Science.gov

Sample records for ancillary services review

  1. Ancillary services

    SciTech Connect

    Hirst, E.; Kirby, B

    1996-01-01

    Ancillary services are those functions performed by electrical generating, transmission, system-control, and distribution-system equipment and people to support the basic services of generating capacity, energy supply, and power delivery. The Federal Energy Regulatory Commission defined ancillary services as ``those services 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.`` FERC identified six ancillary services reactive power and voltage control, loss compensation, scheduling and dispatch, load following, system protection, and energy imbalance. Our earlier work identified 19 ancillary services Here we offer a revised set of seven ancillary services and mention several other services that merit consideration. In preparing its final rule on open-access transmission service, we suggest that FERC consider splitting its system-protection service into its two primary pieces, reliability reserve and supplemental-operating reserve. We also suggest that FERC define more sharply all of the ancillary services. especially load-following reserve and energy imbalance. Finally, we suggest that FERC consider other services and their provision in a restructured electricity industry; these services include black-start capability, time correction, standby service. planning reserve, redispatch. transmission services, power quality, and planning and engineering services.

  2. Loads Providing Ancillary Services: Review of International Experience

    SciTech Connect

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

    2007-05-01

    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.

  3. Ancillary services market in California

    SciTech Connect

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

    1999-07-01

    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.

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

    SciTech Connect

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

    2007-05-01

    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.

  5. Reconsidering the measurement of ancillary service performance.

    PubMed

    Griffin, D T; Rauscher, J A

    1987-08-01

    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

  6. Ancillary Services Provided from DER

    SciTech Connect

    Campbell, J.B.

    2005-12-21

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

  7. 39 CFR 122.1 - Ancillary special services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 39 Postal Service 1 2011-07-01 2011-07-01 false Ancillary special services. 122.1 Section 122.1 Postal Service UNITED STATES POSTAL SERVICE POST OFFICE SERVICES SERVICE STANDARDS FOR MARKET-DOMINANT SPECIAL SERVICES PRODUCTS § 122.1 Ancillary special services. (a) For the market-dominant mail...

  8. 39 CFR 122.1 - Ancillary special services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 39 Postal Service 1 2014-07-01 2014-07-01 false Ancillary special services. 122.1 Section 122.1 Postal Service UNITED STATES POSTAL SERVICE POST OFFICE SERVICES SERVICE STANDARDS FOR MARKET-DOMINANT SPECIAL SERVICES PRODUCTS § 122.1 Ancillary special services. (a) For the market-dominant mail...

  9. 39 CFR 122.1 - Ancillary special services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 39 Postal Service 1 2013-07-01 2013-07-01 false Ancillary special services. 122.1 Section 122.1 Postal Service UNITED STATES POSTAL SERVICE POST OFFICE SERVICES SERVICE STANDARDS FOR MARKET-DOMINANT SPECIAL SERVICES PRODUCTS § 122.1 Ancillary special services. (a) For the market-dominant mail...

  10. Ancillary-service details: Dynamic scheduling

    SciTech Connect

    Hirst, E.; Kirby, B.

    1997-01-01

    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.

  11. 39 CFR 122.1 - Ancillary special services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Postal Service UNITED STATES POSTAL SERVICE POST OFFICE SERVICES SERVICE STANDARDS FOR MARKET-DOMINANT SPECIAL SERVICES PRODUCTS § 122.1 Ancillary special services. (a) For the market-dominant mail products... market-dominant mail products identified above in part 121, mailers may purchase insurance from...

  12. Physician ancillary services: fad or fashion? Part 1.

    PubMed

    Reiboldt, John

    2005-01-01

    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

  13. Options for pricing ancillary services in a deregulated power system

    NASA Astrophysics Data System (ADS)

    Yamin, Hatim Yahya

    2001-07-01

    GENCOs in restructured systems are compensated for selling energy in the market. In a restructured market, a mechanism is required to entice participants in the market to provide ancillary services and to ensure adequate compensation that would guarantee its economic viability. The ISO controls the dispatch of generation, manages the reliability of the transmission grid, provides open access to the transmission, buys and provides ancillary services as required, coordinates day-ahead, hour-ahead schedules and performs real time balancing of load and generation, settles real time imbalances and ancillary services sales and purchases. The ISO, also, administers congestion management protocols for the transmission grid. Since the ISO does not own any generating units it must ensure that there is enough reserves for maintaining reliability according to FERC regulations, and sufficient unloaded generating capacity for balancing services in a real-time market. The ISO could meet these requirements by creating a competitive market for ancillary services, which are metered and remain unbundled to provide an accurate compensation for each supplier and cost to each consumer, In this study, we give an overview for restructuring and ancillary services in a restructured power marketplace. Also, we discuss the effect of GENCOs' actions in the competitive energy and ancillary service markets. In addition, we propose an auction market design for hedging ancillary service costs in California market. Furthermore, we show how to include the n-1 and voltage contingencies in security constrained unit commitment. Finally, we present two approaches for GENCOs' unit commitment in a restructured power market; one is based on game theory and the other is based on market price forecasting. In each of the two GENCOs' unit commitment approaches, we discuss the GENCOs' optimal bidding strategies in energy and ancillary service markets to maximize the GENCOs' profit.

  14. Load Participation in Ancillary Services System from An Operator Perspective

    SciTech Connect

    Kujawski, Don; Petri, Mark C.

    2011-10-25

    Ancillary services as defined by FERC (Order 888) distinguished by response time, duration, frequency. Met when DR has capability to balance supply and demand; and LMP payment to DR is cost effective.

  15. Survey of U.S. Ancillary Services Markets

    SciTech Connect

    Zhou, Zhi; Levin, Todd; Conzelmann, Guenter

    2016-01-01

    In addition to providing energy to end-consumers, power system operators are also responsible for ensuring system reliability. To this end, power markets maintain an array of ancillary services to ensure it is always possible to balance the supply and demand for energy in real-time. A subset of these ancillary services are commonly procured through market-based mechanisms: namely, Regulation, Spinning, and Non-spinning Reserves.

  16. 16 CFR 1.62 - Ancillary court orders pending review.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 16 Commercial Practices 1 2012-01-01 2012-01-01 false Ancillary court orders pending review. 1.62 Section 1.62 Commercial Practices FEDERAL TRADE COMMISSION ORGANIZATION, PROCEDURES AND RULES OF PRACTICE GENERAL PROCEDURES Injunctive and Condemnation Proceedings § 1.62 Ancillary court orders pending...

  17. Fundamental design issues in markets for ancillary services

    SciTech Connect

    Rebours, Yann; Kirschen, Daniel; Trotignon, Marc

    2007-07-15

    While ancillary services are an essential feature of electricity markets, the designs of markets for these services have known ad hoc evolutions. A comprehensive approach is needed, requiring the solving of nine fundamental issues to create the most efficient markets. (author)

  18. Optimal generator bidding strategies for power and ancillary services

    NASA Astrophysics Data System (ADS)

    Morinec, Allen G.

    As the electric power industry transitions to a deregulated market, power transactions are made upon price rather than cost. Generator companies are interested in maximizing their profits rather than overall system efficiency. A method to equitably compensate generation providers for real power, and ancillary services such as reactive power and spinning reserve, will ensure a competitive market with an adequate number of suppliers. Optimizing the generation product mix during bidding is necessary to maximize a generator company's profits. The objective of this research work is to determine and formulate appropriate optimal bidding strategies for a generation company in both the energy and ancillary services markets. These strategies should incorporate the capability curves of their generators as constraints to define the optimal product mix and price offered in the day-ahead and real time spot markets. In order to achieve such a goal, a two-player model was composed to simulate market auctions for power generation. A dynamic game methodology was developed to identify Nash Equilibria and Mixed-Strategy Nash Equilibria solutions as optimal generation bidding strategies for two-player non-cooperative variable-sum matrix games with incomplete information. These games integrated the generation product mix of real power, reactive power, and spinning reserve with the generators's capability curves as constraints. The research includes simulations of market auctions, where strategies were tested for generators with different unit constraints, costs, types of competitors, strategies, and demand levels. Studies on the capability of large hydrogen cooled synchronous generators were utilized to derive useful equations that define the exact shape of the capability curve from the intersections of the arcs defined by the centers and radial vectors of the rotor, stator, and steady-state stability limits. The available reactive reserve and spinning reserve were calculated given a generator operating point in the P-Q plane. Four computer programs were developed to automatically perform the market auction simulations using the equal incremental cost rule. The software calculates the payoffs for the two competing competitors, dispatches six generators, and allocates ancillary services for 64 combinations of bidding strategies, three levels of system demand, and three different types of competitors. Matrix Game theory was utilized to calculate Nash Equilibrium solutions and mixed-strategy Nash solutions as the optimal generator bidding strategies. A method to incorporate ancillary services into the generation bidding strategy, to assure an adequate supply of ancillary services, and to allocate these necessary resources to the on-line units was devised. The optimal generator bid strategy in a power auction was shown to be the Nash Equilibrium solution found in two-player variable-sum matrix games.

  19. Demand Response Resources for Energy and Ancillary Services (Presentation)

    SciTech Connect

    Hummon, M.

    2014-04-01

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

  20. Ancillary study management systems: a review of needs

    PubMed Central

    2013-01-01

    Background The valuable clinical data, specimens, and assay results collected during a primary clinical trial or observational study can enable researchers to answer additional, pressing questions with relatively small investments in new measurements. However, management of such follow-on, “ancillary” studies is complex. It requires coordinating across institutions, sites, repositories, and approval boards, as well as distributing, integrating, and analyzing diverse data types. General-purpose software systems that simplify the management of ancillary studies have not yet been explored in the research literature. Methods We have identified requirements for ancillary study management primarily as part of our ongoing work with a number of large research consortia. These organizations include the Center for HIV/AIDS Vaccine Immunology (CHAVI), the Immune Tolerance Network (ITN), the HIV Vaccine Trials Network (HVTN), the U.S. Military HIV Research Program (MHRP), and the Network for Pancreatic Organ Donors with Diabetes (nPOD). We also consulted with researchers at a range of other disease research organizations regarding their workflows and data management strategies. Lastly, to enhance breadth, we reviewed process documents for ancillary study management from other organizations. Results By exploring characteristics of ancillary studies, we identify differentiating requirements and scenarios for ancillary study management systems (ASMSs). Distinguishing characteristics of ancillary studies may include the collection of additional measurements (particularly new analyses of existing specimens); the initiation of studies by investigators unaffiliated with the original study; cross-protocol data pooling and analysis; pre-existing participant consent; and pre-existing data context and provenance. For an ASMS to address these characteristics, it would need to address both operational requirements (e.g., allocating existing specimens) and data management requirements (e.g., securely distributing and integrating primary and ancillary data). Conclusions The scenarios and requirements we describe can help guide the development of systems that make conducting ancillary studies easier, less expensive, and less error-prone. Given the relatively consistent characteristics and challenges of ancillary study management, general-purpose ASMSs are likely to be useful to a wide range of organizations. Using the requirements identified in this paper, we are currently developing an open-source, general-purpose ASMS based on LabKey Server (http://www.labkey.org) in collaboration with CHAVI, the ITN and nPOD. PMID:23294514

  1. Commercial Building Loads Providing Ancillary Services in PJM

    SciTech Connect

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

    2014-06-27

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

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

    SciTech Connect

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

    2011-12-01

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

  3. Cohort Profile: Longitudinal Investigations into Supportive and Ancillary health services.

    PubMed

    Duncan, Katrina C; Salters, Kate; Forrest, Jamie I; Palmer, Alexis K; Wang, Hong; O'Brien, Nadia; Parashar, Surita; Cescon, Angela M; Samji, Hasina; Montaner, Julio Sg; Hogg, Robert S

    2013-08-01

    The Longitudinal Investigations into Supportive and Ancillary health services (LISA) study is a cohort of people living with HIV/AIDS who have ever accessed anti-retroviral therapy (ART) in British Columbia, Canada. The LISA study was developed to better understand the outcomes of people living with HIV with respect to supportive services use, socio-demographic factors and quality of life. Between July 2007 and January 2010, 1000 participants completed an interviewer-administered questionnaire that included questions concerning medical history, substance use, social and medical support services, food and housing security and other social determinants of health characteristics. Of the 1000 participants, 917 were successfully linked to longitudinal clinical data through the provincial Drug Treatment Program. Within the LISA cohort, 27% of the participants are female, the median age is 39 years and 32% identify as Aboriginal. Knowledge translation activities for LISA include the creation of plain language summaries, internet resources and arts-based engagement activities such as Photovoice. PMID:22461127

  4. Analysis of wind power ancillary services characteristics with German 250-MW wind data

    SciTech Connect

    Ernst, B.

    1999-12-09

    With the increasing availability of wind power worldwide, power fluctuations have become a concern for some utilities. Under electric industry restructuring in the US, the impact of these fluctuations will be evaluated by examining provisions and costs of ancillary services for wind power. This paper analyzes wind power in the context of ancillary services, using data from a German 250 Megawatt Wind project.

  5. 48 CFR 801.670-3 - Medical, dental, and ancillary service.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Medical, dental, and..., Contracting Authority, and Responsibilities 801.670-3 Medical, dental, and ancillary service. (a) When medical, dental, and ancillary services under $10,000 per authorization are not available from an...

  6. 48 CFR 801.670-3 - Medical, dental, and ancillary service.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Medical, dental, and..., Contracting Authority, and Responsibilities 801.670-3 Medical, dental, and ancillary service. (a) When medical, dental, and ancillary services under $10,000 per authorization are not available from an...

  7. 48 CFR 801.670-3 - Medical, dental, and ancillary service.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Medical, dental, and..., Contracting Authority, and Responsibilities 801.670-3 Medical, dental, and ancillary service. (a) When medical, dental, and ancillary services under $10,000 per authorization are not available from an...

  8. 48 CFR 801.670-3 - Medical, dental, and ancillary service.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Medical, dental, and..., Contracting Authority, and Responsibilities 801.670-3 Medical, dental, and ancillary service. (a) When medical, dental, and ancillary services under $10,000 per authorization are not available from an...

  9. 48 CFR 801.670-3 - Medical, dental, and ancillary service.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Medical, dental, and..., Contracting Authority, and Responsibilities 801.670-3 Medical, dental, and ancillary service. (a) When medical, dental, and ancillary services under $10,000 per authorization are not available from an...

  10. Transactive Control and Coordination of Distributed Assets for Ancillary Services

    SciTech Connect

    Subbarao, Krishnappa; Fuller, Jason C.; Kalsi, Karanjit; Somani, Abhishek; Pratt, Robert G.; Widergren, Steven E.; Chassin, David P.

    2013-09-18

    The need to diversify energy supplies, the need to mitigate energy-related environmental impact, and the entry of electric vehicles in large numbers present challenges and opportunities to power system professionals. Wind and solar power provide many benefits, and to reap the benefits the resulting increased variability—forecasted as well as unforecasted—should be addressed. Demand resources are receiving increasing attention as one means of providing the grid balancing services. Control and coordination of a large number (~millions) of distributed smart grid assets requires innovative approaches. One such is transactive control and coordination (TC2)—a distributed, agent-based incentive and control system. The TC2 paradigm is to create a market system with the following characteristics: • Participation should be entirely voluntary. • The participant decides at what price s/he is willing to participate. • The bids and responses are automated. Such an approach has been developed and demonstrated by Pacific Northwest National Laboratory for energy markets. It is the purpose of this project to develop a similar approach for ancillary services. In this report, the following ancillary services are considered: • spinning reserve • ramping • regulation. These services are to be provided by the following devices: • refrigerators • water heaters • clothes dryers • variable speed drives. The important results are summarized below: The regulation signal can be divided into an energy-neutral high frequency component and a low frequency component. The high frequency component is particularly well suited for demand resources. The low frequency component, which carries energy non-neutrality, can be handled by a combination of generators and demand resources. An explicit method for such a separation is obtained from an exponentially weighted moving average filter. Causal filters (i.e., filters that process only present and past values of a signal) introduce delays that can be issues in some signal processing applications that treat the high frequency part as a noise to be eliminated. For regulation, the high frequency component is an essential part of the signal. The delay in the low frequency component is not a problem. A stochastic self-dispatch algorithm determines the response of the devices to the regulation signal. • In an ensemble of devices under normal operation, some devices turn on and some turn off in any time interval. Demand response necessitates turning off devices that would normally be on, or turning on devices that would normally be off. Over time, some of these would have turned off on their own. A formalism to determine expectation values under a combination of natural and forced attrition has been developed. This formalism provides a mechanism for accomplishing a desired power profile within a bid period. In particular, a method to minimize regulation requirement can be developed. The formulation provides valuable insights into control. • Some ancillary services—ramping to absorb unforecasted increase in renewable generation, and regulation down—require the demand resources to increase their energy use. Some resources such as HVAC systems can do this readily, whereas some others require enabling technology. Even without such technology, it is possible to arrange refrigerators and water heaters to have an energy debt and be ready to increase their energy use. A transactive bid mechanism of revolving debt can be developed for this purpose. Dramatic changes in control systems, architecture and markets are expected in the electrical grid. The technical capabilities of a large number of devices interacting with the grid are changing. While it is too early to describe complete solutions, TC2 has attractive features suitable for adapting to the changes. The analyses in this report and the activities planned for FY 14 and beyond are designed to facilitate this transition.

  11. 78 FR 46177 - Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-30

    ... Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric Storage...-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric Storage... services. \\6\\ Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for...

  12. Ancillary Data Services of NASA's Planetary Data System

    NASA Technical Reports Server (NTRS)

    Acton, C.

    1994-01-01

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

  13. 47 CFR 25.149 - Application requirements for ancillary terrestrial components in Mobile-Satellite Service...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... (CONTINUED) COMMON CARRIER SERVICES SATELLITE COMMUNICATIONS Applications and Licenses Space Stations § 25... signals from MSS space-stations. (b) Applicants for an ancillary terrestrial component shall demonstrate... organized efforts of international coordination. (c) Equipment certification. (1) Each ATC mobile...

  14. Consumer opinions with ancillary hospital services: improving service delivery in Turkish hospitals.

    PubMed

    Tengilimoglu, D; Kisa, A; Dziegielewski, S F

    1999-10-01

    This article reports the results of 2,045 consumer interviews conducted after discharge from seven major public and private hospitals in the country of Turkey. The direct measurement of consumer-satisfaction and utilization of this information to improve service delivery is a relatively new phenomena for this country. Based on postdischarge consumer interviews information on satisfaction of several ancillary hospital service variables was identified and inclusion for achieving overall consumer satisfaction is emphasized. Two critical areas were examined: ancillary staff and consumer relations and overall impressions of the comfort of the facility. Relationships and percentages within and among these variables are reported. Overall, the majority of the complaints noted by consumers were not related to direct treatment rather they focused on interactions with the hospital's staff and other services provided by the facility (e.g., comfort, cleanliness, parking, etc.). When comparing the different hospitals across these variables significant differences were noted at the .05 level between the seven different hospitals examined. Findings and recommendations from this study are presented to assist in providing a basis for the development of improved consumer satisfaction. PMID:10587917

  15. 42 CFR 413.316 - Determining payment amounts: Ancillary services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... AND HUMAN SERVICES MEDICARE PROGRAM PRINCIPLES OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR END-STAGE RENAL DISEASE SERVICES; OPTIONAL PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING...

  16. 42 CFR 413.316 - Determining payment amounts: Ancillary services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... RENAL DISEASE SERVICES; OPTIONAL PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES Prospectively Determined Payment Rates for Low-Volume Skilled Nursing Facilities, for Cost Reporting...

  17. 42 CFR 413.316 - Determining payment amounts: Ancillary services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... RENAL DISEASE SERVICES; OPTIONAL PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES Prospectively Determined Payment Rates for Low-Volume Skilled Nursing Facilities, for Cost Reporting...

  18. Risk Management: Supporting the District's Ancillary Services Staff

    ERIC Educational Resources Information Center

    Waldmann, Steve; Strasburger, Tom

    2013-01-01

    The everyday operations of a school district depend on a network of people, including students, teachers, staff, and administrators. However, the ancillary services staff are really responsible for making the school day run smoothly. They are often the first employees that students see in the morning, either on the school bus or in the cafeteria,…

  19. Alternative Approaches for Incentivizing the Frequency Responsive Reserve Ancillary Service

    SciTech Connect

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

    2012-03-01

    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.

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

    PubMed Central

    2012-01-01

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

  1. Market and policy barriers for demand response providing ancillary services in U.S. markets

    SciTech Connect

    Cappers, Peter; MacDonald, Jason; Goldman, Charles

    2013-03-01

    This study provides an examination of various market and policy barriers to demand response providing ancillary services in both ISO/RTO and non-ISO/RTO regions, especially at the program provider level. It is useful to classify barriers in order to create a holistic understanding and identify parties that could be responsible for their removal. This study develops a typology of barriers focusing on smaller customers that must rely on a program provider (i.e., electric investor owned utility or IOU, ARC) to create an aggregated DR resource in order to bring ancillary services to the balancing authority. The barriers were identified through examinations of regulatory structures, market environments, and product offerings; and discussions with industry stakeholders and regulators. In order to help illustrate the differences in barriers among various wholesale market designs and their constituent retail environments, four regions were chosen to use as case studies: Colorado, Texas, Wisconsin, and New Jersey.

  2. Opportunities for ice storage to provide ancillary services to power grids incorporating wind turbine generation

    NASA Astrophysics Data System (ADS)

    Finley, Christopher

    Power generation using wind turbines increases the electrical system balancing, regulation and ramp rate requirements due to the minute to minute variability in wind speed and the difficulty in accurately forecasting wind speeds. The addition of thermal energy storage, such as ice storage, to a building's space cooling equipment increases the operational flexibility of the equipment by allowing the owner to choose when the chiller is run. The ability of the building owner to increase the power demand from the chiller (e.g. make ice) or to decrease the power demand (e.g. melt ice) to provide electrical system ancillary services was evaluated.

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

    SciTech Connect

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

    2009-11-06

    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.

  4. Measuring Generator Performance in Providing Regulation and Load-Following Ancillary Services

    SciTech Connect

    Hirst, E.

    2001-04-05

    In an earlier project, we analyzed data on total system load as well as the loads of eight large industrial customers (Kirby and Hirst 2000). We analyzed these data in terms of system and customer-specific requirements for two real-power ancillary services, regulation and load following. We conducted these analyses using 12 days of data from February 1999 plus 12 days of data from August and September 1999. The project discussed here focused on the supply side (provision) of these two services. Specifically, we examined the output of this control area's generation resources, in aggregate and by unit. We analyzed the performance of these generating units in two ways. First, we analyzed the contribution of these generators to overall system performance [generally relative to the North American Electric Reliability Council (NERC) standards]. Second, we analyzed performance relative to what the control center requested of the generators.

  5. Spot pricing of electricity and ancillary services in a competitive California market

    SciTech Connect

    Siddiqui, A.S.; Marnay, C.; Khavkin, M.

    2000-11-01

    Typically, in competitive electricity markets, the vertically integrated utilities that were responsible for ensuring system reliability in their own service territories, or groups of territories, cease to exist. The burden falls to an independent system operator (ISO) to ensure that enough ancillary services (AS) are available for safe, stable, and reliable operation of the grid, typically defined, in part, as compliance with officially approved engineering specifications for minimum levels of AS. In order to characterize the behavior of market participants (generators, retailers, and an ISO) in a competitive electricity market with reliability requirements, spot markets for both electricity and AS are modeled. By assuming that each participant seeks to maximize its wealth and that all markets clear, we solve for the optimal quantities of electricity and AS traded in the spot market by all participants, as well as the market clearing prices for each.

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

    SciTech Connect

    Hummon, M.; Kiliccote, S.

    2014-04-01

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

  7. 47 CFR 25.149 - Application requirements for ancillary terrestrial components in the mobile-satellite service...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... terrestrial components in the mobile-satellite service networks operating in the 1.5./1.6 GHz, 1.6/2.4 GHz and 2 GHz mobile-satellite service. 25.149 Section 25.149 Telecommunication FEDERAL COMMUNICATIONS... Stations § 25.149 Application requirements for ancillary terrestrial components in the...

  8. Ancillary Studies

    Cancer.gov

    Skip to Main Content Home   |   Data   |   Statistics   |   Tools   |   Collaborations   |   Work with Us   |   Publications   |   About   |   Links Ongoing Collaborations CISNET ACS FAVOR Comprehensive Cancer Centers Ancillary Studies Ancillary Studies Year

  9. 75 FR 14342 - Market-Based Rates for Wholesale Sales of Electric Energy, Capacity and Ancillary Services by...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-25

    ... Energy Regulatory Commission 18 CFR Part 35 Market-Based Rates for Wholesale Sales of Electric Energy... Electric Energy, Capacity and Ancillary Services by Public Utilities, Order No. 697- C, FERC Stats. & Regs. ] 31,291 (2009). \\2\\ 18 CFR 35.42. \\3\\ Market-Based Rates for Wholesale Sales of Electric...

  10. 75 FR 63167 - San Diego Gas and Electric Company v. Sellers of Energy and Ancillary Services Into Markets...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-14

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission San Diego Gas and Electric Company v. Sellers of Energy and Ancillary Services Into Markets Operated by the California Independent System Operator Corporation and the...

  11. 75 FR 22125 - Market-Based Rates for Wholesale Sales of Electric Energy, Capacity and Ancillary Services by...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-27

    ... Ancillary Services by Public Utilities; Notice of New Docket Prefix ``LA'' for Land Acquisition Reports and Guidelines for Filing Under Order No. 697-C April 20, 2010. Notice is hereby given that a new docket prefix... will now receive a new prefix ``LA'' as part of its designated docket number and will be...

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

    SciTech Connect

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

    2006-06-01

    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.

  13. Incorporating residential AC load control into ancillary service markets: Measurement and settlement

    SciTech Connect

    Bode, Josh L.; Sullivan, Michael J.; Berghman, Dries; Eto, Joseph H.

    2013-05-01

    Many pre-existing air conditioner load control programs can provide valuable operational flexibility but have not been incorporated into electricity ancillary service markets or grid operations. Multiple demonstrations have shown that residential air conditioner (AC) response can deliver resources quickly and can provide contingency reserves. A key policy hurdle to be overcome before AC load control can be fully incorporated into markets is how to balance the accuracy, cost, and complexity of methods available for the settlement of load curtailment. Overcoming this hurdle requires a means for assessing the accuracy of shorter-term AC load control demand reduction estimation approaches in an unbiased manner. This paper applies such a method to compare the accuracy of approaches varying in cost and complexity ? including regression analysis, load matching and control group approaches ? using feeder data, household data and AC end-use data. We recommend a practical approach for settlement, relying on an annually updated set of tables, with pre-calculated reduction estimates. These tables allow users to look up the demand reduction per device based on daily maximum temperature, geographic region and hour of day, simplifying settlement and providing a solution to the policy problem presented in this paper.

  14. Analysis of the Effects of a Flexible Ramping Ancillary Service Product on Power System Operations: Preprint

    SciTech Connect

    Krad, Ibrahim; Ibanez, Eduardo; Ela, Erik

    2015-10-19

    The recent increased interest in utilizing variable generation (VG) resources such as wind and solar in power systems has motivated investigations into new operating procedures. Although these resources provide desirable value to a system (e.g., no fuel costs or emissions), interconnecting them provides unique challenges. Their variable, non-controllable nature in particular requires significant attention, because it directly results in increased power system variability and uncertainty. One way to handle this is via new operating reserve schemes. Operating reserves provide upward and downward generation and ramping capacity to counteract uncertainty and variability prior to their realization. For instance, uncertainty and variability in real-time dispatch can be accounted for in the hour-ahead unit commitment. New operating reserve methodologies that specifically account for the increased variability and uncertainty caused by VG are currently being investigated and developed by academia and industry. This paper examines one method inspired by the new operating reserve product being proposed by the California Independent System Operator. The method is based on examining the potential ramping requirements at any given time and enforcing those requirements via a reserve demand curve in the market-clearing optimization as an additional ancillary service product.

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

    PubMed

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

    2012-01-01

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

  16. Secure provision of reactive power ancillary services in competitive electricity markets

    NASA Astrophysics Data System (ADS)

    El-Samahy, Ismael

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

  17. Industrial Use of Distributed Generation in Real-Time Energy and Ancillary Service Markets

    SciTech Connect

    Hudson, C.R.

    2001-10-24

    Industrial consumers of energy now have the opportunity to participate directly in electricity generation. This report seeks to give the reader (1) insights into the various types of generation services that distributed generation (DG) units could provide, (2) a mechanism to evaluate the economics of using DG, (3) an overview of the status of DG deployment in selected states, and (4) a summary of the communication technologies involved with DG and what testing activities are needed to encourage industrial application of DG. Section 1 provides details on electricity markets and the types of services that can be offered. Subsequent sections in the report address the technical requirements for participating in such markets, the economic decision process that an industrial energy user should go through in evaluating distributed generation, the status of current deployment efforts, and the requirements for test-bed or field demonstration projects.

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

    SciTech Connect

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

    2010-12-03

    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.

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

    SciTech Connect

    Not Available

    2014-05-01

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

  20. Legal issues affecting ancillaries and orthopedic practice.

    PubMed

    Glaser, David M

    2008-01-01

    The federal and state governments have imposed significant regulations on health care generally and on ancillary services in particular. This article focuses on how state and federal laws shape the ability of an orthopedic physician to offer ancillary services, whether as an individual, through a group practice, or as part of a joint venture. It focuses on how the Stark law, the Medicare anti-kickback statute, state anti-kickback, fee-splitting provisions, certificate of need laws, and various Medicare billing and supervision requirements impact the provision of ancillary services. It also briefly discusses how physicians should prepare for and respond to government investigations. PMID:18061773

  1. 47 CFR 25.149 - Application requirements for ancillary terrestrial components in the mobile-satellite service...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... terrestrial components in the mobile-satellite service networks operating in the 1.5./1.6 GHz, 1.6/2.4 GHz and... service networks operating in the 1.5./1.6 GHz, 1.6/2.4 GHz and 2 GHz mobile-satellite service. (a... shall not exceed the geographical coverage area of the mobile satellite service network of the...

  2. 47 CFR 25.149 - Application requirements for ancillary terrestrial components in the mobile-satellite service...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... base station operations would exclude otherwise available signals from MSS space-stations. (b... COMMISSION (CONTINUED) COMMON CARRIER SERVICES SATELLITE COMMUNICATIONS Applications and Licenses Space... GHz MSS band, an applicant must demonstrate that it can provide space-segment service covering all...

  3. 47 CFR 25.149 - Application requirements for ancillary terrestrial components in the Mobile-Satellite Service...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... frequencies for ATC base station operations would exclude otherwise available signals from MSS space-stations... organized efforts of international coordination. (c) Equipment certification. (1) Each ATC mobile station... COMMISSION (CONTINUED) COMMON CARRIER SERVICES SATELLITE COMMUNICATIONS Applications and Licenses...

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

    PubMed

    Brockman, Ken

    2008-01-01

    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

  5. 7 CFR 1.11 - Review services.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Review services. 1.11 Section 1.11 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Official Records § 1.11 Review services. (a) Review services are services of agency personnel—clerical or professional—in examining...

  6. 7 CFR 1.11 - Review services.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 1 2013-01-01 2013-01-01 false Review services. 1.11 Section 1.11 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Official Records § 1.11 Review services. (a) Review services are services of agency personnel—clerical or professional—in examining...

