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. Regulation of ancillary services.

    PubMed

    Glaser, David M

    2002-04-01

    Operation of ancillary services is highly regulated. The regulations are not always logical, but they are navigable. Be sure to work with a health care attorney who is familiar with the rules. Be careful to fully disclose all relevant facts. Most importantly, ask a lot of questions. The rules are complicated, but they are understandable. By being inquisitive, you will be able to determine whether your legal or consulting expert has a good understanding of the rules. If you work together, it is usually possible to structure the ancillary service in a way that can be both safe and profitable. PMID:12122841

  6. 18 CFR 35.40 - Ancillary services.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 18 Conservation of Power and Water Resources 1 2011-04-01 2011-04-01 false Ancillary services. 35... Sales of Electric Energy, Capacity and Ancillary Services at Market-Based Rates § 35.40 Ancillary services. A Seller may make sales of ancillary services at market-based rates only if it has...

  7. 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.

  8. Ancillary services available to the orthopedic surgeon.

    PubMed

    Bert, Jack M

    2008-01-01

    The delivery of high quality medical services is approaching a crisis situation in the United States. As physician reimbursements decline and overhead increases, orthopedic surgeons must seek additional sources of revenue to remain financially viable and control the quality of medical care that they deliver. The orthopedic surgeon group is well positioned to control its own service lines and deliver excellent patient care as a result. This article reviews the possibilities of multiple types of ancillary service lines available for the orthopedic group practice. PMID:18061762

  9. 18 CFR 35.40 - Ancillary services.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ....40 Section 35.40 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER THE FEDERAL POWER ACT FILING OF RATE SCHEDULES AND TARIFFS Wholesale Sales of Electric Energy, Capacity and Ancillary Services at Market-Based Rates § 35.40...

  10. 18 CFR 35.40 - Ancillary services.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ....40 Section 35.40 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER THE FEDERAL POWER ACT FILING OF RATE SCHEDULES AND TARIFFS Wholesale Sales of Electric Energy, Capacity and Ancillary Services at Market-Based Rates § 35.40...

  11. 18 CFR 35.40 - Ancillary services.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 18 Conservation of Power and Water Resources 1 2012-04-01 2012-04-01 false Ancillary services. 35.40 Section 35.40 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER THE FEDERAL POWER ACT FILING OF RATE SCHEDULES AND TARIFFS Wholesale Sales of Electric Energy, Capacity...

  12. 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.

  13. 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

  14. 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.

  15. 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.

  16. 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.

  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. Ancillary-service costs for 12 US electric utilities

    SciTech Connect

    Kirby, B.; Hirst, E.

    1996-03-01

    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 divided these services into three categories: ``actions taken to effect the transaction (such as scheduling and dispatching services) , services that are necessary to maintain the integrity of the transmission system [and] services needed to correct for the effects associated with undertaking a transaction.`` In March 1995, FERC published a proposed rule to ensure open and comparable access to transmission networks throughout the country. The rule defined six ancillary services and developed pro forma tariffs for these services: scheduling and dispatch, load following, system protection, energy imbalance, loss compensation, and reactive power/voltage control.

  19. 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.

  20. 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

  1. 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

  2. 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.

  3. 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.

  4. 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...

  5. 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...

  6. 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.

  7. 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

  8. 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.

  9. 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.

  10. 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... ancillary services markets. The Commission is revising certain aspects of its current market-based...

  11. Making your orthopedic office profitable through the addition of ancillary services.

    PubMed

    Bert, Jack M

    2002-04-01

    With the precipitous decline of orthopedic reimbursement over the past six years, it will be critical to the success of the majority of orthopedic groups to improve their revenue stream in the future. This will involve improving management, reducing overhead, and adding ancillary services to obtain facility fee revenue. Ancillary service possibilities for the orthopedist include an in-office surgicenter with a pain center, MRI, physical therapy with orthotics and braces, occupational health department, pharmacy, and independent medical examination company. PMID:12122838

  12. Audit of subsidized ancillary services at the Nevada Test site

    SciTech Connect

    1995-09-08

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

  13. 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... addresses for individual mailpieces. (1) For the following special services, the service standard for the... scans. (2) For domestic electronic Address Correction Service, the service standard for the...

  14. 39 CFR 122.1 - Ancillary special services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Postal Service UNITED STATES POSTAL SERVICE POST OFFICE SERVICES SERVICE STANDARDS FOR MARKET-DOMINANT... addresses for individual mailpieces. (1) For the following special services, the service standard for the... scans. (2) For domestic electronic Address Correction Service, the service standard for the...

  15. 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 ancillary service. 801.670-3 Section 801.670-3 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS GENERAL DEPARTMENT OF VETERANS AFFAIRS ACQUISITION REGULATION SYSTEM Career...

  16. 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 ancillary service. 801.670-3 Section 801.670-3 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS GENERAL DEPARTMENT OF VETERANS AFFAIRS ACQUISITION REGULATION SYSTEM Career...

  17. 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 ancillary service. 801.670-3 Section 801.670-3 Federal Acquisition Regulations System DEPARTMENT OF VETERANS AFFAIRS GENERAL DEPARTMENT OF VETERANS AFFAIRS ACQUISITION REGULATION SYSTEM Career...

  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. 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,

  20. 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...

  1. 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...

  2. 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.

  3. 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.

  4. 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

  5. Identifying children in need of ancillary and enabling services: a population approach.

    PubMed

    Benedict, Ruth E; Farel, Anita M

    2003-12-01

    Children with chronic or disabling conditions use health, education and social services at a higher rate than their healthy peers. Estimates of the number of children in need of these specialized services are widely varied and often depend on categorical definitions that do not account for either the diversity or commonality of their experiences. Developing methods for identifying the population in need of services, particularly children likely to use long-term ancillary (audiology, occupational, physical or speech therapy, or social work) and/or enabling services (special equipment, personal care assistance, respite care, transportation, or environmental modifications), is essential for effective policy and program implementation. This study examines several recent attempts to operationalize definitions of children with chronic conditions using a noncategorical classification approach. Particular emphasis is placed on the subgroup of children identified as having functional limitations. Proposed operational definitions of children with functional limitations are compared using data from the 1994-1995 Disability Supplement to the US National Health Interview Survey. Estimates of the number of children reported to be using ancillary and enabling services are generated and compared across operational definitions of functional limitation as well as by the number, severity, and type (i.e. mobility, self-care, communication/sensory, social cognition/learning ability) of limitation. Depending on the operational definition selected, 9-14% of US community-dwelling children are estimated to have functional limitations. Among children with limitations, 26-30% regularly use ancillary services and 11-14% use enabling services. The strengths, limitations, and potential applications for each operational definition are discussed. PMID:14512235

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 76 FR 36400 - Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-22

    ... Regulation Compensation in the Organized Wholesale Power Markets, 76 FR 11177 (Mar. 1, 2011), Notice of... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission 18 CFR Chapter I Third-Party Provision of Ancillary Services; Accounting...

  11. 29 CFR 2550.408b-6 - Statutory exemption for ancillary services by a bank or similar financial institution.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... similar financial institution. 2550.408b-6 Section 2550.408b-6 Labor Regulations Relating to Labor....408b-6 Statutory exemption for ancillary services by a bank or similar financial institution. (a) In... similar financial institution (as defined in § 2550.408b-4(c)(1) supervised by the United States or...

  12. 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...

  13. 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... ``LA'' has been established for `Land Acquisition Reports' (LA Reports) filed by market-based utilities... on a quarterly basis the acquisition of control of a site or sites for new generation...

  14. 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.

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. 47 CFR 25.149 - Application requirements for ancillary terrestrial components in Mobile-Satellite Service...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... exposure to radio frequency electromagnetic fields as defined in §§ 1.1307(b) and 1.1310 of this chapter... Mobile-Satellite Service bands, MSS ATC is limited to no more than 7.775 MHz of spectrum in the L-band and 11.5 MHz of spectrum in the S-band. Licensees in these bands may implement ATC only on...

  20. 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.

  1. 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.

  2. 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

  3. [Urban ecosystem services: A review].

    PubMed

    Mao, Qi-zheng; Huang, Gan-lin; Wu, Jian-guo

    2015-04-01

    Maintaining and improving ecosystem services in urban areas and human well-being are essential for sustainable development and therefore constitute an important topic in urban ecology. Here we reviewed studies on ecosystem services in urban areas. Based on the concept and classification of urban ecosystem services, we summarized characteristics of urban ecosystem services, including the human domination, high demand of ecosystem services in urban areas, spatial heterogeneity and temporal dynamics of ecosystem services supply and demand in urban areas, multi-services of urban green infrastructures, the socio-economic dimension of ecosystem services supply and ecosystem disservices in urban areas. Among different urban ecosystem services, the regulating service and cultural service are particularly indispensable to benefit human health. We pointed out that tradeoffs among different types of ecosystem services mostly occur between supportive service and cultural service, as well as regulating service and cultural service. In particular, we emphasized the relationship between landscape design (i.e. green infrastructure) and ecosystem services supply. Finally, we discussed current gaps to link urban ecosystem services studies to landscape design and management and pointed out several directions for future research in urban ecosystem services. PMID:26259442

  4. 47 CFR 25.149 - Application requirements for ancillary terrestrial components in the mobile-satellite service...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Policy Act of 1969, including the guidelines for human exposure to radio frequency electromagnetic fields... bands, MSS ATC is limited to no more than 7.775 MHz of spectrum in the L-band and 11.5 MHz of spectrum... that the MSS ATC service is consistent with its ATC authority. (g) Spectrum leasing. Leasing...

  5. 47 CFR 25.149 - Application requirements for ancillary terrestrial components in the mobile-satellite service...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Policy Act of 1969, including the guidelines for human exposure to radio frequency electromagnetic fields... bands, MSS ATC is limited to no more than 7.775 MHz of spectrum in the L-band and 11.5 MHz of spectrum... that the MSS ATC service is consistent with its ATC authority. (g) Spectrum leasing. Leasing...

  6. 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

  7. 47 CFR 25.149 - Application requirements for ancillary terrestrial components in the Mobile-Satellite Service...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... frequency electromagnetic fields as defined in §§ 1.1307(b) and 1.1310 of this chapter for PCS networks. (6...-Satellite Service bands, MSS ATC is limited to no more than 7.775 MHz of spectrum in the L-band and 11.5 MHz of spectrum in the S-band. Licensees in these bands may implement ATC only on those channels on...

  8. 42 CFR 414.40 - Coding and ancillary policies.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Coding and ancillary policies. 414.40 Section 414.40 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES... Other Practitioners § 414.40 Coding and ancillary policies. (a) General rule. CMS establishes...

  9. 42 CFR 414.40 - Coding and ancillary policies.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Coding and ancillary policies. 414.40 Section 414.40 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES... Other Practitioners § 414.40 Coding and ancillary policies. (a) General rule. CMS establishes...

  10. 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... Other Practitioners § 414.40 Coding and ancillary policies. (a) General rule. CMS establishes...

  11. Fluorescence in situ hybridization as an ancillary tool in the diagnosis of ambiguous melanocytic neoplasms: a review of 804 cases.

    PubMed

    North, Jeffrey P; Garrido, Maria C; Kolaitis, Nicholas A; LeBoit, Philip E; McCalmont, Timothy H; Bastian, Boris C

    2014-06-01

    Previous studies have demonstrated the utility of fluorescence in situ hybridization (FISH) as an ancillary method in the diagnostic workup of histopathologically ambiguous melanocytic neoplasms. A combination of probes targeting 3 loci on chromosome 6 and 1 on 11q has been reported to distinguish unequivocal melanomas and nevi with a sensitivity and specificity of 87% and 96%, respectively. However, information on how FISH should be integrated into routine clinical testing is limited. We report our experience of FISH testing of 804 ambiguous melanocytic lesions performed as part of routine workup at University of California, San Francisco. The main category (47% of all cases) for which FISH testing was requested was Spitz tumors. Other categories included the distinction of possible melanoma from combined nevi (9%), acral or mucosal nevi (9%), Clark/dysplastic nevi (7%), and blue or deep penetrating nevi (6%) and to assess the possibility of nevoid melanoma (4%). Of the ambiguous tumors successfully tested, 88% received a more definitive benign or malignant final diagnosis. Of the 630 cases that tested negative by FISH, the final diagnosis was benign in 489 (78%) cases, ambiguous in 91 cases (14%), and malignant in 50 cases (8%). A positive FISH result was observed in 124 cases, with a final diagnosis of melanoma in 117 (94%). One (1%) FISH-positive case had an equivocal final diagnosis, and 6 (5%) were interpreted, despite the positive FISH result, as melanocytic nevi. We conclude that FISH testing can help reduce the number of equivocal diagnoses in ambiguous melanocytic neoplasms, in particular if FISH testing is positive, and discuss the challenges and limitations of FISH in clinical practice. PMID:24618603

  12. 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...

