence of malignant and premalignant endocervical glandular lesions is increasing. This review covers controversial and difficult aspects regarding the categorisation and diagnosis of these lesions. The terminology of premalignant endocervical glandular lesions is discussed because of the differences between the UK terminology and the widely used World Health Organisation classification. The morphology and histological subtypes of premalignant endocervical glandular lesions are described. Early invasive adenocarcinoma and difficulties in the diagnosis and recognition of this entity are covered, as is the measurement of early invasion within cervical adenocarcinoma. Several benign endocervical glandular lesions can mimic malignant and premalignant endocervical glandular lesions, and the distinction of these benign mimics from premalignant and malignant lesions using ancillary immunohistochemical studies is also covered. Antibodies used to distinguish between endometrial and endocervical adenocarcinoma, in the diagnosis of cervical minimal deviation adenocarcinoma of mucinous type (adenoma malignum), and in the diagnosis of cervical mesonephric lesions are also reviewed. PMID:12610091

McCluggage, W G

2003-01-01

84

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

85

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

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF THE TREASURY United States Mint Senior Executive Service; Combined Performance...Review Board (PRB) AGENCY: United States Mint (USM), Treasury. ACTION: Notice of...Review Board (PRB) for the United States Mint (USM), the Fiscal Service (FS),...

2013-09-23

86

Ancillary Care in Community-Based Public Health Intervention Research  

PubMed Central

Community-based public health intervention research in developing countries typically takes place not in clinics but in people's homes and other living spaces. Research subjects and their communities may lack adequate nutrition, clean water, sanitation, and basic preventive and therapeutic services. Researchers often encounter unmet health needs in their interactions with individual subjects and need ethical guidelines to help them decide how to respond. To what extent do researchers have an ethical obligation to provide ancillary care—health care beyond what is necessary to ensure scientific validity and subjects' safety? We discuss a case example from Nepal and propose a simple 2-step sequence of questions to aid decision making. PMID:20019298

Taylor, Holly A.; Mullany, Luke C.

2010-01-01

87

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

88

Academic-Service Partnerships in Nursing: An Integrative Review  

PubMed Central

This integrative review summarizes currently available evidence on academic-service partnerships in the profession of nursing. More than 300 articles, published primarily in refereed journals, were accessed. Articles (110) were included in this review as they presented detailed and substantive information about any aspect of a nursing academic-service partnership. The majority were anecdotal in nature. Topics clustered around the following categories: pre-requisites for successful partnerships, benefits of partnerships, types of partnerships, and workforce development with its themes of academic-practice progression and educational re-design. Many examples of partnerships between academic and service settings were thoroughly described and best practices suggested, most often, however, without formal evaluation of outcomes. Nursing leaders in both settings have a long tradition of partnering with very little replicable evidence to support their efforts. It is critical that future initiatives evaluate the effectiveness of these partnerships, not only to ensure quality of patient outcomes but also to maximize efforts at building capacity for tomorrow's workforce. PMID:22548160

Beal, Judy A.

2012-01-01

89

Independent Review of Tank 241-AY-101 Fitness for Service  

SciTech Connect

Video inspections in the annulus of Hanford double-shell waste storage tank 241-AY-101 in 2001 and earlier showed rust over large areas of the primary and secondary tank walls. These observations led to extensive on-destructive inspections and analyses to determine the extent and severity of the corrosion and correction of several operational deficiencies that contributed to the problem. PNNL has performed an independent review of the accumulated evidence from these efforts to determine whether unacceptable conditions were corrected and the current condition of the tank meets or exceeds technical and operational requirements. The findings of this review are the subject of this report. The conclusion is that AY-101 is fit for service without restriction subject to several recommendations for further inspections and analyses.

Stewart, Charles W.; Bush, Spencer H.; Delegard, Calvin H.; Elmore, Monte R.; Johnson, A. Burton; Pardini, Allan F.; Posakony, Gerald J.; Simonen, Fredric A.; Terry, Michael T.; Zapp, Philip E.

2003-02-28

90

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

91

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

92

Ancillary effects of selected acid deposition control policies  

SciTech Connect

NAPAP is examining a number of potential ways to reduce the precursors (sulfur dioxide and nitrogen oxides) to acid deposition. However, the policies to reduce acid deposition will have other physical, biological and economic effects unrelated to acid deposition. For example, control policies that reduce sulfur dioxide emissions may also increase visibility. The effects of an acid deposition policy that are unrelated to acid deposition are referred to as ''ancillary'' effects. This reserch identifies and characterizes the principle physical and economic ancillary effects associated with acid deposition control and mitigation policies. In this study the ancillary benefits associated with four specific acid deposition policy options were investigated. The four policy options investigated are: (1) flue gas desulfurization, (2) coal blending or switching, (3) reductions in automobile emissions of NO/sub x/, and (4) lake liming. Potential ancillary benefits of each option were identified and characterized. Particular attention was paid to the literature on economic valuation of potential ancillary effects.

Moe, R.J.; Lyke, A.J.; Nesse, R.J.

1986-08-01

93

47 CFR 90.317 - Fixed ancillary signaling and data transmissions.  

Code of Federal Regulations, 2010 CFR

... Fixed ancillary signaling and data transmissions. 90.317 Section 90.317 Telecommunication... Fixed ancillary signaling and data transmissions. (a) Licensees of systems that...in fixed ancillary signaling and data transmissions, subject to the following...

2010-10-01

94

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

Code of Federal Regulations, 2010 CFR

...2010-10-01 2010-10-01 false Automatic pilots and ancillary steering gear...SYSTEMS Steering Gear § 58.25-80 Automatic pilots and ancillary steering gear. (a) Automatic pilots and ancillary steering...

2010-10-01

95

45 CFR 1355.31 - Elements of the child and family services review system.  

Code of Federal Regulations, 2013 CFR

...2013-10-01 false Elements of the child and family services review...Continued) OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH...SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER...ADOPTION ASSISTANCE, AND CHILD AND FAMILY SERVICES...

2013-10-01

96

45 CFR 1355.31 - Elements of the child and family services review system.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false Elements of the child and family services review...Continued) OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH...SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER...ADOPTION ASSISTANCE, AND CHILD AND FAMILY SERVICES...

2012-10-01

97

45 CFR 1355.31 - Elements of the child and family services review system.  

Code of Federal Regulations, 2010 CFR

...2010-10-01 false Elements of the child and family services review...Continued) OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH...SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER...ADOPTION ASSISTANCE, AND CHILD AND FAMILY SERVICES...

2010-10-01

98

45 CFR 1355.31 - Elements of the child and family services review system.  

Code of Federal Regulations, 2011 CFR

...2011-10-01 false Elements of the child and family services review...Continued) OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH...SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER...ADOPTION ASSISTANCE, AND CHILD AND FAMILY SERVICES...

2011-10-01

99

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

Federal Register 2010, 2011, 2012, 2013

...Collection; Activity Under OMB Review; Airline Service Quality Performance--Part 234...INFORMATION CONTACT: Bernie Stankus, Office of Airline Information, RTS-42, Room E36-303...OMB Approval No. 2138-0041. Title: Airline Service Quality...

2010-04-26

100

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

Federal Register 2010, 2011, 2012, 2013

...Collection; Activity Under OMB Review; Airline Service Quality Performance AGENCY: Research...CONTACT: Cecelia Robinson, Office of Airline Information, RTS-42, Room E34, RITA...OMB Approval No. 2138-0041. Title: Airline Service Quality Performance...

2012-03-27

101

77 FR 33808 - Agency Information Collection; Activity Under OMB Review: Airline Service Quality Performance...  

Federal Register 2010, 2011, 2012, 2013

...Collection; Activity Under OMB Review: Airline Service Quality Performance--Part 234...CONTACT: Cecelia Robinson, Office of Airline Information, RTS-42, Room E34-410...OMB Approval No. 2138-0041 Title: Airline Service Quality Performance -Part...

2012-06-07

102

75 FR 41920 - Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance...  

Federal Register 2010, 2011, 2012, 2013

...Collection; Activity Under OMB Review; Airline Service Quality Performance--Part 234...INFORMATION CONTACT: Bernie Stankus, Office of Airline Information, RTS-42, Room E36-303...OMB Approval No. 2138-0041 Title: Airline Service Quality Performance--Part...

2010-07-19

103

76 FR 66070 - Agency Forms Undergoing Paperwork Reduction Act Review  

Federal Register 2010, 2011, 2012, 2013

...Executive Officer.... Hospital Induction.... 482 1 1.5 Hospital Chief Executive Officer.... Hospital Induction 167 1 30/60 (new sample). Ancillary...Freestanding ASC 200 1 30/60 Induction. Ancillary Service...

2011-10-25

104

Worker as a Service Future of Work Center Review  

E-print Network

· morecompetitiontosupportwagesinterms of skill Understand the dystopian aspects of this vision and dystopian qualities. Identify emerging service gaps that prevent this movement toward micro service from

105

Health status in the ambulance services: a systematic review  

PubMed Central

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 relevant sources were identified through reference lists and other relevant studies known by the research group. Results Forty-nine studies are included in this review. Our analysis shows that ambulance workers have a higher standardized mortality rate, higher level of fatal accidents, higher level of accident injuries and a higher standardized early retirement on medical grounds than the general working population and workers in other health occupations. Ambulance workers also seem to have more musculoskeletal problems than the general population. These conclusions are preliminary at present because each is based on a single study. More studies have addressed mental health problems. The prevalence of post-traumatic stress symptom caseness was > 20% in five of seven studies, and similarly high prevalence rates were reported for anxiety and general psychopathology in four of five studies. However, it is unclear whether ambulance personnel suffer from more mental health problems than the general working population. Conclusion Several indicators suggest that workers in the ambulance services experience more health problems than the general working population and workers in other health occupations. Several methodological challenges, such as small sample sizes, non-representative samples, and lack of comparisons with normative data limit the interpretation of many studies. More coordinated research and replication are needed to compare data across studies. We discuss some strategies for future research. PMID:16817949

Sterud, Tom; Ekeberg, ?ivind; Hem, Erlend

2006-01-01

106

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

107

Alternative Approaches for Incentivizing the Frequency Responsive Reserve Ancillary Service  

SciTech Connect

Frequency responsive reserve is the autonomous response of generators and demand response to deviations of system frequency, usually as a result of the instantaneous outage of a large supplier. This article discusses the issues that can occur without proper incentives and even disincentives, and proposes alternatives to introduce incentives for resources to provide frequency responsive reserve to ensure an efficient and reliable power system.

Ela, E.; Tuohy, A.; Milligan, M.; Kirby, B.; Brooks, D.

2012-05-01

108

DR Resources for Energy and Ancillary Services in the West  

E-print Network

, Space Heating, Water Heating · Municipal · Freshwater Pumping, Highway Lighting, Wastewater Pumping for Participation · Commercial · Space Cooling, Space Heating, Lighting, Ventilation · Residential · Space Cooling

109

1 Vehicle-to-grid systems: ancillary services and communications  

E-print Network

fluctuations in local renewable generation units, such as rooftop solar panels and wind turbines [8, 9, 11, 10-enabled electric vehicles will be on the road in USA. The expected trend in the automotive market share for EVs

Huang, Jianwei

110

Gradations of Researchers' Obligation to Provide Ancillary Care for HIV/AIDS in Developing Countries  

PubMed Central

Three principal factors affect the stringency of medical researchers’ obligation to provide antiretroviral treatment to participants in non-HIV/AIDS studies that are conducted in developing countries: (1) the centrality of HIV/AIDS to the study design, (2) the extent of the researcher–participant interaction, and (3) the cost relative to the study budget. I provide a basis for assessing the comparative stringency of the researchers’ obligation to provide this type of ancillary care. Practically, given the range of possible responses to study participants’ needs, calibrating the researcher’s responsibility to provide ancillary care is a useful step in ethical analysis. Theoretically, a gradation of obligation suggests how research ethics committees or institutional review boards can take multiple, potentially conflicting ethical factors into account without undertaking spurious efforts to quantify their importance. PMID:17901449

Richardson, Henry S.

2007-01-01

111

Health services market testing--the experience of the community services review team in British Forces Germany.  

PubMed

During 1993-1995 the health services in British Forces Germany were subjected to a market testing process by which the primary, community and acute health services for the British Servicemen and women, their families and attached civilian staff, a population of 70,000, were put out to competitive tender with the then current provider, the Defence Medical Services, as one tenderer for the contract. This paper outlines the methodology developed by the Health Alliance Community Services Review team in formulating a successful bid. It is considered that the process outlined could be of value to those involved in future market tests, commissioning projects or performance improvement programmes. PMID:8819035

Leach, A J; Whitmore, M K; Schofield, J; Morris, G

1996-06-01

112

Integration of Health and Social Services Provision Review of Current Practice Drivers & Barriers to Integrated Working  

E-print Network

Services Provision ­ Review of Current Practice Drivers & Barriers to Integrated Working Nuffield Centre' no incentives to change `it won't work here' `it won't work now' sense of momentum - `the time is now' baggageIntegration of Health and Social Services Provision ­ Review of Current Practice Drivers & Barriers

Mottram, Nigel

113

The Impact of Child and Family Service Reviews on Knowledge Management  

ERIC Educational Resources Information Center

This article uses knowledge management as a framework to analyze the impact of the child and family review process on child protective service agencies. Results of a qualitative analysis of child and family service reviews and program improvement plans indicated that the process has led to an increase in the use of family team meetings and risk…

Mischen, Pamela A.

2008-01-01

114

Review of Child Care Services Provided Under Title IV, Social Security Act.  

ERIC Educational Resources Information Center

This report on child care services is based on: (1) a review of program administration at the central and regional offices of the Social and Rehabilitation Service and the Office of Child Development, and (2) a review of selected child care providers in nine states. The program and fiscal management at each administrative level were evaluated,…

Department of Health, Education, and Welfare, Washington, DC. HEW Audit Agency.

115

PESTICIDE-WILDLIFE STUDIES A Review of Fish and Wildlife Service  

E-print Network

PESTICIDE-WILDLIFE STUDIES A Review of Fish and Wildlife Service Investigations During 1961 OF THE INTERIOR, STEhAR"f L. CDALL, SECRETARY Frank P. Briggs, Assistant Secretary for Fish and Wildlife Fish STUDIES: A Review of Fish and Wildlife Service Investigations During 1961 and 1962 Fish and Wildlife

116

Intergenerational Service-Learning: A Review of Recent Literature and Directions for the Future  

ERIC Educational Resources Information Center

This review examines recent studies that have addressed outcomes of intergenerational service-learning courses in gerontology. The history of service-learning pedagogy in higher education and its place in today's colleges is also reviewed. Particular attention is given to evaluations of stakeholders: students, older adult participants, agencies…

Roodin, Paul; Brown, Laura Hess; Shedlock, Dorothy

2013-01-01

117

Calibrated Ancillary System (CAS) user's guide, volume 7  

NASA Technical Reports Server (NTRS)

The Calibrated Ancillary System (CAS) provides real-time calibrated parameters from the orbiter downlink (ancillary data) to the Goddard Space Flight Center (GSFC). This user's guide contains the introduction to the equipment, operation, general procedures, and specific procedures of CAS. Volume 7 describes the data flow engineer (DFE) user mission planning procedures which include instructions for processing the SDT/TDT (shuttle data tape/telemetry descriptor tape).

1986-01-01

118

ERIC Review: Service Learning in the Community College.  

ERIC Educational Resources Information Center

Presents a comprehensive definition of service learning in postsecondary education. Provides examples of service learning programs in community colleges. Discusses national initiatives to promote service learning experiences for students. Summarizes best practices for starting and managing such programs based on case studies in the literature…

Kozeracki, Carol A.

2000-01-01

119

Service quality in higher education – a review and research agenda  

Microsoft Academic Search

Purpose – The purpose of this paper is to explore the critical research issues in terms of service quality in higher education. Design\\/methodology\\/approach – The paper critically examines a number of leading studies in satisfaction, service quality, and higher education. Findings – The paper finds five critical research agenda in the field of service quality in higher education sector. Research

Parves Sultan; Ho Yin Wong

2010-01-01

120

76 FR 70131 - Senior Executive Service Performance Review Board; Membership  

Federal Register 2010, 2011, 2012, 2013

...membership of the Environmental Protection Agency Performance Review Board...Resources Management, Environmental Protection...2011 EPA Performance Review Board...Health and Environmental Effects Research...Resources Management. David...

2011-11-10

121

76 FR 76122 - Senior Executive Service Performance Review Board  

Federal Register 2010, 2011, 2012, 2013

...CHEMICAL SAFETY AND HAZARD INVESTIGATION...Performance Review Board AGENCY: Chemical Safety and Hazard Investigation...SUMMARY: This notice announces a change in the membership of the Senior...Performance Review Board for the Chemical Safety and Hazard...

2011-12-06

122

76 FR 30646 - Senior Executive Service Performance Review Board  

Federal Register 2010, 2011, 2012, 2013

...CHEMICAL SAFETY AND HAZARD INVESTIGATION...Performance Review Board AGENCY: Chemical Safety and Hazard Investigation...SUMMARY: This notice announces a change in the membership of the Senior...Performance Review Board for the Chemical Safety and Hazard...

2011-05-26

123

75 FR 1028 - Senior Executive Service Performance Review Board  

Federal Register 2010, 2011, 2012, 2013

...CHEMICAL SAFETY AND HAZARD INVESTIGATION...Performance Review Board AGENCY: Chemical Safety and Hazard Investigation...SUMMARY: This notice announces a change in the membership of the Senior...Performance Review Board for the Chemical Safety and Hazard...

2010-01-08

124

78 FR 57837 - Senior Executive Service Performance Review Board  

Federal Register 2010, 2011, 2012, 2013

...CHEMICAL SAFETY AND HAZARD INVESTIGATION...Performance Review Board AGENCY: Chemical Safety and Hazard Investigation...SUMMARY: This notice announces a change in the membership of the Senior...Performance Review Board for the Chemical Safety and Hazard...

2013-09-20

125

CT and MR Imaging Diagnosis and Staging of Hepatocellular Carcinoma: Part II. Extracellular Agents, Hepatobiliary Agents, and Ancillary Imaging Features.  

PubMed

Computed tomography (CT) and magnetic resonance (MR) imaging play critical roles in the diagnosis and staging of hepatocellular carcinoma (HCC). The second article of this two-part review discusses basic concepts of diagnosis and staging, reviews the diagnostic performance of CT and MR imaging with extracellular contrast agents and of MR imaging with hepatobiliary contrast agents, and examines in depth the major and ancillary imaging features used in the diagnosis and characterization of HCC. © RSNA, 2014. PMID:25247563

Choi, Jin-Young; Lee, Jeong-Min; Sirlin, Claude B

2014-10-01

126

A Review of District 4J Computer Services.  

ERIC Educational Resources Information Center

This report examines the data processing services provided to Eugene (Oregon) School District 4J by the Oregon Total Information System (OTIS) and provides recommendations to the district administration to aid policy-making and planning in the area of computer services. The report focuses primarily on the use of the computer for management…

Eugene School District 4J, OR. Div. of Research, Development, and Evaluation.

127

The need for general medical services: a literature review  

Microsoft Academic Search

General Medical Services (GMS) are provided mainly through Family Practices, on a demand led basis: that is, there is no cash limit expect for certain specified selected services such as Practice Nurses etc. Nevertheless, since 1948, the Medical Practices Committee (MPC) have influenced the delivery of GMS through a system of allowances for areas designated as under-doctored; and, of course,

Roy Carr-Hill

1999-01-01

128

75 FR 47141 - Review of Personal Radio Services Rules  

Federal Register 2010, 2011, 2012, 2013

...regulatory burdens on users, improve spectrum use, provide for enhanced equipment...Additionally, the NPRM proposes to improve spectrum use efficiency by providing for the...within its service area on its assigned spectrum, consistent with the...

2010-08-04

129

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

130

Outcome Measurement in Clinical Genetics Services: A Systematic Review of Validated Measures  

Microsoft Academic Search

ObjectiveThis systematic review aimed to inform researchers and policymakers about what validated outcome measures are available to evaluate clinical genetics services (CGS) and the need for new measures.

Katherine Payne; Stuart Nicholls; Marion McAllister; Rhona MacLeod; Dian Donnai; Linda M. Davies

2008-01-01

131

76 FR 42168 - Health Services Research and Development Service Merit Review Board; Notice of Meeting  

Federal Register 2010, 2011, 2012, 2013

...the Board is to review research and development applications...the testing of new methods of health care delivery...management, and nursing research. Applications are reviewed...Informatics and Research Methods Development; HSR...

2011-07-18

132

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

133

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

134

Reviewed: 01/07/2011 1 Service Level Standards Human Resources  

E-print Network

Reviewed: 01/07/2011 1 Service Level Standards ­ Human Resources Human Resources is constantly with by the lead for the service function, and then ultimately by the Director of Human Resources. Standard 3 and the need to be more efficient and effective. Other HR activities are recurring e.g. recruitment, payment

Brierley, Andrew

135

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

136

A Review of Counselling Services within Alberta Career Development and Employment.  

ERIC Educational Resources Information Center

A review of counseling services within Alberta Career Development and Employment is presented in this document. Strategic issues were identified, most of which occur in other vocational counseling organizations. The issues include: (1) adapting to organizational changes; (2) increasing linkages between counseling services; (3) re-defining…

Vellacott, John; Brandon, Bill

137

Outcomes and Effectiveness of Family Support Services: A Research Review. In Practice Issues.  

ERIC Educational Resources Information Center

This report reviews the evidence for the effectiveness of different kinds of family support services, focusing on services in the United Kingdom, particularly for families who are disadvantaged or experiencing particular difficulties in their lives. The report also describes different evaluation methods and presents information on various measures…

Statham, June

138

Web Service Composition Systems for the Web Service Challenge - A Detailed Review  

Microsoft Academic Search

This report gives a detailed discussion on the system, algorithms, and techniques that we have applied in order to solve the Web Ser- vice Challenges (WSC) of the years 2006 and 2007. These international contests are focused on semantic web service composition. In each chal- lenge of the contests, a repository of web services is given. The input and output

Thomas Weise; Steffen Bleul; Kurt Geihs

139

A Review and Description of Services for Migrant Children.  

ERIC Educational Resources Information Center

American migrant and seasonal agricultural workers are a population needing categorical assistance due to low income, difficult working and living conditions, and a mobile lifestyle. The purpose of this study was to identify, describe, and analyze federally funded migrant services. This study, based on interviews with program officials and…

Fitzgerald, Brian K.; Hopper, Patricia A.

140

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

141

US Fish and Wildlife Service 1979 wetland classification: A review  

Microsoft Academic Search

In 1979 the US Fish and Wildlife Service published and adopted a classification of wetlands and deepwater habitats of the United States. The system was designed for use in a national inventory of wetlands. It was intended to be ecologically based, to furnish the mapping units needed for the inventory, and to provide national consistency in terminology and definition. We

Lewis M. Cowardin; Francis C. Golet

1995-01-01

142

75 FR 62501 - Senior Executive Service Performance Review Board: Update  

Federal Register 2010, 2011, 2012, 2013

...Agency for International Development (USAID), 1300 Pennsylvania Avenue, NW., Room...202-216-3392; Internet e-mail address: rross@usaid.gov (for e-mail messages, the subject...should include the following reference-- USAID OIG Senior Executive Service (SES)...

2010-10-12

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

Barriers to the Uptake of Eye Care Services in Developing Countries: A Systematic Review of Interventions  

ERIC Educational Resources Information Center

Objective: This research identifies effective and ineffective interventions for reducing barriers to the uptake of eye care services in developing countries. Design: Systematic literature review. Setting: Only research studies done in developing countries were included. Method: The review is restricted to English-language articles published…

Abdullah, Khadija Nowaira; Al-Sharqi, Omar Zayan; Abdullah, Muhammad Tanweer

2013-01-01

145

Exploitation of Landsat imagery and ancillary data for battlespace characterization  

Microsoft Academic Search

Spectral data provide opportunities to discriminate targets from background clutter and to detect partially concealed objects. However, data with high spatial resolution generally are not synoptic scale (hundreds of kilometers). By analyzing courser resolution synoptic imagery, high-resolution sensors can then be cued to areas of potential targets. Multispectral images (Landsat 7) are combined with ancillary data-lines of communication, digital elevation

Seth M. Orloff; Su May Hsu; H.-H. K. Burke

2002-01-01

146

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.

147

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

148

Consumer attitudes toward transit service: an interpretive review  

Microsoft Academic Search

Transportation improvement policy should concentrate investment in transit operations consistent with consumer concerns. Responses to travel time, reliability, convenience, comfort, safety, cost, and service factors were surveyed to ascertain traveler attitudes. The survey concludes that changes made should improve reliability, reduce out-of-vehicle time, and in-vehicle standing. More riders can be attracted by raising auto and parking fees than by lowering

Martin Wachs

1976-01-01

149

A review of product–service systems design methodologies  

Microsoft Academic Search

Product–service systems (PSS), motivated to fulfil customers’ needs, are seen as good strategies to face today's competitive business environment. The field of PSS research is however not fully mature and many different methodologies are proposed for the PSS design. This paper seeks to understand the directions taken in eight state-of-the-art methodologies so as to identify common needs in future research.