  7. Ancillary service details: Voltage control

    SciTech Connect

    Kirby, B.; Hirst, E.

    1997-12-01

    Voltage control is accomplished by managing reactive power on an alternating-current power system. Reactive power can be produced and absorbed by both generation and transmission equipment. Reactive-power devices differ substantially in the magnitude and speed of response and in their capital costs. System operators, transmission owners, generators, customers, power marketers, and government regulators need to pay close attention to voltage control as they restructure the U.S. electricity industry. Voltage control can affect reliability and commerce in three ways: (1) Voltages must be maintained within an acceptable range for both customer and power-system equipment to function properly. (2) The movement of reactive power consumes transmission resources, which limits the ability to move real power and worsens congestion. (3) The movement of reactive power results in real-power losses. When generators are required to supply excessive amounts of reactive power, their real-power production must be curtailed. These opportunity costs are not currently compensated for in most regions. Current tariffs are based on embedded costs. These embedded-cost tariffs average about $0.51/MWh, equivalent to $1.5 billion annually for the United States as a whole. Although this cost is low when compared with the cost of energy, it still aggregates to a significant amount of money. This report takes a basic look at why the power system requires reactive power (an appendix explains the fundamentals of real and reactive power). The report then examines the various types of generation and transmission resources used to supply reactive power and to control voltage. Finally it discusses how these resources are deployed and paid for in several reliability regions around the country. As the U.S. electricity industry is restructured, the generation, transmission, and system-control equipment and functions that maintain voltages within the appropriate ranges are being deintegrated.

  8. 47 CFR 1.9049 - Special provisions relating to spectrum leasing arrangements involving the ancillary terrestrial...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... arrangements involving the ancillary terrestrial component of Mobile Satellite Services. 1.9049 Section 1.9049... arrangements involving the ancillary terrestrial component of Mobile Satellite Services. (a) A license issued... Mobile Satellite Service licensee with an ATC authorization may enter into a spectrum manager...

  9. 47 CFR 1.9049 - Special provisions relating to spectrum leasing arrangements involving the ancillary terrestrial...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... arrangements involving the ancillary terrestrial component of Mobile Satellite Services. 1.9049 Section 1.9049... arrangements involving the ancillary terrestrial component of Mobile Satellite Services. (a) A license issued... Mobile Satellite Service licensee with an ATC authorization may enter into a spectrum manager...

  10. 47 CFR 1.9049 - Special provisions relating to spectrum leasing arrangements involving the ancillary terrestrial...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... arrangements involving the ancillary terrestrial component of Mobile Satellite Services. 1.9049 Section 1.9049... arrangements involving the ancillary terrestrial component of Mobile Satellite Services. (a) A license issued... Mobile Satellite Service licensee with an ATC authorization may enter into a spectrum manager...

  11. 42 CFR 414.40 - Coding and ancillary policies.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Coding and ancillary policies. 414.40 Section 414.40 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM (CONTINUED) PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES Physicians...

  12. Crisis in our hospital kitchens: ancillary staffing levels during an outbreak of food poisoning in a long stay hospital.

    PubMed Central

    Pollock, A M; Whitty, P M

    1990-01-01

    An investigation into an outbreak of food poisoning caused by Clostridium perfringens showed evidence of poor food handling by catering staff. The reasons behind this were explored by interviewing catering staff, analysing shifts and rotas, and looking at staff vacancies. Morale was low because of staff shortages resulting from a long term recruitment problem. In consequence staff were working double shifts and often for weeks on end without a day off. The reasons for the recruitment problem included the difficulty of recruiting semiskilled labour from a middle class area, low wages, lack of management support, and the poor image of the hospital as a place of work. Similar factors affect the recruitment and retention of ancillary staff nationally. The NHS has a poor record as an employer of ancillary staff, paying lower wages than other organisations for equivalent posts. Competitive tendering has further worsened the position of ancillary staff, with the result that good quality of care and service has often not been achieved. The NHS Review, with its emphasis on quality of care, makes no mention of ancillary staff. Yet high standards of ancillary provision are essential if further outbreaks of food poisoning in hospitals are to be prevented. PMID:2106996

  13. (abstract) Towards Ancillary Data Standards

    NASA Technical Reports Server (NTRS)

    Acton, Charles H.

    1997-01-01

    NASA's SPICE information system for archiving, distributing, and accessing spacecraft navigation, orientation, and other ancillary data is described. A proposal is made for the further evolution of this concept to an internationally useful standard, to be.

  14. 77 FR 76001 - Hydrographic Services Review Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-26

    ...This notice responds to the Hydrographic Service Improvements Act Amendments of 2002, Public Law 107-372, which requires the Administrator of the National Oceanic and Atmospheric Administration (NOAA), to solicit nominations (on a yearly basis) for membership on the Hydrographic Services Review Panel (HSRP). The HSRP, a Federal advisory committee, advises the Administrator on matters related......

  15. Review of sour service definitions

    SciTech Connect

    McIntyre, D.R.; Boah, J.K.

    1996-08-01

    Case histories and laboratory test data are presented to compare the predictive utility of NACE MR0175 with three alternatives. With some exceptions, the MR0175 definition is useful and conservative for most cases. The definition based on water phase pH and hydrogen sulfide (H{sub 2}S) partial pressure, proposed in European Federation of Corrosion (EFC) pub. 16, is not recommended since it does not predict sulfide stress cracking (SSC) in refining environments and presents higher risk of SSC of sweet service materials in certain Arabian Gulf production environments. A modified definition of sour service is proposed, which uses the MR0175 definition except in cases of very low water phase pH. 47 refs., 4 figs., 1 tab.

  16. Managing stress and change during service reviews.

    PubMed

    Sweeney, Corinne

    2009-01-01

    Service reviews occur throughout the National Health Service from time to time, and changes in commissioning policies have recently led many Primary Care Trusts to hold reviews of the community health services. Although reviews can provide opportunities for fresh thinking, the process can be a time of considerable stress and apprehension for many staff as current systems and ways of working are challenged and possibly changed. If this stress is not managed appropriately, staff may suffer ill health leading to possible staff absences and pressure on services. Leaders and managers are ideally placed to manage this time of stress, if they have the necessary skills and qualities. Self-help measures are also beneficial and recommended as part of a healthy lifestyle. This article discusses how change can affect people in different stages of their life and how it can be managed more positively in the workplace. PMID:19517944

  17. 47 CFR 1.9049 - Special provisions relating to spectrum leasing arrangements involving the ancillary terrestrial...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... arrangements involving the ancillary terrestrial component of Mobile Satellite Services. 1.9049 Section 1.9049... ancillary terrestrial component of Mobile Satellite Services. (a) A license issued under part 25 of the...” for purpose of this subpart of the rules. (b) For the purpose of this subpart, a Mobile...

  18. 77 FR 60177 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-02

    ... Senior Executive Service; Financial Management Service Performance Review Board (PRB) AGENCY: Financial Management Service, Treasury. ACTION: Notice. SUMMARY: This notice announces the appointment of members to the Financial Management Service (FMS) Performance Review Board (PRB). DATES: This notice is...

  19. Improving Service through Effective Practice Reviews.

    ERIC Educational Resources Information Center

    Mangano, Michael

    1991-01-01

    Effective practice reviews (EPRs) are described as used in evaluation studies for the Office of Evaluation and Inspections, a component of the U.S. Department of Health and Human Services. Examples are given of EPRs in addressing new problems, structuring and improving federal programs, and decreasing costs. (SLD)

  20. 78 FR 67147 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-08

    ... INVESTMENT BOARD Senior Executive Service Performance Review Board AGENCY: Federal Retirement Thrift... Executive Service Performance Review Boards for the Federal Retirement Thrift Investment Board. The purpose of the Performance Review Boards is to view and make recommendations concerning proposed...

  1. 76 FR 78257 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-16

    ... INVESTMENT BOARD Senior Executive Service Performance Review Board AGENCY: Federal Retirement Thrift... Executive Service Performance Review Boards for the Federal Retirement Thrift Investment Board. The purpose of the Performance Review Boards is to view and make ] recommendations concerning...

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

    ERIC Educational Resources Information Center

    Council of Ontario Universities, Toronto.

    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…

  3. Financial Report of Ontario Universities, 1997-98. Ancillary Enterprises.

    ERIC Educational Resources Information Center

    Council of Ontario Universities, Toronto.

    This report provides detailed information on ancillary enterprises at provincially assisted universities and affiliated and federated colleges in Ontario (Canada) for the fiscal year ending 30 April 1998. Such enterprises include school stores (including bookstores), food services, residences, conferences, parking, publishing, and other…

  4. 77 FR 25105 - Reporting of Ancillary Airline Passenger Revenues

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-27

    ... wheelchairs and scooters used by passengers with disabilities. See 76 FR 41726. You may review comments to... Office of the Secretary 14 CFR Parts 234 and 241 RIN 2139-AA13 Reporting of Ancillary Airline Passenger... (NPRM) issued on July 15, 2011. The NPRM proposed changes regarding reporting of airline...

  5. 76 FR 76122 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-06

    ... From the Federal Register Online via the Government Publishing Office CHEMICAL SAFETY AND HAZARD INVESTIGATION BOARD Senior Executive Service Performance Review Board AGENCY: Chemical Safety and Hazard... Executive Service Performance Review Board for the Chemical Safety and Hazard Investigation Board...

  6. 75 FR 1028 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-08

    ... From the Federal Register Online via the Government Publishing Office CHEMICAL SAFETY AND HAZARD INVESTIGATION BOARD Senior Executive Service Performance Review Board AGENCY: Chemical Safety and Hazard... Executive Service Performance Review Board for the Chemical Safety and Hazard Investigation Board...

  7. 78 FR 50144 - Health Services Research and Development Service, Scientific Merit Review Board; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-16

    ... AFFAIRS Health Services Research and Development Service, Scientific Merit Review Board; Notice of Meeting.... App. 2, that the Health Services Research and Development Service (HSR&D) Scientific Merit Review... health care services, the testing of new methods of health care delivery and management, and...

  8. Competitive ancillary service procurement in California

    SciTech Connect

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

    2000-01-01

    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.

  9. 76 FR 6197 - Health Services Research and Development Service Merit Review Board; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-03

    ... and Research Methods Development; HSR 4-Mental and Behavioral Health; HSR 5-Health Care System... AFFAIRS Health Services Research and Development Service Merit Review Board; Notice of Meeting The...) that a meeting of the Health Services Research and Development Service Merit Review Board will be...

  10. Evaluation of the Service Review Model with Performance Scorecards

    ERIC Educational Resources Information Center

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

    2012-01-01

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

  11. 75 FR 62591 - Performance Review Board, Senior Executive Service (SES)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-12

    ... Exploration Systems Mission Directorate, NASA Headquarters; Associate Administrator for Space Operations... SPACE ADMINISTRATION Performance Review Board, Senior Executive Service (SES) AGENCY: National Aeronautics and Space Administration (NASA). ACTION: Notice of Membership of SES Performance Review...

  12. 76 FR 60090 - Performance Review Board, Senior Executive Service (SES)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-28

    ... SPACE ADMINISTRATION Performance Review Board, Senior Executive Service (SES) AGENCY: National Aeronautics and Space Administration (NASA). ACTION: Notice of membership of SES Performance Review Board... Human Exploration and Operations Directorate, NASA Headquarters. Associate Administrator for...

  13. 76 FR 39926 - Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-07

    ... HEALTH REVIEW COMMISSION Senior Executive Service Performance Review Board Membership AGENCY: Occupational Safety and Health Review Commission. ACTION: Annual notice. SUMMARY: Notice is given under 5 U.S.C. 4314(c)(4) of the appointment of members to the Performance Review Board (PRB) of the...

  14. 78 FR 5516 - Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-25

    ... HEALTH REVIEW COMMISSION Senior Executive Service Performance Review Board Membership AGENCY: Occupational Safety and Health Review Commission. ACTION: Annual notice. SUMMARY: Notice is given under 5 U.S.C. 4314(c)(4) of the appointment of members to the Performance Review Board (PRB) of the...

  15. 76 FR 81998 - Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-29

    ... HEALTH REVIEW COMMISSION Senior Executive Service Performance Review Board Membership AGENCY: Occupational Safety and Health Review Commission. ACTION: Annual notice. SUMMARY: Notice is given under 5 U.S.C. 4314(c)(4) of the appointment of members to the Performance Review Board (PRB) of the...

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

    ERIC Educational Resources Information Center

    Lee, Mimi; Mueler, Toni

    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…

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

    ERIC Educational Resources Information Center

    Lee, Mimi; Mueler, Toni

    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…

  18. Evaluation of Reference Services--A Review

    ERIC Educational Resources Information Center

    Kuruppu, Pali U.

    2007-01-01

    Understanding the inherent deficiencies in reference service as provided is critical to providing effective, high quality service. Quantitative and qualitative research methodologies, as well as a combination of both, are being used to evaluate these services. The identification of appropriate research methodology is critical to an effective…

  19. 76 FR 57980 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    .... Warner, General Counsel, U.S. Chemical Safety and Hazard Investigation Board Dated: September 12, 2011... SAFETY BOARD Senior Executive Service Performance Review Board AGENCY: Defense Nuclear Facilities Safety... Safety Board (DNFSB) Senior Executive Service (SES) Performance Review Board (PRB). DATES: Effective...

  20. 77 FR 54570 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-05

    ... Planning Commission; and Christopher W. Warner, General Counsel, U.S. Chemical Safety and Hazard... SAFETY BOARD Senior Executive Service Performance Review Board AGENCY: Defense Nuclear Facilities Safety... Safety Board (DNFSB) Senior Executive Service (SES) Performance Review Board (PRB). DATES: Effective...

  1. 32 CFR 881.3 - Individual Service Review Board.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Management, Separations Branch, HQ AFPC/DPPRS, 550 C Street West, Suite 11, Randolph AFB, TX 78150-4713... 32 National Defense 6 2010-07-01 2010-07-01 false Individual Service Review Board. 881.3 Section... Individual Service Review Board. (a) The Commander, Headquarters Air Force Personnel Center (HQ...

  2. 14 CFR 21.477 - Data review and service experience.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Data review and service experience. 21.477... Procedures § 21.477 Data review and service experience. (a) If the Administrator finds that a product for... by the user of the product is necessary for safety because of any noncompliance or defect...

  3. 14 CFR 21.277 - Data review and service experience.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Data review and service experience. 21.277....277 Data review and service experience. (a) If the Administrator finds that a product for which a type... by the user of the product is necessary for safety because of any noncompliance or defect...

  4. 76 FR 59416 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-26

    ...This notice announces the appointment of the members of the Senior Executive Service Performance Review Boards for the Department of Homeland Security. The purpose of the Performance Review Board is to view and make recommendations concerning proposed performance appraisals, ratings, bonuses, pay adjustments, and other appropriate personnel actions for incumbents of Senior Executive Service,......

  5. 78 FR 41191 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-09

    ... Surface Transportation Board Senior Executive Service Performance Review Board AGENCY: Surface... the Persons selected to serve on its Senior Executive Service Performance Review Board (PRB). FOR... INFORMATION: Title 5 U.S.C. 4314 requires that each agency implement a performance appraisal system...

  6. 75 FR 35877 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-23

    ... Surface Transportation Board Senior Executive Service Performance Review Board AGENCY: Surface... Persons selected to serve on its Senior Executive Service Performance Review Board (PRB). FOR FURTHER...: Title 5 U.S.C. 4314 requires that each agency implement a performance appraisal system making...

  7. 77 FR 35752 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-14

    ... Surface Transportation Board Senior Executive Service Performance Review Board AGENCY: Surface... the ] Persons selected to serve on its Senior Executive Service Performance Review Board (PRB). FOR... INFORMATION: Title 5 U.S.C. 4314 requires that each agency implement a performance appraisal system...

  8. 76 FR 46896 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-03

    ... Surface Transportation Board Senior Executive Service Performance Review Board AGENCY: Surface... Persons selected to serve on its Senior Executive Service Performance Review Board (PRB). FOR FURTHER...: Title 5 U.S.C. 4314 requires that each agency implement a performance appraisal system making...

  9. STS ancillary equipment study. User reference book

    NASA Technical Reports Server (NTRS)

    Plough, J. A.

    1977-01-01

    A record of what is currently known about STS ancillary equipment is presented in this user-oriented design so that a potential user may evaluate whether he could use the described ancillary equipment or if he would need to design and fabricate a payload-unique item. References that the user can use to obtain additional details and requirements to aid in his evaluation and decision are included.

  10. 78 FR 70029 - Senior Executive Service; Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Senior Executive Service; Performance Review Board AGENCY: U.S. Department of Energy ACTION: Designation of Performance Review Board Co-Chairs. SUMMARY: This notice provides the Performance Review Board...

  11. 76 FR 70713 - Senior Executive Service; Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-15

    ... From the Federal Register Online via the Government Printing Office DEPARTMENT OF ENERGY Senior Executive Service; Performance Review Board AGENCY: U.S. Department of Energy. ACTION: Designation of Performance Review Board Chair. SUMMARY: This notice provides the Performance Review Board Chair designee...

  12. 77 FR 64969 - Senior Executive Service; Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-24

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Senior Executive Service; Performance Review Board AGENCY: U.S. Department of Energy. ACTION: Designation of Performance Review Board Chair. SUMMARY: This notice provides the Performance Review Board Chair designee...

  13. 75 FR 71785 - Senior Executive Service: Performance Review Board Members

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-24

    ... ADMINISTRATION Senior Executive Service: Performance Review Board Members AGENCY: U.S. Small Business Administration. ACTION: Notice of Members for the FY 2010 Performance Review Board. SUMMARY: Title 5 U.S.C. 4314... as members of that Agency's Performance Review Board (PRB). The following individuals have...

  14. 78 FR 44563 - Senior Executive Service (SES) Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-24

    ... AUTHORITY Senior Executive Service (SES) Performance Review Board AGENCY: Federal Labor Relations Authority... selected to serve on its SES Performance Review Board (PRB). This notice supersedes all previous notices of.... The PRB shall review and evaluate the initial appraisal of a senior executive's performance by...

  15. 77 FR 66191 - Senior Executive Service-Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-02

    ... MANAGEMENT Senior Executive Service--Performance Review Board AGENCY: Office of Personnel Management. ACTION: Notice. SUMMARY: Notice is hereby given of the appointment of members of the OPM Performance Review Board... prescribed by the Office of Personnel Management, one or more SES performance review boards. The...

  16. 75 FR 20809 - Hydrographic Services Review Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-21

    ...: Submit applications for Panel membership, in the form of a resume, to Kathy Watson via mail, fax, or e-mail. Mail: Kathy Watson, NOAA National Ocean Service, Office of Coast Survey, NOAA (N/CS), 1315 East...@noaa.gov . FOR FURTHER INFORMATION CONTACT: Kathy Watson, NOAA National Ocean Service, Office of...

  17. Diffusion of Innovations in Service Organizations: Systematic Review and Recommendations

    PubMed Central

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

    2004-01-01

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

  18. 78 FR 50037 - Hydrographic Services Review Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-16

    ..., equipment, and technologies necessary to ensure safe navigation and maintain operational expertise in hydrographic data acquisition and hydrographic services. The Act states that ``voting members of the Panel... oceanographic and marine science technologies relating to operations, research and development;...

  19. 47 CFR 90.317 - Fixed ancillary signaling and data transmissions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 5 2012-10-01 2012-10-01 false Fixed ancillary signaling and data transmissions. 90.317 Section 90.317 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES PRIVATE LAND MOBILE RADIO SERVICES Authorization in the Band 470-512 MHz...

  20. 47 CFR 90.317 - Fixed ancillary signaling and data transmissions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 5 2011-10-01 2011-10-01 false Fixed ancillary signaling and data transmissions. 90.317 Section 90.317 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES PRIVATE LAND MOBILE RADIO SERVICES Authorization in the Band 470-512 MHz...

  1. 47 CFR 90.317 - Fixed ancillary signaling and data transmissions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 5 2013-10-01 2013-10-01 false Fixed ancillary signaling and data transmissions. 90.317 Section 90.317 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES PRIVATE LAND MOBILE RADIO SERVICES Authorization in the Band 470-512 MHz...

  2. 47 CFR 90.317 - Fixed ancillary signaling and data transmissions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 5 2014-10-01 2014-10-01 false Fixed ancillary signaling and data transmissions. 90.317 Section 90.317 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES PRIVATE LAND MOBILE RADIO SERVICES Authorization in the Band 470-512 MHz...

  3. 75 FR 56999 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-17

    ... From the Federal Register Online via the Government Publishing Office DEFENSE NUCLEAR FACILITIES SAFETY BOARD Senior Executive Service Performance Review Board AGENCY: Defense Nuclear Facilities Safety Board. ACTION: Notice. SUMMARY: This notice announces the membership of the Defense Nuclear...

  4. 78 FR 28243 - Senior Executive Service; Performance Review Board; Members

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-14

    ... From the Federal Register Online via the Government Publishing Office NATIONAL CAPITAL PLANNING COMMISSION Senior Executive Service; Performance Review Board; Members AGENCY: National Capital Planning... National Capital Planning Commission also makes recommendations to the agency head regarding...

  5. 75 FR 67399 - Performance Review Board, Senior Executive Service (SES)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-02

    ... Flight Research Center Director, Glenn Research Center Director, Goddard Space Flight Center Director... Space Flight Center Director, Stennis Space Center Senior Executive Committee Chairperson, Deputy... SPACE ADMINISTRATION Performance Review Board, Senior Executive Service (SES) AGENCY:...

  6. 76 FR 29013 - Senior Executive Service; Performance Review Board; Members

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-19

    ... FURTHER INFORMATION CONTACT: Phyllis A. Vessels, Human Resources Officer, National Capital Planning... From the Federal Register Online via the Government Publishing Office NATIONAL CAPITAL PLANNING COMMISSION Senior Executive Service; Performance Review Board; Members AGENCY: National Capital...

  7. A Review of Telehealth Service Implementation Frameworks

    PubMed Central

    van Dyk, Liezl

    2014-01-01

    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

  8. 76 FR 32957 - Hydrographic Services Review Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-07

    ... Panel membership to Kathy Watson via mail, fax, or e-mail. Mail: Kathy Watson, NOAA National Ocean..., 20910; Fax: 301-713-4019; E-mail: Hydroservices.panel@noaa.gov ; or kathy.watson@noaa.gov . FOR FURTHER INFORMATION CONTACT: Kathy Watson, NOAA National Ocean Service, Office of Coast Survey, NOAA (N/CS), 1315...

  9. Review of the Rural Manpower Service, 1972.

    ERIC Educational Resources Information Center

    Manpower Administration (DOL), Washington, DC.

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

  10. 75 FR 27375 - Review of Nonpostal Services Language

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-14

    ... Review of Nonpostal Services Language AGENCY: Postal Regulatory Commission. ACTION: Notice. SUMMARY: The... Classification Schedule language. It solicits comments to assist in this task. DATES: Comments are due: June 4.... MC2010-24 to consider the Postal Service's proposed Mail Classification Schedule (MCS) language for...

  11. Report on School Food Services. MORE: Management Operations Review & Evaluation.

    ERIC Educational Resources Information Center

    Richardson, William M.; And Others

    Because of the size of its budget and the importance and complexity of its operation, the Division of Food Services in the Montgomery County (Maryland) Public Schools was one of the first selected for a series of Management Operations Review and Evaluation (MORE) studies. The Division directs the delivery of food services to all 178 schools in the…

  12. International Service Learning: Analytical Review of Published Research Literature

    ERIC Educational Resources Information Center

    Dixon, Brett

    2015-01-01

    International service learning (ISL) is an emerging area of international education. This paper summarizes academic journal articles on ISL programs and organizes the relevant publications by academic disciplines, service learning project areas, and other topics. The basis for this review is relevant literature from full-text scholarly peer…

  13. International Service Learning: Analytical Review of Published Research Literature

    ERIC Educational Resources Information Center

    Dixon, Brett

    2015-01-01

    International service learning (ISL) is an emerging area of international education. This paper summarizes academic journal articles on ISL programs and organizes the relevant publications by academic disciplines, service learning project areas, and other topics. The basis for this review is relevant literature from full-text scholarly peer…

  14. Canada's provinces review their health services.

    PubMed

    Crichton, A

    1989-01-01

    Canada's health system is undergoing stocktaking and adjustment. Ontario and Quebec have recently reviewed their goals and strategies; other provinces have been seeking to control established programs. This article considers the political and social reasons for those reviews. Its themes ultimately concern whether equity is compatible with innovation and choice; whether downplaying technology is harmful; and whether restrictions (e.g. on medical manpower supply) can be achieved relatively painlessly. Changing political traditions in the different provinces have an effect upon their health systems, it is concluded. PMID:10293017

  15. 76 FR 69770 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-09

    ... From the Federal Register Online via the Government Publishing Office OFFICE OF PERSONNEL MANAGEMENT Senior Executive Service Performance Review Board AGENCY: Office of Personnel Management. ACTION: Notice. SUMMARY: Notice is hereby given of the appointment of members of the OPM Performance Review...

  16. 77 FR 70204 - Senior Executive Service: Performance Review Board Members

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-23

    ... From the Federal Register Online via the Government Publishing Office SMALL BUSINESS ADMINISTRATION Senior Executive Service: Performance Review Board Members AGENCY: U.S. Small Business... designated to serve on the FY 2012 Performance Review Board for the U.S. Small Business Administration....

  17. 76 FR 64421 - Senior Executive Service: Performance Review Board Members

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-18

    ... From the Federal Register Online via the Government Publishing Office SMALL BUSINESS ADMINISTRATION Senior Executive Service: Performance Review Board Members AGENCY: U.S. Small Business... designated to serve on the FY 2011 Performance Review Board for the U.S. Small Business Administration....

  18. 76 FR 61726 - Senior Executive Service Performance Review; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ... SECURITY Office of the Secretary Senior Executive Service Performance Review; Correction AGENCY: Office of... of the Senior Executive Performance Review Boards. This correction adds the names of three... September 26, 2011, in FR Doc. 2011- 24577, beginning on page 59417, please add the following three names...

  19. The chiropractic services market: a literature review.

    PubMed

    Stano, M

    1992-01-01

    This article surveys the economic literature on chiropractors. Chiropractors provide a substantial amount of care for those with various neuro-musculo-skeletal disorders and represent the fastest growing segment of the professional health services market. Yet the study of the profession has been neglected in the health services research literature. The goals of this article are to take stock of the existing literature and data sources. After providing background information, including recent developments in antitrust, I merge various data sources to assess the growth of expenditures for chiropractic care and the proportion of the population using this care. Other data sources and features are also described. I conclude with a discussion of the significance of further research on the profession to existing policy efforts to contain costs and improve health care delivery. PMID:10129443

  20. Solutions in radiology services management: a literature review*

    PubMed Central

    Pereira, Aline Garcia; Vergara, Lizandra Garcia Lupi; Merino, Eugenio AndrĂŠs DĂ­az; Wagner, Adriano

    2015-01-01

    Objective The present study was aimed at reviewing the literature to identify solutions for problems observed in radiology services. Materials and Methods Basic, qualitative, exploratory literature review at Scopus and SciELO databases, utilizing the Mendeley and Illustrator CC Adobe softwares. Results In the databases, 565 papers – 120 out of them, pdf free – were identified. Problems observed in the radiology sector are related to procedures scheduling, humanization, lack of training, poor knowledge and use of management techniques, and interaction with users. The design management provides the services with interesting solutions such as Benchmarking, CRM, Lean Approach, ServiceBlueprinting, continued education, among others. Conclusion Literature review is an important tool to identify problems and respective solutions. However, considering the small number of studies approaching management of radiology services, this is a great field of research for the development of deeper studies. PMID:26543281

  1. 75 FR 57086 - Submission for Review: Federal Cyber Service: Scholarship for Service (SFS) Registration Web Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-17

    ... April 19, 2010 at 75 FR 20400, allowing for a 60-day public comment period. One comment was received... From the Federal Register Online via the Government Publishing Office OFFICE OF PERSONNEL MANAGEMENT Submission for Review: Federal Cyber Service: Scholarship for Service (SFS) Registration Web...

  2. 75 FR 20400 - Submission for Review: Federal Cyber Service: Scholarship for Service (SFS) Registration Web Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-19

    ... From the Federal Register Online via the Government Publishing Office ] OFFICE OF PERSONNEL MANAGEMENT Submission for Review: Federal Cyber Service: Scholarship for Service (SFS) Registration Web Site AGENCY: U.S. Office of Personnel Management. ACTION: 60-Day Notice and request for comments. SUMMARY:...

  3. 77 FR 8330 - Health Services Research and Development Service Scientific Merit Review Board; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-14

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Health Services Research and Development Service Scientific Merit Review Board; Notice of Meeting The Department of Veterans Affairs (VA) gives notice under Public Law 92-463 (Federal Advisory Committee Act) that various subcommittees of...

  4. Transient ischemic attack service provision: A review of available service models.

    PubMed

    Ranta, Annemarei; Barber, P Alan

    2016-03-01

    TIAs are predictors of high risk of subsequent stroke and require urgent intervention to maximize secondary prevention and minimize adverse health outcomes. TIA patients are often admitted to the hospital to facilitate rapid investigation and comprehensive management. However, over the last 2 decades, alternative service models have emerged in an effort to optimize health resource utilization without compromising patient outcomes. This article reviews recommended interventions and then discusses the inpatient and 6 alternative TIA service models to help modern stroke services determine the model best suited to their local health service environment. PMID:26802089

  5. 21 CFR 830.340 - Voluntary submission of ancillary device identification information.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Voluntary submission of ancillary device identification information. 830.340 Section 830.340 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES UNIQUE DEVICE IDENTIFICATION Global Unique Device Identification Database § 830.340...

  6. 78 FR 55244 - Senior Executive Service Performance Review Board; Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-10

    ... Chair, U.S. Chemical Safety and Hazard Investigation Board. Dated: September 4, 2013. Jessie H. Roberson... SAFETY BOARD Senior Executive Service Performance Review Board; Membership AGENCY: Defense Nuclear Facilities Safety Board. ACTION: Notice. SUMMARY: This notice announces the membership of the Defense...

  7. Expert Systems for Library and Information Services--A Review.

    ERIC Educational Resources Information Center

    Morris, A.

    1991-01-01

    This paper reviews the progress made so far in the development and use of expert systems for library and information services in the areas of online information retrieval, including gateway software and intelligent front-ends; cataloging, including bibliographic utilities and machine-aided cataloging; abstracting; reference work; and indexing and…

  8. Integrated Early Years Services: A Thematic Literature Review

    ERIC Educational Resources Information Center

    Wong, Sandie; Sumsion, Jennifer

    2013-01-01

    This article reports on the findings of a thematic review of research literature about integrated early years services (IEYS) [1995-2012]. Four themes are discussed: broad support for IEYS; critiques of claims about IEYS; a focus on inter-professional practice; and the challenge of evaluating IEYS. The article concludes with reflections concerning…

  9. Assessing Service in Faculty Reviews: Mentoring Faculty and Developing Transparency

    ERIC Educational Resources Information Center

    Filetti, Jean S.

    2009-01-01

    Universities generally have clear expectations for teaching and scholarship, and often a faculty member's publications, research and scholarship are the primary factors in tenure and promotion decisions. Many universities do include service as one component in annual reviews as well as in assessing progress toward tenure and promotion.…

  10. 75 FR 62501 - Senior Executive Service Performance Review Board: Update

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-12

    ... DEVELOPMENT Senior Executive Service Performance Review Board: Update AGENCY: U.S. Agency For International Development, Office Of Inspector General. ACTION: Notice. SUMMARY: This notice is hereby given of the appointment of members of the updated U.S. Agency for International Development, Office of Inspector...

