Spatial analyses identify the geographic source of patients at a National Cancer Institute Comprehensive Cancer Center.

PubMed

Su, Shu-Chih; Kanarek, Norma; Fox, Michael G; Guseynova, Alla; Crow, Shirley; Piantadosi, Steven

2010-02-01

We examined the geographic distribution of patients to better understand the service area of the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, a designated National Cancer Institute (NCI) comprehensive cancer center located in an urban center. Like most NCI cancer centers, the Sidney Kimmel Comprehensive Cancer Center serves a population beyond city limits. Urban cancer centers are expected to serve their immediate neighborhoods and to address disparities in access to specialty care. Our purpose was to learn the extent and nature of the cancer center service area. Statistical clustering of patient residence in the continental United States was assessed for all patients and by gender, cancer site, and race using SaTScan. Primary clusters detected for all cases and demographically and tumor-defined subpopulations were centered at Baltimore City and consisted of adjacent counties in Delaware, Pennsylvania, Virginia, West Virginia, New Jersey and New York, and the District of Columbia. Primary clusters varied in size by race, gender, and cancer site. Spatial analysis can provide insights into the populations served by urban cancer centers, assess centers' performance relative to their communities, and aid in developing a cancer center business plan that recognizes strengths, regional utility, and referral patterns. Today, 62 NCI cancer centers serve a quarter of the U.S. population in their immediate communities. From the Baltimore experience, we might project that the population served by these centers is actually more extensive and varies by patient characteristics, cancer site, and probably cancer center services offered.

Today's Leaders for a Sustainable Tomorrow

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wood, Bryan

2013-02-27

Today's Leaders for a Sustainable Tomorrow is a collaboration of five residential environmental learning centers (Audubon Center of the North Woods, Deep Portage Learning Center, Laurentian Environmental Center, Long Lake Conservation Center and Wolf Ridge Environmental Learning Center) that together increased energy efficiency, energy conservation and renewable energy technologies through a number of different means appropriate for each unique center. For energy efficiency upgrades the centers installed envelope improvements to seal air barriers through better insulation in walls, ceilings, windows, doors as well as the installation of more energy efficient windows, doors, lighting and air ventilation systems. Through energy sub-metermore » monitoring the centers are able to accurately chart the usage of energy at each of their campuses and eliminate unnecessary energy usage. Facilities reduced their dependence on fossil fuel energy sources through the installation of renewable energy technologies including wood gasification, solar domestic hot water, solar photovoltaic, solar air heat, geothermal heating and wind power. Centers also installed energy education displays on the specific renewable energy technologies used at the center.« less

Structural Characterization of the Binding of Myosin*ADP*Pi to Actin in Permeabilized Rabbit Psoas Muscle

DOE Office of Scientific and Technical Information (OSTI.GOV)

Xu,S.; Gu, J.; Belknap, B.

2006-01-01

When myosin is attached to actin in a muscle cell, various structures in the filaments are formed. The two strongly bound states (A{center_dot}M{center_dot}ADP and A{center_dot}M) and the weakly bound A{center_dot}M{center_dot}ATP states are reasonably well understood. The orientation of the strongly bound myosin heads is uniform ('stereospecific' attachment), and the attached heads exhibit little spatial fluctuation. In the prehydrolysis weakly bound A{center_dot}M{center_dot}ATP state, the orientations of the attached myosin heads assume a wide range of azimuthal and axial angles, indicating considerable flexibility in the myosin head. The structure of the other weakly bound state, A{center_dot}M{center_dot}ADP{center_dot}P{sub i}, however, is poorly understood. Thismore » state is thought to be the critical pre-power-stroke state, poised to make the transition to the strongly binding, force-generating states, and hence it is of particular interest for understanding the mechanism of contraction. However, because of the low affinity between myosin and actin in the A{center_dot}M{center_dot}ADP{center_dot}P{sub i} state, the structure of this state has eluded determination both in isolated form and in muscle cells. With the knowledge recently gained in the structures of the weakly binding M{center_dot}ATP, M{center_dot}ADP{center_dot}P{sub i} states and the weakly attached A{center_dot}M{center_dot}ATP state in muscle fibers, it is now feasible to delineate the in vivo structure of the attached state of A{center_dot}M{center_dot}ADP{center_dot}P{sub i}. The series of experiments presented in this article were carried out under relaxing conditions at 25{sup o}C, where {approx}95% of the myosin heads in the skinned rabbit psoas muscle contain the hydrolysis products. The affinity for actin is enhanced by adding polyethylene glycol (PEG) or by lowering the ionic strength in the bathing solution. Solution kinetics and binding constants were determined in the presence and in the absence of PEG. When the binding between actin and myosin was increased, both the myosin layer lines and the actin layer lines increased in intensity, but the intensity profiles did not change. The configuration (mode) of attachment in the A{center_dot}M{center_dot}ADP{center_dot}P{sub i} state is thus unique among the intermediate attached states of the cross-bridge ATP hydrolysis cycle. One of the simplest explanations is that both myosin filaments and actin filaments are stabilized (e.g., undergo reduced spatial fluctuations) by the attachment. The alignment of the myosin heads in the thick filaments and the alignment of the actin monomers in the thin filaments are improved as a result. The compact atomic structure of M{center_dot}ADP{center_dot}P{sub i} with strongly coupled domains may contribute to the unique attachment configuration: the 'primed' myosin heads may function as 'transient struts' when attached to the thin filaments.« less

Liquid cooled data center design selection

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chainer, Timothy J.; Iyengar, Madhusudan K.; Parida, Pritish R.

Input data, specifying aspects of a thermal design of a liquid cooled data center, is obtained. The input data includes data indicative of ambient outdoor temperature for a location of the data center; and/or data representing workload power dissipation for the data center. The input data is evaluated to obtain performance of the data center thermal design. The performance includes cooling energy usage; and/or one pertinent temperature associated with the data center. The performance of the data center thermal design is output.

Centered On The Pole: NCEI Interdisciplinary Arctic Data Stewardship

NASA Astrophysics Data System (ADS)

Zweng, M.

2016-02-01

In 2014, NOAA's data centers (National Climatic Data Center, National Oceanographic Data Center, National Geophysical Data Center and its affiliated program within the National Snow and Ice Data Center, and the National Coastal Data Development Center) merged to form NCEI, the National Centers for Environmental Information- the largest repository of publicly accessible earth system science data in the world. The merger has forced a reconciling of different workflows, data types, and cultures. However, the Arctic has emerged as a common area where the different centers can integrate their expertise, data assets, and services, and use this information to better align the entire organization. The centers face a unique challenge as they move forward: how to archive, steward and provide access to environmental data to fulfil their mission of providing the best information to help protect life and property. A pressing national need for information that supports policy decisions drives our work.

When teacher-centered instructors are assigned to student-centered classrooms

NASA Astrophysics Data System (ADS)

Lasry, Nathaniel; Charles, Elizabeth; Whittaker, Chris

2014-06-01

Technology-rich student-centered classrooms such as SCALE-UP and TEAL are designed to actively engage students. We examine what happens when the design of the classroom (conventional or teacher-centered versus student-centered classroom spaces) is consistent or inconsistent with the teacher's epistemic beliefs about learning and teaching (traditional or teacher-centered versus student-centered pedagogies). We compare two types of pedagogical approaches and two types of classroom settings through a quasiexperimental 2×2 factorial design. We collected data from 214 students registered in eight sections of an introductory calculus-based mechanics course given at a Canadian publicly funded two-year college. All students were given the Force Concept Inventory at the beginning and at the end of the 15-week-long course. We then focused on six teachers assigned to teach in the student-centered classroom spaces. We used qualitative observations and the Approaches to Teaching Inventory (ATI), a self-reported questionnaire, to determine the teachers' epistemic beliefs (teacher-centered or student-centered) and how these beliefs affected their use of the space and their students' conceptual learning. We report four main findings. First, the student-centered classroom spaces are most effective when used with student-centered pedagogies. Second, student-centered classrooms are ineffective when used with teacher-centered pedagogies and may have negative effects for students with low prior knowledge. Third, we find a strong correlation between six instructors' self-reported epistemic beliefs of student centeredness and their classes' average normalized gain (r =0.91; p =0.012). Last, we find that some instructors are more willing to adopt student-centered teaching practices after using student-centered classroom spaces. These data suggest that student-centered classrooms are effective only when instructors' epistemic framework of teaching and learning is consistent with a student-centered pedagogy. However, the use of the student-centered classrooms may change instructors' epistemic frameworks over time. Further research should focus on how to better support teachers with shifting epistemic frameworks as well as helping students with lower prior knowledge in student-centered classroom spaces.

[Health behaviors between a health promotion demonstration health center and a general health center].

PubMed

Lee, Taewha; Lee, Chung-Yul; Kim, Hee-Soon; Ham, Ok-Kyung

2005-06-01

The purpose of the study was to compare community residents' perceptions, participation, satisfaction, and behavioral changes between a health promotion demonstration health center and general health center. The design of the study was ex-post facto that compared community residents in demonstration health centers and general health centers. The sample included 2,261 community residents who were conveniently selected from demonstration (792 participants) and general health centers (1,496 participants). The results of the study were as follows: 1) Perception and participation rates of exercise, nutrition, and hypertension management programs were significantly higher in the participants of demonstration health centers than those of general health centers.; 2) Satisfaction rates of all programs except the smoking cessation program were significantly higher in the participants of demonstration health centers than those of general health centers. However, only the exercise rate among risk behaviors of participants was significantly higher in demonstration health centers than general health centers. Systematic efforts for health promotion were effective not only in improving the community's awareness, participation, and satisfaction of the program, but also in changing health behaviors. This evidence should be used to foster and disseminate health promotion programs to other health centers to improve community residents' health status and quality of life.

Commission Review of a Proposal by the State Center Community College District to Establish the Willow-International Community College Center: A Report to the Governor and Legislature in Response to a Request from the Board of Governors of the California Community Colleges. Commission Report 03-05

ERIC Educational Resources Information Center

California Postsecondary Education Commission, 2003

2003-01-01

This report reviews a proposal by the State Center Community College District to establish a State-approved education center in the city of Fresno. The center would be named the Willow-International Community College Center, and it would replace an existing Clovis operational outreach center that is considered by the district to be insufficient…

34 CFR 413.1 - What is the National Center or Centers for Research in Vocational Education?

Code of Federal Regulations, 2010 CFR

2010-07-01

... Vocational Education (National Center) in the areas of— (a) Applied research and development; and (b... 34 Education 3 2010-07-01 2010-07-01 false What is the National Center or Centers for Research in... RESEARCH IN VOCATIONAL EDUCATION General § 413.1 What is the National Center or Centers for Research in...

Alternative Fuels Data Center: About the Alternative Fuels Data Center

Science.gov Websites

About Printable Version Share this resource Send a link to Alternative Fuels Data Center: About the Alternative Fuels Data Center to someone by E-mail Share Alternative Fuels Data Center: About the Alternative Fuels Data Center on Facebook Tweet about Alternative Fuels Data Center: About the Alternative Fuels

Appearance of Membrane-bound Iron-Sulfur Centers and the Photosystem I Reaction Center during Greening of Barley Leaves 1

PubMed Central

Baltimore, Barbara G.; Malkin, Richard

1977-01-01

Dark-grown barley (Hordeum vulgare) etioplasts were examined for their content of membrane-bound iron-sulfur centers by electron paramagnetic resonance spectroscopy at 15K. They were found to contain the high potential iron-sulfur center characterized (in the reduced state) by an electron paramagnetic resonance g value of 1.89 (the “Rieske” center) but did not contain any low potential iron-sulfur centers. Per mole of cytochrome f, dark-grown etioplasts and fully developed chloroplasts had the same content of the Rieske center. During greening of etioplasts under continuous light, low potential bound iron-sulfur centers appear. In addition, the photosystem I reaction center, as measured by the photooxidation of P700 at 15K, also became functional; during greening the appearance of a photoreducible low potential iron-sulfur center paralleled the appearance of P700 photoactivity. These findings indicate the close association of the low potential iron-sulfur centers with the photosystem I reaction center; they also support the concept that the development of stable charge separation in the photosystem I reaction center requires, in addition to P700, a low potential iron-sulfur center. PMID:16660048

Many multicenter trials had few events per center, requiring analysis via random-effects models or GEEs.

PubMed

Kahan, Brennan C; Harhay, Michael O

2015-12-01

Adjustment for center in multicenter trials is recommended when there are between-center differences or when randomization has been stratified by center. However, common methods of analysis (such as fixed-effects, Mantel-Haenszel, or stratified Cox models) often require a large number of patients or events per center to perform well. We reviewed 206 multicenter randomized trials published in four general medical journals to assess the average number of patients and events per center and determine whether appropriate methods of analysis were used in trials with few patients or events per center. The median number of events per center/treatment arm combination for trials using a binary or survival outcome was 3 (interquartile range, 1-10). Sixteen percent of trials had less than 1 event per center/treatment combination, 50% fewer than 3, and 63% fewer than 5. Of the trials which adjusted for center using a method of analysis which requires a large number of events per center, 6% had less than 1 event per center-treatment combination, 25% fewer than 3, and 50% fewer than 5. Methods of analysis that allow for few events per center, such as random-effects models or generalized estimating equations (GEEs), were rarely used. Many multicenter trials contain few events per center. Adjustment for center using random-effects models or GEE with model-based (non-robust) standard errors may be beneficial in these scenarios. Copyright © 2015 Elsevier Inc. All rights reserved.

42 CFR 482.70 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... geographic area specified by CMS. Heart-Lung transplant center means a transplant center that is located in a hospital with an existing Medicare-approved heart transplant center and an existing Medicare-approved lung center that performs combined heart-lung transplants. Intestine transplant center means a Medicare...

42 CFR 482.70 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... geographic area specified by CMS. Heart-Lung transplant center means a transplant center that is located in a hospital with an existing Medicare-approved heart transplant center and an existing Medicare-approved lung center that performs combined heart-lung transplants. Intestine transplant center means a Medicare...

42 CFR 482.70 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-10-01

... geographic area specified by CMS. Heart-Lung transplant center means a transplant center that is located in a hospital with an existing Medicare-approved heart transplant center and an existing Medicare-approved lung center that performs combined heart-lung transplants. Intestine transplant center means a Medicare...

42 CFR 482.70 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-10-01

... geographic area specified by CMS. Heart-Lung transplant center means a transplant center that is located in a hospital with an existing Medicare-approved heart transplant center and an existing Medicare-approved lung center that performs combined heart-lung transplants. Intestine transplant center means a Medicare...

Short communication; Formula for the calculation of ground temperature at 1 M depth in Turkey

DOE Office of Scientific and Technical Information (OSTI.GOV)

Tezcan, A.K.

1992-06-01

This paper reports that the formula has been found by using the yearly averages of the temperatures at 1 m depth measured in 193 meteorological stations, distributed all over Turkey. It has thus become possible to determine the regional temperature value at 1 m depth at any point in Turkey, if the latitude, longitude and elevation are known. The values, calculated by the formula, can contribute to geothermal exploration in Turkey by providing values that can be compared with the observed ones, and, by becoming second values for the calculation of geothermal gradients where only single downhole temperatures are available.more » The formula has been evolved by expressing the temperatures as the linear function of latitude (La), longitude (Lo) and elevation (H): T = a + b [center dot] La + c [center dot] Lo + d [center dot] H. The derived four least square equations are a [center dot] n + b [center dot] [Sigma](La) + c [center dot] [Sigma](lo) + d [center dot] [Sigma]H = [Sigma]T a [center dot] [Sigma](La) + b [center dot] [Sigma](La)[sup 2] + c [center dot] [Sigma](La)(Lo) + d [center dot] [Sigma]H(La) =[Sigma]T(La) a [center dot] [Sigma](Lo) + b [center dot] [Sigma](La)(Lo) + c [center dot] [Sigma](Lo)[sup 2] + d [center dot] [Sigma]H(Lo) = [Sigma]T(Lo) a[center dot] [Sigma]H + b [center dot] [Sigma]H(La) + c [center dot] [Sigma](Lo) + d [center dot] [Sigma]H[sup 2] = [Sigma]TH where n is the number of data sets. The calculation of sigma values and the solution of the set of equations have been performed by means of a personal computer. The resulting formula is: T = 57.487 [minus] 1.078 La + 0.102 Lo [minus] 0.00488H where latitude and longitude are expressed in degrees, and elevation in meters. The regional value at Ankara (latitude 39.9[degrees], longitude 32.9[degrees], elevation 894 m) is calculated as 13.5[degrees]C (the measured value at 1 m depth is 14.6[degrees]C) and at Adana.« less

Planning for the Mercy Center for Breast Health.

PubMed

Olivares, V Ed

2002-01-01

During the last months of 2000, administrators at the Mercy San Juan Medical Center in Carmichael, Calif., convened a steering committee to plan the Mercy Center for Breast Health. The Steering Committee was composed of the director of ancillary and support services, the oncology clinical nurse specialist, the RN manager of the oncology nursing unit, the RN surgery center manager, and me, the manager of imaging services. The committee was responsible for creating a new business with five specific objectives: to position the Center as a comprehensive diagnostic and resource center for women; to generate physician referrals to the Breast Center through various vehicles; to create awareness of the Breast Center's capabilities among area radiologists; to create awareness of the Breast Center among employees of six sister facilities; to create "brand awareness" for the Mercy Center for Breast Health among referring physicians and patients who could use competing centers in the area. The Steering Committee's charter was to design a center with a feminine touch and ambience and to provide a "one-stop shopping" experience for patients. A major component of the Breast Center is the Dianne Haselwood Resource Center, which provides patients with educational support and information. The Steering Committee brought its diverse experience and interests to bear on arranging for equipment acquisition, information and clerical systems, staffing, clinic office design, patient care and marketing. Planning the Mercy Center for Breast Health has been a positive challenge that brought together many elements of the organization and people from different departments and specialties to create a new business venture. Our charge now is to grow and to live up to our vision of offering complete breast diagnostic, education and support services in one location.

Acid-Base Titration Curves of Soils from a Low-Centered Polygon, Barrow, Alaska, 2013

DOE Data Explorer

Jianqiu Zheng; David Graham

2017-12-05

This dataset provides pH titration data of soils from a low-centered polygon center. The soil core was collected in 2013 from a low-centered polygon center from the NGEE-Arctic Intensive Study Site 1, Barrow, Alaska.

Overview of the Center for Space Construction

NASA Technical Reports Server (NTRS)

Hearth, Donald P.

1990-01-01

The purpose of this overview is to summarize the objectives and structure of the Center. The center is a major element of the University's initiative to upgrade space-related research and education on the Boulder campus. With the support of NASA's University Space Engineering Research Centers Program, we provide a mechanism for interdisciplinary and system-level space engineering research and training. Twenty faculty members and 56 students from seven academic units are associated with the Center and are interacting with each other and with the CSC Associates. As a result of feedback from the 1989 symposium, we have focused the efforts of the Center during the past several months on Lunar Base construction. This included a system level study of a Lunar Base in an Independent Study Project by a group of students from across the Center during the spring semester. This project is being continued this fall. During the two-year history of the Center, 13 students previously affiliated with the Center have graduated and there have been 55 publications from the Center.

Accounting for center in the Early External Cephalic Version trials: an empirical comparison of statistical methods to adjust for center in a multicenter trial with binary outcomes.