  13. 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...

  14. 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.

  15. The Multiple Benefits of Class-Size Research: A Review of STAR's Legacy, Subsidiary and Ancillary Studies.

    ERIC Educational Resources Information Center

    Achilles, C. M.; And Others

    This review of research connected to Project Student Teacher Achievement Ratio (STAR) is a summary of the project's ongoing work in the form of a letter from researchers to a hypothetical colleague. Project STAR has investigated the effect on student achievement and development of small classes in the primary grades (K through 3). A research…

  16. A review of a pleural service.

    PubMed

    Aujayeb, A; Parker, S; Bourke, S; Miller, J; Cooper, D

    2016-12-01

    This paper reviews the organisation and outcomes of a pleural service, specifically geared towards the management of malignant pleural effusions, in a district general hospital in the north east of England. We summarise the evidence behind local anaesthetic thoracoscopy and indwelling pleural catheters. We then summarise the review of our service, including a discussion around complications. PMID:27092367

  17. 75 FR 54445 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-07

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

  18. 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...

  19. 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

  20. 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.

  1. (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.

  2. 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

  3. 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...

  4. 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...

  5. 76 FR 63351 - Senior Executive Service; Financial Management Service Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-12

    ... Senior Executive Service; Financial Management Service Performance Review Board (PRB) AGENCY: Financial... the Financial Management Service (FMS) Performance Review Board (PRB). DATES: This notice is effective.... Rogers, Deputy Commissioner, Financial Management Service. BILLING CODE 4810-35-M...

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-19

    ... COMMISSION Senior Executive Service; Performance Review Board; Members AGENCY: National Capital Planning Commission. ACTION: Notice of Members of Senior Executive Service Performance Review Board SUMMARY: Section... assigned to individual members of the agency's Senior Executive Service. The PRB established for...

  7. 78 FR 28243 - Senior Executive Service; Performance Review Board; Members

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-14

    ... COMMISSION Senior Executive Service; Performance Review Board; Members AGENCY: National Capital Planning Commission. ACTION: Notice of Members of Senior Executive Service Performance Review Board. SUMMARY: Section... assigned to individual members of the agency's Senior Executive Service. The PRB established for...

  8. 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)

  9. 75 FR 20809 - Hydrographic Services Review Panel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-21

    ... Hydrographic Services Review Panel provides advice on current and emerging oceanographic and marine science...; and (i) Other oceanographic/marine related sciences. The Panel has fifteen voting members appointed by... transportation, port administration, vessel pilotage, coastal or fishery management, and other oceanographic...

  10. 76 FR 57980 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ... 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 Date... review and evaluate the initial summary rating of the senior executive's performance, the...

  11. 78 FR 55244 - Senior Executive Service Performance Review Board; Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-10

    ... SAFETY BOARD Senior Executive Service Performance Review Board; Membership AGENCY: Defense Nuclear... Facilities Safety Board (DNFSB) Senior Executive Service (SES) Performance Review Board (PRB). DATES... shall review and evaluate the initial summary rating of a senior executive's performance, the...

  12. 75 FR 56999 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-17

    ... 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 Date... shall review and evaluate the initial summary rating of the senior executive's performance,...

  13. 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…

  14. 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…

  15. Urgent Psychiatric Services: A Scoping Review

    PubMed Central

    Sunderji, Nadiya; de Bibiana, Jason Tan; Stergiopoulos, Vicky

    2015-01-01

    Objective: Urgent psychiatric services can provide timely access to ambulatory psychiatric assessment and short-term treatment for patients experiencing a mental health crisis or risk of rapid deterioration requiring hospitalization, yet little is known about how best to organize mental health service delivery for this population. Our scoping review was conducted to identify knowledge gaps and inform program development and quality improvement. Method: We searched MEDLINE, PsycINFO, CINAHL, Embase, and EBM Reviews for English-language articles, published from January 1993 to June 2014, using relevant key words and subject headings. Reverse and forward citations were manually searched using reference lists and Google Scholar. Articles were included if they described programs providing ambulatory psychiatric assessment (with or without treatment) within 2 weeks of referral. Results: We identified 10 programs providing urgent psychiatric services. Programs targeted a diagnostically heterogeneous population with acute risks and intensive needs. Most programs included a structured process for triage, strategies to improve accessibility and attendance, interprofessional staffing, short-term treatment, and efforts to improve continuity of care. Despite substantial methodological limitations, studies reported improvements in symptom severity, distress, psychosocial functioning, mental health–related quality of life, subjective well-being, and satisfaction with care, as well as decreased wait times for post-emergency department (ED) ambulatory care, and averted ED visits and admissions. Conclusions: Urgent psychiatric services may be an important part of the continuum of mental health services. Further work is needed to clarify the role of urgent psychiatric services, develop standards or best practices, and evaluate outcomes using rigorous methodologies. PMID:26454727

  16. 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... senior executives accountable for organizational and individual goal accomplishment. As part of...

  17. 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... senior executives accountable for organizational and individual goal accomplishment. As part of...

  18. 77 FR 54570 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-05

    ... 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 Date... initial summary rating of the senior executive's performance, the executive's response, and the...

  19. 78 FR 63310 - Senior Executive Service; Fiscal Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-23

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

  20. 75 FR 4453 - Health Services Research and Development Service Merit Review Board; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-27

    ... 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 held... development applications involving the measurement and evaluation of health care services, the testing of...

  1. 76 FR 55677 - Senior Executive Service (SES) Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-08

    ... From the Federal Register Online via the Government Publishing Office GENERAL SERVICES ADMINISTRATION Senior Executive Service (SES) Performance Review Board AGENCY: General Services Administration. ACTION: Notice. SUMMARY: Notice is hereby given of the appointment of new members to the General...

  2. 75 FR 14214 - Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-24

    ... HEALTH REVIEW COMMISSION Senior Executive Service Performance Review Board Membership AGENCY... Review Commission, as required by 5 U.S.C. 4314(c)(1) through (5), has established a Senior Executive Service PRB. The PRB reviews and evaluates the initial appraisal of a senior executive's performance...

  3. 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... Review Commission, as required by 5 U.S.C. 4314(c)(1) through (5), has established a Senior Executive Service PRB. The PRB reviews and evaluates the initial appraisal of a senior executive's performance...

  4. 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... Review Commission, as required by 5 U.S.C. 4314(c)(1) through (5), has established a Senior Executive Service PRB. The PRB reviews and evaluates the initial appraisal of a senior executive's performance...

  5. 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

    ... AFFAIRS Health Services Research and Development Service Scientific Merit Review Board, Notice of Meeting... Committee Act) that various subcommittees of the Health Services Research and Development Service Scientific... intramural research proposals and critiques. The purpose of the Board is to review research and...

  6. 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...

  7. 76 FR 42168 - Health Services Research and Development Service Merit Review Board; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-18

    ...; HSR 2--Determinants of Patient Response to Care; HSR 3--Informatics and Research Methods Development... 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...

  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. 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…

  10. 32 CFR 881.3 - Individual Service Review Board.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Individual Service Review Board. 881.3 Section 881.3 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE MILITARY PERSONNEL DETERMINATION OF ACTIVE MILITARY SERVICE AND DISCHARGE FOR CIVILIAN OR CONTRACTUAL GROUPS § 881.3 Individual Service Review Board. (a)...

  11. 5 CFR 550.408 - Review of accounts; service credit.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Review of accounts; service credit. 550.408 Section 550.408 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PAY ADMINISTRATION (GENERAL) Payments During Evacuation § 550.408 Review of accounts; service...

  12. 78 FR 44577 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-24

    ... SECURITY Office of the Secretary Senior Executive Service Performance Review Board AGENCY: Office of the... members of the Senior Executive Service Performance Review Boards for the Department of Homeland Security... incumbents of Senior Executive Service, Senior Level and Senior Professional positions of the...

  13. 77 FR 60450 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-03

    ... SECURITY Office of the Secretary Senior Executive Service Performance Review Board AGENCY: Office of the... the Senior Executive Service Performance Review Boards for the Department of Homeland Security. The... incumbents of Senior Executive Service, Senior Level and Senior Professional positions of the...

  14. 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

  15. 75 FR 47141 - Review of Personal Radio Services Rules

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-04

    ... Communications Commission 47 CFR Parts 1, 27 and 95 Review of Personal Radio Services Rules; Proposed Rule #0;#0... COMMUNICATIONS COMMISSION 47 CFR Parts 1, 27 and 95 Review of Personal Radio Services Rules AGENCY: Federal..., reorganize, simplify and streamline its Personal Radio Services rules to reflect technological advances...

  16. 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... Commission, as required by 5 U.S.C. 4314(c)(1) through (5), has established a Senior Executive Service PRB. The PRB reviews and evaluates the initial appraisal of a senior executive's performance by...

  17. 77 FR 51523 - Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-24

    ... GENERAL ON INTEGRITY AND EFFICIENCY Senior Executive Service Performance Review Board Membership AGENCY... Senior Executive Service (SES) performance review boards. The purpose of these boards is to review and evaluate the initial appraisal of a senior executive's performance by the supervisor, along with...

  18. 75 FR 55816 - Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-14

    ... Council of the Inspectors General on Integrity and Efficiency Senior Executive Service Performance Review... Senior Executive Service (SES) performance review boards. The purpose of these boards is to review and evaluate the initial appraisal of a senior executive's performance by the supervisor, along with...

  19. 76 FR 57947 - Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ...; ] COUNCIL OF THE INSPECTORS GENERAL ON INTEGRITY AND EFFICIENCY Senior Executive Service Performance Review... Senior Executive Service (SES) performance review boards. The purpose of these boards is to review and evaluate the initial appraisal of a senior executive's performance by the supervisor, along with...

  20. 76 FR 80902 - Senior Executive Service; Performance Review Board; Members

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-27

    ... From the Federal Register Online via the Government Publishing Office COURT SERVICES AND OFFENDER SUPERVISION AGENCY FOR THE DISTRICT OF COLUMBIA Senior Executive Service; Performance Review Board; Members... on performance appraisals assigned to individual members of the agency's Senior Executive...

  1. 78 FR 63275 - Senior Executive Service Performance Review Boards Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-23

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Office of the Secretary Senior Executive Service Performance Review Boards Membership AGENCY: Office of the Secretary, Department of Transportation (DOT). ACTION: Notice of Performance Review Board...

  2. 76 FR 63986 - Senior Executive Service Performance Review Boards Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-14

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Office of the Secretary Senior Executive Service Performance Review Boards Membership AGENCY: Office of the Secretary, Department of Transportation (DOT). ACTION: Notice of Performance Review Board...

  3. 75 FR 68668 - Senior Executive Service; Departmental Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-08

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Senior Executive Service; Departmental Performance Review Board AGENCY: Treasury Department. ACTION: Notice of members of the Departmental Offices Performances Review Board. SUMMARY: Pursuant to 5...

  4. 75 FR 67399 - Performance Review Board, Senior Executive Service (SES)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-02

    ... SPACE ADMINISTRATION Performance Review Board, Senior Executive Service (SES) AGENCY: National..., 2010, announcing membership of the Performance Review Board (PRB) and the Senior Executive Committee... Space Flight Center Director, Stennis Space Center Senior Executive Committee Chairperson,...

  5. 77 FR 43900 - Senior Executive Service Performance Review Boards Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Office of the Secretary Senior Executive Service Performance Review Boards Membership AGENCY: Office of the Secretary, Department of Transportation (DOT). ACTION: Notice of Performance Review Board...

  6. 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…

  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

    ... Methods and Models on August 27-28, 2013, at the VHA National Conference Center, Arlington, Virginia; HSR... 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...

  8. 76 FR 61346 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-04

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF DEFENSE Office of the Secretary Senior Executive Service Performance Review Board AGENCY: Department of Defense... the appointment of the members of the Senior Executive Service (SES) Performance Review Board...

  9. 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...

  10. 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...

  11. 78 FR 57837 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-20

    ... INVESTIGATION BOARD Senior Executive Service Performance Review Board AGENCY: Chemical Safety and Hazard Investigation Board. ACTION: Notice. SUMMARY: This notice announces a change in the membership of the Senior...). The PRB reviews initial performance ratings of members of the Senior Executive Service (SES) and...

  12. 75 FR 62509 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-12

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF DEFENSE Office of the Secretary Senior Executive Service Performance Review Board AGENCY: Department of Defense... members of the Senior Executive Service (SES) Performance Review Board (PRB) for the Department of...

  13. 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... Senior Executive Service Performance Review Board. DATES: September 27, 2010. FOR FURTHER INFORMATION... (for e-mail messages, the subject line should include the following reference-- USAID OIG...