  11. Citizen Review Panels for Child Protective Services: A National Profile

    ERIC Educational Resources Information Center

    Jones, Blake L.; Royse, David

    2008-01-01

    Citizen Review Panels (CRPs) for Child Protective Services are groups of citizen-volunteers throughout the United States who are federally mandated to evaluate local and state child protection systems. This study presents a profile of 332 CRP members in 20 states with regards to their demographic information, length of time on the panel, and …

  12. 32 CFR 1656.13 - Review of alternative service job assignments.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 6 2013-07-01 2013-07-01 false Review of alternative service job assignments. 1656.13 Section 1656.13 National Defense Other Regulations Relating to National Defense SELECTIVE SERVICE SYSTEM ALTERNATIVE SERVICE § 1656.13 Review of alternative service job assignments. (a) Review of ASW job assignments will be accomplished...

  13. 77 FR 42365 - Health Services Research and Development Service Scientific Merit Review Board, Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-18

    ... applications involving the measurement and evaluation of health care services, the testing of new methods of health care delivery and management, and nursing research. Applications are reviewed for scientific and...--Health Care System Organization and Delivery, and HSR 6--Post-acute and Long-term Care) will convene...

  14. Technical forum: Review of sour service definitions. Part 2

    SciTech Connect

    McIntyre, D.R.

    1997-04-01

    Here, the author replies to the European Federation of Corrosion`s (EFC`s) comments on his original article ``Review of Sour Service Definitions`` published in the August 1996 issue of MP. EFC`s comments are welcome; they list for MP readers the disturbing number of literature, laboratory, and field failures that EFC had to label as irrelevant in defense of the nonsour service description for Region 1 of its pH vs. H{sub 2}S diagram. EFC wants their Publication 16 read and considered on its merits. Potential users of the publication should also read and consider these allegedly irrelevant studies on their merits. It is vital to generate a true industry consensus on this topic, since whatever sour service definition is codified in the ISO standard will be a fixture in the industry for many years to come.

  15. Palliative care afterhours: a review of a phone support service.

    PubMed

    Bradford, Natalie; Irving, Helen; Smith, Anthony C; Pedersen, Lee-Anne; Herbert, Anthony

    2012-01-01

    Families caring for a child with incurable cancer require access to support and advice round the clock. In Brisbane, Australia, an after-hours phone service was established to support these families. This service is operated by oncology clinical nurse consultants (CNCs) experienced in pediatric palliative care. This is the first review of 8 years of activity, totaling 106 patients and 1954 calls. The majority of calls were between parents and CNCs (51%). Updating of the patient's condition (18%) was the primary reason for calls, with support and reassurance (16%), and symptom management of pain (10%) being the other frequent reasons. The majority of calls occurred over the weekends in the morning, with only 11% (n = 209) of calls occurring between 10:00 pm and 7:00 am. Of all the calls made, 43% (n = 814) were calls managed by the CNC without requiring further intervention. Calls were received from throughout Queensland, indicating the value of the service in supporting families throughout the state. The after-hours phone service has proven to be a simple, effective, and valuable service, which is consistently accessed by families, regardless of distance from the hospital. PMID:22647726

  16. 76 FR 20822 - Proposed Information Collection (Servicer's Staff Appraisal Reviewer (SAR) Application) Activity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-13

    ...: Submit written comments on the collection of information through Federal Docket Management System (FDMS... AFFAIRS Proposed Information Collection (Servicer's Staff Appraisal Reviewer (SAR) Application) Activity... needed to nominate servicer appraisal employee as a staff appraisal reviewer. DATES: Written comments...

  17. 75 FR 3542 - Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-21

    ... AFFAIRS Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meeting... Act) that the Rehabilitation Research and Development Service Scientific Merit Review Board will meet... rehabilitation research and development applications for scientific and technical merit and to...

  18. 75 FR 40036 - Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-13

    ... AFFAIRS Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meeting... Act) that the Rehabilitation Research and Development Service Scientific Merit Review Board will meet... rehabilitation research and development applications for scientific and technical merit and to...

  19. 78 FR 73586 - Senior Executive Service Performance Review Board (PRB) and Executive Resources Board (ERB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-06

    ... Surface Transportation Board Senior Executive Service Performance Review Board (PRB) and Executive Resources Board (ERB) Membership AGENCY: Surface Transportation Board, DOT. ACTION: Senior Executive Service Performance Review Board (PRB) and Executive Resources Board (ERB) Membership. SUMMARY: Effective...

  20. 76 FR 60799 - Senior Executive Services (SES) Performance Review Board: Update

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-30

    ...; ] AGENCY FOR INTERNATIONAL DEVELOPMENT Senior Executive Services (SES) Performance Review Board: Update AGENCY: Office of Inspector General, U.S. Agency for International Development. ACTION: Notice. SUMMARY... Development, Office of Inspector General's Senior Executive Service Performance Review Board. DATES:...

  1. 78 FR 60816 - Senior Executive Services (SES) Performance Review Board: Update

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-02

    ...; ] AGENCY FOR INTERNATIONAL DEVELOPMENT Senior Executive Services (SES) Performance Review Board: Update AGENCY: U.S. Agency for International Development, Office of Inspector General. ACTION: Notice. SUMMARY... Development, Office of Inspector General's Senior Executive Service Performance Review Board. DATES:...

  2. Academic-Service Partnerships in Nursing: An Integrative Review

    PubMed Central

    Beal, Judy A.

    2012-01-01

    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

  3. 76 FR 35949 - Agency Information Collection Activity (Servicer's Staff Appraisal Reviewer (SAR) Application...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-20

    ... AFFAIRS Agency Information Collection Activity (Servicer's Staff Appraisal Reviewer (SAR) Application....'' SUPPLEMENTARY INFORMATION: ] Title: Servicer's Staff Appraisal Reviewer (SAR) Application, VA Form 26-0829. OMB... 26-0829 is completed by servicers to nominate employees for approval as Staff Appraisal Reviewer...

  4. Endoscopic ultrasound guided fine needle aspiration and useful ancillary methods

    PubMed Central

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

    2014-01-01

    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

  5. Technical forum: Review of sour service definitions. Part 1

    SciTech Connect

    Smith, L.M.; Crolet, J.L.; Eliassen, S.; Kermani, B.; Nisbets, W.

    1997-04-01

    This is a joint response to the publication in the August 1996 issue of MP of the article entitled ``Review of Sour Service Definitions`` by McIntyre and Boah. The article implied that the European Federation of Corrosion (EFC) publication No. 16 ``Guidelines on Materials Requirements for Carbon and Low Alloy Steel for H{sub 2}S-Containing Environments in Oil and Gas Production`` contains various errors, omissions, or incorrect generalizations which were, apparently, enlightened in the published paper. Nevertheless, the fundamental validity of the basis of the EFC document was not undermined by the data presented, it merely served to prove the necessity for care when interpreting previously reported information. In support of this assertion, the cited literature references and field failures are reassessed in this reply in the light of current mechanistic understanding of sour service.

  6. The optimal organization of gynecologic oncology services: a systematic review

    PubMed Central

    Fung-Kee-Fung, M.; Kennedy, E.B.; Biagi, J.; Colgan, T.; D’Souza, D.; Elit, L.M.; Hunter, A.; Irish, J.; McLeod, R.; Rosen, B.

    2015-01-01

    Background A system-level organizational guideline for gynecologic oncology was identified by a provincial cancer agency as a key priority based on input from stakeholders, data showing more limited availability of multidisciplinary or specialist care in lower-volume than in higher-volume hospitals in the relevant jurisdiction, and variable rates of staging for ovarian and endometrial cancer patients. Methods A systematic review assessed the relationship of the organization of gynecologic oncology services with patient survival and surgical outcomes. The electronic databases medline and embase (ovid: 1996 through 9 January 2015) were searched using terms related to gynecologic malignancies combined with organization of services, patterns of care, and various facility and physician characteristics. Outcomes of interest included overall or disease-specific survival, short-term survival, adequate staging, and degree of cytoreduction or optimal cytoreduction (or both) for ovarian cancer patients by hospital or physician type, and rate of discrepancy in initial diagnoses and intraoperative consultation between non-specialist pathologists and gyne-oncology–specialist pathologists. Results One systematic review and sixteen additional primary studies met the inclusion criteria. The evidence base as a whole was judged to be of lower quality; however, a trend toward improved outcomes with centralization of gynecologic oncology was found, particularly with respect to the gynecologic oncology care of patients with advanced-stage ovarian cancer. Conclusions Improvements in outcomes with centralization of gynecologic oncology services can be attributed to a number of factors, including access to specialist care and multidisciplinary team management. Findings of this systematic review should be used with caution because of the limitations of the evidence base; however, an expert consensus process made it possible to create recommendations for implementation. PMID:26300679

  7. The sole source: the Library of Congress National Library Service for the Blind and Physically Handicapped.

    PubMed

    Fitzpatrick, V

    1990-06-01

    The Library of Congress National Library Service for the Blind and Physically Handicapped leads a co-operative network of specialized libraries and ancillary agencies that are delivering a successful programme of reading and informational services to blind, visually impaired and handicapped users. Its unique position within the Library of Congress and the benefits which emanate from this relationship are described. This current review outlines and discusses the development, role and functioning of the National Library Service. PMID:10170658

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

    SciTech Connect

    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

    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.

  9. 1 CFR 10.12 - Format, indexes, and ancillaries.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 1 General Provisions 1 2014-01-01 2012-01-01 true Format, indexes, and ancillaries. 10.12 Section 10.12 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER PRESIDENTIAL PAPERS Annual Publication § 10.12 Format, indexes, and ancillaries. (a)...

  10. 1 CFR 10.12 - Format, indexes, and ancillaries.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 1 General Provisions 1 2011-01-01 2011-01-01 false Format, indexes, and ancillaries. 10.12 Section 10.12 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER PRESIDENTIAL PAPERS Annual Publication § 10.12 Format, indexes, and ancillaries. (a)...

  11. 1 CFR 10.12 - Format, indexes, and ancillaries.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 1 General Provisions 1 2013-01-01 2012-01-01 true Format, indexes, and ancillaries. 10.12 Section 10.12 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER PRESIDENTIAL PAPERS Annual Publication § 10.12 Format, indexes, and ancillaries. (a)...

  12. 1 CFR 10.12 - Format, indexes, and ancillaries.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 1 General Provisions 1 2012-01-01 2012-01-01 false Format, indexes, and ancillaries. 10.12 Section 10.12 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER PRESIDENTIAL PAPERS Annual Publication § 10.12 Format, indexes, and ancillaries. (a)...

  13. 1 CFR 10.12 - Format, indexes, and ancillaries.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 1 General Provisions 1 2010-01-01 2010-01-01 false Format, indexes, and ancillaries. 10.12 Section 10.12 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER PRESIDENTIAL PAPERS Annual Publication § 10.12 Format, indexes, and ancillaries. (a)...

  14. Ancillary effects of selected acid deposition control policies

    SciTech Connect

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

    1986-08-01

    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.

  15. 42 CFR 416.171 - Determination of payment rates for ASC services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...-priced: (1) Covered ancillary services specified in § 416.164(b), with the exception of radiology...-based surgical procedures and covered ancillary radiology services. Notwithstanding the provisions of... commonly performed in physicians' offices or for any covered ancillary radiology service, the...

  16. 42 CFR 416.171 - Determination of payment rates for ASC services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...-priced: (1) Covered ancillary services specified in § 416.164(b), with the exception of radiology...-based surgical procedures and covered ancillary radiology services. Notwithstanding the provisions of... commonly performed in physicians' offices or for any covered ancillary radiology service, the...

  17. Summary of the 1993 ASHG ancillary meeting recent research on chromosome 4p syndromes and genes

    SciTech Connect

    Estabrooks, L.L.; Breg, W.R.; Hayden, M.R.

    1995-02-13

    The following is a summary of presentations given during an ancillary meeting to the 1993 American Society of Human Genetics Meeting in New Orleans, LA. This ancillary meeting, entitled Recent Research on Chromosome 4p Syndromes and Genes, reviewed the history of the Wolf-Hirschhorn syndrome (WHS), the natural history of patients with WHS, and the smallest region of deletion associated with the WHS. The proximal 4p deletion syndrome and the duplication 4p syndrome were also described and advice was offered regarding detection of chromosome 4p deletions, duplications, and rearrangements. The current status of the physical map of chromosome 4p with emphasis on the genes that map to the 4p16 region was presented along with a preliminary phenotypic map of 4p16. The goal of this format was to provide a comprehensive review of the clinical presentations, diagnostic capabilities, and genetic mapping advances involving chromosome 4p.

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

    PubMed Central

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

    2008-01-01

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

  19. A Quantitative review of relationships between Ecosystem services

    NASA Astrophysics Data System (ADS)

    Lee, H.; Lautenbach, S.

    2014-12-01

    Each decision in natural resources management can generate trade-offs with respect to the provisioning of ecosystem services (ES). If the increase of one ES happens directly or indirectly at the cost of another ES, an attempt to maximize the provision of a single ES will lead to suboptimal results. However, decisions in natural resources management are often made without considering such trade-offs, despite their crucial role toward supporting better decision-making. The research on trade-offs between ES has gained some attention in the scientific community. However, a synthesis on existing knowledge and knowledge gaps is missing so far. We aim at closing that gap by a quantitative review of recent literature on trade-offs of ES. We looked at the pairs of ES that have been studied in ~100 case studies that report on trade-offs between ES. If a case study analyzed more than one ES pair, we looked at all pairwise combinations. We categorized relationships between these pairs of ES into the categories "trade-off", "synergy" or "no-effect". Most pairs of ES had a clear association with one category: the majority of case studies that studied a specific pair of ES identified the same category of relationship between the two ES. Pairs of regulating services were typically synergetic in relationship, whereas provisioning services and regulating services typically showed a trade-off. However, for several pairs of ES we were not able to identify a dominate category of relationship. Our hypothesis is that this relates to either the scale of the analysis, the land system where the analysis took place or the method used to quantify the relationship. The number of case studies for each pair of ES was spread unevenly. This hinders the support for a conclusive statement drawn for the pairs. Our results showed further that the method used to identify the relationship between services had a strong effect on the direction of the effect. This suggests that researchers should consider their method carefully. We believe that our results are of use for the scientific community as well as for practitioners since they provide helpful information about which services to include in ES assessments. Furthermore, they allow a first check if critical trade-offs have been considered in an analysis.

  20. Evaluation report: dialysis and ancillary equipment.

    PubMed

    1986-01-01

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

  1. Mental Health Services in School-Based Health Centers: Systematic Review

    ERIC Educational Resources Information Center

    Bains, Ranbir Mangat; Diallo, Ana F.

    2016-01-01

    Mental health issues affect 20-25% of children and adolescents, of which few receive services. School-based health centers (SBHCs) provide access to mental health services to children and adolescents within their schools. A systematic review of literature was undertaken to review evidence on the effectiveness of delivery of mental health services…

  2. 77 FR 71793 - Notice of Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-04

    ... HUMAN SERVICES Agency for Healthcare Research and Quality Notice of Senior Executive Service Performance Review Board Membership The Agency for Healthcare Research and Quality (AHRQ) announces the appointment of members to the AHRQ Senior Executive Service (SES) Performance Review Board (PRB). This action...

  3. 76 FR 64948 - Notice of Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-19

    ... HUMAN SERVICES Agency for Healthcare Research and Quality Notice of Senior Executive Service Performance Review Board Membership The Agency for Healthcare Research and Quality (AHRQ) announces the appointment of members to the AHRQ Senior Executive Service (SES) Performance Review Board (PRB). This action...

  4. 78 FR 68450 - Notice of Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-14

    ... HUMAN SERVICES Agency for Healthcare Research and Quality Notice of Senior Executive Service Performance Review Board Membership The Agency for Healthcare Research and Quality (AHRQ) announces the appointment of members to the AHRQ Senior Executive Service (SES) Performance Review Board (PRB). This action...

  5. Distributed Smart Grid Asset Control Strategies for Providing Ancillary Services

    SciTech Connect

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

    2013-10-30

    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.

  6. Alternative Approaches for Incentivizing the Frequency Responsive Reserve Ancillary Service

    SciTech Connect

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

    2012-05-01

    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.

  7. Mental health services assessment in Brazil: systematic literature review.

    PubMed

    da Costa, Pedro Henrique Antunes; Colugnati, Fernando Antonio Basile; Ronzani, Telmo Mota

    2015-10-01

    Assessment in the mental health area is a mechanism able to generate information that positively helps decision-making. Therefore, it is necessary to appropriate on the existing discussions, reasoning the challenges and possibilities linked to knowledge production within this scientific filed. A systematic review of publications about the Brazilian scientific production on mental health service assessment was performed, identifying and discussing methods, assessment perspectives and results. The search for articles was done in IBECS, Lilacs and Scielo databases, considering the publication of Federal Law 10.216. Thirty-five articles were selected based on the used terms and on the inclusion and exclusion criteria. Scientific production in this field is concentrated in the South and Southwest regions and holds different scopes and participants. Such wide range of possibilities is adopted as a way to help improving services and decision-making processes in mental health care. Advances in humanized, participative and community care are highlighted, but requiring more investments, professional qualification and organizational improvements. It is postulated greater integration among research, with evaluations going beyond structural aspects and the comparison with hospitalocentric models. PMID:26465864

  8. National review of maternity services 2008: women influencing change

    PubMed Central

    2011-01-01

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

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

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

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

  10. Ethics in Customer Service: Critical Review and Research Agenda.

    ERIC Educational Resources Information Center

    Ford, Wendy S. Zabava

    1996-01-01

    Identifies domains of unethical service communication and proposes a research agenda for examining service ethics. Calls for research to explore service ethics among different occupational groups, investigate effects of unethical practices on service providers and customers, and identify characteristics of organizational climates which foster…

  11. Alabama Public Library Service Annual Report, 2000. Year in Review.

    ERIC Educational Resources Information Center

    Alabama Public Library Service, Montgomery.

    The objectives of the Alabama Public Library Service are to: provide library services to the citizens directly or through local libraries; provide library services for those with special needs through the Regional Library for the Blind and Physically Handicapped; provide library services to employees of the State of Alabama to meet their…

  12. Systematic review of outpatient services for chronic pain control.

    PubMed

    McQuay, H J; Moore, R A; Eccleston, C; Morley, S; Williams, A C

    1997-01-01

    AIM OF REPORT. This report reviews the evidence about the effectiveness of treatments for chronic pain. While treatment of chronic pain is usually seen as an integrated service, this report concentrates on the individual interventions that constitute the service. HOW THE RESEARCH WAS CONDUCTED. Searches of databases and journals identified over 15,000 randomised studies with pain as an outcome, and many more which were not randomised. Over 150 systematic reviews relevant to chronic pain treatment were identified and their quality assessed using a simple scoring system. Systematic reviews conducted for this report were based mainly on randomised trials. The number needed to treat (NNT) was chosen as the output for the report. NNTs of 2-4 indicate effective treatments. Because NNT is treatment-specific it overcomes problems associated with highly variable placebo or control event rates in pain trials. Such variability is predominantly due to the limited numbers of patients in the clinical trials. Dichotomous outcome measures are important in synthesising information from many studies, and in deriving NNTs. Methods have been developed which allow mean information on pain relief and intensity to be converted reliably into the simple dichotomous outcome of at least 50% pain relief. RESEARCH FINDINGS. PHYSICAL INTERVENTIONS. Transcutaneous electrical nerve stimulation (TENS) has been shown not to be effective in postoperative and labour pain. In chronic pain, there is evidence that TENS effectiveness increases slowly, and that large doses need to be used. There is lack of evidence for the effectiveness of TENS in chronic pain. There is a lack of evidence for the effectiveness of relaxation. Intravenous systemic regional blockade with guanethidine has been shown to be without effect. Epidural corticosteroids are effective in the short term for back pain and sciatica. Injections of corticosteroids in or around shoulder joints for shoulder pain have been shown not to be effective. There is a lack of evidence supporting spinal cord stimulators. Case series are of poor quality and do not provide evidence of effectiveness, although at least 50% pain relief at 5 years is reported in over 50% of patients. PHARMACOLOGICAL INTERVENTIONS. Minor analgesics are important in chronic pain. NNTs were calculated for analgesics given orally for moderate or severe acute postoperative pain. The NNTs found ranged from 17 (poor) for codeine, 60 mg, to 2.5 (good) for ibuprofen, 400 mg. Anticonvulsant and antidepressant drugs are prescribed for neuropathic pains like diabetic neuropathy. NNTs are of the order of 2.5, showing them to be effective treatments. However, there are too few studies with too few patients to determine which is the best drug. Minor adverse events are common, and major adverse events occur in about 1 in 20 patients. There are no studies comparing antidepressants and anticonvulsants directly. Systemic local anaesthetic-type drugs have been shown to be effective in nerve injury pain but there is little or no evidence to support their use in migraine or cancer-related pain. Topical NSAIDs (for example, gels, creams) are effective in rheumatological conditions with an overall NNT of 3. There are too few studies to determine which is the best agent. Topical NSAIDs have few adverse events; most importantly they are without the major gastrointestinal adverse events found with oral NSAIDs, which might make them an important choice for some patients with peripheral arthritis. (ABSTRACT TRUNCATED) PMID:9483161

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

    PubMed

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

    1996-06-01

    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

  14. 76 FR 61091 - Hydrographic Services Review Panel Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-03

    ... Service (NOS), Office of Coast Survey, NOAA (N/CS), 1315 East West Highway, Silver Spring, Maryland 20910... Coordinator, National Ocean Service (NOS), Office of Coast Survey, NOAA (N/CS), 1315 East West Highway,...

  15. 75 FR 59697 - Hydrographic Services Review Panel Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-28

    ... Ocean Service, National Oceanic and Atmospheric Administration (NOAA), Department of Commerce. ACTION.... Lowell, Jr., NOAA, Designated Federal Official (DFO), National Ocean Service (NOS), Office of Coast... will include: West Coast Governors' Agreement on Ocean Health, Columbia River and Northwest...

  16. 77 FR 24933 - Hydrographic Services Review Panel Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-26

    ... Considered: Discussion, dialogue and deliberation on navigation services issues for the Alaska/Arctic region..., services, and information for the Alaska/Arctic region; (2) multi-mission application of NOAA's geospatial, tide and water level, and hydrographic products, services and information for the Alaska/Arctic...

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

    ERIC Educational Resources Information Center

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

    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,…

  18. Mental Health Services in School-Based Health Centers: Systematic Review

    ERIC Educational Resources Information Center

    Bains, Ranbir Mangat; Diallo, Ana F.

    2016-01-01

    Mental health issues affect 20-25% of children and adolescents, of which few receive services. School-based health centers (SBHCs) provide access to mental health services to children and adolescents within their schools. A systematic review of literature was undertaken to review evidence on the effectiveness of delivery of mental health services…

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

    ERIC Educational Resources Information Center

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

    2013-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2013-01-01

    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…

  1. 76 FR 59664 - Membership of the Defense Contract Audit Agency Senior Executive Service Performance Review Boards

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-27

    ... of the Secretary Membership of the Defense Contract Audit Agency Senior Executive Service Performance Review Boards AGENCY: Defense Contract Audit Agency, Department of Defense (DoD). ACTION: Notice of Membership of the Defense Contract Audit Agency Senior Executive Service Performance Review Boards....

  2. 10 CFR 9.33 - Search, review, and special service fees.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 1 2012-01-01 2012-01-01 false Search, review, and special service fees. 9.33 Section 9... Search, review, and special service fees. (a) The NRC charges fees for— (1) Search, duplication, and...) Search time that exceeds two hours and duplication of agency records of more than 100 pages for...

  3. 10 CFR 9.33 - Search, review, and special service fees.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 1 2013-01-01 2013-01-01 false Search, review, and special service fees. 9.33 Section 9... Search, review, and special service fees. (a) The NRC charges fees for— (1) Search, duplication, and...) Search time that exceeds two hours and duplication of agency records of more than 100 pages for...

  4. 10 CFR 9.33 - Search, review, and special service fees.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 1 2011-01-01 2011-01-01 false Search, review, and special service fees. 9.33 Section 9... Search, review, and special service fees. (a) The NRC charges fees for— (1) Search, duplication, and...) Search time that exceeds two hours and duplication of agency records of more than 100 pages for...

  5. 10 CFR 9.33 - Search, review, and special service fees.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 1 2014-01-01 2014-01-01 false Search, review, and special service fees. 9.33 Section 9... Search, review, and special service fees. (a) The NRC charges fees for— (1) Search, duplication, and...) Search time that exceeds two hours and duplication of agency records of more than 100 pages for...

  6. 78 FR 58383 - Senior Executive Service; Combined Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-23

    ... United States Mint Senior Executive Service; Combined Performance Review Board (PRB) AGENCY: United States Mint (USM), Treasury. ACTION: Notice of members of Combined Performance Review Board. SUMMARY... the United States Mint (USM), the Fiscal Service (FS), the Financial Crimes Enforcement Network...

  7. 77 FR 64383 - Agency Information Collection (Application for Voluntary Service) Activities Under OMB Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... AFFAIRS Agency Information Collection (Application for Voluntary Service) Activities Under OMB Review....'' SUPPLEMENTARY INFORMATION: Title: Application for Voluntary Service, VA Form 10-7055. OMB Control Number: 2900... nationwide VA Voluntary Service Program. VA will use the data collected to place applicants in...

  8. 45 CFR 1355.31 - Elements of the child and family services review system.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 4 2012-10-01 2012-10-01 false Elements of the child and family services review... OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER CARE MAINTENANCE PAYMENTS, ADOPTION ASSISTANCE, AND CHILD AND FAMILY...

  9. 45 CFR 1355.31 - Elements of the child and family services review system.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 4 2013-10-01 2013-10-01 false Elements of the child and family services review... OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER CARE MAINTENANCE PAYMENTS, ADOPTION ASSISTANCE, AND CHILD AND FAMILY...

  10. 45 CFR 1355.31 - Elements of the child and family services review system.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Elements of the child and family services review... OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER CARE MAINTENANCE PAYMENTS, ADOPTION ASSISTANCE, AND CHILD AND FAMILY...

  11. 45 CFR 1355.31 - Elements of the child and family services review system.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 4 2011-10-01 2011-10-01 false Elements of the child and family services review... OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER CARE MAINTENANCE PAYMENTS, ADOPTION ASSISTANCE, AND CHILD AND FAMILY...

  12. 45 CFR 1355.31 - Elements of the child and family services review system.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 4 2014-10-01 2014-10-01 false Elements of the child and family services review... OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER CARE MAINTENANCE PAYMENTS, ADOPTION ASSISTANCE, AND CHILD AND FAMILY...

  13. Apollo experience report the command and service module milestone review process

    NASA Technical Reports Server (NTRS)

    Brendle, H. L.; York, J. A.

    1974-01-01

    The sequence of the command and service module milestone review process is given, and the Customer Acceptance Readiness Review and Flight Readiness Review plans are presented. Contents of the System Summary Acceptance Documents for the two formal spacecraft reviews are detailed, and supplemental data required for presentation to the review boards are listed. Typical forms, correspondence, supporting documentation, and minutes of a board meeting are included.

  14. Ascent/descent ancillary data production user's guide

    NASA Technical Reports Server (NTRS)

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

    1986-01-01

    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.

  15. 78 FR 73568 - Senior Executive Service-Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-06

    .... FOR FURTHER INFORMATION CONTACT: Carmen Garcia, Employee Services--OPM Human Resources, Office of... Officer Joseph Kennedy, Associate Director for Human Resources Solutions Mark Reinhold, Chief...

  16. Shuttle program: OFT ascent/descent ancillary data requirements document

    NASA Technical Reports Server (NTRS)

    Bond, A. C., Jr.; Knoedler, J.

    1980-01-01

    Requirements are presented for the ascent/descent (A/D) navigation and attitude-dependent ancillary data products to be generated for the space shuttle orbiter in support of the orbital flight test (OFT) flight test requirements, MPAD guidance and navigation performance assessment, and the mission evaluation team. The A/D ancillary data support for OFT mission evaluation activities is confined to providing postflight position, velocity, attitude, and associated navigation and attitude derived parameters for the Orbiter over particular flight phases and time intervals.

  17. OFT ascent/descent ancillary data requirements document

    NASA Technical Reports Server (NTRS)

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

    1978-01-01

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

  18. 76 FR 64429 - Senior Executive Service; Public Debt Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-18

    ... Bureau of the Public Debt Senior Executive Service; Public Debt Performance Review Board (PRB) AGENCY: Bureau of the Public Debt, Treasury. ACTION: Notice of Members of Public Debt Performance Review Board. SUMMARY: This notice announces the appointment of the members of the Public Debt Performance Review...

  19. 75 FR 59800 - Senior Executive Service; Public Debt Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-28

    ... Bureau of the Public Debt Senior Executive Service; Public Debt Performance Review Board (PRB) AGENCY: Bureau of the Public Debt, Treasury. ACTION: Notice of Members of Public Debt Performance Review Board. SUMMARY: This notice announces the appointment of the members of the Public Debt Performance Review...

  20. 75 FR 47141 - Review of Personal Radio Services Rules

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-04

    ...In this document, the Commission proposes to update, reorganize, simplify and streamline its Personal Radio Services rules to reflect technological advances and other changes in the way the American public uses the Personal Radio Services. In addition to improving the clarity of the rules, this document includes proposals intended to reduce unnecessary regulatory burdens on users, improve......

