Science.gov

Sample records for des liaisons soudees

  1. Liaison based assembly design

    SciTech Connect

    Ames, A.; Kholwadwala, D.; Wilson, R.H.

    1996-12-01

    Liaison Based Assembly Design extends the current information infrastructure to support design in terms of kinematic relationships between parts, or liaisons. These liaisons capture information regarding contact, degrees-of-freedom constraints and containment relationships between parts in an assembly. The project involved defining a useful collection of liaison representations, investigating their properties, and providing for maximum use of the data in downstream applications. We tested our ideas by implementing a prototype system involving extensions to Pro/Engineer and the Archimedes assembly planner. With an expanded product model, the design system is more able to capture design intent. When a product update is attempted, increased knowledge availability improves our ability to understand the effect of design changes. Manufacturing and analysis disciplines benefit from having liaison information available, so less time is wasted arguing over incomplete design specifications and our enterprise can be more completely integrated.

  2. Industry liaison section implementation plan

    NASA Technical Reports Server (NTRS)

    Lakowske, Stephen

    1990-01-01

    The Industry Liaison Section is a new function of the Army/NASA Aircrew-Aircraft Integration (AAAI) Program that is intended to bridge an existing gap between Government developers (including contractors) and outside organizations who are potential users of products and services developed by the AAAI Program. Currently in its sixth year, the Program is experiencing considerable pull from industry and other government organizations to disseminate products. Since the AAAI Program's charter is exploratory and research in nature, and satisfying proper dissemination requirements is in conflict with the rapid prototyping approach utilized by the design team, the AAAI Program has elected to create an Industry Liaison Section (ILS) to serve as the Program's technology transfer focal point. The process by which the ILS may be established, organized and managed is described, including the baseline organizational structure, duties, functions, authority, responsibilities, relations and policies and procedures relevant to the conduct of the ILS.

  3. The "Marital" Liaisons of Gay Men.

    ERIC Educational Resources Information Center

    Harry, Joseph

    1979-01-01

    Reports research on the nature of enduring sexual liaisons among homosexual men. Such relationships vary widely and may be subinstitutional adaptions to lack of community support. Gay men committed to the heterosexual world were less likely to enter enduring relationships. Open marriage is the more enduring form of gay male liaisons. (Author)

  4. 1 CFR 20.1 - Liaison officers.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 1 General Provisions 1 2010-01-01 2010-01-01 false Liaison officers. 20.1 Section 20.1 General... DOCUMENTS HANDLING OF THE UNITED STATES GOVERNMENT MANUAL STATEMENTS § 20.1 Liaison officers. (a) Each of... United States Government Manual: (1) Agencies of the legislative and judicial branches. (2)...

  5. 1 CFR 20.1 - Liaison officers.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 1 General Provisions 1 2012-01-01 2012-01-01 false Liaison officers. 20.1 Section 20.1 General... DOCUMENTS HANDLING OF THE UNITED STATES GOVERNMENT MANUAL STATEMENTS § 20.1 Liaison officers. (a) Each of... United States Government Manual: (1) Agencies of the legislative and judicial branches. (2)...

  6. 1 CFR 20.1 - Liaison officers.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 1 General Provisions 1 2011-01-01 2011-01-01 false Liaison officers. 20.1 Section 20.1 General... DOCUMENTS HANDLING OF THE UNITED STATES GOVERNMENT MANUAL STATEMENTS § 20.1 Liaison officers. (a) Each of... United States Government Manual: (1) Agencies of the legislative and judicial branches. (2)...

  7. 1 CFR 20.1 - Liaison officers.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 1 General Provisions 1 2013-01-01 2012-01-01 true Liaison officers. 20.1 Section 20.1 General... DOCUMENTS HANDLING OF THE UNITED STATES GOVERNMENT MANUAL STATEMENTS § 20.1 Liaison officers. (a) Each of... United States Government Manual: (1) Agencies of the legislative and judicial branches. (2)...

  8. 1 CFR 20.1 - Liaison officers.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 1 General Provisions 1 2014-01-01 2012-01-01 true Liaison officers. 20.1 Section 20.1 General... DOCUMENTS HANDLING OF THE UNITED STATES GOVERNMENT MANUAL STATEMENTS § 20.1 Liaison officers. (a) Each of... United States Government Manual: (1) Agencies of the legislative and judicial branches. (2)...

  9. What Liaisons Say about Themselves and What Faculty Say about Their Liaisons, a U.S. Survey

    ERIC Educational Resources Information Center

    Arendt, Julie; Lotts, Megan

    2012-01-01

    Liaison librarians and faculty in chemistry, English, and psychology departments at colleges and universities in the United States were surveyed. They answered questions about services provided by the liaison and satisfaction. Liaisons' satisfaction with their performance was associated with active liaison service, such as recent contact with the…

  10. 15 CFR 946.10 - Liaison officer.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE REGULATIONS OF THE NATIONAL WEATHER SERVICE MODERNIZATION OF THE NATIONAL WEATHER SERVICE § 946.10 Liaison officer. Prior to restructuring a field office... the provision of timely weather warnings and forecasts....

  11. 15 CFR 946.10 - Liaison officer.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE REGULATIONS OF THE NATIONAL WEATHER SERVICE MODERNIZATION OF THE NATIONAL WEATHER SERVICE § 946.10 Liaison officer. Prior to restructuring a field office... the provision of timely weather warnings and forecasts....

  12. 15 CFR 946.10 - Liaison officer.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE REGULATIONS OF THE NATIONAL WEATHER SERVICE MODERNIZATION OF THE NATIONAL WEATHER SERVICE § 946.10 Liaison officer. Prior to restructuring a field office... the provision of timely weather warnings and forecasts....

  13. 15 CFR 946.10 - Liaison officer.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE REGULATIONS OF THE NATIONAL WEATHER SERVICE MODERNIZATION OF THE NATIONAL WEATHER SERVICE § 946.10 Liaison officer. Prior to restructuring a field office... the provision of timely weather warnings and forecasts....

  14. 15 CFR 946.10 - Liaison officer.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE REGULATIONS OF THE NATIONAL WEATHER SERVICE MODERNIZATION OF THE NATIONAL WEATHER SERVICE § 946.10 Liaison officer. Prior to restructuring a field office... the provision of timely weather warnings and forecasts....

  15. 7 CFR 3018.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Agency and legislative liaison. 3018.200 Section 3018... Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in § 3018.100 (a... is for agency and legislative liaison activities not directly related to a covered Federal action....

  16. 12 CFR 411.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Agency and legislative liaison. 411.200 Section... Activities by Own Employees § 411.200 Agency and legislative liaison. (a) The prohibition on the use of... cooperative agreement if the payment is for agency and legislative liaison activities not directly related...

  17. 49 CFR 20.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Agency and legislative liaison. 20.200 Section 20... by Own Employees § 20.200 Agency and legislative liaison. (a) The prohibition on the use of... cooperative agreement if the payment is for agency and legislative liaison activities not directly related...

  18. 10 CFR 601.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Agency and legislative liaison. 601.200 Section 601.200... Own Employees § 601.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated... agreement if the payment is for agency and legislative liaison activities not directly related to a...

  19. 43 CFR 18.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Agency and legislative liaison. 18.200... Activities by Own Employees § 18.200 Agency and legislative liaison. (a) The prohibition on the use of... cooperative agreement if the payment is for agency and legislative liaison activities not directly related...

  20. 22 CFR 138.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Agency and legislative liaison. 138.200 Section... Own Employees § 138.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated... agreement if the payment is for agency and legislative liaison activities not directly related to a...

  1. 32 CFR 28.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Agency and legislative liaison. 28.200 Section... legislative liaison. (a) The prohibition on the use of appropriated funds, in § 28.100 (a), does not apply in... and legislative liaison activities not directly related to a covered Federal action. (b) For...

  2. 22 CFR 311.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Agency and legislative liaison. 311.200 Section....200 Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in § 311.100... the payment is for agency and legislative liaison activities not directly related to a covered...

  3. 24 CFR 87.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Agency and legislative liaison. 87... legislative liaison. (a) The prohibition on the use of appropriated funds, in § 87.100 (a), does not apply in... and legislative liaison activities not directly related to a covered Federal action. (b) For...

  4. 29 CFR 93.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Agency and legislative liaison. 93.200 Section 93.200 Labor... and legislative liaison. (a) The prohibition on the use of appropriated funds, in § 93.100 (a), does... is for agency and legislative liaison activities not directly related to a covered Federal action....

  5. 22 CFR 712.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Agency and legislative liaison. 712.200 Section... RESTRICTIONS ON LOBBYING Activities by Own Employees § 712.200 Agency and legislative liaison. (a) The..., grant, loan, or cooperative agreement if the payment is for agency and legislative liaison...

  6. 13 CFR 146.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Agency and legislative liaison... ON LOBBYING Activities by Own Employees § 146.200 Agency and legislative liaison. (a) The prohibition..., grant, loan, or cooperative agreement if the payment is for agency and legislative liaison...

  7. 34 CFR 82.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Agency and legislative liaison. 82.200 Section 82.200... Employees § 82.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in... the payment is for agency and legislative liaison activities not directly related to a covered...

  8. 22 CFR 227.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Agency and legislative liaison. 227.200 Section... by Own Employees § 227.200 Agency and legislative liaison. (a) The prohibition on the use of... cooperative agreement if the payment is for agency and legislative liaison activities not directly related...

  9. 22 CFR 519.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Agency and legislative liaison. 519.200 Section... Own Employees § 519.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated... agreement if the payment is for agency and legislative liaison activities not directly related to a...

  10. Liaison Efforts at a Small Business College

    ERIC Educational Resources Information Center

    Hales, Karen; Ward, Randall; Brown, Annalaura

    2009-01-01

    At our small business college, we believe that next to serving the students, the most important thing we as librarians can do is serve as liaisons to the faculty. If the faculty is tuned in to the library, it is more likely he or she will use library resources and will teach students about them. This will provide a more effective education for the…

  11. From Engaging Liaison Librarians to Engaging Communities

    ERIC Educational Resources Information Center

    Kenney, Anne R.

    2015-01-01

    Kara J. Malenfant wrote in her 2010 article "Leading Change in the System of Scholarly Communication: A Case Study of Engaging Liaison Librarians for Outreach to Faculty" that it would be interesting to revisit the University of Minnesota (UMN) Libraries in three years and see how they are doing. Malenfant had documented a culture shift…

  12. Consultation-liaison psychiatry in China

    PubMed Central

    Ji, Jianlin; Ye, Chenyu

    2012-01-01

    Consultation-liaison psychiatry (CLP) was first established in China after liberation in 1949. It has developed more rapidly over the last two decades but, despite major regional differences in the level of CLP, the overall practice of CLP in the country remains quite basic, largely limited to case-based consultation with other medical departments. There is little ongoing collaboration between departments of psychiatry and other departments, and medical students and non-psychiatric clinicians rarely get training in CLP. PMID:25324616

  13. 45 CFR 1230.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Agency and legislative liaison. 1230.200 Section... COMMUNITY SERVICE NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 1230.200 Agency and legislative... legislative liaison activities not directly related to a covered Federal action. (b) For purposes of...

  14. 28 CFR 69.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Agency and legislative liaison. 69.200 Section 69.200 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 69.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in § 69.100 (a), does...

  15. 44 CFR 18.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Agency and legislative... Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in § 18.100 (a... is for agency and legislative liaison activities not directly related to a covered Federal action....

  16. 6 CFR 9.11 - Agency and legislative liaison.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 6 Domestic Security 1 2014-01-01 2014-01-01 false Agency and legislative liaison. 9.11 Section 9.11 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY RESTRICTIONS UPON LOBBYING Activities by Own Employees § 9.11 Agency and legislative liaison. (a) The prohibition on the...

  17. 6 CFR 9.11 - Agency and legislative liaison.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 6 Domestic Security 1 2011-01-01 2011-01-01 false Agency and legislative liaison. 9.11 Section 9.11 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY RESTRICTIONS UPON LOBBYING Activities by Own Employees § 9.11 Agency and legislative liaison. (a) The prohibition on the...

  18. 6 CFR 9.11 - Agency and legislative liaison.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 6 Domestic Security 1 2012-01-01 2012-01-01 false Agency and legislative liaison. 9.11 Section 9.11 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY RESTRICTIONS UPON LOBBYING Activities by Own Employees § 9.11 Agency and legislative liaison. (a) The prohibition on the...

  19. 6 CFR 9.11 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 6 Domestic Security 1 2010-01-01 2010-01-01 false Agency and legislative liaison. 9.11 Section 9.11 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY RESTRICTIONS UPON LOBBYING Activities by Own Employees § 9.11 Agency and legislative liaison. (a) The prohibition on the...

  20. 6 CFR 9.11 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 6 Domestic Security 1 2013-01-01 2013-01-01 false Agency and legislative liaison. 9.11 Section 9.11 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY RESTRICTIONS UPON LOBBYING Activities by Own Employees § 9.11 Agency and legislative liaison. (a) The prohibition on the...

  1. 18 CFR 701.54 - Interagency Liaison Committee.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 18 Conservation of Power and Water Resources 2 2014-04-01 2014-04-01 false Interagency Liaison Committee. 701.54 Section 701.54 Conservation of Power and Water Resources WATER RESOURCES COUNCIL COUNCIL ORGANIZATION Headquarters Organization § 701.54 Interagency Liaison Committee. There is established within...

  2. 18 CFR 701.54 - Interagency Liaison Committee.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 18 Conservation of Power and Water Resources 2 2012-04-01 2012-04-01 false Interagency Liaison Committee. 701.54 Section 701.54 Conservation of Power and Water Resources WATER RESOURCES COUNCIL COUNCIL ORGANIZATION Headquarters Organization § 701.54 Interagency Liaison Committee. There is established within...

  3. 18 CFR 701.54 - Interagency Liaison Committee.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 18 Conservation of Power and Water Resources 2 2013-04-01 2012-04-01 true Interagency Liaison Committee. 701.54 Section 701.54 Conservation of Power and Water Resources WATER RESOURCES COUNCIL COUNCIL ORGANIZATION Headquarters Organization § 701.54 Interagency Liaison Committee. There is established within...

  4. The Family Liaison Position in High-Poverty, Urban Schools

    ERIC Educational Resources Information Center

    Dretzke, Beverly J.; Rickers, Susan R.

    2016-01-01

    This study examined the roles and responsibilities of family liaisons working in urban schools with enrollments characterized by high poverty, high mobility, and ethnic diversity. Results indicated that the major responsibilities of the liaisons were creating a trusting and welcoming environment, facilitating parent involvement in the school,…

  5. 45 CFR 93.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Agency and legislative liaison. 93.200 Section 93.200 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 93.200 Agency and legislative liaison. (a) The prohibition on...

  6. 44 CFR 18.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Agency and legislative liaison. 18.200 Section 18.200 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY GENERAL NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 18.200 Agency and legislative liaison. (a)...

  7. 49 CFR 20.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 1 2013-10-01 2013-10-01 false Agency and legislative liaison. 20.200 Section 20.200 Transportation Office of the Secretary of Transportation NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 20.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in § 20.100 (a), does not apply...

  8. 45 CFR 1230.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 4 2013-10-01 2013-10-01 false Agency and legislative liaison. 1230.200 Section 1230.200 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 1230.200 Agency and legislative liaison. (a) The prohibition on...

  9. 32 CFR 28.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 1 2013-07-01 2013-07-01 false Agency and legislative liaison. 28.200 Section 28.200 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE DoD GRANT AND AGREEMENT REGULATIONS NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 28.200 Agency and legislative liaison. (a) The prohibition on the use...

  10. 28 CFR 69.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Agency and legislative liaison. 69.200 Section 69.200 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 69.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in § 69.100 (a), does...

  11. 20 CFR 438.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Agency and legislative liaison. 438.200 Section 438.200 Employees' Benefits SOCIAL SECURITY ADMINISTRATION RESTRICTIONS ON LOBBYING Activities by Own Employees § 438.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in § 438.100(a), does not apply in...

  12. 22 CFR 712.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 2 2013-04-01 2009-04-01 true Agency and legislative liaison. 712.200 Section 712.200 Foreign Relations OVERSEAS PRIVATE INVESTMENT CORPORATION ADMINISTRATIVE PROVISIONS NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 712.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in...

  13. Liaison Services in ARL Libraries. SPEC Kit 189.

    ERIC Educational Resources Information Center

    Latta, Gail F., Comp.

    To gather more information on the role of the liaison in research libraries, the Association of Research Libraries (ARL) Office of Management Services conducted a survey in 1992 of its academic library members. Completed surveys were returned by 49 libraries. Liaisons in both technical and public services were reported by 59 percent, while 31…

  14. Restructuring a Liaison Program in an Academic Library.

    ERIC Educational Resources Information Center

    Mozenter, Frada; Sanders, Bridgette T.; Welch, Jeanie M.

    2000-01-01

    Discusses academic library liaison programs and describes the restructuring of a liaison program at the University of North Carolina, Charlotte to help strengthen the relationship between the library and the teaching faculty. Also reports results of a survey of selected departments that assessed the effectiveness of reference librarians as…

  15. 18 CFR 701.54 - Interagency Liaison Committee.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 18 Conservation of Power and Water Resources 2 2011-04-01 2011-04-01 false Interagency Liaison Committee. 701.54 Section 701.54 Conservation of Power and Water Resources WATER RESOURCES COUNCIL COUNCIL ORGANIZATION Headquarters Organization § 701.54 Interagency Liaison Committee. There is established within...

  16. 18 CFR 701.54 - Interagency Liaison Committee.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false Interagency Liaison Committee. 701.54 Section 701.54 Conservation of Power and Water Resources WATER RESOURCES COUNCIL COUNCIL ORGANIZATION Headquarters Organization § 701.54 Interagency Liaison Committee. There is established within...

  17. 14 CFR 1271.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Agency and legislative liaison. 1271.200 Section 1271.200 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 1271.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in §...

  18. 14 CFR 1271.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 5 2011-01-01 2010-01-01 true Agency and legislative liaison. 1271.200 Section 1271.200 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 1271.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in §...

  19. Teamwork: a multidisciplinary pediatric-liaison service.

    PubMed

    Froese, A P; Kamin, L E; Levine, C A

    Psychiatrists, psychologists and social workers are often consulted about the same hospitalized patient. Since each may differ in their training, orientation and experience, the opinions expressed by them to the consultee may differ. The authors have described a multidisciplinary liaison team operating within a pediatric teaching hospital. The consultants work as a team in close collaboration with each other and with the psychiatric nurse clinician and an occupational therapist. The team approach has specific advantages. It allows for a concise and unified approach to the emotional and social needs of the patients. It presents a forum for informal consultations and interdisciplinary meetings. In addition, teaching opportunities are many as each discipline learns from the other. PMID:1052083

  20. Psychiatric consultation-liaison nursing: revisiting the role.

    PubMed

    Norwood, S L

    1998-07-01

    With their special training and assessment skills, psychiatric consultation-liaison nurses have a long history of making important contributions to patient care and staff development. This article reviews how psychiatric consultation-liaison nurses have traditionally approached and implemented the nursing consultation process. Issues facing psychiatric consultation-liaison nurses are discussed. Opportunities such as focusing on subspecialization; expanding practice settings; dealing with organization-based, rather than patient-based mental health issues; and entering intra- and entrepreneurial practice are also explored. PMID:9987220

  1. Utilization of a Nurse Consultant in Teaching Liaison Psychiatry

    ERIC Educational Resources Information Center

    Wise, Thomas N.

    1974-01-01

    Integration of a psychiatric liaison nursing service into a traditional psychiatric consultation service presents a unique opportunity for students and house officers to learn the tasks facing a nurse on a general hospital ward. (Author)

  2. 31 CFR 21.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Agency and legislative liaison. 21.200 Section 21.200 Money and Finance: Treasury Office of the Secretary of the Treasury NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 21.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in § 21.100...

  3. 22 CFR 311.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 2 2013-04-01 2009-04-01 true Agency and legislative liaison. 311.200 Section 311.200 Foreign Relations PEACE CORPS NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 311.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in § 311.100 (a), does not apply in the case of a...

  4. 43 CFR 18.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 1 2013-10-01 2013-10-01 false Agency and legislative liaison. 18.200 Section 18.200 Public Lands: Interior Office of the Secretary of the Interior NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 18.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in § 18.100 (a),...

  5. 31 CFR 21.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 31 Money and Finance: Treasury 1 2013-07-01 2013-07-01 false Agency and legislative liaison. 21.200 Section 21.200 Money and Finance: Treasury Office of the Secretary of the Treasury NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 21.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in § 21.100...

  6. 22 CFR 519.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 2 2013-04-01 2009-04-01 true Agency and legislative liaison. 519.200 Section 519.200 Foreign Relations BROADCASTING BOARD OF GOVERNORS NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 519.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in § 519.100 (a), does not apply in...

  7. 29 CFR 93.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 1 2013-07-01 2013-07-01 false Agency and legislative liaison. 93.200 Section 93.200 Labor Office of the Secretary of Labor NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 93.200 Agency and legislative liaison. (a) The prohibition on the use of appropriated funds, in § 93.100 (a), does not apply in the case of a payment...

  8. The quality assurance liaison: Combined technical and quality assurance support

    NASA Astrophysics Data System (ADS)

    Bolivar, S. L.; Day, J. L.

    1993-03-01

    The role of the quality assurance liaison, the responsibilities of this position, and the evolutionary changes in duties over the last six years are described. The role of the quality assurance liaison has had a very positive impact on the Los Alamos Yucca Mountain Site Characterization (YW) quality assurance program. Having both technical and quality assurance expertise, the quality assurance liaisons are able to facilitate communications with scientists on quality assurance issues and requirements, thereby generating greater productivity in scientific investigations. The quality assurance liaisons help ensure that the scientific community knows and implements existing requirements, is aware of new or changing regulations, and is able to conduct scientific work within Project requirements. The influence of the role of the quality assurance liaison can be measured by an overall improvement in attitude of the staff regarding quality assurance requirements and improved job performance, as well as a decrease in deficiencies identified during both internal and external audits and surveillances. This has resulted in a more effective implementation of quality assurance requirements.