PubMed

Reitsma, Angela; Chu, Rong; Thorpe, Julia; McDonald, Sarah; Thabane, Lehana; Hutton, Eileen

2014-09-26

Clustering of outcomes at centers involved in multicenter trials is a type of center effect. The Consolidated Standards of Reporting Trials Statement recommends that multicenter randomized controlled trials (RCTs) should account for center effects in their analysis, however most do not. The Early External Cephalic Version (EECV) trials published in 2003 and 2011 stratified by center at randomization, but did not account for center in the analyses, and due to the nature of the intervention and number of centers, may have been prone to center effects. Using data from the EECV trials, we undertook an empirical study to compare various statistical approaches to account for center effect while estimating the impact of external cephalic version timing (early or delayed) on the outcomes of cesarean section, preterm birth, and non-cephalic presentation at the time of birth. The data from the EECV pilot trial and the EECV2 trial were merged into one dataset. Fisher's exact method was used to test the overall effect of external cephalic version timing unadjusted for center effects. Seven statistical models that accounted for center effects were applied to the data. The models included: i) the Mantel-Haenszel test, ii) logistic regression with fixed center effect and fixed treatment effect, iii) center-size weighted and iv) un-weighted logistic regression with fixed center effect and fixed treatment-by-center interaction, iv) logistic regression with random center effect and fixed treatment effect, v) logistic regression with random center effect and random treatment-by-center interaction, and vi) generalized estimating equations. For each of the three outcomes of interest approaches to account for center effect did not alter the overall findings of the trial. The results were similar for the majority of the methods used to adjust for center, illustrating the robustness of the findings. Despite literature that suggests center effect can change the estimate of effect in multicenter trials, this empirical study does not show a difference in the outcomes of the EECV trials when accounting for center effect. The EECV2 trial was registered on 30 July 30 2005 with Current Controlled Trials: ISRCTN 56498577.

User-Centered Design through Learner-Centered Instruction

ERIC Educational Resources Information Center

Altay, Burçak

2014-01-01

This article initially demonstrates the parallels between the learner-centered approach in education and the user-centered approach in design disciplines. Afterward, a course on human factors that applies learner-centered methods to teach user-centered design is introduced. The focus is on three tasks to identify the application of theoretical and…

Center for Adaptive Optics | Center

Science.gov Websites

Center for Adaptive Optics A University of California Science and Technology Center home Contact Us Director: Claire Max Office: Room 205, Center for Adaptive Optics Phone: (831) 459-2049 Fax: (831 ) 459-5717 Email: max@ucolick.org Associate Director: Donald Gavel Office: Room 209, Center for Adaptive

Sun Grant - Western Regional Center | | Oregon State University

Science.gov Websites

Services Make a Gift Search Field Search Sun Grant - Western Regional Center Home About Us Mission Western States News Sun Grant Initiative Contacts The Five Regional Centers Center Activities Competitive Grant Territories Sun Grant Initiative Contacts The Five Regional Centers Center Activities Competitive Grant

Perinatal market penetration rate. A tool to evaluate regional perinatal programs.

PubMed

Powers, W F; McGill, L

1987-01-01

Very small babies born in tertiary centers fare better than outborn babies referred for tertiary care after birth. Viewing the 1001-1500 gm regional cohort of fetuses as a potential "market" for center delivery, and measuring a center's penetration into this market, quantitates how well a center draws to itself these small, high-risk fetuses for delivery. An Illinois center's annual penetration rate into its regional market for the years 1973-1983 is presented and significant increases are found. The penetration rates of nine Illinois perinatal centers are calculated and wide discrepancies are found. Defining a high-risk regional cohort as a market stresses a perinatal center's obligation to its region. The penetration rate into a defined market measures how well a center fulfills this obligation.

The Communication Center at U.S. Colleges and Universities: A Descriptive Overview II

ERIC Educational Resources Information Center

LeFebvre, Luke; LeFebvre, Leah; Anderson, Dale

2017-01-01

This study gathered data about communication centers and built on past investigations of how centers function across the United States. Communication center directors or individuals who oversee centers at two- and four-year institutions of higher education (N = 47) were surveyed. Participants responded to questions about center structure and…

Regional Test Centers | Photovoltaic Research | NREL

Science.gov Websites

Regional Test Centers Regional Test Centers Five Regional Test Centers (RTCs), established by the the bankability of new photovoltaic (PV) technologies. Photo of the Regional Test Centers The DOE Regional Test Centers help to validate PV technologies in a range of different climates. Pictured here is

34 CFR 403.207 - What are the State's responsibilities to the National Center or Centers for Research in...

Code of Federal Regulations, 2011 CFR

2011-07-01

... for each new research, curriculum development, or personnel development project it supports, and the... Center or Centers for Research in Vocational Education? 403.207 Section 403.207 Education Regulations of... the State's responsibilities to the National Center or Centers for Research in Vocational Education? A...

NASA Performance Report

NASA Technical Reports Server (NTRS)

2000-01-01

Introduction NASA's mission is to advance and communicate scientific knowledge and understanding of Earth, the solar system, and the universe; to advance human exploration, use, and development of space; and to research, develop, verify, and transfer advanced aeronautics, space, and related technologies. In support of this mission, NASA has a strategic architecture that consists of four Enterprises supported by four Crosscutting Processes. The Strategic Enterprises are NASA's primary mission areas to include Earth Science, Space Science, Human Exploration and Development of Space, and Aerospace Technology. NASA's Crosscutting Processes are Manage Strategically, Provide Aerospace Products and Capabilities, Generate Knowledge and Communicate Knowledge. The implementation of NASA programs, science, and technology research occurs primarily at our Centers. NASA consists of a Headquarters, nine Centers, and the Jet Propulsion Laboratory, as well as several ancillary installations and offices in the United States and abroad. The nine Centers are as follows: (1) Ames Research Center, (2) Dryden Flight Research Center (DFRC), (3) Glenn Research Center (GRC), (4) Goddard Space Flight Center (GSFC), (5) Johnson Space Center, (6) Kennedy Space Center (KSC), (7) Langley Research Center (LaRC), (8) Marshall Space Flight Center (MSFC), and (9) Stennis Space Center (SSC).

KENNEDY SPACE CENTER, FLA. - KSC Director Jim Kennedy (center) makes a presentation to NASA and other officials about the benefits of locating NASA’s new Shared Services Center in the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

NASA Image and Video Library

2004-02-19

KENNEDY SPACE CENTER, FLA. - KSC Director Jim Kennedy (center) makes a presentation to NASA and other officials about the benefits of locating NASA’s new Shared Services Center in the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

Treatment of liver injuries at level I and level II centers in a multi-institutional metropolitan trauma system. The Midwest Trauma Society Liver Trauma Study Group.

PubMed

Helling, T S; Morse, G; McNabney, W K; Beggs, C W; Behrends, S H; Hutton-Rotert, K; Johnson, D J; Reardon, T M; Roling, J; Scheve, J; Shinkle, J; Webb, J M; Watkins, M

1997-06-01

The development of trauma systems and trauma centers has had a major impact on the fate of the critically injured patient. However, some have suggested that care may be compromised if too many trauma centers are designated for a given area. As of 1987, the state of Missouri had designated six adult trauma centers, two Level I and four Level II, for the metropolitan Kansas City, Mo, area, serving a population of approximately 1 million people. To determine whether care was comparable between the Level I and II centers, we conducted a concurrent evaluation of the fate of patients with a sentinel injury, hepatic trauma, over a 6-year period (1987-1992) who were treated at these six trauma centers. All patients during the 6-year study period who suffered liver trauma and who survived long enough to be evaluated by computerized tomography or celiotomy were entered into the study. Patients with central nervous system trauma were excluded from analysis. Information concerning mechanism of injury, RTS, Injury Severity Score (ISS), presence of shock, liver injury scoring, mode of treatment, mortality, and length of stay were recorded on abstract forms for analysis. Care was evaluated by mortality, time to the operating room (OR), and intensive care unit (ICU) and hospital length of stay. Over the 6-year period 300 patients with non-central nervous system liver trauma were seen. Level I centers cared for 195 patients and Level II centers cared for 105. There was no difference in mean ISS or ISS > 25 between Level I and II centers. Fifty-five (28%) patients arrived in shock at Level I centers and 24 (23%) at Level II centers. Forty-eight patients (16%) died. Thirty-two (16%) died at Level I centers, and 16 (15%) died at Level II centers. Twenty of 55 patients (36%) in shock died at Level I centers, and 11 of 24 (46%) died at Level II centers (p = 0.428). Forty-three patients (22%) had liver scaling scores of IV-VI at Level I centers, and 10 (10%) had similar scores at Level II centers (p < 0.01). With liver scores IV-VI, 22 of 43 (51%) died at Level I centers and 10 of 14 (71%) died at Level II centers (p = 0.184). There was no difference in mean time or in delays beyond 1 hour to the OR for those patients in shock between Level I and II centers. There was a longer ICU stay at Level II centers (5.0 +/- 8.3 vs. 2.8 +/- 8.4 days, p = 0.04). This difference was confined to penetrating injuries. There was no difference in hospital length of stay. In a metropolitan trauma system, when Level I and II centers were compared for their ability to care for victims of hepatic trauma, there was no discernible difference in care rendered with respect to severity of injury, mortality, delays to the OR, or hospital length of stay. It was observed that more severe liver injuries were seen at Level I centers, but this did not seem to significantly affect care at Level II centers. There was a longer ICU stay observed at Level II centers owing to penetrating injuries, possibly because there were fewer penetrating injuries treated at these facilities. Although the bulk of patients were seen at Level I centers, care throughout the system was equivalent.

Comparison of outcomes in severely injured patients between a South Korean trauma center and matched patients treated in the United States.

PubMed

Jung, Kyoungwon; Matsumoto, Shokei; Smith, Alan; Hwang, Kyungjin; Lee, John Cook-Jong; Coimbra, Raul

2018-06-05

The South Korean government recently developed a master plan for establishing a national trauma system based on the implementation of regional trauma centers. We aimed to compare outcomes between severely injured patients treated at a recently established South Korean trauma center and matched patients treated in American level-1 trauma centers. Two cohorts were selected from an institutional trauma database at Ajou University Medical Center (AUMC) and the American National Trauma Data Bank. Adult patients with an Injury Severity Score of ≥9 were included. Patients were matched based on covariates that affect mortality, using 1:1 propensity score matching. We compared outcomes between the two datasets and performed survival analyses. We created 1,451 and 2,103 matched pairs for the pre-trauma center and post-trauma center periods, respectively. The in-hospital mortality rate was higher in the institutional trauma database pre-trauma center period compared with the American National Trauma Data Bank (11.6% versus 8.1%, P<.001). However, the mortality rate decreased in the institutional trauma database post-trauma center period and was similar to that in the American National Trauma Data Bank (6.9% versus 6.8%, P=.903). Being treated at Ajou University Medical Center Trauma Center was significantly associated with higher mortality during the pre-trauma center period (OR: 1.842, 95% CI: 1.336-2.540; P<.001), although no significant association was observed during the post-trauma center period (OR: 1.102, 95% CI: 0.827-1.468; P=.509). The mortality rate improved after a trauma center was established in a South Korean hospital and is similar to that from matched cases treated at American level-1 trauma centers. Thus, creating trauma centers and a regional trauma system may improve outcomes in major trauma cases. Copyright © 2018 Elsevier Inc. All rights reserved.

INFINITY at NASA Stennis Space Center

NASA Technical Reports Server (NTRS)

2010-01-01

Flags are planted on the roof of the new INFINITY at NASA Stennis Space Center facility under construction just west of the Mississippi Welcome Center at exit 2 on Interstate 10. Stennis and community leaders celebrated the 'topping out' of the new science center Nov. 17, marking a construction milestone for the center. The 72,000-square-foot science and education center will feature space and Earth galleries to showcase the science that underpins the missions of the agencies at Stennis Space Center. The center is targeted to open in 2012.

INFINITY at NASA Stennis Space Center

NASA Image and Video Library

2010-11-17

Flags are planted on the roof of the new INFINITY at NASA Stennis Space Center facility under construction just west of the Mississippi Welcome Center at exit 2 on Interstate 10. Stennis and community leaders celebrated the 'topping out' of the new science center Nov. 17, marking a construction milestone for the center. The 72,000-square-foot science and education center will feature space and Earth galleries to showcase the science that underpins the missions of the agencies at Stennis Space Center. The center is targeted to open in 2012.

Comparison of CDE data in phacoemulsification between an open hospital-based ambulatory surgical center and a free-standing ambulatory surgical center

PubMed Central

Chen, Ming; Chen, Mindy

2010-01-01

Mean CDE (cumulative dissipated energy) values were compared for an open hospital- based surgical center and a free-standing surgical center. The same model of phacoemulsifier (Alcon Infiniti Ozil) was used. Mean CDE values showed that surgeons (individual private practice) at the free-standing surgical center were more efficient than surgeons (individual private practice) at the open hospital-based surgical center (mean CDE at the hospital-based surgical center 18.96 seconds [SD = 12.51]; mean CDE at the free-standing surgical center 13.2 seconds [SD = 9.5]). CDE can be used to monitor the efficiency of a cataract surgeon and surgical center in phacoemulsification. The CDE value may be used by institutions as one of the indicators for quality control and audit in phacoemulsification. PMID:21151334

Comparison of CDE data in phacoemulsification between an open hospital-based ambulatory surgical center and a free-standing ambulatory surgical center.

PubMed

Chen, Ming; Chen, Mindy

2010-11-12

Mean CDE (cumulative dissipated energy) values were compared for an open hospital- based surgical center and a free-standing surgical center. The same model of phacoemulsifier (Alcon Infiniti Ozil) was used. Mean CDE values showed that surgeons (individual private practice) at the free-standing surgical center were more efficient than surgeons (individual private practice) at the open hospital-based surgical center (mean CDE at the hospital-based surgical center 18.96 seconds [SD = 12.51]; mean CDE at the free-standing surgical center 13.2 seconds [SD = 9.5]). CDE can be used to monitor the efficiency of a cataract surgeon and surgical center in phacoemulsification. The CDE value may be used by institutions as one of the indicators for quality control and audit in phacoemulsification.

Launch Vehicle Control Center Architectures

NASA Technical Reports Server (NTRS)

Watson, Michael D.; Epps, Amy; Woodruff, Van; Vachon, Michael Jacob; Monreal, Julio; Williams, Randall; McLaughlin, Tom

2014-01-01

This analysis is a survey of control center architectures of the NASA Space Launch System (SLS), United Launch Alliance (ULA) Atlas V and Delta IV, and the European Space Agency (ESA) Ariane 5. Each of these control center architectures have similarities in basic structure, and differences in functional distribution of responsibilities for the phases of operations: (a) Launch vehicles in the international community vary greatly in configuration and process; (b) Each launch site has a unique processing flow based on the specific configurations; (c) Launch and flight operations are managed through a set of control centers associated with each launch site, however the flight operations may be a different control center than the launch center; and (d) The engineering support centers are primarily located at the design center with a small engineering support team at the launch site.

Surveying Local Health Departments and County Emergency Management Offices on Cooling Centers as a Heat Adaptation Resource in New York State.

PubMed

Nayak, Seema G; Lin, Shao; Sheridan, Scott C; Lu, Yi; Graber, Nathan; Primeau, Michael; Rafferty, Claudine Jones; Hwang, Syni-An

2017-02-01

Local agencies in New York State (NYS) set up cooling centers to provide relief from summer-time heat especially for people with limited access to air-conditioning. We aimed to determine cooling center locations in NYS, and explore county agencies' involvement in organizing and promoting utilization of cooling centers. We conducted a survey among county health and emergency preparedness offices in NYS (excluding NYC) and explored official county websites. We identified 377 cooling centers, mostly in metropolitan areas of NYS. Although 47 % of counties listed locations online, only 29 % reported locations via survey. Radio (90 %) and internet (84 %) were popular for information dissemination. Air-conditioning was available at all indoor cooling center facilities. Cooling centers in 13 % of the counties were accessible by either public transportation or shuttles arranged by the facility. About 38 % counties do not consider cooling centers important in their region or promote informal cooling centers. More than a third of New York counties had neither cooling centers nor plans to establish a cooling center as extreme heat was not perceived as a threat in their region.

Report of Sugar-Sweetened Beverages Offered in Pennsylvania Childcare Centers.

PubMed

Lutzkanin, Kristen M; Myers, Abigail K; Schaefer, Eric W; Sekhar, Deepa L

2016-06-01

The study objective was to quantify sugar-sweetened beverage (SSB) offerings to children in Pennsylvania (PA) childcare centers and determine whether this information is communicated to parents. In October 2014, a SurveyMonkey link was sent to 4461 PA childcare centers. The 518 respondents represented 88% of PA counties. 279 centers (54%) serve SSBs. 330 (65%) of childcare centers provide parents a report of their child's daily intake. Of 185 centers serving SSBs and providing a daily intake report, 91% include SSB consumption. In total, 38% of centers (103/272) offer but do not report SSB consumption. In 96% of centers, parents may request their child not receive SSBs. In conclusion, though more than half of PA childcare centers surveyed offer SSBs, those providing daily intake reports usually include SSB consumption. Requiring daily intake reports may be a strategy to increase parental awareness of items consumed outside the home. © The Author(s) 2015.

Generating Cultures of Writing: Collaborations between the Stanford Writing Center and High School Writing Centers

ERIC Educational Resources Information Center

Tinker, John

2006-01-01

For several years, the author has been working with colleagues in the Northern California Writing Centers Association (NCWCA) and the Stanford Writing Center to build bridges between college and high school writing centers. The writing center at Stanford defines one of its central goals as "celebrating a culture of writing" for all…

The Reading Writing Center: What We Can Do

ERIC Educational Resources Information Center

Spillane, Lee Ann

2006-01-01

Writing centers offer students the means to success. The Reading Writing Center (RWC) at University High School in Orlando, Florida, serves a diverse population of more than 3,700 students. The center serves dual purposes. A classroom side operates as a demonstration space where the author, who is the center's director, leads and sometimes…

A Comparative Study of Leadership Characteristics of Virginia Regional Technical Center Principals

ERIC Educational Resources Information Center

Davis, Bernard Trey S., III

2015-01-01

The purpose of this study was to identify leadership characteristics of technical school principals as perceived by technical center school principals, the superintendents, and the center's Joint Control Board of the regional technical centers of the Commonwealth of Virginia. A regional technical center principal position deals with a different…

The psychosocial atmosphere in community-based activity centers for people with psychiatric disabilities: visitor and staff perceptions.

PubMed

Jansson, Jan-Åke; Johansson, Håkan; Eklund, Mona

2013-12-01

This study investigated how visitors and staff in community-based activity centers in Sweden perceived the psychosocial atmosphere and whether this could be explained by the centers' orientation (work-oriented versus meeting place-oriented centers). Eighty-eight visitors and 37 staff members at three work-oriented and three meeting place-oriented centers participated. The Community-oriented Programs Environmental Scale was used to estimate the psychosocial atmosphere. The result showed that the psychosocial atmosphere at the centers was in accordance with a supportive ward atmosphere profile. Visitors and staff perceived several aspects of the psychosocial atmosphere differently, especially in the meeting place-oriented centers. The visitors in the meeting place-oriented centers did not perceive the psychosocial atmosphere differently from those visiting the work-oriented centers. The results indicated that the psychosocial atmosphere at the centers was in line with what previous research has shown to be beneficial for visitors regarding outcome and favorable for promoting a good therapeutic alliance and a good functioning in daily life.

Lagrangian and Hamiltonian constraints for guiding-center Hamiltonian theories

DOE Office of Scientific and Technical Information (OSTI.GOV)

Tronko, Natalia; Brizard, Alain J.