  14. DOD Service Academies: Academic Review Processes. Report to Congressional Requesters.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC. National Security and International Affairs Div.

    This report examined the academic review processes at the three Department of Defense service academies, describing how the academies use these processes to review cases of students who have not met academic performance standards. Based on interviews with academy officials and relevant documents, it outlines the review processes in place at the…

  15. 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...

  16. 75 FR 69061 - Senior Executive Service; Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-10

    ... 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: SES Performance Review Board Standing Register. SUMMARY: This notice provides the Performance Review Board...

  17. 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 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...

  18. 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...

  19. 76 FR 70711 - Senior Executive Service; Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-15

    ... 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: SES Performance Review Board Standing Register. SUMMARY: This notice provides the Performance Review Board...

  20. 78 FR 70027 - 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: SES Performance Review Board Standing Register. SUMMARY: This notice provides the Performance Review Board...

  1. 77 FR 64967 - 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: SES Performance Review Board Standing Register. SUMMARY: This notice provides the Performance Review Board...

  2. 75 FR 69063 - Senior Executive Service; Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-10

    ... 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...

  3. 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.

  4. 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

  5. 76 FR 69770 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-09

    ... MANAGEMENT Senior Executive Service Performance Review Board AGENCY: Office of Personnel Management. ACTION... senior executive's performance by the supervisor, and considers recommendations to the appointing authority regarding the performance of the senior executive. Office of Personnel Management. John...

  6. 75 FR 68385 - Senior Executive Service-Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-05

    ... MANAGEMENT Senior Executive Service-Performance Review Board AGENCY: Office of Personnel Management. ACTION... of a senior executive's performance by the supervisor, and considers recommendations to the appointing authority regarding the performance of the senior executive. Office of Personnel Management....

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

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 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...

  9. 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...

  10. 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...

  11. 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...

  12. 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...

  13. 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…

  14. 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

  15. 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…

  16. 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 Investment Board. ACTION: Notice. SUMMARY: This notice announces the appointment of the members of the Senior... Senior Executive Service. DATES: This notice is effective December 16, 2011. FOR FURTHER...

  17. 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

  18. 76 FR 58559 - Notice of Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-21

    ... Performance Review Board which oversees the evaluation of performance appraisals of Senior Executive Service... ADMINISTRATION Notice of Senior Executive Service Performance Review Board Membership AGENCY: Social Security Administration. ACTION: Notice of Senior Executive Service Performance Review Board Membership. Title 5,...

  19. 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

  20. 78 FR 52995 - Senior Executive Service: Performance Review Board Members

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-27

    ... 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 Administration. ACTION: Notice of Members for the FY 2014 Performance Review Board. SUMMARY: Title 5 U.S.C....

  1. 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.... The PRB shall review and evaluate the initial appraisal of a senior executive's performance by the supervisor, along with any response by the senior executive, and make recommendations to the final...

  2. 78 FR 75447 - Senior Executive Service; Departmental Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-11

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Senior Executive Service; Departmental Performance Review Board AGENCY: Treasury Department. ACTION: Notice of members of the Departmental Performance Review Board (PRB). SUMMARY: Pursuant to 5 U.S.C....

  3. 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... performance review function for the SES in NASA is being performed by the NASA PRB and the NASA Senior Executive Committee. The latter performs this function for senior executives who report directly to...

  4. 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... reviews and evaluates the initial appraisal of a senior executive's performance by the supervisor, and considers recommendations to the appointing authority regarding the performance of the senior executive....

  5. 76 FR 61726 - Senior Executive Service Performance Review; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ... September 26, 2011, in FR Doc. 2011- 24577, beginning on page 59417, please add the following three names to... 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...

  6. 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 Administration. ACTION: Notice of Members for the FY 2012 Performance Review Board. SUMMARY: Title 5 U.S.C....

  7. 75 FR 71785 - Senior Executive Service: Performance Review Board Members

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-24

    ... 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 Administration. ACTION: Notice of Members for the FY 2010 Performance Review Board. SUMMARY: Title 5 U.S.C....

  8. 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 Administration. ACTION: Notice of Members for the FY 2011 Performance Review Board. SUMMARY: Title 5 U.S.C....

  9. 76 FR 69798 - Senior Executive Service; Departmental Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-09

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Senior Executive Service; Departmental Performance Review Board AGENCY: Treasury Department. ACTION: Notice of members of the Departmental Performance Review Board (PRB). SUMMARY: Pursuant to 5 U.S.C....

  10. 78 FR 73568 - Senior Executive Service-Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-06

    ... MANAGEMENT Senior Executive Service-Performance Review Board AGENCY: Office of Personnel Management. ACTION... board reviews and evaluates the initial appraisal of a senior executive's performance by the supervisor, and considers recommendations to the appointing authority regarding the performance of the...

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-12

    ... SPACE ADMINISTRATION Performance Review Board, Senior Executive Service (SES) AGENCY: National... performance review function for the SES in NASA is being performed by the NASA PRB and the NASA Senior Executive Committee. The latter performs this function for senior executives who report directly to...

  12. Financial Aid as a Service: A Review of Operations.

    ERIC Educational Resources Information Center

    Adams, Judith

    A study was undertaken at Macomb Community College (MCC), in Michigan, to review the effectiveness of the college's financial aid department. Data were gathered from a search of the literature related to financial aid services and a review of comments and findings from MCC alumni and financial aid surveys. In addition, surveys were conducted of…

  13. 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

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

    PubMed Central

    Pereira, Aline Garcia; Vergara, Lizandra Garcia Lupi; Merino, Eugenio Andrés Díaz; 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

  15. 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...

  16. 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:...

  17. 78 FR 6854 - Health Services Research and Development Service Scientific Merit Review Board; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-31

    ... 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 the Federal Advisory Committee Act, 5 U.S.C. App. 2, that the Centers of...

  18. 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

  19. Comparative review of multifunctionality and ecosystem services in sustainable agriculture.

    PubMed

    Huang, Jiao; Tichit, Muriel; Poulot, Monique; Darly, Ségolène; Li, Shuangcheng; Petit, Caroline; Aubry, Christine

    2015-02-01

    Two scientific communities with broad interest in sustainable agriculture independently focus on multifunctional agriculture or ecosystem services. These communities have limited interaction and exchange, and each group faces research challenges according to independently operating paradigms. This paper presents a comparative review of published research in multifunctional agriculture and ecosystem services. The motivation for this work is to improve communication, integrate experimental approaches, and propose areas of consensus and dialog for the two communities. This extensive analysis of publication trends, ideologies, and approaches enables formulation of four main conclusions. First, the two communities are closely related through their use of the term "function." However, multifunctional agriculture considers functions as agricultural activity outputs and prefers farm-centred approaches, whereas ecosystem services considers ecosystem functions in the provision of services and prefers service-centred approaches. Second, research approaches to common questions in these two communities share some similarities, and there would be great value in integrating these approaches. Third, the two communities have potential for dialog regarding the bundle of ecosystem services and the spectrum of multifunctional agriculture, or regarding land sharing and land sparing. Fourth, we propose an integrated conceptual framework that distinguishes six groups of ecosystem services and disservices in the agricultural landscape, and combines the concepts of multifunctional agriculture and ecosystem services. This integrated framework improves applications of multifunctional agriculture and ecosystem services for operational use. Future research should examine if the framework can be readily adapted for modelling specific problems in agricultural management. PMID:25463579

  20. 77 FR 50545 - Members of Senior Executive Service Performance Review Boards

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-21

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Internal Revenue Service Members of Senior Executive Service Performance Review Boards AGENCY: Internal... Senior Executive Service (SES) Performance Review Boards. DATES: This notice is effective September...

  1. 47 CFR 1.9049 - Special provisions relating to spectrum leasing arrangements involving the ancillary terrestrial...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 1 2013-10-01 2013-10-01 false Special provisions relating to spectrum leasing arrangements involving the ancillary terrestrial component of Mobile Satellite Services. 1.9049 Section 1.9049 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRACTICE AND PROCEDURE Grants by Random...

  2. 47 CFR 1.9049 - Special provisions relating to spectrum leasing arrangements involving the ancillary terrestrial...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 1 2012-10-01 2012-10-01 false Special provisions relating to spectrum leasing arrangements involving the ancillary terrestrial component of Mobile Satellite Services. 1.9049 Section 1.9049 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRACTICE AND PROCEDURE Grants by Random...

  3. 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 …

  4. 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…

  5. 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

  6. 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…

  7. 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 Investment Board. ACTION: Notice. SUMMARY: This notice announces the appointment of the members of the Senior... appraisals, ratings, and bonuses, and other appropriate personnel actions for members of the Senior...

  8. 76 FR 70131 - Senior Executive Service Performance Review Board; Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-10

    ... AGENCY Senior Executive Service Performance Review Board; Membership AGENCY: Environmental Protection... appraisal of a senior executive's performance by the supervisor, along with any recommendations to the appointment authority relative to the performance of the senior executive. Members of the 2011 EPA...

  9. 77 FR 65685 - Senior Executive Service Performance Review Board; Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-30

    ... AGENCY Senior Executive Service Performance Review Board; Membership AGENCY: U.S. Environmental... initial appraisal of a senior executive's performance by the supervisor, along with any recommendations to the appointment authority relative to the performance of the senior executive. Members of the 2012...

  10. 75 FR 68669 - Senior Executive Service; Departmental Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-08

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Senior Executive Service; Departmental Performance Review Board AGENCY: Treasury Department. ACTION: Notice. SUMMARY: Pursuant to 5 U.S.C. 4314(c)(4), this notice announces the appointment of members of...

  11. 78 FR 52513 - Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-23

    ... GENERAL ON INTEGRITY AND EFFICIENCY Senior Executive Service Performance Review Board Membership AGENCY... prescribed by the Office of Personnel Management, each agency is required to establish one or more Senior... initial appraisal of a senior executive's performance by the supervisor, along with any recommendations...

  12. 78 FR 77125 - Senior Executive Service Performance Review Board; Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-20

    ... AGENCY Senior Executive Service Performance Review Board; Membership AGENCY: U.S. Environmental... initial appraisal of a senior executive's performance by the supervisor, along with any recommendations to the appointment authority relative to the performance of the senior executive. Members of the 2013...

  13. 75 FR 76006 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-07

    ... INVESTMENT BOARD Senior Executive Service Performance Review Board AGENCY: Federal Retirement Thrift Investment Board. ACTION: Notice. SUMMARY: This notice announces the appointment of the members of the Senior... appraisals, ratings, and bonuses, and other appropriate personnel actions for members of the Senior...

  14. 76 FR 59416 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-26

    ... SECURITY Office of the Secretary Senior Executive Service Performance Review Board AGENCY: Office of the Secretary, DHS. ACTION: Notice. SUMMARY: This notice announces the appointment of the members of the Senior..., ratings, bonuses, pay adjustments, and other appropriate personnel actions for incumbents of...

  15. 75 FR 57974 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-23

    ... SECURITY Office of the Secretary Senior Executive Service Performance Review Board AGENCY: Office of the Secretary, DHS. ACTION: Notice. SUMMARY: This notice announces the appointment of the members of the Senior..., ratings, bonuses, pay adjustments, and other appropriate personnel actions for incumbents of...

  16. 76 FR 76122 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-06

    ..., 2011 (76 FR 30646). This notice is published in the Federal Register pursuant to the requirement of 5 U... INVESTIGATION BOARD Senior Executive Service Performance Review Board AGENCY: Chemical Safety and Hazard Investigation Board. ACTION: Notice. SUMMARY: This notice announces a change in the membership of the...

  17. 77 FR 70779 - Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-27

    ... INVESTMENT BOARD Senior Executive Service Performance Review Board AGENCY: Federal Retirement Thrift Investment Board. ACTION: Notice. SUMMARY: This notice announces the appointment of the members of the Senior... appraisals, ratings, and bonuses, and other appropriate personnel actions for members of the Senior...

  18. 75 FR 70002 - Senior Executive Service Performance Review Board; Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-16

    ... AGENCY Senior Executive Service Performance Review Board; Membership AGENCY: Environmental Protection... appraisal of a senior executive's performance by the supervisor, along with any recommendations to the appointment authority relative to the performance of the senior executive. Members of the 2010 EPA...

  19. 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... Development, Office of Inspector General's Senior Executive Service Performance Review Board. DATES: September... Boards. The board shall review and evaluate the initial appraisal of each USAID OIG senior...

  20. 32 CFR 1656.13 - Review of alternative service job assignments.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 6 2012-07-01 2012-07-01 false Review of alternative service job assignments... SERVICE SYSTEM ALTERNATIVE SERVICE § 1656.13 Review of alternative service job assignments. (a) Review of ASW job assignments will be accomplished in accordance with the provisions of this subsection....