  9. Our Experience in a Psychodermatology Liaison Clinic at Manipal, India

    PubMed Central

    Shenoi, Shrutakirthi D; Prabhu, Smitha; Nirmal, B; Petrolwala, Shailee

    2013-01-01

    Psychodermatology is an emerging specialty in dermatology which deals with the interactions between mind and skin. Psychocutaneous diseases can be either primary psychiatric or primary cutaneous, with various degrees of associations between psyche and skin. Unless the dermatologist cultivates a special interest in this field, many an invisible mental disorder may be missed leading to sub optimal treatment of the visible skin condition. Though Dermatology Psychiatry liaison clinics are common in Europe and other western countries, it is just an emerging concept in India. Here we describe the working pattern of psychodermatology liaison clinic established in Manipal in August 2010 and describe briefly the type of cases attended to. PMID:23372214

  10. Leveraging technology and staffing in developing a new liaison program.

    PubMed

    Williams, Jeff; McCrillis, Aileen; McGowan, Richard; Nicholson, Joey; Surkis, Alisa; Thompson, Holly; Vieira, Dorice

    2014-01-01

    With nearly all library resources and services delivered digitally, librarians working for the New York University Health Sciences Library struggled with maintaining awareness of changing user needs, understanding barriers faced in using library resources and services, and determining knowledge management challenges across the organization. A liaison program was created to provide opportunities for librarians to meaningfully engage with users. The program was directed toward a subset of high-priority user groups to provide focused engagement with these users. Responsibility for providing routine reference service was reduced for liaison librarians to provide maximum time to engage with their assigned user communities. PMID:24735265

  11. Des ballons pour demain

    NASA Astrophysics Data System (ADS)

    Régipa, R.

    A partir d'une théorie sur la détermination des formes et des contraintes globales d'un ballon de révolution, ou s'en rapprochant, une nouvelle famille de ballons a été définie. Les ballons actuels, dits de ``forme naturelle'', sont calculés en général pour une tension circonférencielle nulle. Ainsi, pour une mission donnée, la tension longitudinale et la forme de l'enveloppe sont strictement imposées. Les ballons de la nouvelle génération sont globalement cylindriques et leurs pôles sont réunis par un câble axial, chargé de transmettre une partie des efforts depuis le crochet (pôle inférieur), directement au pôle supérieur. De plus, la zone latérale cylindrique est soumise à un faible champ de tensions circonférencielles. Ainsi, deux paramètres permettent de faire évoluer la distribution des tensions et la forme de l'enveloppe: - la tension du câble de liaison entre pôles (ou la longueur de ce câble) - la tension circonférencielle moyenne désirée (ou le rayon du ballon). On peut donc calculer et réaliser: - soit des ballons de forme adaptée, comme les ballons à fond plat pour le bon fonctionnement des montgolfières infrarouge (projet MIR); - soit des ballons optimisés pour une bonne répartition des contraintes et une meilleure utilisation des matériaux d'enveloppe, pour l'ensemble des programmes stratosphériques. Il s'ensuit une économie sensible des coûts de fabrication, une fiabilité accrue du fonctionnement de ces ballons et une rendement opérationnel bien supérieur, permettant entre autres, d'envisager des vols à très haute altitude en matériaux très légers.

  12. 41 CFR 105-69.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Agency and legislative... Administration 69-NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 105-69.200 Agency and legislative... legislative liaison activities not directly related to a covered Federal action. (b) For purposes of...

  13. 38 CFR 45.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Agency and legislative... (CONTINUED) NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 45.200 Agency and legislative liaison... Federal contract, grant, loan, or cooperative agreement if the payment is for agency and...

  14. 15 CFR 28.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Agency and legislative liaison. 28.200 Section 28.200 Commerce and Foreign Trade Office of the Secretary of Commerce NEW RESTRICTIONS ON LOBBYING... amended by Public Law 95-507 and other subsequent amendments. (e) Only those activities...

  15. Elementary Foreign Language Teacher-PTA Liaison Handbook.

    ERIC Educational Resources Information Center

    Fairfax County Public Schools, VA. Div. of Adult Services.

    A handbook for the organization and implementation of an elementary school foreign language program presents guidelines for teachers and PTA liaisons. The program provides supplemental elementary-level instruction for children in Spanish, French, German, Italian, Chinese, and Arabic. Much of the program planning and organization is conducted by…

  16. 45 CFR 1168.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 3 2013-10-01 2013-10-01 false Agency and legislative liaison. 1168.200 Section 1168.200 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE HUMANITIES NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 1168.200 Agency...

  17. 45 CFR 1158.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 3 2013-10-01 2013-10-01 false Agency and legislative liaison. 1158.200 Section 1158.200 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 1158.200 Agency and...

  18. 45 CFR 1158.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 3 2014-10-01 2014-10-01 false Agency and legislative liaison. 1158.200 Section 1158.200 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 1158.200 Agency and...

  19. 45 CFR 1168.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 3 2014-10-01 2014-10-01 false Agency and legislative liaison. 1168.200 Section 1168.200 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE HUMANITIES NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 1168.200 Agency...

  20. 45 CFR 1168.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 3 2011-10-01 2011-10-01 false Agency and legislative liaison. 1168.200 Section 1168.200 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE HUMANITIES NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 1168.200 Agency...

  1. 45 CFR 1158.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 3 2011-10-01 2011-10-01 false Agency and legislative liaison. 1158.200 Section 1158.200 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 1158.200 Agency and...

  2. 45 CFR 1168.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 3 2012-10-01 2012-10-01 false Agency and legislative liaison. 1168.200 Section 1168.200 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE HUMANITIES NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 1168.200 Agency...

  3. 45 CFR 1158.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 3 2012-10-01 2012-10-01 false Agency and legislative liaison. 1158.200 Section 1158.200 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 1158.200 Agency and...

  4. 45 CFR 1158.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Agency and legislative liaison. 1158.200 Section 1158.200 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 1158.200 Agency and...

  5. 45 CFR 1168.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Agency and legislative liaison. 1168.200 Section 1168.200 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE HUMANITIES NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 1168.200 Agency...

  6. Utilizing Paraeducators as Liaisons to the Local Community.

    ERIC Educational Resources Information Center

    Hermanson, Michael J.; Hoagland, Tina

    A study examined the role of paraeducators as liaisons to the local community. Phase 1 of the study involved interviews with four paraeducators and three teachers, each of whom was part of a rural teacher/paraeducator team that used the paraeducator's background in the community to enhance school activities. Phase 2 involved five group sessions…

  7. 20 CFR 438.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... SSA pursuant to the provisions of the Small Business Act, as amended by Public Law 95-507 and other... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Agency and legislative liaison. 438.200 Section 438.200 Employees' Benefits SOCIAL SECURITY ADMINISTRATION RESTRICTIONS ON LOBBYING Activities...

  8. 45 CFR 604.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Agency and legislative liaison. 604.200 Section 604.200 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION... where they are prior to formal solicitation of any covered Federal action: (1) Providing any...

  9. 45 CFR 604.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 3 2011-10-01 2011-10-01 false Agency and legislative liaison. 604.200 Section 604.200 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION... where they are prior to formal solicitation of any covered Federal action: (1) Providing any...

  10. 41 CFR 105-69.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 3 2013-07-01 2013-07-01 false Agency and legislative liaison. 105-69.200 Section 105-69.200 Public Contracts and Property Management Federal Property Management Regulations System (Continued) GENERAL SERVICES ADMINISTRATION Regional Offices-General Services Administration 69-NEW RESTRICTIONS ON...

  11. Liaison with Teaching Faculty: Effective Strategies for Collaborative Collection Development.

    ERIC Educational Resources Information Center

    Gerstein, Christine Wondolowski

    1995-01-01

    Outlines activities that collection development librarians can undertake to involve faculty in the development of the academic library collection. Topics include liaison activities with academic departments, public relations activities, and campus involvement to act as vocal advocates for the library. (Author/LRW)

  12. Performance Measurement of Academic Liaison in Higher Education Libraries.

    ERIC Educational Resources Information Center

    Johnson, Hilary

    Academic liaison--the two-way communication between a particular academic area and the library, focused through an individual or group of library staff--has received little attention in the debate about performance measurement. Changes have taken place in higher education libraries in both scale, with the growth of student numbers, and intent,…

  13. 7 CFR 3018.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 15 2011-01-01 2011-01-01 false Agency and legislative liaison. 3018.200 Section 3018.200 Agriculture Regulations of the Department of Agriculture (Continued) OFFICE OF THE CHIEF FINANCIAL OFFICER, DEPARTMENT OF AGRICULTURE NEW RESTRICTIONS ON LOBBYING Activities by Own Employees §...

  14. 18 CFR 1315.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 18 Conservation of Power and Water Resources 2 2013-04-01 2012-04-01 true Agency and legislative liaison. 1315.200 Section 1315.200 Conservation of Power and Water Resources TENNESSEE VALLEY AUTHORITY... payment of reasonable compensation made to an officer or employee of a person requesting or receiving...

  15. 18 CFR 1315.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 18 Conservation of Power and Water Resources 2 2011-04-01 2011-04-01 false Agency and legislative liaison. 1315.200 Section 1315.200 Conservation of Power and Water Resources TENNESSEE VALLEY AUTHORITY... payment of reasonable compensation made to an officer or employee of a person requesting or receiving...

  16. 18 CFR 1315.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false Agency and legislative liaison. 1315.200 Section 1315.200 Conservation of Power and Water Resources TENNESSEE VALLEY AUTHORITY... payment of reasonable compensation made to an officer or employee of a person requesting or receiving...

  17. 18 CFR 1315.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 18 Conservation of Power and Water Resources 2 2014-04-01 2014-04-01 false Agency and legislative liaison. 1315.200 Section 1315.200 Conservation of Power and Water Resources TENNESSEE VALLEY AUTHORITY... payment of reasonable compensation made to an officer or employee of a person requesting or receiving...

  18. 18 CFR 1315.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 18 Conservation of Power and Water Resources 2 2012-04-01 2012-04-01 false Agency and legislative liaison. 1315.200 Section 1315.200 Conservation of Power and Water Resources TENNESSEE VALLEY AUTHORITY... payment of reasonable compensation made to an officer or employee of a person requesting or receiving...

  19. 14 CFR 1271.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 5 2013-01-01 2013-01-01 false Agency and legislative liaison. 1271.200 Section 1271.200 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION NEW RESTRICTIONS ON... amended by Public Law 95-507 and other subsequent amendments. (e) Only those activities...

  20. 14 CFR 1271.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 5 2012-01-01 2012-01-01 false Agency and legislative liaison. 1271.200 Section 1271.200 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION NEW RESTRICTIONS ON... amended by Public Law 95-507 and other subsequent amendments. (e) Only those activities...

  1. 14 CFR § 1271.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 5 2014-01-01 2014-01-01 false Agency and legislative liaison. § 1271.200 Section § 1271.200 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION NEW RESTRICTIONS... of the Small Business Act, as amended by Public Law 95-507 and other subsequent amendments. (e)...

  2. French Liaison: Linguistic and Sociolinguistic Influences on Speech Perception

    ERIC Educational Resources Information Center

    Dautricourt, Robin Guillaume

    2010-01-01

    French liaison is a phonological process that takes place when an otherwise silent word-final consonant is pronounced before a following vowel-initial word. It is a process that has been evolving for centuries, and whose patterns of realization are influenced by a wide range of interacting linguistic and social factors. French speakers therefore…

  3. 20 CFR 614.25 - Liaison with Department

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Liaison with Department 614.25 Section 614.25 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR UNEMPLOYMENT COMPENSATION FOR EX-SERVICEMEMBERS Responsibilities of Federal Military Agencies and State Agencies §...

  4. 40 CFR 34.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Agency and legislative liaison. 34.200 Section 34.200 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 34.200 Agency and legislative...

  5. 40 CFR 34.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 1 2011-07-01 2011-07-01 false Agency and legislative liaison. 34.200 Section 34.200 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 34.200 Agency and legislative...

  6. 40 CFR 34.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Agency and legislative liaison. 34.200 Section 34.200 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 34.200 Agency and legislative...

  7. 40 CFR 34.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 1 2013-07-01 2013-07-01 false Agency and legislative liaison. 34.200 Section 34.200 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 34.200 Agency and legislative...

  8. 40 CFR 34.200 - Agency and legislative liaison.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 1 2012-07-01 2012-07-01 false Agency and legislative liaison. 34.200 Section 34.200 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 34.200 Agency and legislative...

  9. 10 CFR 455.135 - State liaison, monitoring, and reporting.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 3 2010-01-01 2010-01-01 false State liaison, monitoring, and reporting. 455.135 Section 455.135 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION GRANT PROGRAMS FOR SCHOOLS AND HOSPITALS AND BUILDINGS OWNED BY UNITS OF LOCAL GOVERNMENT AND PUBLIC CARE INSTITUTIONS State Responsibilities §...

  10. 10 CFR 455.135 - State liaison, monitoring, and reporting.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 3 2011-01-01 2011-01-01 false State liaison, monitoring, and reporting. 455.135 Section 455.135 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION GRANT PROGRAMS FOR SCHOOLS AND HOSPITALS AND BUILDINGS OWNED BY UNITS OF LOCAL GOVERNMENT AND PUBLIC CARE INSTITUTIONS State Responsibilities §...

  11. Problems of the oncology outpatient: role of the liaison health visitor.

    PubMed Central

    Trotter, J M; Scott, R; Macbeth, F R; McVie, J G; Calman, K C

    1981-01-01

    A survey by a liaison health visitor of outpatients attending an oncology department has identified and enumerated the principal problems with which she is confronted, and defined her role. The main medical symptoms of concern to the patient at home and needing attention by the liaison health visitor were anorexia, nausea, vomiting, and constipation: inadequate pain control due to poor drug compliance was also common. Other functions of the liaison health visitor include providing nursing aids and prostheses, support for bereaved relatives, and liaison with the community health care team. PMID:6779901

  12. [Consultation-liaison psychiatry: strategy for care, opportunity for training].

    PubMed

    Gogliani, Andrea; Canuto, Alessandra; Zeppegno, Patrizia; Torre, Eugenio

    2014-02-12

    The liaison psychiatry defines itself as way to comprehend the psychological aspects in any situation of care, and in particular in the context of somatic care. The identification of the psychic processes, which can influence the diagnosis and the outcome of a somatic disease, is essential to adequately and globally take care of the individual. At the same time, training in the Help relationship allows to identify the difficulties of nursing, which is very often source of exhaustion and burn-out. PMID:24620465

  13. Homeless Liaisons' Awareness about the Implementation of the McKinney-Vento Act

    ERIC Educational Resources Information Center

    Wilkins, Brittany Taylor; Mullins, Mary H.; Mahan, Amber; Canfield, James P.

    2016-01-01

    The federal government enacted the McKinney--Vento Homeless Assistance Act (MVA) to equip schools with services to help alleviate the many barriers students experiencing homelessness face in pursuit of educational opportunities. Educational agencies use federally mandated liaisons to uphold the provisions of the MVA. Despite the homeless liaisons'…

  14. University Faculty's Perception of a Library Liaison Program: A Case Study.

    ERIC Educational Resources Information Center

    Yang, Zheng Ye (Lan)

    2000-01-01

    Examines how faculty at Texas A&M University perceived a library liaison program. Discusses what faculty thought were important library services, whether they saw improvement resulting from the program, whether the subject background of the liaison librarian was indispensable, faculty support for the program, and faculty opinions about the…

  15. 39 CFR 3004.61 - Freedom of Information Act Public Liaison.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Freedom of Information Act Public Liaison. 3004.61 Section 3004.61 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL PUBLIC RECORDS AND FREEDOM OF INFORMATION ACT § 3004.61 Freedom of Information Act Public Liaison. The Commission designates the Director...

  16. 39 CFR 3004.61 - Freedom of Information Act Public Liaison.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 39 Postal Service 1 2013-07-01 2013-07-01 false Freedom of Information Act Public Liaison. 3004.61 Section 3004.61 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL PUBLIC RECORDS AND FREEDOM OF INFORMATION ACT § 3004.61 Freedom of Information Act Public Liaison. The Commission designates the Director...

  17. 39 CFR 3004.61 - Freedom of Information Act Public Liaison.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 39 Postal Service 1 2012-07-01 2012-07-01 false Freedom of Information Act Public Liaison. 3004.61 Section 3004.61 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL PUBLIC RECORDS AND FREEDOM OF INFORMATION ACT § 3004.61 Freedom of Information Act Public Liaison. The Commission designates the Director...

  18. 39 CFR 3004.61 - Freedom of Information Act Public Liaison.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 39 Postal Service 1 2011-07-01 2011-07-01 false Freedom of Information Act Public Liaison. 3004.61 Section 3004.61 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL PUBLIC RECORDS AND FREEDOM OF INFORMATION ACT § 3004.61 Freedom of Information Act Public Liaison. The Commission designates the Director...

  19. 39 CFR 3004.61 - Freedom of Information Act Public Liaison.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 39 Postal Service 1 2014-07-01 2014-07-01 false Freedom of Information Act Public Liaison. 3004.61 Section 3004.61 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL PUBLIC RECORDS AND FREEDOM OF INFORMATION ACT § 3004.61 Freedom of Information Act Public Liaison. The Commission designates the Director...

  20. Beyond the classroom: a case study of immigrant safety liaisons in residential construction.

    PubMed

    Ochsner, Michele; Marshall, Elizabeth G; Martino, Carmen; Pabelón, Marién Casillas; Kimmel, Louis; Rostran, Damaris

    2012-01-01

    Latino day laborers often work at dangerous construction sites with little power to change conditions. We describe the development, implementation, and early-stage results of a program to train immigrant day laborers as safety liaisons. These are construction workers prepared to recognize and respond to health and safety hazards. Based in Newark, NJ, the project involves collaboration between New Labor, a membership-based worker center, and university researchers and labor educators. Safety liaisons undergo training and receive ongoing support for their roles. Both qualitative and quantitative data are collected to monitor progress. Although lacking in formal authority, safety liaisons have prompted improvements at specific sites, filed OSHA complaints, and developed a local worker council. Participatory training methods, opportunities for leadership outside the classroom, and participation in project planning have strengthened liaisons' effectiveness, leadership skills, and commitment. The safety liaison approach could be adapted by worker centers and their partner organizations. PMID:22967368

  1. DANGEROUS LIAISONS? DATING AND DRINKING DIFFUSION IN ADOLESCENT PEER NETWORKS*

    PubMed Central

    Kreager, Derek A.; Haynie, Dana L.

    2014-01-01

    The onset and escalation of alcohol consumption and romantic relationships are hallmarks of adolescence, yet only recently have these domains jointly been the focus of sociological inquiry. We extend this literature by connecting alcohol use, dating and peers to understand the diffusion of drinking behavior in school-based friendship networks. Drawing on Granovetter’s classic concept of weak ties, we argue that adolescent romantic partners are likely to be network bridges, or liaisons, connecting daters to new peer contexts which, in turn, promote changes in individual drinking behaviors and allow these behaviors to spread across peer networks. Using longitudinal data of 459 couples from the National Longitudinal Study of Adolescent Health, we estimate Actor-Partner Interdependence Models and identify the unique contributions of partners’ drinking, friends’ drinking, and friends-of-partners’ drinking to daters’ own future binge drinking and drinking frequency. Findings support the liaison hypothesis and suggest that friends-of-partners’ drinking have net associations with adolescent drinking patterns. Moreover, the coefficient for friends-of-partners drinking is larger than the coefficient for one’s own peers and generally immune to prior selection. Our findings suggest that romantic relationships are important mechanisms for understanding the diffusion of emergent problem behaviors in adolescent peer networks. PMID:25328162

  2. A history of liaison psychiatry in the UK

    PubMed Central

    Aitken, Peter; Lloyd, Geoffrey; Mayou, Richard; Bass, Christopher; Sharpe, Michael

    2016-01-01

    Aims and method To record the development of liaison psychiatry in the UK and to summarise the current levels of activity. We also highlight the challenges the specialty may face if it is to develop further. History since the 1970s is reviewed by early pioneers and those involved in the present day, with a focus on the key role played by members of the Royal College of Psychiatrists. Results We describe the development of training guidelines, the publication of joint documents with other Royal Colleges, establishing international collaborations and defining service specifications. We emphasise the importance of collaboration with other medical organisations, and describe successes and pitfalls. Clinical implications Much has been achieved but challenges remain. Liaison psychiatry has a potentially important role in improving patient care. It needs to adapt to the requirements of the current National Health Service, marshal evidence for cost-effectiveness and persuade healthcare commissioners to fund services that are appropriate for the psychological needs of general hospital patients. PMID:27512589

  3. DANGEROUS LIAISONS? DATING AND DRINKING DIFFUSION IN ADOLESCENT PEER NETWORKS.

    PubMed

    Kreager, Derek A; Haynie, Dana L

    2011-10-01

    The onset and escalation of alcohol consumption and romantic relationships are hallmarks of adolescence, yet only recently have these domains jointly been the focus of sociological inquiry. We extend this literature by connecting alcohol use, dating and peers to understand the diffusion of drinking behavior in school-based friendship networks. Drawing on Granovetter's classic concept of weak ties, we argue that adolescent romantic partners are likely to be network bridges, or liaisons, connecting daters to new peer contexts which, in turn, promote changes in individual drinking behaviors and allow these behaviors to spread across peer networks. Using longitudinal data of 459 couples from the National Longitudinal Study of Adolescent Health, we estimate Actor-Partner Interdependence Models and identify the unique contributions of partners' drinking, friends' drinking, and friends-of-partners' drinking to daters' own future binge drinking and drinking frequency. Findings support the liaison hypothesis and suggest that friends-of-partners' drinking have net associations with adolescent drinking patterns. Moreover, the coefficient for friends-of-partners drinking is larger than the coefficient for one's own peers and generally immune to prior selection. Our findings suggest that romantic relationships are important mechanisms for understanding the diffusion of emergent problem behaviors in adolescent peer networks. PMID:25328162

  4. Liaison psychiatry as a systems approach to behavior.

    PubMed

    Kimball, C P

    1979-01-01

    In this overview, the psychosomatic theory is discussed from an evolutionary perspective. From its initial concern with relationship between emotions and physiology through psychopathology and anatomo-physio-pathology to socio-psycho-pathophysiology, psychosomatic medicine and its theory is presently viewed as an empiric science utilizing a number of conceptual approaches derived from developmental psychology, classical psychiatry, physiology, sociology and anthropology. These are applied to the study and care of patients in ambulatory and inpatient settings, which are the arenas of the consultation-liaison activity and may be viewed as the clinical laboratories of psychosomatic medicine. In these laboratories, a new language has developed which is largely phenomenological and which attempts to utilize theoretical concepts from several disciplines in explaining the illness illness phenomenon in the present. As such, the practitioner of Liaison Psychiatry is a general systems analyst who analyzes the illness situation of the patient and his attendants in an attempt to decipher the identified problem, explaining it by utilizing selected theoretical concepts from the basic sciences of behavior. Psychosomatic theory is seen as an evolving and bridging science attempting to integrate and combine particulate theory into a more comprehensive synthesis. PMID:398997

  5. Going Boldly beyond the Reference Desk: Practical Advice and Learning Plans for New Reference Librarians Performing Liaison Work

    ERIC Educational Resources Information Center

    Stoddart, Richard A.; Bryant, Thedis W.; Baker, Amia L.; Lee, Adrienne; Spencer, Brett

    2006-01-01

    Our article provides new reference librarians with practical recommendations and learning plans so that they can succeed as liaisons. Drawing from our experiences as new librarians, we explain how to practice continual learning, stay on top of the constantly changing environment of a liaison, pilot different techniques, and assess liaison work.