  1. Privatization of veterinary services in developing countries: a review.

    PubMed

    Sen, A; Chander, M

    2003-06-01

    Increasing fiscal constraints on the government, a lackadaisical performance by public sector animal health and breeding services and pressure from donor partners have prompted the governments of various developing countries to rethink the role of the public sector in the provision of veterinary services. Various countries have started to implement, or have already implemented, privatization of some veterinary services. The results are mixed. It is established that private provision alone is not optimal, and a blend of private and public sector veterinary services is required to utilize the virtues of both. The privatization process has also begun in India. Certain state governments in India are pursuing a cost recovery approach and are encouraging private practitioners to cope with the financial constraints and to deliver broad and effective animal health and breeding services. This paper considers the global aspects of the privatization of veterinary services as well as the scenario in India, so as to gain an insight into the very complex and debatable issue of privatization of veterinary services. PMID:12797412

  2. Utilization of ancillary studies in the cytologic diagnosis of biliary and pancreatic lesions: The Papanicolaou Society of Cytopathology Guidelines

    PubMed Central

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

    2014-01-01

    The Papanicolaou Society of Cytopathology has developed a set of guidelines for pancreatobiliary cytology including indications for endoscopic ultrasound guided fine needle aspiration, terminology and nomenclature of pancreatobiliary disease, ancillary testing and post-biopsy management. All documents are based on the expertise of the authors, a review of the literature, discussion of the draft document at several national and international meetings and synthesis of selected online comments of the draft document. This document presents the results of these discussions regarding the use of ancillary testing in the cytologic diagnosis of biliary and pancreatic lesions. Currently, fluorescence in-situ hybridization (FISH) appears to be the most clinically relevant ancillary technique for cytology of bile duct strictures. The addition of FISH analysis to routine cytologic evaluation appears to yield the highest sensitivity without loss in specificity. Loss of immunohistochemical staining for the protein product of the SMAD4 gene and positive staining for mesothelin support a diagnosis of ductal adenocarcinoma. Immunohistochemical markers for endocrine and exocrine differentiation are sufficient for a diagnosis of endocrine and acinar tumors. Nuclear staining for beta-catenin supports a diagnosis of solid-pseudopapillary neoplasm. Cyst fluid analysis for amylase and carcinoembryonic antigen aids in the pre-operative classification of pancreatic cysts. A number of gene mutations (KRAS, GNAS, von Hippel-Lindau, RNF43 and CTNNB1) may be of aid in the diagnosis of cystic neoplasms. Other ancillary techniques do not appear to improve diagnostic sensitivity sufficiently to justify their increased costs. PMID:25191518

  3. Ecosystem service trends in basin-scale restoration initiatives: a review.

    PubMed

    Trabucchi, Mattia; Ntshotsho, Phumza; O'Farrell, Patrick; ComĂ­n, Francisco A

    2012-11-30

    The integration of ecosystem services in ecological restoration projects presents an opportunity for enhancing benefits to human livelihood and funding sources as well as generating public support for such initiatives. This study reviewed the global trends in integrating ecosystem services in basin-scale restoration projects through bibliographic analysis. Few studies appear to incorporate ecosystem services, possibly due to the inconsistency and absence of the use of universally accepted classifications. Our review notes an increasing trend from 2006 onward toward the inclusion and citation of this concept, although its use is still limited. In this review, the supporting service was found to be the most cited (8), followed by regulatory (3), cultural (1) and provisioning (1) services. Identifying the number of services related to a restoration action was problematic when the services were not explicitly cited. We identify opportunities for increased integration of ecosystem services in basin-scale restoration projects, suggesting a conceptual framework following from new hierarchical maps. This is based on congruence between degrading processes or threat maps (e.g., thresholds of impacts) and ecosystem service maps. The resultant map will facilitate the targeting of threatened service supply at different scales from the basin scale to the scale of the restoration site. We urge the scientific community to standardize definitions and create methodologies and software tools that facilitate the incorporation of ecosystem services in large-scale restoration plans. PMID:22813855

  4. 75 FR 20816 - Hydrographic Services Review Panel Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-21

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE... Ocean Service, National Oceanic and Atmospheric Administration (NOAA), Department of Commerce. ACTION... Committee established to advise the Under Secretary of Commerce for Oceans and Atmosphere on matters...

  5. 75 FR 68668 - Senior Executive Service; Departmental Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-08

    ...Pursuant to 5 U.S.C. 4314(c)(4), this notice announces the appointment of members of the Departmental Offices Performance Review Board (PRB). The purpose of this Board is to review and make recommendations concerning proposed performance appraisals, ratings, bonuses and other appropriate personnel actions for incumbents of SES positions in the Departmental Offices, excluding the Legal......

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

    ERIC Educational Resources Information Center

    Council of Ontario Universities, Toronto.

    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…

  7. 78 FR 36011 - Notice of Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-14

    ... Administration. ACTION: Notice of Senior Executive Service Performance Review Board Membership. Title 5, U.S...* *New Member Reginald F. Wells, Deputy Commissioner for Human Resources. BILLING CODE 4191-02-P...

  8. 76 FR 58559 - Notice of Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-21

    ... From the Federal Register Online via the Government Publishing Office SOCIAL SECURITY ADMINISTRATION Notice of Senior Executive Service Performance Review Board Membership AGENCY: Social Security... members of the Social Security Administration: Sean Brune; Robert Emrich; * Brad Flick; Stephanie...

  9. 77 FR 18306 - Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-27

    ... (see 76 FR 41726). The proposed rule would require carriers to report, (1) the number of mishandled... Research & Innovative Technology Administration Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance AGENCY: Research & Innovative Technology Administration (RITA),...

  10. 75 FR 57796 - Membership of the Federal Labor Relations Authority's Senior Executive Service Performance Review...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-22

    ... From the Federal Register Online via the Government Publishing Office FEDERAL LABOR RELATIONS AUTHORITY Membership of the Federal Labor Relations Authority's Senior Executive Service Performance Review Board AGENCY: Federal Labor Relations Authority. ACTION: Notice. SUMMARY: Notice is hereby given of...

  11. 75 FR 65528 - Membership of National Science Foundation's Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-25

    ... From the Federal Register Online via the Government Publishing Office NATIONAL SCIENCE FOUNDATION Membership of National Science Foundation's Senior Executive Service Performance Review Board AGENCY: National Science Foundation. ACTION: Announcement of membership of the National Science Foundation's...

  12. 77 FR 12331 - Membership of National Science Foundation's Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-29

    ... From the Federal Register Online via the Government Publishing Office NATIONAL SCIENCE FOUNDATION Membership of National Science Foundation's Senior Executive Service Performance Review Board AGENCY: National Science Foundation. ACTION: Announcement of Membership of the National Science Foundation's...

  13. Using the Soil and Water Assessment Tool (SWAT) to model ecosystem services: A systematic review

    NASA Astrophysics Data System (ADS)

    Francesconi, Wendy; Srinivasan, Raghavan; PĂŠrez-MiĂąana, Elena; Willcock, Simon P.; Quintero, Marcela

    2016-04-01

    SWAT, a watershed modeling tool has been proposed to help quantify ecosystem services. The concept of ecosystem services incorporates the collective benefits natural systems provide primarily to human beings. It is becoming increasingly important to track the impact that human activities have on the environment in order to determine its resilience and sustainability. The objectives of this paper are to provide an overview of efforts using SWAT to quantify ecosystem services, to determine the model's capability examining various types of services, and to describe the approach used by various researchers. A literature review was conducted to identify studies in which SWAT was explicitly used for quantifying ecosystem services in terms of provisioning, regulating, supporting, and cultural aspects. A total of 44 peer reviewed publications were identified. Most of these used SWAT to quantify provisioning services (34%), regulating services (27%), or a combination of both (25%). While studies using SWAT for evaluating ecosystem services are limited (approximately 1% of SWAT's peered review publications), and usage (vs. potential) of services by beneficiaries is a current model limitation, the available literature sets the stage for the continuous development and potential of SWAT as a methodological framework for quantifying ecosystem services to assist in decision-making.

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

    NASA Technical Reports Server (NTRS)

    Miller, J.; Clarke, T.

    1994-01-01

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

  15. Improving Immigrant Populations' Access to Mental Health Services in Canada: A Review of Barriers and Recommendations.

    PubMed

    Thomson, Mary Susan; Chaze, Ferzana; George, Usha; Guruge, Sepali

    2015-12-01

    This article emerges from a scoping review of over two decades of relevant literature on immigrants' access to mental health services in Canada. Key online databases were searched to explore the gaps and opportunities for improving access to mental health services using a review framework provided by Arksey and O'Malley (Int J Soc Res Methodol 8:19-32, 2005). Immigrants and refugees came from diverse religious and cultural backgrounds and had complex mental health-related concerns that were not currently being adequately addressed by existing services. The major barriers to the utilization of mental health services included: those related to the uptake of existing health information and services; those that were related to the process of immigrant settlement; and barriers related to availability of appropriate services. A thematic analysis of the range of recommendations that emerge from these studies for improvement of research, practice and policy is provided. PMID:25742880

  16. A Review and Description of Services for Migrant Children.

    ERIC Educational Resources Information Center

    Fitzgerald, Brian K.; Hopper, Patricia A.

    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…

  17. The Children's English and Services Study: A Methodological Review.

    ERIC Educational Resources Information Center

    Dubois, David D.

    The Children's English and Services Study was a project designed to assess the bilingual education needs of limited English speaking children in the United States. The submission of a draft final report prompted the present report from the sponsoring organization, in which various methodological procedures are questioned and recommendations are…

  18. 77 FR 66793 - Senior Executive Service: Membership of Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-07

    ... From the Federal Register Online via the Government Publishing Office AGENCY FOR INTERNATIONAL DEVELOPMENT Senior Executive Service: Membership of Performance Review Board ACTION: Notice. SUMMARY: This notice lists approved candidates who will comprise a standing roster for service on the Agency's 2012...

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

    ERIC Educational Resources Information Center

    Vellacott, John; Brandon, Bill

    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…

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

    ERIC Educational Resources Information Center

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

    2013-01-01

    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…

  1. Systematic Review of Service-Learning in Youth Physical Activity Settings

    ERIC Educational Resources Information Center

    Carson, Russell L.; Raguse, Allison L.

    2014-01-01

    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.…

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

    ERIC Educational Resources Information Center

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

    2013-01-01

    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…

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

    ERIC Educational Resources Information Center

    Bacon, E. Miles

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

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

    ERIC Educational Resources Information Center

    Hutto, Claude P.

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

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

    ERIC Educational Resources Information Center

    Statham, June

    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…

  6. 76 FR 63351 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-12

    ..., Federal Finance. Jeffrey Schramek, Assistant Commissioner, Debt Management Services. Alfred J. Kopec, Acting Assistant Commissioner, Information Resources and Business Architecture. Sheryl R. Morrow, Assistant Commissioner, Payment Management. David Rebich, Assistant Commissioner, Govermentwide...

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

  8. 76 FR 18516 - Senior Executive Service; Combined Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-04

    ... From the Federal Register Online via the Government Publishing Office ARMED FORCES RETIREMENT HOME Senior Executive Service; Combined Performance Review Board (PRB) AGENCY: Armed Forces Retirement Home. ACTION: Notice of Members of the Armed Forces Retirement Home Review Board (PRB). SUMMARY: Pursuant to...

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

    ERIC Educational Resources Information Center

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

    2014-01-01

    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…

  10. 75 FR 69047 - Senior Executive Service: Membership of Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-10

    ...This notice lists approved candidates who will comprise a standing roster for service on the Agency's 2010 and 2011 SES Performance Review Boards. The Agency will use this roster to select SES board members, and an outside member for the convening SES Performance Review Board each year. The standing roster is as follows: Brause, Jon; Carroll, Sean; Chan, Carol; Crumbly, Angelique; Eugenia,......

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

    ERIC Educational Resources Information Center

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

    2014-01-01

    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…

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

    ERIC Educational Resources Information Center

    Iowa Department of Education, 2004

    2004-01-01

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

  13. 75 FR 57906 - Membership of the Defense Contract Audit Agency Senior Executive Service Performance Review Boards

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-23

    ... of the Secretary Membership of the Defense Contract Audit Agency Senior Executive Service Performance Review Boards AGENCY: Defense Contract Audit Agency, DOD. ACTION: Notice. SUMMARY: This notice announces the appointment of members to the Defense Contract Audit Agency (DCAA) Performance Review Boards....

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

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

    ERIC Educational Resources Information Center

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

    2013-01-01

    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…

  16. 49 CFR 360.1 - Fees for records search, review, copying, certification, and related services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... the following basis, pursuant to the Freedom of Information Act regulations at 49 CFR Part 7: (a... 49 Transportation 5 2012-10-01 2012-10-01 false Fees for records search, review, copying... records search, review, copying, certification, and related services. Certifications and copies of...

  17. 49 CFR 360.1 - Fees for records search, review, copying, certification, and related services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... the following basis, pursuant to the Freedom of Information Act regulations at 49 CFR Part 7: (a... 49 Transportation 5 2013-10-01 2013-10-01 false Fees for records search, review, copying... records search, review, copying, certification, and related services. Certifications and copies of...

  18. 78 FR 76148 - Updated OGE Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-16

    ... Performance Review Board as it was most recently published at 77 FR 64521 (October 22, 2012). Approved... From the Federal Register Online via the Government Publishing Office OFFICE OF GOVERNMENT ETHICS Updated OGE Senior Executive Service Performance Review Board AGENCY: Office of Government Ethics...

  19. 77 FR 65248 - Senior Executive Service; Public Debt Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-25

    ... Bureau of the Public Debt Senior Executive Service; Public Debt Performance Review Board AGENCY: Bureau of the Public Debt, Treasury. ACTION: Notice. SUMMARY: This notice announces the appointment of the members of the Public Debt Performance Review Board (PRB) for the Bureau of the Public Debt (BPD). The...

  20. 47 CFR 25.253 - Special requirements for ancillary terrestrial components operating in the 1626.5-1660.5 MHz/1525...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 2 2014-10-01 2014-10-01 false Special requirements for ancillary terrestrial components operating in the 1626.5-1660.5 MHz/1525-1559 MHz bands. 25.253 Section 25.253 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES SATELLITE COMMUNICATIONS Technical Standards § 25.253...

  1. 47 CFR 25.253 - Special requirements for ancillary terrestrial components operating in the 1626.5-1660.5 MHz/1525...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 2 2011-10-01 2011-10-01 false Special requirements for ancillary terrestrial components operating in the 1626.5-1660.5 MHz/1525-1559 MHz bands. 25.253 Section 25.253 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES SATELLITE COMMUNICATIONS Technical Standards § 25.253...

  2. Transition Services for Youth with Autism: A Systematic Review

    ERIC Educational Resources Information Center

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

    2015-01-01

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

  3. 75 FR 70002 - Senior Executive Service Performance Review Board; Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-16

    ..., Director, Executive Resources Division, 3606A, Office of Human Resources, Office of Administration and... Review Board are: Kimberly A. Lewis, Director, Office of Human Resources, Office of Administration and Resources Management; William H. Benson, Director, Gulf Ecology Division, National Health and...

  4. Burnout in the Human Services: A Review of the Literature.

    ERIC Educational Resources Information Center

    Ursprung, Alex W.

    1986-01-01

    Provides a comprehensive literature review on burnout, describes categories of variables that have been related to burnout, discusses methodological problems in burnout research, suggests directions for future research, and presents implications for professional practice in the field of rehabilitation. (Author/ABB)

  5. Transition Services for Youth with Autism: A Systematic Review

    ERIC Educational Resources Information Center

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

    2015-01-01

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

  6. Quantifying and mapping ecosystem services supplies and demands: a review of remote sensing applications.

    PubMed

    Ayanu, Yohannes Zergaw; Conrad, Christopher; Nauss, Thomas; Wegmann, Martin; Koellner, Thomas

    2012-08-21

    Ecosystems provide services necessary for the livelihoods and well-being of people. Quantifying and mapping supplies and demands of ecosystem services is essential for continuous monitoring of such services to support decision-making. Area-wide and spatially explicit mapping of ecosystem services based on extensive ground surveys is restricted to local scales and limited due to high costs. In contrast, remote sensing provides reliable area-wide data for quantifying and mapping ecosystem services at comparatively low costs, and with the option of fast, frequent, and continuous observations for monitoring. In this paper, we review relevant remote sensing systems, sensor types, and methods applicable in quantifying selected provisioning and regulatory services. Furthermore, opportunities, challenges, and future prospects in using remote sensing for supporting ecosystem services' quantification and mapping are discussed. PMID:22816512

  7. Satisfaction measurement instruments for healthcare service users: a systematic review.

    PubMed

    Almeida, Renato Santos de; Bourliataux-Lajoinie, Stephane; Martins, Mônica

    2015-01-01

    Patient satisfaction surveys can be an interesting way to improve quality and discuss the concept of patient-centered care. This study aimed to conduct a systematic review of the validated patient satisfaction measurement instruments applied in healthcare. The systematic review searched the MEDLINE/PubMed, LILACS, SciELO, Scopus and Web of Knowledge. The search strategy used the terms: "Patient Satisfaction" AND "Patient centered care" AND "Healthcare survey OR Satisfaction questionnaire" AND "Psychometric properties". 37 studies were included and almost all studies showed that satisfaction is a multidimensional construct. In these studies, 34 different instruments were used and most surveys contained the dimension patient-healthcare professional interactions, physical environment and management process. The COSMIN score for methodological quality showed that most of them scored a good or fair average. We can conclude that there is not a gold standard instrument for patient satisfaction assessment but some dimensions are essential for this construct. PMID:25715288

  8. 42 CFR 416.171 - Determination of payment rates for ASC services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...) Covered ancillary services specified in § 416.164(b), with the exception of radiology services as provided... radiology services. Notwithstanding the provisions of paragraph (a) of this section, for any covered... any covered ancillary radiology service, excluding those listed in paragraphs (d)(1) and (d)(2)...

  9. 42 CFR 416.171 - Determination of payment rates for ASC services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...) Covered ancillary services specified in § 416.164(b), with the exception of radiology services as provided... radiology services. Notwithstanding the provisions of paragraph (a) of this section, for any covered... any covered ancillary radiology service, excluding those listed in paragraphs (d)(1) and (d)(2)...

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

    SciTech Connect

    Edmonds, James A.

    2005-03-31

    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.

  11. Quantum computation mediated by ancillary qudits and spin coherent states

    NASA Astrophysics Data System (ADS)

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

    2015-01-01

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

  12. A systematic review and meta-analysis of pharmacist-led fee-for-services medication review

    PubMed Central

    Hatah, Ernieda; Braund, Rhiannon; Tordoff, June; Duffull, Stephen B

    2014-01-01

    Aim The aim was to examine the impact of fee-for-service pharmacist-led medication review on patient outcomes and quantify this according to the type of review undertaken, e.g. adherence support and clinical medication review. Methods Relevant published studies were identified from Medline, Embase and International Pharmaceutical Abstract databases (from inception to February 2011). Study inclusion criteria were fee-for-service medication review, presence of a control group and pre-specified patient outcomes. Outcomes were grouped into primary (changes in biomarkers, hospitalization, and mortality) and secondary outcomes (medication adherence, economic implications and quality of life). Meta-analyses for primary outcomes were conducted using random effects models and secondary outcomes were summarized using descriptive statistics. Results Of the 135 relevant articles located, 21 studies met the inclusion criteria for primary outcomes and 32 for secondary outcomes. Significant results favouring pharmacists' intervention were found for blood pressure (OR 3.50, 95% CI 1.58, 7.75, P = 0.002) and low density lipoprotein (OR 2.35, 95% CI 1.17, 4.72, P = 0.02). Outcomes on hospitalization (OR 0.69, 95% CI 0.39, 1.21, P = 0.19) and mortality (OR 1.50, 95% CI 0.65 to 3.46, P = 0.34) indicated no differences between the groups. On subgroup analysis, clinical medication review (OR 0.46, 95% CI 0.26, 0.83, P = 0.01) but not adherence support review (OR 0.88, 95% CI 0.59, 1.32, P = 0.54) reduced hospitalization. Conclusions The majority of the studies (57.9%) showed improvement in medication adherence. Fee-for-service pharmacist-led medication reviews showed positive benefits on patient outcomes. Interventions that include a clinical review had a significant impact on patient outcomes by attainment of target clinical biomarkers and reduced hospitalization. PMID:23594037

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

    PubMed Central

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

    2014-01-01

    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

  14. Review of the Registration in the Clinical Research Information Service.

    PubMed

    Choi, Eun-Kyoung; Kim, Mi-Jung; Lim, Nam-Kyoo; Park, Hyun-Young

    2016-01-01

    Clinical research registration is required in many countries to improve transparency of clinical research and to ensure subject safety. Developed in February 2010, the Clinical Research Information Service (CRIS) is an online registration system for clinical studies in Korea and one of the primary registries of the World Health Organization (WHO) International Clinical Trials Registry Platform. The present analysis investigated the characteristics of studies registered in the CRIS between February 2010 and December 2014. Data for the analysis were extracted from the CRIS database. As of December 31, 2014, 1,323 clinical studies were registered. Of these, 938 (70.9%) were interventional studies and 385 (29.1%) were observational studies. A total of 248 (18.7%) studies were funded by government sources, 1,051 (79.4%) by non-government sources, and 24 (1.8%) by both. The most frequently studied disease category based on the ICD-10 classification was the digestive system (13.1%), followed by the nervous system (9.4%) and musculoskeletal system (9.1%). Only 17.8% of the studies were registered prior to enrollment of the first subject. Comparing the number of registered or approved clinical studies between the CRIS, the Ministry of Food and Drug Safety, and ClinicalTrials.gov suggests that a considerable number of clinical studies are not registered with the CRIS; therefore, we would suggest that such registration should be the mandatory legal requirement. PMID:26770030

  15. Review of the Registration in the Clinical Research Information Service

    PubMed Central

    2016-01-01

    Clinical research registration is required in many countries to improve transparency of clinical research and to ensure subject safety. Developed in February 2010, the Clinical Research Information Service (CRIS) is an online registration system for clinical studies in Korea and one of the primary registries of the World Health Organization (WHO) International Clinical Trials Registry Platform. The present analysis investigated the characteristics of studies registered in the CRIS between February 2010 and December 2014. Data for the analysis were extracted from the CRIS database. As of December 31, 2014, 1,323 clinical studies were registered. Of these, 938 (70.9%) were interventional studies and 385 (29.1%) were observational studies. A total of 248 (18.7%) studies were funded by government sources, 1,051 (79.4%) by non-government sources, and 24 (1.8%) by both. The most frequently studied disease category based on the ICD-10 classification was the digestive system (13.1%), followed by the nervous system (9.4%) and musculoskeletal system (9.1%). Only 17.8% of the studies were registered prior to enrollment of the first subject. Comparing the number of registered or approved clinical studies between the CRIS, the Ministry of Food and Drug Safety, and ClinicalTrials.gov suggests that a considerable number of clinical studies are not registered with the CRIS; therefore, we would suggest that such registration should be the mandatory legal requirement. PMID:26770030

  16. Review of psychiatric services to mentally disordered offenders around the Pacific Rim.

    PubMed

    Every-Palmer, Susanna; Brink, Johann; Chern, Tor P; Choi, Wing-Kit; Hern-Yee, Jerome Goh; Green, Bob; Heffernan, Ed; Johnson, Sarah B; Kachaeva, Margarita; Shiina, Akihiro; Walker, David; Wu, Kevin; Wang, Xiaoping; Mellsop, Graham

    2014-03-01

    This article was commissioned to collate and review forensic psychiatric services provided in a number of key Pacific Rim locations in the hope that it will assist in future dialogue about service development. The Board of the Pacific Rim College of Psychiatrists identified experts in forensic psychiatry from Australia, Canada, China, Hong Kong, Japan, Russia, Singapore, Taiwan, and the US. Each contributor provided an account of issues in their jurisdiction, including mental health services to mentally disordered offenders in prison, competence or fitness to stand trial, legal insanity as a defense at trial, diminished responsibility, and special forensic services available, including forensic hospitals and community forensic mental health services. Responses have been collated and are presented topic by topic and country by country within the body of this review. The availability of mental health screening and psychiatric in-reach or forensic liaison services within prisons differed considerably between countries, as did provisioning of community forensic mental health and rehabilitation services. Diversion of mentally disordered offenders to forensic, state, or hybrid hospitals was common. Legal constructs of criminal responsibility (insanity defense) and fitness to stand trial ("disability") are almost universally recognized, although variably used. Disparities between unmet needs and resourcing available were common themes. The legislative differences between contributing countries with respect to the mental health law and criminal law relating to mentally disordered offenders are relatively subtle. The major differences lie in operationalizing and resourcing forensic services. PMID:24249353

  17. Effects of Lean Six Sigma application in healthcare services: a literature review.

    PubMed

    Ahmed, Selim; Manaf, Noor H A; Islam, Rafikul

    2013-01-01

    The healthcare organization is the place where defects and mistakes cannot be tolerated. A simple mistake can cost a human life so defects or mistakes must be eliminated in healthcare service processes. A Lean Six Sigma (LSS) approach is the best option in a healthcare environment for dealing with a critical patient. The LSS methodology optimizes the average reduction of a desired process. The expected results can be reductions in several aspects of healthcare such as patient waiting time in emergency departments, lost charges for billing in patient financial services, delinquent medical records, diagnostic result turnaround times, accounts receivable days, patients' length of stay, or medication errors. This paper mainly discusses the effects of the LSS approach in different hospitals around the world according to the literature review. This review also discusses the relationship between LSS as well as their impacts on healthcare services based on literature review. PMID:24413212

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

    PubMed

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

    2014-12-01

    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

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

    PubMed Central

    Mangan, Cheryl; Sanci, Lena

    2014-01-01

    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

  20. Mental health service users' experiences of mental health care: an integrative literature review.

    PubMed

    Newman, D; O'Reilly, P; Lee, S H; Kennedy, C

    2015-04-01

    A number of studies have highlighted issues around the relationship between service users and providers. The recovery model is predominant in mental health as is the recognition of the importance of person-centred practice. The authors completed an in-depth search of the literature to answer the question: What are service users' experiences of the mental health service? Three key themes emerged: acknowledging a mental health problem and seeking help; building relationships through participation in care; and working towards continuity of care. The review adds to the current body of knowledge by providing greater detail into the importance of relationships between service users and providers and how these may impact on the delivery of care in the mental health service. The overarching theme that emerged was the importance of the relationship between the service user and provider as a basis for interaction and support. This review has specific implications for mental health nursing. Despite the recognition made in policy documents for change, issues with stigma, poor attitudes and communication persist. There is a need for a fundamental shift in the provider-service user relationship to facilitate true service-user engagement in their care. The aim of this integrative literature review was to identify mental health service users' experiences of services. The rationale for this review was based on the growing emphasis and requirements for health services to deliver care and support, which recognizes the preferences of individuals. Contemporary models of mental health care strive to promote inclusion and empowerment. This review seeks to add to our current understanding of how service users experience care and support in order to determine to what extent the principles of contemporary models of mental health care are embedded in practice. A robust search of Web of Science, the Cochrane Database, Science Direct, EBSCO host (Academic Search Complete, MEDLINE, CINAHL Plus Full-Text), PsycINFO, PsycARTICLES, Social Sciences Full Text and the United Kingdom and Ireland Reference Centre for data published between 1 January 2008 and 31 December 2012 was completed. The initial search retrieved 272?609 papers. The authors used a staged approach and the application of predetermined inclusion/exclusion criteria, thus the numbers of papers for inclusion were reduced to 34. Data extraction, quality assessment and thematic analysis were completed for the included studies. Satisfaction with the mental health service was moderately good. However, accessing services could be difficult because of a lack of knowledge and the stigma surrounding mental health. Large surveys document moderate satisfaction ratings; however, feelings of fear regarding how services function and the lack of treatment choice remain. The main finding from this review is while people may express satisfaction with mental health services, there are still issues around three main themes: acknowledging a mental health problem and seeking help; building relationship through participation and care; and working towards continuity of care. Elements of the recovery model appear to be lacking in relation to user involvement, empowerment and decision making. There is a need for a fundamental shift in the context of the provider-service user relationship to fully facilitate service users' engagement in their care. PMID:25707898

  1. Medicus Deus: a review of factors affecting hospital library services to patients between 1790–1950

    PubMed Central

    Perryman, Carol

    2006-01-01

    Question: What are some of the historical societal, medical, and public health trends leading to today's provision of hospital library services to patients? Data Sources: Literature from the archives of the Bulletin of the Medical Library Association and other library sources, medical journals, primary historical documents, and texts from the history of medicine form the core of this review. Study Selection: The period of review extends from about 1790 through 1950 and focuses solely on trends in the United States. Of primary concern are explicitly documented examples that appear to illustrate the patient-physician relationship and those between librarians and their patient-patrons during the earliest years of the profession's development. Data Extraction: An historical timeline was created to allow the identification of major trends that may have affected library services. Multiple literature searches were conducted using library, medical, and health anthropology resources. When possible, primary sources were preferred over reviews. Main Results: Juxtapositioning historical events allows the reader to obtain an overview of the roots of consumer health services in medical libraries and to consider their potential legacy in today's health care libraries. Conclusion: This review article highlights early developments in hospital library service to patients. Further research is needed to verify a preliminary conclusion that in some medical library settings, services to the general public are shaped by the broader health care environment as it has evolved. PMID:16888658

  2. External review of health plan denials of mental health services: lessons from Minnesota.

    PubMed

    Foote, Susan Bartlett; Virnig, Beth A; Bockstedt, Lindsay; Lomax, Zeia

    2007-01-01

    There has been concern that health plans unfairly deny claims for mental health services. This study examines a unique Minnesota program that resulted from a legal settlement. An independent panel reviews all mental health service denials in the state's three largest health plans. Our study analyzed every case file (N = 4717) the panel reviewed from January 2002 to August 2005. This unique dataset provides insight into health plan behavior. The findings show that the panel reversed only 2.9% of denied claims, suggesting inappropriate denials were rare. However, the panel decisions have made important improvements in contract language and patient communications. PMID:16810559

  3. Peer-Delivered Recovery Support Services for Addictions in the United States: A Systematic Review.

    PubMed

    Bassuk, Ellen L; Hanson, Justine; Greene, R Neil; Richard, Molly; Laudet, Alexandre

    2016-04-01

    This systematic review identifies, appraises, and summarizes the evidence on the effectiveness of peer-delivered recovery support services for people in recovery from alcohol and drug addiction. Nine studies met criteria for inclusion in the review. They were assessed for quality and outcomes including substance use and recovery-related factors. Despite significant methodological limitations found in the included studies, the body of evidence suggests salutary effects on participants. Current limitations and recommendations for future research are discussed. PMID:26882891

  4. Ancillary procedures necessary for translational research in experimental craniomaxillofacial surgery

    PubMed Central

    Al Rakan, Mohammed; Shores, Jaimie T.; Bonawitz, Steve; Santiago, Gabriel; Christensen, Joani M.; Grant, Gerald; Murphy, Ryan J.; Basafa, Ehsan; Armand, Mehran; Otovic, Pete; Eller, Sue; Brandacher, Gerald; Gordon, Chad R.

    2014-01-01

    Introduction Swine are often regarded as having analogous facial skeletons to humans and therefore serve as an ideal animal model for translational investigation. However, there's a dearth of literature describing the pertinent ancillary procedures required for craniomaxillofacial research. With this in mind, our objective was to evaluate all necessary procedures required for peri-operative management and animal safety related to experimental craniomaxillofacial surgical procedures such as orthotopic, maxillofacial transplantation. Methods Miniature swine (n=9) were used to investigate peri-operative airway management, methods for providing nutrition, and long-dwelling intravenous access. Flap perfusion using near-infrared laser angiography and facial nerve assessment with EMG were explored. Results Bivona(R) tracheostomy was deemed appropriate versus Shiley since soft, wire-reinforced tubing reduced the incidence of tracheal necrosis. PEG tube, as opposed to esophagostomy, provided a reliable route for post-operative feeding. Femoral venous access with dorsal tunneling proved to be an ideal option being far from pertinent neck vessels. Laser angiography was beneficial for real-time evaluation of graft perfusion. Facial EMG techniques for tracing capture were found most optimal using percutaneous leads near the oral commissure. Experience shows that ancillary procedures are critical and malpositioning of devices may lead to irreversible sequelae with premature animal death. Conclusion Face-jaw-teeth transplantation in swine is a complicated procedure which demands special attention to airway, feeding, and intravascular access. It is critical that each ancillary procedure be performed by a dedicated team familiar with relevant anatomy and protocol. Emphasis should be placed on secure skin-level fixation for all tube/lines to minimize risk of dislodgement. A reliable veterinarian team is invaluable and critical for long-term success. PMID:25377964

  5. 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

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

    PubMed Central

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

    2011-01-01

    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

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

    ERIC Educational Resources Information Center

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

    2009-01-01

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

  8. An Individualized Perspective of Family Support Services: A Review of the Literature. Technical Report.

    ERIC Educational Resources Information Center

    Santos, Rosa M.; Chun, Zhang

    The purpose of this paper is to review the existing literature on family support services for families with young children with disabilities. Within the last two decades, the focus of early intervention has begun shifting from child-centered to family-centered practice with an emphasis on providing comprehensive family support in the delivery of…

  9. 77 FR 34942 - Notice of Submission for OMB Review; Office of Special Education and Rehabilitative Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-12

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION Notice of Submission for OMB Review; Office of Special Education and Rehabilitative Services; Annual State Application Under Part B of the Individuals With Disabilities Education Act SUMMARY: In...