  1. 32 CFR 1656.13 - Review of alternative service job assignments.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 6 2014-07-01 2014-07-01 false Review of alternative service job assignments... SERVICE SYSTEM ALTERNATIVE SERVICE § 1656.13 Review of alternative service job assignments. (a) Review of ASW job assignments will be accomplished in accordance with the provisions of this subsection....

  2. 32 CFR 1656.13 - Review of alternative service job assignments.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Review of alternative service job assignments... SERVICE SYSTEM ALTERNATIVE SERVICE § 1656.13 Review of alternative service job assignments. (a) Review of ASW job assignments will be accomplished in accordance with the provisions of this subsection....

  3. 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... SERVICE SYSTEM ALTERNATIVE SERVICE § 1656.13 Review of alternative service job assignments. (a) Review of ASW job assignments will be accomplished in accordance with the provisions of this subsection....

  4. 76 FR 42167 - Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-18

    ... AFFAIRS Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meeting... Committee Act) that a meeting of the Rehabilitation Research and Development Service Scientific Merit Review... Reintegration. August 9-11--Brain Injury; Musculoskeletal/Orthopedic Rehabilitation. August...

  5. 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...

  6. 77 FR 21622 - Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-10

    ... AFFAIRS Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meeting... Committee Act) that a meeting of the Rehabilitation Research and Development Service Scientific Merit Review... evaluate Rehabilitation Research and Development Center of Excellence applications. The purpose of...

  7. 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...

  8. 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

  9. 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...

  10. 77 FR 47489 - Notice of Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-08

    ... ADMINISTRATION Notice of Senior Executive Service Performance Review Board Membership AGENCY: Social Security Administration. ACTION: Notice of Senior Executive Service Performance Review Board Membership. Title 5, U.S... Review Board which oversees the evaluation of performance appraisals of Senior Executive Service...

  11. 47 CFR 76.930 - Initiation of review of basic cable service and equipment rates.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 4 2011-10-01 2011-10-01 false Initiation of review of basic cable service and...) BROADCAST RADIO SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Cable Rate Regulation § 76.930 Initiation of review of basic cable service and equipment rates. A cable operator shall file its schedule...

  12. 47 CFR 76.930 - Initiation of review of basic cable service and equipment rates.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 4 2013-10-01 2013-10-01 false Initiation of review of basic cable service and...) BROADCAST RADIO SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Cable Rate Regulation § 76.930 Initiation of review of basic cable service and equipment rates. A cable operator shall file its schedule...

  13. 47 CFR 76.930 - Initiation of review of basic cable service and equipment rates.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 4 2012-10-01 2012-10-01 false Initiation of review of basic cable service and...) BROADCAST RADIO SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Cable Rate Regulation § 76.930 Initiation of review of basic cable service and equipment rates. A cable operator shall file its schedule...

  14. 47 CFR 76.930 - Initiation of review of basic cable service and equipment rates.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 4 2010-10-01 2010-10-01 false Initiation of review of basic cable service and...) BROADCAST RADIO SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Cable Rate Regulation § 76.930 Initiation of review of basic cable service and equipment rates. A cable operator shall file its schedule...

  15. 47 CFR 76.930 - Initiation of review of basic cable service and equipment rates.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 4 2014-10-01 2014-10-01 false Initiation of review of basic cable service and...) BROADCAST RADIO SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Cable Rate Regulation § 76.930 Initiation of review of basic cable service and equipment rates. A cable operator shall file its schedule...

  16. 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

  17. 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

  18. 76 FR 20822 - Proposed Information Collection (Servicer's Staff Appraisal Reviewer (SAR) Application) Activity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-13

    ... AFFAIRS Proposed Information Collection (Servicer's Staff Appraisal Reviewer (SAR) Application) Activity... (SAR) Application, VA Form 26-0829. OMB Control Number: 2900-0715. Type of Review: Extension of a... approval as Staff Appraisal Reviewer (SAR). Servicers SAR's will have the authority to review real...

  19. 75 FR 65404 - Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-22

    ... AFFAIRS Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meeting... of the Rehabilitation Research and Development Service Scientific Merit Review Board will be held... review of the research proposals and critiques. The purpose of the Board is to review...

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

    PubMed Central

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

    2015-01-01

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

  1. 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...

  2. 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)...

  3. 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)...

  4. 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)...

  5. 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)...

  6. 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)...

  7. 10 CFR 205.288 - Interim and ancillary orders.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 3 2010-01-01 2010-01-01 false Interim and ancillary orders. 205.288 Section 205.288 Energy DEPARTMENT OF ENERGY OIL ADMINISTRATIVE PROCEDURES AND SANCTIONS Special Procedures for Distribution of Refunds § 205.288 Interim and ancillary orders. The Director of the Office of Hearings...

  8. 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.

  9. 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.

  10. 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.

  11. 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

  12. 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

  13. 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... of members to the AHRQ Senior Executive Service (SES) Performance Review Board (PRB). This action is... performance review boards to be published in the Federal Register. Members of the PRB are appointed in...

  14. 78 FR 56930 - Membership of the Senior Executive Service Standing Performance Review Boards

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-16

    ... Membership of the Senior Executive Service Standing Performance Review Boards AGENCY: Department of Justice. ACTION: Notice of Department of Justice's standing members of the Senior Executive Service Performance... announces the membership of its 2013 Senior Executive Service (SES) Standing Performance Review Boards...

  15. 78 FR 51275 - Members of Senior Executive Service Performance Review Boards

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-20

    ... Internal Revenue Service Members of Senior Executive Service Performance Review Boards AGENCY: Internal... Senior Executive Service (SES) Performance Review Boards. DATES: This notice is effective September 1... Business/Self-Employed (SB/SE) David M. Fisher, Chief Risk Officer and Senior Advisor to the...

  16. 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

  17. 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

  18. 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... Inspector General's Senior Executive Service Performance Review Board. DATES: September 17, 2012. FOR... shall review and evaluate the initial appraisal of each USAID OIG senior executive's performance by...

  19. 47 CFR 76.945 - Procedures for Commission review of basic service rates.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... service rates. 76.945 Section 76.945 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Cable Rate Regulation § 76.945 Procedures for Commission review of basic service rates. (a) Upon assumption of rate regulation...

  20. 47 CFR 76.945 - Procedures for Commission review of basic service rates.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... service rates. 76.945 Section 76.945 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Cable Rate Regulation § 76.945 Procedures for Commission review of basic service rates. (a) Upon assumption of rate regulation...

  1. 47 CFR 76.945 - Procedures for Commission review of basic service rates.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... service rates. 76.945 Section 76.945 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Cable Rate Regulation § 76.945 Procedures for Commission review of basic service rates. (a) Upon assumption of rate regulation...

  2. 47 CFR 76.945 - Procedures for Commission review of basic service rates.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... service rates. 76.945 Section 76.945 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Cable Rate Regulation § 76.945 Procedures for Commission review of basic service rates. (a) Upon assumption of rate regulation...

  3. 47 CFR 76.945 - Procedures for Commission review of basic service rates.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... service rates. 76.945 Section 76.945 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Cable Rate Regulation § 76.945 Procedures for Commission review of basic service rates. (a) Upon assumption of rate regulation...

  4. 78 FR 50144 - Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-16

    ... AFFAIRS Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meetings.... App. 2, that the subcommittees of the Rehabilitation Research and Development Service Scientific Merit... National Conference Center. Spinal Cord Injury August 8, 2013........ * VA Central Office. Research...

  5. 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.

  6. Ancillary-service details: regulation, load following, and generator response

    SciTech Connect

    Hirst, E.; Kirby, B.

    1996-09-01

    The purpose of this report is to examine empirically these intrahour and interhour load changes and the responses of a utility`s generating resources to those load changes. We analyze data, primarily from one control area, to see how it maintains ACE close to zero in an effort to meet the A1 and A2 criteria. Overall, we estimate that load following costs US electric utilities over one billion dollars a year. We first test alternative ways to identify trends over multihour periods using both regression analysis and rolling averages. Then, we consider several metrics for intrahour load following. Next we examine characteristics of load following for different time-averaging periods and compare the dynamics of loads and load following generation across these time periods. Finally, we consider the contribution of each load to the total load following requirements of the control area.

  7. 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.

  8. 76 FR 69797 - Senior Executive Service Departmental Offices Performance Review Board.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-09

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Senior Executive Service Departmental Offices Performance Review Board. AGENCY: Treasury Department. ACTION: Notice of members of the Departmental Offices Performances Review Board. SUMMARY: Pursuant to 5...

  9. 75 FR 6729 - Senior Executive Service (SES) Performance Review Board; Members

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-10

    ... RECORDS ADMINISTRATION Senior Executive Service (SES) Performance Review Board; Members AGENCY: National... Board shall review the initial appraisal of a senior executive's performance by the supervisor and recommend final action to the appointing authority regarding matters related to senior executive...

  10. 76 FR 50272 - Senior Executive Service (SES) Performance Review Board; Members

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-12

    ... RECORDS ADMINISTRATION Senior Executive Service (SES) Performance Review Board; Members AGENCY: National 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...

  11. 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…

  12. 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

  13. Level 2 Ancillary Products and Datasets Algorithm Theoretical Basis

    NASA Technical Reports Server (NTRS)

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

    1999-01-01

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

  14. Ancillary Care: From Theory to Practice in International Clinical Research

    PubMed Central

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

    2013-01-01

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

  15. 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

  16. 75 FR 27375 - Review of Nonpostal Services Language

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-14

    ... for Postal Service branding of mailing and shipping products related to Postal Service operations for... notes that for years it has rented personal property such as exercise and audio visual equipment as...

  17. The relationship of hospital ownership and service composition to hospital charges

    PubMed Central

    Eskoz, Robin; Peddecord, K. Michael

    1985-01-01

    The relationship of hospital ownership and service composition to hospital charges was examined for 456 general acute hospitals in California. Ancillary services had higher profit margins, both gross and net profits, than daily hospital services. Ancillary services accounted for 55.3 percent of total patient revenue. Charges per day were 23 percent higher for ancillary services than for daily hospital services. Net profits for daily and ancillary services were lowest at county hospitals. Proprietary hospitals had the highest net profits for total ancillary services and the highest mean charges. Not-for-profit hospitals had the highest profit margins for daily hospital services. Neither direct nor total costs for ancillary services were significantly different among ownership groups, although direct costs for daily hospital services were significantly higher at proprietary hospitals. PMID:10311161

  18. 77 FR 24933 - Hydrographic Services Review Panel Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-26

    ..., tide and water level, and hydrographic products, services and information for the Alaska/Arctic region... regional navigation and geospatial, tide and water level, products, services and information, as well as... navigation, geospatial, tide and water level products, services and information for the Alaska/ Arctic...

  19. 48 CFR 41.702 - Formats for annual utility service review.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Formats for annual utility... REGULATION SPECIAL CATEGORIES OF CONTRACTING ACQUISITION OF UTILITY SERVICES Formats 41.702 Formats for annual utility service review. (a) Formats for use in conducting annual reviews of the following...

  20. 76 FR 5650 - Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-01

    ... AFFAIRS Rehabilitation Research and Development Service Scientific Merit Review Board; Notice of Meeting... Committee Act) that a meeting of the Rehabilitation Research and Development Service Scientific Merit Review... Health and Social Reintegration. February 23-25--Brain Injury Musculoskeletal/Orthopedic...

  1. The Impact of Child and Family Service Reviews on Knowledge Management

    ERIC Educational Resources Information Center

    Mischen, Pamela A.

    2008-01-01

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

  2. 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,…

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

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 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. 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…

  5. 78 FR 53195 - Agency Information Collection (Loan Service Report) Activity Under OMB Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-28

    ... AFFAIRS Agency Information Collection (Loan Service Report) Activity Under OMB Review AGENCY: Veterans...-0249'' in any correspondence. SUPPLEMENTARY INFORMATION: Title: Loan Service Report, VA Form 26-6808. OMB Control Number: 2900-0249. Type of Review: Revision of a currently approved collection....

  6. 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…

  7. 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....

  8. 76 FR 26707 - Appointments to Performance Review Board for Senior Executive Service

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-09

    ... PEOPLE WHO ARE BLIND OR SEVERELY DISABLED Appointments to Performance Review Board for Senior Executive... of Performance Review Board for Senior Executive Service. SUMMARY: The Committee For Purchase from... performance appraisal ratings and performance awards for Senior Executive Service employees: Perry E....

  9. 78 FR 70079 - Appointments to Performance Review Boards for Senior Executive Service

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-22

    ... COMMISSION Appointments to Performance Review Boards for Senior Executive Service AGENCY: Nuclear Regulatory Commission. ACTION: Appointment to Performance Review Boards for Senior Executive Service. SUMMARY: The U.S... ratings and performance awards for Senior Executives and Senior Level employees: Mark A....