Gokula Vijaykumar Annamalai Vasantha; Rajkumar Roy; Alan Lelah; Daniel Brissaud

2012-01-01

150

A review of product–service systems design methodologies  

Microsoft Academic Search

Product–service systems (PSS), motivated to fulfil customers’ needs, are seen as good strategies to face today's competitive business environment. The field of PSS research is however not fully mature and many different methodologies are proposed for the PSS design. This paper seeks to understand the directions taken in eight state-of-the-art methodologies so as to identify common needs in future research.

Gokula Vijaykumar Annamalai Vasantha; Rajkumar Roy; Alan Lelah; Daniel Brissaud

2011-01-01

151

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; Øivind Ekeberg; Erlend Hem

2006-01-01

152

40 CFR 267.197 - What are the requirements for ancillary equipment?  

Code of Federal Regulations, 2010 CFR

...the requirements for ancillary equipment? You must provide ancillary equipment with secondary containment (for example, trench, jacketing, double-walled piping) that meets the requirements of § 267.195 (a) and (b), except for:...

2010-07-01

153

40 CFR 267.197 - What are the requirements for ancillary equipment?  

Code of Federal Regulations, 2011 CFR

...the requirements for ancillary equipment? You must provide ancillary equipment with secondary containment (for example, trench, jacketing, double-walled piping) that meets the requirements of § 267.195 (a) and (b), except for:...

2011-07-01

154

Minority ethnic groups in dementia care: A review of service needs, service provision and models of good practice  

Microsoft Academic Search

Sixty-seven English language articles were obtained for the review, the majority of which (44, 65.7%) had US origins. Broadly, the main issues covered in the literature were the under-utilization of services by minority ethnic groups; the prevalence of dementia in different ethnic groups; the experience of care giving in different racial groups and language as a factor in cognitive assessment.

G. Daker-White; A. M. Beattie; J. Gilliard; R. Means

2002-01-01

155

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

156

Northern opportunities: A strategic review of Canada's Arctic icebreaking services  

Microsoft Academic Search

Climate change presages increasingly ice-free waters in the Canadian Arctic and fundamental reconfiguration of Asia–Europe and Asia–US East Coast marine transportation networks via the Northwest Passage (NWP). Retreating sea ice will impact the annual re-supply of goods to northern communities, natural resource development, cruise ship and adventure tourism activity, and the fishing industry. Reviews of infrastructure to support increased shipping

James Parsons; John Dinwoodie; Michael Roe

2011-01-01

157

A review of interference criteria for various radio services  

Microsoft Academic Search

Minimum acceptable carrier-to-interference or maximum acceptable interference-noise ratios at the RF input terminals of receivers are reviewed with the aim of facilitating EM compatibility analyses. Cochannel interference protection ratios are presented for similar desired and undesired signals, and for dissimilar undesired signals. Interference protection ratios for broadcasting satellites, as well as for fixed and fixed-satellite applications, are also given.

R. B. Schulz

1977-01-01

158

Master of Public Service and Administration Program Review and Evaluation  

E-print Network

, gives a description of the survey and focus group results, and concludes with lessons learned from the project. 7 Literature Review Overall, the available literature on conducting assessments of Master of Public Administration (MPA) programs... responsible for student learning. 3. The gravity of the assessment may be questioned when some institutions encourage faculty to focus more on research than on teaching. 4. Assessment highlights the tension between campus administration and state...

McElheny, Sue; McMillen, Stephanie; Payne, Tyler; Perez, Paige; Vela, Austin; Ward, David; Weissgerber, Alec

2010-01-01

159

Using Technology to Deliver Mental Health Services to Children and Youth: A Scoping Review  

PubMed Central

Objective: To conduct a scoping review on the use of technology to deliver mental health services to children and youth in order to identify the breadth of peer-reviewed literature, summarize findings and identify gaps. Method: A literature database search identified 126 original studies meeting criteria for review. Descriptive numerical summary and thematic analyses were conducted. Two reviewers independently extracted data. Results: Studies were characterized by diverse technologies including videoconferencing, telephone and mobile phone applications and Internet-based applications such as email, web sites and CD-ROMs. Conclusion: The use of technologies plays a major role in the delivery of mental health services and supports to children and youth in providing prevention, assessment, diagnosis, counseling and treatment programs. Strategies are growing exponentially on a global basis, thus it is critical to study the impact of these technologies on child and youth mental health service delivery. An in-depth review and synthesis of the quality of findings of studies on effectiveness of the use of technologies in service delivery are also warranted. A full systematic review would provide that opportunity. PMID:24872824

Boydell, Katherine M.; Hodgins, Michael; Pignatiello, Antonio; Teshima, John; Edwards, Helen; Willis, David

2014-01-01

160

National review of maternity services 2008: women influencing change  

Microsoft Academic Search

Background  In 2009 the Australian government announced a major program of reform with the move to primary maternity care. The reform\\u000a agenda represents a dramatic change to maternity care provision in a society that has embraced technology across all aspects\\u000a of life including childbirth.\\u000a \\u000a \\u000a \\u000a \\u000a Methods  A critical discourse analysis of selected submissions in the consultation process to the national review of maternity

Meredith J McIntyre; Karen Francis; Ysanne Chapman

2011-01-01

161

Service oriented architecture for clinical decision support: a systematic review and future directions.  

PubMed

The use of a service-oriented architecture (SOA) has been identified as a promising approach for improving health care by facilitating reliable clinical decision support (CDS). A review of the literature through October 2013 identified 44 articles on this topic. The review suggests that SOA related technologies such as Business Process Model and Notation (BPMN) and Service Component Architecture (SCA) have not been generally adopted to impact health IT systems' performance for better care solutions. Additionally, technologies such as Enterprise Service Bus (ESB) and architectural approaches like Service Choreography have not been generally exploited among researchers and developers. Based on the experience of other industries and our observation of the evolution of SOA, we found that the greater use of these approaches have the potential to significantly impact SOA implementations for CDS. PMID:25325996

Loya, Salvador Rodriguez; Kawamoto, Kensaku; Chatwin, Chris; Huser, Vojtech

2014-12-01

162

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

163

An ancillary pumping system for the APS vacuum system  

SciTech Connect

An ancillary pumping system has been designed and installed in the Advanced Photon Source (APS) storage ring. This vacuum system has the ability to pump sectors of the storage ring down from room pressure to ultra-high vacuum (UHV). The ancillary system is a {open_quotes}dry{close_quotes} 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, essential for the operation of a UHV storage ring; rapid response to vacuum emergencies 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. [and others

1997-06-01

164

Unanticipated Consequences: Thinking About Ancillary Benefits and Costs of Greenhouse Gas Emissions Mitigation  

SciTech Connect

Recently there has been interest in the “ancillary benefits” of potential policies to address climate change. Ancillary benefits occur whenever a policy to address climate change also results in a reduction in some conventional pollutant. Framing the problem in terms of ancillary benefits is too narrow. In general implementation of any policy can have consequences for unpriced environmental externalities that extend beyond the original target of the policy. These ancillary consequences can be either positive, negative, or mixed. This is the inevitable implication of undertaking policy in a non-linear world. In this essay we explore some of the ancillary benefits and costs of addressing climate change.

Edmonds, James A.

2005-03-31

165

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

2014-02-26

166

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

167

University Counselling Service Utilisation by Local and International Students and User Characteristics: A Review  

ERIC Educational Resources Information Center

This paper reviews research on students' usage of university counselling services across countries and their demographic and psychological characteristics. In doing so, emphasis is given to reported distinctions between local and international university students. Utilisation rates, encouraging factors and barriers to utilisation, presenting…

Raunic, Adam; Xenos, Sophia

2008-01-01

168

Enhancing the Resilience of Young Single Mothers of Color: A Review of Programs and Services  

ERIC Educational Resources Information Center

Within the last decade, births to unmarried women in the United States have risen dramatically, presenting challenges for young women to complete high school and attend college. This article presents a review of programs and services designed to support single mothers in completing high school and accessing postsecondary education. We highlight…

Romo, Laura F.; Segura, Denise A.

2010-01-01

169

Enhancing the Resilience of Young Single Mothers of Color: A Review of Programs and Services  

Microsoft Academic Search

Within the last decade, births to unmarried women in the United States have risen dramatically, presenting challenges for young women to complete high school and attend college. This article presents a review of programs and services designed to support single mothers in completing high school and accessing postsecondary education. We highlight both problematic and effective aspects of these programs with

Laura F. Romo; Denise A. Segura

2010-01-01

170

Family-Based Services in Children's Mental Health: A Research Review and Synthesis  

ERIC Educational Resources Information Center

A systematic review was undertaken of scientifically rigorous studies of family-based services in children's health and mental health. From a pool of over 4000 articles since 1980 in health and mental health that examined either specific family-based interventions for families of children or the processes of involvement, 41 studies were identified…

Hoagwood, Kimberly Eaton

2005-01-01

171

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

172

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

E-print Network

PESTICIDE-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. Mollusks .. Fish ·.... Chronic exposure of fish to pesticides. Bioassay techniques .. Residue studies

173

The General Agreement on Trade in Services: A Review of its Textual Clarity and Consistency  

Microsoft Academic Search

Julian Arkell has selected extracts relating to a few key Articles of the General Agreement on Trade in Services (GATS) from his review of the issues which appeared in the Geneva Association “Etudes et Dossiers” No. 247, November 2001. His aim was to provoke an assessment by private sector advocacy groups of the commercial priorities for improving the framework language

Julian Arkell

2002-01-01

174

Wildlife Services' Safety Review: Chemical Immobilization and Euthanasia of Wildlife: Immobilization and Euthanasia Drugs Safety Report.  

National Technical Information Service (NTIS)

To assess the degree of safety for Wildlie Services in the arena of chemical immobilization and euthanasia of Wildlife (I&eE), It Identified the major risks associated with the WS I&E program, Reviewed agency policies, directives,and supporting documents,...

B. C. West, M. R. Johnson, S. W. Jack

2009-01-01

175

Applications of Telecommunications Technology to Services for Individuals with Disabilities. Rehabilitation Research Review #7.  

ERIC Educational Resources Information Center

The paper reviews 268 studies and publications (dated from 1975 to 1983) related to the application of telecommunications technology to rehabilitation. Technologies examined were applications of television (cable, closed circuit, interactive, instructional television, fixed service, and broadcast); satellite; radio; and telephone. Documents are…

Bruyere, Suzanne M.

176

Accounting for ecosystem services in life cycle assessment, Part I: a critical review.  

PubMed

If life cycle oriented methods are to encourage sustainable development, they must account for the role of ecosystem goods and services, since these form the basis of planetary activities and human well-being. This article reviews methods that are relevant to accounting for the role of nature and that could be integrated into life cycle oriented approaches. These include methods developed by ecologists for quantifying ecosystem services, by ecological economists for monetary valuation, and life cycle methods such as conventional life cycle assessment, thermodynamic methods for resource accounting such as exergy and emergy analysis, variations of the ecological footprint approach, and human appropriation of net primary productivity. Each approach has its strengths: economic methods are able to quantify the value of cultural services; LCA considers emissions and assesses their impact; emergy accounts for supporting services in terms of cumulative exergy; and ecological footprint is intuitively appealing and considers biocapacity. However, no method is able to consider all the ecosystem services, often due to the desire to aggregate all resources in terms of a single unit. This review shows that comprehensive accounting for ecosystem services in LCA requires greater integration among existing methods, hierarchical schemes for interpreting results via multiple levels of aggregation, and greater understanding of the role of ecosystems in supporting human activities. These present many research opportunities that must be addressed to meet the challenges of sustainability. PMID:20178382

Zhang, Yi; Singh, Shweta; Bakshi, Bhavik R

2010-04-01

177

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

178

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

179

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

180

Promoting a quality of service culture in health care: review of a Scottish initiative.  

PubMed

This paper is a review of a quality of service initiative which was carried out as a PICKUP Quality Project within the Scottish Health Service. This Quality Initiative took place between 1989 and 1990: before the emergence of The Patient's Charter. The aim of the review was to provide answers to a number of important questions which examined the perceptions of staff who took part in the Quality of Service initiative, identified parts of the process which were in need of substantial revision, and reported on the reactions of participants to the overall process. The methodology employed involved questionnaires and interview techniques. A number of problems were identified and, after examination, these were taken to indicate learning pointers for the future. It was evident that good quality of service training can be delivered, but only if it is clearly and appropriately tailored to the audience. It is also of fundamental importance to be familiar with the environment in which the organization is operating. In this instance, as is often the case for health care, there were considerable financial limitations in force at the time. These limitations heightened the general business sensitivity and showed that carrying through quality of service improvements involved the demonstration of commitment and the provision of resources. PMID:10168962

Curry, A C; Keogh, W; Hogg, G M

1997-05-01

181

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

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

2014-11-01

183

National Ignition Facility sub-system design requirements ancillary systems SSDR 1.5.6  

SciTech Connect

This System Design Requirement document establishes the performance, design, development, and test requirements for the Ancillary Systems, which is part of the NIF Integrated Computer Control System (ICCS).

Spann, J.; Reed, R.; VanArsdall, P.; Bliss, E.

1996-09-01

184

Intergenerational service-learning: a review of recent literature and directions for the future.  

PubMed

This review examines recent studies that have addressed outcomes of intergenerational service-learning courses in gerontology. The history of service-learning pedagogy in higher education and its place in today's colleges is also reviewed. Particular attention is given to evaluations of stakeholders: students, older adult participants, agencies and staff, faculty, community residents, colleges, and the community itself. The need for adopting research designs that permit clear conclusions and for utilizing assessments that have psychometrically sound foundations is important in future studies to permit unambiguous comparisons from study to study. The value of the pedagogy for students in particular has been documented over a number of years. Equally important is today's need to assess the impact of the pedagogy on the community. PMID:23362852

Roodin, Paul; Brown, Laura Hess; Shedlock, Dorothy

2013-01-01

185

Short-term medical service trips: a systematic review of the evidence.  

PubMed

Short-term medical service trips (MSTs) aim to address unmet health care needs of low- and middle-income countries. The lack of critically reviewed empirical evidence of activities and outcomes is a concern. Developing evidence-based recommendations for health care delivery requires systematic research review. I focused on MST publications with empirical results. Searches in May 2013 identified 67 studies published since 1993, only 6% of the published articles on the topic in the past 20 years. Nearly 80% reported on surgical trips. Although the MST field is growing, its medical literature lags behind, with nearly all of the scholarly publications lacking significant data collection. By incorporating data collection into service trips, groups can validate practices and provide information about areas needing improvement. PMID:24832401

Sykes, Kevin J

2014-07-01

186

Patient and service user engagement in research: a systematic review and synthesized framework.  

PubMed

BACKGROUND: There is growing attention towards increasing patient and service user engagement (PSUE) in biomedical and health services research. Existing variations in language and design inhibit reporting and indexing, which are crucial to comparative effectiveness in determining best practices. OBJECTIVE: This paper utilizes a systematic review and environmental scan to derive an evidence-based framework for PSUE. DESIGN: A metanarrative systematic review and environmental scan/manual search using scientific databases and other search engines, along with feedback from a patient advisory group (PAG). ELIGIBLE SOURCES: English-language studies, commentaries, grey literature and other sources (including systematic and non-systematic reviews) pertaining to patient and public involvement in biomedical and health services research. DATA EXTRACTED: Study description (e.g. participant demographics, research setting) and design, if applicable; frameworks, conceptualizations or planning schemes for PSUE-related endeavours; and methods for PSUE initiation and gathering patients'/service users' input or contributions. RESULTS: Overall, 202 sources were included and met eligibility criteria; 41 of these presented some framework or conceptualization of PSUE. Sources were synthesized into a two-part framework for PSUE: (i) integral PSUE components include patient and service user initiation, reciprocal relationships, colearning and re-assessment and feedback, (ii) sources describe PSUE at several research stages, within three larger phases: preparatory, execution and translational. DISCUSSION AND CONCLUSIONS: Efforts at developing a solid evidence base on PSUE are limited by the non-standard and non-empirical nature of much of the literature. Our proposed two-part framework provides a standard structure and language for reporting and indexing to support comparative effectiveness and optimize PSUE. PMID:23731468

Shippee, Nathan D; Domecq Garces, Juan Pablo; Prutsky Lopez, Gabriela J; Wang, Zhen; Elraiyah, Tarig A; Nabhan, Mohammed; Brito, Juan P; Boehmer, Kasey; Hasan, Rim; Firwana, Belal; Erwin, Patricia J; Montori, Victor M; Murad, M Hassan

2013-06-01

187

Burnout in Mental Health Services: A Review of the Problem and Its Remediation  

Microsoft Academic Search

Staff burnout is increasingly viewed as a concern in the mental health field. In this article we first examine the extent\\u000a to which burnout is a problem for mental health services in terms of two critical issues: its prevalence and its association\\u000a with a range of undesirable outcomes for staff, organizations, and consumers. We subsequently provide a comprehensive review\\u000a of

Gary MorseMichelle; Michelle P. Salyers; Angela L. Rollins; Maria Monroe-DeVita; Corey Pfahler

188

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

189

Effectiveness of service linkages in primary mental health care: a narrative review part 1  

Microsoft Academic Search

Background  With the move to community care and increased involvement of generalist health care providers in mental health, the need for\\u000a health service partnerships has been emphasised in mental health policy. Within existing health system structures the active\\u000a strategies that facilitate effective partnership linkages are not clear. The objective of this study was to examine the evidence\\u000a from peer reviewed literature

Jeffrey D Fuller; David Perkins; Sharon Parker; Louise Holdsworth; Brian Kelly; Russell Roberts; Lee Martinez; Lyn Fragar

2011-01-01

190

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

191

Diagnosing carpal tunnel syndrome--clinical criteria and ancillary tests.  

PubMed

Damage to the median nerve within the carpal tunnel gives rise to carpal tunnel syndrome (CTS), which is associated with a wide spectrum of symptoms. The predominant classic symptoms are nocturnal pain of the hand, and sensory disturbances within the distribution of the median nerve, both of which are characteristically relieved by hand movements. Ancillary tests, including nerve conduction studies (NCS) and imaging techniques, are mainly indicated when the classic defining features are absent. NCS are less accurate in the early stages of CTS, and in younger patients. Imaging tests (ultrasound and MRI), while still having a lower diagnostic accuracy than NCS, are proving to be useful for explaining persistence of symptoms following surgical relief. Supplementary tests of small nerve fiber function and measurement of intracarpal pressure might, in the future, improve early recognition of CTS, especially in the absence of well-defined symptoms. PMID:16932587

Wilder-Smith, Einar P; Seet, Raymond C S; Lim, Erle C H

2006-07-01

192

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

193

Adverse selection and moral hazard in the provision of clinical trial ancillary care.  

PubMed

As more and more clinical trials are conducted in developing countries, concerns arise about non-trial medical care available to study participants. Recent work argues for ancillary care - medical care not part of the clinical trial per se - to be formally incorporated into these studies. Although the provision of ancillary care is often justified on ethical grounds, a number of crucial implementation issues remain unresolved, including its scope, duration and financing. Drawing on lessons from health insurance benefit design, we highlight two overlooked challenges for ancillary care adoption - adverse selection and moral hazard - and offer recommendations that could attenuate their consequences. Specifically, adverse selection and moral hazard could be reduced by offering a choice between ancillary medical care and monetary compensation or rewarding low ancillary care utilization. Alternatively, researchers' financial risk due to ancillary care could be shifted to a third-party insurer. Recognizing participants' behavioral responses to prospective offers of ancillary medical care would allow funders and research teams to forecast the demand for ancillary care more accurately and to prepare for its provision more adequately. PMID:22464397

Richards, Michael R; Helmchen, Lorens A

2013-04-01

194

STS ancillary equipment study. [user reference book for multimission modular spacecraft missions  

NASA Technical Reports Server (NTRS)

Spaceborne and ground ancillary equipment for multimission module spacecraft are listed to provide documentation for potential users interested in utilizing existing equipment rather than developing payload unique designs. The format of the data form contained in the Ancillary Equipment user reference book is discussed.

Plough, J. A.

1977-01-01

195

Health Services Financing Report: A Review of Appendices A-Q  

PubMed Central

In May of this year after three years' work an advisory panel of the B.M.A., with Dr. I. M. Jones in the chair, produced a report on Health Services Financing.1 A summary appeared in the Annual Report of Council2 and a preliminary discussion on the report was held at the B.M.A.'s Annual Representative Meeting in July.3 A full debate was deferred until the committees, divisions, and branches of the Association had had an opportunity to discuss the proposals. Nearly half of the book consists of appendices, commissioned from several economists, which cover the N.H.S. and the health services of 14 Western and some Eastern European countries. Below Professor Dennis Lees reviews these appendices, which formed a major source of information for the authors of the report and therefore have an important bearing on their conclusions. PMID:4990923

Lees, Dennis

1970-01-01

196

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

197

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

198

A systematic review of the unit costs of allied health and community services used by older people in Australia  

PubMed Central

Background An economic evaluation of interventions for older people requires accurate assessment of costing and consideration of both acute and long-term services. Accurate information on the unit cost of allied health and community services is not readily available in Australia however. This systematic review therefore aims to synthesise information available in the literature on the unit costs of allied health and community services that may be utilised by an older person living in Australia. Method A comprehensive search of Medline, Embase, CINAHL, Google Scholar and Google was undertaken. Specialised economic databases were also reviewed. In addition Australian Government Department websites were inspected. The search identified the cost of specified allied health services including: physiotherapy, occupational therapy, dietetics, podiatry, counselling and home nursing. The range of community services included: personal care, meals on wheels, transport costs and domestic services. Where the information was not available, direct contact with service providers was made. Results The number of eligible studies included in the qualitative synthesis was fourty-nine. Calculated hourly rates for Australian allied health services were adjusted to be in equivalent currency and were as follows as follows: physiotherapy $157.75, occupational therapy $150.77, dietetics $163.11, psychological services $165.77, community nursing $105.76 and podiatry $129.72. Conclusions Utilisation of the Medicare Benefits Scheduled fee as a broad indicator of the costs of services, may lead to underestimation of the real costs of services and therefore to inaccuracies in economic evaluation. PMID:23421756

2013-01-01

199

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

200

Measuring quality in emergency medical services: a review of clinical performance indicators.  

PubMed

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

201

Promoting successful collaborations between domestic violence and substance abuse treatment service sectors: a review of the literature.  

PubMed

Women who experience intimate partner violence (IPV) victimization are more likely to struggle with substance abuse problems than are women who do not experience IPV. Given the connection between IPV victimization and substance abuse, recommended practices urge collaboration between domestic violence service agencies and substance abuse treatment agencies to provide comprehensive services for women with these co-occurring problems. However, domestic violence and substance abuse services have unique histories of development that have led to distinct ways of service delivery. To promote successful collaborations, service providers and researchers are developing strategies to foster relationships across the two service sectors. The authors conducted a review of this emerging body of knowledge with the aim of assembling recommendations for strategies to foster collaboration between domestic violence and substance abuse services. The authors identified 15 documents for review inclusion and our analysis established 5 categories of documents. Findings yield key collaboration strategies and recommended service models. In addition, the review determined the existence of considerable challenges to promoting collaborative relationships between domestic violence and substance abuse treatment service sectors. PMID:22899704

Macy, Rebecca J; Goodbourn, Melissa

2012-10-01

202

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

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

2014-12-01

203

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

204

42 CFR 417.101 - Health benefits plan: Basic health services.  

Code of Federal Regulations, 2010 CFR

...ancillary services) for the abuse of or addiction...Diagnosis and medical treatment for the abuse of or addiction...include detoxification for alcoholism or drug abuse on either...basic health services for the treatment of other medical...

2010-10-01

205

42 CFR 417.101 - Health benefits plan: Basic health services.  

Code of Federal Regulations, 2011 CFR

...ancillary services) for the abuse of or addiction...Diagnosis and medical treatment for the abuse of or addiction...include detoxification for alcoholism or drug abuse on either...basic health services for the treatment of other medical...

2011-10-01

206

Traditional and innovative promotional strategies of tobacco cessation services: a review of the literature.  

PubMed

An estimated 43.5 million American adults currently smoke cigarettes. Well-designed tobacco education campaigns with adequate reach increase cessation and reduce tobacco use. Smokers report great interest in quitting but few use effective treatments including quitlines (QLs). This review examined traditional (TV, radio, print ads) versus innovative tobacco cessation (internet, social media) promotions for QL services. Between November 2011 and January 2012, searches were conducted on EBSCO, PubMed, Wilson, OCLC, CQ Press, Google Scholar, Gale, LexisNexis, and JSTOR. Existing literature shows that the amount of radio and print advertising, and promotion of free cessation medications increases QL call volume. Television advertising volume seems to be the best predictor of QL service awareness. Much of the literature on Internet advertising compares the characteristics of participants recruited for studies through various channels. The majority of the papers indicated that Internet-recruited participants were younger; this was the only demographic characteristic with high agreement across studies. Traditional media was only studied within mass media campaigns with TV ads having a consistent impact on increasing calls to QLs, therefore, it is hard to distinguish the impact of traditional media as an independent QL promotion intervention. With innovative media, while many QL services have a presence on social media sites, there is no literature on evaluating the effectiveness of these channels for quitline promotion. PMID:24515948

Momin, Behnoosh; Neri, Antonio; McCausland, Kristen; Duke, Jennifer; Hansen, Heather; Kahende, Jennifer; Zhang, Lei; Stewart, Sherri L

2014-08-01

207

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

Code of Federal Regulations, 2013 CFR

...2013-07-01 false The DoD Civilian/Military Service Review Board and the Advisory...THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN ACTIVE DUTY SERVICE FOR...Appendix B to Part 47—The DoD Civilian/Military Service Review Board and the...