A consistent guiding-center Hamiltonian theory is derived by Lie-transform perturbation method, with terms up to second order in magnetic-field nonuniformity. Consistency is demonstrated by showing that the guiding-center transformation presented here satisfies separate Jacobian and Lagrangian constraints that have not been explored before. A new first-order term appearing in the guiding-center phase-space Lagrangian is identified through a calculation of the guiding-center polarization. It is shown that this new polarization term also yields a simpler expression of the guiding-center toroidal canonical momentum, which satisfies an exact conservation law in axisymmetric magnetic geometries. Finally, an application of the guiding-center Lagrangian constraint onmore » the guiding-center Hamiltonian yields a natural interpretation for its higher-order corrections.« less

A Learning Center Can Happen to You.

ERIC Educational Resources Information Center

Currey, Mary Nell; Hancock, Vickie

This booklet describes the development and activities of the Clinton Park Elementary School Media Center, a first and second grade learning center located in Clinton, Mississippi. Following introductory materials on the establishment of the media center in September 1975 and federal funding of media center projects from 1975 to 1978, information…

Library Media Learning and Play Center.

ERIC Educational Resources Information Center

Faber, Therese; And Others

Preschool educators developed a library media learning and play center to enable children to "experience" a library; establish positive attitudes about the library; and encourage respect for self, others, and property. The center had the following areas: check-in and check-out desk, quiet reading section, computer center, listening center, video…

Research centers and institutes in U.S. medical schools: a descriptive analysis.

PubMed

Mallon, William T; Bunton, Sarah A

2005-11-01

Research centers and institutes are a common mechanism to organize and facilitate biomedical research at medical schools and universities. The authors report the results of a study on the size, scope, and range of activities of 604 research centers and institutes at research-intensive U.S. medical schools and their parent universities. Centers and institutes with primary missions of patient care, education, or outreach were not included. The findings indicate that, in addition to research, centers and institutes are involved in a range of activities, including education, service, and technology transfer. The centers and institutes the authors studied were more interdisciplinary than those included in previous studies on this topic. Most research centers and institutes did not have authority comparable to academic departments. Only 22% of centers directly appointed faculty members, and most center directors reported to a medical school dean or a department chair. A small group of centers and institutes ("power centers"), however, reported to a university president or provost, and may have considerable power and influence in academic decision making and resource allocation. Two main types of centers and institutes emerge from this research. The first type, which includes the vast of majority of centers, is modest in its scope and marginal in its influence. The second type--with greater amounts of funding, larger staffs, and direct access to institutional decisionmakers--may have a more significant role in the organization and governance of the medical school and university and in the ways that researchers interact within and across academic divisions.

Opportunity for Collaboration Between Radiation Injury Treatment Network Centers and Medical Toxicology Specialists.

PubMed

Davlantes, Elizabeth; Shartar, Samuel; Venero, Jennifer; Steck, Alaina; Langston, Amelia; Kazzi, Ziad N

2017-08-01

The Radiation Injury Treatment Network (RITN) comprises >50 centers across the United States that are poised to care for victims of a radiation emergency. The network is organized around bone marrow transplant centers because these facilities excel in both radiation medicine and the care of patients with severe bone marrow depression. A radiation emergency may cause not only irradiation from an external source but also internal contamination with radioactive material. Because medical toxicologists are trained in radiation injury management and have expertise in the management of internal contamination, RITN centers may benefit from partnerships with medical toxicology resources, which may be located at academic medical centers, hospital inpatient clinical services, outpatient clinics, or poison control centers. We determined the locations of existing RITN centers and assessed their proximity to various medical toxicology resources, including medical toxicology fellowship programs, inpatient toxicology services, outpatient toxicology clinics, and poison control centers. Data were derived from publicly available Internet sources in March 2015. The majority of RITN centers do not have a medical toxicology fellowship, an inpatient toxicology service, or an outpatient toxicology clinic within the same institution. Fifty-seven percent of RITN centers have at least one of these resources located in the same city, however, and 73% of centers have at least one of these resources or a poison control center within the same city. Ninety-five percent of RITN centers have at least one medical toxicology resource within the state. Most RITN centers are located in the same city as at least one medical toxicology resource. Establishing relationships between RITN centers and medical toxicologists needs to be explored further.

Addressing underutilization of consumer health information resource centers: a formative study*

PubMed Central

Kennedy, May G.; Kiken, Laura; Shipman, Jean P.

2008-01-01

Problem: Four consumer health information centers in Richmond, Virginia, provide one-on-one assistance in accessing health information. Because they may not be fully utilized at present, an exploratory marketing study of factors affecting usage of the centers was conducted. Method: Observers counted center passers-by and tracked their paths. Also, brief intercept interviews were conducted with people who had just used a center, people nearby who could have used one but did not, and people on the street. Finally, in-depth individual interviews were conducted with key informants. Results: There was a high degree of satisfaction with the centers among users. Nonusers universally endorsed the center concept. However, most passers-by did not even glance at the centers, and intercept interviewees suggested better signage and promoting the resource centers through various media channels. Key informants added suggestions about interpersonal strategies (e.g., physician referrals) for center usage promotion but cautioned that a large increase in traffic could not be accommodated without increasing staff size or shifting from a model of individualized service. Conclusions: Triangulating findings from multiple data collection methods can provide useful guidance for efforts to promote center utilization. At minimum, steps should be taken to make the largest centers more noticeable. Because center utilization is not only associated with consumer satisfaction with hospitals, but may also foster health literacy, both hospital-based and community-based usage promotion strategies may be warranted. All such promotional strategies should be audience-tested before they are adopted. PMID:18219380

Addressing underutilization of consumer health information resource centers: a formative study.

PubMed

Kennedy, May G; Kiken, Laura; Shipman, Jean P

2008-01-01

Four consumer health information centers in Richmond, Virginia, provide one-on-one assistance in accessing health information. Because they may not be fully utilized at present, an exploratory marketing study of factors affecting usage of the centers was conducted. Observers counted center passers-by and tracked their paths. Also, brief intercept interviews were conducted with people who had just used a center, people nearby who could have used one but did not, and people on the street. Finally, in-depth individual interviews were conducted with key informants. There was a high degree of satisfaction with the centers among users. Nonusers universally endorsed the center concept. However, most passers-by did not even glance at the centers, and intercept interviewees suggested better signage and promoting the resource centers through various media channels. Key informants added suggestions about interpersonal strategies (e.g., physician referrals) for center usage promotion but cautioned that a large increase in traffic could not be accommodated without increasing staff size or shifting from a model of individualized service. Triangulating findings from multiple data collection methods can provide useful guidance for efforts to promote center utilization. At minimum, steps should be taken to make the largest centers more noticeable. Because center utilization is not only associated with consumer satisfaction with hospitals, but may also foster health literacy, both hospital-based and community-based usage promotion strategies may be warranted. All such promotional strategies should be audience-tested before they are adopted.

Assessment of Knowledge of Day-Care Center Workers in Basic Aspects of Child Care: A Pilot Study.

DTIC Science & Technology

1980-06-01

to make a score of at least 70 percent on the multiple choice portion of the questionnaire used in this study . %~u CHAPTER II THE REVIEW OF LITERATURE...employees. These factors would automatically introduce a source of bias into the study . Of the centers contacted, one for-profit center, a franchise center...order to obtain consent. These centers were subsequently exclu- ded from the study leaving only three strata: operated for- profit centers (from her on

Failure mode and effects analysis based risk profile assessment for stereotactic radiosurgery programs at three cancer centers in Brazil.

PubMed

Teixeira, Flavia C; de Almeida, Carlos E; Saiful Huq, M

2016-01-01

The goal of this study was to evaluate the safety and quality management program for stereotactic radiosurgery (SRS) treatment processes at three radiotherapy centers in Brazil by using three industrial engineering tools (1) process mapping, (2) failure modes and effects analysis (FMEA), and (3) fault tree analysis. The recommendations of Task Group 100 of American Association of Physicists in Medicine were followed to apply the three tools described above to create a process tree for SRS procedure for each radiotherapy center and then FMEA was performed. Failure modes were identified for all process steps and values of risk priority number (RPN) were calculated from O, S, and D (RPN = O × S × D) values assigned by a professional team responsible for patient care. The subprocess treatment planning was presented with the highest number of failure modes for all centers. The total number of failure modes were 135, 104, and 131 for centers I, II, and III, respectively. The highest RPN value for each center is as follows: center I (204), center II (372), and center III (370). Failure modes with RPN ≥ 100: center I (22), center II (115), and center III (110). Failure modes characterized by S ≥ 7, represented 68% of the failure modes for center III, 62% for center II, and 45% for center I. Failure modes with RPNs values ≥100 and S ≥ 7, D ≥ 5, and O ≥ 5 were considered as high priority in this study. The results of the present study show that the safety risk profiles for the same stereotactic radiotherapy process are different at three radiotherapy centers in Brazil. Although this is the same treatment process, this present study showed that the risk priority is different and it will lead to implementation of different safety interventions among the centers. Therefore, the current practice of applying universal device-centric QA is not adequate to address all possible failures in clinical processes at different radiotherapy centers. Integrated approaches to device-centric and process specific quality management program specific to each radiotherapy center are the key to a safe quality management program.

INFINITY Science Center taking shape

NASA Image and Video Library

2010-09-06

Construction of the new INFINITY Science Center is proceeding just west of the Mississippi Welcome Center at exit 2 on Interstate 10. Roy Anderson Corp. of Gulfport is building the 72,000-squarefoot, $43 million science and education center, which will feature a space gallery and an Earth gallery to showcase the science underpinning missions of the agencies at Stennis Space Center. The project is being spearheaded by INFINITY Science Center, Inc., a non-profit corporation led by Gulfport Mayor George Schloegel and Apollo 13 astronaut Fred Haise, in partnership with NASA, the state of Mississippi and private donors. When completed, it will serve as the official Stennis visitors center and will be home to the NASA Educator Resource Center.

Sankofan socio-ethical reflections: the Tuskegee University National Bioethics Center's decade of operation, 1999-2009.

PubMed

Earl, Riggins R

2010-08-01

Primarily, this is a Sankofan socio-ethical analysis of the moral foundation of the Tuskegee University National Bioethics Center's decade of operation. The first section of the study will do the following: a) a Sankofan socio-ethical analysis of the Center's raison d'être; and b) definitions of ethical terms and the social world of the infamous syphilis study. The second section, as a result of the analysis, will address the Center's following challenges: c) the Center's challenge of theory and practice; d) the Center's challenge of moral heritage; and e) the Center's challenge of the future.

Palliative radiation therapy practice for advanced esophageal carcinoma in Africa.

PubMed

Sharma, V; Gaye, P M; Wahab, S A; Ndlovu, N; Ngoma, T; Vanderpuye, V; Sowuhami, A; Dawotola, D A; Kigula-Mugambe, J; Jeremic, B

2010-04-01

While numerous surveys of pattern of practices of palliative radiotherapy (RT) in advanced esophageal cancers have been published in developed countries, there is no such survey in African countries. During and after a regional training course by the International Atomic Energy Agency (IAEA) in palliative cancer care, a questionnaire was distributed to African RT centers to gather information about infrastructure and human resources available, and the pattern of practice of palliative RT for esophageal cancers. Twenty-four of the 35 centers (60%) completed the questionnaire. Twenty out of 23 (87%) centers treat patients with esophageal cancer presenting with dysphagia using external beam RT (16 centers external beam RT alone and 4 centers also use brachytherapy as a boost). Twelve (60%) centers prescribe RT doses of 30 Gy in 10 fractions and 2 centers 20 Gy in 5 fractions. Eighteen centers (78%) have low dose rate (LDR) brachytherapy, and 9 (39%) centers have high dose rate (HDR) brachytherapy. One center only used HDR brachytherapy alone to a dose of 16 Gy in 2 fractions over 8 days. RT remains a major component of treatment of patients with esophageal cancers in African countries. Still, there is a great variety among centers in both indications for RT and its characteristics for a treatment indication.

Performance of Local Light Microscopy and the ParaScreen Pan/Pf Rapid Diagnostic Test to Detect Malaria in Health Centers in Northwest Ethiopia

PubMed Central

Endeshaw, Tekola; Graves, Patricia M.; Ayele, Berhan; Mosher, Aryc W.; Gebre, Teshome; Ayalew, Firew; Genet, Asrat; Mesfin, Alemayehu; Shargie, Estifanos Biru; Tadesse, Zerihun; Teferi, Tesfaye; Melak, Berhanu; Richards, Frank O.; Emerson, Paul M.

2012-01-01

Background Diagnostic tests are recommended for suspected malaria cases before treatment, but comparative performance of microscopy and rapid diagnostic tests (RDTs) at rural health centers has rarely been studied compared to independent expert microscopy. Methods Participants (N = 1997) with presumptive malaria were recruited from ten health centers with a range of transmission intensities in Amhara Regional State, Northwest Ethiopia during October to December 2007. Microscopy and ParaScreen Pan/Pf® RDT were done immediately by health center technicians. Blood slides were re-examined later at a central laboratory by independent expert microscopists. Results Of 1,997 febrile patients, 475 (23.8%) were positive by expert microscopists, with 57.7% P.falciparum, 24.6% P.vivax and 17.7% mixed infections. Sensitivity of health center microscopists for any malaria species was >90% in five health centers (four of which had the highest prevalence), >70% in nine centers and 44% in one site with lowest prevalence. Specificity for health center microscopy was very good (>95%) in all centers. For ParaScreen RDT, sensitivity was ≥90% in three centers, ≥70% in six and <60% in four centers. Specificity was ≥90% in all centers except one where it was 85%. Conclusions Health center microscopists performed well in nine of the ten health centers; while for ParaScreen RDT they performed well in only six centers. Overall the accuracy of local microscopy exceeded that of RDT for all outcomes. This study supports the introduction of RDTs only if accompanied by appropriate training, frequent supervision and quality control at all levels. Deficiencies in RDT use at some health centers must be rectified before universal replacement of good routine microscopy with RDTs. Maintenance and strengthening of good quality microscopy remains a priority at health center level. PMID:22536317

Performance of local light microscopy and the ParaScreen Pan/Pf rapid diagnostic test to detect malaria in health centers in Northwest Ethiopia.

PubMed

Endeshaw, Tekola; Graves, Patricia M; Ayele, Berhan; Mosher, Aryc W; Gebre, Teshome; Ayalew, Firew; Genet, Asrat; Mesfin, Alemayehu; Shargie, Estifanos Biru; Tadesse, Zerihun; Teferi, Tesfaye; Melak, Berhanu; Richards, Frank O; Emerson, Paul M

2012-01-01

Diagnostic tests are recommended for suspected malaria cases before treatment, but comparative performance of microscopy and rapid diagnostic tests (RDTs) at rural health centers has rarely been studied compared to independent expert microscopy. Participants (N = 1997) with presumptive malaria were recruited from ten health centers with a range of transmission intensities in Amhara Regional State, Northwest Ethiopia during October to December 2007. Microscopy and ParaScreen Pan/Pf® RDT were done immediately by health center technicians. Blood slides were re-examined later at a central laboratory by independent expert microscopists. Of 1,997 febrile patients, 475 (23.8%) were positive by expert microscopists, with 57.7% P. falciparum, 24.6% P. vivax and 17.7% mixed infections. Sensitivity of health center microscopists for any malaria species was >90% in five health centers (four of which had the highest prevalence), >70% in nine centers and 44% in one site with lowest prevalence. Specificity for health center microscopy was very good (>95%) in all centers. For ParaScreen RDT, sensitivity was ≥90% in three centers, ≥70% in six and <60% in four centers. Specificity was ≥90% in all centers except one where it was 85%. Health center microscopists performed well in nine of the ten health centers; while for ParaScreen RDT they performed well in only six centers. Overall the accuracy of local microscopy exceeded that of RDT for all outcomes. This study supports the introduction of RDTs only if accompanied by appropriate training, frequent supervision and quality control at all levels. Deficiencies in RDT use at some health centers must be rectified before universal replacement of good routine microscopy with RDTs. Maintenance and strengthening of good quality microscopy remains a priority at health center level.

Information on center characteristics as costs' determinants in multicenter clinical trials: is modeling center effect worth the effort?

PubMed

Petrinco, Michele; Pagano, Eva; Desideri, Alessandro; Bigi, Riccardo; Ghidina, Marco; Ferrando, Alberto; Cortigiani, Lauro; Merletti, Franco; Gregori, Dario

2009-01-01

Several methodological problems arise when health outcomes and resource utilization are collected at different sites. To avoid misleading conclusions in multi-center economic evaluations the center effect needs to be taken into adequate consideration. The aim of this article is to compare several models, which make use of a different amount of information about the enrolling center. To model the association of total medical costs with the levels of two sets of covariates, one at patient and one at center level, we considered four statistical models, based on the Gamma model in the class of the Generalized Linear Models with a log link, which use different amount of information on the enrolling centers. Models were applied to Cost of Strategies after Myocardial Infarction data, an international randomized trial on costs of uncomplicated acute myocardial infarction (AMI). The simple center effect adjustment based on a single random effect results in a more conservative estimation of the parameters as compared with approaches which make use of deeper information on the centers characteristics. This study shows, with reference to a real multicenter trial, that center information cannot be neglected and should be collected and inserted in the analysis, better in combination with one or more random effect, taking into account in this way also the heterogeneity among centers because of unobserved centers characteristics.

Find a Brain Tumor Center

MedlinePlus

... Ways to Give Charitable Shopping Close Find a Brain Tumor Center Below is a listing of brain ... center is in your insurance plan’s covered network Brain Tumor Treatment Centers: Filter: Mayo Clinic Arizona Mayo ...

THE TRAINING CENTER, DIFFERENT PURPOSES, DIFFERENT DESIGNS, A LOOK AT SELECTED CORPORATE TRAINING CENTERS.

ERIC Educational Resources Information Center

MAHLER, HARRY B.

UNIQUE FEATURES AND FLOOR PLANS OF FUNCTIONALLY DESIGNED CORPORATE TRAINING CENTERS ARE DESICRIBED. THE TRAVELERS EDUCATION CENTER HAS SIMPLY DESIGNED ROOMS AND FEW AUDIOVISUAL AIDS (AV). BUTLER MANUFACTURING HAS ITS STUDY CENTER IN A WING OF A MOTEL WHICH IS CONVENIENT TO THE GENERAL OFFICES AND DOWNTOWN AREA. SINCE COMPANY PERSONNEL USE THE…

Profile of European proton and carbon ion therapy centers assessed by the EORTC facility questionnaire.

PubMed

Weber, Damien C; Abrunhosa-Branquinho, André; Bolsi, Alessandra; Kacperek, Andrzej; Dendale, Rémi; Geismar, Dirk; Bachtiary, Barbara; Hall, Annika; Heufelder, Jens; Herfarth, Klaus; Debus, Jürgen; Amichetti, Maurizio; Krause, Mechthild; Orecchia, Roberto; Vondracek, Vladimir; Thariat, Juliette; Kajdrowicz, Tomasz; Nilsson, Kristina; Grau, Cai

2017-08-01

We performed a survey using the modified EORTC Facility questionnaire (pFQ) to evaluate the human, technical and organizational resources of particle centers in Europe. The modified pFQ consisted of 235 questions distributed in 11 sections accessible on line on an EORTC server. Fifteen centers from 8 countries completed the pFQ between May 2015 and December 2015. The average number of patients treated per year and per particle center was 221 (range, 40-557). The majority (66.7%) of centers had pencil beam or raster scanning capability. Four (27%) centers were dedicated to eye treatment only. An increase in the patients-health professional FTE ratio was observed for eye tumor only centers when compared to other centers. All centers treated routinely chordomas/chondrosarcomas, brain tumors and sarcomas but rarely breast cancer. The majority of centers treated pediatric cases with particles. Only a minority of the queried institutions treated non-static targets. As the number of particle centers coming online will increase, the experience with this treatment modality will rise in Europe. Children can currently be treated in these facilities in a majority of cases. The majority of these centers provide state of the art particle beam therapy. Copyright © 2017 Elsevier B.V. All rights reserved.