  6. Reticulation des fibres lignocellulosiques

    NASA Astrophysics Data System (ADS)

    Landrevy, Christel

    Pour faire face à la crise économique la conception de papier à valeur ajoutée est développée par les industries papetières. Le but de se projet est l'amélioration des techniques actuelles de réticulation des fibres lignocellulosiques de la pâte à papier visant à produire un papier plus résistant. En effet, lors des réactions de réticulation traditionnelles, de nombreuses liaisons intra-fibres se forment ce qui affecte négativement l'amélioration anticipée des propriétés physiques du papier ou du matériau produit. Pour éviter la formation de ces liaisons intra-fibres, un greffage sur les fibres de groupements ne pouvant pas réagir entre eux est nécessaire. La réticulation des fibres par une réaction de « click chemistry » appelée cycloaddition de Huisgen entre un azide et un alcyne vrai, catalysée par du cuivre (CuAAC) a été l'une des solutions trouvée pour remédier à ce problème. De plus, une adaptation de cette réaction en milieux aqueux pourrait favoriser son utilisation en milieu industriel. L'étude que nous désirons entreprendre lors de ce projet vise à optimiser la réaction de CuAAC et les réactions intermédiaires (propargylation, tosylation et azidation) sur la pâte kraft, en milieu aqueux. Pour cela, les réactions ont été adaptées en milieu aqueux sur la cellulose microcristalline afin de vérifier sa faisabilité, puis transférée à la pâte kraft et l'influence de différents paramètres comme le temps de réaction ou la quantité de réactifs utilisée a été étudiée. Dans un second temps, une étude des différentes propriétés conférées au papier par les réactions a été réalisée à partir d'une série de tests papetiers optiques et physiques. Mots Clés Click chemistry, Huisgen, CuAAC, propargylation, tosylation, azidation, cellulose, pâte kraft, milieu aqueux, papier.

  7. Customizing for clients: developing a library liaison program from need to plan*

    PubMed Central

    Tennant, Michele R.; Butson, Linda C.; Rezeau, Michelle E.; Tucker, Prudence J.; Boyle, Marian E.; Clayton, Greg

    2001-01-01

    Building on the experiences of librarian representatives to curriculum committees in the colleges of dentistry, medicine, and nursing, the Health Science Center Libraries (HSCL) Strategic Plan recommended the formation of a Library Liaison Work Group to create a formal Library Liaison Program to serve the six Health Science Center (HSC) colleges and several affiliated centers and institutes. The work group's charge was to define the purpose and scope of the program, identify models of best practice, and recommend activities for liaisons. The work group gathered background information, performed an environmental scan, and developed a philosophy statement, a program of liaison activities focusing on seven |primary areas, and a forum for liaison communication. Hallmarks of the plan included intensive subject specialization (beyond collection development), extensive communication with users, and personal information services. Specialization was expected to promote competence, communication, confidence, comfort, and customization. Development of the program required close coordination with other strategic plan implementation teams, including teams for collection development, education, and marketing. This paper discusses the HSCL's planning process and the resulting Library Liaison Program. Although focusing on an academic health center, the planning process and liaison model may be applied to any library serving diverse, subject-specific user populations. PMID:11209807

  8. Customizing for clients: developing a library liaison program from need to plan.

    PubMed

    Tennant, M R; Butson, L C; Rezeau, M E; Tucker, P J; Boyle, M E; Clayton, G

    2001-01-01

    Building on the experiences of librarian representatives to curriculum committees in the colleges of dentistry, medicine, and nursing, the Health Science Center Libraries (HSCL) Strategic Plan recommended the formation of a Library Liaison Work Group to create a formal Library Liaison Program to serve the six Health Science Center (HSC) colleges and several affiliated centers and institutes. The work group's charge was to define the purpose and scope of the program, identify models of best practice, and recommend activities for liaisons. The work group gathered background information, performed an environmental scan, and developed a philosophy statement, a program of liaison activities focusing on seven primary areas, and a forum for liaison communication. Hallmarks of the plan included intensive subject specialization (beyond collection development), extensive communication with users, and personal information services. Specialization was expected to promote competence, communication, confidence, comfort, and customization. Development of the program required close coordination with other strategic plan implementation teams, including teams for collection development, education, and marketing. This paper discusses the HSCL's planning process and the resulting Library Liaison Program. Although focusing on an academic health center, the planning process and liaison model may be applied to any library serving diverse, subject-specific user populations. PMID:11209807

  9. A case study: the evolution of a “facilitator model” liaison program in an academic medical library*

    PubMed Central

    DeShay, Claudia H.; Huslig, Mary Ann; Mayo, Helen G.; Patridge, Emily F.

    2012-01-01

    Question: What type of liaison program would best utilize both librarians and other library staff to effectively promote library services and resources to campus departments? Setting: The case is an academic medical center library serving a large, diverse campus. Methods: The library implemented a “facilitator model” program to provide personalized service to targeted clients that allowed for maximum staff participation with limited subject familiarity. To determine success, details of liaison-contact interactions and results of liaison and department surveys were reviewed. Results: Liaisons successfully recorded 595 interactions during the program's first 10 months of existence. A significant majority of departmental contact persons (82.5%) indicated they were aware of the liaison program, and 75% indicated they preferred email communication. Conclusion: The “facilitator model” provides a well-defined structure for assigning liaisons to departments or groups; however, training is essential to ensure that liaisons are able to communicate effectively with their clients. PMID:22879805

  10. Preventing nursing burnout: a challenge for liaison psychiatry.

    PubMed

    Fawzy, F I; Wellisch, D K; Pasnau, R O; Leibowitz, B

    1983-07-01

    The authors conducted a study to assess and compare the level of job satisfaction among five groups of registered nurses working at UCLA Hospital. Fifty-seven female nurses completed the MMPI, Locus of Control Test, Work Environment Scale, and a questionnaire designed to assess job satisfaction. Results showed that there were no significant personality differences among the five groups of nurses. Significant differences between some of the groups were found in demographic variables and in work-related variables such as involvement, task orientation, work pressure, sense of authority on the job, and perceived communication with peers or other groups in the work environment. Nurses on the Medicine unit tended to have lower overall job satisfaction than those in the other units. The involvement of the Psychiatric Liaison Service on the five nursing units is described and discussed as a possible method for providing psychosocial support to the nurses and reducing high turnover rates. PMID:6618173

  11. Evaluating Enhancements to a Perioperative Nurse Liaison Program.

    PubMed

    Hanson-Heath, Cathy Ann; Muller, Linda M; Cunningham, Maureen F

    2016-04-01

    The impetus for the perioperative nurse liaison (PNL) program at our cancer center was to reduce anxiety for family members of patients undergoing surgery by improving communication between the family and the perioperative team. The purpose of our quality improvement project was to increase contact with family members during the patient's surgery and to support families and surgeons during the postoperative family consult when findings were unexpected. After implementing process changes, the PNLs evaluated the program using a short survey given to families after the postoperative consult. Families reported a reduction in stress and anxiety when intraoperative updates were received either in person or by telephone. In addition, when the PNL accompanied family members to the postoperative consult, the family felt supported when receiving unexpected findings. Further, family contact with the PNL increased from 77% to 98%, and the number of consults with surgeons that included the PNL rose from an average of 254 to 500 per year. PMID:27004504

  12. Effectiveness of a liaison program in meeting information needs of college of pharmacy faculty.

    PubMed

    Kramer, Sandra S; Martin, Jennifer R; Schlimgen, Joan B; Slack, Marion K; Martin, Jim

    2011-01-01

    This article describes the creation and implementation of focus groups to evaluate the effectiveness of a health sciences library's liaison program of the College of Pharmacy faculty and to better understand the faculty's information needs in order to design new and improved library services. The liaison services support the teaching and research needs of faculty and students through literature research, classroom teaching, and an extensive library collection of pharmacy literature. Focus group results demonstrated a high level of satisfaction with library liaison services and collections. Opportunities exist for expanded interaction with graduate students and greater marketing of library services to increase faculty awareness of specific library programs. PMID:21271450

  13. A multidimensional Framework for Routine Outcome Measurement in Liaison Psychiatry (FROM-LP)†

    PubMed Central

    Trigwell, Peter; Kustow, James

    2016-01-01

    In the field of liaison psychiatry, as in all areas of healthcare, there is an essential need for well-organised and consistent collection of information on outcomes, from a range of perspectives. This special article introduces, and describes the development of, the multidimensional Framework for Routine Outcome Measurement in Liaison Psychiatry (FROM-LP). This was challenging owing to the variety of service settings and types of intervention which characterise liaison psychiatry. Similar challenges may be faced by other specialties and this, along with the direct relevance of much of the eventual content of the framework, will broaden the interest of this article. PMID:27512587

  14. Pharmacy Student and Preceptor Impressions of Faculty Liaison Visits to Experiential Training Sites

    PubMed Central

    Paiva, Maria; Black, Emily

    2015-01-01

    Objective. To characterize preceptor and student views about and experiences with faculty liaison visits to practice sites during clinical internships. Methods. A survey was administered at the conclusion of each of the first 3 academic years of a new postbaccalaureate doctor of pharmacy (PharmD) program. Results. Preceptors were satisfied overall with faculty liaison visits, while students initially were not; however, their perception increased in subsequent years. Students felt development of their patient care skills benefited, but less so their interpersonal communication skills. Each year, almost all preceptors indicated faculty liaison visits were helpful in developing and refining their mentorship skills. Conclusion. Faculty liaison visits provided a valuable opportunity to interact and support preceptors and students during advanced pharmacy internships in a nascent PharmD program. PMID:26839424

  15. Intelligent outcome measures in liaison psychiatry: essential even if not desirable: Commentary on … a multidimensional Framework for Routine Outcome Measurement in Liaison Psychiatry (FROM-LP).

    PubMed

    Tadros, George

    2016-08-01

    Service development is guided by outcome measures that inform service commissioners and providers. Those in liaison psychiatry should be encouraged to develop a positive approach that integrates the collection of outcome measures into everyday clinical practice. The Framework for Routine Outcome Measurement in Liaison Psychiatry (FROM-LP) is a very useful tool to measure service quality and clinical effectiveness, using a combination of clinician-rated and patient-rated outcome measures and patient-rated experience measures. However, it does not include measures of cost-effectiveness or training activities. The FROM-LP is a significant step towards developing nationally unified outcome measures. PMID:27512588

  16. Opening the 'black box': liaison psychiatry services and what they actually do.

    PubMed

    Guthrie, Elspeth; McMeekin, Aaron; Thomasson, Rachel; Khan, Sylvia; Makin, Sally; Shaw, Ben; Longson, Damien

    2016-08-01

    Aims and method To develop a simple, pragmatic typology to characterise the nature of liaison interventions delivered by a liaison service in a National Health Service setting. We carried out a retrospective electronic case-note review of referrals to a ward-based liaison psychiatry service. Results Three hundred and forty-four patients were referred to the service over a 12-month period. Ten different types of liaison interventions were identified, with the most common interventions being diagnosis (112 patients, 32.6%), medication management (57 patients, 16.6%), risk assessment and treatment (56 patients, 16.3% each). Mental Health Act work accounted for the greatest number of contacts per patient (median 7). Clinical implications There are inherent limitations in any single-site observational study, as site-specific results cannot be generalised to other liaison services. The intervention categories we developed, however, are easy to use and will provide a way of comparing and benchmarking the range of interventions delivered by different liaison psychiatry services. PMID:27512583

  17. Opening the ‘black box’: liaison psychiatry services and what they actually do

    PubMed Central

    Guthrie, Elspeth; McMeekin, Aaron; Thomasson, Rachel; Khan, Sylvia; Makin, Sally; Shaw, Ben; Longson, Damien

    2016-01-01

    Aims and method To develop a simple, pragmatic typology to characterise the nature of liaison interventions delivered by a liaison service in a National Health Service setting. We carried out a retrospective electronic case-note review of referrals to a ward-based liaison psychiatry service. Results Three hundred and forty-four patients were referred to the service over a 12-month period. Ten different types of liaison interventions were identified, with the most common interventions being diagnosis (112 patients, 32.6%), medication management (57 patients, 16.6%), risk assessment and treatment (56 patients, 16.3% each). Mental Health Act work accounted for the greatest number of contacts per patient (median 7). Clinical implications There are inherent limitations in any single-site observational study, as site-specific results cannot be generalised to other liaison services. The intervention categories we developed, however, are easy to use and will provide a way of comparing and benchmarking the range of interventions delivered by different liaison psychiatry services. PMID:27512583

  18. Development of an optically scanned consultation-liaison data base.

    PubMed

    McKegney, F P; Schwartz, C E; O'Dowd, M A; Salamon, I; Kennedy, R

    1990-03-01

    Every clinical service must record certain data about its patient care activities. In low-volume services, such as Psychiatric Inpatient Services, with perhaps 20-30 admissions per month, and an average patient stay of 2-4 weeks, a large amount of data on each patient can be obtained during the contact time with the patient. On the other hand, very large-volume psychiatric services, such as Emergency and Consultation-Liaison (C-L) Services, may not need or be able to gather such a large amount of data on every patient seen. This article describes the development of a brief, optically scannable, and computerized minimal data base form for patients seen by a very large division of C-L Psychiatry. The system is feasible and easily auditable for completeness and reliability. This data base has already served many important functions beyond providing an administrative statistical summary of services rendered. It is presented as a model for the development of similarly efficient data collection methods for other high-volume psychiatric services. PMID:2307368

  19. Liaison services for a remotely located biotechnology research center.

    PubMed Central

    Pratt, G F

    1991-01-01

    In April 1989, the Houston Academy of Medicine-Texas Medical Center (HAM-TMC) Library initiated a prototype liaison program with the Baylor College of Medicine (BCM), Center for Biotechnology (CBT). The library was interested in examining the benefits and costs of the outreach concept and in supporting Houston's efforts to develop into a center for biotechnology research. Located thirty-five miles from the HAM-TMC Library, CBT was receptive to an outreach project that would improve its access to the library's collection and services. This article describes the objectives and development of the pilot project, the services provided, feedback from the biotechnologists, and program costs. Although limited in scope, the project has provided the HAM-TMC Library with useful data about the information needs of a particular group of biotechnologists and strengthened relationships with these scientists. In addition, the knowledge and experience gained from this effort are being used to plan outreach efforts for other client groups. PMID:1958913

  20. Improving the quality of handover in a liaison psychiatry team

    PubMed Central

    Brook, Jennifer; Amaro Calcia, Marilia

    2016-01-01

    Handover is a high risk point for errors in clinical care, in many cases leading to adverse events or near misses. The timely transfer of accurate and useful information between professionals is vital to ensure quality and safety, and to ensure the transfer of accountability for care. In this project standards were developed for quality handover between doctors in a liaison psychiatry department. The aim of these were to ensure adequate identification of patients, clear communication of tasks to be completed and relevant risk issues, as well as a guide to the priority of jobs. We measured compliance with these standards for all patients documented in the handover book during three week periods in 2013, 2014 (following delivery of education and guidance on handover to all doctors), and finally in 2015 after implementation of a proforma for handover. Handover documentation prior to the implementation of standards was of poor quality with significant absences of information. Key information to identify patients was frequently absent, for example hospital number was only recorded in 1% of cases. Only 81% of entries included the reason for the patient's referral, and 27% made no mention of the outstanding tasks for completion. Despite guidance and education of all doctors regarding the standards, there was no consistent improvement in compliance. It was particularly concerning that risk issues were only mentioned in 18% of cases, even when assessed immediately after education was given. Following introduction of the proforma compliance increased with overall completeness of handover improving from 40% to 71%. Without guidelines handover between shifts is of a poor quality, and often lacks key information to allow colleagues to identify patients and prioritise need. Education of those performing these handovers did not produce any benefits, either immediately following its delivery or in longer term follow up. The implementation of a template to aid clinicians in

  1. Improving the quality of handover in a liaison psychiatry team.

    PubMed

    Brook, Jennifer; Amaro Calcia, Marilia

    2016-01-01

    Handover is a high risk point for errors in clinical care, in many cases leading to adverse events or near misses. The timely transfer of accurate and useful information between professionals is vital to ensure quality and safety, and to ensure the transfer of accountability for care. In this project standards were developed for quality handover between doctors in a liaison psychiatry department. The aim of these were to ensure adequate identification of patients, clear communication of tasks to be completed and relevant risk issues, as well as a guide to the priority of jobs. We measured compliance with these standards for all patients documented in the handover book during three week periods in 2013, 2014 (following delivery of education and guidance on handover to all doctors), and finally in 2015 after implementation of a proforma for handover. Handover documentation prior to the implementation of standards was of poor quality with significant absences of information. Key information to identify patients was frequently absent, for example hospital number was only recorded in 1% of cases. Only 81% of entries included the reason for the patient's referral, and 27% made no mention of the outstanding tasks for completion. Despite guidance and education of all doctors regarding the standards, there was no consistent improvement in compliance. It was particularly concerning that risk issues were only mentioned in 18% of cases, even when assessed immediately after education was given. Following introduction of the proforma compliance increased with overall completeness of handover improving from 40% to 71%. Without guidelines handover between shifts is of a poor quality, and often lacks key information to allow colleagues to identify patients and prioritise need. Education of those performing these handovers did not produce any benefits, either immediately following its delivery or in longer term follow up. The implementation of a template to aid clinicians in

  2. Lunar far side surface navigation using Linked Autonomous Interplanetary Satellite Orbit Navigation (LiAISON)

    NASA Astrophysics Data System (ADS)

    Hesar, Siamak G.; Parker, Jeffrey S.; Leonard, Jason M.; McGranaghan, Ryan M.; Born, George H.

    2015-12-01

    We study the application of Linked Autonomous Interplanetary Satellite Orbit Navigation (LiAISON) to track vehicles on the far side of the lunar surface. The LiAISON architecture is demonstrated to achieve accurate orbit determination solutions for various mission scenarios in the Earth-Moon system. Given the proper description of the force field, LiAISON is capable of producing absolute orbit determination solutions using relative satellite-to-satellite tracking observations alone. The lack of direct communication between Earth-based tracking stations and the far side of the Moon provides an ideal opportunity for implementing LiAISON. This paper presents a novel approach to use the LiAISON architecture to perform autonomous navigation of assets on the lunar far side surface. Relative measurements between a spacecraft placed in an EML-2 halo orbit and lunar surface asset(s) are simulated and processed. Comprehensive simulation results show that absolute states of the surface assets are observable with an achieved accuracy of the position estimate on the order of tens of meters.

  3. Improving referrals to the Liaison service at the Royal United Hospital in Bath

    PubMed Central

    Gomes-Pinto, Alister; Kuzminskyte, Ruta; Wooding, Katie; Asplin, Katherine; Ewins, Liz

    2015-01-01

    Psychiatry liaison services provide the interface between mental and physical health in the acute medical hospital, however there can be logistical and operational difficulties to overcome. This quality improvement project aimed to improve the timeliness of referrals to a liaison service from an acute hospital through simple interventions of a newsletter, email to staff, and a pilot including attending post-take ward rounds on the Medical Assessment Unit (MAU) of the hospital. This resulted in a faster referral process to liaison as well as improved staff satisfaction with the liaison service, both of which will have a positive benefit on the clinical management of patients and the patients experience in hospital. There was a significant improvement in overall staff satisfaction with the referral pathway, appropriateness of referrals and working hours of the Mental Health Liaison Team - increasing from 14% at baseline to 100% at the end of the study. Referral outcomes also showed a considerable improvement, with the percentage of junior doctors successfully able to locate the referral form increasing from 60% at baseline to 100%. PMID:26734414

  4. Consultation-liaison psychiatry and clinical ethics: a model for consultation and teaching.

    PubMed

    Hayes, J R

    1986-11-01

    The consultation-liaison psychiatrist is often expected to perform the role of clinical ethicist or moral arbiter in the course of responding to psychiatric consultations. This article develops the idea that certain aspects of good consultation-liaison skills make this appropriate and consultation-liaison psychiatrists ought not to shy away from helping with difficult ethical problems. However, a systematic approach to clinical ethics is usually not part of consultation-liaison training. Two simple conceptual models can provide such a systematic approach and can be used in any clinical setting. The two models can also be easily taught and lend themselves to use in structuring teaching or case conferences about clinical ethics. The first model comes from formal philosophy (summarized by Veatch) and is a four-step hierarchy of levels of moral discourse. The other model comes from clinical medicine, based on work by Siegler, and provides another four-point checklist, this time of areas that must be considered in each decision. This article presents each of these four-point frameworks, alludes to the large amount of work that underpins these ostensibly simple models, and offers a case for demonstration/discussion of how the consultation-liaison psychiatrist use the models for structuring clinical ethical decision making and teaching. PMID:3792831

  5. Liaison activities with the Institute of Physical Chemistry, Russian Academy of Sciences: FY 1997

    SciTech Connect

    Delegard, C.H.; Elovich, R.J.