2013-07-01

208

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

Code of Federal Regulations, 2012 CFR

...2012-07-01 false The DoD Civilian/Military Service Review Board and the Advisory...THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN ACTIVE DUTY SERVICE FOR...Appendix B to Part 47—The DoD Civilian/Military Service Review Board and the...

2012-07-01

209

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

Code of Federal Regulations, 2010 CFR

...2010-07-01 false The DoD Civilian/Military Service Review Board and the Advisory...THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN ACTIVE DUTY SERVICE FOR...Appendix B to Part 47—The DoD Civilian/Military Service Review Board and the...

2010-07-01

210

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

Code of Federal Regulations, 2011 CFR

...2011-07-01 false The DoD Civilian/Military Service Review Board and the Advisory...THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN ACTIVE DUTY SERVICE FOR...Appendix B to Part 47—The DoD Civilian/Military Service Review Board and the...

2011-07-01

211

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

212

Integrated Delivery of Health Services During Outreach Visits: A Literature Review of Program Experience Through a Routine Immunization Lens  

PubMed Central

Background.?Outreach services are used systematically to deliver immunization and health services to individuals with insufficient access to health facilities in lower-income countries. Currently, the topic of integrated service delivery during immunization outreach lacks the attention paid to integration at fixed sites or during campaigns. This article explores integrated outreach and risks associated with service integration. Methods.?Published and gray literature in public health databases and on organization websites were reviewed, yielding 33 articles and gray literature documents for a literature review of experience integrating other services with routine immunization at outreach sessions. Results.?The current policy climate favors service integration as a strategy for increasing the equity and efficiency of important health interventions. However, integration may also present some risk to well-established and resourced interventions, such as immunization, which must be recognized as programs compete for limited resources. Experience reveals integration opportunities in planning and intersectoral coordination, training and supervision, community participation, pooled funding, and monitoring. Conclusions.?The reviewed literature indicates that successful integration of health interventions with immunization at routine outreach sessions requires well-planned and implemented steps. It also highlights the need for additional studies or feedback on planning and implementing integrated outreach services in lower-income countries. PMID:22315382

Partapuri, Tasnim; Steinglass, Robert

2012-01-01

213

Ancillary revenues in the airline industry : impacts on revenue management and distribution systems  

E-print Network

Airlines have increasingly depended on ancillary revenue in response to rising fuel costs, de- creased yields, and an increasingly competitive environment. Estimates indicate that U.S. airlines collected over $8 billion ...

Hao, Eric (Eric C.)

2014-01-01

214

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

Code of Federal Regulations, 2011 CFR

...false Special provisions relating to spectrum leasing arrangements involving the ancillary... GENERAL PRACTICE AND PROCEDURE Spectrum Leasing General Policies and Procedures...9049 Special provisions relating to spectrum leasing arrangements involving the...

2011-10-01

215

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

...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

216

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

217

Beyond spinal manipulation: should Medicare expand coverage for chiropractic services? A review and commentary on the challenges for policy makers  

PubMed Central

Objectives Private insurance plans typically reimburse doctors of chiropractic for a range of clinical services, but Medicare reimbursements are restricted to spinal manipulation procedures. Medicare pays for evaluations performed by medical and osteopathic physicians, nurse practitioners, physician assistants, podiatrists, physical therapists, and occupational therapists; however, it does not reimburse the same services provided by chiropractic physicians. Advocates for expanded coverage of chiropractic services under Medicare cite clinical effectiveness and patient satisfaction, whereas critics point to unnecessary services, inadequate clinical documentation, and projected cost increases. To further inform this debate, the purpose of this commentary is to address the following questions: (1) What are the barriers to expand coverage for chiropractic services? (2) What could potentially be done to address these issues? (3) Is there a rationale for Centers for Medicare and Medicaid Services to expand coverage for chiropractic services? Methods A literature search was conducted of Google and PubMed for peer-reviewed articles and US government reports relevant to the provision of chiropractic care under Medicare. We reviewed relevant articles and reports to identify key issues concerning the expansion of coverage for chiropractic under Medicare, including identification of barriers and rationale for expanded coverage. Results The literature search yielded 29 peer-reviewed articles and 7 federal government reports. Our review of these documents revealed 3 key barriers to full coverage of chiropractic services under Medicare: inadequate documentation of chiropractic claims, possible provision of unnecessary preventive care services, and the uncertain costs of expanded coverage. Our recommendations to address these barriers include the following: individual chiropractic physicians, as well as state and national chiropractic organizations, should continue to strengthen efforts to improve claims and documentation practices; and additional rigorous efficacy/effectiveness research and clinical studies for chiropractic services need to be performed. Research of chiropractic services should target the triple aim of high-quality care, affordability, and improved health. Conclusions The barriers that were identified in this study can be addressed. To overcome these barriers, the chiropractic profession and individual physicians must assume responsibility for correcting deficiencies in compliance and documentation; further research needs to be done to evaluate chiropractic services; and effectiveness of extended episodes of preventive chiropractic care should be rigorously evaluated. Centers for Medicare and Medicaid Services policies related to chiropractic reimbursement should be reexamined using the same standards applicable to other health care providers. The integration of chiropractic physicians as fully engaged Medicare providers has the potential to enhance the capacity of the Medicare workforce to care for the growing population. We recommend that Medicare policy makers consider limited expansion of Medicare coverage to include, at a minimum, reimbursement for evaluation and management services by chiropractic physicians. PMID:25067927

Whedon, James M.; Goertz, Christine M.; Lurie, Jon D.; Stason, William B.

2013-01-01

218

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

219

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

220

A review of the Medical Agency Services Confor-Med range.  

PubMed

Medical Agency Services Ltd (MAS) has, since 1994, been involved in the design and development of mattresses and overlays manufactured from visco-elastic polymer foam, which is currently utilized in the manufacture of domestic, automative and specialist bedding and seating products. The foam is fire retardant and satisfies the BS 5852 (Part 2) ignition source 5. The foam is a heat and weight sensitive, visco-elastic polymer, giving a high performance, pressure redistributing surface that 'moulds' to the patient giving simultaneous muscular/skeletal support and allowing the patient to feel comfortable. The Confor-Med mattress offers a sensible alternative for patients with high Waterlow scores who have no pressure sores, but require early intervention to prevent pressure sores developing. A case study is included in this review of the products. PMID:10624200

Russell, L

221

Revenue Bond Financing Auxiliary Service Facilities Construction at the State Colleges.  

ERIC Educational Resources Information Center

Since the State of Maryland does not provide funds for the construction of dormitories, dining halls, student activities, buildings, and similar ancillary services, an outline of cost responsibilities for such facilities in the state college system is presented. Based on a discussion of the financing methods for ancillary projects, the role of the…

Maryland Board of Trustees of the State Colleges, Baltimore.

222

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

223

Screening for Developmental Dysplasia of the Hip: A Systematic Literature Review for the US Preventive Services Task Force  

Microsoft Academic Search

BACKGROUND.Developmental dysplasia of the hip (DDH) represents a spectrum of anatomic abnormalities that can result in permanent disability. OBJECTIVE.We sought to gather and synthesize the published evidence regarding screening for DDH by primary care providers. METHODS.We performed a systematic review of the literature by using a best- evidence approach as used by the US Preventive Services Task Force. The review

Scott A. Shipman; Mark Helfand; Virginia A. Moyer; Barbara P. Yawn

2009-01-01

224

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

225

Estimating Net Primary Productivity Using Satellite and Ancillary Data  

NASA Technical Reports Server (NTRS)

The net primary productivity (C) or annual rate of carbon accumulation per unit ground area by terrestrial plant communities is the difference of the rate of gross photosynthesis (A(sub g)) and autotrophic respiration (R) per unit ground area. Although available observations show that R is a large and variable fraction of A(sub g), viz., 0.3 to 0.7, it is generally recognized that much uncertainties exist in this fraction due to difficulties associated with the needed measurements. Additional uncertainties arise when these measurements are extrapolated to regional or global land surface using empirical equations, for example, using regression equations relating C to mean annual precipitation and air temperature. Here, a process-based approach has been taken to calculate A(sub g) and R using satellite and ancillary data. A(sub g) has been expressed as a product of radiation use efficiency, magnitude of intercepted photosynthetically active radiation (PAR), and normalized by stresses due to soil water shortage and air temperature away from the optimum range. A biophysical model has been used to determine the radiation use efficiency from the maximum rate of carbon assimilation by a leaf, foliage temperature, and the fraction of diffuse PAR incident on a canopy. All meteorological data (PAR, air temperature, precipitation, etc.) needed for the calculation are derived from satellite observations, while a land use, land cover data (based on satellite and ground measurements) have been used to assess the maximum rate of carbon assimilation by a leaf of varied cover type based on field measurements. R has been calculated as the sum of maintenance and growth components. The maintenance respiration of foliage and live fine roots at a standard temperature of different land cover has been determined from their nitrogen content using field and satellite measurements, while that of living fraction of woody stem (viz., sapwood) from the seasonal maximum leaf area index as determined from satellite observations. These maintenance respiration values were then adjusted to that corresponding to air temperature according to a prescribed non-linear variation of respiration with temperature. The growth respiration has been calculated from the difference of Ag and maintenance respiration, according to the two-compartment model. The results of calculations will be reported for 36 consecutive months (1987-1989) over large contiguous areas (ca. 10(exp 5) sq km) Of agricultural land and tropical humid evergreen forests, and compared with available field data.

Choudhury, B. J.; Houser, Paul (Technical Monitor)

2001-01-01

226

8 CFR 1240.49 - Ancillary matters, applications.  

Code of Federal Regulations, 2010 CFR

...and Nationality EXECUTIVE OFFICE FOR IMMIGRATION REVIEW, DEPARTMENT OF JUSTICE IMMIGRATION REGULATIONS PROCEEDINGS TO DETERMINE...residence. The respondent may apply to the immigration judge for suspension of...

2010-01-01

227

8 CFR 1240.49 - Ancillary matters, applications.  

Code of Federal Regulations, 2011 CFR

...and Nationality EXECUTIVE OFFICE FOR IMMIGRATION REVIEW, DEPARTMENT OF JUSTICE IMMIGRATION REGULATIONS PROCEEDINGS TO DETERMINE...residence. The respondent may apply to the immigration judge for suspension of...

2011-01-01

228

8 CFR 1240.49 - Ancillary matters, applications.  

Code of Federal Regulations, 2013 CFR

...and Nationality EXECUTIVE OFFICE FOR IMMIGRATION REVIEW, DEPARTMENT OF JUSTICE IMMIGRATION REGULATIONS PROCEEDINGS TO DETERMINE...residence. The respondent may apply to the immigration judge for suspension of...

2013-01-01

229

8 CFR 1240.49 - Ancillary matters, applications.  

...and Nationality EXECUTIVE OFFICE FOR IMMIGRATION REVIEW, DEPARTMENT OF JUSTICE IMMIGRATION REGULATIONS PROCEEDINGS TO DETERMINE...residence. The respondent may apply to the immigration judge for suspension of...

2014-01-01

230

8 CFR 1240.49 - Ancillary matters, applications.  

Code of Federal Regulations, 2012 CFR

...and Nationality EXECUTIVE OFFICE FOR IMMIGRATION REVIEW, DEPARTMENT OF JUSTICE IMMIGRATION REGULATIONS PROCEEDINGS TO DETERMINE...residence. The respondent may apply to the immigration judge for suspension of...

2012-01-01

231

Use of Mobile Phone Text Message Reminders in Health Care Services: A Narrative Literature Review  

PubMed Central

Background Mobile text messages are a widely recognized communication method in societies, as the global penetration of the technology approaches 100% worldwide. Systematic knowledge is still lacking on how the mobile telephone text messaging (short message service, SMS) has been used in health care services. Objective This study aims to review the literature on the use of mobile phone text message reminders in health care. Methods We conducted a systematic literature review of studies on mobile telephone text message reminders. The data sources used were PubMed (MEDLINE), CINAHL, Proquest Databases/ PsycINFO, EMBASE, Cochrane Library, Scopus, and hand searching since 2003. Studies reporting the use of SMS intended to remind patients in health services were included. Given the heterogeneity in the studies, descriptive characteristics, purpose of the study, response rates, description of the intervention, dose and timing, instruments, outcome measures, and outcome data from the studies were synthesized using a narrative approach. Results From 911 initial citations, 60 studies were included in the review. The studies reported a variety of use for SMS. Mobile telephone text message reminders were used as the only intervention in 73% (44/60) of the studies, and in 27% (16/60) of the remaining studies, SMS was connected to another comprehensive health intervention system. SMS reminders were sent to different patient groups: patients with HIV/AIDS (15%, 9/60) and diabetes (13%, 8/60) being the most common groups. The response rates of the studies varied from 22-100%. Typically, the text message reminders were sent daily. The time before the specific intervention to be rendered varied from 10 minutes (eg, medication taken) to 2 weeks (eg, scheduled appointment). A wide range of different evaluation methods and outcomes were used to assess the impact of SMS varying from existing databases (eg, attendance rate based on medical records), questionnaires, and physiological measures. About three quarters of the studies (77%, 46/60) reported improved outcomes: adherence to medication or to treatment reportedly improved in 40% (24/60) of the studies, appointment attendance in 18% (11/60) of the studies, and non-attendance rates decreased in 18% (11/60) of the studies. Other positive impacts were decreased amount of missed medication doses, more positive attitudes towards medication, and reductions in treatment interruptions. Conclusions We can conclude that although SMS reminders are used with different patient groups in health care, SMS is less systematically studied with randomized controlled trial study design. Although the amount of evidence for SMS application recommendations is still limited, having 77% (46/60) of the studies showing improved outcomes may indicate its use in health care settings. However, more well-conducted SMS studies are still needed. PMID:25326646

Koivunen, Marita Hannele; Valimaki, Maritta Anneli

2014-01-01

232

What is the evidence for the continuation of core podiatry services in the NHS? A review of foot surveys  

Microsoft Academic Search

The purpose of this paper is to evaluate what evidence exists to support core podiatry services by reviewing foot survey dat a on the amount and type of foot conditions suffered in different populations. Twenty-six articles published between 1967 and 2004 inclusively were appraised. The most common conditions reported were problem nails, corns, callus and toe deformities, though some complex

Lisa Farndon; Wesley Vernon; Anne Parry

233

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

234

Screening for Breast Cancer: Systematic Evidence Review Update for the U. S. Preventive Services Task Force  

PubMed Central

Background This systematic review is an update of evidence since the 2002 U.S. Preventive Services Task Force (USPSTF) recommendation on breast cancer screening. Purpose To determine the effectiveness of mammography screening in decreasing breast cancer mortality among average-risk women age 40 to 49 and 70 and older; the effectiveness of clinical breast examination (CBE) and breast self examination (BSE); and harms of screening. Data Sources Cochrane Controlled Trials Registry and Database of Systematic Reviews (4th Quarter 2008), MEDLINE® (January 2001 to December 2008), reference lists, and Web of Science® for published studies; Breast Cancer Surveillance Consortium for screening mammography data. Study Selection Randomized controlled trials with breast cancer mortality outcomes for screening effectiveness; multiple study designs and data sources for harms. Data Extraction Investigators abstracted relevant data and rated study quality using established criteria. Data Synthesis Mammography screening reduces breast cancer mortality by 15% for women age 39 to 49 (relative risk 0.85; 95% CrI 0.75 to 0.96; 8 trials); data are lacking for age ?70. Radiation exposure from mammography is low. Patient adverse experiences are common, transient, and do not impact screening practices. Estimates of overdiagnosis vary from 1% to 10%. Younger women have more false positive mammograms and additional imaging, but fewer biopsies than older women. Trials of CBE are ongoing; for BSE, trials showed no reductions in mortality but increased benign biopsies. Limitations Studies of older women, digital mammography, and MRI are lacking. Conclusions Mammography screening reduces breast cancer mortality for women age 39 to 69; data are insufficient for older women. False positive mammograms and additional imaging are common. No benefit has been shown for CBE or BSE. PMID:19920273

Nelson, Heidi D.; Tyne, Kari; Naik, Arpana; Bougatsos, Christina; Chan, Benjamin K.; Humphrey, Linda

2010-01-01

235

The impact of a supplementary medication review and counselling service within the oncology outpatient setting  

PubMed Central

The impact on the care of breast cancer patients, of a pharmacy technician-led medication review and counselling clinic, provided in an outpatient setting, was investigated using a controlled randomised study. Compared to the controls, clinic patients showed a significantly improved level of understanding of their chemotherapy support medication (95% CI for difference in mean knowledge rating scores=2.165–2.826, P<0.001) and a significant reduction in the median number of support items required (two compared to five in the control, P<0.001). This resulted in a significant reduction in mean medication expenditure per patient (£26.70 vs £10.20, 95% CI for the mean difference in cost £6.72–£26.26, P<0.001). The clinic was also associated with significant reductions in chemotherapy delays (P<0.001) and dose reductions due to side effects (P=0.003). Other benefits from the clinic were a reduction in pharmacy dispensing time and a highly significant reduction in pharmacy time spent resolving post-clinic prescription queries (P<0.001). Taking into account the initial technician training cost, the scheme represented an annual saving to the Trust of over £15?000. The clinic serves as a model for those wishing to improve outpatient services to breast cancer patients. PMID:17311014

Read, H; Ladds, S; Rhodes, B; Brown, D; Portlock, J

2007-01-01

236

8 CFR 1240.11 - Ancillary matters, applications.  

Code of Federal Regulations, 2013 CFR

...and Nationality EXECUTIVE OFFICE FOR IMMIGRATION REVIEW, DEPARTMENT OF JUSTICE IMMIGRATION REGULATIONS PROCEEDINGS TO DETERMINE...removal proceeding, an alien may apply to the immigration judge for cancellation of...

2013-01-01

237

8 CFR 1240.11 - Ancillary matters, applications.  

Code of Federal Regulations, 2012 CFR

...and Nationality EXECUTIVE OFFICE FOR IMMIGRATION REVIEW, DEPARTMENT OF JUSTICE IMMIGRATION REGULATIONS PROCEEDINGS TO DETERMINE...removal proceeding, an alien may apply to the immigration judge for cancellation of...

2012-01-01

238

8 CFR 1240.11 - Ancillary matters, applications.  

Code of Federal Regulations, 2010 CFR

...and Nationality EXECUTIVE OFFICE FOR IMMIGRATION REVIEW, DEPARTMENT OF JUSTICE IMMIGRATION REGULATIONS PROCEEDINGS TO DETERMINE...removal proceeding, an alien may apply to the immigration judge for cancellation of...

2010-01-01

239

8 CFR 1240.11 - Ancillary matters, applications.  

Code of Federal Regulations, 2011 CFR

...and Nationality EXECUTIVE OFFICE FOR IMMIGRATION REVIEW, DEPARTMENT OF JUSTICE IMMIGRATION REGULATIONS PROCEEDINGS TO DETERMINE...removal proceeding, an alien may apply to the immigration judge for cancellation of...

2011-01-01

240

8 CFR 1240.11 - Ancillary matters, applications.  

...and Nationality EXECUTIVE OFFICE FOR IMMIGRATION REVIEW, DEPARTMENT OF JUSTICE IMMIGRATION REGULATIONS PROCEEDINGS TO DETERMINE...removal proceeding, an alien may apply to the immigration judge for cancellation of...

2014-01-01

241

75 FR 13129 - General Services Administration Acquisition Regulation; Submission for OMB Review; Sales Practice...  

Federal Register 2010, 2011, 2012, 2013

...or Services With an Established Catalog Price and Sales Practices Format-- Supplies...Pricing Without an Established Catalog Price AGENCY: Office of the Chief Acquisition...or Services with an Established Catalog Price and Sales Practices...

2010-03-18

242

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

Federal Register 2010, 2011, 2012, 2013

...and Printing (BEP), the Financial Management Service (FMS), the United...Bureau (TTB), and the Financial Crimes Enforcement Network...Bureau of the Public Debt and Financial Management Service. The Combined PRB...

2011-10-18

243

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

Federal Register 2010, 2011, 2012, 2013

...Engraving and Printing (BEP), Financial Management Service (FMS), Bureau of the...Trade Bureau (TTB) and Financial Crimes Enforcement Network...Executive Director level in the Financial Management Service and Bureau of the...

2010-10-01

244

75 FR 43168 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Service...  

Federal Register 2010, 2011, 2012, 2013

...Aging (SUA), Area Agencies on Aging (AAA) and Local Service Providers (LSP...questionnaire followed by interviews with AAA directors and their staff and focus groups...the SUA to represent a maximum range of AAA and service provider network...

2010-07-23

245

Results of Limited Data Quality and Recipient Reporting Review at Near North Health Service Corporation.  

National Technical Information Service (NTIS)

Near North Health Service Corporation (Near North), established in 1966, is one of the largest nonprofit community health centers in the Chicago area, providing health care, social services, and nutrition education. Near North is funded through HRSA grant...

L. S. Pilcher

2010-01-01

246

The effectiveness of youth centers in increasing use of sexual and reproductive health services: a systematic review.  

PubMed

This study presents findings from a systematic review of the evidence regarding the effectiveness of youth centers in increasing use of sexual and reproductive health (SRH) services in lower- and middle-income countries. Evidence from peer-reviewed and gray literature between 1990 and 2010 was reviewed. After the screening of 3,769 citations, 21 studies reporting on 17 youth center programs were included, and were ranked by strength of evidence. Considerable consistency in findings across studies was observed. Youth centers generally served a relatively small proportion of young people living nearby. The main users were young men attending school or college, with a significant proportion older than the target age. Users of the on-site SRH services were predominantly young women, with a significant proportion older than the target age group. Uptake of services was generally low. Despite widespread emphasis on youth centers as a strategy for encouraging young people to access SRH services, results from these studies have not been encouraging, and cost-effectiveness for these purposes is likely to be low. PMID:23239245

Zuurmond, Maria A; Geary, Rebecca S; Ross, David A

2012-12-01

247

SAMSS: An in-progress review of the Spacecraft Assembly, Maintenance, and Servicing Study  

NASA Technical Reports Server (NTRS)

The Spacecraft Assembly, Maintenance, and Servicing Study (SAMSS) is an effort to define and verify the most cost effective approach to spacecraft servicing, as a alternative to replacement, in the 1990's and beyond. The intent of the study is to assess the servicing of satellites in all orbit regimes. Elements of a space servicing infrastructure are developed and cost estimates are generated. Readiness is assessed and proof of concept demonstrations are identified. Cryogenic fuel resupply is discussed.

Burt, William W.

1987-01-01

248

Iridacyclobutanes: Nucleophilic addition to [eta][sup 3]-allyl complexes of iridium bearing reactive ancillary ligands  

SciTech Connect

This investigation concerns the formation of metallacyclobutane complexes via central carbon nucleophilic addition to [eta][sup 3]-allyl complexes bearing reactive ancillary ligands and is intended to demonstrate the potential for application of such metallacyclobutane formation to organic synthesis. The effect of the ancillary ligand on the reactivity of the [eta][sup 3]-allyl complex and the potential for elaborating the targeted metallacycle via insertion of small molecules is examined. Ethylene-enabled allylic activation of monoolefins using the dicationic template, [Cp*Ir(acetone)[sub 3

Wakefield, J.B.

1992-01-01

249

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

250

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

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

Edstrom, Karin

1979-01-01

252

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

253

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

254

Protocol for a systematic review on inequalities in postnatal care services utilization in low- and middle-income countries  

PubMed Central

Background Each year, 287,000 women die from complications related to pregnancy or childbirth, and 3.8 million newborns die before reaching 28 days of life. The near totality (99%) of maternal and neonatal deaths occurs in low- and middle-income countries (LMICs). Utilization of essential obstetric care services including postnatal care (PNC) largely contributes to the reduction of maternal and neonatal mortality and morbidity. There is a strong need to evaluate the evidence on the unmet needs in utilization of PNC services to inform health policy planning. Our objective is to assess systematically the socioeconomic, geographic and demographic inequalities in the use of PNC interventions in low- and middle-income countries. Methods/Design The current protocol adopts a strategy informed by the guidelines of The Cochrane Handbook for Systematic Reviews. Our systematic review will identify studies in English, French, Spanish, Portuguese and Chinese – provided inclusion of an English abstract - from 1960 onwards, by searching MEDLINE (PubMed interface), EMBASE (OVID interface), Cochrane Central (OVID interface) and the gray literature. Study selection criteria include research setting, study design, reported outcomes and determinants of interest. Our primary outcome is the utilization of PNC services, and determinants of concern are: 1) socioeconomic status (for example, income, education); 2) geographic determinants (for example, distance to a health center, rural versus urban residence); and 3) demographic determinants (for example, ethnicity, immigration status). Screening, data abstraction, and scientific quality assessment will be conducted independently by two reviewers using standardized forms. Where feasible, study results will be combined through meta-analyses to obtain a pooled measure of association between utilization of PNC services and key determinants. Results will be stratified by countries’ income levels (World Bank classification). Discussion Our review will inform policy-making with the aim of decreasing inequalities in utilization of PNC services. This research will provide evidence on unmet needs for PNC services in LMICs, knowledge gaps and recommendations to health policy planners. Our research will help promote universal coverage of quality PNC services as an integral part of the continuum of maternal and child health care. This protocol was registered with the Prospero database (registration number: CRD42013004661). PMID:23830501

2013-01-01

255

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

256

UNDERSTANDING THE ANCILLARY BENEFITS OF CLIMATE CHANGE POLICIES: A RESEARCH AGENDA  

EPA Science Inventory

Climate change policies are commonly evaluated on their potential to reduce greenhouse gas (GHG) emissions. They also have potential indirect or ancillary effects on various sectors such as public health, transportation and ecosystem health. It is important to understand the magn...