The Symmetry and Packing Fraction of the Body Centered Tetragonal Structure

ERIC Educational Resources Information Center

Dunlap, Richard A.

2012-01-01

It is shown that for different ratios of lattice parameters, "c/a," the body centered tetragonal structure may be view as body centered tetragonal, body centered cubic, face centered cubic or hexagonal. This illustrates that the apparent symmetry of a lattice depends on the choice of the conventional unit cell.

National Fuel Cell Technology Evaluation Center | Hydrogen and Fuel Cells |

Science.gov Websites

NREL National Fuel Cell Technology Evaluation Center National Fuel Cell Technology Evaluation Center The National Fuel Cell Technology Evaluation Center (NFCTEC) at NREL's Energy Systems Integration Cell Technology Evaluation Center to process and analyze data for a variety of hydrogen and fuel cell

Student Success Center Toolkit

ERIC Educational Resources Information Center

Jobs For the Future, 2014

2014-01-01

"Student Success Center Toolkit" is a compilation of materials organized to assist Student Success Center directors as they staff, launch, operate, and sustain Centers. The toolkit features materials created and used by existing Centers, such as staffing and budgeting templates, launch materials, sample meeting agendas, and fundraising…

Benefits Analysis of Multi-Center Dynamic Weather Routes

NASA Technical Reports Server (NTRS)

Sheth, Kapil; McNally, David; Morando, Alexander; Clymer, Alexis; Lock, Jennifer; Petersen, Julien

2014-01-01

Dynamic weather routes are flight plan corrections that can provide airborne flights more than user-specified minutes of flying-time savings, compared to their current flight plan. These routes are computed from the aircraft's current location to a flight plan fix downstream (within a predefined limit region), while avoiding forecasted convective weather regions. The Dynamic Weather Routes automation has been continuously running with live air traffic data for a field evaluation at the American Airlines Integrated Operations Center in Fort Worth, TX since July 31, 2012, where flights within the Fort Worth Air Route Traffic Control Center are evaluated for time savings. This paper extends the methodology to all Centers in United States and presents benefits analysis of Dynamic Weather Routes automation, if it was implemented in multiple airspace Centers individually and concurrently. The current computation of dynamic weather routes requires a limit rectangle so that a downstream capture fix can be selected, preventing very large route changes spanning several Centers. In this paper, first, a method of computing a limit polygon (as opposed to a rectangle used for Fort Worth Center) is described for each of the 20 Centers in the National Airspace System. The Future ATM Concepts Evaluation Tool, a nationwide simulation and analysis tool, is used for this purpose. After a comparison of results with the Center-based Dynamic Weather Routes automation in Fort Worth Center, results are presented for 11 Centers in the contiguous United States. These Centers are generally most impacted by convective weather. A breakdown of individual Center and airline savings is presented and the results indicate an overall average savings of about 10 minutes of flying time are obtained per flight.

Operationa1 Logistics 2010.

DTIC Science & Technology

1997-04-02

movements control center (MCC) which is co-located with a material management center (MMC) forming a distribution management center (DMC). The MMC...missions by a section in Support Operations called the Distribution Management Center (DMC)29. The DMC executes the distribution management (also...restructured organizations are the formula for making theater distribution a reality and the locus of these changes is the Distribution Management Center

Shopping-Center in deutschen Mittelstädten und ihr Einfluss auf die Zentralitätsentwicklung. Eine Untersuchung unter der Verwendung von Einzelhandelskennzahlen

NASA Astrophysics Data System (ADS)

Eckhardt, Yannick

2017-06-01

Shopping-centers have been subject to intense analysis from various angles. Due to by the growing number of shopping-centers located in medium-sized cities, a change of money flows within the municipal boundaries is expected. On a multi-level basis this article shows key retail figures of medium-sized cities with shopping-centers in comparison to ones without. The final result reveals that the retail turnover of medium-sized cities with a shopping-center reaches a significantly higher level than cities without a shopping-center. Furthermore, the evaluation of data shows a rise of the retail centrality in medium sized towns as a consequence of the opening of a shopping-center. This means the construction of shopping-centers doesn't only cause a shift of money flows within the city boundaries but also leads to an additional influx of money from outside the municipalities.

The trauma ecosystem: The impact and economics of new trauma centers on a mature statewide trauma system.

PubMed

Ciesla, David J; Pracht, Etienne E; Leitz, Pablo T; Spain, David A; Staudenmayer, Kristan L; Tepas, Joseph J

2017-06-01

Florida serves as a model for the study of trauma system performance. Between 2010 and 2104, 5 new trauma centers were opened alongside 20 existing centers. The purpose of this study was to explore the impact of trauma system expansion on system triage performance and trauma center patients' profiles. A statewide data set was queried for all injury-related discharges from adult acute care hospitals using International Classification of Diseases, Ninth Revision (ICD-9) codes for 2010 and 2014. The data set, inclusion criteria, and definitions of high-risk injury were chosen to match those used by the Florida Department of Health in its trauma registry. Hospitals were classified as existing Level I (E1) or Level II (E2) trauma centers and new E2 (N2) centers. Five N2 centers were established 11.6 to 85.3 miles from existing centers. Field and overall trauma system triage of high-risk patients was less accurate with increased overtriage and no change in undertriage. Annual volume at N2 centers increased but did not change at E1 and E2 centers. In 2014, Patients at E1 and E2 centers were slightly older and less severely injured, while those at N2 centers were substantially younger and more severely injured than in 2010. The injured patient-payer mix changed with a decrease in self-pay and commercial patients and an increase in government-sponsored patients at E1 and E2 centers and an increase in self-pay and commercial patients with a decrease in government-sponsored patients at N2 centers. Designation of new trauma centers in a mature system was associated with a change in established trauma center demographics and economics without an improvement in trauma system triage performance. These findings suggest that the health of an entire trauma system network must be considered in the design and implementation of a regional trauma system. Therapeutic/care management study, level IV; epidemiological, level IV.

Current use of imaging and electromagnetic source localization procedures in epilepsy surgery centers across Europe.

PubMed

Mouthaan, Brian E; Rados, Matea; Barsi, Péter; Boon, Paul; Carmichael, David W; Carrette, Evelien; Craiu, Dana; Cross, J Helen; Diehl, Beate; Dimova, Petia; Fabo, Daniel; Francione, Stefano; Gaskin, Vladislav; Gil-Nagel, Antonio; Grigoreva, Elena; Guekht, Alla; Hirsch, Edouard; Hecimovic, Hrvoje; Helmstaedter, Christoph; Jung, Julien; Kalviainen, Reetta; Kelemen, Anna; Kimiskidis, Vasilios; Kobulashvili, Teia; Krsek, Pavel; Kuchukhidze, Giorgi; Larsson, Pål G; Leitinger, Markus; Lossius, Morten I; Luzin, Roman; Malmgren, Kristina; Mameniskiene, Ruta; Marusic, Petr; Metin, Baris; Özkara, Cigdem; Pecina, Hrvoje; Quesada, Carlos M; Rugg-Gunn, Fergus; Rydenhag, Bertil; Ryvlin, Philippe; Scholly, Julia; Seeck, Margitta; Staack, Anke M; Steinhoff, Bernhard J; Stepanov, Valentin; Tarta-Arsene, Oana; Trinka, Eugen; Uzan, Mustafa; Vogt, Viola L; Vos, Sjoerd B; Vulliémoz, Serge; Huiskamp, Geertjan; Leijten, Frans S S; Van Eijsden, Pieter; Braun, Kees P J

2016-05-01

In 2014 the European Union-funded E-PILEPSY project was launched to improve awareness of, and accessibility to, epilepsy surgery across Europe. We aimed to investigate the current use of neuroimaging, electromagnetic source localization, and imaging postprocessing procedures in participating centers. A survey on the clinical use of imaging, electromagnetic source localization, and postprocessing methods in epilepsy surgery candidates was distributed among the 25 centers of the consortium. A descriptive analysis was performed, and results were compared to existing guidelines and recommendations. Response rate was 96%. Standard epilepsy magnetic resonance imaging (MRI) protocols are acquired at 3 Tesla by 15 centers and at 1.5 Tesla by 9 centers. Three centers perform 3T MRI only if indicated. Twenty-six different MRI sequences were reported. Six centers follow all guideline-recommended MRI sequences with the proposed slice orientation and slice thickness or voxel size. Additional sequences are used by 22 centers. MRI postprocessing methods are used in 16 centers. Interictal positron emission tomography (PET) is available in 22 centers; all using 18F-fluorodeoxyglucose (FDG). Seventeen centers perform PET postprocessing. Single-photon emission computed tomography (SPECT) is used by 19 centers, of which 15 perform postprocessing. Four centers perform neither PET nor SPECT in children. Seven centers apply magnetoencephalography (MEG) source localization, and nine apply electroencephalography (EEG) source localization. Fourteen combinations of inverse methods and volume conduction models are used. We report a large variation in the presurgical diagnostic workup among epilepsy surgery centers across Europe. This diversity underscores the need for high-quality systematic reviews, evidence-based recommendations, and harmonization of available diagnostic presurgical methods. Wiley Periodicals, Inc. © 2016 International League Against Epilepsy.

A model for evaluating academic research centers: Case study of the Asian/Pacific Islander Youth Violence Prevention Center.

PubMed

Nishimura, Stephanie T; Hishinuma, Earl S; Goebert, Deborah A; Onoye, Jane M M; Sugimoto-Matsuda, Jeanelle J

2018-02-01

To provide one model for evaluating academic research centers, given their vital role in addressing public health issues. A theoretical framework is described for a comprehensive evaluation plan for research centers. This framework is applied to one specific center by describing the center's Logic Model and Evaluation Plan, including a sample of the center's activities. Formative and summative evaluation information is summarized. In addition, a summary of outcomes is provided: improved practice and policy; reduction of risk factors and increase in protective factors; reduction of interpersonal youth violence in the community; and national prototype for prevention of interpersonal youth violence. Research centers are important mechanisms to advance science and improve people's quality of life. Because of their more infrastructure-intensive and comprehensive approach, they also require substantial resources for success, and thus, also require careful accountability. It is therefore important to comprehensively evaluate these centers. As provided herein, a more systematic and structured approach utilizing logic models, an evaluation plan, and successful processes can provide research centers with a functionally useful method in their evaluation. Copyright © 2017 Elsevier Ltd. All rights reserved.

LaRC 20-Year Center Revitalization Plan

NASA Technical Reports Server (NTRS)

Mangum, Cathy H.; Harris, Charles E.; Allen, Cheryl L.; Craft, Stephen J.; Hope, Drew J.; Kegelman, Jerome T.; Mastaler, Michael D; Weiser, Erik S.

2012-01-01

LaRC has developed a 20-Year Center Revitalization Plan. The objective of this plan is to assure that the center infrastructure is sustainable for the long-term and that the center will have the essential facilities and laboratories to execute the future NASA mission. The plan was developed by a centerwide team, VITAL, and was approved by the Center Leadership Council (CLC) in March 2012. The revitalization plan will be implemented through the Center Master Planning process.

42 CFR 482.104 - Condition of participation: Additional requirements for kidney transplant centers.

Code of Federal Regulations, 2011 CFR

2011-10-01

... for kidney transplant centers. 482.104 Section 482.104 Public Health CENTERS FOR MEDICARE & MEDICAID....104 Condition of participation: Additional requirements for kidney transplant centers. (a) Standard: End stage renal disease (ESRD) services. Kidney transplant centers must directly furnish...

42 CFR 482.104 - Condition of participation: Additional requirements for kidney transplant centers.

Code of Federal Regulations, 2010 CFR

2010-10-01

... for kidney transplant centers. 482.104 Section 482.104 Public Health CENTERS FOR MEDICARE & MEDICAID....104 Condition of participation: Additional requirements for kidney transplant centers. (a) Standard: End stage renal disease (ESRD) services. Kidney transplant centers must directly furnish...

Shopping Centers: Their Development and Impact on a Community.

ERIC Educational Resources Information Center

Berezowski, P. E.; And Others

Presenting extensive background material on the development of shopping centers, this paper includes elementary and junior high school outdoor education activities centering upon shopping center studies. Background material includes analysis of the following: shopping center types (architecture, regional location, etc); land use (guidelines for…

Wernher von Braun

NASA Image and Video Library

1964-10-14

This photograph is dated October 14, 1964, and shows Dr. von Braun, left, during a tour of the NASA Marned Spacecraft Center, now the Johnson Space Center. He is with Dr. J.P. Kuettner, center, from the Marshall Space Flight Center, and Warren J. North from the Manned Spacecraft Center.

An Intercenter Comparison of Dental Arch Relationships and Craniofacial Form Including a Center Using Nasoalveolar Molding.

PubMed

Peanchitlertkajorn, Supakit; Mercado, Ana; Daskalogiannakis, John; Hathaway, Ronald; Russell, Kathleen; Semb, Gunvor; Shaw, William; Lamichane, Manish; Fessler, Jennifer; Long, Ross E

2018-01-01

Objective To compare dental arch relationship and craniofacial morphology of patients with CUCLP in pre-adolescence from five cleft centers including a center using NAM. Design Retrospective cohort study. Setting Five cleft centers in North America. Patients One hundred eighty-two subjects with repaired CUCLP from the five cleft centers participated in the craniofacial form study. One hundred forty-eight subjects from four of the five centers participated in the dental arch relationship study. Methods Digital dental models were assessed using the GOSLON Yardstick. Eighteen cephalometric measurements were performed. Measurement means, by center, were compared. Analysis of variance and Tukey-Kramer analysis were used to compare GOSLON scores and cephalometric measurements. Results The center that performed neither PSOT (including NAM) nor primary bone grafting exhibited the most favorable mean GOSLON score. The same center also showed the highest mean SNA, ANB, and ANS-N-Pg angles. However, the mean ANB and ANS-N-Pg angles were not significantly different from those of the center using NAM. No statistically significant differences were seen for mandibular prominence, vertical dimensions, or dental inclinations. The center with NAM also showed a significantly smaller nasoform angle than two of the four other centers. Conclusion The centers that used NAM and other forms of PSOT did not have better dental arch relationships or craniofacial morphology compared with the centers that performed only primary lip repair. However, this study was not designed to investigate the cause-and-effect relationship between specific outcomes and particular features of those protocols.

The Good-Bye Window: A Year in the Life of a Day-Care Center.

ERIC Educational Resources Information Center

Brown, Harriet N.

Started 25 years ago by a group of parents in Madison, Wisconsin, the Red Caboose is one of the oldest independent day-care centers in the United States. This book recounts observations of the activities at the center for 1 year, exploring what makes a good day care center successful and what obstacles a center is up against. Interspersed among…

DOE Office of Scientific and Technical Information (OSTI.GOV)

Teixeira, Flavia C., E-mail: flavitiz@gmail.com; Almeida, Carlos E. de; Saiful Huq, M.

Purpose: The goal of this study was to evaluate the safety and quality management program for stereotactic radiosurgery (SRS) treatment processes at three radiotherapy centers in Brazil by using three industrial engineering tools (1) process mapping, (2) failure modes and effects analysis (FMEA), and (3) fault tree analysis. Methods: The recommendations of Task Group 100 of American Association of Physicists in Medicine were followed to apply the three tools described above to create a process tree for SRS procedure for each radiotherapy center and then FMEA was performed. Failure modes were identified for all process steps and values of riskmore » priority number (RPN) were calculated from O, S, and D (RPN = O × S × D) values assigned by a professional team responsible for patient care. Results: The subprocess treatment planning was presented with the highest number of failure modes for all centers. The total number of failure modes were 135, 104, and 131 for centers I, II, and III, respectively. The highest RPN value for each center is as follows: center I (204), center II (372), and center III (370). Failure modes with RPN ≥ 100: center I (22), center II (115), and center III (110). Failure modes characterized by S ≥ 7, represented 68% of the failure modes for center III, 62% for center II, and 45% for center I. Failure modes with RPNs values ≥100 and S ≥ 7, D ≥ 5, and O ≥ 5 were considered as high priority in this study. Conclusions: The results of the present study show that the safety risk profiles for the same stereotactic radiotherapy process are different at three radiotherapy centers in Brazil. Although this is the same treatment process, this present study showed that the risk priority is different and it will lead to implementation of different safety interventions among the centers. Therefore, the current practice of applying universal device-centric QA is not adequate to address all possible failures in clinical processes at different radiotherapy centers. Integrated approaches to device-centric and process specific quality management program specific to each radiotherapy center are the key to a safe quality management program.« less

New Diamond Color Center for Quantum Communication

NASA Astrophysics Data System (ADS)

Huang, Ding; Rose, Brendon; Tyryshkin, Alexei; Sangtawesin, Sorawis; Srinivasan, Srikanth; Twitchen, Daniel; Markham, Matthew; Edmonds, Andrew; Gali, Adam; Stacey, Alastair; Wang, Wuyi; D'Haenens-Johansson, Ulrika; Zaitsev, Alexandre; Lyon, Stephen; de Leon, Nathalie

2017-04-01

Color centers in diamond are attractive for quantum communication applications because of their long electron spin coherence times and efficient optical transitions. Previous demonstrations of color centers as solid-state spin qubits were primarily focused on centers that exhibit either long coherence times or highly efficient optical interfaces. Recently, we developed a method to stabilize the neutral charge state of silicon-vacancy center in diamond (SiV0) with high conversion efficiency. We observe spin relaxation times exceeding 1 minute and spin coherence times of 1 ms for SiV0 centers. Additionally, the SiV0 center also has > 90 % of its emission into its zero-phonon line and a narrow inhomogeneous optical linewidth. The combination of a long spin coherence time and efficient optical interface make the SiV0 center a promising candidate for applications in long distance quantum communication.

The Many Faces of Patient-Centered Simulation: Implications for Researchers.

PubMed

Arnold, Jennifer L; McKenzie, Frederic Rick D; Miller, Jane Lindsay; Mancini, Mary E

2018-06-01

Patient-centered simulation for nonhealthcare providers is an emerging and innovative application for healthcare simulation. Currently, no consensus exists on what patient-centered simulation encompasses and outcomes research in this area is limited. Conceptually, patient-centered simulation aligns with the principles of patient- and family-centered care bringing this educational tool directly to patients and caregivers with the potential to improve patient care and outcomes. This descriptive article is a summary of findings presented at the 2nd International Meeting for Simulation in Healthcare Research Summit. Experts in the field delineated a categorization for better describing patient-centered simulation and reviewed the literature to identify a research agenda. Three types of patient-centered simulation patient-directed, patient-driven, and patient-specific are presented with research priorities identified for each. Patient-centered simulation has been shown to be an effective educational tool and has the potential to directly improve patient care outcomes. Presenting a typology for patient-centered simulation provides direction for future research.

Family practice residencies in community health centers--an approach to cost and access concerns.

PubMed Central

Zweifler, J

1995-01-01

An inadequate number of trained primary care clinicians limits access to care at Community Health Centers. If family practice residents working in these centers can provide care to patients at a cost that is comparable to the center's hiring its own physicians, then expansion of Family Practice Residency Programs into community centers can address both cost and access concerns. A cost-benefit analysis of the Family Practice Residency Program at the Fresno, CA, community center was performed; the community center is affiliated with the University of California at San Francisco. Costs included (a) residents' salaries, (b) supervision of the family practice residents, (c) family practice program costs for educational activities apart from supervision at the community center, and (d) administrative costs attributable to family practice residents in the community center. Benefits were based on the number of patients that residents saw in the community center. Using this approach, a cost of $7,700 per resident per year was calculated. This cost is modest compared with the cost of training residents in inpatient settings. The added costs attributable to training residents in community health centers can be shared with agencies that are concerned with medical education, providing physicians to underserved communities, and increasing the supply of primary care physicians. Redirecting graduate medical education funding from hospitals to selected ambulatory care training centers of excellence would facilitate placing residents in community centers. This change would have the dual advantage of addressing the current imbalance between training in ambulatory care and hospital sites and increasing the capacity of community health centers to meet the health care needs of underserved populations. PMID:7610223

Radiation-induced defect centers in glass ceramics

DOE Office of Scientific and Technical Information (OSTI.GOV)

Tsai, T.E.; Friebele, E.J.; Griscom, D.L.