    1997-09-01

    The Institute of Physical Chemistry of the Russian Academy of Sciences is conducting a program of fundamental and applied research into the chemistry of the actinides and technetium in alkaline media such as are present in the Hanford Site underground waste storage tanks. This work is being coordinated and the results disseminated through a technical liaison maintained at the Pacific Northwest National Laboratory. The technical liaison is performing laboratory studies on plutonium chemistry in alkaline media. The activities at the Institute of Physical Chemistry and through the liaison are pursued to improve understanding of the chemical behavior of key long-lived radioactive elements under current operating and proposed tank waste processing conditions. Both activities are supported by the Efficient Separations and Processing Crosscutting Program under the Office of Science and Technology of the U.S. Department of Energy.

  6. Community-university Research Liaisons: Translating the Languages of Research and Culture

    PubMed Central

    Bends, Ada; Burns, Charlene; Yellowman-Caye, Pearl; Rider, Tammy; Salois, Emily Matt; Sutherland, Annette; Todd, Mike; LaVeaux, Deb; Christopher, Suzanne

    2014-01-01

    This article describes the experiences of six individuals employed as community-university research liaisons in a grant-funded centre for health disparities research. The liaisons were located in Native American communities and bridged the communities and the university, providing information between these groups, expanding understanding and knowledge of how research can address health disparities, and assisting in the development and ongoing work of partnerships using CBPR approaches. While tribal communities within the state may face similar health disparities, the approach to solving these disparities must be based on an understanding of the context and environment of the specific tribal community. In this paper, the tribal liaisons share their stories of negotiating and navigating their unique positions. Suggestions for utilizing tribal community-university positions to support community and partnership development are offered. PMID:25285102

  7. Interplanetary Departure Stage Navigation by Means of Liaison Orbit Determination Architecture

    NASA Technical Reports Server (NTRS)

    McGranaghan, Ryan M.; Leonard, Jason M.; Fujimoto, Kohei; Parker, Jeffrey S.; Anderson, Rodney L.; Born, George H.

    2013-01-01

    Autonomous orbit determination for departure stages of interplanetary trajectories is conducted by means of realistic radiometric observations between the departing spacecraft and a satellite orbiting the first lunar libration point. Linked Autonomous Interplanetary Satellite Orbit Navigation (LiAISON) is used to estimate the orbit solution. This paper uses high-fidelity simulations to explore the utilization of LiAISON in providing improved accuracy for interplanetary departure missions. The use of autonomous navigation to supplement current techniques for interplanetary spacecraft is assessed using comparisons with groundbased navigation. Results from simulations including the Mars Science Laboratory, Mars Exploration Rover, and Cassini are presented. It is shown that observations from a dedicated LiAISON navigation satellite could be used to supplement ground-based measurements and significantly improve tracking performance.

  8. 43 CFR 19.4 - Liaison with other governmental agencies and submission of views by interested persons.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Liaison with other governmental agencies and submission of views by interested persons. 19.4 Section 19.4 Public Lands: Interior Office of the Secretary of the Interior WILDERNESS PRESERVATION National Wilderness Preservation System § 19.4 Liaison with other governmental agencies...

  9. Intelligent outcome measures in liaison psychiatry: essential even if not desirable

    PubMed Central

    Tadros, George

    2016-01-01

    Service development is guided by outcome measures that inform service commissioners and providers. Those in liaison psychiatry should be encouraged to develop a positive approach that integrates the collection of outcome measures into everyday clinical practice. The Framework for Routine Outcome Measurement in Liaison Psychiatry (FROM-LP) is a very useful tool to measure service quality and clinical effectiveness, using a combination of clinician-rated and patient-rated outcome measures and patient-rated experience measures. However, it does not include measures of cost-effectiveness or training activities. The FROM-LP is a significant step towards developing nationally unified outcome measures. PMID:27512588

  10. Simulating the Liaison Navigation Concept in a Geo + Earth-Moon Halo Constellation

    NASA Technical Reports Server (NTRS)

    Fujimoto, K.; Leonard, J. M.; McGranaghan, R. M.; Parker, J. S.; Anderson, R. L.; Born, G. H.

    2012-01-01

    Linked Autonomous Interplanetary Satellite Orbit Navigation, or LiAISON, is a novel satellite navigation technique where relative radiometric measurements between two or more spacecraft in a constellation are processed to obtain the absolute state of all spacecraft. The method leverages the asymmetry of the gravity field that the constellation exists in. This paper takes a step forward in developing a high fidelity navigation simulation for the LiAISON concept in an Earth-Moon constellation. In particular, we aim to process two-way Doppler measurements between a satellite in GEO orbit and another in a halo orbit about the Earth-Moon L1 point.

  11. Members, isolates, and liaisons: meta-analysis of adolescents' network positions and their smoking behavior.

    PubMed

    Choi, Hye Jeong; Smith, Rachel A

    2013-06-01

    Existing research finds that peer networks play an important role in adolescents' smoking behaviors. To evaluate this research, meta-analysis was utilized to investigate the relationship between social positions (e.g., group members vs. isolates vs. liaisons) in friendship networks and smoking behaviors. The results (N = 5,067, k = 8) showed that adolescents from multiple countries who are isolated in friendship networks are more likely to report smoking behaviors than those with friends (members or liaisons). The results also show that these differential odds of smoking based on network position has decreased over the past 15 years. PMID:23750772

  12. Members, Isolates, and Liaisons: Meta-Analysis of Adolescents’ Network Positions and Their Smoking Behavior

    PubMed Central

    Choi, Hye Jeong; Smith, Rachel A.

    2015-01-01

    Existing research finds that peer networks play an important role in adolescents’ smoking behaviors. To evaluate this research, meta-analysis was utilized to investigate the relationship between social positions (e.g., group members vs. isolates vs. liaisons) in friendship networks and smoking behaviors. The results (N = 5067, k = 8) showed that adolescents from multiple countries who are isolated in friendship networks are more likely to report smoking behaviors than those with friends (members or liaisons). The results also show that these differential odds of smoking based on network position has decreased over the past 15 years. PMID:23750772

  13. A Field-Study/Data-Collection Model for Developing an Education-Business Liaison Network.

    ERIC Educational Resources Information Center

    Church, Olive D.

    Thirteen Wyoming teachers and counselors interviewed managers in 215 businesses covering 9,515 jobs. This field study served as a basis for developing a field study-data collection model to be used in establishing an education-business liaison network. Each interviewer participating in the study was instructed to contact from 10 to 20 local…

  14. Benefits of an Electronic Consultation-Liaison Note System: Better Notes Faster

    ERIC Educational Resources Information Center

    Sola, Christopher L.; Bostwick, J. Michael; Sampson, Shirlene

    2007-01-01

    Objective: The authors determined the efficiency of electronic documentation in consultation-liaison psychiatry. METHOD: An electronic note system was customized for a psychiatric consultation note. Specific attention given to common diagnoses permitted rapid documentation. Results: Residents learned the system quickly. The standardized nature of…

  15. Learning to Parse Liaison-Initial Words: An Eye-Tracking Study

    ERIC Educational Resources Information Center

    Tremblay, Annie

    2011-01-01

    This study investigates the processing of resyllabified words by native English speakers at three proficiency levels in French and by native French speakers. In particular, it examines non-native listeners' development of a parsing procedure for recognizing vowel-initial words in the context of liaison, a process that creates a misalignment of the…

  16. Broadening the Scope of PDS Liaisons' Roles in Community Schools

    ERIC Educational Resources Information Center

    Ferrara, JoAnne; Gomez, Diane W.

    2014-01-01

    Professional Development School liaisons are accustomed to developing relationships between their respective universities and partner schools. When the partner school is also a ''full service'' or ''community'' school, the partnership's dynamics change. This article describes the expanded roles of two…

  17. The Benefits of Non-Library Professional Organization Membership for Liaison Librarians

    ERIC Educational Resources Information Center

    Bennett, Miranda Henry

    2011-01-01

    Although liaison librarians have two important professional identities--librarian and subject specialist--the library literature has paid scant attention to their membership and participation in non-library professional organizations. This article analyzes a study of ten librarians who joined non-library associations and concludes that membership…

  18. Brokers on the Boundary: Academy-Industry Liaison in Canadian Universities.

    ERIC Educational Resources Information Center

    Fisher, Donald; Atkinson-Grosjean, Janet

    2002-01-01

    Traces the institutionalization of industry-liaison offices and commercialization of research in Canadian universities. Describes how the managers "capture the benefits" of discoveries generated by researchers, and identifies four major themes: intellectual property policy, culture conflict, boundary work, and the public good. Explores what is…

  19. Liaison with Teaching Faculty and Collaborative Collection Development: An Annotated Selective Bibliography of Journal Literature.

    ERIC Educational Resources Information Center

    Gerstein, Christine Wondolowski

    This annotated selective bibliography of 21 journal articles is concerned with collaboration between librarians and faculty in collection development in academic libraries. These articles examine the collaborative process and provide effective strategies to assist in developing a strong library liaison relationship between librarians and faculty.…

  20. Using English Department Library Liaisons in a Term Paper Clinic: Reviving the Scholar/Librarian Model.

    ERIC Educational Resources Information Center

    Christensen, Peter G.

    1994-01-01

    Evaluates a project in which two library liaisons assisted freshman English students in writing library research papers. The need to develop new bibliographic instruction programs in conjunction with teaching faculty is also discussed, noting that this revives the aggressive 19th-century scholar/librarian model. (27 references) (KRN)

  1. Liaison Acquisition, Word Segmentation and Construction in French: A Usage-Based Account

    ERIC Educational Resources Information Center

    Chevrot, Jean-Pierre; Dugua, Celine; Fayol, Michel

    2009-01-01

    In the linguistics field, liaison in French is interpreted as an indicator of interactions between the various levels of language organization. The current study examines the same issue while adopting a developmental perspective. Five experiments involving children aged two to six years provide evidence for a developmental scenario which…

  2. An Evaluation of the Police Liaison Program. Research Report 81-08.

    ERIC Educational Resources Information Center

    Hunter, Susanne; LaTorre, Ronald

    The Police Liaison Program (PLP) was established in Vancouver, British Columbia (Canada) elementary and secondary schools to improve police-community relationships; to increase understanding of the police role and of the individual's responsibilities in the community; and ultimately, to reduce juvenile delinquency. In 1981, the program was…

  3. Evaluation of the Liaison Automated Testing System for Diagnosis of Congenital Toxoplasmosis

    PubMed Central

    Prusa, Andrea-Romana; Hayde, Michael; Pollak, Arnold; Herkner, Kurt R.

    2012-01-01

    Congenital toxoplasmosis is a worldwide health problem, and different screening strategies exist. Testing of toxoplasma-specific antibodies in infants identifies congenital toxoplasmosis during the first year of life. However, experience with commercial available immunoassays is limited. The aim of this study was to evaluate both the performance and analytical characteristics of the Liaison diagnostic system in infants. In a retrospective study, serum Toxoplasma gondii antibodies were measured in samples from 333 infants, including 212 noninfected infants and 121 infants with congenital toxoplasmosis. A total of 1,157 umbilical cord blood and peripheral serum samples were analyzed. Liaison toxoplasma-specific IgG and IgM antibodies and the IgG avidity index were compared to the infection status of the infant, determined by the Sabin-Feldman dye test and immunosorbent agglutination assay—IgM. All noninfected infants were seronegative by Liaison IgG within the first year of life. The Liaison system showed a sensitivity of 81.8%, a specificity of 100.0%, a positive predictive value of 100.0%, a negative predictive value of 90.6%, and overall agreement of 84.4% by comparison with the dye test. Overall agreement of both IgM test systems was 96.0%. In this study cohort, avidity did not show a potential diagnostic benefit for the detection of congenital infection. In conclusion, the Liaison system is a valuable tool to monitor the serologic course of infants at risk. A final serologic confirmatory test is recommended to improve the rate of detection of congenital toxoplasmosis at 1 year of life. Protocols of routine follow-up testing in infants and accurate diagnostic tools after acute gestational infections are needed to improve medical care. PMID:23015644

  4. Liaison activities with the Institute of Physcial Chemistry of the Russian Academy of Sciences: Midyear report

    SciTech Connect

    Delegard, C.H.

    1996-05-29

    The task `IPC/RAS Liaison and Tank Waste Testing` is a program being conducted in fiscal year (FY) 1996 with the support of the U.S. Department of Energy (DOE) Office of Science and Technology, EM-53 Efficient Separations and Processing (ESP) Crosscutting Program, under the technical task plan (TTP) RLA6C342. The principal investigator is Cal Delegard of the Westinghouse Hanford Company. The task involves a technical liaison with the Institute of Physical Chemistry of the Russian Academy of Sciences (IPC/RAS) and their DOE-supported investigations into the fundamental and applied chemistry of the transuranium elements (primarily neptunium, plutonium, and americium) and technetium in @ine media. The task has three purposes: 1. Providing technical information and technical direction to the IPC/RAS. 2. Disseminating IPC/RAS data and information to the DOE technical community. 3. Verifying IPC/RAS results through laboratory testing and comparison with published data.

  5. Development of a system for transferring images via a network: supporting a regional liaison.

    PubMed

    Mihara, Naoki; Manabe, Shiro; Takeda, Toshihiro; Shinichirou, Kitamura; Junichi, Murakami; Kouji, Kiso; Matsumura, Yasushi

    2013-01-01

    We developed a system that transfers images via network and started using them in our hospital's PACS (Picture Archiving and Communication Systems) in 2006. We are pleased to report that the system has been re-developed and has been running so that there will be a regional liaison in the future. It has become possible to automatically transfer images simply by selecting the destination hospital that is registered in advance at the relay server. The gateway of this system can send images to a multi-center, relay management server, which receives the images and resends them. This system has the potential to be useful for image exchange, and to serve as a regional medical liaison. PMID:23920767

  6. Audit of the Forensic Psychiatry Liaison Service to Glasgow Sheriff Court 1994 to 1998.

    PubMed

    White, T; Ramsay, L; Morrison, R

    2002-01-01

    This study seeks to describe the demographic, offence, and diagnostic details of subjects referred by the Procurator Fiscal at Glasgow Sheriff Court to the Forensic Psychiatry Liaison between 1994 and 1997. The initial outcome of the assessment and an assessment of medical time involved is presented. This study is a retrospective review of audit forms completed between 1993 and 1994 and once more in 1997. The referral criteria, age structure and offence pattern was broadly similar to that reported in court diversion schemes in England. A primary diagnosis of alcohol and/or drug dependence was seen in one third of referrals during both years of the audit. A marked increase (250%) in referrals between 1994 and 1997 resulted in a marked reduction of those admitted to hospital, and an increase in the percentage who had 'no psychiatric diagnosis'. The need for ongoing liaison between the Procurators Fiscal and the Forensic Psychiatrists involved would appear important in modifying referral criteria. PMID:11848141

  7. Long Term Outcomes of a Geriatric Liaison Intervention in Frail Elderly Cancer Patients

    PubMed Central

    Hempenius, Liesbeth; Slaets, Joris P. J.; van Asselt, Dieneke; de Bock, Truuske H.; Wiggers, Theo; van Leeuwen, Barbara L.

    2016-01-01

    Background The aim of this study was to evaluate the long term effects after discharge of a hospital-based geriatric liaison intervention to prevent postoperative delirium in frail elderly cancer patients treated with an elective surgical procedure for a solid tumour. In addition, the effect of a postoperative delirium on long term outcomes was examined. Methods A three month follow-up was performed in participants of the Liaison Intervention in Frail Elderly study, a multicentre, prospective, randomized, controlled trial. Patients were randomized to standard treatment or a geriatric liaison intervention. The intervention consisted of a preoperative geriatric consultation, an individual treatment plan targeted at risk factors for delirium and daily visits by a geriatric nurse during the hospital stay. The long term outcomes included: mortality, rehospitalisation, Activities of Daily Living (ADL) functioning, return to the independent pre-operative living situation, use of supportive care, cognitive functioning and health related quality of life. Results Data of 260 patients (intervention n = 127, Control n = 133) were analysed. There were no differences between the intervention group and usual-care group for any of the outcomes three months after discharge. The presence of postoperative delirium was associated with: an increased risk of decline in ADL functioning (OR: 2.65, 95% CI: 1.02–6.88), an increased use of supportive assistance (OR: 2.45, 95% CI: 1.02–5.87) and a decreased chance to return to the independent preoperative living situation (OR: 0.18, 95% CI: 0.07–0.49). Conclusions A hospital-based geriatric liaison intervention for the prevention of postoperative delirium in frail elderly cancer patients undergoing elective surgery for a solid tumour did not improve outcomes 3 months after discharge from hospital. The negative effect of a postoperative delirium on late outcome was confirmed. Trial Registration Nederlands Trial Register, Trial ID NTR 823

  8. Des Moines.

    ERIC Educational Resources Information Center

    Gore, Deborah, Ed.

    1988-01-01

    This document, intended for elementary students, contains articles and activities designed to acquaint young people with the history of Des Moines, Iowa. The articles are short, and new or difficult words are highlighted and defined for young readers. "The Raccoon River Indian Agency" discusses the archeological exploration of the indian…

  9. State of Consultation-Liaison Psychiatry in India: Current status and vision for future

    PubMed Central

    Grover, Sandeep

    2011-01-01

    Over the years Consultation-Liaison (C-L) psychiatry has contributed significantly to the growth of the psychiatry and has brought psychiatry very close to the advances in the medicine. It has also led to changes in the medical education and in the providing comprehensive management to the physically ill. In India, although the General Hospital Psychiatric units were established in 1930s, C-L Psychiatry has never been the main focus of training and research. Hence there is an urgent need to improve C-L Psychiatry services and training to provide best and optimal care to the patients and provide best education to the trainees. PMID:22135437

  10. Supporting Crewed Missions using LiAISON Navigation in the Earth-Moon System

    NASA Astrophysics Data System (ADS)

    Leonard, Jason M.

    Crewed navigation in certain regions of the Earth-Moon system provides a unique challenge due to the unstable dynamics and observation geometry relative to standard Earth-based tracking systems. The focus of this thesis is to advance the understanding of navigation precision in the Earth-Moon system, analyzing the observability of navigation data types frequently used to navigate spacecraft, and to provide a better understanding of the influence of a crewed vehicle disturbance model for future manned missions in the Earth-Moon system. In this research, a baseline for navigation performance of a spacecraft in a Lagrange point orbit in the Earth-Moon system is analyzed. Using operational ARTEMIS tracking data, an overlap analysis of the reconstructed ARTEMIS trajectory states is conducted. This analysis provides insight into the navigation precision of a spacecraft traversing a Lissajous orbit about the Earth-Moon L1 point. While the ARTEMIS analysis provides insight into the navigation precision using ground based tracking methods, an examination of the benefits of introducing Linked Autonomous Interplanetary Satellite Orbit Navigation (LiAISON) is investigated. This examination provides insight into the benefits and disadvantages of LiAISON range and range-rate measurements for trajectories in the Earth-Moon system. In addition to the characterization of navigation precision for spacecraft in the Earth-Moon system, an analysis of the uncertainty propagation for noisy crewed vehicles and quiet robotic spacecraft is given. Insight is provided on the characteristics of uncertainty propagation and how it is correlated to the instability of the Lagrange point orbit. A crewed vehicle disturbance model is provided based on either Gaussian or Poisson assumptions. The natural tendency for the uncertainty distribution in a Lagrange point orbit is to align with the unstable manifold after a certain period of propagation. This behavior is influenced directly by the unstable

  11. Liaison-Supplemented Navigation of a Crewed Vehicle in a Lunar Halo Orbit

    NASA Technical Reports Server (NTRS)

    Parker, Jeffrey S.; Leonard, Jason M.; Anderson, Rodney L.; Born, George H.

    2013-01-01

    This paper offers an early examination of the challenges of navigating a crewed vehicle, with all of the associated unmodeled accelerations that arise from the crew's activities, in an orbit about the Earth-Moon L2 point. The combination of the unstable nature of libration orbits with the lack of acceleration knowledge makes the station keeping strategy challenging. It is found that a combination of ground tracking and satellite-to-satellite tracking produces the most favorable navigation accuracy. This paper examines the costs and benefits of applying LiAISON (Linked Autonomous Interplanetary Satellite Orbit Navigation) to a crewed mission in an unstable L2 orbit.

  12. Liaison activities with the institute of physical chemistry, Russian academy of sciences: FY 1996

    SciTech Connect

    Delegard, C.H.

    1996-09-23

    The task ``IPC/RAS Liaison and Tank Waste Testing`` is a program being conducted in fiscal year (FY) 1996 with the support of the U.S. Department of Energy (DOE) Office of Science and Technology, EM-53 Efficient Separations and Processing (ESP) Crosscutting Program, under the technical task plan RLA6C342. The principal investigator is Cal Delegard of the Westinghouse Hanford Company. The task involves a technical liaison with the Institute of Physical Chemistry of the Russian Academy of Sciences (IPC/RAS) and their DOE-supported investigations into the fundamental and applied chemistry of the transuranium elements (primarily neptunium, plutonium, and americium) and technetium in alkaline media. The task has three purposes: 1. Providing technical information and technical direction to the IPC/RAS. 2. Disseminating IPC/RAS data and information to the DOE technical community. 3. Verifying IPC/RAS results through laboratory testing and comparison with published data. This report fulfills the milestone ``Provide End-of-Year Report to Focus Area,`` due September 30, 1996.

  13. A Description of the Use of Music Therapy in Consultation-Liaison Psychiatry

    PubMed Central

    Ries, Rose

    2007-01-01

    Music therapy is gaining increasing recognition for its benefit in medical settings both for its salutary effects on physiological parameters and on psychological states associated with medical illness. This article discusses the role of a music therapist in consultation-liaison psychiatry, a specialty that provides intervention for medical and surgical patients with concomitant mental health issues. We describe the ways in which music therapy has been integrated into the consultation-liaison psychiatry service at Hahnemann University Hospital, a tertiary care facility and major trauma center in Philadelphia. The referral process and some of the techniques used in music therapy are explained. Anecdotal observations illustrate how a music therapist incorporates the various elements of music as well as the experiences of engaging in music-making to bring about changes in mood and facilitate expression of feelings and social interactions in patients who are having difficulty coping with the effects of illness and hospitalization. These methods have also been observed to have positive effects on the hospital staff by making available a means with which staff can express pressures inherent in direct patient care. PMID:20805929

  14. Technical liaison with the Institute of Physical Chemistry (Russian Academy of Sciences)

    SciTech Connect

    Delegard, C.H.