  10. 75 FR 4565 - General Services Administration Acquisition Regulation; Submission for OMB Review; Industrial...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-28

    ... reinstatement of a previously approved information collection requirement regarding industrial ] funding fee and sales reporting. A request for public comments was published in the Federal Register at 74 FR 58630, on... ADMINISTRATION General Services Administration Acquisition Regulation; Submission for OMB Review;...

  11. 78 FR 27239 - General Services Administration Acquisition Regulation; Submission for OMB Review; Industrial...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-09

    ... previously approved information collection requirement regarding industrial funding fee and sales reporting. A notice was published in the Federal Register at 77 FR 76446, on December 28, 2012. One comment was... ADMINISTRATION General Services Administration Acquisition Regulation; Submission for OMB Review;...

  12. Asian American Utilization of University Counseling Services: A Review of Current Research.

    ERIC Educational Resources Information Center

    Chen, Thomas T.

    This paper reviewed the current state of research literature on factors affecting utilization of university counseling services by Asian American students. The study was divided into two parts: one examined literature that focused exclusively on Asian American college students; the other explored Asian American utilization by examining studies…

  13. Pre-Service Teachers' Perceptions of the Benefits of Peer Review

    ERIC Educational Resources Information Center

    Buchanan, Michael T.; Stern, Julian

    2012-01-01

    The paper draws initially on theoretical literature describing schools and universities as, necessarily, dialogic learning communities, which is then applied to an investigation into the use of peer review in teacher education in an Australian university. The empirical research described was completed with pre-service teachers of religious…

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

    ERIC Educational Resources Information Center

    Flanagan, Rosemary

    2008-01-01

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

  15. 77 FR 58585 - Appointment of Members of Senior Executive Services Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-21

    ... CONTROL POLICY Appointment of Members of Senior Executive Services Performance Review Board AGENCY: Office of National Drug Control Policy . ACTION: Notice of appointments. SUMMARY: The following persons have... Control Policy, Executive Office of the President, Washington, DC 20503. Edward H. Jurith, Senior...

  16. 78 FR 30939 - Appointment of Members of Senior Executive Services Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-23

    ... CONTROL POLICY Appointment of Members of Senior Executive Services Performance Review Board AGENCY: Office of National Drug Control Policy . ACTION: Notice of appointments. SUMMARY: The following persons have... Policy, Executive Office of the President, Washington, DC 20503. Daniel R. Petersen, Deputy...

  17. 77 FR 2090 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Servicing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-13

    ...The Department of Labor (DOL) is submitting the Occupational Safety and Health Administration sponsored information collection request (ICR) titled, ``Servicing Multi-Piece and Single Piece Rim Wheels Standard,'' to the Office of Management and Budget (OMB) for review and approval for continued use in accordance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501 et...

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

    ERIC Educational Resources Information Center

    Bruyere, Suzanne M.

    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…

  19. 77 FR 27746 - Notice of Submission for OMB Review; Office of Special Education and Rehabilitative Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION Notice of Submission for OMB Review; Office of Special Education and Rehabilitative Services; Annual Protection and Advocacy for Assistive Technology (PAAT) Program Performance Report, Form RSA 661 SUMMARY:...

  20. 76 FR 65728 - Submission for OMB Review; General Services Administration; Information Specific to a Contract or...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-24

    ... collection requirement regarding information specific to a contract or contracting action (not required by regulation). A notice was published in the Federal Register at 76 FR 38396, on June 30, 2011. No comments... ADMINISTRATION Submission for OMB Review; General Services Administration; Information Specific to a Contract...

  1. 77 FR 62211 - Senior Executive Services (SES) Performance Review Board: Update

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-12

    ... DEVELOPMENT Senior Executive Services (SES) Performance Review Board: Update AGENCY: Office of Inspector General, U.S. Agency for International Development. ACTION: Notice. SUMMARY: This notice is hereby given of the appointment of members of the updated U.S. Agency for International Development, Office...

  2. Engine Tune-up Service. Unit 2: Charging System. Review Exercise Book. Automotive Mechanics Curriculum.

    ERIC Educational Resources Information Center

    Richardson, Roger L.; Bacon, E. Miles

    This book of pretests and review exercises is designed to accompany the Engine Tune-Up Service Student Guide for Unit 2, Charging System, available separately as CE 031 208. Focus of the exercises and pretests is testing the charging system. Pretests and performance checklists are provided for each of the three performance objectives contained in…

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

    ERIC Educational Resources Information Center

    Bacon, E. Miles

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

  4. 75 FR 43423 - 1998 Biennial Regulatory Review-Private Land Mobile Radio Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-26

    ... Opinion and Order (MO&O) at 67 FR 63279, October 11, 2002, in WT Docket No. 98-182. PRSG filed a petition... COMMISSION 47 CFR Part 95 1998 Biennial Regulatory Review--Private Land Mobile Radio Services AGENCY: Federal... Commission denies the petition filed by the Personal Radio Steering Group (PRSG) regarding certain...

  5. 77 FR 58380 - General Services Administration Acquisition Regulation; Submission for OMB Review; Price...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-20

    ... collection requirement regarding the GSAR Price Reductions Clause. A notice was published in the Federal Register at 76 FR 89141, on December 29, 2011. One respondent submitted comments. Public comments are... ADMINISTRATION General Services Administration Acquisition Regulation; Submission for OMB Review;...

  6. 76 FR 60840 - Updated OGE Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-30

    ... it was most recently published at 75 FR 62540 (October 12, 2010). Approved: September 26, 2011. Don W... From the Federal Register Online via the Government Publishing Office OFFICE OF GOVERNMENT ETHICS Updated OGE Senior Executive Service Performance Review Board AGENCY: Office of Government Ethics...

  7. 77 FR 64521 - Updated OGE Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-22

    ... it was most recently published at 76 FR 60840 (September 30, 2011). Approved: October 11, 2012. Don W... From the Federal Register Online via the Government Publishing Office OFFICE OF GOVERNMENT ETHICS Updated OGE Senior Executive Service Performance Review Board AGENCY: Office of Government Ethics...

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

    ERIC Educational Resources Information Center

    Hoagwood, Kimberly Eaton

    2005-01-01

    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…

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

    ERIC Educational Resources Information Center

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

    2009-01-01

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

  10. 75 FR 60864 - Senior Executive Service Combined Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-01

    ... United States Mint Senior Executive Service Combined Performance Review Board (PRB) AGENCY: United States Mint, Department of the Treasury. ACTION: Notice. SUMMARY: Pursuant to 5 U.S.C. 4314(c)(4), this notice... States Mint (USM), Alcohol and Tobacco Tax and Trade Bureau (TTB) and Financial Crimes...

  11. A review of space robotics technologies for on-orbit servicing

    NASA Astrophysics Data System (ADS)

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

    2014-07-01

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

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

    PubMed

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

    2010-04-01

    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

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

    PubMed

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

    2014-11-01

    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

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

    SciTech Connect

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

    1996-09-01

    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).

  15. Medical services for outdoor rock music festivals.

    PubMed Central

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

    1982-01-01

    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

  16. 42 CFR 414.40 - Coding and ancillary policies.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... surgery policy (for example, post- and pre-operative periods and services, and intra-operative services... interpretation)). (3) Payment modifiers (for example, assistant-at-surgery, multiple surgery, bilateral surgery, split surgical global services, team surgery, and unusual services)....

  17. 42 CFR 414.40 - Coding and ancillary policies.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... surgery policy (for example, post- and pre-operative periods and services, and intra-operative services... interpretation)). (3) Payment modifiers (for example, assistant-at-surgery, multiple surgery, bilateral surgery, split surgical global services, team surgery, and unusual services)....

  18. 48 CFR 2937.103-70 - Department of Labor checklist to aid analysis and review of requirements for service contracts.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... checklist to aid analysis and review of requirements for service contracts. 2937.103-70 Section 2937.103-70... CONTRACTING Service Contracts-General 2937.103-70 Department of Labor checklist to aid analysis and review of... contract requirements and performance standards. (a) General. Following is a checklist to aid analysis...

  19. 48 CFR 2937.103-70 - Department of Labor checklist to aid analysis and review of requirements for service contracts.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... checklist to aid analysis and review of requirements for service contracts. 2937.103-70 Section 2937.103-70... CONTRACTING Service Contracts-General 2937.103-70 Department of Labor checklist to aid analysis and review of... contract requirements and performance standards. (a) General. Following is a checklist to aid analysis...

  20. 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

    2011-10-01

    ... checklist to aid analysis and review of requirements for service contracts. 2937.103-70 Section 2937.103-70... CONTRACTING Service Contracts-General 2937.103-70 Department of Labor checklist to aid analysis and review of... contract requirements and performance standards. (a) General. Following is a checklist to aid analysis...

  1. 48 CFR 2937.103-70 - Department of Labor checklist to aid analysis and review of requirements for service contracts.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... checklist to aid analysis and review of requirements for service contracts. 2937.103-70 Section 2937.103-70... CONTRACTING Service Contracts-General 2937.103-70 Department of Labor checklist to aid analysis and review of... contract requirements and performance standards. (a) General. Following is a checklist to aid analysis...

  2. Improving Public Child Welfare Agency Performance in the Context of the Federal Child and Family Services Reviews

    ERIC Educational Resources Information Center

    Orlebeke, Britany; Wulczyn, Fred; Mitchell-Herzfeld, Susan

    2005-01-01

    The Child and Family Service Reviews (CFSR) conducted by the Department of Health and Human Services are a critical step towards improving the nation's child welfare services. However, although the federal emphasis on outcomes has helped to accelerate state interest in performance measurement, both the federal effort to measure performance and…

  3. A Review of the Literature: How Pre-Service Mathematics Teachers Develop Their Technological, Pedagogical, and Content Knowledge

    ERIC Educational Resources Information Center

    Yigit, Melike

    2014-01-01

    In recent years, researchers have advanced the Technological, Pedagogical, and Content Knowledge (TPACK) framework to describe both in-service and pre-service teachers' knowledge related to effectively integrating technology. This study is a systematic literature review about pre-service mathematics teachers' (PSMTs) development of TPACK, and the…

  4. A Review of the Literature: How Pre-Service Mathematics Teachers Develop Their Technological, Pedagogical, and Content Knowledge

    ERIC Educational Resources Information Center

    Yigit, Melike

    2014-01-01

    In recent years, researchers have advanced the Technological, Pedagogical, and Content Knowledge (TPACK) framework to describe both in-service and pre-service teachers' knowledge related to effectively integrating technology. This study is a systematic literature review about pre-service mathematics teachers' (PSMTs) development of…

  5. Impact of helicopter emergency medical services in major incidents: systematic literature review

    PubMed Central

    Johnsen, Anne Siri; Fattah, Sabina; Sollid, Stephen J M; Rehn, Marius

    2013-01-01

    Introduction Helicopter emergency medical services (HEMS) aim to bring highly specialised crews to the major incident for triage, treatment and transport. When the site is difficult to access, HEMS may be the only mode of transportation of both personnel and patients. This systematic review will identify, describe and appraise literature regarding the role of HEMS in medical response to major incidents. We aim to improve knowledge on HEMS role in a major incident and provide a basis for future research. Methods and analysis A systematic literature review will be conducted with search phrases that combine HEMS and major incidents to identify when and how HEMS have been used. Included literature will be subject to quality appraisal and data extraction. Ethics No ethical approval is sought because this is a literature review. It will be submitted to a peer-reviewed journal and the PRISMA guidelines will be followed. Registration details PROSPERO CRD42013004473 PMID:23959759

  6. Functional dependence, broad-band fitting, and ancillary conditions

    SciTech Connect

    David C. Carey

    1998-11-01

    The ability to make multiple passes through a charged particle optical system, as a single step in a mathematical procedure, opens up new computational capa- bilities. At the simplest level, the functional dependence of any transfer matrix of any order, or any beam phase-space parameter can be plotted as a function of any other parameter used to describe the optical con#12;guration. Secondly, broad-band #12;tting can be done on aberrations, where all orders are considered simultaneously according to their importance on the #12;nal phase-space beam distribution. Finally, ancillary conditions may be imposed in the calculation of functional dependences. For example, the dependence of a matrix element on a beam line parameter may be calculated and plotted, subject to constraints imposed on other matrix elements. The computer program TRANSPORT now has these capabilities. Additional examples will be given.

  7. An integrated LANDSAT/ancillary data classification of desert rangeland

    NASA Technical Reports Server (NTRS)

    Price, K. P.; Ridd, M. K.; Merola, J. A.

    1984-01-01

    Range inventorying methods using LANDSAT MSS data, coupled with ancillary data were examined. The study area encompassed nearly 20,000 acres in Rush Valley, Utah. The vegetation is predominately desert shrub and annual grasses, with some annual forbs. Three LANDSAT scenes were evaluated using a Kauth-Thomas brightness/greenness data transformation (May, June, and August dates). The data was classified using a four-band maximum-likelihood classifier. A print map was taken into the field to determine the relationship between print symbols and vegetation. It was determined that classification confusion could be greatly reduced by incorporating geomorphic units and soil texture (coarse vs fine) into the classification. Spectral data, geomorphic units, and soil texture were combined in a GIS format to produce a final vegetation map identifying 12 vegetation types.

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

    PubMed

    Tucquet, Belinda; Leung, Maggie

    2014-01-01

    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

  9. 17 CFR 240.3b-15 - Definition of ancillary portfolio management securities activities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... portfolio management securities activities. 240.3b-15 Section 240.3b-15 Commodity and Securities Exchanges... ancillary portfolio management securities activities. (a) The term ancillary portfolio management securities... of incidental trading activities for portfolio management purposes; and (3) Are limited to...

  10. 17 CFR 240.3b-15 - Definition of ancillary portfolio management securities activities.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... portfolio management securities activities. 240.3b-15 Section 240.3b-15 Commodity and Securities Exchanges... ancillary portfolio management securities activities. (a) The term ancillary portfolio management securities... of incidental trading activities for portfolio management purposes; and (3) Are limited to...

  11. 40 CFR 267.197 - What are the requirements for ancillary equipment?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... ancillary equipment? 267.197 Section 267.197 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... equipment? You must provide ancillary equipment with secondary containment (for example, trench, jacketing... automatic shut-off devices (for example, excess flow check valves, flow metering shutdown devices, loss...

  12. 40 CFR 267.197 - What are the requirements for ancillary equipment?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... ancillary equipment? 267.197 Section 267.197 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... equipment? You must provide ancillary equipment with secondary containment (for example, trench, jacketing... automatic shut-off devices (for example, excess flow check valves, flow metering shutdown devices, loss...

  13. 40 CFR 267.197 - What are the requirements for ancillary equipment?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... ancillary equipment? 267.197 Section 267.197 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... equipment? You must provide ancillary equipment with secondary containment (for example, trench, jacketing... automatic shut-off devices (for example, excess flow check valves, flow metering shutdown devices, loss...

  14. 40 CFR 267.197 - What are the requirements for ancillary equipment?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... ancillary equipment? 267.197 Section 267.197 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... equipment? You must provide ancillary equipment with secondary containment (for example, trench, jacketing... automatic shut-off devices (for example, excess flow check valves, flow metering shutdown devices, loss...

  15. Service dogs and people with physical disabilities partnerships: a systematic review.

    PubMed

    Winkle, Melissa; Crowe, Terry K; Hendrix, Ingrid

    2012-03-01

    Occupational therapists have recognized the benefits that service dogs can provide people with disabilities. There are many anecdotal publications extolling the benefits of working with service dogs, but few rigorous studies exist to provide the evidence of the usefulness of this type of assistive technology option. This systematic review evaluates the published research that supports the use of service dogs for people with mobility-related physical disabilities. Articles were identified by computerized search of PubMed, CINAHL, PsycINFO, OT Seeker, the Cochrane Database of Systematic Reviews, SportDiscus, Education Research Complete, Public Administration Abstracts, Web of Knowledge and Academic Search Premier databases with no date range specified. The keywords used in the search included disabled persons, assistance dogs or service dogs and mobility impairments. The reference lists of the research papers were checked as was the personal citation database of the lead author. Twelve studies met the inclusion criteria and whereas the findings are promising, they are inconclusive and limited because of the level of evidence, which included one Level I, six Level III, four Level IV and one Level V. All of the studies reviewed had research design quality concerns including small participant sizes, poor descriptions of the interventions, outcome measures with minimal psychometrics and lack of power calculations. Findings indicated three major themes including social/participation, functional and psychological outcomes; all of which are areas in the occupational therapy scope of practice. Occupational therapists may play a critical role in referral, assessment, assisting clients and consulting with training organizations before, during and after the service dog placement process. In order for health care professionals to have confidence in recommending this type of assistive technology, the evidence to support such decisions must be strengthened. PMID:21858889

  16. Performance management of the public healthcare services in Ireland: a review.

    PubMed

    Mesabbah, Mohammed; Arisha, Amr

    2016-03-14

    Purpose - Performance Management (PM) processes have become a potent part of strategic and service quality decisions in healthcare organisations. In 2005, the management of public healthcare in Ireland was amalgamated into a single integrated management body, named the Health Service Executive (HSE). Since then, the HSE has come up with a range of strategies for healthcare developments and reforms, and has developed a PM system as part of its strategic planning. The purpose of this paper is to review the application of PM in the Irish Healthcare system, with a particular focus on Irish Hospitals and Emergency Services. Design/methodology/approach - An extensive review of relevant HSE's publications from 2005 to 2013 is conducted. Studies of the relevant literature related to the application of PM and of international best practices in healthcare performance systems are also presented. Findings - PM and performance measurement systems used by the HSE include many performance reports designed to monitor performance trends and strategic goals. Issues in the current PM system include inconsistency of measures and performance reporting, unclear strategy alignment, and deficiencies in reporting (e.g. feedback and corrective actions). Furthermore, PM processes have not been linked adequately into Irish public hospitals' management systems. Research limitations/implications - The HSE delivers several services such as mental health, social inclusion, etc. This study focuses on the HSE's PM framework, with a particular interest in acute hospitals and emergency services. Originality/value - This is the first comprehensive review of Irish healthcare PM since the introduction of the HSE. A critical analysis of the HSE reports identifies the shortcomings in its current PM system. PMID:26959899

  17. Salivary diagnostics using a portable point-of-service platform: A Review

    PubMed Central

    Khanna, Prarthana; Walt, David R.

    2015-01-01

    Clinical diagnostics can be improved by faster and more accessible disease detection. Our laboratory has developed a point of service (POS) device capable of rapid, sensitive, automated and multiplexed biomarker detection using human saliva instead of other biofluids. In this article, we review the technology that led to the development of this POS device. This POS technology can advance clinical diagnostics by saving time due to faster diagnosis, saving money due to a shorter hospital stay and ultimately improving clinical care. PMID:25732629

  18. A review of healthcare service and education provision of Autism Spectrum Condition in mainland China.

    PubMed

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

    2013-01-01

    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 summarized according to four settings for ASC including healthcare, mainstream education, private special education, and state-run special education. The literature on the situation of the healthcare system and educational services for children with ASC in China was profoundly limited. There were great financial problems faced by the parents of autistic children which were partly due to the under-developed healthcare and educational system for ASC. PMID:23047546

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

    PubMed Central

    Ajami, Sima; Rajabzadeh, Ahmad; Ketabi, Saeedeh

    2014-01-01

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

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

    PubMed

    Ajami, Sima; Rajabzadeh, Ahmad; Ketabi, Saeedeh

    2014-01-01

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

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

    PubMed Central

    2010-01-01

    Background Telehealth is the delivery of health care at a distance, using information and communication technology. The major rationales for its introduction have been to decrease costs, improve efficiency and increase access in health care delivery. This systematic review assesses the economic value of one type of telehealth delivery - synchronous or real time video communication - rather than examining a heterogeneous range of delivery modes as has been the case with previous reviews in this area. Methods A systematic search was undertaken for economic analyses of the clinical use of telehealth, ending in June 2009. Studies with patient outcome data and a non-telehealth comparator were included. Cost analyses, non-comparative studies and those where patient satisfaction was the only health outcome were excluded. Results 36 articles met the inclusion criteria. 22(61%) of the studies found telehealth to be less costly than the non-telehealth alternative, 11(31%) found greater costs and 3 (9%) gave the same or mixed results. 23 of the studies took the perspective of the health services, 12 were societal, and one was from the patient perspective. In three studies of telehealth to rural areas, the health services paid more for telehealth, but due to savings in patient travel, the societal perspective demonstrated cost savings. In regard to health outcomes, 12 (33%) of studies found improved health outcomes, 21 (58%) found outcomes were not significantly different, 2(6%) found that telehealth was less effective, and 1 (3%) found outcomes differed according to patient group. The organisational model of care was more important in determining the value of the service than the clinical discipline, the type of technology, or the date of the study. Conclusion Delivery of health services by real time video communication was cost-effective for home care and access to on-call hospital specialists, showed mixed results for rural service delivery, and was not cost-effective for local delivery of services between hospitals and primary care. PMID:20696073

  2. Family-based services in children's mental health: a research review and synthesis.

    PubMed

    Hoagwood, Kimberly Eaton

    2005-07-01

    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 that met the methodological criteria for inclusion. These 41 studies encompassed 3 distinct categories: families as recipients of interventions (e.g., family education, support, engagement, empowerment); (b) families as co-therapists; and (c) studies of the processes of involvement (e.g., therapeutic alliance, engagement, empowerment, expectancies, and choice). Too few experimental studies exist to conclude decisively that family-based services improve youth clinical outcomes. However, those studies that have been rigorously examined demonstrate unequivocal improvements in other types of outcomes, such as retention in services, knowledge about mental health issues, self-efficacy, and improved family interactions - all outcomes that are essential ingredients of quality care. Four implications are drawn from this review. (1) Effective family education and support interventions from studies of adults with mental illnesses and from studies of families of high-risk infants exist and can be imported into the field of children's mental health. (2) The range of outcomes that are typically assessed in clinical treatment studies is too narrow to afford an adequate view of the impact of family-based interventions. A broader view of outcomes is needed. (3) The absence of a robust literature on process variables other than therapeutic alliance limits conclusions about how and why interventions are effective. Attention to the processes by which families become involved in services will require a more robust and nuanced range of studies that attend simultaneously to processes of change and to outcome improvement. (4) Linkage of effective family-based interventions to delivery of evidence-based services is likely to amplify the impact of those services and improve outcomes for youth and families. PMID:15972066

  3. Implementation of a 24-Hour Pharmacy Service with Prospective Medication Review in the Emergency Department

    PubMed Central

    Yee, Linda; Claudio-Saez, Maria; Halim, Qazi; Marshall, Lewis; Hayes-Quinn, Mary

    2015-01-01

    Background: It is reported that more than 128 million patients are seen in emergency departments (EDs) annually. Patient overcrowding had been associated with an increased occurrence of medication errors. Purpose: Due to increased patient volume and the need for improved patient safety, a 24-hour pharmacy service was established for our institution’s ED. The purpose of the study is to quantify and demonstrate the impact of a 24-hour pharmacy service in an urban ED. Methods: This was a retrospective descriptive study conducted at a regional level 1 trauma center. The study period occurred between December 2012 and July 2013. The following variables were quantified and analyzed: number of medication orders reviewed, number of intravenous medications compounded, and number of clinical interventions that were recommended by the ED pharmacy team (EDPT) and accepted by ED clinicians. Results: A total of 3,779 medication orders were reviewed by the EDPT. Of these orders, 3,482 (92%) were prospectively reviewed. A total of 3,068 (81.2%) and 711 (18.8%) orders were reviewed for the adult and pediatric ED, respectively. During the study period, the EDPT procured 549 intravenous admixtures and conducted 642 clinical interventions. Most of the interventions involved providing drug information for physicians and nurses (45.9%), adjusting drug dosages (21.1%), and recommending antimicrobial therapy (15.1%). Conclusion: The implementation of a 24-hour pharmacy service at our institution was an innovative practice that increased the role of pharmacists in the ED. The EDPT conducted prospective medication review, procured intravenous admixtures from a sterile environment, and provided therapeutic recommendations for the ED interdisciplinary team. PMID:25717209

  4. Domestic water service delivery indicators and frameworks for monitoring, evaluation, policy and planning: a review.

    PubMed

    Kayser, Georgia L; Moriarty, Patrick; Fonseca, Catarina; Bartram, Jamie

    2013-10-01

    Monitoring of water services informs policy and planning for national governments and the international community. Currently, the international monitoring system measures the type of drinking water source that households use. There have been calls for improved monitoring systems over several decades, some advocating use of multiple indicators. We review the literature on water service indicators and frameworks with a view to informing debate on their relevance to national and international monitoring. We describe the evidence concerning the relevance of each identified indicator to public health, economic development and human rights. We analyze the benefits and challenges of using these indicators separately and combined in an index as tools for planning, monitoring, and evaluating water services. We find substantial evidence on the importance of each commonly recommended indicator--service type, safety, quantity, accessibility, reliability or continuity of service, equity, and affordability. Several frameworks have been proposed that give structure to the relationships among individual indicators and some combine multiple indicator scores into a single index but few have been rigorously tested. More research is needed to understand if employing a composite metric of indicators is advantageous and how each indicator might be scored and scaled. PMID:24157507

  5. Domestic Water Service Delivery Indicators and Frameworks for Monitoring, Evaluation, Policy and Planning: A Review

    PubMed Central

    Kayser, Georgia L.; Moriarty, Patrick; Fonseca, Catarina; Bartram, Jamie

    2013-01-01

    Monitoring of water services informs policy and planning for national governments and the international community. Currently, the international monitoring system measures the type of drinking water source that households use. There have been calls for improved monitoring systems over several decades, some advocating use of multiple indicators. We review the literature on water service indicators and frameworks with a view to informing debate on their relevance to national and international monitoring. We describe the evidence concerning the relevance of each identified indicator to public health, economic development and human rights. We analyze the benefits and challenges of using these indicators separately and combined in an index as tools for planning, monitoring, and evaluating water services. We find substantial evidence on the importance of each commonly recommended indicator—service type, safety, quantity, accessibility, reliability or continuity of service, equity, and affordability. Several frameworks have been proposed that give structure to the relationships among individual indicators and some combine multiple indicator scores into a single index but few have been rigorously tested. More research is needed to understand if employing a composite metric of indicators is advantageous and how each indicator might be scored and scaled. PMID:24157507

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

    PubMed

    Smith, Richard D

    2004-12-01

    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

  7. A systematic review of integrated working between care homes and health care services

    PubMed Central

    2011-01-01

    Background In the UK there are almost three times as many beds in care homes as in National Health Service (NHS) hospitals. Care homes rely on primary health care for access to medical care and specialist services. Repeated policy documents and government reviews register concern about how health care works with independent providers, and the need to increase the equity, continuity and quality of medical care for care homes. Despite multiple initiatives, it is not known if some approaches to service delivery are more effective in promoting integrated working between the NHS and care homes. This study aims to evaluate the different integrated approaches to health care services supporting older people in care homes, and identify barriers and facilitators to integrated working. Methods A systematic review was conducted using Medline (PubMed), CINAHL, BNI, EMBASE, PsycInfo, DH Data, Kings Fund, Web of Science (WoS incl. SCI, SSCI, HCI) and the Cochrane Library incl. DARE. Studies were included if they evaluated the effectiveness of integrated working between primary health care professionals and care homes, or identified barriers and facilitators to integrated working. Studies were quality assessed; data was extracted on health, service use, cost and process related outcomes. A modified narrative synthesis approach was used to compare and contrast integration using the principles of framework analysis. Results Seventeen studies were included; 10 quantitative studies, two process evaluations, one mixed methods study and four qualitative. The majority were carried out in nursing homes. They were characterised by heterogeneity of topic, interventions, methodology and outcomes. Most quantitative studies reported limited effects of the intervention; there was insufficient information to evaluate cost. Facilitators to integrated working included care home managers' support and protected time for staff training. Studies with the potential for integrated working were longer in duration. Conclusions Despite evidence about what inhibits and facilitates integrated working there was limited evidence about what the outcomes of different approaches to integrated care between health service and care homes might be. The majority of studies only achieved integrated working at the patient level of care and the focus on health service defined problems and outcome measures did not incorporate the priorities of residents or acknowledge the skills of care home staff. There is a need for more research to understand how integrated working is achieved and to test the effect of different approaches on cost, staff satisfaction and resident outcomes. PMID:22115126

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

    PubMed Central

    2011-01-01

    Background Primary care services have not generally been effective in meeting mental health care needs. There is evidence that collaboration between primary care and specialist mental health services can improve clinical and organisational outcomes. It is not clear however what factors enable or hinder effective collaboration. The objective of this study was to examine the factors that enable effective collaboration between specialist mental health services and primary mental health care. Methods A narrative and thematic review of English language papers published between 1998 and 2009. An expert reference group helped formulate strategies for policy makers. Studies of descriptive and qualitative design from Australia, New Zealand, UK, Europe, USA and Canada were included. Data were extracted on factors reported as enablers or barriers to development of service linkages. These were tabulated by theme at clinical and organisational levels and the inter-relationship between themes was explored. Results A thematic analysis of 30 papers found the most frequently cited group of factors was "partnership formation", specifically role clarity between health care workers. Other factor groups supporting clinical partnership formation were staff support, clinician attributes, clinic physical features and evaluation and feedback. At the organisational level a supportive institutional environment of leadership and change management was important. The expert reference group then proposed strategies for collaboration that would be seen as important, acceptable and feasible. Because of the variability of study types we did not exclude on quality and findings are weighted by the number of studies. Variability in local service contexts limits the generalisation of findings. Conclusion The findings provide a framework for health planners to develop effective service linkages in primary mental health care. Our expert reference group proposed five areas of strategy for policy makers that address organisational level support, joint clinical problem solving, local joint care guidelines, staff training and supervision and feedback. PMID:21435273

  9. Estimating Net Primary Productivity Using Satellite and Ancillary Data

    NASA Technical Reports Server (NTRS)

    Choudhury, Bhaskar J.

    2002-01-01

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

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

    PubMed Central

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

    2012-01-01

    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

  11. Review of shell-and-tube heat exchanger fouling and corrosion in geothermal power plant service

    SciTech Connect

    Ellis, P.F. II

    1983-12-01

    Heat exchangers for hot geofluid/working substance vaporizers for binary power plants are considered. A brief description of the physical test apparatus and the geofluid chemistry for each of the several heat exchanger tests is presented. The fouling data developed from these tests are summarized, in most cases presenting a mathematical expression for the increase in fouling factor with time. The materials performance data developed from these same tests are explored. The performance of shell-and-tube heat exchangers used as condensers and ancillary coolers in the power plant heat rejection system is considered.

  12. Nonmarket economic impacts of forest insect pests: A literature review. Forest Service general technical report

    SciTech Connect

    Rosenberger, R.S.; Smith, E.L.

    1997-05-01

    This report summarizes the results of research on the nonmarket economic impacts of forest insect pests. The majority of the research reports are journal articles or fulfillment of three USDA Forest Service research contracts. This report also reviews the foundations for methodologies used and classifies the forest insect pests studied, the regions in which research has been conducted, the designated land-use areas, the stakeholders, the values, the measurement methods used, and the measures of value indicators. Information on each research project is described with relevant information condensed in tabular form.