1989-01-15

Electron spin resonance (ESR) was used to characterize the radiation-induced defect centers in low-thermal-expansion glass ceramics, including two types of Zerodur and Astrositall. The observed ESR spectra can be associated with different types of defect centers: a Zn/sup +/ center, several types of oxygen hole centers (OHCs), an aluminum-oxygen hole center (Al-OHC), an Fe/sup 3 +/ center, Ti/sup 3 +/ and Zr/sup 3 +/ centers, and three types of As centers. An Sb/sup 4 +/ center, which is not observed in Zerodur, is tentatively identified in Astrositall. From the effect of crystallization on the observed defect concentrations in Zerodur andmore » computer simulation of the spectral lines of some of the centers, we infer that among the nine defect centers observed in the Zerodurs, the As-associated centers are located in the glassy phase and/or at the interface between the glassy and crystalline phases, Zn/sup +/ and Al-OHC are in the crystalline phase, and the rest (including most of the OHCs) are in the glassy phase. Radiation-induced compaction in these materials appears to be related to the generation of OHCs in the glass phase.« less

Products for Improving Educational Evaluation. Center for the Study of Evaluation. Fifth Annual Report.

ERIC Educational Resources Information Center

Alkin, Marvin C.

This publication provides background information on the functions and operations of the Center for the Study of Evaluation and reports on such center products as Insructional Objectives Exchange (IOX), CSE Elementary School Test Evaluations, and Evaluation Workshop I. Appendixes include: a summary of center accomplishments; a list of the center's…

Consistency of clinical biomechanical measures between three different institutions: implications for multi-center biomechanical and epidemiological research.

PubMed

Myer, Gregory D; Wordeman, Samuel C; Sugimoto, Dai; Bates, Nathaniel A; Roewer, Benjamin D; Medina McKeon, Jennifer M; DiCesare, Christopher A; Di Stasi, Stephanie L; Barber Foss, Kim D; Thomas, Staci M; Hewett, Timothy E

2014-05-01

Multi-center collaborations provide a powerful alternative to overcome the inherent limitations to single-center investigations. Specifically, multi-center projects can support large-scale prospective, longitudinal studies that investigate relatively uncommon outcomes, such as anterior cruciate ligament injury. This project was conceived to assess within- and between-center reliability of an affordable, clinical nomogram utilizing two-dimensional video methods to screen for risk of knee injury. The authors hypothesized that the two-dimensional screening methods would provide good-to-excellent reliability within and between institutions for assessment of frontal and sagittal plane biomechanics. Nineteen female, high school athletes participated. Two-dimensional video kinematics of the lower extremity during a drop vertical jump task were collected on all 19 study participants at each of the three facilities. Within-center and between-center reliability were assessed with intra- and inter-class correlation coefficients. Within-center reliability of the clinical nomogram variables was consistently excellent, but between-center reliability was fair-to-good. Within-center intra-class correlation coefficient for all nomogram variables combined was 0.98, while combined between-center inter-class correlation coefficient was 0.63. Injury risk screening protocols were reliable within and repeatable between centers. These results demonstrate the feasibility of multi-site biomechanical studies and establish a framework for further dissemination of injury risk screening algorithms. Specifically, multi-center studies may allow for further validation and optimization of two-dimensional video screening tools. 2b.

Opportunities Center. Concept Paper.

ERIC Educational Resources Information Center

Kimeldorf, Martin

The opportunities center is a new school service concept that can help students find opportunities related to their talents and interests in work, education, leisure, small business, or community service. The opportunities center model expands the career center model into an information search center offering multiple services that link academic…

75 FR 6032 - National Contact Center; Submission for OMB Review; National Contact Center Customer Evaluation...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-05

... GENERAL SERVICES ADMINISTRATION [OMB Control No. 3090-0278] National Contact Center; Submission for OMB Review; National Contact Center Customer Evaluation Survey AGENCY: Citizen Services and... collection requirement regarding the National Contact Center customer evaluation survey. A request for public...

Comparison of Ramadan-specific education level in patients with diabetes seen at a Primary and a Tertiary care center of Karachi-Pakistan.

PubMed

Masood, Shabeen Naz; Alvi, Syed Faraz Danish; Ahmedani, Muhammad Yakoob; Kiran, Shazia; Zeeshan, Nimra Fatima; Basit, Abdul; Shera, A Samad

2014-01-01

To compare Ramadan-specific education level in fasting patients with diabetes at a Primary and a Tertiary care center. An observational study was conducted in the Outpatient departments of a Primary care center and a Tertiary care center in Karachi-Pakistan. Recruitment of patients started at the end of Ramadan 2011 and continued till three months after Ramadan 2011. All patients with diabetes who observed fast during the month of Ramadan 2011 were included in the study. In Primary care center, patients were attended by physicians only, while at Tertiary care center patients were seen by physicians, diabetes educator and dietician. For data collection, standardized questionnaire based interview was conducted on one to one basis by trained healthcare professionals. Same questionnaire was used at both the centers. A total of 392 and 199 patients with diabetes recruited at Primary and Tertiary care centers, respectively. Ramadan-specific diabetes education received by 213 (55%) and 123 (61.80%) patients with diabetes at Primary and Tertiary care centers, respectively. Compared to Primary care center, patients at Tertiary care centers were more aware about components of Ramadan-specific diabetes education such as signs and symptoms of hypoglycemia and hyperglycemia, dose of medicines/insulin during Ramadan fasting, dose of medicines/insulin when not fasting, self-monitoring of blood glucose, dietary modifications, physical activity, adequate nutrition and adequate hydration during Ramadan (p<0.05). It was observed that Ramadan-specific education level of patients at Tertiary care center was significantly better compared to patients at Primary care center. Copyright © 2014 Diabetes India. Published by Elsevier Ltd. All rights reserved.

NASA's engineering research centers and interdisciplinary education

NASA Technical Reports Server (NTRS)

Johnston, Gordon I.

1990-01-01

A new program of interactive education between NASA and the academic community aims to improve research and education, provide long-term, stable funding, and support cross-disciplinary and multi-disciplinary research. The mission of NASA's Office of Aeronautics, Exploration and Technology (OAET) is discussed and it is pointed out that the OAET conducts about 10 percent of its total R&D program at U.S. universities. Other NASA university-based programs are listed including the Office of Commercial Programs Centers for the Commercial Development of Space (CCDS) and the National Space Grant program. The importance of university space engineering centers and the selection of the nine current centers are discussed. A detailed composite description is provided of the University Space Engineering Research Centers. Other specialized centers are described such as the Center for Space Construction, the Mars Mission Research Center, and the Center for Intelligent Robotic Systems for Space Exploration. Approaches to educational outreach are discussed.

The role of stabilization centers in protein thermal stability

DOE Office of Scientific and Technical Information (OSTI.GOV)

Magyar, Csaba; Gromiha, M. Michael; Sávoly, Zoltán

2016-02-26

The definition of stabilization centers was introduced almost two decades ago. They are centers of noncovalent long range interaction clusters, believed to have a role in maintaining the three-dimensional structure of proteins by preventing their decay due to their cooperative long range interactions. Here, this hypothesis is investigated from the viewpoint of thermal stability for the first time, using a large protein thermodynamics database. The positions of amino acids belonging to stabilization centers are correlated with available experimental thermodynamic data on protein thermal stability. Our analysis suggests that stabilization centers, especially solvent exposed ones, do contribute to the thermal stabilizationmore » of proteins. - Highlights: • Stabilization centers contribute to thermal stabilization of protein structures. • Stabilization center content correlates with melting temperature of proteins. • Exposed stabilization center content correlates with stability even in hyperthermophiles. • Stability changing mutations are frequently found at stabilization centers.« less

Launch Vehicle Control Center Architectures

NASA Technical Reports Server (NTRS)

Watson, Michael D.; Epps, Amy; Woodruff, Van; Vachon, Michael Jacob; Monreal, Julio; Levesque, Marl; Williams, Randall; Mclaughlin, Tom

2014-01-01

Launch vehicles within the international community vary greatly in their configuration and processing. Each launch site has a unique processing flow based on the specific launch vehicle configuration. Launch and flight operations are managed through a set of control centers associated with each launch site. Each launch site has a control center for launch operations; however flight operations support varies from being co-located with the launch site to being shared with the space vehicle control center. There is also a nuance of some having an engineering support center which may be co-located with either the launch or flight control center, or in a separate geographical location altogether. A survey of control center architectures is presented for various launch vehicles including the NASA Space Launch System (SLS), United Launch Alliance (ULA) Atlas V and Delta IV, and the European Space Agency (ESA) Ariane 5. Each of these control center architectures shares some similarities in basic structure while differences in functional distribution also exist. The driving functions which lead to these factors are considered and a model of control center architectures is proposed which supports these commonalities and variations.

A novel patient-centered "intention-to-treat" metric of U.S. lung transplant center performance.

PubMed

Maldonado, Dawn A; RoyChoudhury, Arindam; Lederer, David J

2018-01-01

Despite the importance of pretransplantation outcomes, 1-year posttransplantation survival is typically considered the primary metric of lung transplant center performance in the United States. We designed a novel lung transplant center performance metric that incorporates both pre- and posttransplantation survival time. We performed an ecologic study of 12 187 lung transplant candidates listed at 56 U.S. lung transplant centers between 2006 and 2012. We calculated an "intention-to-treat" survival (ITTS) metric as the percentage of waiting list candidates surviving at least 1 year after transplantation. The median center-level 1-year posttransplantation survival rate was 84.1%, and the median center-level ITTS was 66.9% (mean absolute difference 19.6%, 95% limits of agreement 4.3 to 35.1%). All but 10 centers had ITTS values that were significantly lower than 1-year posttransplantation survival rates. Observed ITTS was significantly lower than expected ITTS for 7 centers. These data show that one third of lung transplant candidates do not survive 1 year after transplantation, and that 12% of centers have lower than expected ITTS. An "intention-to-treat" survival metric may provide a more realistic expectation of patient outcomes at transplant centers and may be of value to transplant centers and policymakers. © 2017 The American Society of Transplantation and the American Society of Transplant Surgeons.

41 CFR 101-28.303 - Benefits provided by customer supply centers.

Code of Federal Regulations, 2010 CFR

2010-07-01

... customer supply centers. 101-28.303 Section 101-28.303 Public Contracts and Property Management Federal...-STORAGE AND DISTRIBUTION 28.3-Customer Supply Centers § 101-28.303 Benefits provided by customer supply centers. The customer supply centers (CSCs) provide the following: (a) Overall savings to the Federal...

14 CFR 1206.401 - Location of NASA Information Centers.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 5 2012-01-01 2012-01-01 false Location of NASA Information Centers. 1206... § 1206.401 Location of NASA Information Centers. (a) NASA will maintain the following Information Centers... which copies of Agency forms may be obtained: (1) NASA Headquarters (HQ) Information Center, National...

14 CFR 1206.401 - Location of NASA Information Centers.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 5 2013-01-01 2013-01-01 false Location of NASA Information Centers. 1206... § 1206.401 Location of NASA Information Centers. (a) NASA will maintain the following Information Centers... which copies of Agency forms may be obtained: (1) NASA Headquarters (HQ) Information Center, National...

14 CFR 1206.401 - Location of NASA Information Centers.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 5 2011-01-01 2010-01-01 true Location of NASA Information Centers. 1206... § 1206.401 Location of NASA Information Centers. (a) NASA will maintain the following Information Centers... which copies of Agency forms may be obtained: (1) NASA Headquarters (HQ) Information Center, National...

14 CFR 1206.401 - Location of NASA Information Centers.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Location of NASA Information Centers. 1206... § 1206.401 Location of NASA Information Centers. (a) NASA will maintain the following Information Centers... which copies of Agency forms may be obtained: (1) NASA Headquarters (HQ) Information Center, National...

34 CFR 350.34 - Which Rehabilitation Engineering Research Centers must have an advisory committee?

Code of Federal Regulations, 2013 CFR

2013-07-01

... 34 Education 2 2013-07-01 2013-07-01 false Which Rehabilitation Engineering Research Centers must... Engineering Research Centers Does the Secretary Assist? § 350.34 Which Rehabilitation Engineering Research Centers must have an advisory committee? A Rehabilitation Engineering Research Center conducting research...

34 CFR 350.34 - Which Rehabilitation Engineering Research Centers must have an advisory committee?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 34 Education 2 2010-07-01 2010-07-01 false Which Rehabilitation Engineering Research Centers must... Engineering Research Centers Does the Secretary Assist? § 350.34 Which Rehabilitation Engineering Research Centers must have an advisory committee? A Rehabilitation Engineering Research Center conducting research...

34 CFR 350.34 - Which Rehabilitation Engineering Research Centers must have an advisory committee?

Code of Federal Regulations, 2014 CFR

2014-07-01

... 34 Education 2 2014-07-01 2013-07-01 true Which Rehabilitation Engineering Research Centers must... Engineering Research Centers Does the Secretary Assist? § 350.34 Which Rehabilitation Engineering Research Centers must have an advisory committee? A Rehabilitation Engineering Research Center conducting research...

34 CFR 350.34 - Which Rehabilitation Engineering Research Centers must have an advisory committee?

Code of Federal Regulations, 2011 CFR

2011-07-01

... 34 Education 2 2011-07-01 2010-07-01 true Which Rehabilitation Engineering Research Centers must... Engineering Research Centers Does the Secretary Assist? § 350.34 Which Rehabilitation Engineering Research Centers must have an advisory committee? A Rehabilitation Engineering Research Center conducting research...

34 CFR 350.34 - Which Rehabilitation Engineering Research Centers must have an advisory committee?

Code of Federal Regulations, 2012 CFR

2012-07-01

... 34 Education 2 2012-07-01 2012-07-01 false Which Rehabilitation Engineering Research Centers must... Engineering Research Centers Does the Secretary Assist? § 350.34 Which Rehabilitation Engineering Research Centers must have an advisory committee? A Rehabilitation Engineering Research Center conducting research...

Famous Threesomes: Uncommon Uses for Common Stories.

ERIC Educational Resources Information Center

Spears, Jo Ann Lohl

2003-01-01

This article presents a unit of fun and developmentally satisfying activities, using familiar folk stories focusing on threesomes. Each example involves story time, block center, art center, dramatic play, listening area, math and manipulatives center, folder game, group times, cooking, writing center, discovery center, and the music and movement…

Strategic Project Management at the NASA Kennedy Space Center

NASA Technical Reports Server (NTRS)

Lavelle, Jerome P.

2000-01-01

This paper describes Project Management at NASA's Kennedy Space Center (KSC) from a strategic perspective. It develops the historical context of the agency and center's strategic planning process and illustrates how now is the time for KSC to become a center which has excellence in project management. The author describes project management activities at the center and details observations on those efforts. Finally the author describes the Strategic Project Management Process Model as a conceptual model which could assist KSC in defining an appropriate project management process system at the center.

A call center primer.

PubMed

Durr, W

1998-01-01

Call centers are strategically and tactically important to many industries, including the healthcare industry. Call centers play a key role in acquiring and retaining customers. The ability to deliver high-quality and timely customer service without much expense is the basis for the proliferation and expansion of call centers. Call centers are unique blends of people and technology, where performance indicates combining appropriate technology tools with sound management practices built on key operational data. While the technology is fascinating, the people working in call centers and the skill of the management team ultimately make a difference to their companies.

Delegations of authority and organization; Center for Biologics Evaluation and Research, Center for Devices and Radiological Health, and Center for Drug Evaluation and Research--FDA. Final rule.

PubMed

1991-11-21

The Food and Drug Administration (FDA) is amending the regulations for delegations of authority relating to premarket approval of products that are or contain a biologic, a device, or a drug. The amendment grants directors, deputy directors, and certain other supervisory personnel in the Center for Biologics Evaluation and Research (CBER), the Center for Devices and Radiological Health (CDRH), and the Center for Drug Evaluation and Research (CDER) reciprocal premarket approval authority to approve such products.

Educational Applications of Astronomy & Space Flight Operations at the Kennedy Space Center

NASA Astrophysics Data System (ADS)

Erickson, L. K.

1999-09-01

Within two years, the Kennedy Space Center will complete a total redesign of NASA's busiest Visitor's Center. Three million visitors per year will be witness to a new program focused on expanding the interests of the younger public in NASA's major space programs, in space operations, and in astronomy. This project, being developed through the Visitor's Center director, a NASA faculty fellow, and the Visitor's Center contractor, is centered on the interaction between NASA programs, the visiting youth, and their parents. The goal of the Center's program is to provide an appealing learning experience for teens and pre teens using stimulating displays and interactive exhibits that are also educational.

Structural defects in natural plastically deformed diamonds: Evidence from EPR spectroscopy

NASA Astrophysics Data System (ADS)

Mineeva, R. M.; Titkov, S. V.; Speransky, A. V.

2009-06-01

Structural defects formed as a result of plastic deformation in natural diamond crystals have been studied by EPR spectroscopy. The spectra of brown, pink-brown, black-brown, pink-purple, and gray plastically deformed diamonds of type Ia from deposits in Yakutia and the Urals were recorded. The results of EPR spectroscopy allowed us to identify various deformation centers in the structure of natural diamonds and to show that nitrogen centers were transformed under epigenetic mechanical loading. Abundant A centers, consisting of two isomorphic nitrogen atoms located in neighboring structural sites, were destroyed as a result of this process to form a series of N1, N4, W7, M2, and M3 nitrogen centers. Such centers are characterized by an anisotropic spatial distribution and a positive charge, related to the mechanism of their formation. In addition, N2 centers (probably, deformation-produced dislocations decorated by nitrogen) were formed in all plastically deformed diamonds and W10 and W35 centers (the models have not been finally ascertained) were formed in some of them. It has been established that diamonds with various types of deformation-induced color contain characteristic associations of these deformation centers. The diversity of associations of deformation centers indicates appreciable variations in conditions of disintegration of deep-seated rocks, transfer of diamonds to the Earth’s surface, and formation of kimberlitic deposits. Depending on the conditions of mechanical loading, the diamond crystals were plastically deformed by either dislocation gliding or mechanical twinning. Characteristic features of plastic deformation by dislocation gliding are the substantial prevalence of the N2 centers over other deformation centers and the occurrence of the high-spin W10 and W35 centers. The attributes of less frequent plastic deformation by mechanical twinning are unusual localization of the M2 centers and, in some cases, the N1 centers in microtwinned lamellae. Numerous data on models of deformation centers in natural diamonds, including the M2 and M3 centers, which were observed in the studied collection for the first time, are discussed.

Is usage of a wellness center associated with improved quality of life?