257

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 terrestrial components operating in the 1.5./1.6 GHz, 1.6/2.4 GHz and 2 GHz bands. 25.255 Section 25.255 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER...

2010-10-01

258

GLOBAL CHANGE RESEARCH NEWS #15: WORKSHOP ON ANCILLARY BENEFITS AND COSTS OF CLIMATE CHANGE STRATEGIES  

EPA Science Inventory

EPA's Global Change Research Program is co-sponsoring a three-day workshop to examine possible ancillary benefits of climate change adaptation and mitigation policies. The goals of the workshop are: (1)to establish a common basis of understanding about the conceptual and empiric...

259

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

260

A quality assurance program for ancillary high technology devices on a dual-energy accelerator  

Microsoft Academic Search

Our facility has added high-technology ancillary devices to our dual-energy linear accelerator. After commissioning and acceptance testing of dual asymmetric jaws, dynamic wedge, portal imaging, and multileaf collimation (MLC), quality assurance programs were instituted. The programs were designed to be both periodic and patient specific when required. In addition, when dosimetric aspects were affected by these technologies, additional quality assurance

Eric E. Klein; Daniel A. Low; Derek Maag; James A. Purdy

1996-01-01

261

Emotional Intelligence and Mentoring in Pre-Service Teacher Education: A Literature Review  

ERIC Educational Resources Information Center

In this article, the emerging discourse of "emotional intelligence" is discussed in relation to mentoring in pre-service teacher education. Possible reasons for the neglect of emotion and affect in pre-service teacher education, and in education more broadly, are discussed. The emerging focus on emotion in these fields is also examined in light of…

Hawkey, Kate

2006-01-01

262

Service Learning: History, Literature Review, and a Pilot Study of Eighth Graders.  

ERIC Educational Resources Information Center

Within the context of current service learning legislation and litigation, a pilot study investigated effects of a service learning curriculum that was part of middle school advisory and science classes. Quantitative data indicated non-statistically significant growth in self-esteem and motivation. Student journals, essays, interviews, field…

Johnson, Angelina Marie; Notah, Deborah Jean

1999-01-01

263

SOCIAL JUSTICE, SERVICE LEARNING, AND HIGHER EDUCATION: A CRITICAL REVIEW OF RESEARCH  

Microsoft Academic Search

This essay highlights the need for research that can deepen our understanding of the relationship between service learning, citizenship education, and justice in colleges and universities. In particular, we discuss the need to understand the relationship between different approaches to service learning and different conceptions of the \\

Joseph Kahne; Joel Westheimer

264

In-service fatigue failure of engineered products and structures – Case study review  

Microsoft Academic Search

Service failure of engineered products and structures can occur by cyclic application of stresses (or strains), the magnitude of which would be insufficient to cause failure when applied singly. As a failure mechanism, fatigue involves initiation and gradual growth of cracks until the remaining section of material can no longer support the applied service load. Typically, both metallic and polymeric

Colin R Gagg; Peter R Lewis

2009-01-01

265

Online Therapeutic Social Service Provision (Therap-pc): A State of the Art Review  

Microsoft Academic Search

Many questions being posed in the fields of social science, psychology, and counseling with regard to provision of mental health services online have led to theoretical discussions of pros and cons of this new method of practice. The most prevalent clinically oriented questions about online intervention include: Can online services be considered therapy or even therapeutic? Can warmth, empathy and

David Helton

2003-01-01

266

Mental health services for people with intellectual disability in Israel--a review of options.  

PubMed

Intellectual disability (ID) (often also referred to as "mental retardation," "development disability," "mental handicap," "learning disability" or as "generalized learning difficulties") is common in all countries. Many people with ID suffer from psychiatric/behavioral/emotional disturbances (known as "dual diagnosis"). Specialist psychiatric services are needed to address these problems effectively, but are not currently available in most countries, including Israel. This article sets out to describe the problems, current services in Israel, approaches in other countries and proposed solutions for Israel. We believe it important to enforce laws against discrimination based on disability, to raise the general awareness, knowledge and skills among generic mental health professionals on the topic of intellectual disability by inclusion in university, postgraduate and in-service training curricula, to work towards a form of subspecialty within psychiatry along the lines of the model in the United Kingdom and to establish specialized psychiatric services, possibly functioning as back-up to the generic psychiatric services. PMID:17338442

Stawski, Mike; Merrick, Joav

2006-01-01

267

75 FR 65528 - Membership of the National Science Board's Senior Executive Service Performance Review Board  

Federal Register 2010, 2011, 2012, 2013

...NATIONAL SCIENCE FOUNDATION Membership of the National...Performance Review Board AGENCY: National Science Foundation. ACTION: Announcement of Membership of the National Science Foundation's Performance...

2010-10-25

268

Functional design criteria W-367, 222-S ancillary equipment addition  

SciTech Connect

This paper reviews the designs and performance of tubular solid oxide fuel cells (SOFCs). A large number of tubular cells of the porous support tube type have been electrically tested, some to times over 50,000 hours; these cells have shown excellent performance and performance stability. Since 1984, successfully larger electrical generators utilizing these cells have been built and operated; a 20 kW integrated SOFC system operated for 7064 hours during 1993-1994. Results of development efforts to reduce cost and increase power output of tubular cells by eliminating porous support tube and increasing active length are described, and plans to utilize such air electrode supported cells in future SOFC systems are discussed.

McVey, C.B.

1995-02-21

269

Reviews  

NASA Astrophysics Data System (ADS)

BOOK REVIEW Search for Life BOOK REVIEW Health Physics BOOK REVIEW Language and Literacy in Science Education BOOK REVIEW Science Web Reader—Physics Correction GCSE BOOK REVIEW Physics for Higher Tier GCSE BOOK REVIEW Modular Science GCSE BOOK REVIEW Modular Science for AQA: Foundation level and Higher level GCSE BOOK REVIEW Physics for OCR A GCSE BOOK REVIEW Physics Matters, 3rd edition GCSE BOOK REVIEW Physics GCSE BOOK REVIEW Science Foundations: Physics (new edition) GCSE BOOK REVIEW Target Science: Physics Foundation Tier GCSE BOOK REVIEW Target Science: Physics Foundation Tier: AQA WEB WATCH Medical physics organizations

2001-11-01

270

75 FR 48407 - Notice of Senior Executive Service Performance Review Board Membership  

Federal Register 2010, 2011, 2012, 2013

...Senior Executive Service members of the Social Security Administration: Sean Brune JoEllen Felice Brad Flick* Alan Heim Pete Herrera Bonnie Kind Eileen McDaniel Steven Patrick Roy Snyder Tina Waddell Daryl Wise Sheryll Ziporkin* *New member. Dated:...

2010-08-10

271

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

Federal Register 2010, 2011, 2012, 2013

...activity will garner qualitative customer and stakeholder...service delivery. By qualitative feedback we mean information...generic clearance for qualitative information will not...clustering), the precision requirements or power calculations...several things: Conduct research to understand the...

2013-04-12

272

76 FR 52735 - Members of Senior Executive Service Performance Review Boards  

Federal Register 2010, 2011, 2012, 2013

...executives serving on the boards follow: Steven T. Miller, Deputy Commissioner for Services...Modernization (SB/ SE); Rebecca Mack Johnson, Director, Strategy and Finance (SB...regulations. Dated: August 15, 2011. Steven T. Miller, Deputy Commissioner for...

2011-08-23

273

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

Federal Register 2010, 2011, 2012, 2013

...Administrative Services, BPD; Paul Crowe, Assistant Commissioner, Office of Retail Securities, BPD. Alternate Members: Dara Seaman, Assistant Commissioner, Office of Financing, BPD. Van Zeck, Commissioner. [FR Doc. 2011-26869 Filed...

2011-10-18

274

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

Federal Register 2010, 2011, 2012, 2013

...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

A unique service in UK delivering Plastibell circumcision: review of 9-year results.  

PubMed

Muslim infants undergo circumcision for religious reasons and Bradford has a high Muslim population. The National Health Service in UK does not provide religious circumcision, so in 1996 a nurse-delivered circumcision service led by consultant urologists was set up at a no-profit and cost-only basis. Plastibell circumcision was offered to all infants between 6 and 14 weeks old and performed under local anaesthesia. Information leaflets and videotapes about the procedure were available to parents prior to the procedure. A three monthly audit of the service was undertaken. Between July 1996 and June 2005 (9 years) 1,129 circumcisions were performed. The common complications were problems with the ring (3.6%) and bleeding (3%). Overall, there was 96% satisfaction rate among the service users. The Plastibell technique for circumcision is a simple method and can be safely performed by trained nurses with acceptable complication rates. PMID:17024296

Palit, Victor; Menebhi, David K; Taylor, Ian; Young, Margaret; Elmasry, Yasser; Shah, Tariq

2007-01-01

276

78 FR 51275 - Members of Senior Executive Service Performance Review Boards  

Federal Register 2010, 2011, 2012, 2013

...Compliance (W&I) Debra A. Cunn, Executive Director, Business Modernization, Taxpayer Advocate Service (TAS) Monica H. Davy, Executive Director, Office of Equity, Diversity and Inclusion, Office of the Commissioner Paul D. DeNard, Deputy...

2013-08-20

277

Periodic review inventory-control for perishable products under service-level constraints  

Microsoft Academic Search

Food retail inventory management faces major challenges by uncertain demand, perishability, and high customer service level\\u000a requirements. In this paper, we present a method to determine dynamic order quantities for perishable products with limited\\u000a shelf-life, positive lead time, FIFO or LIFO issuing policy, and multiple service level constraints. In a numerical study,\\u000a we illustrate the superiority of the proposed method

Stefan Minner; Sandra Transchel

2010-01-01

278

Building effective service linkages in primary mental health care: a narrative review part 2  

Microsoft Academic Search

Background  Primary care services have not generally been effective in meeting mental health care needs. There is evidence that collaboration\\u000a between primary care and specialist mental health services can improve clinical and organisational outcomes. It is not clear\\u000a however what factors enable or hinder effective collaboration. The objective of this study was to examine the factors that\\u000a enable effective collaboration between

Jeffrey D Fuller; David Perkins; Sharon Parker; Louise Holdsworth; Brian Kelly; Russell Roberts; Lee Martinez; Lyn Fragar

2011-01-01

279

When the fine print isn't so fine: reviewing contracts of health plan service providers.  

PubMed

Most employers delegate responsibilities for health plan administration to one or more service providers or vendors. Recent legal developments make it increasingly important for employers to ensure that the contracts with their vendors provide appropriate protections against liability, hold vendors accountable for performing the services they agree to provide and enable plans to comply with an ever-expanding list of federal and state law requirements. PMID:11534223

Simon, T; Hamelburg, M

2001-09-01

280

Screening for Child and Adolescent Depression in Primary Care Settings: A Systematic Evidence Review for the U.S. Preventive Services Task Force. Evidence Synthesis Number 69.  

National Technical Information Service (NTIS)

This systematic review to aid the United States Preventive Services Task Force (USPSTF) in updating its 2002 recommendation on screening for child and adolescent depression among average-risk, primary care populations. This report summarizes the evidence ...

E. O'Connor, E. Whitlock, M. Eder, S. B. Williams

2009-01-01

281

Factors and Models Associated with the amount of Hospital Care Services as Demanded by Hospitalized Patients: A Systematic Review  

PubMed Central

Background Hospitals are constantly being challenged to provide high-quality care despite ageing populations, diminishing resources, and budgetary restraints. While the costs of care depend on the patients' needs, it is not clear which patient characteristics are associated with the demand for care and inherent costs. The aim of this study was to ascertain which patient-related characteristics or models can predict the need for medical and nursing care in general hospital settings. Methods We systematically searched MEDLINE, Embase, Business Source Premier and CINAHL. Pre-defined eligibility criteria were used to detect studies that explored patient characteristics and health status parameters associated to the use of hospital care services for hospitalized patients. Two reviewers independently assessed study relevance, quality with the STROBE instrument, and performed data analysis. Results From 2,168 potentially relevant articles, 17 met our eligibility criteria. These showed a large variety of factors associated with the use of hospital care services; models were found in only three studies. Age, gender, medical and nursing diagnoses, severity of illness, patient acuity, comorbidity, and complications were the characteristics found the most. Patient acuity and medical and nursing diagnoses were the most influencing characteristics. Models including medical or nursing diagnoses and patient acuity explain the variance in the use of hospital care services for at least 56.2%, and up to 78.7% when organizational factors were added. Conclusions A larger variety of factors were found to be associated with the use of hospital care services. Models that explain the extent to which hospital care services are used should contain patient characteristics, including patient acuity, medical or nursing diagnoses, and organizational and staffing characteristics, e.g., hospital size, organization of care, and the size and skill mix of staff. This would enable healthcare managers at different levels to evaluate hospital care services and organize or reorganize patient care. PMID:24878506

van Oostveen, Catharina J.; Ubbink, Dirk T.; Huis in het Veld, Judith G.; Bakker, Piet J.; Vermeulen, Hester

2014-01-01

282

Mexican Americans and mental health: a selected review and recommendations for mental health service delivery.  

PubMed

Eight working assumptions are generated from the literature in three problem areas and evaluated with recently published quantitative data, paying particular attention to variation within the ethnic group. Assumptions that Mexican Americans have few emotional problems, primarily use a folk medical system, do not rely on clergymen for emotional support, and have negative attitudes toward mental health services are rejected. Two assumptions are qualified: Mexican Americans have some emotional problems at different rates than Anglos and some Mexican subgroups are relatively unaware of mental health services. There is confirmation of the Mexican American extended family support system and mental health policies which variously discourage utilization by Mexican Americans. Implications for mental health service delivery are discussed. PMID:7416091

Keefe, S E; Casas, J M

1980-06-01

283

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

284

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

285

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

Federal Register 2010, 2011, 2012, 2013

...Regulation; Submission for OMB Review; Price Reductions Clause AGENCY: Office of Acquisition...collection requirement regarding the GSAR Price Reductions Clause. A notice was published...by Information Collection 3090- 0235, Price Reduction Clause, by any of the...

2012-09-20

286

75 FR 77921 - Office of Administrative Services; Mandatory Declassification Review Address  

Federal Register 2010, 2011, 2012, 2013

...Declassification Review Address AGENCY: Overseas Private Investment Corporation...this notice provides the Overseas Private Investment Corporation...declassification, marking, and safeguarding of classified information...following address or facsimile: Overseas Private Investment...

2010-12-14

287

76 FR 64351 - General Services Administration Acquisition Regulation; Submission for OMB Review; Zero Burden...  

Federal Register 2010, 2011, 2012, 2013

...Regulation; Submission for OMB Review; Zero Burden Information Collection Reports AGENCY...information collection requirement regarding zero burden information collection reports...by Information Collection 3090- 0250, Zero Burden Information Collection...

2011-10-18

288

77 FR 59613 - General Services Administration Acquisition Regulation (GSAR) Part 523; Submission for OMB Review...  

Federal Register 2010, 2011, 2012, 2013

...Review; Environmental Conservation, Occupational Safety, and Drug-Free Workplace...regarding Environmental Conservation, Occupational Safety, and Drug- Free Workplace...3090-0205, Environmental Conservation, Occupational Safety, and Drug-Free...

2012-09-28

289

Undocumented Migrants in Canada: A Scope Literature Review on Health, Access to Services, and Working Conditions  

Microsoft Academic Search

It is estimated that there are 30–40 million undocumented workers worldwide. Although undocumented migration has become an\\u000a issue of high international relevance, it has been strikingly understudied in Canada, especially with respect to its impact\\u000a on health. The purpose of this study is to explore the concept of undocumentedness in Canada through a scoping review of peer-reviewed\\u000a and grey literature

Lilian Magalhaes; Christine Carrasco; Denise Gastaldo

2010-01-01

290

Revolutionary NanoSilicon Ancillary Technologies for Ultimate-Performance Gigascale Systems  

Microsoft Academic Search

This paper describes electrical, optical, and fluidic (or 'trimodal') chip I\\/O interconnect networks for gigascale systems to meet and exceed end-of-roadmap projections in the areas of power delivery, off-chip bandwidth, and heat removal, respectively. The trimodal I\\/O technology is proposed to overcome the adverse effects of conventional silicon ancillary technologies on the performance of a gigascale system. We describe trimodal

Muhannad S. Bakir; Bing Dang; James D. Meindl

2007-01-01

291

Improved Sea Surface Salinity Retrievals using Ancillary data for Aquarius Ocean Roughness Correction  

NASA Astrophysics Data System (ADS)

The Aquarius/SAC-D sea surface salinity (SSS) measurement mission was launched into polar orbit during the summer of 2011. The prime sensor is a combined L-band radiometer/scatterometer developed jointly by NASA Goddard Space Flight Center and the Jet Propulsion Laboratory, which derives SSS from ocean surface brightness temperature (Tb) measurements. This paper deals with a method of improving AQ SSS by making a making an ocean roughness brightness temperature correction (?Tbr). The ?Tbr is derived using several ancillary data sources of surface wind measurements, namely; NOAA numerical weather model - Global Data Assimilation System (GDAS), WindSat ocean vector wind, and the CONAE Microwave Radiometer (MWR). The basis of the correction is the excess (warming) brightness temperature that is produced when the ocean is roughened by the surface wind. We model the increase in L-band Tb as a function of wind speed and direction relative to the antenna azimuth look direction. Our radiative transfer model by El-Nimri [2010] has been tuned to actual AQ ocean surface Tb's with corresponding surface wind vector. Using this ocean emissivity model and the ancillary wind vector, we derive the roughness correction, ?Tbr, which is applied to the AQ measured ocean surface Tb before retrieving SSS. Finally the effect of ?Tbr is evaluated by computing the difference between the HYCOM ocean salinity model and the AQ retrievals. These differences are cross correlated with the ancillary surface wind vector to assess the effectiveness of the roughness correction. Finally, we compare our ?Tbr with the AQ scatterometer derived ?Tbr. We compare the similarities and differenced versus the ancillary surface wind speed. S. El-Nimri et al., 2010, "An improved C-band ocean surface emissivity model at hurricane force wind speeds over a wide range of earth incidence angles," IEEE Geosci. Rem. Sens. Letters, vol. 7, NO. 4, October.

Jones, L.; Hejazin, Y.; Rabollii, M.

2012-12-01

292

Structure, processing and midgut secretion of putative peritrophic membrane ancillary protein (PMAP) from Tenebrio molitor larvae  

Microsoft Academic Search

A cDNA coding for a Tenebrio molitor midgut protein named peritrophic membrane ancillary protein (PMAP) was cloned and sequenced. The complete cDNA codes for a protein of 595 amino acids with six insect-allergen-related-repeats that may be grouped in A (predicted globular)- and B (predicted nonglobular)-types forming an ABABAB structure. The PMAP–cDNA was expressed in Pichia pastoris and the recombinant protein

A. H. Ferreira; P. T. Cristofoletti; D. C. Pimenta; A. F. Ribeiro; W. R. Terra; C. Ferreira

2008-01-01

293

European challenges in delivering social services in rural regions: a scoping review  

Microsoft Academic Search

This article presents an overview of the challenges facing the diverse rural regions of Europe in delivering social services to its citizens. This is at a time of significant socio-economic and demographic change in Europe. Changes include the impact of globalisation, European integration, population ageing, international and regional migration and restructuring of employment. The uneven impact of change is transforming

Jill Manthorpe; Lynne Livsey

2009-01-01

294

Impacts of fire service volunteering on the families of volunteers: A literature review and research agenda  

Microsoft Academic Search

Despite the frequently acknowledged importance of the families of fire service volunteers in supporting the volunteering endeavour, little is known about how being a volunteer firefighter impacts on his or her family. Almost no research has been reported on the experiences of families of Australian volunteer firefighters. The limited amount of published research which examined impacts on families of career

SEAN COWLISHAW; JIM MCLENNAN

295

The British National Health Service 1948-2008: A Review of the Historiography  

Microsoft Academic Search

Summary. This article surveys historical writing on the British National Health Service since its incep- tion in 1948. Its main focus is on policy-making and organisation and its principal concerns are primary care and the hospital sector, although public health, and psychiatric and geriatric care are briefly discussed. The over-arching narrative is one of transition from paternalism and technocratic planning

Martin Gorsky

2008-01-01

296

Correlates of Attendance in Psychiatric Services: A Critical Review Kelsey A. Bonfils1  

E-print Network

these into eight content areas: demographics, current functioning, history (psychiatric/functional), neurocognitive functioning, services/treatment, social functioning, self-stigma/insight, and symptoms/psychopathology to be significantly related to consumer attendance. The category containing the most unique correlates was symptoms/psychopathology

Zhou, Yaoqi

297

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

Microsoft Academic Search

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

Richard D Smith

2004-01-01

298

Effective financing of maternal health services: A review of the literature  

Microsoft Academic Search

Health care can be funded in a number of ways ranging from direct user charges (out of pocket) payments to indirect methods that pool across time (prepayment) and across different risk and wealth groups (insurance and general taxation). All these methods can be used to finance maternal health services. When assessing the impact of financing mechanisms it is important to

Tim Ensor; Jeptepkeny Ronoh

2005-01-01

299

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

Microsoft Academic Search

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 University Libraries’

Hannah Gascho Rempel

2010-01-01

300

Classification of facial rejuvenation techniques based on the subperiosteal approach and ancillary procedures.  

PubMed

Subperiosteal face lift is a new way of doing facial rejuvenation. There are multiple variations of technique described by several authors. Each variable introduced to the technique may be relevant to the final outcome and potential safety or complications. The most important variables are extent of dissection, combination of the subperiosteal dissection with other planes of dissection, suspension methods, and use of ancillary techniques. A systematic classification of techniques in which a lesser or greater subperiosteal dissection is made has been devised. Each technique is individualized and differentiated from seemingly alike techniques. A list of ancillary techniques is included. This classification is useful for facial evaluation and preoperative planning. A surgical proposal is made individualizing each patient's facial aesthetics rather than giving one type of operation to every patient. This classification is also useful for comparison and analysis of surgical results obtained with different techniques. It has the versatility of adding new variations and any ancillary technique adapted to the surgeon's idiosyncrasy. It can be used as a model to develop a classification of traditional face lift techniques. PMID:8532805

Ramirez, O M

1996-01-01

301

Statistical integration of ancillary data into an advanced maximum likelihood classifier  

NASA Astrophysics Data System (ADS)

The inclusion of prior probabilities derived from the frequency histograms of the training sets has already been demonstrated to significantly improve the performance of a maximum likelihood classifier. Based on the same principles, a method is presently proposed to integrate the information of ancillary data layers (morphology, pedology, etc.) into the classification process. The statistical basis of this probabilistic approach is first described. A case study is then illustrated concerning a rugged area in Tuscany, (central Italy) sensed by bitemporal Landsat thematic mapper (TM) scenes. Ground references of nine cover categories were collected and digitized together with four ancillary data layers (elevation, slope, aspect, and soils). A maximum likelihood classification with nonparametric priors based only on the TM scenes was first tested, yielding a Kappa accuracy of 0.744. The ancillary data were integrated into the modified classifier, with notable increases in classification accuracy (up to Kappa equals 0.910). It is concluded that the utility of such an approach must be evaluated in relation to the characteristics of the landscape and the satellite imagery considered.

Conese, Claudio; Maselli, Fabio; De Filippis, Tiziana; Romani, Maurizio

1994-08-01

302

Theoretical study of new blue iridium complexes comprising a bipyridine derivative and various ancillary ligands.  

PubMed

New blue emitting ligand Iridium(III) complexes with two phosphines trans to each other and two ancillary ligands, such as Ir(dfpypy)(PPh3)2(H)(CI) and Ir(dfpypy)(PPh3)2(H)(CN), [dfpypy = 2,6-difluoro-3-(pyridin-2-yl)pyridine] were designed and studied to tune the phosphorescence wavelength to the deep blue region and to enhance the luminescence efficiencies. To gain insight into the factors responsible for the emission color change and the different luminescence efficiency, we performed the DFT and TD-DFT calculations on the ground and excited states of these phosphors. (1) The fluorine-substituted dfpypy ligand lower the HOMO energy levels because a N of the pyridyl ligand is more electronegative than a C of the nonsubstituted phenyl ligand and also (2) mono-cyclometalated Iridium(III) complexes using two phosphines trans to each other increased HOMO-LUMO gap by strong field effects of ancillary ligands. From these results, we discuss how the dfpypy ligand and the ancillary ligand influences the emission peak as well as the metal to ligand charge transfer (MLCT) transition efficiency. As the maximum emission spectra of FIrpic known as blue phosphorescence material is about 475 nm. The resulting Iridium(III) complexes, Ir(dfpypy)(PPh3)2(H)(CN), would appear pure blue region about 415 nm with more intensified efficiency. PMID:24758024

Park, Se Won; Kim, Young Sik

2014-07-01

303

41 CFR 102-72.69 - What additional terms and conditions apply to an Executive agencies' delegation of ancillary...  

Code of Federal Regulations, 2010 CFR

41 Public Contracts and Property Management...ancillary repair and alteration authority? 102-72.69 Section 102-72.69 Public Contracts and Property Management...PROPERTY 72-DELEGATION OF AUTHORITY Delegation of Authority...