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

    PubMed Central

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

    2011-01-01

    Staff burnout is increasingly viewed as a concern in the mental health field. In this article we first examine the extent to which burnout is a problem for mental health services in terms of two critical issues: its prevalence and its association with a range of undesirable outcomes for staff, organizations, and consumers. We subsequently provide a comprehensive review of the limited research attempting to remediate burnout among mental health staff. We conclude with recommendations for the development and rigorous testing of intervention approaches to address this critical area. Keywords: burnout, burnout prevention, mental health staff PMID:21533847

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

    PubMed Central

    El Sayed, Mazen J.

    2012-01-01

    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

  15. Burnout in mental health services: a review of the problem and its remediation.

    PubMed

    Morse, Gary; Salyers, Michelle P; Rollins, Angela L; Monroe-DeVita, Maria; Pfahler, Corey

    2012-09-01

    Staff burnout is increasingly viewed as a concern in the mental health field. In this article we first examine the extent to which burnout is a problem for mental health services in terms of two critical issues: its prevalence and its association with a range of undesirable outcomes for staff, organizations, and consumers. We subsequently provide a comprehensive review of the limited research attempting to remediate burnout among mental health staff. We conclude with recommendations for the development and rigorous testing of intervention approaches to address this critical area. PMID:21533847

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

    PubMed Central

    Carrasco, Christine; Gastaldo, Denise

    2011-01-01

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

  17. 77 FR 59925 - Public Buildings Service; Submission for OMB Review; Application/Permit for Use of Space in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-01

    ... Grounds. A notice was published in the Federal Register at 77 FR 38064, on June 26, 2012. No comments were... ADMINISTRATION Public Buildings Service; Submission for OMB Review; Application/ Permit for Use of Space in Public Buildings and Grounds, GSA Form 3453 AGENCY: Public Buildings Service, GSA. ACTION: Notice...

  18. 75 FR 2144 - Public Buildings Service; Submission for OMB Review; Art-in-Architecture Program National Artist...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-14

    ... comments was published in the Federal Register at 74 FR 31278, on June 30, 2009. No comments were received... ADMINISTRATION Public Buildings Service; Submission for OMB Review; Art-in- Architecture Program National Artist Registry AGENCY: Public Buildings Service, (GSA). ACTION: Notice of request for comments regarding...

  19. Mental Health and Alcohol Abuse Indicators in the Albuquerque Area of Indian Health Service: An Exploratory Chart Review.

    ERIC Educational Resources Information Center

    May, Philip A.

    1988-01-01

    A random review of medical and mental health charts at Indian Health Service (IHS) units serving New Mexico and southern Colorado revealed that 21 percent of individuals using IHS services during a 10-year period came at least once for alcohol or mental health problems. Contains 37 references. (SV)

  20. 42 CFR 422.626 - Fast-track appeals of service terminations to independent review entities (IREs).

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Fast-track appeals of service terminations to... ADVANTAGE PROGRAM Grievances, Organization Determinations and Appeals § 422.626 Fast-track appeals of service terminations to independent review entities (IREs). (a) Enrollee's right to a fast-track appeal...

  1. 42 CFR 422.626 - Fast-track appeals of service terminations to independent review entities (IREs).

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Fast-track appeals of service terminations to... ADVANTAGE PROGRAM Grievances, Organization Determinations and Appeals § 422.626 Fast-track appeals of service terminations to independent review entities (IREs). (a) Enrollee's right to a fast-track appeal...

  2. 42 CFR 422.626 - Fast-track appeals of service terminations to independent review entities (IREs).

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Fast-track appeals of service terminations to... ADVANTAGE PROGRAM Grievances, Organization Determinations and Appeals § 422.626 Fast-track appeals of service terminations to independent review entities (IREs). (a) Enrollee's right to a fast-track appeal...

  3. 42 CFR 422.626 - Fast-track appeals of service terminations to independent review entities (IREs).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Fast-track appeals of service terminations to... Grievances, Organization Determinations and Appeals § 422.626 Fast-track appeals of service terminations to independent review entities (IREs). (a) Enrollee's right to a fast-track appeal of an MA...

  4. 42 CFR 422.626 - Fast-track appeals of service terminations to independent review entities (IREs).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Fast-track appeals of service terminations to... Grievances, Organization Determinations and Appeals § 422.626 Fast-track appeals of service terminations to independent review entities (IREs). (a) Enrollee's right to a fast-track appeal of an MA...

  5. A Review of the Services Offered by English Sure Start Children's Centres in 2011 and 2012

    ERIC Educational Resources Information Center

    Hall, James; Eisenstadt, Naomi; Sylva, Kathy; Smith, Teresa; Sammons, Pamela; Smith, George; Evangelou, Maria; Goff, Jenny; Tanner, Emily; Agur, Maya; Hussey, David

    2015-01-01

    This paper presents a review of the family services that were offered by a sample of 121 English Sure Start Children's Centres in 2011 and 2012. Children's Centres are community based facilities that aim to improve outcomes for at-risk families and children through the delivery of a range of services largely aimed at families with young…

  6. Reducing Health Inequalities in Scotland: The Involvement of People with Learning Disabilities as National Health Service Reviewers

    ERIC Educational Resources Information Center

    Campbell, Martin; Martin, Mike

    2010-01-01

    Reducing health inequalities is a key priority for the Scottish Government. Health authorities are expected to meet quality targets. The involvement of people with learning disabilities in health service review teams has been one of the initiatives used in by National Health Service Quality Improvement Scotland to empower patients and improve…

  7. Reducing Health Inequalities in Scotland: The Involvement of People with Learning Disabilities as National Health Service Reviewers

    ERIC Educational Resources Information Center

    Campbell, Martin; Martin, Mike

    2010-01-01

    Reducing health inequalities is a key priority for the Scottish Government. Health authorities are expected to meet quality targets. The involvement of people with learning disabilities in health service review teams has been one of the initiatives used in by National Health Service Quality Improvement Scotland to empower patients and improve…

  8. Child Disaster Mental Health Services: a Review of the System of Care, Assessment Approaches, and Evidence Base for Intervention.

    PubMed

    Pfefferbaum, Betty; North, Carol S

    2016-01-01

    Several decades of research have informed our knowledge of children's reactions to disasters and the factors that influence their reactions. This article describes the system of care for child disaster mental health services using population risk to determine needed services and a stepped care approach built on assessment and monitoring to advance children to appropriate services. To assess the evidence base for disaster interventions, recent reviews of numerous child disaster mental health interventions are summarized. PMID:26719308

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

    PubMed Central

    2013-01-01

    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

  10. 42 CFR 414.40 - Coding and ancillary policies.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...) Global surgery policy (for example, post- and pre-operative periods and services, and intra-operative... (the interpretation)). (3) Payment modifiers (for example, assistant-at-surgery, multiple surgery, bilateral surgery, split surgical global services, team surgery, and unusual services)....

  11. 42 CFR 414.40 - Coding and ancillary policies.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...) Global surgery policy (for example, post- and pre-operative periods and services, and intra-operative... (the interpretation)). (3) Payment modifiers (for example, assistant-at-surgery, multiple surgery, bilateral surgery, split surgical global services, team surgery, and unusual services)....

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

    NASA Technical Reports Server (NTRS)

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

    2002-01-01

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

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

    SciTech Connect

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

    2009-01-21

    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.

  14. 47 CFR 90.317 - Fixed ancillary signaling and data transmissions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... transmissions, subject to the following requirements: (1) All such ancillary operations must be on a secondary, non-interference basis to the primary mobile operation of any other licensee. (2) The output power...

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

    NASA Technical Reports Server (NTRS)

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

    2011-01-01

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

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

    NASA Astrophysics Data System (ADS)

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

    2015-02-01

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

  17. 76 FR 9786 - NIOSH Dose Reconstruction Program Ten-Year Review-Phase I Report on Customer Service; Request for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... HUMAN SERVICES Centers for Disease Control and Prevention NIOSH Dose Reconstruction Program Ten-Year... review and comment on the draft publication, ``NIOSH Dose Reconstruction Program Ten-Year Review--Phase I...-driven assessment of the dose reconstruction program. The information provided in Phase I will be used...

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

    ERIC Educational Resources Information Center

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

    2010-01-01

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

  19. The Design, Delivery, and Evaluation of Community-Based Family Service Collaboratives: A Review of the Literature.

    ERIC Educational Resources Information Center

    Bloomberg, Laura; And Others

    This literature review is intended for use by organizations and agencies who are working to develop coordinated and integrated services for children and families in their communities. The information is organized in a framework that reflects primary areas of importance in evaluating implementation and effects of collaboration. The reviewed…

  20. 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

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

    2012-01-01

    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…

  1. 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

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

    2012-01-01

    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…

  2. Hybrid MCDA Methods to Integrate Multiple Ecosystem Services in Forest Management Planning: A Critical Review.

    PubMed

    Uhde, Britta; Hahn, W Andreas; Griess, Verena C; Knoke, Thomas

    2015-08-01

    Multi-criteria decision analysis (MCDA) is a decision aid frequently used in the field of forest management planning. It includes the evaluation of multiple criteria such as the production of timber and non-timber forest products and tangible as well as intangible values of ecosystem services (ES). Hence, it is beneficial compared to those methods that take a purely financial perspective. Accordingly, MCDA methods are increasingly popular in the wide field of sustainability assessment. Hybrid approaches allow aggregating MCDA and, potentially, other decision-making techniques to make use of their individual benefits and leading to a more holistic view of the actual consequences that come with certain decisions. This review is providing a comprehensive overview of hybrid approaches that are used in forest management planning. Today, the scientific world is facing increasing challenges regarding the evaluation of ES and the trade-offs between them, for example between provisioning and regulating services. As the preferences of multiple stakeholders are essential to improve the decision process in multi-purpose forestry, participatory and hybrid approaches turn out to be of particular importance. Accordingly, hybrid methods show great potential for becoming most relevant in future decision making. Based on the review presented here, the development of models for the use in planning processes should focus on participatory modeling and the consideration of uncertainty regarding available information. PMID:25896820

  3. Hybrid MCDA Methods to Integrate Multiple Ecosystem Services in Forest Management Planning: A Critical Review

    NASA Astrophysics Data System (ADS)

    Uhde, Britta; Andreas Hahn, W.; Griess, Verena C.; Knoke, Thomas

    2015-08-01

    Multi-criteria decision analysis (MCDA) is a decision aid frequently used in the field of forest management planning. It includes the evaluation of multiple criteria such as the production of timber and non-timber forest products and tangible as well as intangible values of ecosystem services (ES). Hence, it is beneficial compared to those methods that take a purely financial perspective. Accordingly, MCDA methods are increasingly popular in the wide field of sustainability assessment. Hybrid approaches allow aggregating MCDA and, potentially, other decision-making techniques to make use of their individual benefits and leading to a more holistic view of the actual consequences that come with certain decisions. This review is providing a comprehensive overview of hybrid approaches that are used in forest management planning. Today, the scientific world is facing increasing challenges regarding the evaluation of ES and the trade-offs between them, for example between provisioning and regulating services. As the preferences of multiple stakeholders are essential to improve the decision process in multi-purpose forestry, participatory and hybrid approaches turn out to be of particular importance. Accordingly, hybrid methods show great potential for becoming most relevant in future decision making. Based on the review presented here, the development of models for the use in planning processes should focus on participatory modeling and the consideration of uncertainty regarding available information.

  4. Manned maneuvering unit mission definition study. Volume 3: MMU ancillary support equipment and attachment concepts

    NASA Technical Reports Server (NTRS)

    1975-01-01

    An analysis of Manned Maneuvering Units (MMU) ancillary support equipment and attachment concepts is presented. The major objectives of the study are defined as: (1) identifying MMU applications which would supplement space shuttle safety and effectiveness, (2) to define general MMU performance and control requirements to satisfy candidate shuttle applications, (3) to develop concepts for attaching MMUs to various worksites and equipment, and (4) to identify requirements and develop concepts for MMU ancillary equipment.

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

    PubMed

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

    2014-08-01

    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

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

    SciTech Connect

    Watson, E.C.

    1982-07-01

    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.

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

    PubMed Central

    Gabrysch, Sabine; Campbell, Oona MR

    2009-01-01

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

  8. Preliminary Results of Ancillary Safety Analyses Supporting TREAT LEU Conversion Activities

    SciTech Connect

    Brunett, A. J.; Fei, T.; Strons, P. S.; Papadias, D. D.; Hoffman, E. A.; Kontogeorgakos, D. C.; Connaway, H. M.; Wright, A. E.

    2015-10-01

    The Transient Reactor Test Facility (TREAT), located at Idaho National Laboratory (INL), is a test facility designed to evaluate the performance of reactor fuels and materials under transient accident conditions. The facility, an air-cooled, graphite-moderated reactor designed to utilize fuel containing high-enriched uranium (HEU), has been in non-operational standby status since 1994. Currently, in support of the missions of the Department of Energy (DOE) National Nuclear Security Administration (NNSA) Material Management and Minimization (M3) Reactor Conversion Program, a new core design is being developed for TREAT that will utilize low-enriched uranium (LEU). The primary objective of this conversion effort is to design an LEU core that is capable of meeting the performance characteristics of the existing HEU core. Minimal, if any, changes are anticipated for the supporting systems (e.g. reactor trip system, filtration/cooling system, etc.); therefore, the LEU core must also be able to function with the existing supporting systems, and must also satisfy acceptable safety limits. In support of the LEU conversion effort, a range of ancillary safety analyses are required to evaluate the LEU core operation relative to that of the existing facility. These analyses cover neutronics, shielding, and thermal hydraulic topics that have been identified as having the potential to have reduced safety margins due to conversion to LEU fuel, or are required to support the required safety analyses documentation. The majority of these ancillary tasks have been identified in [1] and [2]. The purpose of this report is to document the ancillary safety analyses that have been performed at Argonne National Laboratory during the early stages of the LEU design effort, and to describe ongoing and anticipated analyses. For all analyses presented in this report, methodologies are utilized that are consistent with, or improved from, those used in analyses for the HEU Final Safety Analysis Report (FSAR) [3]. Depending on the availability of historical data derived from HEU TREAT operation, results calculated for the LEU core are compared to measurements obtained from HEU TREAT operation. While all analyses in this report are largely considered complete and have been reviewed for technical content, it is important to note that all topics will be revisited once the LEU design approaches its final stages of maturity. For most safety significant issues, it is expected that the analyses presented here will be bounding, but additional calculations will be performed as necessary to support safety analyses and safety documentation. It should also be noted that these analyses were completed as the LEU design evolved, and therefore utilized different LEU reference designs. Preliminary shielding, neutronic, and thermal hydraulic analyses have been completed and have generally demonstrated that the various LEU core designs will satisfy existing safety limits and standards also satisfied by the existing HEU core. These analyses include the assessment of the dose rate in the hodoscope room, near a loaded fuel transfer cask, above the fuel storage area, and near the HEPA filters. The potential change in the concentration of tramp uranium and change in neutron flux reaching instrumentation has also been assessed. Safety-significant thermal hydraulic items addressed in this report include thermally-induced mechanical distortion of the grid plate, and heating in the radial reflector.

  9. Use of contingent valuation to place a monetary value on pharmacy services: an overview and review of the literature.

    PubMed

    Blumenschein, K; Johannesson, M

    1999-08-01

    An important goal for the pharmacy profession is to quantify the economic value of pharmacy services. The contingent valuation (CV), or willingness-to-pay method, offers one approach to valuing the benefits of pharmacy services. The potential advantage CV offers is that it reflects, in a single monetary amount, the entire range of attributes (both benefits and "nonbenefits") offered by the good or service being valued. This paper provides a brief overview of the CV method and reviews 10 published studies that used a willingness-to-pay question to place a monetary value on pharmacy services. Suggestions for other researchers wishing to use this method are provided. PMID:10485511

  10. Patients’ online access to their electronic health records and linked online services: a systematic interpretative review

    PubMed Central

    de Lusignan, Simon; Mold, Freda; Sheikh, Aziz; Majeed, Azeem; Wyatt, Jeremy C; Quinn, Tom; Cavill, Mary; Gronlund, Toto Anne; Franco, Christina; Chauhan, Umesh; Blakey, Hannah; Kataria, Neha; Barker, Fiona; Ellis, Beverley; Koczan, Phil; Arvanitis, Theodoros N; McCarthy, Mary; Jones, Simon; Rafi, Imran

    2014-01-01

    Objectives To investigate the effect of providing patients online access to their electronic health record (EHR) and linked transactional services on the provision, quality and safety of healthcare. The objectives are also to identify and understand: barriers and facilitators for providing online access to their records and services for primary care workers; and their association with organisational/IT system issues. Setting Primary care. Participants A total of 143 studies were included. 17 were experimental in design and subject to risk of bias assessment, which is reported in a separate paper. Detailed inclusion and exclusion criteria have also been published elsewhere in the protocol. Primary and secondary outcome measures Our primary outcome measure was change in quality or safety as a result of implementation or utilisation of online records/transactional services. Results No studies reported changes in health outcomes; though eight detected medication errors and seven reported improved uptake of preventative care. Professional concerns over privacy were reported in 14 studies. 18 studies reported concern over potential increased workload; with some showing an increase workload in email or online messaging; telephone contact remaining unchanged, and face-to face contact staying the same or falling. Owing to heterogeneity in reporting overall workload change was hard to predict. 10 studies reported how online access offered convenience, primarily for more advantaged patients, who were largely highly satisfied with the process when clinician responses were prompt. Conclusions Patient online access and services offer increased convenience and satisfaction. However, professionals were concerned about impact on workload and risk to privacy. Studies correcting medication errors may improve patient safety. There may need to be a redesign of the business process to engage health professionals in online access and of the EHR to make it friendlier and provide equity of access to a wider group of patients. A1. Systematic review registration number PROSPERO CRD42012003091. PMID:25200561

  11. Next-generation Methods for HIV Partner Services: A Systematic Review

    PubMed Central

    Hochberg, Chad H.; Berringer, Kathryn; Schneider, John A.

    2016-01-01

    Partner notification is a widely accepted method whose intent is to limit onwards HIV transmission. With acceleration in the use of new technologies such as text-messaging, e-mail and social network sites, there has been growing interest in utilizing these techniques for “next-generation” HIV partner services (PS). We conducted a systematic review to assess the utilization and effectiveness of these technologies in HIV PS. Our literature search resulted in 1,343 citations, and 8 met our inclusion criteria. We found efforts focused in 3 domains: 1) patient-led anonymous referral online (n=3); 2) provider-led efforts to augment traditional partner notification techniques at public health departments (n=4); 3) a hybrid approach utilizing a website for e-notification available to those with confirmed STI through an STI clinic (n=1). For the provider-led efforts a modest increase in HIV case-finding was noted despite a generally lower rate of successful notification in comparison to traditional PS. The public websites had a high total number of e-notifications sent, but less than 10% of cards were sent for HIV. Furthermore, low awareness of these services was found in surveys amongat-risk target populations. When given a choice, the majority of clients chose to send an e-notification via text versus e-mail. Although successful notification may be lower overall, use of next-generation services provides an avenue to contact those that would previously have been untraceable. Additional research is needed to determine to what extent technology enhanced partner services improves identification of newly infected persons as well as initiating new prevention for HIV negative clients within high-risk networks. PMID:26267881

  12. COMPREHENSIVE ADOLESCENT HEALTH PROGRAMS THAT INCLUDE SEXUAL AND REPRODUCTIVE HEALTH SERVICES: A SYSTEMATIC REVIEW

    PubMed Central

    Kĺgesten, Anna; Parekh, Jenita; Tunçalp, Özge; Turke, Shani; Blum, Robert Wm

    2015-01-01

    Objectives To describe the characteristics and evidence of comprehensive adolescent health (CAH) programs encompassing sexual and reproductive and other health services, educational and social support. Methods Systematic review of peer-reviewed and grey literature on CAH programs (1998-2013). Only programs with experimental, quasi-experimental or pre-post evaluations were included. Two independent reviewers screened 36,119 records and extracted articles using predefined criteria. Data was synthesised into descriptive characteristics; quality was assessed by evidence level (rigorous, strong, modest). Results Data was extracted on 46 programs (181 studies) of which 19 programs were defined as comprehensive; 9 were excluded due to insufficient evaluations. Ten CAH programs met all inclusion criteria. Most were US based; others were implemented in Egypt, Ethiopia and Mexico. Few programs (N=3) displayed rigorous evidence, 5 had strong and 2 had modest evidence. All programs with rigorous/strong evidence directly or indirectly influenced adolescent sexual and reproductive health. Common elements of these programs included: long-term commitment to adolescents, interpersonal connections, community mobilization, and skill-building elements. Conclusion The long term impact of many CAH programs cannot be proven due to 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

  13. Review of Medical Advisory Services by the Korean Society of Pathologists from 2003 to 2014

    PubMed Central

    Jang, Min Hye; Lee, Geon Kook; Kim, Han Seong; Kim, Wan Seop

    2016-01-01

    Background: Since 2003, the Korean Society of Pathologists (KSP) has been officially providing medical advisory services (MAS). We reviewed the cases submitted to the KSP between 2003 and 2014. Methods: In total, 1,950 cases were submitted, most by private health insurance companies. The main purposes of the consultations were to clarify the initial diagnoses and to assign a proper disease classification code. We comprehensively reviewed 1,803 consultation cases with detailed information. Results: In spite of some fluctuations, the number of submitted cases has been significantly increasing over the 12 study years. The colon and rectum (40.3%), urinary bladder (14.2%), and stomach (6.9%) were the three most common tissues of origin. The most common diagnoses for each of the three tissues of origin were neuroendocrine tumor (50.7%), non-invasive papillary urothelial carcinoma (70.7%), and adenocarcinoma (36.2%). Regardless of the tissue of origin, neuroendocrine tumor of the digestive system was the most common diagnosis (419 of 1,803). Conclusions: In the current study, we found that pathologic consultations associated with private health insurance accounted for a large proportion of the MAS. Coding of the biologic behavior of diseases was the main issue of the consultations. In spite of the effort of the KSP to set proper guidelines for coding and classification of tumors, this review revealed that problems still exist and will continue to be an important issue. PMID:26581208

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

    PubMed Central

    2013-01-01

    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

  15. Estimating Net Primary Productivity Using Satellite and Ancillary Data

    NASA Technical Reports Server (NTRS)

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

    2001-01-01

    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.

  16. 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

    ... 32 National Defense 1 2012-07-01 2012-07-01 false The DoD Civilian/Military Service Review Board... Pt. 47, App. B Appendix B to Part 47—The DoD Civilian/Military Service Review Board and the Advisory... available. d. Factors established in this part for determining AD service. 2. The board shall return to...

  17. 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

    ... 32 National Defense 1 2013-07-01 2013-07-01 false The DoD Civilian/Military Service Review Board... Pt. 47, App. B Appendix B to Part 47—The DoD Civilian/Military Service Review Board and the Advisory... available. d. Factors established in this part for determining AD service. 2. The board shall return to...

  18. 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

    ... 32 National Defense 1 2011-07-01 2011-07-01 false The DoD Civilian/Military Service Review Board... Pt. 47, App. B Appendix B to Part 47—The DoD Civilian/Military Service Review Board and the Advisory... available. d. Factors established in this part for determining AD service. 2. The board shall return to...

  19. 32 CFR Appendix B to Part 47 - The DoD Civilian/Military Service Review Board and the Advisory Panel

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 1 2014-07-01 2014-07-01 false The DoD Civilian/Military Service Review Board... Pt. 47, App. B Appendix B to Part 47—The DoD Civilian/Military Service Review Board and the Advisory... available. d. Factors established in this part for determining AD service. 2. The board shall return to...

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

    PubMed Central

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

    2009-01-01

    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

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

    ERIC Educational Resources Information Center

    Maryland Board of Trustees of the State Colleges, Baltimore.

    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…

  2. Developing methods for systematic reviewing in health services delivery and organisation

    PubMed Central

    Alborz, Alison; McNally, Rosalind

    2007-01-01

    Objectives To develop methods to facilitate the ‘systematic’ review of evidence from a range of methodologies on diffuse or ‘soft’ topics, as exemplified by ‘access to healthcare’. Data sources 28 bibliographic databases, research registers, organisational web sites or library catalogues. Reference lists from identified studies. Contact with experts and service users. Current awareness and contents alerting services in the area of learning disabilities. Review methods Inclusion criteria were English language literature from 1980 onwards, relating to people with learning disabilities of any age and all study designs. The main criteria for assessment was relevance to Guillifords’ model of access to health care which was adapted to the circumstances of people with learning disabilities. Selected studies were evaluated for scientific rigour then data was extracted and the results synthesised. Quality assessment was by an initial set of ‘generic’ quality indicators. This enabled further evidence selection before evaluation of findings according to specific criteria for qualitative, quantitative or mixed-method studies. Results 82 studies were fully evaluated. Five studies were rated ‘highly rigorous’, 22 ‘rigorous’, 46 ‘less rigorous’ and 9 ‘poor’ papers were retained as the sole evidence covering aspects of the guiding model. The majority of studies were quantitative but used only descriptive statistics. Most evidence lacked methodological detail, which often lowered final quality ratings. Conclusions The application of a consistent structure to quality evaluation can facilitate data appraisal, extraction and synthesis across a range of methodologies in diffuse or ‘soft’ topics. Synthesis can be facilitated further by using software, such as the Microsoft ‘Access’ database, for managing information. PMID:15606880

  3. Developing methods for systematic reviewing in health services delivery and organisation

    PubMed Central

    McNally, Rosalind; Alborz, Alison

    2007-01-01

    Objectives To identify literature on: theory, evidence and gaps in knowledge relating to the help-seeking behaviour of people with learning disabilities and their carersbarriers experienced by people with learning disabilities in securing access to the full range of health servicesinterventions which improve access to health services by people with learning disabilities. Data sources 28 bibliographic databases, research registers, organisational web sites or library catalogues. Reference lists from identified studies. Contact with experts. Current awareness and contents alerting services in the area of learning disabilities. Review methods Inclusion criteria were English language literature from 1980 onwards, relating to people with learning disabilities of any age and all study designs. The main criteria for assessment was relevance to the Guilliford et al. model of access to health care9 which was modified to the special needs of people with learning disabilities. Inclusion criteria focussed on relevance to the model with initial criteria revised in light of literature identified and comments from a consultation exercise with people with learning disabilities, family and paid carers and experts in the field. Data abstraction was completed independently and selected studies were evaluated for scientific rigour and the results synthesised. Results 2221 items were identified as potentially relevant. 82 studies were fully evaluated. Conclusions The process of identifying relevant literature was characterised by a process of clarifying the concept under investigation and sensitive search techniques which led to an initial over-identification of non-relevant records from database searches. Thesaurus terms were of limited value forcing a reliance on using free-text terms and alternative methods of identifying literature to supplement and improve the recall of the database searches. A key enabler in identifying relevant literature was the depth and breadth of knowledge built up by the reviewers whilst engaged in this process. PMID:15318916

  4. A scoping review on the experiences and preferences in accessing diabetes-related healthcare information and services by British Bangladeshis.