    1997-10-01

    DOE has engaged the IPC/RAS to study the fundamental and applied chemistry of the transuranium actinide elements (primarily neptunium, plutonium, and americium) and technetium in alkaline media. This work is supported by DOE because the alkaline radioactive wastes stored in underground tanks at DOE sites (Hanford, Savannah River, and Oak Ridge) contain TRUs and technetium, and these radioelements must be partitioned to the HLW fraction in planned waste processing operations. The chemistries of the TRUs and technetium are not well developed in this system. Previous studies at the IPC/RAS centered on the fundamental chemistry of the TRUs and technetium in alkaline media, and on their coprecipitation reactions. During FY 1996, further studies of fundamental and candidate process chemistries were pursued with continuing effort on coprecipitation. The technical liaison was established at Westinghouse Hanford Company to provide information to the IPC/RAS on the Hanford Site waste system, define and refine the work scope, publish IPC/RAS reports in open literature documents and presentations, provide essential materials and equipment to the IPC/RAS, compare IPC/RAS results with results from other sources, and test chemical reactions or processes proposed by the IPC/RAS with actual Hanford Site tank waste. The liaison task was transferred to the Pacific Northwest Laboratory (PNNL) in October 1996.

  15. Leading Change in the System of Scholarly Communication: A Case Study of Engaging Liaison Librarians for Outreach to Faculty

    ERIC Educational Resources Information Center

    Malenfant, Kara J.

    2010-01-01

    This narrative, single-case study examines how liaison librarians at the University of Minnesota (UMN) came to include advocating for reform of the scholarly communication system among their core responsibilities. While other libraries may hire a coordinator or rely on a committee to undertake outreach programs, UMN has defined baseline expertise…

  16. 78 FR 5454 - Solicitation of Nominations for Organizations To Serve as Non-Voting Liaison Representatives to...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-25

    ...The Office of the Assistant Secretary for Health (OASH), within the Department of Health and Human Services (HHS), is soliciting nominations from qualified organizations to be considered for non- voting liaison representative positions on the Chronic Fatigue Syndrome Advisory Committee (CFSAC). CFSAC provides advice and recommendations to the Secretary of HHS, through the Assistant Secretary......

  17. Experiences of the Implementation of a Learning Disability Nursing Liaison Service within an Acute Hospital Setting: A Service Evaluation

    ERIC Educational Resources Information Center

    Castles, Amy; Bailey, Carol; Gates, Bob; Sooben, Roja

    2014-01-01

    It has been well documented that people with learning disabilities receive poor care in acute settings. Over the last few years, a number of learning disability liaison nurse services have developed in the United Kingdom as a response to this, but there has been a failure to systematically gather evidence as to their effectiveness. This article…

  18. Cultural Brokering as a Core Practice of a Special Education Parent Liaison Program in a Large Urban School District

    ERIC Educational Resources Information Center

    Smiley, Azure Dee; Howland, Allison A.; Anderson, Jeffrey A.

    2008-01-01

    Cultural brokering has been identified as an important skill for practitioners in urban school districts who are attempting to improve connections between home and school. This paper describes an evaluation of the special education liaison program in Indianapolis Public Schools (IPS), a large urban district located in the Midwest. Findings from…

  19. Learning Disability Liaison Nursing Services in South-East Scotland: A Mixed-Methods Impact and Outcome Study

    ERIC Educational Resources Information Center

    Brown, M.; MacArthur, J.; McKechanie, A.; Mack, S.; Hayes, M.; Fletcher, J.

    2012-01-01

    Background: There have been significant concerns about the care and treatment of people with intellectual disabilities (ID) when attending general hospitals, which have led to inquiries that highlight service and systems failures. One response has been the development of Learning Disability Liaison Nursing (LDLN) Services across the UK that aim to…

  20. Fifth Annual Oswego County Storytelling Contest. District Liaison's Packet; Librarian's Packet; Checklist for Teachers; 1985 Student Storytelling Handbook.

    ERIC Educational Resources Information Center

    Oswego County School Library System, Mexico, NY.

    This document comprises the materials used in the administration of the fifth annual Oswego County (New York) storytelling contest for students in grades 3-8. The District Liaison's Packet contains copies of all materials used, including contest guidelines; a contest timetable; judging criteria; hints on storytelling; a bibliography; checklists…

  1. 43 CFR 19.4 - Liaison with other governmental agencies and submission of views by interested persons.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Secretary of the Interior WILDERNESS PRESERVATION National Wilderness Preservation System § 19.4 Liaison... initiated under the provisions of section 3(c) of the Wilderness Act and the sections of this part... recommendations as to the suitability or nonsuitability for preservation as wilderness of any roadless area in...

  2. 43 CFR 19.4 - Liaison with other governmental agencies and submission of views by interested persons.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Secretary of the Interior WILDERNESS PRESERVATION National Wilderness Preservation System § 19.4 Liaison... initiated under the provisions of section 3(c) of the Wilderness Act and the sections of this part... recommendations as to the suitability or nonsuitability for preservation as wilderness of any roadless area in...

  3. 43 CFR 19.4 - Liaison with other governmental agencies and submission of views by interested persons.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Secretary of the Interior WILDERNESS PRESERVATION National Wilderness Preservation System § 19.4 Liaison... initiated under the provisions of section 3(c) of the Wilderness Act and the sections of this part... recommendations as to the suitability or nonsuitability for preservation as wilderness of any roadless area in...

  4. 43 CFR 19.4 - Liaison with other governmental agencies and submission of views by interested persons.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Secretary of the Interior WILDERNESS PRESERVATION National Wilderness Preservation System § 19.4 Liaison... initiated under the provisions of section 3(c) of the Wilderness Act and the sections of this part... recommendations as to the suitability or nonsuitability for preservation as wilderness of any roadless area in...

  5. 77 FR 57639 - Privacy Act; System of Records: Records of the Office of White House Liaison, State-34

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-18

    ... the current system will retain the name ``Records of the Office of White House Liaison'' (64 FR 922... may do so by writing to the Director, Office of Information Programs and Services, A/GIS/IPS...: Director, Office of Information Programs and Services, A/GIS/IPS, Department of State, SA-2, 515...

  6. The Role of the Educational Consultant Serving as the Liaison Educator Between Health Department Clinics and Local School Divisions.

    ERIC Educational Resources Information Center

    Horowitz, Inge W.

    The role of the special educator as a liaison between health department clinics and the school in treating the handicapped child is explored. Three reasons for the assignment of special educators to serve on staffs of state health department clinics are given: (1) the population of children which is referred to these clinics is far more likely…

  7. Usage-Based Account of the Acquisition of Liaison: Evidence from Sensitivity to the Singular/Plural Orientation of Nouns

    ERIC Educational Resources Information Center

    Dugua, Celine; Spinelli, Elsa; Chevrot, Jean-Pierre; Fayol, Michel

    2009-01-01

    This study investigates whether children's production and recognition of obligatory liaison sequences in French depend on the singular/plural orientation of nouns. Certain nouns occur more frequently in the plural (e.g., "arbre" "tree"), whereas others are found more often in the singular (e.g., "arc-en-ciel" "rainbow"). In the input, children…

  8. Patient Throughput Benefits of Triage Liaison Providers are Lost in a Resource Neutral Model: A Prospective Trial

    PubMed Central

    Nestler, David M.; Halasy, Michael P.; Fratzke, Alesia R.; Church, Christopher J.; Scanlan-Hanson, Lori N.; Lohse, Christine M.; Campbell, Ronna L.; Sadosty, Annie T.; Hess, Erik P.

    2014-01-01

    Objectives Patient throughput is an increasingly important cause of emergency department (ED) crowding. The authors previously reported shorter patient length-of-stay (LOS) when adding a triage liaison provider, which required additional personnel. Here, the objective was to evaluate the effect of moving a fast track provider to the triage liaison role. Methods This was a prospective observational before-and-after study design with predefined outcomes measures. A ‘standard staffing’ situation (where an advanced practice provider [APP] staffed treatment rooms in the fast track) was compared with an APP performing the triage liaison staffing role, with no additional staff. Eleven intervention (‘triage liaison staffing’) days were compared with 11 matched control (‘standard staffing’) days immediately preceding the intervention. Total LOS was measured for all adult Emergency Severity Index (ESI) 3, 4, and 5 patients (excluding behavioral health patients), and results were compared using Wilcoxon rank sum and chi-square tests. Results A total of 681 patients registered on control days, and 599 on intervention days. There was no significant difference in total patient LOS: median 273 minutes, IQR 176 to 384 minutes on intervention days vs. median 253 minutes, IQR 175 to 365 minutes on control days (p = 0.20). There was no difference in LWBS rates (n = 48, 7% on control days vs. n = 35, 6% on intervention days; p=0.38). Secondary analysis of only ESI 3 patients showed no difference in total LOS between periods (median 284 minutes, IQR 194 to 396 minutes on intervention days vs. median 290 minutes, IQR 217 to 397 minutes on control days; p = 0.22). There was, however, significantly greater total LOS for ESI 4 and 5 patients during the intervention period (median 238 minutes, IQR 124 to 350 minutes on intervention days vs median 192 minutes, IQR 124 to 256 minutes on control days; p = 0.011). Conclusions The previously reported benefits on patient LOS and LWBS

  9. Homeless Liaisons' Perceptions of McKinney-Vento Act Implementation: Examining Geographical Trends and Differences.

    PubMed

    Mullins, Mary H; Wilkins, Brittany T; Mahan, Amber; Bouldin, Jessica Brooke

    2016-01-01

    The number of children experiencing homelessness continues to rise at alarming rates. Schools are on the front lines of service delivery and face numerous barriers in an attempt to meet the educational and psychosocial needs of these children. This study explored the perceptions of homeless liaisons in three states about the implementation of the McKinney Vento Act within the school districts. While no differences were found across the states, significant differences were found between rural and urban geographic densities in the perceived implementation of the federal legislation. The significant differences relate to collaboration within the community and resonate with the lack of resources available to the families experiencing homelessness in rural areas. PMID:27144348

  10. Contemporary issues in obstetrics and gynecology for the consultation-liaison psychiatrist.

    PubMed

    Stotland, N L

    1985-10-01

    Medical advances in obstetrics and gynecology, combined with the depersonalization of health care and changes in sexual and reproductive behaviors in the general population, lead to challenging new problems for the psychiatric consultant who deals with reproductive issues. The author describes contemporary issues encountered in consultation-liaison work with the obstetrics and gynecology service in a general hospital. They include the reproductive implications of medical illnesses, the stress of deciding whether to continue a pregnancy known to carry genetic risk, the intrusiveness of certain options for dealing with infertility, parental expectations for a perfect baby, and the difficulties some traditional practitioners have in adapting their practice styles to the changing needs of the patient population. PMID:4054867

  11. Congressional liaison task force - a briefing of the October 1994 meeting

    SciTech Connect

    1994-12-31

    As the US Senate overturned roadblocks attempting-unsuccessfully-to halt passage of the elementary and secondary education reauthorization legislation representatives from several federal agencies and laboratories addressed Congressional Liaison Task Force (CLTF) participants October 12th. They spoke about their commitment, programs, and accomplishments toward the nation`s science knowledge, particularly at the precollege level. Marjorie S. Steinberg legislative assistant to bill cosponsor Sen. Jeff Bingaman (DNM), and Gary Allen, Triangle Coalition director of Governmental affairs, spoke about education legislation and specifically about the Technology for Education Act that was on the Senate floor for a vote in October and now is law. Bruce A. Fuchs talked about the National Institute of Health`s (NIH) work in science literacy and education. The National Aeronautics and Space Administration`s (NASA) Frank C. Owens and Eddie Anderson contributed to this report.

  12. Setting up a fee for service program for psychiatric liaison nurses.

    PubMed

    Platt-Koch, L; Gold, A; Jacobsma, B

    1990-01-01

    In the current health care climate, hospitals are under great pressure to find creative ways of preserving and generating revenue. As a result, all positions are routinely scrutinized for their value to the institution. Nurses have always been regarded as a major drain on the hospital's pocketbook, rather than as a revenue-generating resource. Because of their unique roles, liaison nurses provide many patient services which are third-party reimbursable. Practical guidelines for setting up a fee for service program are outlined together with the possible negative and positive repercussions of such a program. Enhanced job security and professional self-esteem may be offset by resistance from other disciplines and the possibility of a reduction in the volume of referrals. Although nurses who bill may face opposition from some groups, the ability to generate revenue is an important feature of this nursing role and is viewed as a strong asset by the institution. PMID:2268832

  13. Le Point sur la Pharmacologie des Agents Anesthesiques Chez le Brule Grave

    PubMed Central

    Siah, S.; Ababou, K.; Benziane, H.; El Jaoudi; Bensghir, M.; Bakali, H.; El Wali, A.; Ihrai, I.; Drissi, N.K.

    2008-01-01

    Summary La pharmacologie des agents anesthésiques chez le brûlé est variable et imprévisible. Dans les premières 48 h, il y a une hypovolémie avec chute du débit cardiaque et des fuites plasmatiques. Après 48 h, il y a une hypervolémie avec augmentation du débit cardiaque, hypermétabolisme et la clearance des médicaments est augmentée. Parmi les facteurs de déséquilibre, on retrouve les variations des protéines plasmatiques. Deux protéines sont importantes chez le brûlé grave : l'albumine et l'alpha 1- glycoprotéine. Leur taux varie beaucoup au cours de l'évolution de la brûlure. Les agents anesthésiques dont la liaison avec ces deux protéines est prédominante verront leur pharmacocinétique modifiée. L'anesthésiste-réanimateur du service des brûlés va maîtriser ces notions pharmacologiques pour utiliser à bon escient les agents anesthésiques. PMID:21991108

  14. Common Neurological Disorders Involving Inpatient Liaisons at a Secondary Referral Hospital in Taiwan: A Retrospective Cross-Sectional Study

    PubMed Central

    Liu, Chih-Yang; Chiang, Han-Lin; Fu, Ser-Chen; Su, Yu-Chin; Hsiao, Cheng-Lun; Yang, Fu-Yi

    2016-01-01

    Background and Purpose The requirement for neurology liaison is increasing in accordance with the growing health care demands associated with aging populations. The aim of this study was to characterize the nature of neurological inpatient liaisons (NILs) to help plan for the appropriate use of neurology resources. Methods This was a retrospective cross-sectional study of NILs in a secondary referral hospital over a 12-month period. Results There were 853 neurological consultations with a liaison rate of 3% per admission case. Chest medicine, gastroenterology, and infectious disease were the three most frequent specialties requesting liaison, and altered consciousness, seizure, and stroke were the three most frequent disorders for which a NIL was requested. Infection was the most common cause of altered consciousness. Epilepsy, infection, and previous stroke were common causes of seizure disorders. Acute stroke accounted for 44% of all stroke disorders. Electroencephalography was the most recommended study, and was also the most frequently performed. Ninety-five percent of emergency consultations were completed within 2 hours, and 85% of regular consultations were completed within 24 hours. The consult-to-visit times for emergency and regular consultations were 44±47 minutes (mean±standard deviation) and 730±768 minutes, respectively, and were shorter for regular consultations at intensive care units (p=0.0151) and for seizure and stroke disorders (p=0.0032). Conclusions Altered consciousness, seizure, and stroke were the most common reasons for NILs. Half of the patients had acute neurological diseases warranting immediate diagnosis and treatment by the consulting neurologists. Balancing increasing neurologist workloads and appropriate health-care resources remains a challenge. PMID:26754782

  15. Etude théorique des paramètres principaux réglant la sensibilité des capteurs d'accélération à cristal de quartz

    NASA Astrophysics Data System (ADS)

    Delaite, R.; Aïch, Y.

    1994-10-01

    A theoretical analysis of quartz accelerometers is performed to determine their optimal mechanical and sensitivity performances. A general analytical model is used to investigate the parameters and their effects on the sensitivity of these sensors. The analysis of physical characteristics shows that feasibility and performances depend on three factors such as dimensions of the quartz plate, quantity of holders located at the crystal edge and location of these holders with respect to the crystal's crystallographic reference. This study is applied to various design sensors with different supporting quartz crystal. The conditions on parameters are given to achieve optimum performances. Une étude théorique de la sensibilité des capteurs d'accélération à cristal de quartz est présentée. Son but est d'optimiser les performances mécaniques et métrologiques de ces capteurs. Les paramètres sensibles sont mis en évidence. L'analyse des caractéristiques physiques démontre que la faisabilité et les performances des accéléromètres à quartz dépendent, pour une coupe donnée du cristal, de trois facteurs : les dimensions de la lame de quartz, le nombre de liaisons à la périphérie du cristal et la position de ces liaisons par rapport à la référence cristallographique. L'étude est appliquée aux cas des capteurs bipodes, multipodes et monopodes. Pour chaque type de capteur, les valeurs des paramètres sensibles correspondant aux performances optimales sont précisées.

  16. Establishing the surgical nurse liaison role to improve patient and family member communication.

    PubMed

    Herd, Hope A; Rieben, Melissa A

    2014-05-01

    Having clear personal communication with a surgical patient's family members decreases the anxiety and increases patient and family member satisfaction. Perioperative team members at one East Coast community hospital implemented a new approach to communication in the perioperative area to address patient satisfaction after patient survey scores declined in the areas of communication and calming fears. An additional consideration was the facility's plan to move to a new facility in which the surgical department would be split across two floors. A literature review revealed that adding a surgical nurse liaison can increase patient, family member, and staff member satisfaction. The administration approved creation of the position, with duties that included managing the waiting area, facilitating interaction between physicians and patients' family members, and assisting with family visits to the perianesthesia unit. After implementation of this position, results of surveys showed increases in patient satisfaction. One year after the position was established, staff members reported they were happy with the position as well. PMID:24766921

  17. [Supporting system for regional medical liaison and role of a central hospital].

    PubMed

    Kitano, Seigo

    2003-04-01

    The current status and future development of the supporting system for regional medical liaison and a role of the central hospital in the network were outlined. One of such supportive systems for regional medical network would be tele-medicine or tele-mentoring that include radiological and pathological diagnoses in distance, tele-surgery, and tele-education. Most of these systems are facilitated in the universities and affiliated hospitals and generally need high-cost communication equipment. Another approach is the information sharing system through the modern telecommunication network. Electronic patient record (EPR) systems are the key to achieving this and currently active in several areas. Since the recent progress in information technology (IT) is astonishing, community-based EPR systems are practical with the capability of clinical information exchange between different institutions and even with patients. The role of a central hospital in these systems must be capacious. Management and continuous operation of the system would be the most important affairs. For extending these supporting systems to the ones working in a broader area, the establishment of a "one ID for one patient" system is crucial. Strict security management of the data base and legal institution for distant medical practice still remain as the future tasks. PMID:12774744

  18. Improving the rate of Patient Feedback for a Later Life Mental Health Liaison Team

    PubMed Central

    Cooper, Daniel

    2016-01-01

    It is well established that patient feedback is key to service development and improvement in the modern NHS. Certain patient groups can be particularly difficult to get feedback from, including those with dementia. The Later Life Mental Health Liaison Team at the Bristol Royal Infirmary were consistently receiving very low levels of patient feedback, such that it was insufficient to properly contribute to future service development and improvement. This QIP aimed to increase this level of feedback to a target of 15% from an existing average of 3%. The intervention centred around getting feedback from patients face to face and was developed over a number of PDSA cycles. The feedback questions were based upon the NHS Friends and Family Test. Over four PDSA cycles levels of feedback increased to 21% which more than achieved the goal set out at the start. This was however achieved at a time cost and involved an increased success rate of existing systems as well as new ones put into place by the QIP. PMID:27335648

  19. Evaluating the Impact of Hospital Based Drug and Alcohol Consultation Liaison Services.

    PubMed

    Reeve, Rebecca; Arora, Sheena; Butler, Kerryn; Viney, Rosalie; Burns, Lucinda; Goodall, Stephen; van Gool, Kees

    2016-09-01

    Consultation liaison (CL) services provide direct access to specialist services for support, treatment advice and assistance with the management of a given condition. Alcohol and other drugs (AOD) CL services aim to improve identification and treatment of patients with AOD morbidity. Our objective was to evaluate the costs and consequences of AOD CL services in hospitals in New South Wales, Australia. Patients were surveyed at eight hospitals and problematic AOD use was identified using the Alcohol, Smoking and Substance Involvement Screening Test (n=1615). For consenting participants, medical record data were obtained from 18 months pre- to 12 months post-survey. We used interrupted time series analyses to compare utilization and costs for patients with and without AOD problems and changes over time between those who received AOD CL and similar patients. Approximately 35% of patients surveyed had AOD problems (excluding tobacco) with 7% requiring intensive treatment. Only 24% of patients requiring intensive treatment were treated by AOD CL. Those treated had relative improvements over time in the cost of presentations to emergency departments, emergency admission performance and increased uptake of appropriate pharmaceuticals. The estimated net benefit of AOD CL services was at least AUD$100,000 savings per hospital per year. Expanding AOD CL services to address current unmet need may lead to even greater cost savings for hospitals. PMID:27431045

  20. Reflective practice groups for nurses: a consultation liaison psychiatry nursing initiative: part 2--the evaluation.

    PubMed

    Dawber, Chris

    2013-06-01

    This paper outlines an evaluation of reflective practice groups (RPG) involving nurses and midwives from three clinical nursing specialties at Redcliffe and Caboolture Hospitals, Queensland, Australia. The groups were facilitated by the consultation liaison psychiatry nurse and author using a process-focused, whole-of-group approach to explore clinical narrative in a supportive group setting. This was a preliminary evaluation utilizing a recently-developed tool, the Clinical Supervision Evaluation Questionnaire, along with externally-facilitated focus groups. Nurses and midwives responded favourably to RPG, reporting a positive impact on clinical practice, self-awareness, and resilience. The majority of participants considered RPG had positive implications for team functioning. The focus groups identified the importance of facilitation style and the need to address aspects of workplace culture to enable group development and enhance the capacity for reflection. Evaluation of the data indicates this style of RPG can improve reflective thinking, promote team cohesion, and provide support for nurses and midwives working in clinical settings. Following on from this study, a second phase of research has commenced, providing more detailed, longitudinal evaluation across a larger, more diverse group of nurses. PMID:23020828