2010-07-01

304

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

305

Science Enabling Roles and Services of SPDF  

NASA Technical Reports Server (NTRS)

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 per1ormance, more capabilities and a web services inter1ace to Query functionality. We will also review how CDAWeb data can be easily accessed within IDL and new features in CDAWeb.

McGuire, Robert E.; Bilitza, Dieter; Candey, Robert M.; Chimiak, Reine A.; Cooper, John F.; Garcia, Leonard N.; Harris, Bernard T.; Johnson, Rita C.; King, Joseph H.; Kovalick, Tamara J.; Lal, Nand; Leckner, Howard A.; Liu, Michael H.; Papitashvili, Natalia E.; Roberts, D. Aaron

2011-01-01

306

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

307

The effectiveness of housing interventions and housing and service interventions on ending family homelessness: A systematic review.  

PubMed

Family homelessness has become a growing public health problem over the last 3 decades. Despite this trend, few studies have explored the effectiveness of housing interventions and housing and service interventions. The purpose of this systematic review is to appraise and synthesize evidence on effective interventions addressing family homelessness. We searched 10 major electronic databases from 2007 to 2013. Empirical studies investigating effectiveness of housing interventions and housing and service interventions for American homeless families regardless of publication status were eligible for inclusion. Outcomes included housing status, employment, parental trauma and mental health and substance use, children's behavioral and academic status, and family reunification. Study quality was appraised using the Effective Public Health Practice Project tool. Six studies were included in this review. Overall, there was some postintervention improvement in housing and employment, but ongoing residential and work stability were not achieved. Methodological limitations, poor reporting quality, and inconsistent definitions across outcomes hindered between-study comparisons. Substantial limitations in research underscore the insufficiency of our current knowledge base for ending homelessness. Although many families were no longer literally homeless, long-term residential stability and employment at a livable wage were not ensured. Developing and implementing evidence-based approaches for addressing homelessness are long overdue. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:25265216

Bassuk, Ellen L; DeCandia, Carmela J; Tsertsvadze, Alexander; Richard, Molly K

2014-09-01

308

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

309

A review of selected ecosystem services provided by coastal wetlands of the Laurentian Great Lakes  

Microsoft Academic Search

Significant ecosystem services derive from the coastal wetlands of the Laurentian Great Lakes even though two-thirds of the original coastal wetlands have been lost since European settlement, and the remaining 126,000 ha of U.S. coastal wetlands and ?70,000 ha of Canadian wetlands are affected by anthropogenic stressors. Published information indicates that wildlife habitat, fisheries support, and water quality improvement are

Michael E. Sierszen; John A. Morrice; Anett S. Trebitz; Joel C. Hoffman

2012-01-01

310

Suicide: A review of calls to an adolescent peer listening phone service  

Microsoft Academic Search

Calls about suicide to a teen peer listening phone service over a period of 5 1\\/2 years are described. The majority of those\\u000a calling about suicide were females. The phone contacts were of longer duration and later in the evening than calls about other\\u000a concerns. Those concerned with suicide also discussed other serious issues such as selfesteem, family problems, substance

Kathryn E. Boehm; Nancy B. Campbell

1995-01-01

311

Gender-related barriers and delays in accessing tuberculosis diagnostic and treatment services: a systematic review of qualitative studies.  

PubMed

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

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

2014-01-01

312

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

313

Review of In-Service Inspection and Repair Technique Developments for French Liquid Metal Fast Reactors  

SciTech Connect

In-service monitoring of nuclear plants is indispensable for both the Operator and the Regulator. The notion of in-service monitoring ranges from the continuous monitoring of the reactor in operation to the thorough in-service reactor inspection during programmed shutdowns. However, the highly specific environment found in French liquid metal fast reactor plants - Phenix and Superphenix - makes monitoring and inspection complicated because of the use of a sodium coolant that is hot, opaque, and difficult to drain.The Commissariat a l'Energie Atomique, in collaboration with its traditional French partners, Electricite de France utilities and FRAMATOME/Novatome Engineering, decided to conduct a 6-yr research and development program (1994-2000) to explore this problem vis-a-vis Superphenix, as well as the possibilities of intervening within the reactor block or on components in a sodium environment. Furthermore, the safety reevaluation of Phenix, conducted between 1994 and 2003, represented an excellent 'test bench' during which the limits of inspection processes - applied to an integrated reactor concept - were surpassed using techniques such as fuel subassembly head scanning, ultrasonic examination of the core support, and visual inspection of the cover-gas plenum following a partial sodium draining. Repair techniques were investigated for cleaning of sodium wet structure surfaces, cutting of damaged parts, and welding in sodium aerosol atmosphere. Both conventional and laser processes were tested.

Baque, F. [Commissariat a l'Energie Atomique Cadarache (France)

2005-04-15

314

Formative Evaluation and Editorial Review in the Development of Videodiscs Related to Human Service Professions  

Microsoft Academic Search

The importance of formative evaluation and editorial review during the development of an interactive videodisc is often overlooked. The rationale for the integrated use of formative evaluation and editing during the process of design, production, post-production and programming is presented. The role of the instructional designer, as well as some of the focal points, in formative evaluation and editing is

Mark E. Nierengarten

1990-01-01

315

Psychotropic Medication and Community Integration: Implications for Service Providers. A Review of the Literature.  

ERIC Educational Resources Information Center

The review of the literature examines issues concerned with the use of psychotropic medication by people with severe disabilities living in community settings. Data on prevalence of drug usage are provided and include that 54.3% of residents of community residences receive some type of prescribed medication, most of which are classified as…

Knoll, James

316

77 FR 62211 - Senior Executive Services (SES) Performance Review Board: Update  

Federal Register 2010, 2011, 2012, 2013

...202-216-3392; Internet email address: rross@usaid.gov (for email messages, the subject...should include the following reference --USAID OIG SES Performance Review Board). SUPPLEMENTARY...evaluate the initial appraisal of each USAID OIG senior executive's performance...

2012-10-12

317

78 FR 60816 - Senior Executive Services (SES) Performance Review Board: Update  

Federal Register 2010, 2011, 2012, 2013

...202-216-3392; Internet Email address: rross@usaid.gov (for Email messages, the subject...should include the following reference--USAID OIG SES Performance Review Board). SUPPLEMENTARY...evaluate the initial appraisal of each USAID OIG senior executive's performance...

2013-10-02

318

76 FR 60799 - Senior Executive Services (SES) Performance Review Board: Update  

Federal Register 2010, 2011, 2012, 2013

...3392; Internet E-mail address: rross@usaid.gov (for E-mail messages, the subject...should include the following reference--USAID OIG SES Performance Review Board). SUPPLEMENTARY...evaluate the initial appraisal of each USAID OIG senior executive's performance...

2011-09-30

319

78 FR 18981 - General Services Administration Acquisition Regulation; Submission for OMB Review; Proposal to...  

Federal Register 2010, 2011, 2012, 2013

...Submission for OMB Review; Proposal to Lease Space, GSA Forms 1364A, 1364A-1, 1364B...collection requirement for Proposal to Lease Space, GSA Form 1364. The approval is requested...real estate taxes, adjustments for vacant space, and offerors' construction...

2013-03-28

320

The Impact of Clinical Social Franchising on Health Services in Low- and Middle-Income Countries: A Systematic Review  

PubMed Central

Background The private sector plays a large role in health services delivery in low- and middle-income countries; yet significant gaps remain in the quality and accessibility of private sector services. Clinical social franchising, which applies the commercial franchising model to achieve social goals and improve health care, is increasingly used in developing countries to respond to these limitations. Despite the growth of this approach, limited evidence documents the effect of social franchising on improving health care quality and access. Objectives and Methods We examined peer-reviewed and grey literature to evaluate the effect of social franchising on health care quality, equity, cost-effectiveness, and health outcomes. We included all studies of clinical social franchise programs located in low- and middle-income countries. We assessed study bias using the WHO-Johns Hopkins Rigour Scale and used narrative synthesis to evaluate the findings. Results Of 113 identified articles, 23 were included in this review; these evaluated a small sample of franchises globally and focused on reproductive health franchises. Results varied widely across outcomes and programs. Social franchising was positively associated with increased client volume and client satisfaction. The findings on health care utilization and health impact were mixed; some studies find that franchises significantly outperform other models of health care, while others show franchises are equivalent to or worse than other private or public clinics. In two areas, cost-effectiveness and equity, social franchises were generally found to have poorer outcomes. Conclusions Our review indicates that social franchising may strengthen some elements of private sector health care. However, gaps in the evidence remain. Additional research should include: further documentation of the effect of social franchising, evaluating the equity and cost-effectiveness of this intervention, and assessing the role of franchising within the context of the greater healthcare delivery system. PMID:23637757

Beyeler, Naomi; York De La Cruz, Anna; Montagu, Dominic

2013-01-01

321

Business Services Strategic Plan  

E-print Network

Business Services Strategic Plan Updated September 2008 New Synergies: Launching Tomorrow's Leaders of Budget and Fiscal Planning, Business Management, Computing Services, Treasury Operations, Office #12;Goal 3 Improve service delivery Through this goal, Business Services acts to continuously review

Holland, Jeffrey

322

Calorie menu labeling on quick-service restaurant menus: an updated systematic review of the literature.  

PubMed

Nutrition labels are one strategy being used to combat the increasing prevalence of overweight and obesity in the United States. The Patient Protection and Affordable Care Act of 2010 mandates that calorie labels be added to menu boards of chain restaurants with 20 or more locations. This systematic review includes seven studies published since the last review on the topic in 2008. Authors searched for peer-reviewed studies using PUBMED and Google Scholar. Included studies used an experimental or quasi-experimental design comparing a calorie-labeled menu with a no-calorie menu and were conducted in laboratories, college cafeterias, and fast food restaurants. Two of the included studies were judged to be of good quality, and five of were judged to be of fair quality. Observational studies conducted in cities after implementation of calorie labeling were imprecise in their measure of the isolated effects of calorie labels. Experimental studies conducted in laboratory settings were difficult to generalize to real world behavior. Only two of the seven studies reported a statistically significant reduction in calories purchased among consumers using calorie-labeled menus. The current evidence suggests that calorie labeling does not have the intended effect of decreasing calorie purchasing or consumption. PMID:22152038

Swartz, Jonas J; Braxton, Danielle; Viera, Anthony J

2011-01-01

323

Short message service (SMS) interventions for the prevention and treatment of sexually transmitted infections: a systematic review protocol  

PubMed Central

Background Globally, the incidence of sexually transmitted infections (STI) is rising, posing a challenge to its control and appropriate management. Text messaging has become the most common mode of communication among almost six billion mobile phone users worldwide. Text messaging can be used to remind patients about clinic appointments, to notify patients that it is time for STI re-testing, and to facilitate patient communication with their health professionals with any questions and concerns they may have about their sexual health. While there are a handful of systematic reviews published on short message service (SMS) interventions in a variety of health settings and issues, none are related to sexual health. We plan to conduct a systematic review to examine the impact text messaging might have on interventions for the prevention and care of patients with STIs. Methods/Design Eligible studies will include both quantitative and qualitative studies published after 1995 that discuss the efficacy and effectiveness of SMS interventions for STI prevention and management using text messaging. Data will be abstracted independently by two reviewers using a standardized pre-tested data abstraction form. Inter-rater reliability scores will be obtained to ensure consistency in the inclusion and data extraction of studies. Heterogeneity will be assessed using the I2 test and subgroup analyses. A nonhypothesis driven inductive reasoning approach as well as a coding framework will be applied to analyze qualitative studies. A meta-analysis may be conducted if sufficient quantitative studies are found using similar outcomes. Discussion For this protocol, we identified ten related systematic reviews. The reviews were limited to a particular disease or setting, were not exclusive to SMS interventions, or were out of date. This systematic review will be the first comprehensive examination of studies that discuss the effectiveness of SMS on multiple outcomes that relate to STI prevention and management, covering diverse settings and populations. Findings of the systematic review and any additional meta-analyses will be published and presented to our key knowledge users. This information will provide the evidence that is required to appropriately adopt text messaging into standard practice in STI care. PMID:24433348

2014-01-01

324

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

PubMed Central

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

Ridde, Valery; Marchal, Bruno; Fournier, Pierre

2012-01-01

325

The British National Health Service 1948-2008: A Review of the Historiography  

PubMed Central

Summary This article surveys historical writing on the British National Health Service since its inception in 1948. Its main focus is on policy-making and organisation and its principal concerns are primary care and the hospital sector, although public health, and psychiatric and geriatric care are briefly discussed. The over-arching narrative is one of transition from paternalism and technocratic planning to market disciplines and a discourse of choice, and of the ceding of professional autonomy by clinicians to managers and to the state. These issues are discussed in a chronological survey of policy-making from Bevan's ‘creation’ to the Blair era. Later sections consider evaluations of the service, starting with Webster's thesis that the NHS has been subject to prolonged under-funding, particularly under Conservative stewardship, then moving to assessments of the Thatcher, Major and Blair reforms. Much of the historical literature on the NHS is contentious and opinions are sharply divided on the reform era since the 1970s and the trajectories this has set for the future.

Gorsky, Martin

2008-01-01

326

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 Système 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

327

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

328

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

329

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

330

The Scale of Faith Based Organization Participation in Health Service Delivery in Developing Countries: Systemic Review and Meta-Analysis  

PubMed Central

The extent of faith-based organizations' participation within the overall health systems of developing countries is unclear. Recent reports state that faith-based organizations play a substantial role in providing healthcare in developing countries, cited in some publications as up to 70% of all healthcare services. The data behind these numbers are sometimes difficult to pinpoint and seem at odds to national and regional survey data. In an effort to quantify the contribution of faith-based organizations to healthcare delivery in low- and middle-income countries, we undertook a systematic review of the literature and conducted a new analysis of relevant Demographic and Health Survey data from 47 countries. Our findings demonstrate that the magnitude of healthcare provided by faith-based organizations may be lower than previously estimated. Understanding the scale of FBO-provided medical care is important for health sector planning, and more accurate and complete estimates are needed. PMID:23152775

Montagu, Dominic

2012-01-01

331

Maximizing the science return of fly-by missions thanks to ancillary smallsats and cubesats  

NASA Astrophysics Data System (ADS)

The multiplication of new targets in the distant reaches of our Solar System will keep the need for "New Horizons"-like fly-by missions alive, requiring innovative architectures to further enhance the science-to-cost ratio. Thales Alenia Space discusses here how a mid-sized spacecraft can be efficiently complemented by ancillary micro-satellites so as to provide for a considerably increased spatial and/or time coverage and probing of the magnetic field, gravitational field, atmosphere or exosphere of the targets.

Poncy, J.; Couzin, P.; Billot, C.

2013-09-01

332

Preliminary Analysis on the Service Demand and Review in Drought Research in China  

NASA Astrophysics Data System (ADS)

In recent years, under the influence of global change and rapid socioeconomic development, the problem of global environment was distinguished. One of the outstanding issues is drought. Water scarcity, food crisis and ecological deterioration (for example the desertification etc.) result from drought, especially the heavy drought. In China, drought is also a natural disaster with the highest frequency, the widest influence area, and the most far-reaching influence on the social economy. This paper introduces the national demands of drought research, and reviews the main progresses in drought study in China. Controversial questions, key scientific and technical issues faced to the national demands are put forward. And a preliminary analysis on the trend of development in the future in drought research is carried out.

Yaohui, L.; Jinsong, W.; Runyuan, W.; Jianying, F.; Qiguo, Y.; Xiaoping, W.

2011-12-01

333

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

334

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

335

Unbundling generation and transmission services for competitive electricity markets  

SciTech Connect

Ancillary services are those functions performed by the equipment and people that generate, control, and transmit electricity in support of the basic services of generating capacity, energy supply, and power delivery. The Federal Energy Regulatory Commission (FERC) defined such services as those `necessary to support the transmission of electric power from seller to purchaser given the obligations of control areas and transmitting utilities within those control areas to maintain reliable operations of the interconnected transmission system.` The nationwide cost of ancillary services is about $12 billion a year, roughly 10% of the cost of the energy commodity. More important than the cost, however, is the necessity of these services for bulk-power reliability and for the support of commercial transactions. FERC`s landmark Order 888 included a pro forma tariff with provision for six key ancillary services. The Interconnected Operations Services Working Group identified another six services that it felt were essential to the operation of bulk-power systems. Several groups throughput the United States have created or are forming independent system operators, which will be responsible for reliability and commerce. To date, the electricity industry (including traditional vertically integrated utilities, distribution utilities, power markets and brokers, customers, and state and federal regulators) has paid insufficient attention to these services. Although the industry had made substantial progress in identifying and defining the key services, much remains to be doe to specify methods to measure the production, delivery, and consumption of these services; to identify the costs and cost-allocation factors for these services; and to develop market and operating rules for their provision and pricing. Developing metrics, determining costs, and setting pricing rules are important because most of these ancillary services are produced by the same pieces of equipment that produce the basic electricity commodity. Thus, the production of energy and ancillary services is highly interactive, sometimes complementary and sometimes competing. In contrast to today`s typical time-invariant, embedded-cost prices, competitive prices for ancillary services would vary with system loads and spot prices for energy.

Hirst, E.; Kirby, B.

1998-01-01

336

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

337

Monitoring basin-scale land cover changes in Kagera Basin of Lake Victoria using ancillary data and remote sensing  

NASA Astrophysics Data System (ADS)

The Kagera Basin is a high value ecosystem in the Lake Victoria watershed because of the hydrological and food services it provides. The basin has faced large scale human induced land use and land cover changes (LUCC), but quantitative data is to date lacking. A combination of ancillary data and satellite imagery were interpreted to construct LUCC dynamics for the last century. This study is an initial step towards assessing the impact of LUCC on sustainable agriculture and water quality in the watershed. The results show that large trends of LUCC have rapidly occurred over the last 100 years. The most dominant LUCC processes were gains in farmland areas (not detectable in 1901 to 60% in 2010) and a net reduction in dense forest (7% to 2.6%), woodlands (51% to 6.9%) and savannas (35% to 19.6%) between 1901 and 2010. Forest degradation rapidly occurred during 1974 and 1995 but the forest re-grew between 1995 and 2010 due to forest conservation efforts. Afforestation efforts have resulted in plantation forest increases between 1995 and 2010. The rates of LUCC observed are higher than those reported in Sub Saharan Africa (SSA) and other parts of the world. This is one of the few studies in SSA at a basin scale that combines multi-source spatio-temporal data on land cover to enable long-term quantification of land cover changes. In the discussion we address future research needs for the area based on the results of this study. These research needs include quantifying the impacts of land cover change on nutrient and sediment dynamics, soil organic carbon stocks, and changes in biodiversity.

Wasige, John E.; Groen, Thomas A.; Smaling, Eric; Jetten, Victor

2013-04-01

338

Workplace violence in a large correctional health service in New South Wales, Australia: a retrospective review of incident management records  

PubMed Central

Background Little is known about workplace violence among correctional health professionals. This study aimed to describe the patterns, severity and outcomes of incidents of workplace violence among employees of a large correctional health service, and to explore the help-seeking behaviours of staff following an incident. Methods The study setting was Justice Health, a statutory health corporation established to provide health care to people who come into contact with the criminal justice system in New South Wales, Australia. We reviewed incident management records describing workplace violence among Justice Health staff. The three-year study period was 1/7/2007-30/6/2010. Results During the period under review, 208 incidents of workplace violence were recorded. Verbal abuse (71%) was more common than physical abuse (29%). The most (44%) incidents of workplace violence (including both verbal and physical abuse) occurred in adult male prisons, although the most (50%) incidents of physical abuse occurred in a forensic hospital. Most (90%) of the victims were nurses and two-thirds were females. Younger employees and males were most likely to be a victim of physical abuse. Preparing or dispensing medication and attempting to calm and/or restrain an aggressive patient were identified as ‘high risk’ work duties for verbal abuse and physical abuse, respectively. Most (93%) of the incidents of workplace violence were initiated by a prisoner/patient. Almost all of the incidents received either a medium (46%) or low (52%) Severity Assessment Code. Few victims of workplace violence incurred a serious physical injury – there were no workplace deaths during the study period. However, mental stress was common, especially among the victims of verbal abuse (85%). Few (6%) victims of verbal abuse sought help from a health professional. Conclusions Among employees of a large correctional health service, verbal abuse in the workplace was substantially more common than physical abuse. The most incidents of workplace violence occurred in adult male prisons. Review of the types of adverse health outcomes experienced by the victims of workplace violence and the assessments of severity assigned to violent incidents suggests that, compared with health care settings in the community, correctional settings are fairly safe places in which to practice. PMID:22873176

2012-01-01

339

Historical review of termite activity at forest service termiticide test sites from 1971 to 2004.  

PubMed

The U.S. Forest Service has a long history of providing termiticide efficacy data used for product registration and labeling. Four primary test sites (Arizona and Florida, Mississippi, and South Carolina [hereafter southeast]) have been used for this purpose. Various parameters of termite attack at water-only control plots were examined in this study to assess the relative pressures of termites at each site. Termiticide studies installed between 1971 and 2001 by using ground board (GB) and concrete slab (CS) test methods were included. GB control plots were attacked 85% of the time in the southeast, about twice the rate observed in Arizona (43%). CS plots were attacked 59-70% of the time in the southeast, significantly higher than in Arizona (43%). Termites were slower to initiate attack at control plots in Arizona compared with the southeast, and they were up to twice as slow at GB controls. Once initial attack began, GB plots were reattacked at higher percentages in the southeast (89-90%) than in Arizona (67%). Reattack at CS plots ranged from 65% in Arizona and South Carolina to 76% in Mississippi. Termites caused less damage to wooden blocks in control plots in Arizona than the southeast. Attack rates at controls generally declined during the 1990s, but these rates have rebounded since 2000, except at CS plots in Arizona and South Carolina. Statistical analysis of attacks at plots treated with chlorpyrifos, cypermethrin, fenvalerate, and permethrin also was undertaken. Time to initial termite attack (failure) of the organophosphate chlorpyrifos was generally shorter in Arizona than in the southeast, whereas time to initial attack in plots treated with one of three pyrethroids (cypermethrin, fenvalerate, and permethrin) was generally longer in Arizona. PMID:17461075

Mulrooney, J E; Wagner, T L; Shelton, T G; Peterson, C J; Gerard, P D

2007-04-01

340

Creating and promoting a sports performance service offering.  

PubMed

Many private hospitals and physician groups are exploring the possibility of expanding their facilities to include advanced ancillary services. Services such as a sports performance center provide additional opportunities for quality patient care and at the same time augment the bottom line. By offering additional ancillary services, healthcare organizations such as an orthopaedics practice can become a full-service center enabling clinicians to more fully provide care to their patients. Marketing and promotion play a crucial role in this type of service. These activities must be designed and carried out in a way that encourages productive results and collaboration as the organization strives to position itself as a full-service center and as a sports specialist in its community. PMID:17494488

Harr, Shannon; Shireman, Christopher W; Jebson, R Leslie

2007-01-01

341

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

342

Reference Reviewed and Re-Envisioned: Revamping Librarian and Desk-Centric Services with LibStARs and LibAnswers  

ERIC Educational Resources Information Center

The first section of this article reviews the literature on the changing face of reference, beginning with a discussion of the national decline in reference transactions, its causes, and the likelihood that online reference services might one day halt or reverse the decline. It then analyzes definitions of the term "reference," pointing to a…

Stevens, Christy R.