PubMed

Clark, Matthew M; Jenkins, Sarah M; Limoges, Katherine A; Hagen, Philip T; Lackore, Kandace A; Harris, Ann M; Werneburg, Brooke L; Warren, Beth A; Olsen, Kerry D

2013-01-01

There is limited documentation regarding the potential quality of life (QOL) benefits associated with use of a worksite wellness center. Therefore, the aim of this study was to examine the relationship between potential QOL change and use of a worksite wellness center during a 12-month period. Analysis of an annual QOL wellness center member survey and wellness center use during a 12-month time period. A worksite wellness center. A total of 1151 employee wellness center members, average age of 39.5 years, 69.7% female, and 43.5% reported being overweight. Members of the worksite wellness center have access to a range of fitness options, including exercise classes, water aerobics, an indoor track, strength training, and aerobic conditioning equipment. Additionally, nutritional classes are offered, and there is a wellness café. For resiliency, members can participate in wellness coaching or a stress-reduction group program. Participants completed a baseline QOL survey and a second QOL survey 1 year later. An electronic entry system tracked use of the wellness center. Participants were divided into four wellness center use quartiles: low users (less than once every 2 weeks), below-average users, above-average users, and high users (two to three visits per week). High users reported experiencing improvements in their physical QOL (p < .0001) compared with the low users. Additionally, low users experienced a greater decline in their mental QOL (p = .05) compared with high users. In a large sample of employees, use of a wellness center during a 12-month period was associated with benefits for physical QOL. QOL is an important domain of wellness; therefore, in addition to measuring physiologic changes, examining potential QOL changes may be another important outcome measure for wellness centers.

Overall survival after resection of retroperitoneal sarcoma at academic cancer centers versus community cancer centers: An analysis of the National Cancer Data Base.

PubMed

Berger, Nicholas G; Silva, Jack P; Mogal, Harveshp; Clarke, Callisia N; Bedi, Manpreet; Charlson, John; Christians, Kathleen K; Tsai, Susan; Gamblin, T Clark

2018-02-01

Operative resection remains the definitive curative therapy for retroperitoneal sarcoma. Data published recently show a correlation between improved outcomes for complex oncologic operations and treatment at academic centers. For large retroperitoneal sarcomas, operative resection can be complex and require multidisciplinary care. We hypothesized that survival rates vary between type of treating center for patients undergoing resection for retroperitoneal sarcoma. Patients with stage I to III nonmetastatic retroperitoneal sarcomas who underwent operative resection were identified from the National Cancer Database during the years 2004-2013. Treating centers were categorized as academic cancer centers or community cancer centers. Overall survival was analyzed by log-rank test and graphed using Kaplan-Meier method. A total of 2,762 patients were identified. A majority of patients (59.4%, n = 1,642) underwent resection at an academic cancer centers. Median age at diagnosis was 63 years old. Neoadjuvant radiotherapy was more common at academic cancer centers, while adjuvant radiotherapy was more common at community cancer centers. Improved overall survival was seen at academic cancer centers across all stages compared with community cancer centers (P = .014) but, after multivariable Cox regression analysis, was not a significant independent predictor of survival (hazard ratio = 0.91, 95% confidence interval, 0.79-1.04, P = .171). Academic cancer centers exhibited a greater rate of R0 resection (55.9% vs 47.0%, P < .001) and a lesser odds of positive margins (odds ratio 0.83, 95% confidence interval, 0.69-0.99, P = .044) after multivariable logistic regression. Resection for retroperitoneal sarcoma performed at academic cancer centers was an independent predictor of margin-negative resection but was not a statistically significant factor for survival. This observation suggests that site of care may contribute to some aspect of improved oncologic resection for retroperitoneal sarcoma. Copyright © 2017 Elsevier Inc. All rights reserved.

Implementing the Data Center Energy Productivity Metric in a High Performance Computing Data Center

DOE Office of Scientific and Technical Information (OSTI.GOV)

Sego, Landon H.; Marquez, Andres; Rawson, Andrew

2013-06-30

As data centers proliferate in size and number, the improvement of their energy efficiency and productivity has become an economic and environmental imperative. Making these improvements requires metrics that are robust, interpretable, and practical. We discuss the properties of a number of the proposed metrics of energy efficiency and productivity. In particular, we focus on the Data Center Energy Productivity (DCeP) metric, which is the ratio of useful work produced by the data center to the energy consumed performing that work. We describe our approach for using DCeP as the principal outcome of a designed experiment using a highly instrumented,more » high-performance computing data center. We found that DCeP was successful in clearly distinguishing different operational states in the data center, thereby validating its utility as a metric for identifying configurations of hardware and software that would improve energy productivity. We also discuss some of the challenges and benefits associated with implementing the DCeP metric, and we examine the efficacy of the metric in making comparisons within a data center and between data centers.« less

[Certified medical centers--A measurable benefit to patients?!].

PubMed

Eberlein-Gonska, Maria; Schellong, Sebastian; Baumann, Michael

2007-01-01

The establishment of medical centers should meet the high requirements of the healthcare system. They should provide innovative solutions for a number of problems, e.g. the interdisciplinary collaboration of various health departments with due regard to their autonomy. This is reminiscent of the implementation and advancement of a quality management system required by law where a clear idea of how to manage the organizational and procedural structures as an integral part of the management concept implemented is missing. The genuine efforts to implement and advance interdisciplinary medical centers are up against "bogus models" created out of sheer marketing interests. The term "medical center" has so far not been protected under trademark law, leaving patients, relatives or even the referring physicians unsure about how to judge a medical center's actual performance. The same is true of certified centers. Their numbers are growing, but not so the transparency about the amount of measurable, traceable and understandable benefits that a certified center provides to the patient. Therefore clear demands need to be placed on certified centers, especially with regard to the implementation of a concept that provides interdisciplinarity and process-oriented transparent structures and defines quality ratios and quality objectives. This includes providing resources for the continuous collection and evaluation of hard and soft data as well as deriving improvement measures. The three centers of the University Hospital Dresden--the University Cancer Center, the University Vascular Center and the University Pain Center--fulfil this high demand. They have created fundamentals for measurable improvement of patient care and are able to present first results.

A-5A on lakebed.

NASA Image and Video Library

1963-03-25

A North American Aviation A-5A Vigilante (Navy serial number 147858/NASA tail number 858) arrived from the Naval Air Test Center, Patuxent River, MD, on December 19, 1962, at the NASA Flight Research Center (now, Dryden Flight Research Center, Edwards, CA). The Center flew the A-5A in a year-long series of flights in support of the U.S. supersonic transport program. The Center flew the aircraft to determine the let-down and approach conditions of a supersonic transport flying into a dense air traffic network. With the completion of the research flights, the Center sent the A-5A back to the Navy on December 20, 1963.

A-5A on lakebed.

NASA Image and Video Library

1963-10-25

A North American Aviation A-5A Vigilante (Navy serial number 147858/NASA tail number 858) arrived from the Naval Air Test Center, Patuxent River, MD, on December 19, 1962, at the NASA Flight Research Center (now, Dryden Flight Research Center, Edwards, CA). The Center flew the A-5A in a year-long series of flights in support of the U.S. supersonic transport program. The Center flew the aircraft to determine the let-down and approach conditions of a supersonic transport flying into a dense air traffic network. With the completion of the research flights, the Center sent the A-5A back to the Navy on December 20, 1963.

Trauma care at rural level III trauma centers in a state trauma system.

PubMed

Helling, Thomas S

2007-02-01

Although much has been written about the benefits of trauma center care, most experiences are urban with large numbers of patients. Little is known about the smaller, rural trauma centers and how they function both independently and as part of a larger trauma system. The state of Missouri has designated three levels of trauma care. The cornerstone of rural trauma care is the state-designated Level III trauma center. These centers are required to have the presence of a trauma team and trauma surgeon but do not require orthopedic or neurosurgical coverage. The purpose of this retrospective study was to determine how Level III trauma centers compared with Level I and Level II centers in the Missouri trauma system and, secondly, how trauma surgeon experience at these centers might shape future educational efforts to optimize rural trauma care. During a 2-year period in 2002 and 2003, the state trauma registry was queried on all trauma admissions for centers in the trauma system. Demographics and patient care outcomes were assessed by level of designation. Trauma admissions to the Level III centers were examined for acuity, severity, and type of injury. The experiences with chest, abdominal, and neurologic trauma were examined in detail. A total of 24,392 patients from 26 trauma centers were examined, including all eight Level III centers. Acuity and severity of injuries were higher at Level I and II centers. A total of 2,910 patients were seen at the 8 Level III centers. Overall deaths were significantly lower at Level III centers (Level I, 4% versus Level II, 4% versus Level III, 2%, p < 0.001). Numbers of patients dying within 24 hours were no different among levels of trauma care (Level I, 37% versus Level II, 30% versus Level III, 32%). Among Level III centers 45 (1.5%) patients were admitted in shock, and 48 (2%) had a Glasgow Coma Scale score <9. Twenty-six patients had a surgical head injury (7 epidural, 19 subdural hematomas). Twenty-eight patients (1%) needed a chest or abdominal operation. There were 15 spleen and 12 liver injuries with an Abbreviated Injury Score of 4 or 5. Level III trauma centers performed as expected in a state trauma system. Acuity and severity were less as was corresponding mortality. There were a paucity of life-threatening head, chest, and abdominal injuries, which provide a challenge to the rural trauma surgeon to maintain necessary skills in management of these critical injuries.

A practical radial basis function equalizer.

PubMed

Lee, J; Beach, C; Tepedelenlioglu, N

1999-01-01

A radial basis function (RBF) equalizer design process has been developed in which the number of basis function centers used is substantially fewer than conventionally required. The reduction of centers is accomplished in two-steps. First an algorithm is used to select a reduced set of centers that lie close to the decision boundary. Then the centers in this reduced set are grouped, and an average position is chosen to represent each group. Channel order and delay, which are determining factors in setting the initial number of centers, are estimated from regression analysis. In simulation studies, an RBF equalizer with more than 2000-to-1 reduction in centers performed as well as the RBF equalizer without reduction in centers, and better than a conventional linear equalizer.

Moving toward uniform and evidence-based practice of radiotherapy for management of cervical cancer in Ontario, Canada.

PubMed

Shahid, Negin; Craig, Timothy; Westerland, Mary; Ashworth, Allison; Ang, Michelle; D'Souza, David; Sankreacha, Raxa; Fyles, Anthony; Milosevic, Michael; Kong, Iwa

2018-04-19

To recognize the practice of radiotherapy for management of cervical cancer in Ontario, Canada, and to use the results of the survey to harmonize and standardize practice across the province. An electronic survey (SurveyMonkey) was sent to all 14 provincial cancer centers by Cancer Care Ontario Gynecology Community of Practice (CoP) in 2013. The survey included 72 questions in four different categories: general/demographic, pretreatment assessment, external beam radiotherapy (EBRT), and brachytherapy (BT). Ten of 14 centers treated cervical cancer patients and had a dedicated BT suite. All 10 centers had a peer review process for quality assurance. EBRT technique was a 4-field box in eight of 10 centers. The dose/fractionation for pelvic EBRT was 45-50 Gy in 1.8-2 Gy/fraction in all but one center. Nine of 10 centers used high-dose-rate BT. Only one center offered interstitial BT. For treatment planning, two centers used CT and MRI, five centers used CT, and three centers used orthogonal x-rays. Groupe Européen de Curiethérapie and the European Society for Radiotherapy & Oncology guidelines were used in four of seven of the centers for target volume delineation and in five of seven centers for organs at risk dose constraints. All but one center prescribed and reported dose to Point A. The survey identified areas where practice varied across the province. Gynecology CoP used this information to identify priorities for practice change and implemented several strategies to harmonize the care of women with cervical cancer. This highlights the value of interdisciplinary, grass-roots initiatives such as CoPs to standardize practice in a practical manner that directly benefits patients. Copyright © 2018 American Brachytherapy Society. Published by Elsevier Inc. All rights reserved.

RSF Data Center Tour

ScienceCinema

Powers, Chuck

2017-12-11

The Data Center in the Research Support Facility on the campus of the U.S. Department of Energy's National Renewable Energy Laboratory (NREL) marks a significant accomplishment in its ultra-efficiency. Data centers by nature are very energy intensive. The RSF Data Center was designed to use 80% less energy than NREL's old data center, which had been in use for the last 30 years. This tour takes you through the data center highlighting its energy saving techniques.

Final Environmental Impact Statement: Disposal and Reuse of Carswell Air Force Base, Texas

DTIC Science & Technology

1994-07-01

maintenance shops, airfield infrastructure, medical clinic, and child care center. New construction would include a reserve training center, guard...includes a private cemetery and a child care center. The cemetery would be left undisturbed and the child care center would be converted for a city hall... child care center, and a floodplain associated with Farmers Branch Creek. The golf course area could be reused soon after disposal of the property

Nurse-midwives in federally funded health centers: understanding federal program requirements and benefits.

PubMed

Carter, Martha

2012-01-01

Midwives are working in federally funded health centers in increasing numbers. Health centers provide primary and preventive health care to almost 20 million people and are located in every US state and territory. While health centers serve the entire community, they also serve as a safety net for low-income and uninsured individuals. In 2010, 93% of health center patients had incomes below 200% of the Federal Poverty Guidelines, and 38% were uninsured. Health centers, including community health centers, migrant health centers, health care for the homeless programs, and public housing primary care programs, receive grant funding and enjoy other benefits due to status as federal grantees and designation as federally qualified health centers. Clinicians working in health centers are also eligible for financial and professional benefits because of their willingness to serve vulnerable populations and work in underserved areas. Midwives, midwifery students, and faculty working in, or interacting with, health centers need to be aware of the regulations that health centers must comply with in order to qualify for and maintain federal funding. This article provides an overview of health center regulations and policies affecting midwives, including health center program requirements, scope of project policy, provider credentialing and privileging, Federal Tort Claims Act malpractice coverage, the 340B Drug Pricing Program, and National Health Service Corps scholarship and loan repayment programs. © 2012 by the American College of Nurse-Midwives.

42 CFR 482.80 - Condition of participation: Data submission, clinical experience, and outcome requirements for...

Code of Federal Regulations, 2010 CFR

2010-10-01

... center. (3) A pancreas transplant center is not required to comply with the clinical experience... pancreas transplants performed at the center. (4) A center that is requesting initial Medicare approval to...

National Centers for Career and Technical Education Annual Report, 2000.

ERIC Educational Resources Information Center

National Dissemination Center for Career and Technical Education, Columbus, OH.

The National Research Center for Career and Technical Education and the National Dissemination Center for Career and Technical Education were established at the University of Minnesota and The Ohio State University, respectively, in 1999. The centers operate as a consortium with primary and associate partners. Through the centers, the partners…

40 CFR Appendix II to Part 1068 - Emission-Related Parameters and Specifications

Code of Federal Regulations, 2014 CFR

2014-07-01

... valve lash dimension. 4. Camshaft timing. a. Valve opening—intake exhaust (degrees from top-dead center or bottom-dead center). b. Valve closing—intake exhaust (degrees from top-dead center or bottom-dead.... Opening timing (degrees from top-dead center or bottom-dead center). c. Closing timing (degrees from top...

40 CFR Appendix II to Part 1068 - Emission-Related Parameters and Specifications

Code of Federal Regulations, 2012 CFR

2012-07-01

... valve lash dimension. 4. Camshaft timing. a. Valve opening—intake exhaust (degrees from top-dead center or bottom-dead center). b. Valve closing—intake exhaust (degrees from top-dead center or bottom-dead.... Opening timing (degrees from top-dead center or bottom-dead center). c. Closing timing (degrees from top...

40 CFR Appendix II to Part 1068 - Emission-Related Parameters and Specifications

Code of Federal Regulations, 2013 CFR

2013-07-01

... valve lash dimension. 4. Camshaft timing. a. Valve opening—intake exhaust (degrees from top-dead center or bottom-dead center). b. Valve closing—intake exhaust (degrees from top-dead center or bottom-dead.... Opening timing (degrees from top-dead center or bottom-dead center). c. Closing timing (degrees from top...

20 CFR 670.500 - What services must Job Corps centers provide?

Code of Federal Regulations, 2012 CFR

2012-04-01

... 20 Employees' Benefits 4 2012-04-01 2012-04-01 false What services must Job Corps centers provide... LABOR (CONTINUED) THE JOB CORPS UNDER TITLE I OF THE WORKFORCE INVESTMENT ACT Program Activities and Center Operations § 670.500 What services must Job Corps centers provide? (a) Job Corps centers must...

20 CFR 670.500 - What services must Job Corps centers provide?

Code of Federal Regulations, 2013 CFR

2013-04-01

... 20 Employees' Benefits 4 2013-04-01 2013-04-01 false What services must Job Corps centers provide... LABOR (CONTINUED) THE JOB CORPS UNDER TITLE I OF THE WORKFORCE INVESTMENT ACT Program Activities and Center Operations § 670.500 What services must Job Corps centers provide? (a) Job Corps centers must...

20 CFR 670.500 - What services must Job Corps centers provide?

Code of Federal Regulations, 2014 CFR

2014-04-01

... 20 Employees' Benefits 4 2014-04-01 2014-04-01 false What services must Job Corps centers provide... LABOR (CONTINUED) THE JOB CORPS UNDER TITLE I OF THE WORKFORCE INVESTMENT ACT Program Activities and Center Operations § 670.500 What services must Job Corps centers provide? (a) Job Corps centers must...

20 CFR 670.500 - What services must Job Corps centers provide?

Code of Federal Regulations, 2011 CFR

2011-04-01

... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false What services must Job Corps centers provide... LABOR THE JOB CORPS UNDER TITLE I OF THE WORKFORCE INVESTMENT ACT Program Activities and Center Operations § 670.500 What services must Job Corps centers provide? (a) Job Corps centers must provide: (1...

14 CFR § 1206.401 - Location of NASA Information Centers.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 5 2014-01-01 2014-01-01 false Location of NASA Information Centers. Â... § 1206.401 Location of NASA Information Centers. (a) NASA will maintain the following Information Centers... which copies of Agency forms may be obtained: (1) NASA Headquarters (HQ) Information Center, National...

Selected Papers of the Southeastern Writing Center Association.

ERIC Educational Resources Information Center

Roberts, David H., Ed.; Wolff, William C., Ed.

Addressing a variety of concerns of writing center directors and staff, directors of freshman composition, and English department chairs, the papers in this collection discuss writing center research and evaluation, writing center tutors, and computers in the writing center. The titles of the essays and their authors are as follows: (1) "Narrative…

76 FR 27666 - Notice of Negative Determination on Reconsideration

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-12

... Reconsideration TA-W-70,949 Chrysler LLC Mopar Parts Distribution Center Center Line, Michigan TA-W-70,949A Chrysler LLC Mopar Parts Distribution Center Naperville, Illinois TA-W-70,949B Chrysler LLC Mopar Parts Distribution Center New Boston, Michigan TA-W-70,949C Chrysler LLC Mopar Parts Distribution Center Beaverton...

About the Transportation Secure Data Center | Transportation Secure Data

Science.gov Websites

Center | NREL About the Transportation Secure Data Center About the Transportation Secure Data Center The Transportation Secure Data Center (TSDC) makes vital transportation data broadly available large, colorful map of the United States. NREL data experts and engineers analyze large sets of complex

20 CFR 670.500 - What services must Job Corps centers provide?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false What services must Job Corps centers provide... LABOR THE JOB CORPS UNDER TITLE I OF THE WORKFORCE INVESTMENT ACT Program Activities and Center Operations § 670.500 What services must Job Corps centers provide? (a) Job Corps centers must provide: (1...

14 CFR 25.523 - Design weights and center of gravity positions.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Design weights and center of gravity... Design weights and center of gravity positions. (a) Design weights. The water load requirements must be...) must be used. (b) Center of gravity positions. The critical centers of gravity within the limits for...

14 CFR 25.523 - Design weights and center of gravity positions.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Design weights and center of gravity... Design weights and center of gravity positions. (a) Design weights. The water load requirements must be...) must be used. (b) Center of gravity positions. The critical centers of gravity within the limits for...