  10. 76 FR 75566 - Appointments to Performance Review Boards for Senior Executive Service

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-02

    ... the U.S. Nuclear Regulatory Commission (NRC). SUPPLEMENTARY INFORMATION: On October 26, 2011 (76 FR... COMMISSION Appointments to Performance Review Boards for Senior Executive Service AGENCY: Nuclear Regulatory Commission. ACTION: Appointment to Performance Review Boards for Senior Executive Service. SUMMARY:...

  11. 78 FR 55766 - Submission for Review: Civil Service Retirement System Survivor Annuitant Express Pay Application...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-11

    ... MANAGEMENT Submission for Review: Civil Service Retirement System Survivor Annuitant Express Pay Application.... SUPPLEMENTARY INFORMATION: RI 25-51 will be used by the Civil Service Retirement System solely to pay benefits... currently approved information collection request (ICR) 3206-0233, Civil Service Retirement System...

  12. 42 CFR 414.24 - Review, revision, and addition of RVUs for physician services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Review, revision, and addition of RVUs for physician services. 414.24 Section 414.24 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM PAYMENT FOR PART B MEDICAL AND OTHER...

  13. 78 FR 78415 - Submission for Review: Customer Service Surveys, OMB Control No. 3206-0236

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-26

    ... MANAGEMENT Submission for Review: Customer Service Surveys, OMB Control No. 3206-0236 AGENCY: U.S. Office of... information collection request (ICR) 3206-0236, Customer Service Surveys. As required by the Paperwork..., manage and retain a high quality and diverse workforce. Customer service surveys are valuable tools...

  14. 78 FR 16268 - Submission for OMB Review; Service Contracts Reporting Requirements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-14

    ... Federal Register at 76 FR 22070, on April 20, 2011, as part of a proposed rule under FAR Case 2010-0010...; Service Contracts Reporting Requirements AGENCY: Department of Defense (DoD), General Services... request to review and approve a new information collection requirement for Service Contracts...

  15. 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...

  16. 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...

  17. 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...

  18. 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...

  19. 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...

  20. 77 FR 59921 - Wisconsin Public Service Corporation; Notice of Environmental Site Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-01

    ... Energy Regulatory Commission Wisconsin Public Service Corporation; Notice of Environmental Site Review In... Public Service Corporation and located on the Wisconsin River in Lincoln County, Wisconsin, the Federal... Gregory W. Egtvedt, Wisconsin Public Service Corporation, by October 10, 2012, and identify the number...

  1. 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... of members to the AHRQ Senior Executive Service (SES) Performance Review Board (PRB). This action is... function of the PRB is to make recommendations to the Director, AHRQ, relating to the performance of...

  2. 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... of members to the AHRQ Senior Executive Service (SES) Performance Review Board (PRB). This action is... function of the PRB is to make recommendations to the Director, AHRQ, relating to the performance of...

  3. 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.

  4. 75 FR 20816 - Hydrographic Services Review Panel Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-21

    ... Navigation Services; (3) Presentations will include: updates to the HSRP 2010 Most Wanted Report, NOAA's... Distribution, the Committee on Marine Transportation System, HSRP logistics; and (4) public statements....

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

    PubMed Central

    Choi, Jin-Young; Lee, Jeong-Min

    2014-01-01

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

  6. Medical Researchers' Ancillary Care Obligations: The Relationship-Based Approach.

    PubMed

    Olson, Nate W

    2016-06-01

    In this article, I provide a new account of the basis of medical researchers' ancillary care obligations. Ancillary care in medical research, or medical care that research participants need but that is not required for the validity or safety of a study or to redress research injuries, is a topic that has drawn increasing attention in research ethics over the last ten years. My view, the relationship-based approach, improves on the main existing theory, Richardson and Belsky's 'partial-entrustment model', by avoiding its problematic restriction on the scope of health needs for which researchers could be obligated to provide ancillary care. Instead, it grounds ancillary care obligations in a wide range of morally relevant features of the researcher-participant relationship, including the level of engagement between researchers and participants, and weighs these factors against each other. I argue that the level of engagement, that is, the duration and intensity of interactions, between researchers and participants matters for ancillary care because of its connection to the meaningfulness of a relationship, and I suggest that other morally relevant features can be grounded in researchers' role obligations. PMID:26424512

  7. 76 FR 60128 - Senior Executive Service; Legal Division Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-28

    ... Senior Executive Service; Legal Division Performance Review Board AGENCY: Department of the Treasury. ACTION: Notice of members of the Legal Division Performance Review Board (PRB). SUMMARY: Pursuant to 5 U... purpose of this Board is to review and make recommendations concerning proposed performance...

  8. A Review of District 4J Computer Services.

    ERIC Educational Resources Information Center

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

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

  9. 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.

  10. 32 CFR 881.3 - Individual Service Review Board.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... PERSONNEL DETERMINATION OF ACTIVE MILITARY SERVICE AND DISCHARGE FOR CIVILIAN OR CONTRACTUAL GROUPS § 881.3... Management, Separations Branch, HQ AFPC/DPPRS, 550 C Street West, Suite 11, Randolph AFB, TX...

  11. 32 CFR 881.3 - Individual Service Review Board.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... PERSONNEL DETERMINATION OF ACTIVE MILITARY SERVICE AND DISCHARGE FOR CIVILIAN OR CONTRACTUAL GROUPS § 881.3... Management, Separations Branch, HQ AFPC/DPPRS, 550 C Street West, Suite 11, Randolph AFB, TX...

  12. 32 CFR 881.3 - Individual Service Review Board.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... PERSONNEL DETERMINATION OF ACTIVE MILITARY SERVICE AND DISCHARGE FOR CIVILIAN OR CONTRACTUAL GROUPS § 881.3... Management, Separations Branch, HQ AFPC/DPPRS, 550 C Street West, Suite 11, Randolph AFB, TX...

  13. 32 CFR 881.3 - Individual Service Review Board.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... PERSONNEL DETERMINATION OF ACTIVE MILITARY SERVICE AND DISCHARGE FOR CIVILIAN OR CONTRACTUAL GROUPS § 881.3... Management, Separations Branch, HQ AFPC/DPPRS, 550 C Street West, Suite 11, Randolph AFB, TX...

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

    PubMed

    Trabucchi, Mattia; Ntshotsho, Phumza; O'Farrell, Patrick; Comín, 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

  15. 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.

  16. 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.

  17. Intravital imaging reveals new ancillary mechanisms co-opted by cancer cells to drive tumor progression.

    PubMed

    Vennin, Claire; Herrmann, David; Lucas, Morghan C; Timpson, Paul

    2016-01-01

    Intravital imaging is providing new insights into the dynamics of tumor progression in native tissues and has started to reveal the layers of complexity found in cancer. Recent advances in intravital imaging have allowed us to look deeper into cancer behavior and to dissect the interactions between tumor cells and the ancillary host niche that promote cancer development. In this review, we provide an insight into the latest advances in cancer biology achieved by intravital imaging, focusing on recently discovered mechanisms by which tumor cells manipulate normal tissue to facilitate disease progression. PMID:27239290

  18. Intravital imaging reveals new ancillary mechanisms co-opted by cancer cells to drive tumor progression

    PubMed Central

    Lucas, Morghan C.; Timpson, Paul

    2016-01-01

    Intravital imaging is providing new insights into the dynamics of tumor progression in native tissues and has started to reveal the layers of complexity found in cancer. Recent advances in intravital imaging have allowed us to look deeper into cancer behavior and to dissect the interactions between tumor cells and the ancillary host niche that promote cancer development. In this review, we provide an insight into the latest advances in cancer biology achieved by intravital imaging, focusing on recently discovered mechanisms by which tumor cells manipulate normal tissue to facilitate disease progression.

  19. 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

  20. 75 FR 41920 - Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-19

    ... on the following collection of information was published on April 16, 2010 (75 FR 21716). DATES... Research & Innovative Technology Administration Agency Information Collection; Activity Under OMB Review; Airline Service Quality Performance--Part 234 AGENCY: Research & Innovative Technology...

  1. 77 FR 65248 - Senior Executive Service; Public Debt Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Bureau of the Public Debt Senior Executive Service; Public Debt Performance Review Board AGENCY: Bureau... makes recommendations regarding proposed performance appraisals, ratings, bonuses, pay adjustments,...

  2. 78 FR 36011 - Notice of Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-14

    ... 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: Seth Binstock* Donna Calvert* Brad Flick Hyacinth...

  3. 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...

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

    NASA Astrophysics Data System (ADS)

    Francesconi, Wendy; Srinivasan, Raghavan; Pérez-Miñana, 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.

  5. 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

  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. A Forgotten Sector; The Training of Ancillary Staff in Hospitals.

    ERIC Educational Resources Information Center

    Smith, Duncan N.

    A study was made, in England and Wales, of training needs of hospital ancillary staff; it concentrated on a group of hospitals in each of six Hospital Regions. In addition, information was collected at the national level and brief visits were made in other regions. Findings showed large differences in staffing between hospitals of similar types,…

  8. Prospects for ancillary treatment of sinusitis in the 1990s.

    PubMed

    Zeiger, R S

    1992-09-01

    The basis for ancillary therapy of sinusitis derives from anecdotal accounts and personal beliefs rather than definitive data. The recent appreciation that noninfectious inflammatory causes predispose to infectious sinusitis has stimulated renewed interest in developing and documenting efficacious ancillary therapies that could supplement or abrogate antibiotic use. Ancillary therapies of sinusitis could be directed toward (1) preventing viral upper respiratory tract infections (immunizations, virucidal-impregnated tissues, and proper hand-washing techniques); (2) blocking rhinoviral replication and suppressing mediator release with supraphysiologic nasal hyperthermia, although contradictory studies exist with regard to efficacy; (3) promoting sinus and nasal ventilation with both topical and oral alpha-agonists and exercise; (4) improving mucociliary clearance by reducing mucus viscosity and elasticity with saline solution irrigation, mucoregulators (N-acetylcysteine, S-carboxymethylcysteine, and iodinated glycerol), and ciliary stimulants (adenosine triphosphate); and (5) suppressing/modulating cellular inflammation (eosinophilic, basophilic, and neutrophilic) with topical nasal corticosteroid sprays and mediator antagonists. Recommendations are forwarded for future investigations of promising nonantibiotic ancillary therapies of chronic sinusitis. PMID:1382084

  9. 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

  10. The mystery shopper: an anonymous review of your services.

    PubMed

    Steiner, K

    1986-06-01

    Mystery shoppers can provide an unbiased report on the day-to-day functioning of hospital activities. For this study, six shoppers "used" various hospital services and reported their impressions through a questionnaire. The general findings may be applicable to many other well-run health care organizations. PMID:10277499

  11. 75 FR 53665 - Hydrographic Services Review Panel Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-01

    ...: Hydroservices.panel@noaa.gov or visit the NOAA HSRP Web site at http://www.nauticalcharts.noaa.gov/ocs/hsrp/hsrp... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE... Ocean Service, National Oceanic and Atmospheric Administration (NOAA), Department of Commerce....

  12. 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…

  13. 75 FR 69047 - Senior Executive Service: Membership of Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-10

    ... 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 2010...

  14. 78 FR 9455 - Rehabilitation Research and Development Service Scientific Merit Review Board, Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-08

    ... AFFAIRS Rehabilitation Research and Development Service Scientific Merit Review Board, Notice of Meeting.... App. 2, that the subcommittees of the Rehabilitation Research and Development Service Scientific Merit... and February 20, 2013 Courtyard DC/U.S. Prosthetics/Orthotics. Capitol. Brain Injury: TBI &...

  15. 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…

  16. 9 CFR 351.5 - Conditions of eligibility for certification service; review of applications.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Conditions of eligibility for certification service; review of applications. 351.5 Section 351.5 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY MEAT AND POULTRY PRODUCTS INSPECTION AND...

  17. 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.…

  18. 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…

  19. 78 FR 78416 - Submission for Review: Program Services Evaluation Surveys, OMB Control No. 3206-0252

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-26

    ... MANAGEMENT Submission for Review: Program Services Evaluation Surveys, OMB Control No. 3206-0252 AGENCY: U.S... on the information collection request (ICR) 3206-0252, Program Services Evaluation Surveys. As... collection of information is necessary for the proper performance of the functions of OPM, including...

  20. A Review of Services for Young Children in the European Union, 1990-1995.

    ERIC Educational Resources Information Center

    European Commission Network on Childcare, London (England).