2013-01-01

343

Barriers and Promoters of Mental Health Services Utilization in a Latino Context: A Literature Review and Recommendations from an Ecosystems Perspective  

Microsoft Academic Search

This article focuses on the problems of disparities in mental health service utilization in the Latino population in the United States. It begins with an overview of the Latino population within the United States, an exploration of the diversity within this group, and shared cultural values and traits with a particular focus on the problems of Latino poverty. A review

Sarah E. Bledsoe

2008-01-01

344

Introduction of the levonorgestrel intrauterine system in Kenya through mobile outreach: review of service statistics and provider perspectives  

PubMed Central

Background: The levonorgestrel intrauterine system (LNG IUS) was developed over 30 years ago, but the product is currently too expensive for widespread use in many developing countries. In Kenya, one organization has received donated commodities for 5 years, providing an opportunity to assess impact and potential future role of the product. Methods: We reviewed service statistics on insertions of the LNG IUS, copper intrauterine device (IUD), and subdermal implant from 15 mobile outreach teams during the 2011 calendar year. To determine the impact of the LNG IUS introduction, we analyzed changes in uptake and distribution of the copper IUD and subdermal implant by comparing periods of time when the LNG IUS was available with periods when it was not available. In addition, we interviewed 27 clinicians to assess their views of the product and of its future role. Results: When the LNG IUS was not available, intrauterine contraception accounted for 39% of long-acting method provision. The addition of the LNG IUS created a slight rise in intrauterine contraception uptake (to 44%) at the expense of the subdermal implant, but the change was only marginally significant (P?=?.08) and was largely attributable to the copper IUD. All interviewed providers felt that the LNG IUS would increase uptake of long-acting methods, and 70% felt that the noncontraceptive benefits of the product are important to clients. Conclusions: The LNG IUS was well-received among providers and family planning clients in this population in Kenya. Although important changes in service statistics were not apparent from this analysis (perhaps due to the small quantity of LNG IUS that was available), provider enthusiasm for the product was high. This finding, above all, suggests that a larger-scale introduction effort would have strong support from providers and thus increase the chances of success. Adding another proven and highly acceptable long-acting contraceptive technology to the method mix could have important reproductive health impact. PMID:25276562

Hubacher, David; Akora, Vitalis; Masaba, Rose; Chen, Mario; Veena, Valentine

2014-01-01

345

A qualitative study exploring the impact and consequence of the medicines use review service on pharmacy support-staff  

PubMed Central

Background Pharmacy support-staff (pharmacy technicians, dispensers and Medicines Counter Assistants) support the delivery of pharmaceutical and retail functions of the pharmacy. Workflow is supervised and at times dependent upon the pharmacist’s presence. Policy makers and pharmacy’s representative bodies are seeking to extend the community pharmacist's role including requiring the pharmacist to undertake private consultations away from the dispensary and shop floor areas. However, support-staff voices are seldom heard and little is known about the impact such policies have on them. Objective The objective of this study is to explore the impact and consequences of the English Medicine Use Review (MUR) service on pharmacy support-staff. Methods Ten weeks of ethnographic-oriented observations in two English community pharmacies and interviews with 5 pharmacists and 12 support-staff. A thematic approach was used to analyse the data. Results Despite viewing MURs as a worthwhile activity, interviews with support-staff revealed that some felt frustrated when they were left to explain to patients why the pharmacist was not available when carrying out an MUR. Dependency on the pharmacist to complete professional and accuracy checks on prescriptions grieved dispensing staff because dispensing workflow was disrupted and they could not get their work done. Medicines Counter Assistants were observed to have less dependency when selling medicines but some still reported concerns over of customers and patients waiting for the pharmacist. A range of tacit and ad hoc strategies were consequently found to be deployed to handle situations when the pharmacist was absent performing an MUR. Conclusions Consideration should be given to support-staff and pharmacists’ existing work obligations when developing new pharmacy extended roles that require private consultations with patients. Understanding organisational culture and providing adequate resourcing for new services are needed to avoid improvisations or enactments by pharmacy support-staff and to allow successful innovation and policy implementation. PMID:24155859

Latif, Asam; Boardman, Helen F.; Pollock, Kristian

346

Service provision for adults with long-term disability: a review of services for adults with chronic neuromuscular conditions in the United Kingdom.  

PubMed

The purpose of the study is to determine the level of service provision for adults with neuromuscular disease in the United Kingdom. The method is questionnaire survey of clinicians running specialist clinics for adults with NMD. Specialist services are mostly concentrated in areas of high population density with rural areas being less well served. Access to specialist clinical services is generally good, although funding for respiratory support is erratic. Joint paediatric/adult or adolescent clinics are relatively uncommon. Availability of therapists with an interest in muscular disease is variable. There are long waiting times for powered wheelchairs in many areas. Provision of disabled parking spaces was thought to be inadequate in most hospitals. Current service provision is inadequate to meet the complex needs of this patient population in the UK. Particular areas of concern are the transfer of care from paediatric to adult services and the availability of experienced therapists. PMID:16427286

Hill, Marguerite E; Phillips, Margaret F

2006-02-01

347

Modelling A???dhy?y?: An Approach Based on the Methodology of Ancillary Disciplines (Ved??ga)  

NASA Astrophysics Data System (ADS)

This article proposes a general model based on the common methodological approach of the ancillary disciplines (Ved??ga) associated with the Vedas taking examples from ?ik??, Chandas, Vy?kara?a and Pr?ti?? khya texts. It develops and elaborates this model further to represent the contents and processes of A???dhy?y?. Certain key features are added to my earlier modelling of P??inian system of Sanskrit grammar. This includes broader coverage of the P??inian meta-language, mechanism for automatic application of rules and positioning the grammatical system within the procedural complexes of ancillary disciplines.

Mishra, Anand

348

Reviews  

NASA Astrophysics Data System (ADS)

BOOK REVIEWS (269) The Science of Imaging - An Introduction Northern Lights Vacuum Bazookas, Electric Rainbow Jelly, and 27 other Saturday Science Projects Physics and Engineering in Medicine in the New Millennium CD-ROM REVIEWS (272) I fell in love with a STARBase trooper Aber - greatest hits... WEB WATCH (273) 'Here is the guess of their true strength and forces' Gary Williams EDITOR'S NOTE (275) Reviews of Christopher Bishop's Astrophysics (John Murray, 2000) PHYSICS TEASER (276) Why or How, Sophistry and Guestimation

2002-05-01

349

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

350

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

351

Reviews  

NASA Astrophysics Data System (ADS)

BOOK REVIEWS (99) Complete A-Z Physics Handbook Science Magic in the Kitchen The Science of Cooking Science Experiments You Can Eat WEB WATCH (101) These journal themes are pasta joke Microwave oven Web links CD REVIEW (104) Electricity and Magnetism, KS3 Big Science Comics

2004-01-01

352

Reviews  

NASA Astrophysics Data System (ADS)

WEB WATCH (356) Exercising your mind: discover the physics of sport on the Web EQUIPMENT (361) Spectrometer suits classroom use Igniting interest in the gas laws RESOURCE REVIEWS (362) Spectrum delivers customizable science course for Key Stage 3 Catalyst: A framework for success BOOK REVIEW (363) Revealing the buried past

2004-07-01

353

Impact of health systems strengthening on coverage of maternal health services in Rwanda, 2000-2010: a systematic review.  

PubMed

From 2000 to 2010, Rwanda implemented comprehensive health sector reforms to strengthen the public health system, with the aim of reducing maternal and newborn deaths in line with Millennium Development Goal 5, among many other improvements in national health. Based on a systematic review of the literature, national policy documents and three Demographic & Health Surveys (2000, 2005 and 2010), this paper describes the reforms and the policies they were based on, and provides data on the extent of Rwanda's progress in expanding the coverage of four key women's health services. Progress took place in 2000-2005 and became more rapid after 2006, mostly in rural areas, when the national facility-based childbirth policy, performance-based financing, and community-based health insurance were scaled up. Between 2006 and 2010, the following increases in coverage took place as compared to 2000-2005, particularly in rural areas, where most poor women live: births with skilled attendance (77% increase vs. 26%), institutional delivery (146% increase vs. 8%), and contraceptive prevalence (351% increase vs. 150%). The primary factors in these improvements were increases in the health workforce and their skills, performance-based financing, community-based health insurance, and better leadership and governance. Further research is needed to determine the impact of these changes on health outcomes in women and children. PMID:22789082

Bucagu, Maurice; Kagubare, Jean M; Basinga, Paulin; Ngabo, Fidèle; Timmons, Barbara K; Lee, Angela C

2012-06-01

354

A meta-analytic review of internalizing, externalizing, and academic adjustment among children of deployed military service members.  

PubMed

Parental deployment during military conflicts has the potential to impact child adjustment. As increased numbers of military Service members have children, it is critical to understand the association between military deployment and child adjustment. In order to resolve inconsistencies in the existing literature, we performed a meta-analytic review of 16 studies that report associations of military deployment with internalizing, externalizing, and academic adjustment among children. Results indicate a small association between deployment and poorer adjustment. This association varied across several features of the studies. Age moderation was such that the associations are strongest in middle childhood and weakest during adolescence. The method that adjustment was assessed also moderated this association, such that maladjustment was evident primarily with parents' reports. Study design also moderated associations, such that comparisons to civilian controls indicated associations with maladjustment, whereas comparisons to nondeployed military and prepost comparisons did not. These findings summarize the existing quantitative literature to indicate that parental deployment has a negligible association with child maladjustment and provide a foundation for future research. PMID:21707171

Card, Noel A; Bosch, Leslie; Casper, Deborah M; Wiggs, Christine Bracamonte; Hawkins, Stacy Ann; Schlomer, Gabriel L; Borden, Lynne M

2011-08-01

355

Summary of U.S. Geological Survey on-line instantaneous fluvial sediment and ancillary data  

USGS Publications Warehouse

Instantaneous fluvial sediment data, in addition to other instantaneous water-quality and ancillary data collected by the U.S. Geological Survey (USGS), are available on-line through the National Water Information System World Wide Web (NWISWeb) water-quality data base at http://waterdata.usgs.gov/nwis/qwdata. The NWISWeb water-quality data base was populated and is periodically refreshed from electronic files maintained by individual USGS District offices across the United States and Puerto Rico. It represents the single largest repository of USGS electronic instantaneous-value suspended-sediment, bedload, and bed-material data. These Web pages provide a summary of fluvial-sediment data by State, and by USGS station number retrieved from the then-under-construction NWISWeb data base on January 13, 2000. The meta data can be accessed by following the links at the bottom of this Web page.

Turcios, Lisa M.; Gray, John R.; Ledford, Annette L.

2000-01-01

356

Critical Joints in Large Composite Primary Aircraft Structures. Volume 3: Ancillary Test Results  

NASA Technical Reports Server (NTRS)

A program was conducted to develop the technology for critical structural joints for composite wing structure that meets all the design requirements of a 1990 commercial transport aircraft. The results of a comprehensive ancillary test program are summarized, consisting of single-bolt composite joint specimens tested in a variety of configurations. These tests were conducted to characterize the strength and load deflection properties that are required for multirow joint analysis. The composite material was Toray 300 fiber and Ciba-Geigy 914 resin, in the form of 0.005 and 0.01 inch thick unidirectional tape. Tests were conducted in single and double shear for loaded and unloaded hole configurations under both tensile and compressive loading. Two different layup patterns were examined. All tests were conducted at room temperature. In addition, the results of NASA Standard Toughness Test (NASA RP 1092) are reported, which were conducted for several material systems.

Bunin, Bruce L.; Sagui, R. L.

1985-01-01

357

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

358

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

359

Effect of health insurance on the utilisation of allied health services by people with chronic disease: a systematic review and meta-analysis.  

PubMed

Allied health services benefit the management of many chronic diseases. The effects of health insurance on the utilisation of allied health services has not yet been established despite health insurance frequently being identified as a factor promoting utilisation of medical and hospital services among people with chronic disease. The objective of this systematic review and meta-analysis was to establish the effects of health insurance on the utilisation of allied health services by people with chronic disease. Medline (Ovid Medline 1948 to Present with Daily Update), EMBASE (1980 to 1 April 2011), CINAHL, PsychINFO and the Cochrane Central Register of Controlled Trials were searched to 12 April 2011 inclusive. Studies were eligible for inclusion if they were published in English, randomised controlled trials, quasi-experimental trials, quantitative observational studies and included people with one or more chronic diseases using allied health services and health insurance. A full-text review was performed independently by two reviewers. Meta-analyses were conducted. One hundred and fifty-eight citations were retrieved and seven articles were included in the meta-analyses. The pooled odds ratio (95% CI) of having insurance (versus no insurance) on the utilisation of allied health services among people with chronic disease was 1.33 (1.16-1.52; P<0.001). There was a significant effect of insurance on the utilisation of non-physiotherapy services, pooled odds ratio (95% CI) 4.80 (1.46-15.79; P=0.01) but having insurance compared with insurance of a lesser coverage was not significantly associated with an increase in physiotherapy utilisation, pooled odds ratio (95% CI) 1.53 (0.81-2.91; P=0.19). The presence of co-morbidity or functional limitation and higher levels of education increased utilisation whereas gender, race, marital status and income had a limited and variable effect, according to the study population. The review was limited by the considerable heterogeneity in the research questions being asked, sample sizes, study methodology (including allied health service), insurance type and dependent variables analysed. The presence of health insurance was generally associated with increased utilisation of allied health services; however, this varied depending on the population, provider type and insurance product. PMID:24079301

Skinner, Elizabeth H; Foster, Michele; Mitchell, Geoffrey; Haynes, Michele; O'Flaherty, Martin; Haines, Terry P

2014-01-01

360

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

361

Introduction of the benzoquinoline ancillary ligand to the iridium complexes for organic light-emitting diodes.  

PubMed

The new iridium complexes, Ir(C^N)2(bq), (C^N = ppy, F2-ppy, 2,3-dpqx-F2 or 4-Me-2,3-dpq) were prepared and their luminescence properties were investigated, where ppy, F2-ppy, 2,3-dpqx-F2, 4-Me-2,3-dpq and bq represent 2-phenylpyridine, 2-(4',6'-difluorophenyl)-pyridine, 2,3-bis (4'-fluorophenyl)quinoxaline, 4-methyl-2,3-diphenylquinoline and 10-hydroxybenzoquinoline ligands, respectively. We expected that the relative energy levels of the main ligands (C^N) and ancillary ligand, bq, in the complexes could determine the possibility of interligand energy transfer (ILET) in the complexes and thereby luminescence properties. The main ligands, F2-ppy and 2,3-dpqx-F2, which have drastically different energy gaps between the HOMO and LUMO energy levels were chosen and their complexes were synthesized. The photoabsorption, photoluminescence and electroluminescence of the complexes were studied. Ir(ppy)2(bq), Ir(F2-ppy)2(bq) Ir(2,3-dpqx-F2)2(bq) and Ir(4-Me-2,3-dpq)2(bq) exhibited the luminescence maxima between 600-694 nm and their efficiencies were affected by the main ligands. While Ir(ppy)2(bq) and Ir(F2-ppy)2(bq) showed relatively high luminous efficiencies (> 10 cd/A), Ir(2,3-dpqx-F2)(bq) had poor luminous efficiency (0.30 cd/A). The electrochemical properties were studied to support ILET in the ppy-based iridium complexes. Their luminescence performances were compared with those of the complexes containing acetylacetonate (acac) ancillary ligand which are not allowed to have ILET. PMID:22629958

Park, Hye-Rim; Ha, Yunkyoung

2012-02-01

362

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

363

47 CFR 76.944 - Commission review of franchising authority decisions on rates for the basic service tier and...  

Code of Federal Regulations, 2011 CFR

...franchising authority decisions on rates for the basic service tier and associated equipment. (a) The Commission shall be the sole forum for appeals of decisions by franchising authorities on rates for the basic service tier or associated equipment...

2011-10-01

364

A distinguishable photovoltaic performance on dye-sensitized solar cells using ruthenium sensitizers with a pair of isomeric ancillary ligands.  

PubMed

A pair of isomeric ruthenium sensitizers and , having TIP based ancillary ligands with a 9-phenylcarbazole tail at the ? or ? position of the thiophene unit, shows a distinguishable photovoltaic performance on DSCs (PCEs: 7.33% and 5.33% for and as compared with 6.07% for the standard N3-dye). PMID:25307278

Ma, Bin-Bin; Peng, Yu-Xin; Tao, Tao; Huang, Wei

2014-10-22

365

Tuning the Properties of the Osmium Nitrido Group in TpOs(N)X2 by Changing the Ancillary Ligand  

E-print Network

Tuning the Properties of the Osmium Nitrido Group in TpOs(N)X2 by Changing the Ancillary Ligand of 2 with protic acids HX gives the osmium(VI) complexes TpOs(N)X2, where X ) trifluoroacetate (TFA, 3 as oxidants for organic compounds. A variety of osmium(VI) nitrido compounds are known,1 and the nitrido

Kaminsky, Werner

366

Unit and Item Nonresponses and Ancillary Information in Web- and Paper-Based Questionnaires Administered to School Counselors  

ERIC Educational Resources Information Center

This study examined unit and item nonresponse rates and ancillary information provided for Web- and paper-based versions of a questionnaire administered to school counselors. Results indicate that the unit nonresponse rate was higher for the Web-based version but that the patterns of item nonresponse found generally did not differ between the…

Wolfe, Edward W.; Converse, Patrick D.; Airen, Osaro; Bodenhorn, Nancy

2009-01-01

367

When No Bilingual Examiner Is Available: Exploring the Use of Ancillary Examiners as a Viable Testing Solution  

ERIC Educational Resources Information Center

Reliable and valid assessment of individuals who are English language learners (ELL) has presented a dilemma to psychologists, and school psychologists in particular, as it is complicated by the small number of professionals qualified to serve as bilingual examiners. Some psychologists use ancillary examiners during testing when no bilingual…

Noland, Ramona M.

2009-01-01

368

Identification and definition of unbundled electric generation and transmission services  

SciTech Connect

State and federal regulators, private and public utilities, large and small customers, power brokers and marketers, and others are engaged in major debates about the future structure of the electric industry. Although the outcomes are far from certain, it seems clear that customers will have much greater choices about the electric services they purchase and from whom they buy these services. This report examines the ``ancillary`` services that are today buried within the typical vertically integrated utility. These ancillary services support and make possible the provision of the basic services of generating capacity, energy supply, and power delivery. These ancillary services include: Management of generating units; reserve generating capacity to follow variations in customer loads, to provide capacity and energy when generating units or transmission lines suddenly fall, to maintain electric-system stability, and to provide local-area security; transmission-system monitoring and control; replacement of real power and energy losses; reactive-power management and voltage regulation; transmission reserves; repair and maintenance of the transmission network; metering, billing, and communications; and assurance of appropriate levels of power quality. Our focus in this report, the first output from a larger Oak Ridge National Laboratory project, is on identification and definition of these services. Later work in this project will examine more closely the costs and pricing options for each service.

Kirby, B.; Hirst, E.; Vancoevering, J.

1995-03-01

369

108 ASIAN REVIEW OF PUBLIC ADMINISTRATION Reengineering Public Services Through ISO 9000 ZAKARIA AHMAD, Asian Pacific Development Centre  

E-print Network

THE PUBLIC SERVICE is obligated to deliver the best service to its customers and stakeholders at whatever cost. The words “administrative reforms ” have been commonly used by public servants such that sometimes they have very little impact on the public service performance. “Change management ” too has become a popular jargon in the public sector. Changing the

unknown authors

370

Reviews.  

ERIC Educational Resources Information Center

Provides reviews of four computer software packages designed for use in science education. Describes courseware dealing with a variety of tips for teaching physics concepts, chemical reactions in an aqueous solution, mitosis and meiosis, and photosynthesis. (TW)

Science Teacher, 1987

1987-01-01

371

Reviews  

NASA Astrophysics Data System (ADS)

BOOK REVIEWS (71) Calculations for A-Level Physics, 4th edition The Science of Soccer New Higher Physics, 2nd edition Standard Grade Physics, 2nd edition Particle Physics WEB WATCH (75) 'Fly me to the Moon ...'

2003-01-01

372

Reviews.  

ERIC Educational Resources Information Center

Reviews three chemistry software programs at the high school and college general chemistry level for the Apple II family. Includes "Chemical Nomenclature and Balancing Equations,""Principles of Stoichiometry," and "Solubility." (MVL)

Journal of Chemical Education, 1989

1989-01-01

373

Reviews.  

ERIC Educational Resources Information Center

Reviews eight textbooks, readers, and books. Topics include Latin America, colonial America, the Carolinians, women in French textbooks, the Vikings, the Soviet Union, nineteenth-century Black America, and Ernest Rutherford. (TRS)

Greenleaf, Floyd; And Others

1986-01-01

374

Reviews.  

ERIC Educational Resources Information Center

Reviews four software packages available for IBM PC or Apple II. Includes "Graphical Analysis III"; "Space Max: Space Station Construction Simulation"; "Guesstimation"; and "Genetic Engineering Toolbox." Focuses on each packages' strengths in a high school context. (CW)

Science Teacher, 1988

1988-01-01

375

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

Code of Federal Regulations, 2013 CFR

...component of Mobile Satellite Services. (a...this subpart, a Mobile Satellite Service licensee with...enter into a de facto transfer leasing arrangement...8), the Mobile Satellite Service licensee's...arrangement at the same time that the...

2013-10-01

376

A review of official data obtained from dog control records generated by the dog control service of county cork, Ireland during 2007  

PubMed Central

Background There are no peer reviewed data on dog control records from an official agency in Ireland. In order to address this, a total of 2,669 official dog control service records generated during 2007 by Cork County Council dog control service were reviewed. Results Over 70 percent of records related to unwanted dogs and dogs not under their owners control. Stray dogs were collected by the service regularly throughout the year but with notable increase in voluntary surrenders by owners from January through to April. The majority of dogs collected or surrendered were male (2:1 ratio), of medium size, described as having a friendly temperament and were not wearing a neck collar. The Crossbreed and Greyhound breeds were more frequently collected as strays, while Greyhounds and German Shepherds were more frequently voluntarily surrendered by their owner. Restricted breeds such as Pit Bull terriers, German Shepherds and Rottweilers were more frequently reported by members of the public for aggressive behaviour while the only restricted breed reported for biting or snapping was the German Shepherd. Conclusions Routine recording of dog control services in County Cork provide data on responsible dog ownership including the licensing of breeds, and surrender of owned dogs and the collection of stray dogs. Data capture and utilisation of dog control services by local authorities has potential to inform policy on responsible dog ownership and education programmes. PMID:22681751

2012-01-01

377

Challenges, coping strategies, and recommendations related to the HIV services field in the HAART era: a systematic literature review of qualitative studies from the United States and Canada.  

PubMed

Qualitative research methods have been utilized to study the nature of work in the HIV services field. Yet current literature lacks a Highly Active Anti-Retroviral Treatment (HAART) era compendium of qualitative research studying challenges and coping strategies in the field. This study systematically reviewed challenges and coping strategies that qualitative researchers observed in the HIV services field during the HAART era, and their recommendations to organizations. Four online databases were searched for peer-reviewed research that utilized qualitative methods, were published from January 1998 to February 2012, utilized samples of individuals in the HIV services field; occurred in the U.S. or Canada, and contained information related to challenges and/or coping strategies. Abstracts were identified (n=846) and independently read and coded for inclusion by at least two of the four first authors. Identified articles (n=26) were independently read by at least two of the four first authors who recorded the study methodology, participant demographics, challenges and coping strategies, and recommendations. A number of challenges affecting those in the HIV services field were noted, particularly interpersonal and organizational issues. Coping strategies were problem- and emotion-focused. Summarized research recommendations called for increased support, capacity-building, and structural changes. Future research on challenges and coping strategies must provide up-to-date information to the HIV services field while creating, implementing, and evaluating interventions to manage current challenges and reduce the risk of burnout. PMID:23336722

Kerr, Zachary Y; Miller, Katye R; Galos, Dylan; Love, Randi; Poole, Charles

2013-02-01

378

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 km²) in Southern Brazil (-53.7995ºE, -29.6355ºN) 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

379

Interventions to reduce dependency in personal activities of daily living in community-dwelling adults who use homecare services: protocol for a systematic review  

PubMed Central

Background There is a growing demand for services whereby individuals receive assistance from care workers for personal care within the home. This has led to the development of re-ablement or restorative homecare services that provide time-limited input aimed at reducing dependency in personal activities of daily living, and preventing or delaying the need for further homecare support. However, little is currently known about how such interventions are configured, or how they may affect individuals’ ability to carry out personal care independently. Methods/Design We will seek to identify studies that compare an intervention designed to reduce dependency in personal activities of daily living with routine input or usual care as the control. We will include randomised controlled trials, nonrandomised controlled trials, and controlled before and after studies. We will also include interrupted time series studies. We shall search electronic databases in addition to searching for ongoing and unpublished studies, and where appropriate will contact key authors. Two reviewers will independently screen articles for inclusion; will assess risk of bias using quality assessment tools; and will carry out data extraction using pre-prepared forms. Any disagreements, at any stage, will be resolved by discussion and the involvement of a third reviewer if needed. We will produce a narrative summary of the results. A meta-analysis will be conducted if sufficient data are available of appropriate quality and comparability. Discussion The findings from this review will inform future practice within homecare re-ablement services; will inform policy decisions about the structure, organisation and content of such services; and will identify areas where further research is warranted. Trial registration This review protocol has been registered on the PROSPERO database (CRD42013004163). PMID:23816279

2013-01-01

380

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

381

Review  

Microsoft Academic Search

A comparison of the documented ecology and behaviour of the separate phases in the life cycles is presented. Data gathered during the review show that during the evolution of the family from deeper?water habitats to the more rapidly fluctuating shallower waters, there have been many biological adjustments at each phase in their life cycles. In the more ancient Stridentes genera,

R. W. George

2005-01-01

382

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

383

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

384

Looking beyond supply: a systematic literature review of demand-side barriers to health service utilization in the mountains of Nepal.  