  1. Reflective practice groups for nurses: a consultation liaison psychiatry nursing initiative: part 1--The model.

    PubMed

    Dawber, Chris

    2013-04-01

    In the present study, we outline the evolution of a process-focused reflective practice group (RPG) model for nurses working in clinical settings. The groups were initiated at Redcliffe and Caboolture hospitals by the consultation liaison psychiatry nurse and author. An associated article provides an evaluation of these RPG. The literature review identifies the key themes and theories on which the model is based, and the article outlines the process and practicalities of facilitating RPG in critical care, midwifery, and oncology specialties over a 3-year period. The model proposes that the effectiveness and sustainability of RPG arises from adequate preparation and engagement with prospective participants. Group rules, based on principles of confidentially, supportiveness, and diversity, were collaboratively developed for each group. Facilitation utilized a group-as-a-whole approach to manage process and stimulate reflection. While the purpose of RPG was a reflection on interpersonal aspects of nursing, contextual workplace issues were frequently raised in groups. Acknowledgement and containment of such issues were necessary to maintain clinical focus. The literature highlights facilitator credibility and style as crucial factors in the overall success of RPG, and it is proposed that reflective practice as a process-focused model for groups succeeds when nurse facilitators are trained in group process and receive concurrent supervision. PMID:23009276

  2. Academic medicine change management: the power of the liaison committee on medical education accreditation process.

    PubMed

    Chandran, Latha; Fleit, Howard B; Shroyer, A Laurie

    2013-09-01

    Stony Brook University School of Medicine (SBU SOM) used a Liaison Committee on Medical Education (LCME) site visit to design a change management approach that engaged students, revitalized faculty, and enabled significant, positive institutional transformation while flexibly responding to concurrent leadership transitions. This "from-the-trenches" description of novel LCME site-visit-related processes may provide an educational program quality improvement template for other U.S. medical schools. The SBU SOM site visit processes were proactively organized within five phases: (1) planning (4 months), (2) data gathering (12 months), (3) documentation (6 months), (4) visit readiness (2 months), and (5) visit follow-up (16 months). The authors explain the key activities associated with each phase.The SBU SOM internal leadership team designed new LCME-driven educational performance reports to identify challenging aspects of the educational program (e.g., timeliness of grades submitted, midcourse feedback completeness, clerkship grading variability across affiliate sites, learning environment or student mistreatment incidents). This LCME process increased institutional awareness, identified the school's LCME vulnerabilities, organized corrective actions, engaged key stakeholders in communication, ensured leadership buy-in, and monitored successes. The authors' strategies for success included establishing a strong internal LCME leadership team, proactively setting deadlines for all phases of the LCME process, assessing and communicating vulnerabilities and action plans, building multidisciplinary working groups, leveraging information technology, educating key stakeholders through meetings, retreats, and consultants, and conducting a mock site visit. The urgency associated with an impending high-stakes LCME site visit can facilitate positive, local, educational program quality improvement. PMID:23887000

  3. Challenges of the capacity evaluation for the consultation-liaison psychiatrist.

    PubMed

    White, Megan M; Lofwall, Michelle R

    2015-03-01

    Assessing medical decision-making capacity is a clinical skill required of all medical professionals, but it is particularly essential for consultation- liaison psychiatrists. Medical decision-making capacity, often confused with competency, is evaluated by assessing 4 standards, which include whether a patient (1) can understand his or her medical situation, (2) can manipulate the information, (3) can evidence a choice about the proposed treatment, and (4) can appreciate the situation and its consequences. Multiple myths and pitfalls may be encountered during capacity evaluations; many of these can be avoided by proper education and training. We discuss the case of a 71-year-old man who presented to the emergency department by ambulance and was refusing non-emergent neurosurgery after a self-inflicted gunshot wound to the head. He was evaluated for medical decision-making capacity, specifically on whether he had the capacity to refuse neurosurgery and accept intravenous antibiotic treatment. In discussing this case, which illustrates the elements, challenges, and ethical dilemmas of the capacity evaluation, we review several mental illnesses that may prevent individuals from having medical decision-making capacity. Myths and pitfalls of capacity evaluations and possible methods for avoiding them are proposed. Specifically, we emphasize the importance of communication between the primary team and the consultationliaison psychiatry service and describe possible solutions to common communication problems that may arise between services. It is hoped that this case presentation and review will help educate psychiatry residents and other physicians so that they are well prepared to perform a medical decision-making capacity evaluation. PMID:25782767

  4. [Suicidality at the general hospital – perspective of consultation and liaison psychiatry].

    PubMed

    Imboden, Christian; Hatzinger, Martin

    2015-10-01

    Suicidality is a common problem in the general hospital. Patients with comorbid psychiatric disorders or during a psychosocial crisis can develop suicidal ideation during their stay at the general hospital, especially if they suffer from chronic disease. Some somatic disorders, such as cancer, epilepsy, chronic obstructive pulmonary disease, asthma, stroke and chronic pain conditions are associated with an increased risk of suicide. The fact that (1) a major part of patients are treated in the emergency room (ER) after a suicide attempt and (2) a suicide attempt is the strongest predictor for later completed suicide emphasizes the importance of expertise in dealing with suicidal patients in the ER. In order to improve prevention of suicides and suicide attempts within the general hospital and after discharge it is important to educate staff concerning suicidality and enhance detection of suicidal patients. A consultation and liaison psychiatrist should always be involved when there are suicidal patients on wards and in the ER. Assessment of suicidal patients has always to include clear recommendations concerning patient safety and treatment of the underlying condition as well as specific approaches in dealing with suicidal thoughts. Safety measures can include close monitoring, constant observation, restriction to means of suicide, referral to a psychiatric clinic and treatment with sedatives, generally benzodiazepines. Psychiatric disorders are ideally treated according to guidelines and clear recommendations should be given concerning treatment after discharge. Specific psychotherapy for suicidal behaviour possibly reduces the risk of future suicides. A special situation is created by assisted suicides which attribute to suicides in the elderly with a recent increase in the Swiss population. In some cases, undiagnosed depression may contribute to the decision making process, hence, underlining the importance of improved detection and treatment of depression in

  5. The Community Liaison Program: a health education pilot program to increase minority awareness of HIV and acceptance of HIV vaccine trials.

    PubMed

    Kelley, R T; Hannans, A; Kreps, G L; Johnson, K

    2012-08-01

    This paper describes a 16-month health education pilot program based on diffusion of innovation and social network theories. The program was implemented by volunteer community liaisons for the purposes of increasing awareness of and support for HIV vaccine research in minority populations. This theoretically driven pilot program allowed the liaisons to integrate delivery of the HIV vaccine research messages created for the program into their existing activities and routines. Through training in participatory engagement, volunteers were able to tailor and adapt an HIV prevention message for their communities. Process evaluation data showed that the acceptance of participatory engagement and HIV vaccine message dissemination far exceeded expectations. The anticipated number of community members to receive the message was estimated at 500 with 10 volunteer liaisons or 50 per person. However, the actual number of people reached was 644, with only 7 volunteer liaisons, or an average of 92 persons per liaison, almost double the original number. Further research is recommended to analyze the specific behavioral changes that can come from the use of social networks in HIV vaccine research awareness within minority populations. PMID:22327809

  6. Health service delivery and research outcomes of a common departmental structure for psychiatric consultation-liaison and social work services at a university hospital.

    PubMed

    Hammer, J S; Strain, J J; Lyons, J S

    1991-03-01

    Convincing evidence exists that psychosocial factors have a major impact on both outcome and costs in the medical/surgical services in general hospitals. This paper describes the Human Services Department's impact on social work and consultation-liaison psychiatry, using a data-based management system across five specialties: 1) social work; 2) consultation-liaison psychiatry; 3) supportive care (hospice); 4) home care (home health discharge planning); and 5) pastoral care, which offers opportunities for research and quality assurance monitoring. Time spent in service delivery was used to estimate the cost per hour: 1) pastoral care $96; 2) social work $36; 3) consultation-liaison psychiatry $59; 4) home care $49. Referral to social work was preferred for a range of family and discharge planning services. Consultation-liaison services were preferred for depression, paranoid behavior, and management problems. Referral overlap was noted for "coping with diagnosis" for social work and consultation-liaison psychiatry. Using a computerized data base format for documenting the referral process, work accomplished, and time spent among those services providing mental health care in the general hospital permits the observation of redundancy of services delivered and their costs. PMID:1903755

  7. Improving Osteoporosis Management in Primary Care: An Audit of the Impact of a Community Based Fracture Liaison Nurse

    PubMed Central

    Chan, Tom

    2015-01-01

    Background Osteoporosis and associated fragility fractures are a major health problem; they are more common in women over 50 years old. Fracture liaison nurses have been widely used in secondary care to promote the recognition of fragility fractures and to promote the use of bone-sparing medication to reduce the risk of recurrent facture. Objective Audit the impact of a primary care based fracture liaison nurse on the detection of fragility fractures in people with osteoporosis and their treatment with a bone-sparing medication. Method This audit took place in 12 GP practices using ‘before and after’ cross-sectional extractions of anonymised routine data. We report, for females 50–74 years and ≥75 years old, socio-economic deprivation index, the prevalence of osteoporosis, recording of fragility fractures, dual-energy X-ray absorptiometry (DXA), smoking, and body-mass index (BMI) and use of appropriate bone-sparing medication. We used Altman’s test of independent proportions to compare before and after data. Results Recording of the diagnosis of osteoporosis increased from 1.5% to 1.7% (p = 0.059); the rate of DXA scans fell (1.8% to 1.4%; p = 0.002); recording of fractures and fragility fractures more than doubled (0.8% to 2.0%; p<0.001 and 0.5% to 1.5%; p<0.001, respectively) with approximate doubling of the recording of smoking, and BMI (p<0.001 level). Fragility fracture recording rose from 8.8% to 15% in females aged 50 to 74, and from 0.8% to 2.3% in people aged ≥75years old (p<0.001). There appeared to be inequity in the service, people who were least deprived were more likely to receive DXA scans and the more deprived to be prescribed bone sparing agents. Conclusion A fracture liaison nurse in primary care has been associated with a period of improved management. Liaison nurses based in different parts of the health system should be tested in a prospective trial. PMID:26313924

  8. Scientists as Communicators: Inclusion of a Science/Education Liaison on Research Expeditions

    NASA Astrophysics Data System (ADS)

    Sautter, L. R.

    2004-12-01

    Communication of research and scientific results to an audience outside of one's field poses a challenge to many scientists. Many research scientists have a natural ability to address the challenge, while others may chose to seek assistance. Research cruise PIs maywish to consider including a Science/Education Liaison (SEL) on future grants. The SEL is a marine scientist whose job before, during and after the cruise is to work with the shipboard scientists to document the science conducted. The SEL's role is three-fold: (1) to communicate shipboard science activities near-real-time to the public via the web; (2) to develop a variety of web-based resources based on the scientific operations; and (3) to assist educators with the integration of these resources into classroom curricula. The first role involves at-sea writing and relaying from ship-to-shore (via email) a series of Daily Logs. NOAA Ocean Exploration (OE) has mastered the use of web-posted Daily Logs for their major expeditions (see their OceanExplorer website), introducing millions of users to deep sea exploration. Project Oceanica uses the OE daily log model to document research expeditions. In addition to writing daily logs and participating on OE expeditions, Oceanica's SEL also documents the cruise's scientific operations and preliminary findings using video and photos, so that web-based resources (photo galleries, video galleries, and PhotoDocumentaries) can be developed during and following the cruise, and posted on the expedition's home page within the Oceanica web site (see URL). We have created templates for constructing these science resources which allow the shipboard scientists to assist with web resource development. Bringing users to the site is achieved through email communications to a growing list of educators, scientists, and students, and through collaboration with the COSEE network. With a large research expedition-based inventory of web resources now available, Oceanica is training

  9. Possibilities for Implementing Fracture Liaison Service in Poland in the Light of a Visit to Glasgow Western Infirmary.

    PubMed

    Amarowicz, Jarosław; Czerwiński, Edward

    2015-01-01

    Osteoporosis remains one of the top challenges for health services all over the world. Osteoporotic changes in bone structure along with the aging of society result in rapid growth of osteoporotic fractures. Statistics show that approximately 25% of women and 20% of men will suffer a subsequent fracture within 5 years of an initial one. In order to deal with the problem, a novel program in secondary fracture prevention was developed in Scotland in the late 1990's. The system was based on a coordinator and focused on identifying, diagnosing and treating patients with osteoporotic fractures. After just a few years, the system, known as Fracture Liaison Services (FLS), proved to be a cost-effective success. For the last several years, FLS has been implemented in countries all over the world. The Glasgow Western Infirmary, where the program started, continues to be one of the top exemplary facilities in the United Kingdom. Each year the Bone Metabolism Unit proves its effectiveness by providing 4000 DXA scans and taking care of 2500 fractures a year. In 2015, the European Foundation of Osteoporosis and Musculoskeletal Diseases successfully implemented a coordinator-based Fracture Liaison Service in Poland. PMID:26468179

  10. A Randomized Controlled Trial of a Specialist Liaison Worker Model for Young People with Intellectual Disabilities with Challenging Behaviour and Mental Health Needs

    ERIC Educational Resources Information Center

    Raghavan, R.; Newell, R.; Waseem, F.; Small, N.

    2009-01-01

    Background: Twenty-six young people with intellectual disabilities and mental health needs from Pakistani and Bangladeshi communities were recruited as part of a bigger study to examine the effectiveness of a liaison worker in helping young people and their families access appropriate intellectual disabilities and mental health services. Method:…

  11. The Community Liaison Program: A Health Education Pilot Program to Increase Minority Awareness of HIV and Acceptance of HIV Vaccine Trials

    ERIC Educational Resources Information Center

    Kelley, R. T.; Hannans, A.; Kreps, G. L.; Johnson, K.

    2012-01-01

    This paper describes a 16-month health education pilot program based on diffusion of innovation and social network theories. The program was implemented by volunteer community liaisons for the purposes of increasing awareness of and support for HIV vaccine research in minority populations. This theoretically driven pilot program allowed the…

  12. Title 1 Schools Parent Liaisons' Reports Regarding Their Roles and Associated Responsibilities to Facilitate Parent Engagement to Support Children's Academic Achievement

    ERIC Educational Resources Information Center

    Tacchi, Barbara M.

    2013-01-01

    Parent Liaisons can play an integral role in working to realize a vision for a strategic, comprehensive, and continuous system of family, school, and community partnerships that demonstrably contribute to children's development and school success. Parent involvement continues to receive an increasing amount of attention in federal and state…

  13. Amputation des quatre membres

    PubMed Central

    Feruzi, Maruis Kitembo; Milindi, Cédrick Sangwa; Zabibu, Mireille Kakinga; Mulefu, Jules Panda; Katombe, Francois Tshilombo

    2014-01-01

    Les auteurs présentent les cas d'amputation des quatre membres réalisée chez trois patients différents. Ce sont des amputations réalisées pour chaque patient au cours d'une seule hospitalisation et en un seul temps opératoire. Deux patients pour gangrène sèche infectée et un pour amputation traumatique des quatre membres. L'amputation d'urgence a été pratiquée en premier temps suivie de remodelage des moignons d'amputation en second temps. L’évolution de tous les patients a été bonne. PMID:25469177

  14. Performance of the Liaison XL Murex HIV Ab/Ag Test on Clinical Samples Representing Current Epidemic HIV Variants

    PubMed Central

    Lemee, Véronique; Leoz, Marie; Etienne, Manuel; De Oliveira, Fabienne

    2014-01-01

    Screening for HIV infection has improved since the first immunoassays. Today, diagnosis of HIV infection can be performed with fourth-generation tests that track both the patient's antibodies and HIV antigen. The objective of this study was to evaluate the clinical sensitivity and specificity of the new DiaSorin Liaison XL Murex HIV Ab/Ag assay compared to another fourth-generation assay, the Abbott Architect HIV Ag/Ab Combo kit. This work was performed on a large panel of 900 samples, including negative samples (n = 493) and HIV-positive (n = 407) representatives of HIV-1 group M subtypes and circulating recombinant forms (CRFs), HIV-1 group O, and HIV-2 variants. The results highlight the high specificity (98.9%) and sensitivity (100%) of this new fourth-generation assay, which are consistent with its use for the screening and diagnosis of HIV infections with the current circulating strains. PMID:24966360

  15. Performance of the Liaison XL Murex HIV Ab/Ag test on clinical samples representing current epidemic HIV variants.

    PubMed

    Lemee, Véronique; Leoz, Marie; Etienne, Manuel; De Oliveira, Fabienne; Plantier, Jean-Christophe

    2014-09-01

    Screening for HIV infection has improved since the first immunoassays. Today, diagnosis of HIV infection can be performed with fourth-generation tests that track both the patient's antibodies and HIV antigen. The objective of this study was to evaluate the clinical sensitivity and specificity of the new DiaSorin Liaison XL Murex HIV Ab/Ag assay compared to another fourth-generation assay, the Abbott Architect HIV Ag/Ab Combo kit. This work was performed on a large panel of 900 samples, including negative samples (n = 493) and HIV-positive (n = 407) representatives of HIV-1 group M subtypes and circulating recombinant forms (CRFs), HIV-1 group O, and HIV-2 variants. The results highlight the high specificity (98.9%) and sensitivity (100%) of this new fourth-generation assay, which are consistent with its use for the screening and diagnosis of HIV infections with the current circulating strains. PMID:24966360

  16. Improving the uptake and comprehensiveness of bedside cognitive testing amongst liaison psychiatrists over an eight-month period.

    PubMed

    McCormack, Ruaidhri

    2016-01-01

    The aim of this quality improvement (QI) project was to improve the uptake and comprehensiveness of bedside cognitive testing amongst liaison psychiatrists over an eight month period. The baseline measurement involved an audit of the practice of the neuropsychiatry liaison team over six months at the 840 bed St Thomas's Hospital in London, UK. Of 35 referrals, 21 patients were able, and suitable, for cognitive testing based on the referral data and clinical interview. Fourteen (66.6%) of these patients had an Addenbrooke's Cognitive Examination (ACE), while 5 (23.8%) had frontal testing. The frontal tests performed were variable and inconsistent. Two Plan-Do-Study-Act (PDSA) cycles were then conducted. Clear guidance was issued to the team on the use of the ACE or Montreal Cognitive Assessment (MoCA) in suitable patients, and how these can be supplemented by frontal testing. Given the inconsistency in the types and combination of frontal tests being conducted at baseline, a frontal lobe test sheet containing established tests was developed and implemented. In PDSA cycle 1, 100% (n=10) of able and suitable referrals had an ACE or MoCA while 100% had frontal testing (80% of these using the dedicated test sheet). In PDSA cycle 2, improvements were broadly maintained with 85.7% (n=6) of referrals having an ACE/MoCA and 85.7% having frontal testing (83.3% of these using the dedicated frontal test sheet). In conclusion, our team improved the uptake and comprehensiveness of bedside cognitive testing by changing existing practice with clear protocols regarding the use of the ACE/MoCA and the implementation of a frontal test sheet. PMID:27096088

  17. Des Vents et des Jets Astrophysiques

    NASA Astrophysics Data System (ADS)

    Sauty, C.

    well expected result from the theory. Although, collimation may be conical, paraboloidal or cylindrical (Part 4), cylindrical collimation is the more likely to occur. The shape of outflows may then be used as a tool to predict physical conditions on the flows or on their source. L'éjection continue de plasma autour d'objets massifs est un phénomène largement répandu en astrophysique, que ce soit sous la forme du vent solaire, de vents stellaires, de jets d'étoiles en formation, de jets stellaires autour d'objets compacts ou de jets extra-galactiques. Cette zoologie diversifiée fait pourtant l'objet d'un commun effort de modélisation. Le but de cette revue est d'abord de présenter qualitativement le développement, depuis leur origine, des diverses théories de vents (Partie 1) et l'inter disciplinarité dans ce domaine. Il s'agit d'une énumération, plus ou moins exhaustive, des idées proposées pour expliquer l'accélération et la morphologie des vents et des jets, accompagnée d'une présentation sommaire des aspects observationnels. Cette partie s'abstient de tout aspect faisant appel au formalisme mathématique. Ces écoulements peuvent être décrits, au moins partiellement, en résolvant les équations magnétohydrodynamiques, axisymétriques et stationnaires. Ce formalisme, à la base de la plupart des théories, est exposé dans la Partie 2. Il permet d'introduire quantitativement les intégrales premières qu'un tel système possède. Ces dernières sont amenées à jouer un rôle important dans la compréhension des phénomènes d'accélération ou de collimation, en particulier le taux de perte de masse, le taux de perte de moment angulaire ou l'énergie du rotateur magnétique. La difficulté de modélisation réside dans l'existence de points critiques, propres aux équations non linéaires, qu'il faut franchir. La nature physique et la localisation de ces points critiques fait l'objet d'un débat important car ils sont la clef de voute de la r

  18. Impact of the Liaison Committee on Medical Education requirements for emergency medicine education at U.S. schools of medicine.

    PubMed

    McLaughlin, Steven A; Hobgood, Cherri; Binder, Louis; Manthey, David E

    2005-10-01

    The Liaison Committee on Medical Education (LCME) accredits complete and independent medical education programs leading to the MD degree. The LCME standards for accreditation are described in the online document "Functions and Structure of a Medical School." There are ongoing minor and major changes to these standards. This article examines how the newest LCME requirements may affect emergency medicine (EM) rotations. The descriptions focus on 1) how the LCME requirements affect EM educational activities and 2) how the department of EM can help the school of medicine meet the LCME requirements. The recommendations focus on the general areas of the instructional setting, components of the educational program, resources for medical students, and faculty development. The department of EM can provide the students at the school of medicine with a number of key experiences and opportunities through its educational offerings and graduate medical education programs that will help satisfy the LCME standards. The new LCME standards will also have a significant impact on the way EM educators/clerkship directors develop curricula, assess students, provide feedback, and develop their own faculty/residents as teachers. The leadership of EM should recognize their increasingly important role within the school of medicine and be sensitive to additional requirements for faculty development and scholarship. PMID:16204146

  19. Research involvement, support needs, and factors affecting research participation: a survey of Mental Health Consultation Liaison Nurses.