    This third review of services for young children in the European Union, undertaken by the European Commission Child Care Network, covers services providing care, education, and recreation for children from birth to 10 years of age. The report is particularly focused on group settings and family day care. The report consists of a summary of main…

  1. Lesbian, Gay, and Bisexual Library Service: A Review of the Literature.

    ERIC Educational Resources Information Center

    Joyce, Steven

    2000-01-01

    A review of relevant library literature suggests that public library service to lesbian, gay, and bisexual people is poor. Offers ten suggestions to improve library services to these groups and discusses user studies; access, including classification and cataloging; library holdings; and social responsibility versus professional neutrality.…

  2. 76 FR 52735 - Members of Senior Executive Service Performance Review Boards

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-23

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Internal Revenue Service Members of Senior Executive Service Performance Review Boards AGENCY: Internal... names of those IRS employees who will serve as members ] on IRS' Fiscal Year 2011 Senior...

  3. 77 FR 66663 - Senior Executive Service; Combined Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-06

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Financial Management Service Senior Executive Service; Combined Performance Review Board (PRB) AGENCY... performance appraisals of career senior executives who are below the level of bureau head and principal...

  4. 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...

  5. 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…

  6. 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…

  7. 75 FR 82029 - General Services Administration Acquisition Regulation; Submission for OMB Review; GSA Form 1217...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-29

    ... Register at 74 FR 63704, on December 4, 2009. No comments were received. Public comments are particularly... ADMINISTRATION General Services Administration Acquisition Regulation; Submission for OMB Review; GSA Form 1217, Lessor's Annual Cost Statement AGENCY: Department of Defense (DOD), General Services Administration...

  8. 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.

  9. 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...

  10. 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…

  11. 78 FR 67218 - Senior Executive Service; Legal Division Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-08

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Senior Executive Service; Legal Division Performance Review Board AGENCY: Department of the Treasury. ACTION: Notice of members of the Legal Division Performance Review Board (PRB). SUMMARY: Pursuant to 5...

  12. 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....

  13. 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

  14. 78 FR 27239 - General Services Administration Acquisition Regulation; Submission for OMB Review; Industrial...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-09

    .... 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; Industrial... the Office of Management and Budget (OMB) a request to review and approve a reinstatement of...

  15. 75 FR 4565 - General Services Administration Acquisition Regulation; Submission for OMB Review; Industrial...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-28

    ... 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; Industrial... Secretariat will be submitting to the Office of Management and Budget (OMB) a request to review and approve...

  16. 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…

  17. 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...

  18. 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…

  19. 75 FR 62921 - Senior Executive Service; Legal Division Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-13

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Senior Executive Service; Legal Division Performance Review Board AGENCY: Department of the Treasury. ACTION: Notice of members of the Legal Division Performance Review Board (PRB). SUMMARY: Pursuant to 5...

  20. 78 FR 58383 - Senior Executive Service; Combined Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-23

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY United States Mint Senior Executive Service; Combined Performance Review Board (PRB) AGENCY: United... (TTB). The Combined PRB reviews the performance appraisals of career senior executives below the...

  1. 75 FR 60864 - Senior Executive Service Combined Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-01

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY United States Mint Senior Executive Service Combined Performance Review Board (PRB) AGENCY: United States... Network (FINCEN). The Board reviews the performance appraisals of career senior executives below the...

  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. Medicare Prospective Reimbursement for Mental Health Services: A Literature Review.

    ERIC Educational Resources Information Center

    Holcomb, William R.; Thompson, Warren A.

    1988-01-01

    Reviews literature evaluating appropriateness of Medicare's prospective payment system (PPS) through Diagnostic-Related Groups (DRGs), since its implementation in 1983, for psychiatric care. Cites shortcomings that make the system untenable for mental health care, including lack of homogeneity of DRGs, inability to predict length of stay, and…

  4. 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…

  5. 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

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

    PubMed

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

    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

  7. 46 CFR 58.25-80 - Automatic pilots and ancillary steering gear.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 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 ancillary steering gear. (a) Automatic pilots and ancillary steering gear, and steering-gear control systems, must...

  8. A review of how the quality of HIV clinical services has been evaluated or improved.

    PubMed

    Hung, Anna; Pradel, Françoise

    2015-06-01

    To examine approaches being used to evaluate and improve quality of HIV clinical services we searched the MEDLINE, Cochrane Library collection, EMBASE, Global Health, and Web of Science databases for articles and abstracts focused on evaluating or improving quality of HIV clinical services. We extracted country income level, targeted clinical services, and quality evaluation approaches, data sources, and criteria. Fifty journal articles and 46 meeting abstracts were included. Of the 96 studies reviewed, 65% were programme evaluations, 71% focused on low- and middle-income countries, and 65% focused on antiretroviral therapy services. With regard to quality, 45% used a quality improvement model or programme, 13% set a quality threshold, and 51% examined patient records to evaluate quality. No studies provided a definition for quality HIV care. Quality assurance and improvement of HIV clinical services is increasingly important. This review highlights gaps in knowledge for future research, and may also help countries and programmes develop their HIV care quality improvement frameworks. PMID:25033882

  9. 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

  10. The role of short messaging service in supporting the delivery of healthcare: An umbrella systematic review.

    PubMed

    Househ, Mowafa

    2016-06-01

    Short messaging service (SMS) messages may present a convenient and cost-effective method to support healthcare interventions. This work assesses the effects of short messaging service on various healthcare interventions found in systematic reviews. The search strategy was based on two key concepts: short messaging service and healthcare delivery. The initial search was conducted in December 2012 and was updated in June 2013. Of the 550 identified references, 13 systematic reviews met the inclusion criteria, of which 8 were published in peer-reviewed journals and 5 were retrieved from the Cochrane library. Data analysis shows that low to moderate research evidence exists on the benefits of short messaging service interventions for appointment reminders, promoting health in developing countries and preventive healthcare. In many interventions, however, there were a few studies that were of high quality, and most of the studies were rated from low to moderate quality or had no rating at all. Healthcare organizations, policy makers, or clinicians using short messaging service messages to support healthcare interventions should (1) implement interventions that have been found to work in healthcare settings, (2) continue evaluating short messaging service interventions that have not been adequately assessed, and (3) improve collaboration between various healthcare entities to develop studies targeted at specific populations to evaluate the long-term impact of short messaging service on healthcare outcomes. PMID:25038203

  11. 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

  12. Delivery of health services in Arab countries: a review.

    PubMed

    Kronfol, N M

    2012-12-01

    This paper reviews the essential components of health care delivery systems in Arab countries and their development over the past 3 decades. The changes and challenges which evolved during the last half of the 20th century have had a significant impact on health systems and on health outcomes. An adequate network of hospitals and primary health care facilities has been established in most Arab countries of the Region. The increased participation of civil society has impacted positively on health systems. However, the main challenge is represented by the move towards market economies. In many developing economies, macroeconomic reforms have often necessitated cuts in public spending on social sectors. Cost-sharing policies have been implemented in order to compensate for diminishing government budgets allocated to health. However, this is not to minimize the enormous strides that have been made in all countries nor the important challenges that need to be addressed. PMID:23301398

  13. 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.

  14. 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

  15. 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

  16. 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

  17. 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

  18. Integrated Substance Abuse and Child Welfare Services for Women: A Progress Review

    PubMed Central

    Marsh, Jeanne C.; Smith, Brenda D.

    2010-01-01

    A review of empirical literature reveals improvements in service utilization and outcomes for women when substance abuse and child welfare services are integrated. The increased use of substances by women involved in the child welfare system has resulted in a call for integrated, coordinated, evidence-based practices. Since the late 1990s, specific system- and service-level strategies have been developed to coordinate and integrate the provision of substance abuse and child welfare services such that women are remaining in treatment longer and are more likely to reduce substance use and be reunited with their children. The strategies reviewed provide useful guidelines for developing components of effective, evidence-based programs for substance-involved women in the child welfare system. PMID:21499525

  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. Linking an agency strategic review to increase knowledge management: San Francisco County Human Service Agency.

    PubMed

    Harrison, Lindsay

    2012-01-01

    Led by the agency director, the agency engaged in a Strategic Review, based on a comprehensive assessment of agency performance that identified strategies to improve organizational effectiveness through increased data-informed practice and knowledge management. The Strategic Review gathered information on staff perceptions, perceptions of external stakeholders, changing citywide and neighborhood demographics, policy mandates, and budget and workload issues. The need for the review was based upon multiple, substantial changes not addressed in the 2000 Strategic Plan, including the 2004 merger of the Department of Human Services and the Department of Aging and Adult Services, changes among the executive management team, transitions among key political entities, new policy mandates and changing budget allocations. This case study describes the Strategic Review process and content, summarizing key challenges and lessons related to addressing workload demands, fostering positive staff attitudes, balancing internal and external information needs, and integrating data use and planning processes across the agency. PMID:22409611

  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. 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…

  5. 75 FR 59800 - Senior Executive Service; Public Debt Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-28

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Bureau of the Public Debt Senior Executive Service; Public Debt Performance Review Board (PRB) AGENCY... performance appraisals, ratings, bonuses, pay adjustments, and other appropriate personnel actions. DATES:...

  6. 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...

  7. Financial Aid as a Service. A Review of Operations. Summary Report.

    ERIC Educational Resources Information Center

    Adams, Judith

    This review presents a summary of five reports resulting from several studies of Financial Aid Office (FAO) operations at Macomb Community College (MCC) in Michigan designed to determine how services were rendered or perceived. The first report presents findings from the literature search evaluation. An extensive search revealed few published…

  8. Program and Service Review. Pima County Community College District Institutional Effectiveness Series: 3.

    ERIC Educational Resources Information Center

    Pima County Community Coll. District, AZ.

    Program and Service Review (PSR) at Pima Community College in Arizona is a mechanism to provide continuous comprehensive evaluation and improvement of instructional programs and those support functions that directly serve students. The PSR's original statement of philosophy stresses the use of qualitative and quantitative measures to identify how…

  9. 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…

  10. 75 FR 48407 - Notice of Senior Executive Service Performance Review Board Membership

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-10

    ... 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... of the Social Security Administration: Sean Brune JoEllen Felice Brad Flick* Alan Heim Pete...

  11. 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…

  12. 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

  13. 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;...

  14. 77 FR 55843 - Office of Facilities Management and Program Services; Submission for OMB Review; Background...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-11

    ... Federal Protective Service 176 Form or the SF85P. Please Note: The original request to review and approve... leased controlled facilities. A notice was published in the Federal Register at 77 FR 31017, on May 24... contractors, form GSA 176T, presented in the Federal Register publication of February 17, 2009, 74 FR...

  15. 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…

  16. 75 FR 35092 - Submission for Review: Program Services Evaluation Surveys, OMB Control No. 3206-NEW

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-21

    ... MANAGEMENT Submission for Review: Program Services Evaluation Surveys, OMB Control No. 3206-NEW AGENCY: U.S. Office of Personnel Management. ACTION: 60-Day Notice and request for comments. SUMMARY: The Office of Personnel Management (OPM) offers the general public and other federal agencies the opportunity to...

  17. 75 FR 62540 - Updated OGE Senior Executive Service Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-12

    ... published at 73 FR 53250-53251 (September 15, 2008). Approved: October 5, 2010. Robert I. Cusick, Director... 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...

  18. 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...

  19. 75 FR 55831 - Appointment of Members of Senior Executive Services Performance Review Board.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-14

    ... CONTROL POLICY Appointment of Members of Senior Executive Services Performance Review Board. AGENCY: Office of National Drug Control Policy . ACTION: Notice of Appointments. Heading: Appointment of Members... questions to Linda V. Priebe, Deputy General Counsel (202) 395-6622, Office of National Drug Control...

  20. 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... questions to Daniel R. Petersen, Deputy General Counsel (202) 395-6745, Office of National Drug...

  1. 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...

  2. 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…

  3. 76 FR 64429 - Senior Executive Service; Public Debt Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-18

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Bureau of the Public Debt Senior Executive Service; Public Debt Performance Review Board (PRB) AGENCY... senior executives who are below the level of Assistant Commissioner/Executive Director and who are...

  4. 76 FR 64428 - Senior Executive Service; Combined Performance Review Board (PRB)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-18

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE TREASURY Bureau of the Public Debt Senior Executive Service; Combined Performance Review Board (PRB) AGENCY... performance appraisals of career senior executives who are below the level of bureau head and principal...

  5. 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... Updated OGE Senior Executive Service Performance Review Board AGENCY: Office of Government Ethics (OGE). ACTION: Notice. SUMMARY: Notice is hereby given of the appointment of members of the updated OGE...

  6. 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…

  7. 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…

  8. 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...

  9. 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...

  10. 75 FR 13763 - General Services Administration Acquisition Regulation; Submission for OMB Review; GSA Form 1217...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-23

    ... Statement. A request for public comments was published in the Federal Register at 74 FR 63704, on December 4... Administration Acquisition Regulation; Submission for OMB Review; GSA Form 1217, Lessor's Annual Cost Statement AGENCY: Department of Defense (DOD), General Services Administration (GSA), and National Aeronautics...