PubMed

Significant disparities in reproductive, maternal, newborn, and child health (RMNCH) outcomes and intervention coverage exist between the Mountains and other ecoregions of Nepal. Delivery of essential health services to remote mountainous areas is challenging and access is a known barrier to utilization. However, the contribution of demand-side barriers is poorly understood. Consequently, policies and programs cannot strategically target constraints to increase coverage. This systematic review identifies demand-side barriers to utilization of RMNCH services in the Mountain districts of Nepal. Research was drawn from MEDLINE, Web of Science, Scopus, Google Scholar, Eldis, and unpublished literature. Beyond inaccessibility, utilization is undermined by costs of care-seeking, traditional attitudes and practices, low status of women, limited health knowledge, dissatisfaction with service quality, and low and inequitable care by community health workers. The intensity and repercussions of these barriers are of greater magnitude in the Mountains where delayed care-seeking combines with long distances for critical health consequences. PMID:24097915

Byrne, Abbey; Hodge, Andrew; Jimenez-Soto, Eliana; Morgan, Alison

2013-11-01

385

Improving Access to Emergency Contraception Pills through Strengthening Service Delivery and Demand Generation: A Systematic Review of Current Evidence in Low and Middle-Income Countries  

PubMed Central

Objectives Emergency contraception pills (ECP) are among the 13 essential commodities in the framework for action established by the UN Commission on Life-Saving Commodities for Women and Children. Despite having been on the market for nearly 20 years, a number of barriers still limit women's access to ECP in low- and middle-income countries (LMIC) including limited consumer knowledge and poor availability. This paper reports the results of a review to synthesise the current evidence on service delivery strategies to improve access to ECP. Methods A narrative synthesis methodology was used to examine peer reviewed research literature (2003 to 2013) from diverse methodological traditions to provide critical insights into strategies to improve access from a service delivery perspective. The studies were appraised using established scoring systems and the findings of included papers thematically analysed and patterns mapped across all findings using concept mapping. Findings Ten papers were included in the review. Despite limited research of adequate quality, promising strategies to improve access were identified including: advance provision of ECP; task shifting and sharing; intersectoral collaboration for sexual assault; m-health for information provision; and scale up through national family planning programs. Conclusion There are a number of gaps in the research concerning service delivery and ECP in LMIC. These include a lack of knowledge concerning private/commercial sector contributions to improving access, the needs of vulnerable groups of women, approaches to enhancing intersectoral collaboration, evidence for social marketing models and investment cases for ECP. PMID:25285438

Dawson, Angela; Tran, Nguyen-Toan; Westley, Elizabeth; Mangiaterra, Viviana; Festin, Mario

2014-01-01

386

Generating demand and community support for sexual and reproductive health services for young people: A review of the Literature and Programs  

PubMed Central

Background This review investigates the effectiveness of interventions aimed at generating demand for and use of sexual and reproductive health (SRH) services by young people; and interventions aimed at generating wider community support for their use. Methods Reports and publications were found in the peer-reviewed and grey literature through academic search engines; web searches; the bibliographies of known conference proceedings and papers; and consultation with experts. The studies were reviewed against a set of inclusion criteria and those that met these were explored in more depth. Results The evidence-base for interventions aimed at both generating demand and community support for SRH services for young people was found under-developed and many available studies do not provide strong evidence. However, the potential of several methods to increase youth uptake has been demonstrated, this includes the linking of school education programs with youth friendly services, life skills approaches and social marketing and franchising. There is also evidence that the involvement of key community gatekeepers such as parents and religious leaders is vital to generating wider community support. In general a combined multi-component approach seems most promising with several success stories to build on. Conclusions Many areas for further research have been highlighted and there is a great need for more rigorous evaluation of programmes in this area. In particular, further evaluation of individual components within a multi-component approach is needed to elucidate the most effective interventions. PMID:20863411

2010-01-01

387

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

388

Empirical models of demand for out-patient physician services and their relevance to the assessment of patient payment policies: a critical review of the literature.  

PubMed

This paper reviews the existing empirical micro-level models of demand for out-patient physician services where the size of patient payment is included either directly as an independent variable (when a flat-rate co-payment fee) or indirectly as a level of deductibles and/or co-insurance defined by the insurance coverage. The paper also discusses the relevance of these models for the assessment of patient payment policies. For this purpose, a systematic literature review is carried out. In total, 46 relevant publications were identified. These publications are classified into categories based on their general approach to demand modeling, specifications of data collection, data analysis, and main empirical findings. The analysis indicates a rising research interest in the empirical micro-level models of demand for out-patient physician services that incorporate the size of patient payment. Overall, the size of patient payments, consumer socio-economic and demographic features, and quality of services provided emerge as important determinants of demand for out-patient physician services. However, there is a great variety in the modeling approaches and inconsistencies in the findings regarding the impact of price on demand for out-patient physician services. Hitherto, the empirical research fails to offer policy-makers a clear strategy on how to develop a country-specific model of demand for out-patient physician services suitable for the assessment of patient payment policies in their countries. In particular, theoretically important factors, such as provider behavior, consumer attitudes, experience and culture, and informal patient payments, are not considered. Although we recognize that it is difficult to measure these factors and to incorporate them in the demand models, it is apparent that there is a gap in research for the construction of effective patient payment schemes. PMID:20644697

Skriabikova, Olga; Pavlova, Milena; Groot, Wim

2010-06-01

389

Effect of health insurance on the use and provision of maternal health services and maternal and neonatal health outcomes: a systematic review.  

PubMed

Financial barriers can affect timely access to maternal health services. Health insurance can influence the use and quality of these services and potentially improve maternal and neonatal health outcomes. We conducted a systematic review of the evidence on health insurance and its effects on the use and provision of maternal health services and on maternal and neonatal health outcomes in middle- and low-income countries. Studies were identified through a literature search in key databases and consultation with experts in healthcare financing and maternal health. Twenty-nine articles met the review criteria of focusing on health insurance and its effect on the use or quality of maternal health services, or maternal and neonatal health outcomes. Sixteen studies assessed demand-side effects of insurance, eight focused on supply-side effects, and the remainder addressed both. Geographically, the studies provided evidence from sub-Saharan Africa (n = 11), Asia (n = 9), Latin America (n = 8), and Turkey. The studies included examples from national or social insurance schemes (n = 7), government-run public health insurance schemes (n = 4), community-based health insurance schemes (n = 11), and private insurance (n = 3). Half of the studies used econometric analyses while the remaining provided descriptive statistics or qualitative results. There is relatively consistent evidence that health insurance is positively correlated with the use of maternal health services. Only four studies used methods that can establish this causal relationship. Six studies presented suggestive evidence of over-provision of caesarean sections in response to providers' payment incentives through health insurance. Few studies focused on the relationship between health insurance and the quality of maternal health services or maternal and neonatal health outcomes. The available evidence on the quality and health outcomes is inconclusive, given the differences in measurement, contradictory findings, and statistical limitations. Consistent with economic theories, the studies identified a positive relationship between health insurance and the use of maternal health services. However, more rigorous causal methods are needed to identify the extent to which the use of these services increases among the insured. Better measurement of quality and the use of cross-country analyses would solidify the evidence on the impact of insurance on the quality of maternal health services and maternal and neonatal health outcomes. PMID:24992805

Comfort, Alison B; Peterson, Lauren A; Hatt, Laurel E

2013-12-01

390

Effect of Health Insurance on the Use and Provision of Maternal Health Services and Maternal and Neonatal Health Outcomes: A Systematic Review  

PubMed Central

Financial barriers can affect timely access to maternal health services. Health insurance can influence the use and quality of these services and potentially improve maternal and neonatal health outcomes. We conducted a systematic review of the evidence on health insurance and its effects on the use and provision of maternal health services and on maternal and neonatal health outcomes in middle- and low-income countries. Studies were identified through a literature search in key databases and consultation with experts in healthcare financing and maternal health. Twenty-nine articles met the review criteria of focusing on health insurance and its effect on the use or quality of maternal health services, or maternal and neonatal health outcomes. Sixteen studies assessed demand-side effects of insurance, eight focused on supply-side effects, and the remainder addressed both. Geographically, the studies provided evidence from sub-Saharan Africa (n=11), Asia (n=9), Latin America (n=8), and Turkey. The studies included examples from national or social insurance schemes (n=7), government-run public health insurance schemes (n=4), community-based health insurance schemes (n=11), and private insurance (n=3). Half of the studies used econometric analyses while the remaining provided descriptive statistics or qualitative results. There is relatively consistent evidence that health insurance is positively correlated with the use of maternal health services. Only four studies used methods that can establish this causal relationship. Six studies presented suggestive evidence of overprovision of caesarean sections in response to providers’ payment incentives through health insurance. Few studies focused on the relationship between health insurance and the quality of maternal health services or maternal and neonatal health outcomes. The available evidence on the quality and health outcomes is inconclusive, given the differences in measurement, contradictory findings, and statistical limitations. Consistent with economic theories, the studies identified a positive relationship between health insurance and the use of maternal health services. However, more rigorous causal methods are needed to identify the extent to which the use of these services increases among the insured. Better measurement of quality and the use of cross-country analyses would solidify the evidence on the impact of insurance on the quality of maternal health services and maternal and neonatal health outcomes.

Peterson, Lauren A.; Hatt, Laurel E.

2013-01-01

391

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...

392

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...

393

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

394

Review of the Literature on Attrition from the Military Services: Risk Factors for Attrition and Strategies to Reduce Attrition.  

National Technical Information Service (NTIS)

Attrition is the failure of an enlisted service member to be retained in service within the first term of enlistment. This paper emphasizes health/ fitness-related aspects of attrition but also covers demographic and psychosocial factors. Overall 3-year m...

J. J. Knapik, B. H. Jones, K. Hauret, S. Darakjy, E. Piskator

2004-01-01

395

Universal Telephone Service: Ready for the 21st Century? 1991 Annual Review of the Institute for Information Studies.  

ERIC Educational Resources Information Center

The common theme linking the contributions to this volume concerns the future of universal telecommunications service. The goal of having a universal telecommunications service has historically been to keep charges low enough that all but the poorest Americans could afford to make and receive telephone calls, even if they lived in remote and…

Aspen Inst., Queenstown, MD.

396

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

397

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

398

Regional yield predictions of malting barley by remote sensing and ancillary data  

NASA Astrophysics Data System (ADS)

Yield forecasts are of high interest to the malting and brewing industry in order to allow the most convenient purchasing policy of raw materials. Within this investigation, malting barley yield forecasts (Hordeum vulgare L.) were performed for typical growing regions in South-Western Germany. Multisensoral and multitemporal Remote Sensing data on one hand and ancillary meteorological, agrostatistical, topographical and pedological data on the other hand were used as input data for prediction models, which were based on an empirical-statistical modeling approach. Since spring barley production is depending on acreage and on the yield per area, classification is needed, which was performed by a supervised multitemporal classification algorithm, utilizing optical Remote Sensing data (LANDSAT TM/ETM+). Comparison between a pixel-based and an object-oriented classification algorithm was carried out. The basic version of the yield estimation model was conducted by means of linear correlation of Remote Sensing data (NOAA-AVHRR NDVI), CORINE land cover data and agrostatistical data. In an extended version meteorological data (temperature, precipitation, etc.) and soil data was incorporated. Both, basic and extended prediction systems, led to feasible results, depending on the selection of the time span for NDVI accumulation.

Weissteiner, Christof J.; Braun, Matthias; Kuehbauch, Walter

2004-02-01

399

Planck intermediate results. XXIII. Galactic plane emission components derived from Planck with ancillary data  

E-print Network

Planck data when combined with ancillary data provide a unique opportunity to separate the diffuse emission components of the inner Galaxy. The purpose of the paper is to elucidate the morphology of the various emission components in the strong star-formation region lying inside the solar radius and to clarify the relationship between the various components. The region of the Galactic plane covered is l=300-0-60deg where star-formation is highest and the emission is strong enough to make meaningful component separation. The latitude widths in this longitude range lie between 1deg and 2deg, which correspond to FWHM z-widths of 100-200pc at a typical distance of 6kpc. The four emission components studied here are synchrotron, free-free, anomalous microwave emission (AME), and thermal (vibrational) dust emission. These components are identified by constructing spectral energy distributions (SEDs) at positions along the Galactic plane using the wide frequency coverage of Planck (28.4-857GHz) in combination with l...

Ade, P A R; Alves, M I R; Arnaud, M; Ashdown, M; Atrio-Barandela, F; Aumont, J; Baccigalupi, C; Banday, A J; Barreiro, R B; Battaner, E; Benabed, K; Benoit-Lévy, A; Bernard, J -P; Bersanelli, M; Bielewicz, P; Bobin, J; Bonaldi, A; Bond, J R; Bouchet, F R; Boulanger, F; Burigana, C; Cardoso, J -F; Catalano, A; Chamballu, A; Chiang, H C; Christensen, P R; Clements, D L; Colombi, S; Colombo, L P L; Combet, C; Couchot, F; Crill, B P; Cuttaia, F; Danese, L; Davies, R D; Davis, R J; de Bernardis, P; de Rosa, A; de Zotti, G; Delabrouille, J; Dickinson, C; Diego, J M; Donzelli, S; Doré, O; Douspis, M; Dupac, X; Efstathiou, G; Enßlin, T A; Eriksen, H K; Finelli, F; Forni, O; Frailis, M; Franceschi, E; Galeotta, S; Ganga, K; Génova-Santos, R T; Ghosh, T; Giard, M; Giardino, G; Giraud-Héraud, Y; González-Nuevo, J; Górski, K M; Gregorio, A; Gruppuso, A; Hansen, F K; Harrison, D L; Henrot-Versillé, S; Herranz, D; Hildebrandt, S R; Hivon, E; Hobson, M; Hornstrup, A; Hovest, W; Huffenberger, K M; Jaffe, A H; Jaffe, T R; Jones, W C; Keihänen, E; Keskitalo, R; Kisner, T S; Kneissl, R; Knoche, J; Kunz, M; Kurki-Suonio, H; Lagache, G; Lähteenmäki, A; Lamarre, J -M; Lasenby, A; Lawrence, C R; Leonardi, R; Liguori, M; Lilje, P B; Linden-Vørnle, M; López-Caniego, M; Lubin, P M; Macías-Pérez, J F; Maino, D; Mandolesi, N; Martin, P G; Martínez-González, E; Masi, S; Massardi, M; Matarrese, S; Mazzotta, P; Meinhold, P R; Melchiorri, A; Mendes, L; Mennella, A; Migliaccio, M; Mitra, S; Miville-Deschênes, M -A; Moneti, A; Montier, L; Morgante, G; Mortlock, D; Munshi, D; Murphy, J A; Naselsky, P; Nati, F; Natoli, P; Nørgaard-Nielsen, H U; Noviello, F; Novikov, D; Novikov, I; Oxborrow, C A; Pagano, L; Pajot, F; Paladini, R; Paoletti, D; Pasian, F; Pearson, T J; Peel, M; Perdereau, O; Perrotta, F; Piacentini, F; Piat, M; Pierpaoli, E; Pietrobon, D; Plaszczynski, S; Pointecouteau, E; Polenta, G; Ponthieu, N; Popa, L; Pratt, G W; Prunet, S; Puget, J -L; Rachen, J P; Reach, W T; Rebolo, R; Reich, W; Reinecke, M; Remazeilles, M; Renault, C; Ricciardi, S; Riller, T; Ristorcelli, I; Rocha, G; Rosset, C; Roudier, G; Rubiño-Martín, J A; Rusholme, B; Sandri, M; Savini, G; Scott, D; Spencer, L D; Stolyarov, V; Strong, A W; Sutton, D; Suur-Uski, A -S; Sygnet, J -F; Tauber, J A; Tavagnacco, D; Terenzi, L; Tibbs, C T; Toffolatti, L; Tomasi, M; Tristram, M; Tucci, M; Valenziano, L; Valiviita, J; Van Tent, B; Varis, J; Vielva, P; Villa, F; Wade, L A; Wandelt, B D; Watson, R; Yvon, D; Zacchei, A; Zonca, A

2014-01-01

400

Structure, processing and midgut secretion of putative peritrophic membrane ancillary protein (PMAP) from Tenebrio molitor larvae.  

PubMed

A cDNA coding for a Tenebrio molitor midgut protein named peritrophic membrane ancillary protein (PMAP) was cloned and sequenced. The complete cDNA codes for a protein of 595 amino acids with six insect-allergen-related-repeats that may be grouped in A (predicted globular)- and B (predicted nonglobular)-types forming an ABABAB structure. The PMAP-cDNA was expressed in Pichia pastoris and the recombinant protein (64kDa) was purified to homogeneity and used to raise antibodies in rabbits. The specific antibody detected PMAP peptides (22kDa) in the anterior and middle midgut tissue, luminal contents, peritrophic membrane and feces. These peptides derive from PMAP, as supported by mass spectrometry, and resemble those formed by the in vitro action of trypsin on recombinant PMAP. Both in vitro and in vivo PMAP processing seem to occur by attack of trypsin to susceptible bonds in the coils predicted to link AB pairs, thus releasing the putative functional AB structures. The AB-domain structure of PMAP is found in homologous proteins from several insect orders, except lepidopterans that have the apparently derived protein known as nitrile-specifier protein. Immunocytolocalization shows that PMAP is secreted by exocytosis and becomes entrapped in the glycocalyx, before being released into midgut contents. Circumstantial evidence suggests that PMAP-like proteins have a role in peritrophic membrane type 2 formation. PMID:18207083

Ferreira, A H; Cristofoletti, P T; Pimenta, D C; Ribeiro, A F; Terra, W R; Ferreira, C

2008-02-01

401

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.

Vatsavai, Raju [ORNL] [ORNL; Shekhar, Shashi [University of Minnesota] [University of Minnesota; Burk, Thomas E [University of Minnesota] [University of Minnesota; Bhaduri, Budhendra L [ORNL] [ORNL

2008-01-01

402

The impact of mass media interventions on tuberculosis awareness, health-seeking behaviour and health service utilisation: a systematic review protocol  

PubMed Central

Introduction Tuberculosis (TB) is a serious public health problem in many parts of the world. Strategies to curb the spread of TB must match the multifaceted nature of the epidemic. The use of mass media is one of the important strategies in communicating behavioural change in relation to TB prevention and the treatment. However, the benefits of this intervention are unclear. We, therefore, plan to conduct a systematic review on the effects of mass media interventions on TB awareness, health-seeking behaviour and health service utilisation. Methods and analysis We will preferably include randomised controlled trials (RCTs) in this systematic review. However, non-randomised studies will be included if there is an inadequate number of RCTs. We will perform electronic searches in PubMed, Scopus and other databases, along with manual searches. Articles written (or translated) in English and French and published between 1 January 1980 and 31 October 2013 will be eligible for inclusion in this review. The primary outcomes will be TB knowledge, attitudes and awareness, healthcare-seeking behaviour and service utilisation. The secondary outcomes will include stigma and discrimination against people with TB and the costs of the interventions. We will investigate clinical and statistical heterogeneity and pool studies judged to be clinically and statistically homogeneous. Relative risks will be calculated for dichotomous outcomes and mean differences for continuous outcomes, both with their corresponding 95% CIs. Ethics and dissemination The systematic review will use data that is not linked to individuals. The review findings may have implications for clinical practice and future research, and will be disseminated electronically and in print through peer-reviewed publications. Protocol registration number PROSPERO CRD42013005867 PMID:24430882

Nglazi, Mweete D; Bekker, Linda-Gail; Wood, Robin; Shey, Muki S; Uthman, Olalekan A; Wiysonge, Charles S

2014-01-01

403

75 FR 14342 - Market-Based Rates for Wholesale Sales of Electric Energy, Capacity and Ancillary Services by...  

Federal Register 2010, 2011, 2012, 2013

...9. The American Wind Energy Association (American Wind), the Edison Electric Institute...Exchange Commission, and the Energy Information Administration...24\\ American Wind July 20, 2009 Rehearing...

2010-03-25

404

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

Code of Federal Regulations, 2011 CFR

...is limited to no more than 7.775 MHz of spectrum in the L-band and 11.5 MHz of spectrum in the S-band. Licensees in these bands...consistent with its ATC authority. (g) Spectrum leasing. Leasing of spectrum rights...

2011-10-01

405

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

Federal Register 2010, 2011, 2012, 2013

...Commission's accounting and financial reporting requirements...9. As a result of the information...accounting \\40\\ and financial reporting requirements...reporting entity's financial condition and results of operation....

2011-06-22

406

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

Code of Federal Regulations, 2010 CFR

...the National Environmental Policy Act of 1969, including the guidelines for human exposure to radio frequency electromagnetic fields as defined in §§ 1.1307(b) and 1.1310 of this chapter for PCS networks. (6) ATC base station...

2010-10-01

407

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

Code of Federal Regulations, 2012 CFR

...the National Environmental Policy Act of 1969, including the guidelines for human exposure to radio frequency electromagnetic fields as defined in §§ 1.1307(b) and 1.1310 of this chapter for PCS networks. (6) ATC base station...

2012-10-01

408

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

Code of Federal Regulations, 2013 CFR

...the National Environmental Policy Act of 1969, including the guidelines for human exposure to radio frequency electromagnetic fields as defined in §§ 1.1307(b) and 1.1310 of this chapter for PCS networks. (6) ATC base station...

2013-10-01

409

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

410

Arbitrary accuracy iterative quantum phase estimation algorithm using a single ancillary qubit: A two-qubit benchmark  

SciTech Connect

We discuss the implementation of an iterative quantum phase estimation algorithm with a single ancillary qubit. We suggest using this algorithm as a benchmark for multiqubit implementations. Furthermore, we describe in detail the smallest possible realization, using only two qubits, and exemplify with a superconducting circuit. We discuss the robustness of the algorithm in the presence of gate errors, and show that seven bits of precision is obtainable, even with very limited gate accuracies.

Dobsicek, Miroslav [Microtechnology and Nanoscience, MC2, Chalmers, S-412 96 Goeteborg (Sweden); Department of Computer Science and Engineering, FEE CTU, 121 35 Prague (Czech Republic); Johansson, Goeran; Shumeiko, Vitaly; Wendin, Goeran [Microtechnology and Nanoscience, MC2, Chalmers, S-412 96 Goeteborg (Sweden)

2007-09-15

411

MSM in HIV-Prevention Trials are Sexual Partners With Each Other: An Ancillary Study to the EXPLORE Intervention  

Microsoft Academic Search

The EXPLORE study evaluated a behavioral intervention to prevent HIV seroconversion among men who have sex with men (MSM).\\u000a The present ancillary study enrolled 345 EXPLORE participants at one study site (Boston) and assessed high-risk sexual behavior\\u000a with other EXPLORE participants. It also assessed sexual intentions across other EXPLORE participants, HIV-negative individuals,\\u000a and unknown HIV serostatus partners. Thirty-one percent reported

Matthew J. Mimiaga; Steven A. Safren; Dana Jones Benet; Marc W. Manseau; Nancy DeSousa; Kenneth H. Mayer

2006-01-01

412

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

...of using contractor support (either long-term...policy development or decision-making? (2...requirement is for support services (such as system engineering or technical...influence government decision-making,...

2011-10-01

413

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

...of using contractor support (either long-term...policy development or decision-making? (2...requirement is for support services (such as system engineering or technical...influence government decision-making,...

2010-10-01

414

Effects of service condition on rolling contact fatigue failure mechanism and lifetime of thermal spray coatings—A review  

NASA Astrophysics Data System (ADS)

The service condition determines the Rolling Contact Fatigue(RCF) failure mechanism and lifetime under ascertain material structure integrity parameter of thermal spray coating. The available literature on the RCF testing of thermal spray coatings under various condition services is considerable; it is generally difficult to synthesize all of the result to obtain a comprehensive understanding of the parameters which has a great effect on a thermal spray coating's resistance of RCF. The effects of service conditions(lubrication states, contact stresses, revolve speed, and slip ratio) on the changing of thermal spray coatings' contact fatigue lifetime is introduced systematically. The effects of different service condition on RCF failure mechanism of thermal spray coating from the change of material structure integrity are also summarized. Moreover, In order to enhance the RCF performance, the parameter optimal design formula of service condition and material structure integrity is proposed based on the effect of service condition on thermal spray coatings' contact fatigue lifetime and RCF failure mechanism. The shortage of available literature and the forecast focus in future researches are discussed based on available research. The explicit result of RCF lifetime law and parameter optimal design formula in term of lubrication states, contact stresses, revolve speed, and slip ratio, is significant to improve the RCF performance on the engineering application.

Cui, Huawei; Cui, Xiufang; Wang, Haidou; Xing, Zhiguo; Jin, Guo

2014-10-01

415

43 CFR 2806.40 - How will BLM calculate rent for a grant or lease for ancillary communication uses associated with...  

Code of Federal Regulations, 2011 CFR

...calculate rent for a grant or lease for ancillary communication uses associated with communication uses on the rent schedule? 2806.40...FEDERAL LAND POLICY MANAGEMENT ACT Rents Communication Site Rights-Of-Way § 2806.40...

2011-10-01

416

47 CFR 76.944 - Commission review of franchising authority decisions on rates for the basic service tier and...  

Code of Federal Regulations, 2010 CFR

...2010-10-01 false Commission review of franchising authority decisions on rates for the... § 76.944 Commission review of franchising authority decisions on rates for the...sole forum for appeals of decisions by franchising authorities on rates for the...

2010-10-01

417

Evaluating biomedical media services.  