    PubMed

    McMaster, Rose; Jammali-Blasi, Asmara; Andersson-Noorgard, Kurt; Cooper, Kerrie; McInnes, Elizabeth

    2013-04-01

    The aims of this study were to identify research involvement and support needs of Mental Health Consultation Liaison Nurses (MHCLN) and the factors that affect participation in research. A self-administered, standardized, anonymous questionnaire was distributed to a convenience sample of MHCLN. Frequencies and univariate analyses were calculated to examine relationships between: (i) involvement in a research study by highest qualification and job designation; and (ii) current enrolment in a higher degree study, research goals, and current research involvement by level of research skill. Open-ended responses were collated and summarized. Of the 34 workshop attendees, 32 participated in the survey (response rate 94%). Seventy-five percent of respondents agreed that involvement in research is an expectation of their role; 75% reported no current involvement in research. Over half (53%) of participants reported having research goals over the next 12 months. Those enrolled in postgraduate degrees were more likely to be currently involved in a research project (P=0.013). Commonly reported barriers to research participation were competing commitments and lack of support, resources, confidence, and motivation. This study showed that access to research support and resources, including mentorship and funding, are required to engage these MHCLN in research and to build capacity. PMID:22762255

  20. Conceptualising the functional role of mental health consultation-liaison nurse in multi-morbidity, using Peplau's nursing theory.

    PubMed

    Merritt, Michael K; Procter, Nicholas

    2010-01-01

    This paper examines the mental health consultation-liaison nursing (MHCLN) role and links this to the interpersonal relations theory of nurse theorist Hildegard Peplau. The paper argues that, as mental health nursing care around the world is increasingly focused upon meaningful therapeutic engagement, the role of the MHCLN is important in helping to reduce distressing symptoms, reduce the stigma for seeking help for mental health problems and enhancing mental health literacy among generalist nurses. The paper presents a small case exemplar to demonstrate interpersonal relations theory as an engagement process, providing patients with methodologies which allow them to work through the internal dissonance that exists in relation to their adjustment to changes in life roles precipitated by physical illness. This dissonance can be seen in the emergence of anxiety, depression and abnormal/psychogenic illness behaviours. This paper concludes arguing for considerable effort being given to the nurse-patient relationship that allows for the patient having freedom to use strategies that may help resolve the dissonance that exists. PMID:20509800

  1. The influence of Nightingale rounding by the liaison nurse on surgical patient families with attention to differing cultural needs.

    PubMed

    Neils, Priscilla E

    2010-12-01

    This article is a tribute to Florence Nightingale whose book Notes on Nursing was published 150 years ago in 1860. Nightingale was a proponent of rounding on patients to ensure their environment contributed to healing. Patients and their families experience greater satisfaction when a registered nurse rounds on them. The liaison nurse provides the connection between a surgical patient and the family in the waiting room. This activity promotes communication and spiritual support for family members who will participate in patient care both during hospitalization and after the patient returns home. Nursing theorists support the interconnectedness that takes place during rounding. Story theory directs the nurse to connect with the patient's story so that holistic care, recognizing body, mind, and spirit, can take place. High-touch/low-tech as practiced in Asia includes nurse-family interaction, integrating knowledge about the patient's history and preferences with nursing assessment, planning, interventions, and evaluation of care. Nursing diagnoses support critical thinking for the nurse during rounding and interaction with family members. Hospice care includes family stories, humor, and the comfort of presence of loved ones. PMID:20592290

  2. Exploratory study of mental health consultation-liaison nursing in Australia: Part 1. Demographics and role characteristics.

    PubMed

    Sharrock, Julie; Bryant, Jenni; McNamara, Paul; Forster, John; Happell, Brenda

    2008-06-01

    Mental health nursing roles in Consultation-Liaison (CL) psychiatry and emergency departments are rapidly developing within Australia since the mainstreaming of mental health services within the general health-care system. Anecdotal evidence suggests that many of these positions have been initiated and developed in relative isolation and with little formalized support. Consequently, a comprehensive understanding of these roles and the nurses who occupy them is limited. A survey was developed and distributed to gather information on CL nurses in Australia. The survey was aimed at CL nurses working in a range of settings and included questions relating to demographics, qualifications, experience, clinical practice, organizational structure, education, clinical supervision, education and training and work satisfaction. This, the first of a two-part paper, will present the key findings relating to demographics and characteristics of the role. Overall, the findings demonstrated that the CL nurses who responded to the survey (n = 56) were experienced psychiatric/mental health nurses working primarily in general hospital wards and/or emergency departments; receive requests for consultation from a range of health professionals but predominantly nurses; provide education to a range of staff groups; and use a range of titles to identify their role. PMID:18460079

  3. Anti-N-Methyl-D-Aspartate Receptor Encephalitis: A New Challenging Entity for Consultation-Liaison Psychiatrist

    PubMed Central

    Maccaferri, GE; Rossetti, AO; Dalmau, J; Berney, A

    2016-01-01

    Background Anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis is a relatively newly identified autoimmune neuropsychiatric disorder that predominantly affects children and young adults. Although psychiatric symptoms are highly prevalent and frequently severe, it has mainly been reported in neurological, but not psychiatric, literature. Understanding this form of encephalitis, its quick diagnosis and which treatment to provide are of utmost importance for consultation-liaison (C-L) psychiatrists. The aim of this paper was to describe a case of anti-NMDAR encephalitis with severe psychiatric manifestations, who showed impressive recovery but required intensive involvement of the C-L psychiatry team. We emphasise the behavioural aspects, psychiatric symptoms and challenges faced by the CL consultant across the different phases of the treatment. Methods We report the different treatment phases for a young woman with anti-NMDAR encephalitis who developed severe neuropsychiatric symptoms, with a focus on the role and challenges faced by the C-L psychiatrist. The literature is reviewed for each of these challenges. Results This case illustrated that even extremely severely affected patients may show impressive recovery, but require long lasting psychiatric care. C-L psychiatrists are faced with numerous challenges where only little literature is available. Conclusion C-L psychiatrists play a pivotal role throughout the multidisciplinary care of patients with anti-NMDAR encephalitis and should be informed about this entity. PMID:27468380

  4. The theory and practice of consultation-liaison (CL) psychiatry in Trinidad and Tobago with reference to suicidal behavior.

    PubMed

    Maharajh, Hari D; Abdool, Petal; Mohammed-Emamdee, Rehanna

    2008-01-01

    Consultation-Liaison Psychiatry (CL Psychiatry) is not a well-established discipline in developing countries. It is a multifaceted area that incorporates clinical, teaching, and research activities both within the hospital and extramurally in community health services. Our purpose was first to define the role of CL Psychiatry, to review essential steps in the process, and to advise on how to set up services. Second, a 1-year retrospective analysis was conducted on all patients referred. A total of 708 persons were referred for psychiatric consultation, of which 41% (291) were referred because of suicidal behavior. Sixty-six percent were female and there was an over-representation of Indo-Trinidadians (67%). Twenty-six percent of all cases of suicidal behavior were diagnosed with clinical depression, 3% were suffering from a psychotic illness (schizophrenia), and 8% (24/291) were under the influence of alcohol. The most vulnerable group was the 25- to 35-year-old age group, accounting for 27% (78/291) of attempters, with the largest number of female attempters. The 36- to 55-year-old males were most likely to attempt suicide (35/99). Ingestion of a toxic substance was the most popular method among all races, genders, and age groups. Of all referrals, 95% originated from medical wards. The most common reason cited for attempts was depressed mood, secondary to a domestic dispute with a family member or significant other. Among Caribbean countries, Trinidad and Tobago has high rates of suicide and suicidal behavior, depression, and alcoholism. CL psychiatrists have a major role to play in the delivery of services to these groups, facilitating the transition of care from admission in the emergency room to discharge and follow-up in the community. PMID:18836659

  5. The role of the donor liaison officer at PlusLife (Perth Bone and Tissue Bank Inc.), Western Australia.

    PubMed

    Smythe, Claire; White, Nicola; Winter, Joyleen; Cowie, Anne

    2015-06-01

    Femoral head donation at the time of hip replacement surgery provides a much needed resource of bone allograft to orthopaedic surgeons. Prior to 2005, potential femoral head donors were identified and consented in the hospital setting on the day of surgery. This resulted in over 40 % of donations failing post operatively suggesting that more effort could be given to pre-operative screening resulting in substantial savings in the cost associated with collection and testing of donors who were subsequently failed. The Donor Liaison role was implemented in 2005 to coordinate a Femoral Head Donation program maximising the number of successful donations through pre-operative screening. This study reviews the effectiveness of pre-operative screening of potential femoral head donors at PlusLife from 2002-2012. A retrospective audit of the database was undertaken 2002-2012 and medical/social reasons for pre-operative and postoperative failures were collated into 4 main categories to enable comparison: malignancy, autoimmune conditions, variant Creutzfeldt Jakob disease risk and general medical/social reasons. The number of femoral heads failed post operatively has decreased significantly from 26 % in 2003 to 6 % in 2012. A cost of $121,000 was expended on femoral heads failed post operatively in 2004, as compared to $20,350 in 2012. Donors excluded due to the 4 main categories (medical/social history) were identified pre-operatively in over 80 % of all cases. Preoperative screening of femoral head donors through a coordinated Femoral Head Donation Program is a safe and cost effective method. PMID:25080848

  6. Clinical effectiveness of orthogeriatric and fracture liaison service models of care for hip fracture patients: population-based longitudinal study

    PubMed Central

    Hawley, Samuel; Javaid, M. Kassim; Prieto-Alhambra, Daniel; Lippett, Janet; Sheard, Sally; Arden, Nigel K.; Cooper, Cyrus; Judge, Andrew

    2016-01-01

    Objectives: to evaluate orthogeriatric and nurse-led fracture liaison service (FLS) models of post-hip fracture care in terms of impact on mortality (30 days and 1 year) and second hip fracture (2 years). Setting: Hospital Episode Statistics database linked to Office for National Statistics mortality records for 11 acute hospitals in a region of England. Population: patients aged over 60 years admitted for a primary hip fracture from 2003 to 2013. Methods: each hospital was analysed separately and acted as its own control in a before–after time-series design in which the appointment of an orthogeriatrician or set-up/expansion of an FLS was evaluated. Multivariable Cox regression (mortality) and competing risk survival models (second hip fracture) were used. Fixed effects meta-analysis was used to pool estimates of impact for interventions of the same type. Results: of 33,152 primary hip fracture patients, 1,288 sustained a second hip fracture within 2 years (age and sex standardised proportion of 4.2%). 3,033 primary hip fracture patients died within 30 days and 9,662 died within 1 year (age and sex standardised proportion of 9.5% and 29.8%, respectively). The estimated impact of introducing an orthogeriatrician on 30-day and 1-year mortality was hazard ratio (HR) = 0.73 (95% CI: 0.65–0.82) and HR = 0.81 (CI: 0.75–0.87), respectively. Following an FLS, these associations were as follows: HR = 0.80 (95% CI: 0.71–0.91) and HR = 0.84 (0.77–0.93). There was no significant impact on time to second hip fracture. Conclusions: the introduction and/or expansion of orthogeriatric and FLS models of post-hip fracture care has a beneficial effect on subsequent mortality. No evidence for a reduction in second hip fracture rate was found. PMID:26802076

  7. InternationaL cross-sectIonAl and longItudinal assessment on aSthma cONtrol in European adult patients - the LIAISON study protocol

    PubMed Central

    2013-01-01

    Background According to international guidelines, the goal of asthma management is to achieve and maintain control of the disease, which can be assessed using composite measures. Prospective studies are required to determine how these measures are associated with asthma outcomes and/or future risk. The ‘InternationaL cross-sectIonAl and longItudinal assessment on aSthma cONtrol (LIAISON)’ observational study has been designed to evaluate asthma control and its determinants, including components of asthma management. Methods/design The LIAISON study will be conducted in 12 European countries and comprises a cross-sectional phase and a 12-month prospective phase. Both phases will aim at assessing asthma control (six-item Asthma Control Questionnaire, ACQ), asthma-related quality of life (Mini Asthma Quality of Life Questionnaire, Mini-AQLQ), risk of non-adherence to treatment (four-item Morisky Medication Adherence Scale, MMAS-4), potential reasons for poor control, treatment strategies and associated healthcare costs. The cross-sectional phase will recruit > 8,000 adult patients diagnosed with asthma for at least 6 months and receiving the same asthma treatment in the 4 weeks before enrolment. The prospective phase will include all patients with uncontrolled/poorly controlled asthma at the initial visit to assess the proportion reaching control during follow-up and to examine predictors of future risk. Visits will take place after 3, 6 and 12 months. Discussion The LIAISON study will provide important information on the prevalence of asthma control and on the quality of life in a broad spectrum of real-life patient populations from different European countries and will also contribute to evaluate differences in management strategies and their impact on healthcare costs over 12 months of observation. Trial registration ClinicalTrials.gov identifier, NCT01567280. PMID:23530817

  8. Médecine des voyages

    PubMed Central

    Aw, Brian; Boraston, Suni; Botten, David; Cherniwchan, Darin; Fazal, Hyder; Kelton, Timothy; Libman, Michael; Saldanha, Colin; Scappatura, Philip; Stowe, Brian

    2014-01-01

    Résumé Objectif Définir la pratique de la médecine des voyages, présenter les éléments fondamentaux d’une consultation complète préalable aux voyages à des voyageurs internationaux et aider à identifier les patients qu’il vaudrait mieux envoyer en consultation auprès de professionnels de la médecine des voyages. Sources des données Les lignes directrices et les recommandations sur la médecine des voyages et les maladies liées aux voyages publiées par les autorités sanitaires nationales et internationales ont fait l’objet d’un examen. Une recension des ouvrages connexes dans MEDLINE et EMBASE a aussi été effectuée. Message principal La médecine des voyages est une spécialité très dynamique qui se concentre sur les soins préventifs avant un voyage. Une évaluation exhaustive du risque pour chaque voyageur est essentielle pour mesurer avec exactitude les risques particuliers au voyageur, à son itinéraire et à sa destination et pour offrir des conseils sur les interventions les plus appropriées en gestion du risque afin de promouvoir la santé et prévenir les problèmes médicaux indésirables durant le voyage. Des vaccins peuvent aussi être nécessaires et doivent être personnalisés en fonction des antécédents d’immunisation du voyageur, de son itinéraire et du temps qu’il reste avant son départ. Conclusion La santé et la sécurité d’un voyageur dépendent du degré d’expertise du médecin qui offre le counseling préalable à son voyage et les vaccins, au besoin. On recommande à ceux qui donnent des conseils aux voyageurs d’être conscients de l’ampleur de cette responsabilité et de demander si possible une consultation auprès de professionnels de la médecine des voyages pour tous les voyageurs à risque élevé.

  9. Exploiting the Lichen Liaison.

    ERIC Educational Resources Information Center

    Raham, R. Gary

    1978-01-01

    For teachers in search of an easily obtainable, readily dissectable, and unique living specimen to arouse the interest of their students and illustrate important biological principles, lichens are the perfect selection. Background information and experiments on lichen anatomy, physiology, and chemistry are given. An appendix gives culture media.…

  10. Towards a Dynamic DES model

    NASA Astrophysics Data System (ADS)

    Subbareddy, Pramod; Candler, Graham

    2009-11-01

    Hybrid RANS/LES methods are being increasingly used for turbulent flow simulations in complex geometries. Spalart's detached eddy simulation (DES) model is one of the more popular ones. We are interested in examining the behavior of the Spalart-Allmaras (S-A) Detached Eddy Simulation (DES) model in its ``LES mode.'' The role of the near-wall functions present in the equations is analyzed and an explicit analogy between the S-A and a one-equation LES model based on the sub-grid kinetic energy is presented. A dynamic version of the S-A DES model is proposed based on this connection. Validation studies and results from DES and LES applications will be presented and the effect of the proposed modification will be discussed.

  11. Vecteurs Singuliers des Theories des Champs Conformes Minimales

    NASA Astrophysics Data System (ADS)

    Benoit, Louis

    En 1984 Belavin, Polyakov et Zamolodchikov revolutionnent la theorie des champs en explicitant une nouvelle gamme de theories, les theories quantiques des champs bidimensionnelles invariantes sous les transformations conformes. L'algebre des transformations conformes de l'espace-temps presente une caracteristique remarquable: en deux dimensions elle possede un nombre infini de generateurs. Cette propriete impose de telles conditions aux fonctions de correlations qu'il est possible de les evaluer sans aucune approximation. Les champs des theories conformes appartiennent a des representations de plus haut poids de l'algebre de Virasoro, une extension centrale de l'algebre conforme du plan. Ces representations sont etiquetees par h, le poids conforme de leur vecteur de plus haut poids, et par la charge centrale c, le facteur de l'extension centrale, commune a toutes les representations d'une meme theorie. Les theories conformes minimales sont constituees d'un nombre fini de representations. Parmi celles-ci se trouvent des theories unitaires dont les representation forment la serie discrete de l'algebre de Virasoro; leur poids h a la forme h_{p,q}(m)=[ (p(m+1) -qm)^2-1] (4m(m+1)), ou p,q et m sont des entiers positifs et p+q<= m+1. L'entier m parametrise la charge centrale: c(m)=1 -{6over m(m+1)} avec n>= 2. Ces representations possedent un sous-espace invariant engendre par deux sous-representations avec h_1=h_{p,q} + pq et h_2=h_{p,q} + (m-p)(m+1-q) dont chacun des vecteurs de plus haut poids portent le nom de vecteur singulier et sont notes respectivement |Psi _{p,q}> et |Psi_{m-p,m+1-q}>. . Les theories super-conformes sont une version super-symetrique des theories conformes. Leurs champs appartiennent a des representation de plus haut poids de l'algebre de Neveu-Schwarz, une des deux extensions super -symetriques de l'algebre de Virasoro. Les theories super -conformes minimales possedent la meme structure que les theories conformes minimales. Les representations

  12. Étude et modélisation des mécanismes complexes en conception assistée par ordinateur

    NASA Astrophysics Data System (ADS)

    Satori, K.; El Kihel, B.

    1997-11-01

    The conception of the mechanical systems becomes very automated in the setting of the Mechanical Computer Aided Design (M.C.A.D.). Actually the geometric modelisation involves Computer Aided Design (C.A.D.). Particularly, the numerical analysis is the origin of Finite Element Methods (F.E.M.). These two techniques give a real image of calculation results; this is due to the discretization methods (stress concentration, loads assignation, ...). The aim of this work is to study the gear box with parallel shafts (reducer of speeds), it includes two steps of reductions. The kinematic chain is constituted by shafts, gears with right denture and bearings (ball and cylindrical), who achieve the link with the box. The mean problem is to quantify the dynamic and vibratory behaviour in order to qualify the conception of gear box. La conception des systèmes mécaniques devient très automatisée dans le cadre de la Conception Mécanique Assistée par Ordinateur (C.M.A.O.). La modélisation géométrique est effectuée de plus en plus avec l'aide des logiciels de Dessin Assisté par Ordinateur (D.A.O.). La modélisation des structures et la simulation numérique s'effectuent généralement par la Méthode des Éléments Finis (M.E.F.). Le couplage de ces deux techniques permet de donner une image concrète et réaliste des résultats de calcul issus des méthodes de discrétisation (concentration des contraintes, répartition des charges, etc.). L'application qu'on présente concerne une boîte de vitesse à arbres parallèle, comporte deux étages de réductions (réducteur de vitesse). La chaîne cinématique est constituée d'arbres d'engrenages à dentures droites et de paliers à roulements à billes et à rouleaux qui réalisent la liaison avec le carter. Le problème posé dans cette application consiste à quantifier le comportement dynamique et vibratoire afin de qualifier la conception du réducteur.

  13. Peste des petits ruminants

    PubMed Central

    Parida, S.; Muniraju, M.; Mahapatra, M.; Muthuchelvan, D.; Buczkowski, H.; Banyard, A.C.

    2015-01-01

    Peste des petits ruminants virus causes a highly infectious disease of small ruminants that is endemic across Africa, the Middle East and large regions of Asia. The virus is considered to be a major obstacle to the development of sustainable agriculture across the developing world and has recently been targeted by the World Organisation for Animal Health (OIE) and the Food and Agriculture Organisation (FAO) for eradication with the aim of global elimination of the disease by 2030. Fundamentally, the vaccines required to successfully achieve this goal are currently available, but the availability of novel vaccine preparations to also fulfill the requisite for differentiation between infected and vaccinated animals (DIVA) may reduce the time taken and the financial costs of serological surveillance in the later stages of any eradication campaign. Here, we overview what is currently known about the virus, with reference to its origin, updated global circulation, molecular evolution, diagnostic tools and vaccines currently available to combat the disease. Further, we comment on recent developments in our knowledge of various recombinant vaccines and on the potential for the development of novel multivalent vaccines for small ruminants. PMID:26443889

  14. Educational Impact of a Psychiatric Liaison in the Medical Intensive Care Unit: Effects on Attitudes and Beliefs of Trainees and Nurses Regarding Delirium

    PubMed Central

    Chen, Donna T.; Huffman, Jeff C.