  11. 75 FR 1788 - General Services Administration Acquisition Regulation; Submission for OMB Review; GSA Form 1364...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-13

    ... published in the Federal Register at 74 FR 52811, on October 14, 2009. No comments were received. Public... ADMINISTRATION General Services Administration Acquisition Regulation; Submission for OMB Review; GSA Form 1364, Proposal To Lease Space AGENCY: Acquisition Policy Division, GSA. ACTION: Notice of request for...

  12. 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.

  13. 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

  14. 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

  15. 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

  16. 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

  17. AN OPTIMIZED DESIGN FOR THE NSLS 53 MHZ RF CAVITIES AND THE ANCILLARY COMPONENTS.

    SciTech Connect

    MORTAZAVI,P.

    2002-09-05

    RF cavities are among the most complex components of a particle accelerator. They perform optimally when all electrical, mechanical and vacuum requirements are fully integrated. This paper focuses on the mechanical design features of the new 53MHz room-temperature RF cavities (including their ancillary components) for the X-ray Ring at the National Synchrotron Light Source (NSLS). Differences between the new and previous designs of the RF cavities, input couplers, Higher-Order-Mode (HOM) dampers, and cooling and vacuum systems are reviewed. Thus far, two out of four units have already been constructed, tested, and installed into the X-Ray ring, and two additional RF cavities are planned. The features incorporated into the new all-copper RF cavities have already demonstrated superior performance over the original copper-plated steel design. The operating performance results along with some of manufacturing challenges are presented.

  18. 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

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

    PubMed

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

    1997-05-01

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

  20. 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).

  1. A Review of the Literature on the Underutilization of Mental Health Services by Mexican Americans: Implications for Future Research and Service Delivery.

    ERIC Educational Resources Information Center

    Ramirez, David G.

    Reviewing the research findings and issues which have been generated around the topic of Mexican American underutilization of mental health services, this paper discusses five major concepts: (1) the epidemiological paradox of Mexican American underutilization of services; (2) explanation offered for the paradox; (3) elaboration on the explanation…

  2. 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…

  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…

  4. Patient safety: a literature review to inform an evaluation of a maternity service.

    PubMed

    Sinni, Suzanne V; Wallace, Euan M; Cross, Wendy M

    2011-12-01

    This literature review summarises the history of patient safety initiatives in health-care systems around the world. The need to improve patient safety is commonly called for following interrogation of data captured as a measure of patient safety including audit, clinical indicator reporting and evaluation methods. Many such reports exist for maternity services. Recommendations for improvement identified after review may be taken up, but there is little in the literature that demonstrates how clinicians consider such recommendations, implement improvement strategies and assess their impact. The authors of this paper concur with other authors who call for more research in this regard. PMID:21146905

  5. 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

  6. 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

    ...NIOSH requests public review and comment on the draft publication, ``NIOSH Dose Reconstruction Program Ten-Year Review--Phase I Report on Customer Service.'' This publication is part of a review by NIOSH of its program in support of the role of the Secretary of Health and Human Services under the Energy Employees Occupational Illness Compensation Program Act of 2000 (The Act). As stated in......

  7. Pricing health services for purchasers--a review of methods and experiences.

    PubMed

    Waters, Hugh R; Hussey, Peter

    2004-11-01

    This article reviews methodologies and international experience related to costing and pricing health services for health care purchasers. The main factors affecting price-setting methods are: (1) provider payment systems; (2) information available on actual costs, service volumes and outcomes; and (3) characteristics of providers and purchasers. These factors are strongly interrelated. Provider payment systems determine the unit of services to be priced. In order to minimize incentives for under- or over-utilization, the prices that purchasers pay for health care services should be related to the actual unit costs of services, but accurately calculating real unit costs is intensive in terms of resources and information. Pertinent provider characteristics influencing price-setting include provider autonomy, provider negotiating power, and the degree of competition. The article presents a series of examples that run through each of these three sets of factors. The examples are from Denmark, the UK, and Thailand (for capitation); Australia, Hungary, and the United States (for case-based payment); and Germany, Korea, and Taiwan (for fee-for-service payment mechanisms). From these experiences, the article concludes with appropriate lessons for low- and middle-income countries, where the principal constraint on the development of provider payments systems is the limited availability of information on costs, volumes, and patient characteristics. PMID:15364147

  8. 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)....

  9. 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)....

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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.

  18. An integrated Landsat/ancillary data classification of desert rangeland

    NASA Technical Reports Server (NTRS)

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

    1985-01-01

    Range inventorying methods using Landsat MSS data, coupled with ancillary data were examined. The study area encompassed nearly 20,000 acres in Rush Valley, UT. The vegetation is predominately desert shrub and annual grasses, with same 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.

  19. 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...

  20. 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...

  1. 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...

  2. 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...

  3. 30 CFR 250.207 - What ancillary activities may I conduct?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 2 2011-07-01 2011-07-01 false What ancillary activities may I conduct? 250.207 Section 250.207 Mineral Resources BUREAU OF OCEAN ENERGY MANAGEMENT, REGULATION, AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE OIL AND GAS AND SULPHUR OPERATIONS IN THE OUTER CONTINENTAL SHELF Plans and Information Ancillary Activities §...

  4. 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

  5. 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

  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. Economic evaluations on centralisation of specialised healthcare services: a systematic review of methods

    PubMed Central

    Bhattarai, Nawaraj; McMeekin, Peter; Price, Christopher; Vale, Luke

    2016-01-01

    Objective To systematically review and appraise the quality of economic evaluations assessing centralisation of specialised healthcare services. Methods A systematic review to identify economic evaluations on centralisation of any specialised healthcare service. Full economic evaluations comparing costs and consequences of centralisation of any specialised healthcare service were eligible for inclusion. Methodological characteristics of included studies were appraised using checklists adapted from recommended guidelines. Results A total of 64 full-text articles met the inclusion criteria. Two studies were conducted in the UK. Most of the studies used volume of activity as a proxy measure of centralisation. The methods used to assess centralisation were heterogeneous. Studies differed in terms of study design used and aspect of centralisation they considered. There were major limitations in studies. Only 12 studies reported the study perspective. Charges which are not true representation of costs were used by 17 studies to assess cost outcomes. Only 10 reported the detailed breakdown of the cost components used in their analysis. Discounting was necessary in 14 studies but was reported only in 7 studies. Sensitivity analyses were included by less than one-third of the studies. The applicability of the identified studies to a setting other than the one they were conducted in is questionable, given variations in the organisation of services and healthcare costs. Centralisation as a concept has also been variably and narrowly defined as activity of specific services which may not reflect the wider aspects of centralisation. Conclusions Confounded and biased information coming from studies without standardised methods may mislead decision-makers towards making wrong decisions on centralisation. It is important to improve the methodology and reporting of economic evaluations in order to provide more robust and transferable evidence. Wider aspects of healthcare centralisation should be considered in the estimates of costs and health outcomes. PMID:27154484

  8. 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

  9. 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

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

    USGS Publications Warehouse

    Wright, C.; Gallant, A.

    2007-01-01

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

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

    PubMed Central

    Lees, Dennis

    1970-01-01

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

  12. 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

  13. 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.

  14. Community-based services and interventions for adults with disabilities who have experienced interpersonal violence: a review of the literature.

    PubMed

    Lund, Emily M

    2011-10-01

    This study provides a review of the peer-reviewed literature from 1995 to 2010 on violence-related service, prevention, and intervention programs for people with disabilities. A comprehensive literature search resulted in a total of 16 articles, 6 related to service programs and 10 related to intervention and prevention programs. The services articles revealed a noticeable disconnect between the violence services programs' perceived accessibility and the perception of their accessibility in the disability community. Most of the intervention and prevention articles focused exclusively on abuse prevention for adults with intellectual disabilities and generally had small samples and lacked controlled conditions. Very few methods of abuse treatment for people with disabilities have been empirically evaluated. Efforts should be made to improve accessibility and increase cross-collaboration between domestic violence services and disability service organizations, and there is a need for accessible, culturally sensitive, and rigorously tested abuse interventions and prevention programs for women and men with diverse disabilities. PMID:21908437

  15. 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

  16. Health services to groups with special needs in the Arab world: a review.

    PubMed

    Kronfol, N M

    2012-12-01

    This paper examines the health services provided to the older population (especially those with physical limitations) and the people with mental illnesses in Arab countries and their evolution over the past 3 decades. The paper reviews utilization issues related to morbidity, transportation, patient-provider relationship, cost, stigma and organizational barriers that often impede access and compliance with the care provided or recommended. Health systems in the region need to acknowledge the specific needs of these patients in their national programmes. Raising awareness is an important step in this regard. PMID:23301400

  17. 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

  18. Undocumented migrants in Canada: a scope literature review on health, access to services, and working conditions.

    PubMed

    Magalhaes, Lilian; Carrasco, Christine; Gastaldo, Denise

    2010-02-01

    It is estimated that there are 30-40 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

  19. 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

  20. 78 FR 304 - Office of Citizen Services and Innovative Technologies; Submission for OMB Review; Data.gov...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-03

    ... regarding Data.gov Feedback Mechanisms. A notice was published in the Federal Register at 77 FR 59614, on... ADMINISTRATION Office of Citizen Services and Innovative Technologies; Submission for OMB Review; Data.gov... Reduction Act, the General Services Administration will be submitting to the Office of Management and...

  1. Practitioner Review: How Can Epidemiology Help Us Plan and Deliver Effective Child and Adolescent Mental Health Services?

    ERIC Educational Resources Information Center

    Ford, Tamsin

    2008-01-01

    This review focuses on ways in which epidemiological research can inform mental health service development and clinical practice. Data from epidemiological studies can provide cross-sectional and secular estimates of the prevalence of psychopathology to support rational service development. Epidemiological surveys have difficulties in finding…

  2. 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

  3. 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…

  4. 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…

  5. 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

  6. 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

  7. 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.

  8. 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…

  9. 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…

  10. 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

  11. 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.

  12. Cell phone short messaging service (SMS) for HIV/AIDS in South Africa: a literature review.

    PubMed

    Mukund Bahadur, Khatry-Chhetry; Murray, Peter J

    2010-01-01

    The HIV/AIDS pandemic is one of the most serious threats to global health. HIV/AIDS is a chronic illness, requiring patient empowerment to enhance adherence to treatment regimes if it is to be managed effectively. While healthcare costs are rising, people still have expectations of high-quality care. This literature review-based study explored the use of cell phone (mobile phone) short messaging services (SMS) in health care, in particular for HIV/AIDS in South Africa. From an initial corpus of 212 papers, 28 were reviewed. The main findings include that SMS can improve service delivery through appointment reminders and improve communication between healthcare workers. It improves diagnosis, prevention, treatment and rehabilitation by supporting adherence to medication, and monitoring illness and medical interventions. SMS is useful in public health programmes, such as contact tracing and partner notification, therefore playing an important role in control of HIV/AIDS. As South Africa has one of the highest uptakes and demographic distributions of cellular technology in the world, SMS is feasible as a tool to deliver quality health care with low cost. PMID:20841743

  13. 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

  14. Alternate Service Delivery Models in Cancer Genetic Counseling: A Mini-Review

    PubMed Central

    Buchanan, Adam Hudson; Rahm, Alanna Kulchak; Williams, Janet L.

    2016-01-01

    Demand for cancer genetic counseling has grown rapidly in recent years as germline genomic information has become increasingly incorporated into cancer care, and the field has entered the public consciousness through high-profile celebrity publications. Increased demand and existing variability in the availability of trained cancer genetics clinicians place a priority on developing and evaluating alternate service delivery models for genetic counseling. This mini-review summarizes the state of science regarding service delivery models, such as telephone counseling, telegenetics, and group counseling. Research on comparative effectiveness of these models in traditional individual, in-person genetic counseling has been promising for improving access to care in a manner acceptable to patients. Yet, it has not fully evaluated the short- and long-term patient- and system-level outcomes that will help answer the question of whether these models achieve the same beneficial psychosocial and behavioral outcomes as traditional cancer genetic counseling. We propose a research agenda focused on comparative effectiveness of available service delivery models and how to match models to patients and practice settings. Only through this rigorous research can clinicians and systems find the optimal balance of clinical quality, ready and secure access to care, and financial sustainability. Such research will be integral to achieving the promise of genomic medicine in oncology.

  15. 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

  16. A Review and Analysis of Performance Appraisal Processes, Volume II. Performance Appraisal for Professional Service Employees: A Field Service Study Report. Professionalism in Schools Series.

    ERIC Educational Resources Information Center

    Ondrack, D. A.; Oliver, C.