14 CFR 25.523 - Design weights and center of gravity positions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Design weights and center of gravity... Design weights and center of gravity positions. (a) Design weights. The water load requirements must be...) must be used. (b) Center of gravity positions. The critical centers of gravity within the limits for...

14 CFR 25.523 - Design weights and center of gravity positions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Design weights and center of gravity... Design weights and center of gravity positions. (a) Design weights. The water load requirements must be...) must be used. (b) Center of gravity positions. The critical centers of gravity within the limits for...

14 CFR 25.523 - Design weights and center of gravity positions.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Design weights and center of gravity... Design weights and center of gravity positions. (a) Design weights. The water load requirements must be...) must be used. (b) Center of gravity positions. The critical centers of gravity within the limits for...

The role of nurse educators' self-perception and beliefs in the use of learner-centered teaching in the classroom.

PubMed

Ellis, D Michele

2016-01-01

This study was designed to investigate the role of nurse educators' beliefs and self-perception in their use of Learner-Centered Teaching in the nursing education classroom. A sample of 122 nurse educators completed an online questionnaire that explored self-perception, beliefs and the correlation with their use of behaviors indicative of Learner-Centered Teaching. Findings demonstrated that nurse educators who identify themselves as learner-centered are more likely to use Learner-Centered Teaching in their classrooms, and nurse educators who strongly believe learner-centered teaching is beneficial in understanding and applying nursing concepts are also somewhat more likely to use Learner-Centered Teaching in the classroom. The results of this study produced a picture of the role of self-perception and beliefs about Learner-Centered Teaching, and the influence this may have on actual utilization of Learner-Centered Teaching. It is clear that valuing Learner-Centered Teaching and believing in its efficacy are only part of the answer to convincing nurse educators to widely adopt this teaching framework. Copyright © 2015 Elsevier Ltd. All rights reserved.

KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (center) listens to Congressman Tom Feeney (second from left) during a tour of the Central Florida Research Park, near Orlando. At right is U.S. Congressman Dave Weldon. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

NASA Image and Video Library

2004-02-19

KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (center) listens to Congressman Tom Feeney (second from left) during a tour of the Central Florida Research Park, near Orlando. At right is U.S. Congressman Dave Weldon. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

34 CFR 464.22 - May a State participating in a regional center use part of its allotment for a State center?

Code of Federal Regulations, 2010 CFR

2010-07-01

... EDUCATION STATE LITERACY RESOURCE CENTERS PROGRAM How Does the Secretary Make a Grant to a State? § 464.22... part of a regional center to reserve a portion of those funds for a State adult literacy resource...

Level I academic trauma center integration as a model for sustaining combat surgical skills: The right surgeon in the right place for the right time.

PubMed

Hight, Rachel A; Salcedo, Edgardo S; Martin, Sean P; Cocanour, Christine S; Utter, Garth; Galante, Joseph M

2015-06-01

As North Atlantic Treaty Organization (NATO) countries begin troop withdrawal from Afghanistan, military medicine needs programs for combat surgeons to retain the required knowledge and surgical skills. Each military branch runs programs at various Level I academic trauma centers to deliver predeployment training and provide a robust trauma experience for deploying surgeons. Outside of these successful programs, there is no system-wide mechanism for nondeploying military surgeons to care for a high volume of critically ill trauma patients on a regular basis in an educational environment that promotes continued professional development. We hypothesize that fully integrated military-civilian relationship regional Level I trauma centers provide a surgical experience more closely mirroring that seen in a Role III hospital than local Level II and Level III trauma center or medical treatment facilities. We characterized the Level I trauma center practice using the number of trauma resuscitations, operative trauma/acute care surgery procedures, number of work shifts, operative density (defined as the ratio of operative procedures/days worked), and frequency of educational conferences. The same parameters were collected from two NATO Role III hospitals in Afghanistan during the peak of Operation Enduring Freedom. Data for two civilian Level II trauma centers, two civilian Level III trauma centers, and a Continental United States Military Treatment Facility without trauma designation were collected. The number of trauma resuscitations, number of 24-hour shifts, operative density, and educational conferences are shown in the table for the Level I trauma center compared with the different institutions. Civilian center trauma resuscitations and operative density were highest at the Level I trauma center and were only slightly lower than what was seen in Afghanistan. Level II and III trauma centers had lower numbers for both. The Level I trauma center provided the most frequent educational opportunities. In a Level I academic trauma center integrated program, military and civilian surgeons have the same clinical and educational responsibilities: rounding and operating, managing critical care patients, covering trauma/acute care surgery call, and mentoring surgery residents in an integrated residency program. The Level I trauma center experience most closely mimics the combat surgeon experience seen at NATO Role III hospitals in Afghanistan compared with other civilian trauma centers. At high-volume Level I trauma centers, military surgeons will have a comprehensive trauma practice, including dedicated educational opportunities. We recommend integrated programs with Level I academic trauma centers as the primary mechanism for sustaining military combat surgical skills in the future.

Toward a statewide health information technology center (abbreviated version).

PubMed

Sittig, Dean F; Joe, John C

2010-11-01

With the passage of The American Reinvestment and Recovery Act of 2009 that includes the Health Care Information Technology for Economic & Clinical Health Act, the opportunity for states to develop a Health Information Technology Center (THITC) has emerged. The Center provides the intellectual, financial, and technical leadership along with the governance and oversight for all health information technology-related activities in the state. This Center would be a free-standing, not-for-profit, public-private partnership that would be responsible for operating one or more (in large states) Regional Health Information Technology Extension Centers (Extension Centers) along with several Regional Health Information Exchanges (HIEs) and one or more Regional Health Information Data Centers (Data Centers). We believe that if these features and functions could be developed, deployed, and integrated statewide, the health and welfare of the citizens of the state could be improved while simultaneously reducing the costs associated with the provision of care.

Satisloh centering technology developments past to present

NASA Astrophysics Data System (ADS)

Leitz, Ernst Michael; Moos, Steffen

2015-10-01

The centering of an optical lens is the grinding of its edge profile or contour in relationship to its optical axis. This is required to ensure that the lens vertex and radial centers are accurately positioned within an optical system. Centering influences the imaging performance and contrast of an optical system. Historically, lens centering has been a purely manual process. Along its 62 years of assembling centering machines, Satisloh introduced several technological milestones to improve the accuracy and quality of this process. During this time more than 2.500 centering machines were assembled. The development went from bell clamping and diamond grinding to Laser alignment, exchange chuckor -spindle systems, to multi axis CNC machines with integrated metrology and automatic loading systems. With the new centering machine C300, several improvements for the clamping and grinding process were introduced. These improvements include a user friendly software to support the operator, a coolant manifold and "force grinding" technology to ensure excellent grinding quality and process stability. They also include an air bearing directly driven centering spindle to provide a large working range of lenses made of all optical materials and diameters from below 10 mm to 300 mm. The clamping force can be programmed between 7 N and 1200 N to safely center lenses made of delicate materials. The smaller C50 centering machine for lenses below 50 mm diameter is available with an optional CNC loading system for automated production.

78 FR 40241 - Self-Regulatory Organizations; BATS Exchange, Inc.; Notice of Filing of a Proposed Rule Change To...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-03

... one or more data centers other than the Exchange's primary or secondary data center (``Remote Data Centers''), or Points of Presence (``PoPs''). PoP ports will be located at Remote Data Centers in order to... establish a physical connection to the PoP ports in the Remote Data Center, from which point the Exchange...

[Primary care centers and breast-feeding].

PubMed

Nacher Fernández, A; Sanantonio Valdearcos, F; Barreda Simó, I; Palau Fuster, G; Palomares Gimeno, M J; Agramunt Soler, G; Fabregat Julve, I; Labordena Barceló, C

2001-09-01

To study activities that promote, maintain and support breast feeding in primary care centers in our health district and to evaluate the commitment of health center directors' to breast feeding, their knowledge of the subject, and programs involved in the promotion of natural breast-feeding. A cross-sectional study was carried out through surveys to those in charge of health centers, nursing, pediatric programs and pregnancy programs. Eighty surveys were sent to center and program directors. Answers were obtained from 66.2 %. A total of 6.9 % of the centers had no program or protocol for the promotion and maintenance of breast-feeding, nor did they seek the collaboration of support groups. Only 28.8 % of the centers surveyed carried out activities that provided special support to mothers with difficulties in breast-feeding. In contrast, 80.4 % possessed an adequate register on the incidence of breast-feeding. In 74.5 % of the centers, health professionals were given no specific training on the subject. Only 14.9 % of the centers had rules prohibiting visible leaflets, posters or samples of formula milk. In 84.6 % of the centers, no place was provided where breast-feeding could be carried out, observed, and possible problems corrected. Most of the primary care centers surveyed do not promote programmed activities favoring the promotion and maintenance of breast-feeding. Nevertheless, many centers provide advice on breast-feeding. Collaboration with support groups or other resources that might exist in the community is not generally sought. Specific training in breast-feeding is not given to the centers' health professionals. Only a minority of the centers possesses an appropriate place where mothers can breast-feed if they wish and where the process of breast-feeding can be observed and modified. The results suggest that primary care centers do not provide the necessary support to ensure successful breast-feeding and that they lack the resources necessary to achieve this aim.

An Evaluation of Family-Centered Rounds in the PICU: Room for Improvement Suggested by Families and Providers.

PubMed

Levin, Amanda B; Fisher, Kiondra R; Cato, Krista D; Zurca, Adrian D; October, Tessie W

2015-11-01

To identify areas for improvement in family-centered rounds from both the family and provider perspectives. Prospective, cross-sectional mixed-methods study, including an objective measure (direct observation of family-centered rounds) and subjective measures (surveys of English-speaking families and providers) of family-centered rounds. PICU in a single, tertiary children's hospital. Families of children admitted to the PICU, physicians, and nurses. None. Two hundred thirty-two family-centered round encounters were observed over a 10-week period. Family-centered round encounters averaged 10.5 minutes per child. Multivariable regression analysis revealed that family presence was independently associated with length of family-centered rounds (p < 0.002) despite family talk time accounting for an average of 25 seconds (4%) of the encounter. Non-English-speaking families were less likely to attend family-centered rounds compared with English-speaking families even when physically present at the patient's bedside (p < 0.001). Most commonly families and providers agreed that family-centered rounds keep the family informed and reported positive statements about family presence on family-centered rounds; however, PICU fellows did not agree that families provided pertinent information and nurses reported that family presence limited patient discussions. The primary advice families offered providers to improve family-centered rounds was to be more considerate and courteous, including accommodating family schedules, minimizing distractions, and limiting computer viewing. Family presence increased the length of family-centered rounds despite a small percentage of time spoken by families, suggesting longer rounds are due to changes in provider behavior when families are present. Also, non-English-speaking families may need more support to be able to attend and benefit from family-centered rounds. Lastly, in an era of full family-centered rounds acceptance, families and most providers, except fellows, report benefit from family presence during family-centered rounds. However, providers should be aware of the perception of their behaviors to optimize the experience for families.

A synopsis on current practice in the diagnosis and management of patients with Turner syndrome in Turkey: A survey of 18 pediatric endocrinology centers*

PubMed

Uçar, Ahmet; Abacı, Ayhan; Pirgon, Özgür; Dündar, Bumin; Tütüncüler, Filiz; Çatlı, Gönül; Anık, Ahmet; Kılınç Uğurlu, Aylin; Büyükgebiz, Atilla

2018-04-27

A comprehensive survey was conducted courtesy of the Turkish Turner study group to evaluate the shortcomings of clinical care in patients with Turner syndrome (TS) in Turkey. A structured questionnaire prepared by the Turner study group in Turkey, which covers relevant aspects of the care of patients with TS, was sent to all pediatric endocrinology centers. Eighteen centers (41%) returned the questionnaire. In the majority of the centers, diagnostic genetic testing, screening for Y chromosomal material, protocols regarding the timing and posology of growth hormone (GH) and estrogen, thrombophilia screening, fertility information, and screening for glucose intolerance, thyroid, and coeliac diseases in patients with TS were in line with the current consensus. Thirteen centers (72.2%) performed GH stimulation tests. Only four centers (22.2%) used oxandrolone in patients with TS with very short stature. The majority of the centers relied on bone age and breast development to assess estrogen adequacy, though together with variable combinations of oestrogen surrogates. Two centers (11.1%) reported performing serum estradiol measurements. Eight centers (44.4% ) routinely conducted cardiac/thoracic aorta magnetic resonance imaging. Screening for hearing, dental, and ophthalmologic problems were performed by thirteen (72.2%), six (33.3%), and ten (55.6 %) centers, respectively. Psychiatric assessments were made by four centers (22.2%) at diagnosis, with only one center (5.6% ) requiring annual reassessments. Although we found some conformity between the current consensus and practice of the participating centers in Turkey regarding TS, further improvements are mandatory in the multi-disciplinary approach to address co-morbidities, which if unrecognized, may be associated with reduced quality of life, and even mortality.

Vision and creation of the American Heart Association pharmaceutical roundtable outcomes research centers.

PubMed

Peterson, Eric D; Spertus, John A; Cohen, David J; Hlatky, Mark A; Go, Alan S; Vickrey, Barbara G; Saver, Jeffrey L; Hinton, Patricia C

2009-11-01

The field of outcomes research seeks to define optimal treatment in practice and to promote the rapid full adoption of efficacious therapies into routine clinical care. The American Heart Association (AHA) formed the AHA Pharmaceutical Roundtable (PRT) Outcomes Research Centers Network to accelerate attainment of these goals. Participating centers were intended to carry out state-of-the-art outcomes research in cardiovascular disease and stroke, to train the next generation of investigators, and to support the formation of a collaborative research network. After a competitive application process, 4 AHA PRT Outcomes Research Centers were selected: Duke Clinical Research Institute; Saint Luke's Mid America Heart Institute; Stanford University-Kaiser Permanente of Northern California; and University of California, Los Angeles. Each center proposed between 1 and 3 projects organized around a single theme in cardiovascular disease or stroke. Additionally, each center will select and train up to 6 postdoctoral fellows over the next 4 years, and will participate in cross-collaborative activities among the centers. The AHA PRT Outcomes Research Centers Network is designed to further strengthen the field of cardiovascular disease and stroke outcomes research by fostering innovative research, supporting high quality training, and encouraging center-to-center collaborations.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Warren, Oden Lee; Asif, Syed Amanulla Syed; Oh, Yunje

A testing instrument for mechanical testing at nano or micron scale includes a transducer body, and a coupling shaft coupled with a probe tip. A transducer body houses a capacitor. The capacitor includes first and second counter electrodes and a center electrode assembly interposed therebetween. The center electrode assembly is movable with the coupling shaft relative to the first and second counter electrodes, for instance in one or more of dimensions including laterally and normally. The center electrode assembly includes a center plate coupled with the coupling shaft and one or more springs extending from the center plate. Upper andmore » lower plates are coupled with the center plate and cover the center plate and the one or more springs. A shaft support assembly includes one or more support elements coupled along the coupling shaft. The shaft support assembly provides lateral support to the coupling shaft.« less

KSC-2012-5018

NASA Image and Video Library

2012-09-06

CAPE CANAVERAL, Fla. – An eight-member Kick-Start selection panel listens during a presentation by a Kennedy Space Center employee. Seated in the front row, left to right, are Bob Cabana, center director, Joyce Riquelme, director of Center Planning and Development, Susan Kroskey, center chief financial officer, and Josephine Burnett, director of International Space Station Ground Processing and Research. Back row, left to right are Tracy Anania Wetrich, director of Human Resources, Russell Romanella, director of Safety and Mission Assurance, Nancy Bray, deputy director of Center Operations, and Kelvin Manning, center associate director. As Kennedy continues developing programs and infrastructure to become a 21st century spaceport, many employees are devising ways to do their jobs better and more efficiently. On Sept. 6, 2012, 16 Kennedy employees pitched their innovative ideas for improving the center at the Kennedy Kick-Start event. The competition was part of a center-wide effort designed to increase exposure for innovative ideas and encourage their implementation. For more information, visit http://www.nasa.gov/centers/kennedy/news/kick-start_competition.html Photo credit: NASA/Gianni Woods

VISITOR CENTER BRANCH CHIEF JIM BALL SPEAKS AT THE APOLLO/SATURN V CENTER RIBBON-CUTTING CEREMONY

NASA Technical Reports Server (NTRS)

1996-01-01

James E. Ball, chief of the Visitor Center Branch of KSC/NASA Public Affairs, speaks to the guests invited to the ribbon-cutting ceremony which officially opens the new Apollo/Saturn V Center, part of the Kennedy Space Center Visitor Center. The 100,000-square-foot facility includes two theaters, various exhibits and an Apollo-era Saturn V rocket, which formerly was on display outside the Vehicle Assembly Building and is one of only three moon rockets remaining in existence. The new center is located off the Kennedy Parkway at the Banana Creek launch viewing site.

KSC-2012-2965

NASA Image and Video Library

2012-05-22

CAPE CANAVERAL, Fla. – Workers secure the high-fidelity space shuttle model to the structure that will cradle the model on its journey from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston atop a barge. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility next year to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Amanda Diller

KSC-2012-2962

NASA Image and Video Library

2012-05-22

CAPE CANAVERAL, Fla. – Workers secure the high-fidelity space shuttle model to the structure that will cradle the model on its journey from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston atop a barge. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility next year to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Amanda Diller

KSC-2012-2961

NASA Image and Video Library

2012-05-22

CAPE CANAVERAL, Fla. – Workers secure the high-fidelity space shuttle model to the structure that will cradle the model on its journey from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston atop a barge. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility next year to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Amanda Diller

KSC-2012-3013

NASA Image and Video Library

2012-05-24

CAPE CANAVERAL, Fla. – The barge transporting the high-fidelity space shuttle model begins the journey from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston. Seen in the background is Kennedy’s Launch Pad 39A. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Jim Grossmann

KSC-2012-2964

NASA Image and Video Library

2012-05-22

CAPE CANAVERAL, Fla. – Workers secure the high-fidelity space shuttle model to the structure that will cradle the model on its journey from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston atop a barge. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility next year to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Amanda Diller

KSC-2012-2963

NASA Image and Video Library

2012-05-22

CAPE CANAVERAL, Fla. – Workers secure the high-fidelity space shuttle model to the structure that will cradle the model on its journey from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston atop a barge. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility next year to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Amanda Diller

KSC-2012-2960

NASA Image and Video Library

2012-05-22

CAPE CANAVERAL, Fla. – Workers secure the high-fidelity space shuttle model to the structure that will cradle the model on its journey from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston atop a barge. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility next year to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Amanda Diller

KSC-2012-2966

NASA Image and Video Library

2012-05-22

CAPE CANAVERAL, Fla. – Workers secure the high-fidelity space shuttle model to the structure that will cradle the model on its journey from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston atop a barge. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility next year to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Amanda Diller

E Complex groundbreaking

NASA Image and Video Library

2009-04-14

Representatives from NASA, Orbital Sciences Corp. and Aerojet participate in a ribbon-cutting ceremony for construction of a flame deflector trench at Stennis Space Center's E Test Complex. Participants included Orbital CEO J.R. Thompson (center, left) and Stennis Space Center Director Gene Goldman (center, right).

42 CFR 482.82 - Condition of participation: Data submission, clinical experience, and outcome requirements for re...

Code of Federal Regulations, 2010 CFR

2010-10-01

... performed at the center. (3) A pancreas transplant center is not required to comply with the clinical... section for pancreas transplants performed at the center. (4) A center that is approved to perform...