PubMed

Rising service costs, increasing demands, user dissatisfaction, and new technology applications for biomedical media services prompted Loyola University of Chicago Medical Center to review how such services are provided and utilized at the medical center. Several activities conducted to investigate five biomedical media services operational concerns are summarized. Discussion includes seven developmental stages of biomedical media services, a nine-step planning process, and recommendations for a centrally administered service unit. PMID:7504670

Ludwig, L T

1993-01-01

418

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

419

OSU Human Resources 106 Whitehurst, Stillwater, Oklahoma 74078 (405) 744-5449 g:\\ben\\employee services\\employee info handouts\\otrs withdraw 2013.doc Reviewed March 2013  

E-print Network

services\\employee info handouts\\otrs withdraw 2013.doc Reviewed March 2013 OKLAHOMA TEACHERS' RETIREMENT, contact Employee Services at (405) 744-5449. Tax Implications: Any early withdrawal of retirement fundsOSU Human Resources ­ 106 Whitehurst, Stillwater, Oklahoma 74078 ­ (405) 744-5449 g:\\ben\\employee

Veiga, Pedro Manuel Barbosa

420

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

421

77 FR 73657 - Public Buildings Service; Submission for OMB Review; Art-in-Architecture Program National Artist...  

Federal Register 2010, 2011, 2012, 2013

...Submission for OMB Review; Art-in- Architecture Program National Artist Registry...collection requirement regarding Art-in Architecture Program National Artist Registry...comments were received. The Art-in-Architecture Program is the result of a policy...

2012-12-11

422

Cost-effectiveness of mental health services for persons with a dual diagnosis A literature review and the CCMHCP  

Microsoft Academic Search

People suffering from comorbid mental illness and substance abuse disorders (the dually diagnosed) are thought to constitute large portions of clients treated as outpatients by public-sector community-based mental health providers. These providers dispense units of ambulatory mental health services and treatments incrementally to maintain clients in the community and out of psychiatric hospitals. Community maintenance is one step, albeit critical,

Jay Johnson

2000-01-01

423

42 CFR 422.626 - Fast-track appeals of service terminations to independent review entities (IREs).  

Code of Federal Regulations, 2013 CFR

...the IRE is open for business. (2) When an enrollee fails to make a timely request...views regarding the reason(s) for termination...regarding any other reason that the IRE uses as...services, by close of business of the day...

2013-10-01

424

42 CFR 422.626 - Fast-track appeals of service terminations to independent review entities (IREs).  

Code of Federal Regulations, 2010 CFR

...the IRE is open for business. (2) When an enrollee fails to make a timely request...views regarding the reason(s) for termination...regarding any other reason that the IRE uses as...services, by close of business of the day...

2010-10-01

425

42 CFR 422.626 - Fast-track appeals of service terminations to independent review entities (IREs).  

Code of Federal Regulations, 2012 CFR

...the IRE is open for business. (2) When an enrollee fails to make a timely request...views regarding the reason(s) for termination...regarding any other reason that the IRE uses as...services, by close of business of the day...

2012-10-01

426

42 CFR 422.626 - Fast-track appeals of service terminations to independent review entities (IREs).  

Code of Federal Regulations, 2011 CFR

...the IRE is open for business. (2) When an enrollee fails to make a timely request...views regarding the reason(s) for termination...regarding any other reason that the IRE uses as...services, by close of business of the day...

2011-10-01

427

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.

428

Submitted to VLDB Journal for review on May 27, 2002 . by Authors until publication. Modeling Quality of Service for  

E-print Network

and Jonathan Arnold2 1 LSDIS Lab, Department of Computer Science 2 Fungal Genome Resource laboratory and be able to estimate, monitor, and control the QoS rendered to customers. In this paper, we present to customers. Appropriate control of quality leads to the creation of quality products and services; these, i

Miller, John A.

429

A review of "War, Religion and Service Huguenot Soldiering, 1685-1713" edited by Matthew Glozier and David Onnekirk  

E-print Network

Historical Society Studies in History New Series. (Suffolk: The Boydell Press, 2008). xiv + 230 pp. $95.00. Review by ty m. reese, university of north dakota. From 1642, when he received an appointment as a surgeon-general in the English army stationed... Historical Society Studies in History New Series. (Suffolk: The Boydell Press, 2008). xiv + 230 pp. $95.00. Review by ty m. reese, university of north dakota. From 1642, when he received an appointment as a surgeon-general in the English army stationed...

Furgol, Edward

2009-01-01

430

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

431

Book Reviews : \\  

Microsoft Academic Search

Books applicable to the broad field of program evaluation are reviewed. Books may be reviews singularly or in groups to illuminate similarities and differences in intent, philosophy, and usefulness. Persons with suggestions of books to be re viewed or those who wish to submit a review should contact Dr. Byron R. Burnham, Evaluation Specialist (Cooperative Extension Service, Utah State Uni

Terry E. Hedrick

1992-01-01

432

Around the World in 650 Megabytes: A Review of Multimedia World Atlas Programs.  

ERIC Educational Resources Information Center

Reviews multimedia world atlas programs geared to a wide range of audiences and age groups, some of which are tailored for specific interests. Reviews of nine programs highlight their strong points and weaknesses. Ancillary material, such as manuals or teacher guides, is also evaluated. (SLD)

Miller-Lachmann, Lyn

1997-01-01

433

Using Web-Based Cases to Enhance, Extend, and Transform Pre-Service Teacher Training: Two Years in Review  

ERIC Educational Resources Information Center

This study was part of a two-year review regarding the use of Web-based case conferencing to enhance, extend, and transform the learning of preservice teachers in an introductory educational psychology course. First, Web conferencing enhanced the learning opportunities within educational psychology by providing an electronically shared space for…

Bonk, Curtis J.; Daytner, Katrina; Daytner, Gary; Dennen, Vanessa; Malikowski, Steve

2002-01-01

434

Health psychology and uptake of preventive health services: A review of 30 years' research on cervical screening  

Microsoft Academic Search

A review of thirty years' research in cervical screening was conducted to assess the role of social and psychological factors in screening utilisation. The role of age, social class, attitudes towards and beliefs about screening as well as social influence and personality variables are considered. A reanalysis of reasons for non-attendance following an invitation for screening from ten previous studies

Sheina Orbell; Paschal Sheeran

1993-01-01

435

Health Services Research as a Source of Legislative Analysis and Input: The Role of the California Health Benefits Review Program  

PubMed Central

This article examines the role of the California Health Benefits Review Program (CHBRP) as a source of information in state health policy making. It explains why the California benefits review process relies heavily on university-based researchers and employs a broad set of criteria for review, which set it apart from similar programs in other states. It then analyzes the politics of health insurance mandates and how independent research and analysis might alter the perceived benefits and costs of health insurance mandates and thus political outcomes. It considers how research and analysis is typically used by policy makers, and illustrates how participants inside and outside of state government have used the reports prepared by CHBRP as both guidance in policy design and as political ammunition. Although there is consensus that the review process has reduced the number of mandate bills that are passed out of the legislature, both supporters and opponents favor the new process and generally believe the reports strengthen their case in legislative debates over health insurance mandates. The role of the CHBRP is narrowly defined by statute at the present time, but the program may well face pressure to evolve from its current academic orientation into a more interactive, advisory role for legislators in the future. PMID:16704675

Oliver, Thomas R; Singer, Rachel Friedman

2006-01-01

436

77 FR 59925 - Public Buildings Service; Submission for OMB Review; Application/Permit for Use of Space in...  

Federal Register 2010, 2011, 2012, 2013

...Review; Application/ Permit for Use of Space in Public Buildings and Grounds, GSA Form...3453, Application/Permit for Use of Space in Public Buildings and Grounds. A notice...3453, Application/Permit for Use of Space in Public Buildings and Grounds, by...

2012-10-01

437

75 FR 2144 - Public Buildings Service; Submission for OMB Review; Art-in-Architecture Program National Artist...  

Federal Register 2010, 2011, 2012, 2013

...Submission for OMB Review; Art-in- Architecture Program National Artist Registry AGENCY...collection requirement regarding Art-in Architecture Program National Artist Registry...comments were received. The Art-in-Architecture Program is the result of a policy...

2010-01-14

438

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

2014-10-15

439

Pharmacies as providers of expanded health services for people who inject drugs: a review of laws, policies, and barriers in six countries  

PubMed Central

Background People who inject drugs (PWID) are underserved by health providers but pharmacies may be their most accessible care settings. Methods Studies in the U.S., Russia, Vietnam, China, Canada and Mexico employed a three-level (macro-, meso-, and micro-) model to assess feasibility of expanded pharmacy services for PWID. Studies employed qualitative and quantitative interviews, review of legal and policy documents, and information on the knowledge, attitudes, and practices of key stakeholders. Results Studies produced a mixed assessment of feasibility. Provision of information and referrals by pharmacies is permissible in all study sites and sale and safe disposal of needles/syringes by pharmacies is legal in almost all sites, although needle/syringe sales face challenges related to attitudes and practices of pharmacists, police, and other actors. Pharmacy provision of HIV testing, hepatitis vaccination, opioid substitution treatment, provision of naloxone for drug overdose, and abscess treatment, face more serious legal and policy barriers. Discussion Challenges to expanded services for drug users in pharmacies exist at all three levels, especially the macro-level characterized by legal barriers and persistent stigmatization of PWID. Where deficiencies in laws, policies, and community attitudes block implementation, stakeholders should advocate for needed legal and policy changes and work to address community stigma and resistance. Laws and policies are only as good as their implementation, so attention is also needed to meso- and micro- levels. Policies, attitudes, and practices of police departments and pharmacy chains as well as knowledge, attitudes, and practices of individual PWID, individual pharmacies, and police officers should support rather than undermine positive laws and expanded services. Despite the challenges, pharmacies remain potentially important venues for delivering health services to PWID. PMID:24938376

2014-01-01

440

A systematic review of factors influencing fertility desires and intentions among people living with HIV/AIDS: implications for policy and service delivery.  

PubMed

With availability of antiretroviral treatments, HIV is increasingly recognised as a chronic disease people live with for many years. This paper critically reviews the current literature on fertility desires and reproductive intentions among people living with HIV/AIDS (PLHIV) and critiques the theoretical frameworks and methodologies used. A systematic review was conducted using electronic databases: ISI Web of Knowledge, Science Direct, Proquest, Jstor and CINAHL for articles published between 1990 and 2008. The search terms used were fertility desire, pregnancy, HIV, reproductive decision making, reproductive intentions, motherhood, fatherhood and parenthood. Twenty-nine studies were reviewed. Fertility desires were influenced by a myriad of demographic, health, stigma-associated and psychosocial factors. Cultural factors were also important, particularly in Sub-Saharan Africa and Asia. Future research that examines fertility desires among PLHIV should include cultural beliefs and practices in the theoretical framework in order to provide a holistic understanding and to enable development of services that meet the reproductive needs of PLHIV. PMID:19330443

Nattabi, Barbara; Li, Jianghong; Thompson, Sandra C; Orach, Christopher Garimoi; Earnest, Jaya

2009-10-01

441

Impact of inventory inaccuracy on service-level quality in ( Q, R) continuous-review lost-sales inventory models  

Microsoft Academic Search

This article focus on the behavior of a (Q,R) continuous-review lost-sales inventory model exposed to an inventory record inaccuracy (IRI). An unusual phenomenon has been observed which runs counter to certain empirical practices in the SMEs based on the principle that safety stock is only necessary for certain intervals in the data inaccuracy rate. Both analytical results and simulation modeling

Daniel Thiel; Vincent Hovelaque; Vo Thi Le Hoa

2010-01-01

442

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

443

Rational design, synthesis, and characterization of deep blue phosphorescent Ir(III) complexes containing (4'-substituted-2'-pyridyl)-1,2,4-triazole ancillary ligands.  

PubMed

On the basis of the results of frontier orbital considerations, 4-substituted-2'-pyridyltriazoles were designed to serve as ancillary ligands in 2-phenylpyridine main ligand containing heteroleptic iridium(III) complexes that display deep blue phosphorescence emission. The iridium(III) complexes, Ir1-Ir7, prepared using the new ancillary ligands, were found to display structured, highly quantum efficient (?p = 0.20-0.42) phosphorescence with emission maxima in the blue to deep blue 448-456 nm at room temperature. In accord with predictions based on frontier orbital considerations, the complexes were observed to have emission properties that are dependent on the electronic nature of substituents at the C-4 position of the pyridine moiety of the ancillary ligand. Importantly, placement of an electron-donating methyl group at C-4' of the pyridine ring of the 5-(pyridine-2'-yl)-3-trifluoromethyl-1,2,4-triazole ancillary ligand leads to an iridium(III) complex that displays a deep blue phosphorescence emission maximum at 448 nm in both the liquid and film states at room temperature. Finally, an OLED device, constructed using an Ir-complex containing the optimized ancillary ligand as the dopant, was found to emit deep blue color with a CIE of 0.15, 0.18, which is close to the perfect goal of 0.15, 0.15. PMID:23865939

Park, Hea Jung; Kim, Ji Na; Yoo, Hyun-Ji; Wee, Kyung-Ryang; Kang, Sang Ook; Cho, Dae Won; Yoon, Ung Chan

2013-08-16

444

PSRO (Professional Standards Review Organization) pelvimetry study. Final report  

SciTech Connect

A randomized controlled experimental study of the use x-ray pelvimetry in 151 hospitals in seven PSROs across the United States from June 1977 through March 1982 was conducted. The study was designed to test the impact of a physician educational intervention program on the utilization of a diagnostic procedure of questionable efficacy. Further, special studies were designed to assess substitution and quality effects by measuring changes in the utilization of caesarean section, electronic fetal monitoring and ultrasound; to assess the degree to which justification for the use of pelvimetry is recorded on the patient record; and to measure the utilization of pelvimetry in private radiologists' offices. The report contains a narrative discussion of the PSRO program; ancillary services review; a literature review of studies on the efficacy of pelvimetry and educational intervention strategies; and a detailed discussion of the design, methodology, and findings. The results of the study, a substantive drop in the pelvimetry rate in study hospitals vis-a-vis that in control hospitals pre and postintervention demonstrates that physician practice patterns changed due to the educational intervention.

McCue, S.M.

1983-03-31

445

Reliability of biologic indicators in a mail-return sterilization-monitoring service: a review of 3 years.  

PubMed

Most mail-return sterilization-monitoring services use spore strips to test sterilizers in dental clinics, but factors such as delay caused by mailing to the laboratory could cause false negatives. The aims of this study were to determine the influence of poststerilization time and temperature on the biologic indicator recovery system and to evaluate sterilization failure and its possible causes in dental clinics subscribing to a mail-return sterilization-monitoring service. Spore strips used in independent tests revealed the poststerilization time and temperature after a 7-day delay to have no significant influence. Sixty-six dental clinics that received quarterly biologic indicators to evaluate the effectiveness of their sterilizers had sterilization failure rates of 28.7% in 1992, 18.1% in 1993, and 9.1% in 1994, a statistically significant decrease in sterilization failure during the 3-year period. The usual causes of failure were operator error in wrapping of instruments, loading, operating temperature, or exposure time. PMID:8596817

Andrés, M T; Tejerina, J M; Fierro, J F

1995-12-01

446

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

447

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

448

Photocatalytic Conversion of CO2 to CO using Rhenium Bipyridine Platforms Containing Ancillary Phenyl or BODIPY Moieties  

SciTech Connect

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 systems. 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 these systems 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.

Andrade, Gabriel [University of Delaware; Pistner, Allen [University of Delaware; Yapp, Glenn P. A. [University of Delaware; Lutterman, Daniel A [ORNL; Rosenthal, Joel [University of Delaware

2013-01-01

449

Does Service Affect Citizenship?  

Microsoft Academic Search

The idea of citizen service has been given increasing attention as a remedy for problems of civic disengagement. This study reviews 37 empirical studies about the relationship between service and citizenship. A formal model of change is used to guide the review. Six types of citizenship outcomes are discussed: citizenship-related cognitive understanding, citizenship attitudes, citizenship skills, institutional change, philanthropic and

James L. Perry; Michael C. Katula

2001-01-01

450

The management of children admitted to child welfare services in Ontario: a review and discussion of current problems and practices.  

PubMed

Children coming into the care of the Ontario Child Welfare System are generally older and more seriously disturbed. Foster parents and Children's Aid Societies have had to change in order to meet the needs of these troubled children. While the efficacy of foster care continues to be debated, there are ways to improve in-care management including: ways of preventing drift, appropriate assessment of parenting capacity, minimizing emergency placements, and more energetic and focused casework which deals appropriately both with the deficits and distortions internalized in the child as a result of previous damage and with the ongoing interactional stresses operative within the foster family system. The advantages of planned over emergency placements are discussed. The child separated from natural parents will mourn. Foster parents' and workers' roles in assisting the work of mourning in foster children are discussed. Soon after admission to care, the practicality of restoration to the natural family must be assessed, and management should then aim towards restoration or towards freeing the child for adoption or planned permanent foster care, should that represent the least detrimental available alternative. The family court system as presently constituted frequently and unnecessarily undermines rather than protects the adjustment and development of vulnerable children. Mechanisms by which this occurs and some proposed solutions are suggested. The paper concludes by suggesting that the traditional low priority given to child welfare services by governments is unlikely to be altered unless mental health professionals succeed in eliciting considerably more community support for adequate social services than is currently available. PMID:6488127

Steinhauer, P D

1984-10-01

451

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

452

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

453

Review of Critical Factors Related to Employment After Spinal Cord Injury: Implications for Research and Vocational Services  

PubMed Central

Background/Objective: Employment rates after spinal cord injury (SCI) vary widely because of discrepancies in studies' definition of employment and time of measurement. The objective of this study was to provide a comprehensive summary of the literature on employment rates, predictors of employment, and the benefits and barriers involved. Methods: A search using the terms spinal cord injury and employment in the databases PubMed, PsycINFO, and MEDLINE. The search included a review of published manuscripts from1978 through 2008. Results: A total of 579 articles were found and reviewed to determine the presence of reported employment rates. Of these, 60 articles were found to include a report of employment rates for individuals with SCI. Results indicated that, in studies that examined paid employment, the average rate of any employment after SCI was approximately 35%. Conclusions: Characteristics associated with employment after SCI include demographic variables, injury-related factors, employment history, psychosocial issues, and disability benefit status. It is recommended that researchers studying employment after SCI use common outcome measures such as competitive employment rates, duration of employment, and job tenure. Empirical evidence is lacking in regard to the most effective methods of vocational rehabilitation among this population. Evidence-based supported employment practices seem to be the most applicable model for assisting persons with SCI in restoring meaningful employment. Controlled studies are needed to test this assumption. PMID:20025147

Ottomanelli, Lisa; Lind, Lisa

2009-01-01

454

Alzheimer's Disease and Related Dementias. Hearing before the Subcommittee on Aging of the Committee on Labor and Human Resources. United States Senate, Ninety-Ninth Congress, Second Session on Review of Health Care Services Available for People with Alzheimer's Disease and Related Dementia and To Review Proposals Related to the Treatment of Alzheimer's Disease.  

ERIC Educational Resources Information Center

A Senate hearing reviewing health care services available for people with Alzheimer's disease and related dementia and reviewing proposals related to the treatment of Alzheimer's disease is presented in this document. Statements are given by Senators Charles E. Grassley, Albert Gore, Paula Hawkins, Howard M. Metzenbaum, Larry Pressler, and Paul…

Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

455

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

456

[Tetanus after intramuscular injection in an infectious disease service in Dakar. 12-year review (1978-1989)].  

PubMed

Tetanus is a serious toxic-infection common to men and animals produced by a strict anaerobic bacillus: Clostridium Tetani or Nicolaier's Bacillus. It is an infectious, non-contagious, non-immunizing illness, which must be officially notified. Although Tetanus has been known from antiquity and a very efficient specific vaccine is available, in developing countries its frequency and high mortality make it a major problem for Public Health authorities. This dramatic situation in underdeveloped countries is due to: inadequate vaccination and health education; poor infrastructure in health services; the persistence of harmful traditional practices; and disregard for elementary principles of antiseptics and sterilization, leading to the terrible form of tetanus after-muscular injection, a real "tragedy" according to Bourgeade. The aim of this study is to draw attention to the frequency, seriousness and hopeless prognostic of this type of tetanus, all of which could be avoided if simple, elementary, prophylactic measures, such as rigorous disinfection and adequate sterilization of equipment, were undertaken. PMID:2135795

Sow, S; Badiane, S; Coll/Seck, A M; Diop, E A; Soumare, M; Diop, B M

1990-01-01

457

Finisher hog production in the Southeastern United States: Ancillary measurements derived from the National Air Emissions Monitoring Study (NAEMS)  

NASA Astrophysics Data System (ADS)

Measurements of emissions of gases and fine particulate matter from swine animal feeding operations (AFOs) in the southeastern US have typically been confined to relatively short periods (days to several weeks) and have generally focused on waste lagoons. Access to swine animal housing units and other ancillary information has been limited. The National Air Emissions Monitoring Study (NAEMS) provided a unique opportunity to characterize emissions from swine housing units for an extended period of time (~ 2 years), and allowed access to ancillary measurements regarding nutrient flows (feed amounts and composition), manure dynamics, animal inventories, water usage and farm management. Presented here is a summary of the observations made for a NAEMS finisher site (NC3B) selected as being representative of swine production in the southeastern US. Finisher hogs are raised in rotations (~ 140 days) with a target market weight of 123 kg/hog. Among the population during a rotation (700-800 hogs/barn) the actual growth rate varies with a series of “grade-outs” of market-weight hogs starting ~ 110 days from initial load-in. Derivation of the standing live-weight in the barns during a rotation therefore requires use of a growth model and summation over several different “populations” of hogs within a single barn. Up to 5 different feed formulations are fed during a rotation with %N content ranging from (3.4 to 2.2% N; total feed consumed 181,000 kg/barn). Across 4 complete rotations, N consumed was ~50 g N per hog/day. Of this amount, we estimate ~ 60% is excreted as fecal matter and urine. The TAN (NH3 + NH4+) content of the shallow pits is consistently higher (1880 ±390 mg TAN/L) than that found in the anaerobic lagoon (800 ±70 mg TAN/L), except immediately after recharge following pit-pull (pH of the two liquids was similar). The presence of a recalcitrant layer of sludge in the shallow pits (liquid height = 20 cm; sludge depth = 5-10 cm; TAN = 2500 mg N/L; total N = 1 - 1.25%) complicates attempts to construct a N mass balance for the barns, and may represent a source of N and S that elevates pit liquid content in addition to daily additions from fecal matter and urine from the hogs. The ancillary information collected during the NAEMS project will provide critical information in order to facilitate the development and test the predictions of process-based models of emissions from shallow-pit hog barns typically used on swine AFOs in the southeastern United States.

Robarge, W. P.; Lee, S.; Walker, J. T.

2010-12-01

458

Results of Limited Scope Review of Bronx-Lebanon Integrated Services System, Inc's Process for Compiling and Reporting Selected Recovery Act Data.  

National Technical Information Service (NTIS)

Bronx-Lebanon Integrated Services System, Inc. (BLISS), is a nonprofit health center organized in 1996 to provide medical, dental, social, and substance abuse services. BLISS provides these services primarily to residents of the south and central sections...

2010-01-01

459

Safety and effectiveness of termination services performed by doctors versus midlevel providers: a systematic review and analysis  

PubMed Central

Objective Training midlevel providers (MLPs) to conduct surgical abortions and manage medical abortions has been proposed as a way to increase women’s access to safe abortion. This paper reviews the evidence that compares the effectiveness and safety of abortion procedures administered by MLPs versus doctors. Methods A systematic search was conducted of published trials and comparison studies assessing the effectiveness and/or safety of abortion provided by MLPs compared to doctors. The Cochrane Central Register of Controlled Trials, EMBASE, MEDLINE, and Popline were searched. The primary outcomes of interest were: (1) incomplete or failed abortion; and (2) measures of safety (adverse events and complications) of abortion procedures administered by MLPs and doctors. Odds ratios (ORs) and their 95% confidence intervals (CIs) were calculated for each study. Data were synthesized in a narrative fashion. Findings Five studies were included in this review (n = 8539 women), comprising two randomized controlled trials (RCTs) (n = 3821) and three prospective cohort studies (n = 4718). In total, 4198 women underwent a procedure administered by an MLP, and 4341 women underwent a physician-administered procedure. Studies took place in the US, Nepal, South Africa, Vietnam, and India. Four studies used surgical abortion with maximum gestational ages ranging from 10 to 16+ weeks, while a medical abortion study had gestational ages up to 9 weeks. In RCTs, the effect estimates for incomplete or failed abortion for procedures performed by MLPs compared with doctors were OR = 2.00 (95% CI 0.85–4.68) for surgical abortion, and OR = 0.69 (95% CI 0.34–1.37) for medical abortion. Complications were rare among both provider types (1.2%–3.1%; OR = 1.80, 95% CI 0.83–3.90 for surgical abortions), and no deaths were reported. Conclusion There were no statistical differences in incomplete abortion and complications for first trimester surgical and medical abortion up to 9 weeks performed by MLPs compared with physicians. Further studies are required to establish more precise effect estimates. PMID:23323024

Ngo, Thoai D; Park, Min Hae; Free, Caroline

2013-01-01

460

Cloud Services Cloud Services  

E-print Network

Cloud Services Cloud Services In 2012 UCD IT Services launched an exciting new set of cloud solutions called CloudEdu, which includes cloud servers, cloud storage, cloud hosting and cloud network. The CloudEdu package includes a consultancy service in design, deployment, management and utilisation