    2013-01-01

    Objective: Despite high rates and increased risk of mortality, delirium remains underdiagnosed and a minimal focus of formal medical education. This is the first study to examine the educational impact of a psychiatric liaison on beliefs and knowledge about delirium among both nurses and residents. Method: One psychiatrist spent 9 months rounding weekly in the medical intensive care unit, interacting with critical care nurses and internal medicine residents. Preintervention and postintervention surveys were distributed in July 2009 and June 2010, respectively, to staff (critical care nurses: n = 23 and n = 25, respectively; internal medicine residents: n = 31 and n = 23, respectively) and a comparison group (psychiatry residents: n = 29 and n = 23, respectively). Participants responded to 12 statements regarding delirium on a 5-point Likert scale. Results: There were no statistically significant differences between the presurveys and postsurveys for any item when examining all respondents together, as well as psychiatry and internal medicine residents as individual groups. Critical care nurses showed a significant change between surveys for the statements, “Patients with new-onset anxiety or depression in the intensive care unit most commonly have delirium” (17.4% agree presurvey vs 56.0% agree postsurvey, χ2 = 7.62, P = .006) and “Delirium is diagnosed less often than it actually occurs” (100% agree presurvey vs 80% agree postsurvey, χ2 = 5.13, P = .023). Conclusions: Though introduction of a psychiatric liaison was very well received by clinical staff, we did not meaningfully affect the attitudes and beliefs of trainees and nurses regarding delirium. Robust and lasting changes in attitudes regarding delirium may require more intensive efforts involving longer intervention periods, greater rounding frequency, or additional didactic teaching. PMID:24171148

  15. Classification of 20 DES Supernova with OzDES

    NASA Astrophysics Data System (ADS)

    Davis, T. M.; Kim, A. G.; Macualay, E.; Lidman, C.; Sharp, R.; Tucker, B. E.; Yuan, F.; Zhang, B.; Lewis, G. F.; Sommer, N. E.; Martini, P.; Mould, J.; Ahn, E.; Finley, D. A.; Frieman, J.; Marriner, J.; Wester, W.; Aldering, G.; Thomas, R. C.; Barbary, K.; Bloom, J. S.; Goldstein, D.; Nugent, P.; Perlmutter, S.; Foley, R. J.; Pan, Y.-C.; Casas, R.; Castander, F. J.; Desai, S.; Paech, K.; Smith, R. C.; Schubnell, M.; Kessler, R.; Lasker, J.; Scolnic, D.; Brout, D. J.; Gladney, L.; Sako, M.; Wolf, R. C.; Brown, P. J.; Krisciunas, K.; Suntzeff, N.; Nichol, R.; Papadopoulos, A.; Childress, M.; D'Andrea, C.; Smith, M.; Sullivan, M.; Maartens, R.; Gupta, R.; Kovacs, E.; Kuhlmann, S.; Spinka, H.

    2015-12-01

    We report new spectroscopic classifications by OzDES of supernovae discovered by the Dark Energy Survey (ATEL #4668). The spectra (370-885nm) were obtained with the AAOmega Spectrograph (Saunders et al. 2004, SPIE, 5492, 389) and the 2dF fibre positioner at the Anglo-Australian Telescope (AAT).

  16. Classification of 15 DES supernovae by OzDES

    NASA Astrophysics Data System (ADS)

    Yuan, F.; Tucker, B. E.; Lidman, C.; Martini, P.; Gshwend, Julia; Moller, A.; Zhang, B.; Smith, R. C.; Schubnell, M.; Kessler, R.; Lasker, J.; Scolnic, D.; Brout, D. J.; Gladney, L.; Sako, M.; Wolf, R. C.; Brown, P. J.; Krisciunas, K.; Suntzeff, N.; Nichol, R.; Papadopoulos, A.; Childress, M.; D'Andrea, C.; Smith, M.; Sullivan, M.; Maartens, R.; Gupta, R.; Kovacs, E.; Kuhlmann, S.; Spinka, H.; Ahn, E.; Finley, D. A.; Frieman, J.; Marriner, J.; Wester, W.; Aldering, G.; Kim, A. G.; Thomas, R. C.; Barbary, K.; Bloom, J. S.; Goldstein, D.; Nugent, P.; Perlmutter, S.; Foley, R. J.; Pan, Y.-C.; Casas, R.; Castander, F. J.; Desai, S.; Paech, K.

    2015-12-01

    We report new spectroscopic classifications by OzDES of supernovae discovered by the Dark Energy Survey (ATEL #4668). The spectra (370-885nm) were obtained with the AAOmega Spectrograph (Saunders et al. 2004, SPIE, 5492, 389) and the 2dF fibre positioner at the Anglo-Australian Telescope (AAT).

  17. Classification of 3 DES Supernovae with OzDES

    NASA Astrophysics Data System (ADS)

    Moller, A.; Tucker, B. E.; Yuan, F.; Lewis, G.; Lidman, C.; Macaulay, E.; Nichol, R.; Papadopoulos, A.; Childress, M.; D'Andrea, C.; Smith, M.; Sullivan, M.; Maartens, R.; Gupta, R.; Kovacs, E.; Kuhlmann, S.; Spinka, H.; Ahn, E.; Finley, D. A.; Frieman, J.; Marriner, J.; Wester, W.; Aldering, G.; Kim, A. G.; Thomas, R. C.; Barbary, K.; Bloom, J. S.; Goldstein, D.; Nugent, P.; Perlmutter, S.; Foley, R. J.; Pan, Y.-C.; Casas, R.; Castander, F. J.; Desai, S.; Paech, K.; Smith, R. C.; Schubnell, M.; Kessler, R.; Lasker, J.; Scolnic, D.; Brout, D. J.; Gladney, L.; Sako, M.; Wolf, R. C.; Brown, P. J.; Krisciunas, K.; Suntzeff, N.

    2016-02-01

    We report new spectroscopic classifications by OzDES of supernovae discovered by the Dark Energy Survey (ATEL #4668). The spectra (370-885nm) were obtained with the AAOmega Spectrograph (Saunders et al. 2004, SPIE, 5492, 389) and the 2dF fibre positioner at the Anglo-Australian Telescope (AAT).

  18. Classification of 4 DES supernovae by OzDES

    NASA Astrophysics Data System (ADS)

    Glazebrook, K.; Amon, A.; Lidman, C.; Martini, P.; Tucker, B. E.; Yuan, F.; Aldering, G.; Kim, A. G.; Thomas, R. C.; Barbary, K.; Bloom, J. S.; Goldstein, D.; Nugent, P.; Perlmutter, S.; Foley, R. J.; Pan, Y.-C.; Casas, R.; Castander, F. J.; Desai, S.; Paech, K.; Smith, R. C.; Schubnell, M.; Kessler, R.; Lasker, J.; Scolnic, D.; Brout, D. J.; Gladney, L.; Sako, M.; Wolf, R. C.; Brown, P. J.; Krisciunas, K.; Suntzeff, N.; Nichol, R.; Papadopoulos, A.; Childress, M.; D'Andrea, C.; Smith, M.; Sullivan, M.; Maartens, R.; Gupta, R.; Kovacs, E.; Kuhlmann, S.; Spinka, H.; Ahn, E.; Finley, D. A.; Frieman, J.; Marriner, J.; Wester, W.

    2015-12-01

    We report new spectroscopic classifications by OzDES of supernovae discovered by the Dark Energy Survey (ATEL #4668). The spectra (370-885nm) were obtained with the AAOmega Spectrograph (Saunders et al. 2004, SPIE, 5492, 389) and the 2dF fibre positioner at the Anglo-Australian Telescope (AAT).

  19. Classification of 6 DES Supernova with OzDES

    NASA Astrophysics Data System (ADS)

    Lewis, G. F.; Mould, J.; Lidman, C.; Tucker, B. E.; Sharp, R.; Yuan, F.; Martini, P.; Kessler, R.; Scolnic, D.; Covarrubias, R. A.; Brout, D. J.; Fischer, J. A.; Gladney, L.; March, M.; Sako, M.; Wolf, R. C.; Brown, P. J.; Krisciunas, K.; Suntzeff, N.; Nichol, R.; Papadopoulos, A.; D'Andrea, C.; Smith, M.; Sullivan, M.; Childress, M.; Maartens, R.; Gupta, R.; Kovacs, E.; Kuhlmann, S.; Spinka, H.; Ahn, E.; Finley, D. A.; Frieman, J.; Marriner, J.; Wester, W.; Aldering, G.; Kim, A. G.; Thomas, R. C.; Barbary, K.; Bloom, J. S.; Goldstein, D.; Nugent, P.; Perlmutter, S.; Foley, R. J.; Casas, R.; Castander, F. J.; Desai, S.; Paech, K.; Smith, R. C.; Schubnell, M.

    2015-10-01

    We report new spectroscopic classifications by OzDES of supernovae discovered by the Dark Energy Survey (ATEL #4668). The spectra (370-885nm) were obtained with the AAOmega Spectrograph (Saunders et al. 2004, SPIE, 5492, 389) and the 2dF fibre positioner at the Anglo-Australian Telescope (AAT).

  20. Classification of 14 DES Supernova with OzDES

    NASA Astrophysics Data System (ADS)

    Tucker, B. E.; Sharp, R.; Yuan, F.; Zhang, B.; Lidman, C.; Davis, T. M.; Hinton, S.; Mould, J.; Smith, R. C.; Schubnell, M.; Kessler, R.; Scolnic, D.; Covarrubias, R. A.; Brout, D. J.; Fischer, J. A.; Gladney, L.; March, M.; Sako, M.; Wolf, R. C.; Brown, P. J.; Krisciunas, K.; Suntzeff, N.; Nichol, R.; Papadopoulos, A.; D'Andrea, C.; Smith, M.; Sullivan, M.; Childress, M.; Maartens, R.; Gupta, R.; Kovacs, E.; Kuhlmann, S.; Spinka, H.; Ahn, E.; Finley, D. A.; Frieman, J.; Marriner, J.; Wester, W.; Aldering, G.; Kim, A. G.; Thomas, R. C.; Barbary, K.; Bloom, J. S.; Goldstein, D.; Nugent, P.; Perlmutter, S.; Foley, R. J.; Castander, F. J.; Desai, S.; Paech, K.

    2015-10-01

    We report new spectroscopic classifications by OzDES of supernovae discovered by the Dark Energy Survey. The spectra (370-885nm) were obtained with the AAOmega Spectrograph (Saunders et al. 2004, SPIE, 5492, 389) and the 2dF fibre positioner at the Anglo-Australian Telescope (AAT).

  1. Analysis of the effects of boundary-layer control in the take-off and power-off landing performance characteristics of a liaison type of airplane

    NASA Technical Reports Server (NTRS)

    Horton, Elmer A; Loftin, Laurence K; Racisz, Stanley F; Quinn, John

    1951-01-01

    A performance analysis has been made to determine whether boundary-layer control by suction might reduce the minimum take-off and landing distances of a four-place or five-place airplane or a liaison type of airplane below those obtainable with conventional high-lift devices. The airplane was assumed to have a cruise duration of 5 hours at 60-percent power and to be operating from airstrips having a ground friction coefficient of 0.2 or a combined ground and braking coefficient of 0.4. The payload was fixed at 1500 pounds, the wing span was varied from 25 to 100 feet, the aspect ratio was varied from 5 to 15, and the power was varied from 300 to 1300 horsepower. Maximum lift coefficients of 5.0 and 2.8 were assumed for the airplanes with and without boundary-layer-control --equipment weight was included. The effects of the boundary-layer control on total take-off distance, total power-off landing distance, landing and take-off ground run, stalling speed, sinking speed, and gliding speed were determined.

  2. Diagnosis and Treatment Procedures for Patients With Anxiety Disorders by the Psychiatric Consultation Liaison Service in a General Hospital in Germany: A Retrospective Analysis

    PubMed Central

    Anderson, Christina; Tauch, Deborah; Quante, Arnim

    2015-01-01

    Objective: To investigate the population of patients with anxiety disorders in a general hospital in Germany who required treatment by a consultation psychiatrist. Method: A retrospective investigation of psychiatric consultations concerning 119 patients with anxiety disorders (DSM-IV criteria) from January 1, 2011, to December 31, 2012, was conducted in a general hospital of the Charité Berlin, Berlin, Germany. The frequency of different anxiety disorders, the distribution of anxiety disorders among the departments of the general hospital, and the recommended treatment procedure were investigated. Results: The largest group of patients with anxiety symptoms presented panic attacks. Many of these patients sought treatment in the emergency department of the hospital primarily due to their anxiety symptoms. Within the group of somatically ill patients, panic attacks were prominent, especially in patients with cardiac or respiratory diseases. Treatment procedures comprised pharmacologic and psychotherapeutic interventions. Benzodiazepines and psychoeducation were common acute treatments; antidepressants, pregabalin, and psychotherapy were recommended for long-term treatment. Conclusions: Many patients who primarily suffer from symptoms of anxiety seek treatment in a general hospital, especially in the emergency department. It is therefore very important for the individual patient as well as the health care system that the correct treatment is initiated. The consultation-liaison psychiatric service within a general hospital is important to ensure the best possible diagnostic procedures as well as treatment for patients with anxiety disorders. PMID:26835174

  3. Annuaire du Bureau des longitudes - 2006

    NASA Astrophysics Data System (ADS)

    Imcce; Bureau Des Longitudes

    2005-07-01

    This annual publication provides ephemerides and data to the use of professionnal and amateur astronomers. Divided in 11 chapters it covers concordance of various calendars, explanation of fondamental astronomy and various time scales, explanation for the use of ephemerides; tables provide ephemerides (positions, rise/set/passage) of the Sun and the Moon, planets, planetary satellites, asteroids, comets, bright stars; data and explanation for the physical observation of the surface of the Sun, the Moon, and planets; chart of the sky and a list of constellations and galaxies; prediction and ephemerides for astronomical phenomenon: occultation by the moon, stellar occultations by asteroids and appulses, solar eclipses and lunar eclipses; and an additional review about a hot scientific topic, this year: "Legendre et le méridien terrestre, 200 ans après". Cette publication annuelle fournit des éphémérides et des données à l'usage des astronomes professionnels et des astronomes amateurs. Composée de 11 chapitres elle comprend les rubriques sur les différents calendriers et leurs concordance, les fêtes légales en France, les dates et décrets sur les heures légales en France métropolitaine ; une introduction à l'astronomie fondamentale et aux différentes échelles de temps, des explications sur l'utilisation des éphémérides ; des tables fournissent les éphémérides (positions, heures de lever/coucher/passage) du Soleil et de la Lune, de planètes, de satellites naturels, d'astéroïdes, de comètes, d'étoiles brillantes ; des données pour l'observation de la surface du Soleil, de la Lune, et des planètes ; des cartes du ciel ainsi qu'une liste de constellations et de galaxies ; des prédictions des phénomènes astronomiques : occultation par la Lune, occultation stellaires par des astéroïdes et appulses, éclipses de Soleil et de la Lune; la liste et les coordonnées des observatoires astronomiques les plus connus ; et enfin un cahier th

  4. Transport quantique dans des nanostructures

    NASA Astrophysics Data System (ADS)

    Naud, C.

    2002-09-01

    structure des oscillations de conductance en fonction du flux du champ magnétique de période h/e dont l'amplitude est beaucoup plus importante que celle mesurée sur un réseau carré de même dimension. Cette différence constitue une signature d'un effet de localisation induit par le champ magnétique sur la topologie mathcal{T}3. Pour des valeurs spécifiques du champ magnétique, du fait des interférences destructives Aharonov-Bohm, la propagation des fonctions d'ondes est limitée à un ensemble fini de cellule du réseau appelé cage. De la dépendance en température des oscillations de période h/e mesurées sur le réseau mathcal{T}3 nous avons tiré une longueur caractéristique qui peut être rattachée au périmètre des cages. Un phénomène inattendu fut l'observation, pour des champs magnétiques plus importants, d'un doublement de fréquence des oscillations. Ces oscillations de période h/2e pouvant avoir une amplitude supérieure aux oscillations de période h/e, une interprétation en terme d'harmonique n'est pas possible. Enfin, l'influence de la largeur électrique des fils constituant le réseau et donc celle du nombre de canaux par brin a été étudiée en réalisant des grilles électrostatique. Les variations de l'amplitude des signaux en h/e et h/2e en fonction de la tension de grille ont été mesurés.

  5. The Potential Economic Benefits of Improved Postfracture Care: A Cost-Effectiveness Analysis of a Fracture Liaison Service in the US Health-Care System

    PubMed Central

    Solomon, Daniel H; Patrick, Amanda R; Schousboe, John; Losina, Elena

    2014-01-01

    Fractures related to osteoporosis are associated with $20 billion in cost in the United States, with the majority of cost born by federal health-care programs, such as Medicare and Medicaid. Despite the proven fracture reduction benefits of several osteoporosis treatments, less than one-quarter of patients older than 65 years of age who fracture receive such care. A postfracture liaison service (FLS) has been developed in many health systems but has not been widely implemented in the United States. We developed a Markov state-transition computer simulation model to assess the cost-effectiveness of an FLS using a health-care system perspective. Using the model, we projected the lifetime costs and benefits of FLS, with or without a bone mineral density test, in men and women who had experienced a hip fracture. We estimated the costs and benefits of an FLS, the probabilities of refracture while on osteoporosis treatment, as well as the utilities associated with various health states from published literature. We used multi-way sensitivity analyses to examine impact of uncertainty in input parameters on cost-effectiveness of FLS. The model estimates that an FLS would result in 153 fewer fractures (109 hip, 5 wrist, 21 spine, 17 other), 37.43 more quality-adjusted life years (QALYs), and save $66,879 compared with typical postfracture care per every 10,000 postfracture patients. Doubling the cost of the FLS resulted in an incremental cost-effectiveness ratio (ICER) of $22,993 per QALY. The sensitivity analyses showed that results were robust to plausible ranges of input parameters; assuming the least favorable values of each of the major input parameters results in an ICER of $112,877 per QALY. An FLS targeting patients post-hip fracture should result in cost savings and reduced fractures under most scenarios. PMID:24443384

  6. Etude des effets du martelage repetitif sur les contraintes residuelles

    NASA Astrophysics Data System (ADS)

    Hacini, Lyes

    L'assemblage par soudage peut engendrer des contraintes residuelles. Ces contraintes provoquent des fissurations prematurees et un raccourcissement de la duree de vie des composants. Dans ce contexte, le martelage robotise est utilise pour relaxer ces contraintes residuelles. Trois volets sont presentes: le premier est l'evaluation des effets des impacts unitaires repetes sur le champ de contraintes developpe dans des plaques d'acier inoxydable austenitique 304L vierges ou contenant des contraintes residuelles initiales. Dans la deuxieme partie de ce projet, le martelage est applique grace au robot SCOMPI. Les contraintes residuelles induites et relaxees par martelage sont ensuite mesurees par la methode des contours, qui a ete adaptee a cet effet. Dans la troisieme partie, le martelage est modelise par la methode des elements finis. Un modele axisymetrique developpe grace au logiciel ANSYS permet de simuler des impacts repetes d'un marteau elastique sur une plaque ayant un comportement elastoplastique.

  7. Peste des Petits Ruminants Virus.

    PubMed

    Baron, M D; Diallo, A; Lancelot, R; Libeau, G

    2016-01-01

    Peste des petits ruminants virus (PPRV) causes a severe contagious disease of sheep and goats and has spread extensively through the developing world. Because of its disproportionately large impact on the livelihoods of low-income livestock keepers, and the availability of effective vaccines and good diagnostics, the virus is being targeted for global control and eventual eradication. In this review we examine the origin of the virus and its current distribution, and the factors that have led international organizations to conclude that it is eradicable. We also review recent progress in the molecular and cellular biology of the virus and consider areas where further research is required to support the efforts being made by national, regional, and international bodies to tackle this growing threat. PMID:27112279

  8. The enhancement of existing DES Maplet interface

    NASA Astrophysics Data System (ADS)

    Abdullah, Nur Lina; Mutalip, Rasidah Abdull; Abdullah, Kamilah

    2014-07-01

    This study pertains to the process of Data Encryption Standard, DES. DES consists of encryption and decryption processes linked with mathematical elements such as algebra and number theory. Preliminary, studies revealed that most of mathematics students face a problem in understanding the complicated process of DES. In modern learning methods, learning environment becomes more interesting with the use of computer and a variety of mathematical software packages. Several mathematical softwares such as Maple, Mathematica, Mathlab and Sage were developed in order to fulfill the specific calculation requirements. Correspondingly, motivated from that, this study incorporated with Maple to enhance the existing DES Maplet interface to be more interactive and user-friendly compared to the original version.

  9. Copernic: la piste des influences arabes

    NASA Astrophysics Data System (ADS)

    Khalatbari, A.; Bonnet-Bidaud, J. M.

    2004-10-01

    Copernic a-t-il connu le travail des astronomes du Moyen-Orient ? S'en est-il inspiré pour élaborer sa théorie de l'héliocentrisme ? C'est l'hypothèse avancée par certains historiens des sciences pour comprendre le génie de celui qui, le premier, a placé le Soleil au centre du monde. Enquête.

  10. Diffusion des Metaux et Evolution Stellaire

    NASA Astrophysics Data System (ADS)

    Turcotte, Sylvain

    Nous presentons dans cette these des modeles d'evolution stellaire incorporant la diffusion microscopique de maniere consistante. Pour la premiere fois, on a calcule l'evolution d'etoiles en tenant compte en detail de l'impact des variations d'abondances sur leur structure. Nous utilisons des spectres monochromatiques pour chacun des elements les plus abondants dans un melange solaire pour recalculer l'opacite pour les abondances et les conditions locales dans l'interieur d'une etoile au cours de son evolution. Nos modeles montrent que la diffusion atomique des metaux a un effet important sur les opacites dan les etoiles de plus de 1.3Msolar ou l'abondance du fer et des autres elements du pic du fer varient substantiellement. Ces etoiles, sans rotation ou champ magnetique, sont proches des etoiles de type Fm-Am dans lesquelles on observe une legere surabondance d'elements du pic du fer en plus d'une sous-abondance de calcium, sous-abondance que l'on obtient egalement. Nous obtenons cependant des surabondances depassant un facteur 10 pour les etoiles de plus de 1.4Msolar ce qui suggere qu'il existe un ou plusieurs mecanismes limitant la diffusion microscopique. La surabondance du fer en surface cause une augmentation, qui peut atteindre un facteur sept, de l'opacite a la limite de la zone convective. Ceci cause un accroissement de la temperature effective et de la masse de la zone convective comparativement aux modeles n'incluant que la diffusion de l'helium. Il s'agit la du principal effet de la diffusion sur la structure interne de ces etoiles. La diffusions n'a pas d'influence sur l'evolution de coeur stellaire dans les etoiles significativement plus massives quie le Soleil. Nous avons verife que l'utilisation de modeles consistants avec diffusion n'apporte pas d'amelioration sensible aux modeles solaires. Les forces radiatives calculees a partir des spectres d'OPAL pour les elements du pic du fer representent une fraction importante de la gravite. On obtient des