    The second of three volumes, this report consisted of a series of field-site investigations of performance appraisal systems in action to compare actual practices with results reported in the literature review published in volume 1. The field-site studies conducted at 10 professional service organizations in Ontario and 7 public school systems in…

  17. Services

    ERIC Educational Resources Information Center

    Environmental Science and Technology, 1972

    1972-01-01

    Alphabetical listing of companies which offer analytical sampling and testing services for pollution control and abatement; consultants that also manufacture and distribute products. List of book publishers included. (LK)

  18. 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.

  19. 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... surveys; or (c) Studies that model potential oil and hazardous substance spills, drilling muds...

  20. 21 CFR 830.340 - Voluntary submission of ancillary device identification information.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Identification Database § 830.340 Voluntary submission of ancillary device identification information. (a) You may not submit any information to the Global Unique Device Identification Database (GUDID) other...

  1. 46 CFR 58.25-80 - Automatic pilots and ancillary steering gear.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Section 58.25-80 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MAIN... ancillary steering gear must be arranged so that no single failure affects proper operation and independence...-failure alarm....

  2. 46 CFR 58.25-80 - Automatic pilots and ancillary steering gear.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Section 58.25-80 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MAIN... ancillary steering gear must be arranged so that no single failure affects proper operation and independence...-failure alarm....

  3. 46 CFR 58.25-80 - Automatic pilots and ancillary steering gear.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Section 58.25-80 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MAIN... ancillary steering gear must be arranged so that no single failure affects proper operation and independence...-failure alarm....

  4. 46 CFR 58.25-80 - Automatic pilots and ancillary steering gear.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Section 58.25-80 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE ENGINEERING MAIN... ancillary steering gear must be arranged so that no single failure affects proper operation and independence...-failure alarm....

  5. 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.

  6. 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

  7. 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

  8. 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

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

    PubMed Central

    Kågesten, 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

  10. 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

  11. 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.

  12. 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.

  13. 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.

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

    PubMed Central

    Partapuri, Tasnim; Steinglass, Robert

    2012-01-01

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

  15. 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... SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN ACTIVE DUTY SERVICE FOR CIVILIAN OR CONTRACTUAL GROUPS Pt. 47, App. B Appendix B to Part 47—The DoD Civilian/Military Service Review Board and the...

  16. 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... SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN ACTIVE DUTY SERVICE FOR CIVILIAN OR CONTRACTUAL GROUPS Pt. 47, App. B Appendix B to Part 47—The DoD Civilian/Military Service Review Board and the...

  17. 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... SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN ACTIVE DUTY SERVICE FOR CIVILIAN OR CONTRACTUAL GROUPS Pt. 47, App. B Appendix B to Part 47—The DoD Civilian/Military Service Review Board and the...

  18. 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... SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN ACTIVE DUTY SERVICE FOR CIVILIAN OR CONTRACTUAL GROUPS Pt. 47, App. B Appendix B to Part 47—The DoD Civilian/Military Service Review Board and the...

  19. A minority report: homebirth in Australia before and after the 2009 Maternity Services Review.

    PubMed

    Skerman, Jindalae Kim

    2013-09-01

    In 2009 the Australian Federal Government released its Maternity Services Review. Since then, homebirth has been virtually outlawed for those women who are unable to obtain one of the limited places on a publicly funded program. However, homebirth is a valid choice for women and advocating for homebirth does not reflect a desire to "turn back the clock", as regard to the history of birth will show. At its core, the controversy over homebirth is about the control of pregnant women's bodies, particularly when they make a choice about their bodies and their babies which sits outside of the mainstream. While only a minority of Australian women presently plan a homebirth, the issues surrounding the status of homebirth have wider implications for women and illustrate a troubling trend towards restricting choice through legal and administrative back-roads, without proper consideration of the risks or benefits involved. PMID:24218788

  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. 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

  2. Systematic reviews on child welfare services: identifying and disseminating the evidence

    PubMed Central

    Bergman, Hanna; Maayan, Nicola; Soares‐Weiser, Karla; Bjørndal, Arild

    2015-01-01

    Abstract Rationale, aims and objectives Evidence‐based practice is at an early stage of uptake within child welfare services. To facilitate well‐informed decisions, we disseminated evidence from systematic reviews (SR) to local child welfare stakeholders in Norway through plain language summaries on a website (http://www.r‐bup.no). Method We developed and implemented our dissemination strategy through seven steps: (1) systematic literature search; (2) selection of relevant SRs; (3) assembly of an advisory board; (4) selection of child welfare SRs relevant to Norway; (5) prioritization of the included SRs; (6) development of a plain language summary (PLS) after feedback from the advisory board; and (7) implementation of website. Results A total of 9266 potentially relevant records were screened and 120 SRs were included. The advisory board was assembled from local policymakers, practitioners, researchers, carers and consumers. The advisory board members independently ranked the 120 SRs according to relevance and prioritized 20 SRs that were written up into the PLS. The format of the PLS was tested and agreed with the board members. A website was developed and the PLSs were published starting September 2014. Conclusion We think that the PLSs will be valuable resources to practitioners and it will be easily accessible to caregivers and consumers. This knowledge will inform research priorities and practice in Norway, leading the way to the use of evidence‐based decisions in local child welfare services. PMID:26081348

  3. 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

  4. [Contingent valuation for health care services. Review of domestic studies and outline of foreign investigations].

    PubMed

    Yasunaga, Hideo; Ide, Hiroo; Imamura, Tomoaki; Ohe, Kazuhiko

    2006-11-01

    Contingent valuation method (CVM) can be applied to measure benefits of healthcare services. It is a technique for estimating subjects' willingness to pay (WTP) for a service under the scenario describing a virtual market with a questionnaire. In the present research, we outlined foreign studies and reviewed domestic studies on healthcare contingent valuation. A total of 14 papers from domestic literature (five English and nine Japanese articles) identified with mechanical search engines were verified for the following eight items: the method of the questionnaire; the information included in the virtual scenario; the question form for the willingness to pay; bias problems specific to CVM; validity/reliability, ex post/ex ante valuation, altruistic WTP, and non-health value. The following conclusions were drawn from the domestic studies: (1) several studies were short of sufficient information regarding the virtual scenario; (2) no research proved the existence of bias and the ways of coping with it; (3) tests for reliability were not carried out, although some kind of validity was verified; (4) all involved ex post user based evaluation; (5) neither altruistic WTP nor non-health value was examined. Taken the advantages of CVM into consideration, it should become a useful tool, complementing other economic evaluation techniques. Since its application has just begun in Japan, more emphasis needs to be given to practical issues so that healthcare workers will utilize CVM in a way that domestic studies in health economics will be activated. PMID:17228751

  5. 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

  6. 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

  7. 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...

  8. 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...

  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, 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...

  10. Estimating Next Primary Productivity using Satellite and Ancillary Data

    NASA Astrophysics Data System (ADS)

    Choudhury, B. J.

    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 (Ag) and autotrophic respiration (R) per unit ground area. Although available observations show that R is a large and variable fraction of Ag, 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 Ag and R using satellite and ancillary data. Ag 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. 105 km2) of agricultural land and tropical humid evergreen forests, and compared with available field data.

  11. 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.

  12. A Systematic Literature Review: Workplace Violence Against Emergency Medical Services Personnel

    PubMed Central

    Pourshaikhian, Majid; Abolghasem Gorji, Hassan; Aryankhesal, Aidin; Khorasani-Zavareh, Davood; Barati, Ahmad

    2016-01-01

    Context In spite of the high prevalence and consequences of much workplace violence against emergency medical services personnel, this phenomenon has been given insufficient attention. A systematic review can aid the development of guidelines to reduce violence. Objectives The research question addressed by this paper is, “What are the characteristics and findings of studies on workplace violence against emergency medical services personnel”? Data Sources A systematic literature review was conducted using online databases (PubMed, Scopus, Google Scholar, and Magiran) with the help of experienced librarians. Study Selection Inclusion criteria comprised studies in the English or Persian language and researcher’s access to the full text. There was no limit to the entry of the study design. Exclusion criteria included lack of access to the full text of the article, studies published in unreliable journals or conferences, and studies in which the results were shared with other medical or relief groups and there was no possibility of breaking down the results. Data Extraction A “Data extraction form” was designed by the researchers based on the goals of the study that included the title and author(s), study method (type, place of study, sample size, sampling method, and data collection/analysis tool), printing location, information related to the frequency of types of violence, characteristics of victims /perpetrators, and related factors. Results The papers reviewed utilized a variety of locations and environments, methods, and instrument samplings. The majority of the studies were performed using the quantitative method. No intervention study was found. Most studies focused on the prevalence of violence, and their results indicated that exposure to violence was high. The results are presented in six major themes. Conclusions Workplace violence and injuries incurred from it are extensive throughout the world. The important causes of violence include the shortage of training programs dealing with violence, lack of violence management protocols, and delays in response times. Therefore, afterthought and resolve are more crucial than ever. Workplace violence reduction strategies and suggestions for future studies are also discussed. PMID:27169096

  13. 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.

  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. A Patient-Centered Framework for Evaluating Digital Maturity of Health Services: A Systematic Review

    PubMed Central

    Callahan, Ryan; Darzi, Ara; Mayer, Erik

    2016-01-01

    Background Digital maturity is the extent to which digital technologies are used as enablers to deliver a high-quality health service. Extensive literature exists about how to assess the components of digital maturity, but it has not been used to design a comprehensive framework for evaluation. Consequently, the measurement systems that do exist are limited to evaluating digital programs within one service or care setting, meaning that digital maturity evaluation is not accounting for the needs of patients across their care pathways. Objective The objective of our study was to identify the best methods and metrics for evaluating digital maturity and to create a novel, evidence-based tool for evaluating digital maturity across patient care pathways. Methods We systematically reviewed the literature to find the best methods and metrics for evaluating digital maturity. We searched the PubMed database for all papers relevant to digital maturity evaluation. Papers were selected if they provided insight into how to appraise digital systems within the health service and if they indicated the factors that constitute or facilitate digital maturity. Papers were analyzed to identify methodology for evaluating digital maturity and indicators of digitally mature systems. We then used the resulting information about methodology to design an evaluation framework. Following that, the indicators of digital maturity were extracted and grouped into increasing levels of maturity and operationalized as metrics within the evaluation framework. Results We identified 28 papers as relevant to evaluating digital maturity, from which we derived 5 themes. The first theme concerned general evaluation methodology for constructing the framework (7 papers). The following 4 themes were the increasing levels of digital maturity: resources and ability (6 papers), usage (7 papers), interoperability (3 papers), and impact (5 papers). The framework includes metrics for each of these levels at each stage of the typical patient care pathway. Conclusions The framework uses a patient-centric model that departs from traditional service-specific measurements and allows for novel insights into how digital programs benefit patients across the health system. Trial Registration N/A PMID:27080852

  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. Integration of antenatal care services with health programmes in low– and middle–income countries: systematic review

    PubMed Central

    de Jongh, Thyra E; Gurol–Urganci, Ipek; Allen, Elizabeth; Zhu, Nina Jiayue; Atun, Rifat

    2016-01-01

    Background Antenatal care (ANC) presents a potentially valuable platform for integrated delivery of additional health services for pregnant women–services that are vital to reduce the persistently high rates of maternal and neonatal mortality in low– and middle–income countries (LMICs). However, there is limited evidence on the impact of integrating health services with ANC to guide policy. This review assesses the impact of integration of postnatal and other health services with ANC on health services uptake and utilisation, health outcomes and user experience of care in LMICs. Methods Cochrane Library, MEDLINE, Embase, CINAHL Plus, POPLINE and Global Health were searched for studies that compared integrated models for delivery of postnatal and other health services with ANC to non–integrated models. Risk of bias of included studies was assessed using the Cochrane Effective Practice and Organisation of Care (EPOC) criteria and the Newcastle–Ottawa Scale, depending on the study design. Due to high heterogeneity no meta–analysis could be conducted. Results are presented narratively. Findings 12 studies were included in the review. Limited evidence, with moderate– to high–risk of bias, suggests that integrated service delivery results in improved uptake of essential health services for women, earlier initiation of treatment, and better health outcomes. Women also reported improved satisfaction with integrated services. Conclusions The reported evidence is largely based on non–randomised studies with poor generalizability, and therefore offers very limited policy guidance. More rigorously conducted and geographically diverse studies are needed to better ascertain and quantify the health and economic benefits of integrating health services with ANC. PMID:27231539

  18. 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...

  19. The influence of social determinants on the use of prevention and health promotion services: Results of a systematic literature review

    PubMed Central

    Janen, 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 rzteblatt 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

  20. 77 FR 63417 - Senior Executive Service; Departmental Performance Review Board Members

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-16

    ..., Commissioner, Financial Management Service and Bureau of the Public Debt Wanda J. Rogers, Deputy Commissioner, Financial Services and Operations, Financial Management Service and Bureau of the Public Debt Anita D... Management Service and Bureau of the Public Debt Larry R. Felix, Director, Bureau of Engraving and......