    PubMed

    Alam, Rahul; Speed, Shaun; Beaver, Kinta

    2012-03-01

    Diabetes is a chronic condition requiring lifelong self-management. Patients are encouraged to access appropriate services to facilitate optimum management of diabetes. Although equitable access to healthcare in the United Kingdom is a legal right, not all groups and individuals in the community experience equity. Despite various equality laws and numerous efforts to minimise health inequalities related to access, particular community groups are more likely to experience inequitable access than others. The Bangladeshi community are one such community who experience some of the worst diabetes-related health outcomes in the United Kingdom. Little is known about their experiences and preferences in accessing diabetes healthcare information and services. Consequently, we undertook a scoping review of the literature by following the York Scoping Reviews Framework to identify the experiences and preferences of Bangladeshi patients and carers when gaining access to diabetes-related healthcare information and services. We identified eight articles and reported our results in relation to four domains of access: health service availability, health service utilisation, health service outcomes and the notion of equity. The review identified that language and literacy issues were the most common barriers hindering access to information and services. Patient knowledge regarding diabetes and its management was generally low, and friends and family were frequently being used as information sources and as informal interpreters. Additionally, there were feelings of isolation from mainstream information and services possibly resulting in the high prevalence of depression in the Bangladeshi community with women more affected than men. Social networks combined with religious and cultural beliefs as well as wider societal duties played a crucial role in accessing information and services for this population, and the identification of these issues merit further research and are possible avenues towards improved access to healthcare information and services for the Bangladeshi population. PMID:21883609

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

    PubMed Central

    Bärnighausen, Till; Bloom, David E

    2009-01-01

    Background In many geographic regions, both in developing and in developed countries, the number of health workers is insufficient to achieve population health goals. Financial incentives for return of service are intended to alleviate health worker shortages: A (future) health worker enters into a contract to work for a number of years in an underserved area in exchange for a financial pay-off. Methods We carried out systematic literature searches of PubMed, the Excerpta Medica database, the Cumulative Index to Nursing and Allied Health Literature, and the National Health Services Economic Evaluation Database for studies evaluating outcomes of financial-incentive programs published up to February 2009. To identify articles for review, we combined three search themes (health workers or students, underserved areas, and financial incentives). In the initial search, we identified 10,495 unique articles, 10,302 of which were excluded based on their titles or abstracts. We conducted full-text reviews of the remaining 193 articles and of 26 additional articles identified in reference lists or by colleagues. Forty-three articles were included in the final review. We extracted from these articles information on the financial-incentive programs (name, location, period of operation, objectives, target groups, definition of underserved area, financial incentives and obligation) and information on the individual studies (authors, publication dates, types of study outcomes, study design, sample criteria and sample size, data sources, outcome measures and study findings, conclusions, and methodological limitations). We reviewed program results (descriptions of recruitment, retention, and participant satisfaction), program effects (effectiveness in influencing health workers to provide care, to remain, and to be satisfied with work and personal life in underserved areas), and program impacts (effectiveness in influencing health systems and health outcomes). Results Of the 43 reviewed studies 34 investigated financial-incentive programs in the US. The remaining studies evaluated programs in Japan (five studies), Canada (two), New Zealand (one) and South Africa (one). The programs started between 1930 and 1998. We identified five different types of programs (service-requiring scholarships, educational loans with service requirements, service-option educational loans, loan repayment programs, and direct financial incentives). Financial incentives to serve for one year in an underserved area ranged from year-2000 United States dollars 1,358 to 28,470. All reviewed studies were observational. The random-effects estimate of the pooled proportion of all eligible program participants who had either fulfilled their obligation or were fulfilling it at the time of the study was 71% (95% confidence interval 60–80%). Seven studies compared retention in the same (underserved) area between program participants and non-participants. Six studies found that participants were less likely than non-participants to remain in the same area (five studies reported the difference to be statistically significant, while one study did not report a significance level); one study did not find a significant difference in retention in the same area. Thirteen studies compared provision of care or retention in any underserved area between participants and non-participants. Eleven studies found that participants were more likely to (continue to) practice in any underserved area (nine studies reported the difference to be statistically significant, while two studies did not provide the results of a significance test); two studies found that program participants were significantly less likely than non-participants to remain in any underserved area. Seven studies investigated the satisfaction of participants with their work and personal lives in underserved areas. Conclusion Financial-incentive programs for return of service are one of the few health policy interventions intended to improve the distribution of human resources for health on which substantial evidence exists. However, the majority of studies are from the US, and only one study reports findings from a developing country, limiting generalizability. The existing studies show that financial-incentive programs have placed substantial numbers of health workers in underserved areas and that program participants are more likely than non-participants to work in underserved areas in the long run, even though they are less likely to remain at the site of original placement. As none of the existing studies can fully rule out that the observed differences between participants and non-participants are due to selection effects, the evidence to date does not allow the inference that the programs have caused increases in the supply of health workers to underserved areas. PMID:19480656

  6. Telepsychological services with criminal justice and substance abuse clients: A systematic review and meta-analysis.

    PubMed

    Batastini, Ashley B; King, Christopher M; Morgan, Robert D; McDaniel, Brieann

    2016-02-01

    Recent years have seen the incorporation of telepsychology into poorly accessed, rural, and underserved settings, including criminal justice and substance abuse treatment. A systematic search of the literature on telepsychological and related services with justice-involved and substance abuse clients revealed numerous descriptive reports, but few empirical studies. The results of 3 studies of criminal justice participants and 2 studies of substance-abuse participants were subjected to a series of 5 outcome-specific meta-analyses (mental health symptoms, therapeutic processes, program engagement, program performance, and service satisfaction). These 5 studies, all of which utilized a comparison group, contributed a total of 342 participants and 14 total effect sizes. Summary data on 3 additional uncontrolled studies are also presented. Results indicated that telepsychological outcomes were at least comparable with in-person outcomes. This review serves as an initial reference for clinicians and policymakers working with criminal justice and substance abuse clients, but also highlights the need for more rigorous scientific investigation into the nuances of telepsychological practice. (PsycINFO Database Record PMID:26192259

  7. Do Interventions that Promote Awareness of Rights Increase Use of Maternity Care Services? A Systematic Review.

    PubMed

    George, Asha S; Branchini, Casey; Portela, Anayda

    2015-01-01

    Twenty years after the rights of women to go through pregnancy and childbirth safely were recognized by governments, we assessed the effects of interventions that promote awareness of these rights to increase use of maternity care services. Using inclusion and exclusion criteria defined in a peer-reviewed protocol, we searched published and grey literature from one database of studies on maternal health, two search engines, an internet search and contact with experts. From the 707 unique documents found, 219 made reference to rights, with 22 detailing interventions promoting awareness of rights for maternal and newborn health. Only four of these evaluated effects on health outcomes. While all four interventions promoted awareness of rights, they did so in different ways. Interventions included highly-scripted dissemination meetings with educational materials and other visual aids, participatory approaches that combined raising awareness of rights with improving accountability of services, and broader multi-stakeholder efforts to improve maternal health. Study quality ranged from weak to strong. Measured health outcomes included increased antenatal care and facility birth. Improvements in human rights outcomes such as availability, acceptability, accessibility, quality of care, as well as the capacity of rights holders and duty bearers were also reported to varying extents. Very little information on costs and almost no information on harms or risks were described. Despite searching multiple sources of information, while some studies did report on activities to raise awareness of rights, few detailed how they did so and very few measured effects on health outcomes. Promoting awareness of rights is one element of increasing demand for and use of quality maternity care services for women during pregnancy, birth and after birth. To date efforts have not been well documented in the literature and the program theories, processes and costs, let alone health effects have not been well evaluated. PMID:26444291

  8. Do Interventions that Promote Awareness of Rights Increase Use of Maternity Care Services? A Systematic Review

    PubMed Central

    George, Asha S.; Branchini, Casey; Portela, Anayda

    2015-01-01

    Twenty years after the rights of women to go through pregnancy and childbirth safely were recognized by governments, we assessed the effects of interventions that promote awareness of these rights to increase use of maternity care services. Using inclusion and exclusion criteria defined in a peer-reviewed protocol, we searched published and grey literature from one database of studies on maternal health, two search engines, an internet search and contact with experts. From the 707 unique documents found, 219 made reference to rights, with 22 detailing interventions promoting awareness of rights for maternal and newborn health. Only four of these evaluated effects on health outcomes. While all four interventions promoted awareness of rights, they did so in different ways. Interventions included highly-scripted dissemination meetings with educational materials and other visual aids, participatory approaches that combined raising awareness of rights with improving accountability of services, and broader multi-stakeholder efforts to improve maternal health. Study quality ranged from weak to strong. Measured health outcomes included increased antenatal care and facility birth. Improvements in human rights outcomes such as availability, acceptability, accessibility, quality of care, as well as the capacity of rights holders and duty bearers were also reported to varying extents. Very little information on costs and almost no information on harms or risks were described. Despite searching multiple sources of information, while some studies did report on activities to raise awareness of rights, few detailed how they did so and very few measured effects on health outcomes. Promoting awareness of rights is one element of increasing demand for and use of quality maternity care services for women during pregnancy, birth and after birth. To date efforts have not been well documented in the literature and the program theories, processes and costs, let alone health effects have not been well evaluated. PMID:26444291

  9. 41 CFR 102-118.650 - Can a TSP request a review of a settlement action by the Administrator of General Services?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...-118.650 Can a TSP request a review of a settlement action by the Administrator of General Services? Yes, a TSP desiring a review of a settlement action taken by the Administrator of General Services may request a review by the Civilian Board of Contract Appeals (CBCA) or file a claim with the United...

  10. 41 CFR 102-118.650 - Can a TSP request a review of a settlement action by the Administrator of General Services?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...-118.650 Can a TSP request a review of a settlement action by the Administrator of General Services? Yes, a TSP desiring a review of a settlement action taken by the Administrator of General Services may request a review by the Civilian Board of Contract Appeals (CBCA) or file a claim with the United...

  11. 41 CFR 102-118.650 - Can a TSP request a review of a settlement action by the Administrator of General Services?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...-118.650 Can a TSP request a review of a settlement action by the Administrator of General Services? Yes, a TSP desiring a review of a settlement action taken by the Administrator of General Services may request a review by the Civilian Board of Contract Appeals (CBCA) or file a claim with the United...

  12. Enhancing VELMA's Watershed Delineation and Performance with Ancillary Stream Data

    EPA Science Inventory

    VELMA (Visualizing Ecosystems for Land Management Assessment) is a hydro-ecological landscape disturbance model developed to predict the effectiveness of alternative green infrastructure scenarios for protecting water quality, and also to estimate potential ecosystem service co-b...

  13. Patient safety in emergency medical services: a systematic review of the literature.

    TOXLINE Toxicology Bibliographic Information

    Bigham BL; Buick JE; Brooks SC; Morrison M; Shojania KG; Morrison LJ

    2012-01-01

    BACKGROUND: Preventable harm from medical care has been extensively documented in the inpatient setting. Emergency medical services (EMS) providers care for patients in dynamic and challenging environments; prehospital emergency care is a field that represents an area of high risk for errors and harm, but has received relatively little attention in the patient safety literature.OBJECTIVE: To identify the threats to patient safety unique to the EMS environment and interventions that mitigate those threats, we completed a systematic review of the literature.METHODS: We searched MEDLINE, EMBASE, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) for combinations of key EMS and patient safety terms composed by a pan-canadian expert panel using a year limit of 1999 to 2011. We excluded commentaries, opinions, letters, abstracts, and non-english publications. Two investigators performed an independent hierarchical screening of titles, abstracts, and full-text articles blinded to source. We used the kappa statistic to examine interrater agreement. Any differences were resolved by consensus.RESULTS: We retrieved 5,959 titles, and 88 publications met the inclusion criteria and were categorized into seven themes: adverse events and medication errors (22 articles), clinical judgment (13), communication (6), ground vehicle safety (9), aircraft safety (6), interfacility transport (16), and intubation (16). Two articles were randomized controlled trials; the remainder were systematic reviews, prospective observational studies, retrospective database/chart reviews, qualitative interviews, or surveys. The kappa statistics for titles, abstracts, and full-text articles were 0.65, 0.79, and 0.87, respectively, for the first search and 0.60, 0.74, and 0.85 for the second.CONCLUSIONS: We found a paucity of scientific literature exploring patient safety in EMS. Research is needed to improve our understanding of problem magnitude and threats to patient safety and to guide interventions.

  14. Current Status and Future Prospects for the Assessment of Marine and Coastal Ecosystem Services: A Systematic Review

    PubMed Central

    Liquete, Camino; Piroddi, Chiara; Drakou, Evangelia G.; Gurney, Leigh; Katsanevakis, Stelios; Charef, Aymen; Egoh, Benis

    2013-01-01

    Background Research on ecosystem services has grown exponentially during the last decade. Most of the studies have focused on assessing and mapping terrestrial ecosystem services highlighting a knowledge gap on marine and coastal ecosystem services (MCES) and an urgent need to assess them. Methodology/Principal Findings We reviewed and summarized existing scientific literature related to MCES with the aim of extracting and classifying indicators used to assess and map them. We found 145 papers that specifically assessed marine and coastal ecosystem services from which we extracted 476 indicators. Food provision, in particular fisheries, was the most extensively analyzed MCES while water purification and coastal protection were the most frequently studied regulating and maintenance services. Also recreation and tourism under the cultural services was relatively well assessed. We highlight knowledge gaps regarding the availability of indicators that measure the capacity, flow or benefit derived from each ecosystem service. The majority of the case studies was found in mangroves and coastal wetlands and was mainly concentrated in Europe and North America. Our systematic review highlighted the need of an improved ecosystem service classification for marine and coastal systems, which is herein proposed with definitions and links to previous classifications. Conclusions/Significance This review summarizes the state of available information related to ecosystem services associated with marine and coastal ecosystems. The cataloging of MCES indicators and the integrated classification of MCES provided in this paper establish a background that can facilitate the planning and integration of future assessments. The final goal is to establish a consistent structure and populate it with information able to support the implementation of biodiversity conservation policies. PMID:23844080

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

    SciTech Connect

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

    2008-02-28

    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.

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

    PubMed Central

    2014-01-01

    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

  17. To use or not to use. A literature review of factors that influence family caregivers' use of support services.

    PubMed

    Mast, Merle E

    2013-01-01

    Many family caregivers of frail older adults postpone or decline accessible and affordable services such as respite, despite their acknowledgement of unmet needs for support and time away from the burdens and stress of caregiving. How caregivers perceive their need for services, and the factors that influence their decisions to use or not to use services, remain poorly understood. This article reviews the literature on family caregiving and the complex interrelated factors that influence caregivers' choices regarding support services. It organizes these factors into four areas: (a) service characteristics, (b) personal predisposing factors that affect perceived need, (c) experiential coping and decision-making patterns, and (d) relational factors. It also examines the implications of this evidence for nursing assessments and interventions with frail older adults and their family caregivers. PMID:23413449

  18. The influence of social determinants on the use of prevention and health promotion services: Results of a systematic literature review

    PubMed Central

    Janßen, Christian; Sauter, Stefanie; Kowalski, Christoph

    2012-01-01

    Background: The following analysis aims to determine whether differences in the use of prevention and health promotion services in Germany can be attributed to health inequality between different social status groups measured by education, occupation and income and where certain improvements can be made in health promotion and prevention efforts and research to reduce those differences. Methods: A systematic literature search was conducted using MedPilot to identify relevant articles published between 1998 and 2010 in the Medline, Medizinische Gesundheit, CC Med, Deutsches Ärzteblatt and Sozialmedizin (SOMED) databases, the Hogrefe, Karger, Krause and Pachermegg and Thieme publisher databases, the Cochrane Database of Systematic Reviews (CDSR), the Cochrane Database of Abstracts of Reviews of Effectiveness (DARE), and the Cochrane Central Register of Controlled Trials. Results: A total of 23 empirical studies on the topic of “prevention, health prevention and social inequality” met the criteria for inclusion in the review. 20 of the 23 reviewed studies provided relatively clear evidence of a significant association between higher social status and greater use of prevention and health promotion services. According to the reviewed studies, gender tends to have a greater effect on the use of prevention and health promotion services than characteristics of vertical social inequality. No studies were found dealing with tertiary prevention or using qualitative methods to explore their research questions. Conclusions: Overall, the review shows that there is sufficient evidence for the relationship between social status and the use of prevention and health promotion services and that this association is both significant and relevant. There are, however, a few “blind spots” in research on this topic, such as a lack of studies on tertiary prevention, especially with regards to prevention and health promotion services use among men, as well as general studies on health promotion among men and women. There is also a lack of published intervention studies demonstrating how to better reach the socially disadvantaged. PMID:23133501

  19. Benthic macrofauna and ancillary data for San Francisco Bay, California, March to November 1987

    USGS Publications Warehouse

    Schemel, Laurence E.; Ota, Allan Y.; Harmon, J.G.; Shay, J.M.; Adorado, R.N.

    1988-01-01

    Benthic macrofauna and ancillary data were collected during 1987 as part of the U.S. Geological Survey Regional Effects Monitoring Program in San Francisco Bay, California. Data were collected during five cruises at 2-month intervals from March through November. Benthic macrofauna for identification of species and sediment for size analysis were sampled at eight stations. Ancillary data, which consisted of salinity, temperature, dissolved-oxygen concentrations, and suspended sediment, were collected at 12 stations. Salinity and temperature were measured at three stations that coincided with continuous water quality monitors. Abundances and geographical distributions of a newly introduced species of clam were measured. (USGS)

  20. Muscle Contraction and Force: the Importance of an Ancillary Network, Nutrient Supply and Waste Removal

    PubMed Central

    Brüggemann, Dagmar A.; Risbo, Jens; Pierzynowski, Stefan G.; Harrison, Adrian P.

    2008-01-01

    Muscle contraction studies often focus solely on myofibres and the proteins known to be involved in the processes of sarcomere shortening and cross-bridge cycling, but skeletal muscle also comprises a very elaborate ancillary network of capillaries, which not only play a vital role in terms of nutrient delivery and waste product removal, but are also tethered to surrounding fibres by collagen ”wires”. This paper therefore addresses aspects of the ancillary network of skeletal muscle at both a microscopic and functional level in order to better understand its role holistically as a considerable contributor to force transfer within muscular tissue. PMID:19325816

  1. The Internet and Library and Information Services: A Review, Analysis, and Annotated Bibliography. Occasional Papers No. 202.

    ERIC Educational Resources Information Center

    Liu, Lewis-Guodo

    This work provides a review and analysis of the literature and an annotated bibliography of 446 sources on the Internet and library and information services. The bibliography is divided alphabetically according to the following topics: academic libraries and scholarly research; bibliographies, directories, guides, and glossaries; business…

  2. The Internet and Library and Information Services: A Review, Analysis, and Annotated Bibliography. Occasional Papers No. 202.

    ERIC Educational Resources Information Center

    Liu, Lewis-Guodo

    This work provides a review and analysis of the literature and an annotated bibliography of 446 sources on the Internet and library and information services. The bibliography is divided alphabetically according to the following topics: academic libraries and scholarly research; bibliographies, directories, guides, and glossaries; business…

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

    ERIC Educational Resources Information Center

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

    2008-01-01

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

  4. Factors that promote and hinder joint and integrated working between health and social care services: a review of research literature.

    PubMed

    Cameron, Ailsa; Lart, Rachel; Bostock, Lisa; Coomber, Caroline

    2014-05-01

    This article reports the results of a review of the research evidence related to joint working in the field of adult health and social care services in the UK. It explores whether recent reforms to joint working have met the objectives set by policy-makers. The review followed an established methodology: electronic databases were searched using predetermined terms, abstracts were screened against inclusion criteria, studies that met the criteria were read in full and assessed for inclusion and data were extracted systematically. The findings of the review suggest that there is some indication that recent developments, in particular the drive to greater integration of services, may have positive benefits for organisations as well as for users and carers of services. However, the evidence consistently reports a lack of understanding about the aims and objectives of integration, suggesting that more work needs to be done if the full potential of the renewed policy agenda on integration is to be realised. Additionally, while the review acknowledges that greater emphasis has been placed on evaluating the outcome of joint working, studies largely report small-scale evaluations of local initiatives and few are comparative in design and therefore differences between 'usual care' and integrated care are not assessed. This makes it difficult to draw firm conclusions about the effectiveness of UK-based integrated health and social care services. PMID:23750908

  5. 78 FR 26664 - Submission for Review: CyberCorpsÂŽ: Scholarship For Service (SFS) Registration Web Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-07

    ... From the Federal Register Online via the Government Publishing Office OFFICE OF PERSONNEL MANAGEMENT Submission for Review: CyberCorps : Scholarship For Service (SFS) Registration Web Site AGENCY: U... of the scholarship or one year, whichever is longer. Approval of the Web page is necessary...

  6. Engine Tune-Up Service. Unit 1: Battery and Cranking System. Review Exercise Book. Automotive Mechanics Curriculum.

    ERIC Educational Resources Information Center

    Goodson-Roberts, Ludy; And Others

    This book of pretests and review exercises is designed to accompany the Engine Tune-Up Service Student Guide for Unit 1, Battery and Cranking System. Focus of the exercises and pretests is testing the battery and cranking system. Pretests and performance checklists are provided for each of the four performance objectives contained in the unit.…

  7. A Review on Learning Styles and Critically Thinking Disposition of Pre-Service Science Teachers in Terms of Miscellaneous Variables

    ERIC Educational Resources Information Center

    Yenice, Nilgun

    2012-01-01

    The present study was carried out in order to review learning styles and critical thinking disposition of pre-service science teachers in terms of sex, grade and age, and to address the relationship between their learning styles and critical thinking disposition. It used Kolb's Inventory of Learning Styles and California Scale of Critical Thinking…

  8. 76 FR 82002 - Submission for Review: SF 2800, Application for Death Benefits Under the Civil Service Retirement...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-29

    ... Volume 76 FR 39926 allowing for a 60-day public comment period. No comments were received for this... MANAGEMENT Submission for Review: SF 2800, Application for Death Benefits Under the Civil Service Retirement System; and SF 2800A, Documentation and Elections in Support of Application for Death Benefits...

  9. 76 FR 39926 - Submission for Review: SF 2800, Application for Death Benefits Under the Civil Service Retirement...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-07

    ... MANAGEMENT Submission for Review: SF 2800, Application for Death Benefits Under the Civil Service Retirement System; and SF 2800A, Documentation and Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death AGENCY: U.S. Office of Personnel Management. ACTION:...

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

    PubMed Central

    2014-01-01

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

  11. Effects of user fee exemptions on the provision and use of maternal health services: a review of literature.

    PubMed

    Hatt, Laurel E; Makinen, Marty; Madhavan, Supriya; Conlon, Claudia M

    2013-12-01

    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. PMID:24992804

  12. Service user involvement in pre-registration mental health nurse education classroom settings: a review of the literature.

    PubMed

    Terry, J

    2012-11-01

    Service user involvement in pre-registration nurse education is now a requirement, yet little is known about how students engage with users in the classroom, how such initiatives are being evaluated, how service users are prepared themselves to teach students, or the potential influence on clinical practice. The aim of this literature review was to bring together published articles on service user involvement in classroom settings in pre-registration mental health nurse education programmes, including their evaluations. A comprehensive review of the literature was carried out via computer search engines and the Internet, as well as a hand search of pertinent journals and references. This produced eight papers that fitted the inclusion criteria, comprising four empirical studies and four review articles, which were then reviewed using a seven-item checklist. The articles revealed a range of teaching and learning strategies had been employed, ranging from exposure to users' personal stories, to students being required to demonstrate awareness of user perspectives in case study presentations, with others involving eLearning and assessment skills initiatives. This review concludes that further longitudinal research is needed to establish the influence of user involvement in the classroom over time. PMID:22296494

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

    SciTech Connect

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

    1986-10-01

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

  14. Cost of elective surgery and utilization of ancillary services in teaching hospitals.

    PubMed Central

    Eastaugh, S R

    1979-01-01

    Measures of surgical utilization studied are the number of elective tests performed preoperatively and the total cost per case. The unit of analysis is a matched pair of patients who underwent the same elective procedure, one a Veterans Administration patient, and the other a municipal or voluntary hospital patient. Federal ownership of the hospital ahd the strongest impact on tests and cost per case. On average, costs for the VA patients were 52 percent more per case. The foreign medical graduate variable had a large positive (inflationary) effect on the number of tests, but a slight downward influence in the cost regressions. The fraction of surgeons with faculty appointments had a strong negative (curtailing) impact on elective testing, but an upward influence on cost per case. Additional variables such as age, average laboratory turnaround time, and fraction of the medical school's students doing their surgical clerkship at the hospital ahd a slight upward influence on utilization. The three policy issues raised in the study involve changing the hospital reimbursement incentives, targeting continuing education programs to categories of staff that need it most, and redistributing faculty and students. PMID:528222

  15. Integration of Chiropractic Services in Military and Veteran Health Care Facilities: A Systematic Review of the Literature.

    PubMed

    Green, Bart N; Johnson, Claire D; Daniels, Clinton J; Napuli, Jason G; Gliedt, Jordan A; Paris, David J

    2016-04-01

    This literature review examined studies that described practice, utilization, and policy of chiropractic services within military and veteran health care environments. A systematic search of Medline, CINAHL, and Index to Chiropractic Literature was performed from inception through April 2015. Thirty articles met inclusion criteria. Studies reporting utilization and policy show that chiropractic services are successfully implemented in various military and veteran health care settings and that integration varies by facility. Doctors of chiropractic that are integrated within military and veteran health care facilities manage common neurological, musculoskeletal, and other conditions; severe injuries obtained in combat; complex cases; and cases that include psychosocial factors. Chiropractors collaboratively manage patients with other providers and focus on reducing morbidity for veterans and rehabilitating military service members to full duty status. Patient satisfaction with chiropractic services is high. Preliminary findings show that chiropractic management of common conditions shows significant improvement. PMID:26677851

  16. 77 FR 63417 - Senior Executive Service; Departmental Performance Review Board Members

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-16

    ... Assistant Secretary Rosa G. Rios, Treasurer of the United States Anita K. Blair, Deputy Assistant Secretary..., Financial Services and Operations, Financial Management Service and Bureau of the Public Debt Anita...

  17. 75 FR 66110 - Guidelines for Use of Stored Specimens and Access to Ancillary Data and Proposed Cost Schedule...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-27

    ... Ancillary Data and Proposed Cost Schedule: Stored Biologic Specimens and Ancillary Data From the... to request comments on this program and present the initial proposed cost schedule. After full... procedures, publish the cost schedule to the Division Web site, and begin to accept proposals for use of...

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

    NASA Technical Reports Server (NTRS)

    Burt, William W.

    1987-01-01

    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.

  19. Long-Term Services and Supports for Older Adults: A Review of Home and Community-Based Services Versus Institutional Care.

    PubMed

    Wysocki, Andrea; Butler, Mary; Kane, Robert L; Kane, Rosalie A; Shippee, Tetyana; Sainfort, François

    2015-01-01

    Despite a shift from institutional services toward more home and community-based services (HCBS) for older adults who need long-term services and supports (LTSS), the effects of HCBS have yet to be adequately synthesized in the literature. This review of literature from 1995 to 2012 compares the outcome trajectories of older adults served through HCBS (including assisted living [AL]) and in nursing homes (NHs) for physical function, cognition, mental health, mortality, use of acute care, and associated harms (e.g., accidents, abuse, and neglect) and costs. NH and AL residents did not differ in physical function, cognition, mental health, and mortality outcomes. The differences in harms between HCBS recipients and NH residents were mixed. Evidence was insufficient for cost comparisons. More and better research is needed to draw robust conclusions about how the service setting influences the outcomes and costs of LTSS for older adults. Future research should address the numerous methodological challenges present in this field of research and should emphasize studies evaluating the effectiveness of HCBS. PMID:25942005

  20. 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...

  1. 76 FR 55890 - Cancellation of Supplemental Environmental Impact Statement for Ancillary Facilities for the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-09

    ... Record of Decision (ROD) (72 FR 7964; February 22, 2007), DOE announced its selection of Richton... new locations for the ancillary facilities associated with the Richton site (73 FR 11895; March 5... the Strategic Petroleum Reserve AGENCY: Department of Energy. ACTION: Notice of Cancellation....

  2. 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...

  3. Advanced technology for ancillary coal cleaning operations. Technical progress report, January 1988--March 1988

    SciTech Connect

    Not Available

    1994-09-01

    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.

  4. 46 CFR 58.25-80 - Automatic pilots and ancillary steering gear.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... completely disconnect the automatic equipment from the steering-gear controls. (b) Automatic pilots and... 46 Shipping 2 2011-10-01 2011-10-01 false Automatic pilots and ancillary steering gear. 58.25-80... AND AUXILIARY MACHINERY AND RELATED SYSTEMS Steering Gear § 58.25-80 Automatic pilots and...

  5. 46 CFR 58.25-80 - Automatic pilots and ancillary steering gear.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... completely disconnect the automatic equipment from the steering-gear controls. (b) Automatic pilots and... 46 Shipping 2 2012-10-01 2012-10-01 false Automatic pilots and ancillary steering gear. 58.25-80... AND AUXILIARY MACHINERY AND RELATED SYSTEMS Steering Gear § 58.25-80 Automatic pilots and...

  6. 46 CFR 58.25-80 - Automatic pilots and ancillary steering gear.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... completely disconnect the automatic equipment from the steering-gear controls. (b) Automatic pilots and... 46 Shipping 2 2010-10-01 2010-10-01 false Automatic pilots and ancillary steering gear. 58.25-80... AND AUXILIARY MACHINERY AND RELATED SYSTEMS Steering Gear § 58.25-80 Automatic pilots and...

  7. 46 CFR 58.25-80 - Automatic pilots and ancillary steering gear.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... completely disconnect the automatic equipment from the steering-gear controls. (b) Automatic pilots and... 46 Shipping 2 2014-10-01 2014-10-01 false Automatic pilots and ancillary steering gear. 58.25-80... AND AUXILIARY MACHINERY AND RELATED SYSTEMS Steering Gear § 58.25-80 Automatic pilots and...

  8. 40 CFR 267.197 - What are the requirements for ancillary equipment?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 27 2011-07-01 2011-07-01 false What are the requirements for ancillary equipment? 267.197 Section 267.197 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE FACILITIES OPERATING UNDER A STANDARDIZED PERMIT Tank Systems...

  9. 46 CFR 58.25-80 - Automatic pilots and ancillary steering gear.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... completely disconnect the automatic equipment from the steering-gear controls. (b) Automatic pilots and... 46 Shipping 2 2013-10-01 2013-10-01 false Automatic pilots and ancillary steering gear. 58.25-80... AND AUXILIARY MACHINERY AND RELATED SYSTEMS Steering Gear § 58.25-80 Automatic pilots and...

  10. 30 CFR 250.207 - What ancillary activities may I conduct?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... OIL AND GAS AND SULPHUR OPERATIONS IN THE OUTER CONTINENTAL SHELF Plans and Information Ancillary... (G&G) explorations and development G&G activities; (b) Geological and high-resolution geophysical... surveys; or (c) Studies that model potential oil and hazardous substance spills, drilling muds...

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

    SciTech Connect

    Not Available

    1994-09-01

    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.

  12. Improving Reliability of Service Operation Using FMEA Review and New Opportunity for Investigations

    NASA Astrophysics Data System (ADS)

    Sutrisno, Agung; Gunawan, Indra

    2016-01-01

    Despite its growing contribution to the global economy, investigation on the application status of service FMEA study to support realization of reliable service operation is very limited in literature. Motivated by such situation, the paper presented an initial survey on the status and research gaps in developing and applying FMEA in service sectors. Systematic preliminary survey using specific criteria are undertaken. Our study indicated that development and application of service FMEA are partially addressing the characteristics of service operations and it is still applied into the good deed and profit oriented operations. Opportunities for further investigation pertaining to advancement of its decision supporting tool for service risk appraisal, its modification to cope with sustainability related requirements and application of service FMEA in not for profit oriented operations are presented as new avenues for further investigation

  13. State of the science review: Advances in pain management in wounded service members over a decade at war.

    PubMed

    Clifford, John L; Fowler, Marcie; Hansen, Jacob J; Cheppudira, Bopiah; Nyland, Jennifer E; Salas, Margaux M; McGhee, Laura L; Petz, Lawrence N; Loyd, Dayna R

    2014-09-01

    The pain conditions and comorbidities experienced by injured service members and the challenge of pain management by the military medical system offer a unique opportunity to inform pain management and medical research. In this article, acute and chronic pain issues, current treatment options and limitations, as well as novel approaches to pain management are discussed within the context of combat casualty care, from the battlefield to hospitalization and rehabilitation. This review will also highlight the current pain management limitations that need to be addressed in future clinical and basic science research to improve care for our nation's injured service members. PMID:25159359

  14. Effectiveness of Health System Services and Programs for Youth to Adult Transitions in Mental Health Care: A Systematic Review of Academic Literature.

    PubMed

    Embrett, Mark G; Randall, Glen E; Longo, Christopher J; Nguyen, Tram; Mulvale, Gillian

    2016-03-01

    Youth shifting to adult mental health services often report experiencing frustrations with accessing care that adequately replaces the youth services they had received. This systematic review assesses the peer reviewed evidence on services/programs aimed at addressing youth to adult transitions in mental health services. Findings suggest little data exists on the effectiveness of transition services/programs. While the available evidence supports meetings between youth and youth caseworkers prior to transitions occurring, it also verifies that this is not common practice. Other identified barriers to effective transitions were categorized as logistical (ineffective system communication), organizational (negative incentives), and related to clinical governance. PMID:25708229

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

    PubMed Central

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

    2014-01-01

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

  16. Patients’ online access to their electronic health records and linked online services: a systematic review in primary care

    PubMed Central

    Mold, Freda; de Lusignan, Simon; Sheikh, Aziz; Majeed, Azeem; Wyatt, Jeremy C; Quinn, Tom; Cavill, Mary; Franco, Christina; Chauhan, Umesh; Blakey, Hannah; Kataria, Neha; Arvanitis, Theodoros N; Ellis, Beverley

    2015-01-01

    Background Online access to medical records by patients can potentially enhance provision of patient-centred care and improve satisfaction. However, online access and services may also prove to be an additional burden for the healthcare provider. Aim To assess the impact of providing patients with access to their general practice electronic health records (EHR) and other EHR-linked online services on the provision, quality, and safety of health care. Design and setting A systematic review was conducted that focused on all studies about online record access and transactional services in primary care. Method Data sources included MEDLINE, Embase, CINAHL, Cochrane Library, EPOC, DARE, King’s Fund, Nuffield Health, PsycINFO, OpenGrey (1999–2012). The literature was independently screened against detailed inclusion and exclusion criteria; independent dual data extraction was conducted, the risk of bias (RoB) assessed, and a narrative synthesis of the evidence conducted. Results A total of 176 studies were identified, 17 of which were randomised controlled trials, cohort, or cluster studies. Patients reported improved satisfaction with online access and services compared with standard provision, improved self-care, and better communication and engagement with clinicians. Safety improvements were patient-led through identifying medication errors and facilitating more use of preventive services. Provision of online record access and services resulted in a moderate increase of e-mail, no change on telephone contact, but there were variable effects on face-to-face contact. However, other tasks were necessary to sustain these services, which impacted on clinician time. There were no reports of harm or breaches in privacy. Conclusion While the RoB scores suggest many of the studies were of low quality, patients using online services reported increased convenience and satisfaction. These services positively impacted on patient safety, although there were variations of record access and use by specific ethnic and socioeconomic groups. Professional concerns about privacy were unrealised and those about workload were only partly so. PMID:25733435

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

    SciTech Connect

    McVey, C.B.

    1995-02-21

    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.

  18. Transition to total one-stop wide-awake hand surgery service-audit: a retrospective review

    PubMed Central

    Bismil, MSK; Bismil, QMK; Harding, David; Harris, Phillip; Lamyman, Elaine; Sansby, Lizzie

    2012-01-01

    Objectives To document the transition to a totally one-stop (patient seen and treated in one appointment) wide-awake (local anaesthesia only) hand surgery service. Design Retrospective review of 10 year service with detailed analysis of last 1000 cases including process and cost-effectiveness and efficiency analysis. Setting Purpose-built CQC-certified day-case surgical facility where we have pioneered the UK's first totally one-stop wide-awake orthopaedic service. Participants Approximately five thousand orthopaedic patients treated in the last ten years. Main outcome measures Surgical outcomes, patient satisfaction and cost-effectiveness and efficiency. Results The OSWA model is safe, efficient and effective; with a low complication rate, extremely high patient satisfaction; and cost-savings to the NHS of 50–75% of the national tariff. The service saved the NHS approximately Ł750,000 for the 1000 cases presented; and over Ł2 million since the inception of the service. Conclusions A totally one-stop wide-awake hand surgery service is a practicable and feasible alternative to the conventional treatment pathway with benefits in terms of efficiency and cost-effectiveness. PMID:22715424

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

    PubMed Central

    2013-01-01

    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

  20. EXPERIENCE OF VOUCHERS FOR REPRODUCTIVE HEALTH SERVICES IN DEVELOPING COUNTRIES: MAKING A CASE FOR PAKISTAN THROUGH A SYSTEMATIC REVIEW.

    PubMed

    Mehboob, Gulrukh; Shaikh, Babar Tasneem

    2015-01-01

    Among the healthcare financing techniques that exist, output-based financing or vouchers is a strategy that is growing in popularity. There is a need of an in-depth analysis of the impacts of vouchers on health indicators, particularly for Pakistan. Assessment of the existing evidence on how much the vouchers impact on health and healthcare utilization can be of greater value to the policy makers for informed decision making. This systematic review included 16 cross-sectional and quasi-experimental design studies. Service utilization, knowledge, service quality, cost-effectiveness of the programme and outreach of the population served were observed as outcomes. We found positive results in with regard to most of these outcomes. Physical accessibility, social mobility of women, security threats, and sustainability of the project after donor exit appear as serious challenges. Yet, lessons can be drawn for the scaling up of the reproductive health services in the country, through the use of vouchers. PMID:26721043

  1. Effects of librarian-provided services in healthcare settings: a systematic review

    PubMed Central

    Perrier, Laure; Farrell, Ann; Ayala, A Patricia; Lightfoot, David; Kenny, Tim; Aaronson, Ellen; Allee, Nancy; Brigham, Tara; Connor, Elizabeth; Constantinescu, Teodora; Muellenbach, Joanne; Epstein, Helen-Ann Brown; Weiss, Ardis

    2014-01-01

    Objective To assess the effects of librarian-provided services in healthcare settings on patient, healthcare provider, and researcher outcomes. Materials and methods Medline, CINAHL, ERIC, LISA (Library and Information Science Abstracts), and the Cochrane Central Register of Controlled Trials were searched from inception to June 2013. Studies involving librarian-provided services for patients encountering the healthcare system, healthcare providers, or researchers were eligible for inclusion. All librarian-provided services in healthcare settings were considered as an intervention, including hospitals, primary care settings, or public health clinics. Results Twenty-five articles fulfilled our eligibility criteria, including 22 primary publications and three companion reports. The majority of studies (15/22 primary publications) examined librarians providing instruction in literature searching to healthcare trainees, and measured literature searching proficiency. Other studies analyzed librarian-provided literature searching services and instruction in question formulation as well as the impact of librarian-provided services on patient length of stay in hospital. No studies were found that investigated librarians providing direct services to researchers or patients in healthcare settings. Conclusions Librarian-provided services directed to participants in training programs (eg, students, residents) improve skills in searching the literature to facilitate the integration of research evidence into clinical decision-making. Services provided to clinicians were shown to be effective in saving time for health professionals and providing relevant information for decision-making. Two studies indicated patient length of stay was reduced when clinicians requested literature searches related to a patient's case. PMID:24872341

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

    Technology Transfer Automated Retrieval System (TEKTRAN)

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

  3. 75 FR 43168 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Service...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-23

    ... Service Network which is comprised of State Units on Aging (SUA), Area Agencies on Aging (AAA) and Local... AAA directors and their staff and focus groups with provider organizations was deemed to be the most... range of AAA and service provider network characteristics. A focus group will be conducted with LSPs...

  4. Is Telephone Review Feasible and Potentially Effective in Low Vision Services?

    ERIC Educational Resources Information Center

    Parkes, Claire; Lennon, Julie; Harper, Robert

    2013-01-01

    Purpose: Demographic transformations within the UK population combine to contribute to a substantial increase in demand for low vision (LV) services, creating a pressing need to reconsider the appropriate methods for service provision. In this study, we evaluate the feasibility of using telephone triage to assess the need for, and timing of, LV…

  5. A Critical Review of Factors in the Underutilization of Mental Health Services by Hispanics.

    ERIC Educational Resources Information Center

    Boucher, Wayne Charles

    The high fertility rates among Hispanics and the continuing immigration patterns are making the mental health needs of Hispanics a national concern. The issue of the underutilization of mental health services by Hispanics must become a prominent concern for all Americans. Three main factors in the underutilization of mental health services by…

  6. Is Telephone Review Feasible and Potentially Effective in Low Vision Services?

    ERIC Educational Resources Information Center

    Parkes, Claire; Lennon, Julie; Harper, Robert

    2013-01-01

    Purpose: Demographic transformations within the UK population combine to contribute to a substantial increase in demand for low vision (LV) services, creating a pressing need to reconsider the appropriate methods for service provision. In this study, we evaluate the feasibility of using telephone triage to assess the need for, and timing of, LV…

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

    PubMed Central

    Saha, Somen; Annear, Peter Leslie

    2015-01-01

    It is a challenge for the poor to overcome the barriers to accessing health services. Membership-based microfinance with associated health programmes can improve health outcomes for the poor. This study reviewed the evidence published between 1993 and 2013 on the role of membership-based microfinance with associated health programmes in improving health outcomes for the poor in South Asia. A total of 661 papers were identified and 26 selected for inclusion, based on the relevance and rigour of the research methods. Of these 26, five were evidence reviews. Of the remaining 21 papers, 12 were from India, seven from Bangladesh, and one each from Sri Lanka and Indonesia. Three papers addressed more than one theme. Five key themes emerged from the review: (i) the impact of microfinance programmes on the social and economic situation of the poor; (ii) the impact of microfinance programmes on community health; (iii) the impact of integrated microfinance health programmes on raising client awareness; (iv) the impact of integrated microfinance health programmes on financing health care; and (v) the impact of integrated microfinance health programmes on affordable health-care products and services. The review provides new evidence on the pathways through which microfinance helps to improve population health and value for money for such programmes. Among countries with large populations in the informal sector, there is a strong case for policy-makers to support these groups in providing access to life-saving health care among the poor. PMID:25685728

  8. Underutilization of cervical cancer prevention services in low and middle income countries: a review of contributing factors

    PubMed Central

    Chidyaonga-Maseko, Fresier; Chirwa, Maureen Leah; Muula, Adamson Sinjani

    2015-01-01

    This review aims at identifying barriers to utilization of cervical cancer prevention services in low- and middle-income countries. An electronic search was conducted using the following key words, HPV vaccination, screening, barriers, utilization and low and middle income/developed countries. Using the Garrard (1999) Matrix method approach, a modified matrix was designed and used as a data collection tool and data related to each category listed on the tool were entered into a matrix containing columns reflecting the categories. Constant comparative analysis was used to identify thematic categories. 31 articles published between 2001 and 2014 were yielded from the search. Analysis of the contents of the articles showed that the underutilization of cervical cancer screening services in low and middle-income countries is the result of barriers in accessing and utilizing of the prevention services. Though not mutually exclusive, the barriers were categorized in three categories; individual, community and health system related. Individual barriers include lack of awareness and knowledge about risk factors and prevention of cervical cancer. Age, marital status, diffidence, social economic status, cultural and religious belief of the women also determine the women's' willingness to utilize the services. In some communities there is stigma attached to discussing reproductive health issues and this limits the young women's awareness of cervical cancer and its prevention. Understanding individual, community and health system barriers that hinder women's utilization of cervical cancer prevention services is very crucial in designing effective cervical cancer control programs in low- and middle-income countries. PMID:26523173

  9. Underutilization of cervical cancer prevention services in low and middle income countries: a review of contributing factors.

    PubMed

    Chidyaonga-Maseko, Fresier; Chirwa, Maureen Leah; Muula, Adamson Sinjani

    2015-01-01

    This review aims at identifying barriers to utilization of cervical cancer prevention services in low- and middle-income countries. An electronic search was conducted using the following key words, HPV vaccination, screening, barriers, utilization and low and middle income/developed countries. Using the Garrard (1999) Matrix method approach, a modified matrix was designed and used as a data collection tool and data related to each category listed on the tool were entered into a matrix containing columns reflecting the categories. Constant comparative analysis was used to identify thematic categories. 31 articles published between 2001 and 2014 were yielded from the search. Analysis of the contents of the articles showed that the underutilization of cervical cancer screening services in low and middle-income countries is the result of barriers in accessing and utilizing of the prevention services. Though not mutually exclusive, the barriers were categorized in three categories; individual, community and health system related. Individual barriers include lack of awareness and knowledge about risk factors and prevention of cervical cancer. Age, marital status, diffidence, social economic status, cultural and religious belief of the women also determine the women's' willingness to utilize the services. In some communities there is stigma attached to discussing reproductive health issues and this limits the young women's awareness of cervical cancer and its prevention. Understanding individual, community and health system barriers that hinder women's utilization of cervical cancer prevention services is very crucial in designing effective cervical cancer control programs in low- and middle-income countries. PMID:26523173

  10. Constitutional limits on federal legislation practically compelling medical employment: Wong v Commonwealth; Selim v Professional Services Review Committee.

    PubMed

    Faunce, Thomas

    2009-10-01

    A recent decision by the High Court of Australia (Wong v Commonwealth; Selim v Professional Services Review Committee (2009) 236 CLR 573) (the PSR case) has not only clarified the scope of the Australian constitutional prohibition on "any form of civil conscription" in relation to federal legislation concerning medical or dental services (s 51xxiiiA), but has highlighted its importance as a great constitutional guarantee ensuring the mixed State-federal and public-private nature of medical service delivery in Australia. Previous decisions of the High Court have clarified that the prohibition does not prevent federal laws regulating the manner in which medical services are provided. The PSR case determined that the anti-overservicing provisions directed at bulk-billing general practitioners under Pt VAA of the Health Insurance Act 1973 (Cth) did not offend the prohibition. Importantly, the High Court also indicated that the s 51(xxiiiA) civil conscription guarantee should be construed widely and that it would invalidate federal laws requiring providers of medical and dental services (either expressly or by practical compulsion) to work for the federal government or any specified State, agency or private industrial employer. This decision is likely to restrict the capacity of any future federal government to restructure the Australian health care system, eg by implementing recommendations from the National Health and Hospitals Reform Commission for either federal government or private corporate control of presently State-run public hospitals. PMID:19998589

  11. Ancillary qubit spectroscopy of vacua in cavity and circuit quantum electrodynamics.

    PubMed

    Lolli, Jared; Baksic, Alexandre; Nagy, David; Manucharyan, Vladimir E; Ciuti, Cristiano

    2015-05-01

    We investigate theoretically how the spectroscopy of an ancillary qubit can probe cavity (circuit) QED ground states containing photons. We consider three classes of systems (Dicke, Tavis-Cummings, and Hopfield-like models), where nontrivial vacua are the result of ultrastrong coupling between N two-level systems and a single-mode bosonic field. An ancillary qubit detuned with respect to the boson frequency is shown to reveal distinct spectral signatures depending on the type of vacua. In particular, the Lamb shift of the ancilla is sensitive to both ground state photon population and correlations. Backaction of the ancilla on the cavity ground state is investigated, taking into account the dissipation via a consistent master equation for the ultrastrong coupling regime. The conditions for high-fidelity measurements are determined. PMID:26001000

  12. 75 FR 65528 - Membership of the National Science Board's Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-25

    ... From the Federal Register Online via the Government Publishing Office NATIONAL SCIENCE FOUNDATION... Science Foundation. ACTION: Announcement of Membership of the National Science Foundation's Performance... Service positions. SUMMARY: This announcement of the membership of the National Science...

  13. 47 CFR 76.930 - Initiation of review of basic cable service and equipment rates.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... rates for the basic service tier and associated equipment with a franchising authority within 30 days of receiving written notification from the franchising authority that the franchising authority has...

  14. The Integration of Counseling and Nursing Services into Schools: A Comparative Review

    ERIC Educational Resources Information Center

    Maughan, Erin; Troup, K. D.

    2011-01-01

    The purpose of this comparative review was to examine the legislative evolution of school guidance and school nursing over the past century, in hopes of identifying reasons why guidance counselors have been more successful in compliance to recommended ratios than school nurses. A literature review was conducted including CINAHL, MEDLINE, ERIC and…

  15. 76 FR 66332 - Appointments to Performance Review Boards for Senior Executive Service

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-26

    ...The U.S. Nuclear Regulatory Commission (NRC) has announced the following appointments to the NRC Performance Review Boards. The following individuals are appointed as members of the NRC Performance Review Board (PRB) responsible for making recommendations to the appointing and awarding authorities on performance appraisal ratings and performance awards for Senior Executives and Senior Level......

  16. The Integration of Counseling and Nursing Services into Schools: A Comparative Review

    ERIC Educational Resources Information Center

    Maughan, Erin; Troup, K. D.

    2011-01-01

    The purpose of this comparative review was to examine the legislative evolution of school guidance and school nursing over the past century, in hopes of identifying reasons why guidance counselors have been more successful in compliance to recommended ratios than school nurses. A literature review was conducted including CINAHL, MEDLINE, ERIC and…

  17. Dengue vector-control services: how do they work? A systematic literature review and country case studies.

    PubMed

    Horstick, Olaf; Runge-Ranzinger, Silvia; Nathan, Michael B; Kroeger, Axel

    2010-06-01

    The increasing incidence and geographic expansion of dengue suggest limitations of vector-control operations. We undertook an analysis of services with two methods: a systematic literature review; and case studies (stakeholder interviews, questionnaires) in Brazil, Guatemala, The Philippines and Viet Nam. In the systematic literature review there were only a few studies (strict criteria, 9 studies; less strict criteria, a further 16 studies and 3 guidelines). Of the 9 studies, 3 showed little change of control operations over time but did show strategic changes (decentralisation, intersectoral collaboration). Staffing levels, capacity building, management and organisation, funding and community engagement were insufficient. The case studies confirmed most of this information: (1) a lack of personnel (entomologists, social scientists, operational vector-control staff); (2) a lack of technical expertise at decentralised levels of services; (3) insufficient budgets; (4) inadequate geographical coverage; (5) interventions relying mostly on insecticides; (6) difficulties in engaging communities; (7) little capacity building; (8) almost no monitoring and evaluation. Stakeholders' doubts about service effectiveness were widespread, but interventions were assumed to be effective with increased resources. The analysis underlined the need for: operational standards; evidence-based selection/delivery of combinations of interventions; development/application of monitoring and evaluation tools; needs-driven capacity building. PMID:20400169

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

    PubMed Central

    2010-01-01

    Background The application of mobile computing and communication technology is rapidly expanding in the fields of health care and public health. This systematic review will summarise the evidence for the effectiveness of mobile technology interventions for improving health and health service outcomes (M-health) around the world. Findings To be included in the review interventions must aim to improve or promote health or health service use and quality, employing any mobile computing and communication technology. This includes: (1) interventions designed to improve diagnosis, investigation, treatment, monitoring and management of disease; (2) interventions to deliver treatment or disease management programmes to patients, health promotion interventions, and interventions designed to improve treatment compliance; and (3) interventions to improve health care processes e.g. appointment attendance, result notification, vaccination reminders. A comprehensive, electronic search strategy will be used to identify controlled studies, published since 1990, and indexed in MEDLINE, EMBASE, PsycINFO, Global Health, Web of Science, the Cochrane Library, or the UK NHS Health Technology Assessment database. The search strategy will include terms (and synonyms) for the following mobile electronic devices (MEDs) and a range of compatible media: mobile phone; personal digital assistant (PDA); handheld computer (e.g. tablet PC); PDA phone (e.g. BlackBerry, Palm Pilot); Smartphone; enterprise digital assistant; portable media player (i.e. MP3 or MP4 player); handheld video game console. No terms for health or health service outcomes will be included, to ensure that all applications of mobile technology in public health and health services are identified. Bibliographies of primary studies and review articles meeting the inclusion criteria will be searched manually to identify further eligible studies. Data on objective and self-reported outcomes and study quality will be independently extracted by two review authors. Where there are sufficient numbers of similar interventions, we will calculate and report pooled risk ratios or standardised mean differences using meta-analysis. Discussion This systematic review will provide recommendations on the use of mobile computing and communication technology in health care and public health and will guide future work on intervention development and primary research in this field. PMID:20925916

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

    SciTech Connect

    2010-01-01

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

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

    ScienceCinema

    None

    2012-06-14

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

  1. Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: systematic review

    PubMed Central

    Bhui, Kamaldeep S.; Aslam, Rabeea'h W.; Palinski, Andrea; McCabe, Rose; Johnson, Mark R. D.; Weich, Scott; Singh, Swaran P.; Knapp, Martin; Ardino, Vittoria; Szczepura, Ala

    2015-01-01

    Background Communication may be an influential determinant of inequality of access to, engagement with and benefit from psychiatric services. Aims To review the evidence on interventions designed to improve therapeutic communications between Black and minority ethnic patients and clinicians who provide care in psychiatric services. Method Systematic review and evidence synthesis (PROSPERO registration: CRD42011001661). Data sources included the published and the ‘grey’ literature. A survey of experts and a consultation with patients and carers all contributed to the evidence synthesis, interpretation and recommendations. Results Twenty-one studies were included in our analysis. The trials showed benefits mainly for depressive symptoms, experiences of care, knowledge, stigma, adherence to prescribed medication, insight and alliance. The effect sizes were smaller for better-quality trials (range of d 0.18–0.75) than for moderate- or lower-quality studies (range of d 0.18–4.3). The review found only two studies offering weak economic evidence. Conclusions Culturally adapted psychotherapies, and ethnographic and motivational assessment leading to psychotherapies were effective and favoured by patients and carers. Further trials are needed from outside of the UK and USA, as are economic evaluations and studies of routine psychiatric care practices. PMID:26243761

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

    PubMed Central

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

    2014-01-01

    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

  3. Choosing the right laboratory: a review of clinical and forensic toxicology services for urine drug testing in pain management.

    PubMed

    Reisfield, Gary M; Goldberger, Bruce A; Bertholf, Roger L

    2015-01-01

    Urine drug testing (UDT) services are provided by a variety of clinical, forensic, and reference/specialty laboratories. These UDT services differ based on the principal activity of the laboratory. Clinical laboratories provide testing primarily focused on medical care (eg, emergency care, inpatients, and outpatient clinics), whereas forensic laboratories perform toxicology tests related to postmortem and criminal investigations, and drug-free workplace programs. Some laboratories now provide UDT specifically designed for monitoring patients on chronic opioid therapy. Accreditation programs for clinical laboratories have existed for nearly half a century, and a federal certification program for drug-testing laboratories was established in the 1980s. Standards of practice for forensic toxicology services other than workplace drug testing have been established in recent years. However, no accreditation program currently exists for UDT in pain management, and this review considers several aspects of laboratory accreditation and certification relevant to toxicology services, with the intention to provide guidance to clinicians in their selection of the appropriate laboratory for UDT surveillance of their patients on opioid therapy. PMID:25750163

  4. 76 FR 50272 - Senior Executive Service (SES) Performance Review Board; Members

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-12

    ... From the Federal Register Online via the Government Publishing Office NATIONAL ARCHIVES AND... Archives and Records Administration. ACTION: Notice; SES Performance Review Board. SUMMARY: Notice is hereby given of the appointment of members of the National Archives and Records Administration...

  5. Clinical Uncertainties, Health Service Challenges, and Ethical Complexities of HIV “Test-and-Treat”: A Systematic Review

    PubMed Central

    Shah, Kavita R.; Sarma, Karthik V.; Mahajan, Anish P.

    2013-01-01

    Despite the HIV “test-and-treat” strategy’s promise, questions about its clinical rationale, operational feasibility, and ethical appropriateness have led to vigorous debate in the global HIV community. We performed a systematic review of the literature published between January 2009 and May 2012 using PubMed, SCOPUS, Global Health, Web of Science, BIOSIS, Cochrane CENTRAL, EBSCO Africa-Wide Information, and EBSCO CINAHL Plus databases to summarize clinical uncertainties, health service challenges, and ethical complexities that may affect the test-and-treat strategy’s success. A thoughtful approach to research and implementation to address clinical and health service questions and meaningful community engagement regarding ethical complexities may bring us closer to safe, feasible, and effective test-and-treat implementation. PMID:23597344

  6. Community Health Workers' Provision of Family Planning Services in Low- and Middle-Income Countries: A Systematic Review of Effectiveness.

    PubMed

    Scott, Valerie K; Gottschalk, Lindsey B; Wright, Kelsey Q; Twose, Claire; Bohren, Meghan A; Schmitt, Megan E; Ortayli, Nuriye

    2015-09-01

    This systematic review evaluates the strength of the evidence that community health workers' (CHW) provision of family planning (FP) services in low- and middle-income countries is effective. In a search of eight databases, articles were screened by study design and outcome measure and ranked by strength of evidence. Only randomized trials, longitudinal studies with a comparison group, and pre-test/post-test studies met inclusion criteria. A total of 56 studies were included. Of those studies with relevant data, approximately 93 percent indicated that CHW FP programs effectively increased the use of modern contraception, while 83 percent reported an improvement in knowledge and attitudes concerning contraceptives. Based on these findings, strong evidence exists for promoting CHW programs to improve access to FP services. We recommend a set of best practice guidelines that researchers and program managers can use to report on CHW FP programs to facilitate the translation of research to practice across a wide range of settings. PMID:26347089

  7. A Systematic Review of the Effect of Early Interventions for Psychosis on the Usage of Inpatient Services

    PubMed Central

    Randall, Jason R.; Vokey, Sherri; Loewen, Hal; Martens, Patricia J.; Brownell, Marni; Katz, Alan; Nickel, Nathan C.; Burland, Elaine; Chateau, Dan

    2015-01-01

    Objectives: To review and synthesize the currently available research on whether early intervention for psychosis programs reduce the use of inpatient services. Methods: A systematic review was conducted using keywords searches on PubMed, Embase (Ovid), PsycINFO (ProQuest), Scopus, CINAHL (EBSCO), Social Work Abstracts (EBSCO), Social Science Citations Index (Web of Science), Sociological Abstracts (ProQuest), and Child Development & Adolescent Studies (EBSCO). To be included, studies had to be peer-reviewed publications in English, examining early intervention programs using a variant of assertive community treatment, with a control/comparison group, and reporting inpatient service use outcomes. The primary outcome extracted number hospitalized and total N. Secondary outcome extracted means and standard deviations. Data were pooled using random effects models. Primary outcome was the occurrence of any hospitalization during treatment. A secondary outcome was the average bed-days used during treatment period. Results: Fifteen projects were identified and included in the study. Results of meta-analysis supported the occurrence of a positive effect for intervention for both outcome measures (any hospitalization OR: 0.33; 95% CI 0.18–0.63, bed-days usage SMD: −0.38, 95% CI −0.53 to −0.24). There was significant heterogeneity of effect across the studies. This heterogeneity is due to a handful of studies with unusually positive responses. Conclusion: These results suggest that early intervention programs are superior to standard of care, with respect to reducing inpatient service usage. Wider use of these programs may prevent the occurrence of admission for patients experiencing the onset of psychotic symptoms. PMID:25745034

  8. Integrating traditional indigenous medicine and western biomedicine into health systems: a review of Nicaraguan health policies and miskitu health services.

    PubMed

    Carrie, Heather; Mackey, Tim K; Laird, Sloane N

    2015-01-01

    Throughout the world, indigenous peoples have advocated for the right to retain their cultural beliefs and traditional medicine practices. In 2007, the more than 370 million people representing 5000 distinct groups throughout the world received global recognition with the adoption of the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP). UNDRIP Article 24 affirms the rights of indigenous peoples to their traditional medicines and health practices, and to all social and health services. Although not a legally binding agreement, UNDRIP encourages nation states to comply and implement measures to support and uphold its provisions. Within the context of indigenous health and human rights, Nicaragua serves as a unique case study for examining implementation of UNDRIP Article 24 provisions due to the changes in the Nicaraguan Constitution that strive for the overarching goal of affirming an equal right to health for all Nicaraguans and supporting the integration of traditional medicine and biomedicine at a national and regional level. To explore this subject further, we conducted a review of the policy impact of UNDRIP on health services accessible to the Miskitu indigenous peoples of the North Atlantic Autonomous Region (RAAN). We found that although measures to create therapeutic cooperation are woven into Nicaraguan health plans at the national and regional level, in practice, the delivery of integrated health services has been implemented with varying results. Our review suggests that the method of policy implementation and efforts to foster intercultural collaborative approaches involving respectful community engagement are important factors when attempting to assess the effectiveness of UNDRIP implementation into national health policy and promoting traditional medicine access. In response, more study and close monitoring of legislation that acts to implement or align with UNDRIP Article 24 is necessary to ensure adequate promotion and access to traditional medicines and health services for indigenous populations in Nicaragua and beyond. PMID:26616532

  9. Why do patients with ‘primary care sensitive’ problems access ambulance services? A systematic mapping review of the literature

    PubMed Central

    Booker, Matthew J; Shaw, Ali R G; Purdy, Sarah

    2015-01-01

    Objective Emergency ambulance use for problems that could be managed in primary care continues to rise owing to complex reasons that are poorly understood. The objective of this systematic review is to draw together published evidence across a variety of study methodologies and settings to gain a better understanding of why patients seek help from ambulance services for these problems. Design Systematic searches were undertaken across the MEDLINE, EMBASE, PsychINFO, CINAHL, Health Management Information Consortium and Health Management Information Service publication databases. Google Scholar, Web of Science, OpenSigle, EThOS and DART databases were also systematically searched for reports, proceedings, book chapters and theses, along with hand-searching of grey literature sources. Studies were included if they reported on findings examining patient, carer, health professional or service management interactions with ambulance services for primary care problems. All study methodologies and perspectives were of interest. Data were extracted, quality assessed and systematically mapped according to key findings through generation of an iterative framework. Results A total of 31 studies met inclusion criteria. Findings were summarised across 5 broad categories: factors associated with individual patients; actions of care-givers and bystanders; population-level factors; health infrastructure factors; challenges faced by health professionals. A number of subcategories were developed to explore these factors in more detail. Conclusions This review reports important factors that may impact on ambulance use for primary care problems across a global setting, including demographic measures associated with deprivation, minority status and individual social circumstances. Categorising ambulance calls for primary care problems as ‘inappropriate’ is context dependant and may be unhelpful. Potential implications for triage and risk management strategies are discussed. PMID:25991458

  10. [Prison health is public health! Problems in adapting and implementing health services for prisoners in Germany. A review].

    PubMed

    Keppler, K; Stöver, H; Schulte, B; Reimer, J

    2010-02-01

    On the basis of international standards, health care in German prisons has been oriented along the principle of equivalence (equity of health care delivery for inmates compared with the health care delivery in the community). Against this background, selected health problems demonstrate not only isolated problems in adaptation and implementation of health care delivery, but also structural problems resulting from the parallel system of prison health care, which is separated from the general German health care insurance system. This review serves as a basis to present suggestions to rethink and reorganize prison-based health care services. PMID:20084356

  11. Understanding Online Counseling Services through a Review of Definitions and Elements Necessary for Change.

    ERIC Educational Resources Information Center

    Tyler, J. Michael; Guth, Lorraine J.

    In a relatively brief period of time, many clinicians and agencies have sought to use the World Wide Web as a means to access clients, impart information, advertise, or educate. Increasingly, counselors and other mental health professionals are seeking to provide or to supplement client services over the Internet. Unfortunately, amidst all the…

  12. K-12 School Food Service Staff Training Interventions: A Review of the Literature

    ERIC Educational Resources Information Center

    Stephens, Lacy; Shanks, Carmen Byker

    2015-01-01

    Background: School food service professionals are vital to implementing national nutrition standards in school meal programs. Appropriate and effective training for these professionals may be one key to producing healthful meals that students are excited to eat and also meet United States Department of Agriculture (USDA) nutrient guidelines. A…

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

    ERIC Educational Resources Information Center

    Rempel, Hannah Gascho

    2010-01-01

    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…

  14. Alcohol Services for Mexican Americans: A Review of Utilization Patterns, Treatment Considerations and Prevention Activities.

    ERIC Educational Resources Information Center

    Gilbert, M. Jean; Cervantes, Richard C.

    1986-01-01

    Synthesizes available literature that addresses: (1) utilization patterns of alcohol-related services by Mexican Americans; (2) existing therapeutic approaches which take into account cultural factors; and (3) existing approaches to alcohol abuse education and prevention for this population. Discusses research needs and the need for…

  15. The Spanish Speaking and Library Services: A Systematic Review and Analysis.

    ERIC Educational Resources Information Center

    Haro, Roberto P.; Cabello-Argandona, Roberto

    Traditional models of library service and their applicability to the Spanish-speaking community, a rapidly growing group not generally considered by policy makers, planners, and decision makers of the library profession, are examined. Topics include: discussion of terms describing Hispanic-origin people; size of Spanish-origin population;…

  16. 9 CFR 351.5 - Conditions of eligibility for certification service; review of applications.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... EXPORT Procedure for Obtaining Service: Administration of Program § 351.5 Conditions of eligibility for...”); and such source materials will be rendered at the plant into technical animal fat eligible for export, or storage for export, in accordance with the regulations in this part; (2) The source materials...

  17. 75 FR 51168 - Members of Senior Executive Service Performance Review Boards

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-18

    .... Stipek, Director, Customer Accounts Services (W&I) Keith V. Taylor, Director, Human Resources (SB/SE..., Criminal Investigation (CI) Alain Dubois, Director, Research, Small Business/Self Employed (SB/SE) James P. Falcone, IRS Human Capital Officer Faris R. Fink, Deputy Commissioner (SB/SE) ] Carl T....

  18. K-12 School Food Service Staff Training Interventions: A Review of the Literature

    ERIC Educational Resources Information Center

    Stephens, Lacy; Shanks, Carmen Byker

    2015-01-01

    Background: School food service professionals are vital to implementing national nutrition standards in school meal programs. Appropriate and effective training for these professionals may be one key to producing healthful meals that students are excited to eat and also meet United States Department of Agriculture (USDA) nutrient guidelines. A…

  19. 77 FR 56824 - Notice of Submission for OMB Review; Office of Special Education and Rehabilitative Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-14

    ... Reporting Form--Rehabilitation Services Administration (RSA) Annual Payback Report SUMMARY: The Annual Payback Report collects data on the status of ``current'' and ``exited'' RSA scholars who are/were the... rehabilitation fields and degrees pursued by RSA scholars, as well as the fund owed and the rehabilitation...

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

    ERIC Educational Resources Information Center

    Rempel, Hannah Gascho

    2010-01-01

    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…