E Complex groundbreaking

NASA Technical Reports Server (NTRS)

2009-01-01

Representatives from NASA, Orbital Sciences Corp. and Aerojet participate in a ribbon-cutting ceremony for construction of a flame deflector trench at Stennis Space Center's E Test Complex. Participants included Orbital CEO J.R. Thompson (center, left) and Stennis Space Center Director Gene Goldman (center, right).

Financing of certified centers: a willingness-to-pay analysis.

PubMed

Thiel, Falk C; Scharl, Anton; Hildebrandt, Thomas; Kotziabassis, Efstratios; Schrauder, Michael G; Bani, Mayada R; Müller, Andreas; Hauzenberger, Tanja; Loehberg, Christian R; Jud, Sebastian M; Fasching, Peter A; Hartmann, Arndt; Schulz-Wendtland, Rüdiger; Strnad, Vratislav; Beckmann, Matthias W; Lux, Michael Patrick

2013-03-01

Although care in certified breast centers is now established throughout Germany, numerous services are still not being reimbursed. This also affects other centers involved in the specialty of gynecology such as gynecological cancer centers, perinatal centers, and endometriosis centers. Although a certified center is entitled to charge additional fees, these are in most cases not reimbursed. Calculation of additional costs is limited by the fact that data from the Institute for the Hospital Reimbursement System (Institut für das Entgeltsystem im Krankenhaus, InEK) do not reflect interdisciplinary services and procedures. For decision-makers, society's willingness to pay is an important factor in guiding decisions on the basis of social priorities. A hypothetical maximum willingness to pay can be calculated using a willingness-to-pay analysis, making it possible to identify deficiencies in the arbitrary setting of health budgets at the macro-level. In a multicenter study conducted between November 2009 and December 2010, 2,469 patients at a university hospital and at a non-university hospital were asked about the extent of their awareness of certified centers, the influence of centers on hospital presentation, and about personal attitudes toward quality-oriented reimbursement. A subjective assessment of possible additional charges was calculated using a willingness-to-pay analysis. In the overall group, 53.4 % of the patients were aware of what a certified center is and 27.4 % had specific information (obstetrics 40.0/32.3 %; mastology 66.8/23.2 %; gynecological oncology 54.7/27.3 %; P < 0.001). For 43.8 %, a certified center was one reason or the major reason for presentation (obstetrics 26.2 %; mastology 66.8 %; gynecological oncology 46.6 %; P < 0.001). A total of 72.6 % were in favor of quality-oriented reimbursement and 69.7 % were in favor of an additional charge for a certified center amounting to €538.56 (mastology €643.65, obstetrics €474.67, gynecological oncology €532.47). In all, 33.9 % would accept an increase in health-insurance fees (averaging 0.3865 %), and 28.3 % were in favor of reduced remuneration for non-certified centers. The existence of certified centers is being increasingly recognized by patients. Additional charges for certified centers are generally supported. There is therefore a clear demand for them-from patients as well. This may be useful when negotiations are being conducted.

Impulsive and compulsive behaviors in Parkinson Study Group (PSG) centers performing deep brain stimulation surgery.

PubMed

Hack, Nawaz; Akbar, Umer; Thompson-Avila, Amanda; Fayad, Sarah M; Hastings, Erin M; Moro, Elena; Nestor, Kelsey; Ward, Herbert; York, Michele; Okun, Michael S

2014-01-01

Impulse control disorders (ICDs), dopamine dysregulation syndrome (DDS), and dopamine agonist withdrawal syndrome (DAWS) have been reported commonly in Parkinson's disease (PD) populations. The treatment approaches may be widely variable and there is not much information on these syndromes in the setting of deep brain stimulation (DBS). To evaluate (1) ICDs, DAWS and DDS pre- and post DBS in PD and (2) to investigate pre-DBS treatment strategies regarding these behaviors among Parkinson Study Group (PSG) centers. Forty-eight PSG centers were surveyed on ICDs, DAWS and DDS, as well as on potential relationships to DBS and treatment approaches. Sixty-seven percent of PSG centers reported that they served a population of over 500 PD patients per year, and 94% of centers performed DBS surgery. Most centers (92%) reported screening for ICDs, DAWS and DDS. Of the centers screening for these symptoms, 13% reported always employing a formal battery of pre-operative tests, 46% of sites inconsistently used a formal battery, while 23% of sites reported never using a formal battery to screen for these symptoms. The estimated numbers of centers observing ICDs, DAWS and DDS pre-operatively in individuals with PD were 71%, 69%, and 69%, respectively. PSG DBS centers observing at least one case of a new de novo occurrence of an ICD, DAWS or DDS after DBS surgery were 67%, 65% and 65%, respectively. The results suggest that addiction-like syndromes and withdrawal syndromes are prevalent in expert PSG centers performing DBS. Most centers reported screening for these issues without the use of a formal battery, and there were a large number of centers reporting ICDs, DAWS and DDS post-DBS. A single treatment strategy did not emerge.

Comparison of Survival at Adult versus Pediatric Treatment Centers for Rare Pediatric Tumors in an Adolescent and Young Adult (AYA) Population in the State of Georgia

PubMed Central

Cash, Thomas; Qayed, Muna; Ward, Kevin C.; Mertens, Ann C.; Rapkin, Louis

2014-01-01

Background The type of treatment center where 15-21-year-old adolescent and young adult (AYA) patients with rare pediatric tumors achieve their best clinical outcome is unknown. Procedure We performed a retrospective analysis using the Georgia Cancer Registry (GCR) of 15-21-year-old patients with a malignant, rare pediatric tumor diagnosed during the period from 2000-2009. Patients were identified as being treated at one of five Georgia pediatric cancer centers or at an adult center. Data were analyzed for 10-year overall survival, patient characteristics associated with death, and patient characteristics present at diagnosis associated with choice of treatment center. Results There was a total of 479 patients in our final study population, of which 379 (79.1%) were treated at an adult center and 100 (20.9%) were treated at a pediatric center. Patients treated at an adult center had a 10-year overall survival of 86% compared to 85% for patients treated at a pediatric center (p= 0.31). Race and poverty were not significantly associated with death. Patients with nasopharyngeal carcinoma (OR=7.38; 95% CI=2.30 – 23.75) and ‘other carcinomas’ (OR=2.64; 95% CI=1.25 – 5.60) were more likely to be treated at a pediatric center. Patients with higher-stage disease (OR=4.24; 95% CI=1.71 – 10.52) and higher poverty (OR=2.32; 95% CI=1.23 – 4.37) were also more likely to be treated at a pediatric center. Conclusion Our data suggest that there is no difference in survival for 15-21-year-old patients with rare pediatric tumors when treated at an adult or pediatric center. PMID:25393593

National Technology Center and photonics

NASA Astrophysics Data System (ADS)

Vlannes, Nickolas P.

1992-05-01

A National Technology Center is proposed in order to meet the international challenges to the economy and security of the United States. This center would be tasked with the acquisition, analysis, assessment, and dissemination of worldwide scientific and technical information and data; technology transfer to the United States; and research and development in information and library sciences and technology. The National Technology Center would form a national network linking centers of excellence and expertise, and maintain a national technology library. With these functions, the National Technology Center has inherent requirements for technologies based on photonics, and will further motivate developments in this field.

Baselining the New GSFC Information Systems Center: The Foundation for Verifiable Software Process Improvement

NASA Technical Reports Server (NTRS)

Parra, A.; Schultz, D.; Boger, J.; Condon, S.; Webby, R.; Morisio, M.; Yakimovich, D.; Carver, J.; Stark, M.; Basili, V.;

Engaging Community Health Centers (CHCs) in research partnerships: the role of prior research experience on perceived needs and challenges.

PubMed

Beeson, Tishra; Jester, Michelle; Proser, Michelle; Shin, Peter

2014-04-01

Despite community health centers' substantial role in local communities and in the broader safety-net healthcare system, very limited research has been conducted on community health center research experience, infrastructure, or needs from a national perspective. A national survey of 386 community health centers was conducted in 2011 and 2012 to assess research engagement among community health centers and their perceived needs, barriers, challenges, and facilitators with respect to their involvement in public health and health services research. This paper analyzes the differences between health centers that currently conduct or participate in research and health centers that have no prior research experience to determine whether prior research experience is indicative of different perceived challenges and research needs in community health center settings. © 2014 Wiley Periodicals, Inc.

The Center for Aerospace Research: A NASA Center of Excellence at North Carolina Agricultural and Technical State University

NASA Technical Reports Server (NTRS)

Lai, Steven H.-Y.

1992-01-01

This report documents the efforts and outcomes of our research and educational programs at NASA-CORE in NCA&TSU. The goal of the center was to establish a quality aerospace research base and to develop an educational program to increase the participation of minority faculty and students in the areas of aerospace engineering. The major accomplishments of this center in the first year are summarized in terms of three different areas, namely, the center's research programs area, the center's educational programs area, and the center's management area. In the center's research programs area, we focus on developing capabilities needed to support the development of the aerospace plane and high speed civil transportation system technologies. In the educational programs area, we developed an aerospace engineering option program ready for university approval.

2013 CGH Awardees

Cancer.gov

The National cancer institute, CENTER FOR GLOBAL HEALTH, in collaboration with the OFFICE OF CANCER CENTERS, is pleased to announce the 2013 awardees of the Request for Proposals for Pilot Collaborations with Low- and Mid-Income Countries (LMICs) in Global Cancer Research or Global Health Research at NCI-Designated Cancer Centers.  In 2013, the Center for Global Health and the Office of Cancer Centers developed a funding opportunity to promote research collaborations between NCI-Designated Cancer Centers with institutions in LMICs.

KENNEDY SPACE CENTER, FLA. - U.S. Senator Bill Nelson (center) makes a point while talking to NASA Administrator Sean O’Keefe (right) about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Tom Feeney, Congressman Dave Weldon, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

NASA Image and Video Library

2004-02-19

KENNEDY SPACE CENTER, FLA. - U.S. Senator Bill Nelson (center) makes a point while talking to NASA Administrator Sean O’Keefe (right) about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Tom Feeney, Congressman Dave Weldon, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

KENNEDY SPACE CENTER, FLA. - Dryden Flight Research Center Director Kevin Peterson talks about One NASA during the rollout of the Agency initiative at KSC. The event was held at the IMAX Theater® where NASA leaders discussed One NASA with selected employees. Explaining how their respective centers contribute to One NASA, along with Peterson, were KSC Director Jim Kennedy, James Jennings, NASA’s associate deputy administrator for institutions and asset management; Ed Weiler, associate administrator for Space Science; Kevin Peterson, Dryden Flight Research Center director; incoming KSC Deputy Director Woodrow Whitlow; and implementation team lead Johnny Stevenson. Glenn Research Center Director Dr. Julian Earls gave a motivational speech during the luncheon held at the Visitor Complex Debus Conference Center.

NASA Image and Video Library

2003-08-20

KENNEDY SPACE CENTER, FLA. - Dryden Flight Research Center Director Kevin Peterson talks about One NASA during the rollout of the Agency initiative at KSC. The event was held at the IMAX Theater® where NASA leaders discussed One NASA with selected employees. Explaining how their respective centers contribute to One NASA, along with Peterson, were KSC Director Jim Kennedy, James Jennings, NASA’s associate deputy administrator for institutions and asset management; Ed Weiler, associate administrator for Space Science; Kevin Peterson, Dryden Flight Research Center director; incoming KSC Deputy Director Woodrow Whitlow; and implementation team lead Johnny Stevenson. Glenn Research Center Director Dr. Julian Earls gave a motivational speech during the luncheon held at the Visitor Complex Debus Conference Center.

Studies of Radiation-Induced Defects in Li2SiO3:Sm Phosphor Material

NASA Astrophysics Data System (ADS)

Singh, N.; Singh, Vijay; Watanabe, S.; Gundu Rao, T. K.; Chubaci, J. F. D.; Cano, N. F.; Pathak, M. S.; Singh, Pramod K.; Dhoble, S. J.

2017-01-01

Li2SiO3:Sm was synthesized by the solution combustion method. Powder x-ray diffraction technique was used to find the phase formation. Li2SiO3:Sm exhibits thermoluminescence (TL) peaks at approximately 140°C, 155°C, 190°C, 250°C, and 405°C. Three defect centers contribute to the observed electron spin resonance spectrum from the gamma irradiated phosphor. Center I with principal g-values g || = 2.0206 and g ⊥ = 2.0028 is identified as an O2 - ion while center II, with an isotropic g-factor 2.0039, is assigned to an F +-type center. Center III is assigned to a Ti3+ center. The Ti3+ center is related to the 250°C TL peak while the O2 - ion also correlates with the main TL peak at 250°C. An additional defect center is observed during thermal annealing experiments, and the center (assigned to F + center) seems to originate from an F center. The F center appears to be associated with the high temperature TL peak in a Li2SiO3:Sm phosphor. The luminescence spectrum reveals the dominant emission peaks at 605 (4G5/2 → 6H7/2) nm under the excitation wavelength of 402 nm.

Application of theory to family-centered care: a role for social workers.

PubMed

Miller, Gary

2012-01-01

Family-centered care is an emerging trend in health care settings today. An explanation, principles, and a definition of family-centered care are offered and discussed. A theoretical framework, Balance Theory of Coordination, which can be utilized by social workers to develop and enhance family-centered care practices, is explained and discussed. Various family-centered care practices are examined within the context of Balance Theory of Coordination as examples.

Parents and Speech Therapist Perception of Parental Involvement in Kailila Therapy Center, Jakarta, Indonesia

ERIC Educational Resources Information Center

Jane, Griselda; Tunjungsari, Harini

2015-01-01

Parental involvement in a speech therapy has not been prioritized in most therapy centers in Indonesia. One of the therapy centers that has recognized the importance of parental involvement is Kailila Speech Therapy Center. In Kailila speech therapy center, parental involvement in children's speech therapy is an obligation that has been…

Alternative Fuels Data Center: Natural Gas

Science.gov Websites

Natural Gas Printable Version Share this resource Send a link to Alternative Fuels Data Center : Natural Gas to someone by E-mail Share Alternative Fuels Data Center: Natural Gas on Facebook Tweet about Alternative Fuels Data Center: Natural Gas on Twitter Bookmark Alternative Fuels Data Center: Natural Gas on

20 CFR 670.505 - What types of training must Job Corps centers provide?

Code of Federal Regulations, 2014 CFR

2014-04-01

... 20 Employees' Benefits 4 2014-04-01 2014-04-01 false What types of training must Job Corps centers... LABOR (CONTINUED) THE JOB CORPS UNDER TITLE I OF THE WORKFORCE INVESTMENT ACT Program Activities and Center Operations § 670.505 What types of training must Job Corps centers provide? (a) Job Corps centers...

20 CFR 670.550 - What responsibilities do Job Corps centers have in assisting students with child care needs?

Code of Federal Regulations, 2012 CFR

2012-04-01

... child care for their dependent children. (b) Job Corps centers may operate on center child development... have in assisting students with child care needs? 670.550 Section 670.550 Employees' Benefits... Corps centers have in assisting students with child care needs? (a) Job Corps centers are responsible...

20 CFR 670.550 - What responsibilities do Job Corps centers have in assisting students with child care needs?

Code of Federal Regulations, 2014 CFR

2014-04-01

... child care for their dependent children. (b) Job Corps centers may operate on center child development... have in assisting students with child care needs? 670.550 Section 670.550 Employees' Benefits... Corps centers have in assisting students with child care needs? (a) Job Corps centers are responsible...

20 CFR 670.550 - What responsibilities do Job Corps centers have in assisting students with child care needs?

Code of Federal Regulations, 2013 CFR

2013-04-01

... child care for their dependent children. (b) Job Corps centers may operate on center child development... have in assisting students with child care needs? 670.550 Section 670.550 Employees' Benefits... Corps centers have in assisting students with child care needs? (a) Job Corps centers are responsible...

Center for Adaptive Optics | Search

Science.gov Websites

Center for Adaptive Optics A University of California Science and Technology Center home Search CfAO Google Search search: CfAO All of UCOLick.org Whole Web Search for recent Adaptive Optics news at GoogleNews! Last Modified: Sep 21, 2010 Center for Adaptive Optics | Search | The Center | Adaptive Optics

20 CFR 670.505 - What types of training must Job Corps centers provide?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false What types of training must Job Corps centers... Operations § 670.505 What types of training must Job Corps centers provide? (a) Job Corps centers must... necessary for those jobs, and as appropriate, recommend changes in the center's vocational training program...

14 CFR 23.523 - Design weights and center of gravity positions.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Design weights and center of gravity... Structure Water Loads § 23.523 Design weights and center of gravity positions. (a) Design weights. The water... water taxi and takeoff run) must be used. (b) Center of gravity positions. The critical centers of...

14 CFR 23.523 - Design weights and center of gravity positions.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Design weights and center of gravity... Structure Water Loads § 23.523 Design weights and center of gravity positions. (a) Design weights. The water... water taxi and takeoff run) must be used. (b) Center of gravity positions. The critical centers of...

14 CFR 23.523 - Design weights and center of gravity positions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Design weights and center of gravity... Structure Water Loads § 23.523 Design weights and center of gravity positions. (a) Design weights. The water... water taxi and takeoff run) must be used. (b) Center of gravity positions. The critical centers of...

14 CFR 23.523 - Design weights and center of gravity positions.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Design weights and center of gravity... Structure Water Loads § 23.523 Design weights and center of gravity positions. (a) Design weights. The water... water taxi and takeoff run) must be used. (b) Center of gravity positions. The critical centers of...

14 CFR 23.523 - Design weights and center of gravity positions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Design weights and center of gravity... Structure Water Loads § 23.523 Design weights and center of gravity positions. (a) Design weights. The water... water taxi and takeoff run) must be used. (b) Center of gravity positions. The critical centers of...

78 FR 51250 - Self-Regulatory Organizations; BATS Exchange, Inc.; Order Approving a Proposed Rule Change To...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-20

... third-party data centers: (i) the primary data center where the Exchange's business is primarily... recipients, are required to connect directly to the Exchange at the primary or secondary data centers where... ports at data center entry points, or PoPs, at data centers other than the Exchange's primary or...

KSC-2012-3012

NASA Image and Video Library

2012-05-24

CAPE CANAVERAL, Fla. – The barge transporting the high-fidelity space shuttle model begins the journey from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston. Seen in the background are Cape Canaveral Air Force Station’s Space Launch Complex-41, left, and the Atlas V Spaceflight Operations Center, right. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Jim Grossmann

Open Access Data Centers as an Essential Partner to a Data Publication Journal

NASA Astrophysics Data System (ADS)

Carlson, D.; Pfeiffenberger, H.

2016-12-01

The success of Earth System Science Data derives in part from key infrastructure: digital object identifiers (doi) and open access data centers. Our concept that a data journal should promote access and exchange through publication of reviewed data descriptions presupposed third parties to hold the data. As minimum criteria for those data centers we expected international reputation for quality of service and an active lifetime extending at least a decade into the future. We also expected modern access interfaces offering geographic, topical and parameter-based browsing - so that users could discover related holdings through an ESSD link or discover ESSD by way of links in data sets revealed through the center's browse tools - and true open access. True open access means one or two clicks from abstract in ESSD to the data itself without barriers. We started with Pangaea and CDIAC. Data providers already used these centers, the staff welcomed the ESSD initiative and all parties cooperated on doi. With this initial support ESSD proved the basic concept of data publication and demonstrated utility to a larger group of data providers, many of whom suggested additional centers. So long as those data centers met expectations for open access and quality and durability of service, ESSD agreed to collaborate. Through back-door collaborations - e.g. service on particular data sets - ESSD developed working partnerships with more than 30 data centers in 13 countries. Data centers ask to join our list. We encourage those centers to stimulate local providers to submit a data set to ESSD, thus preserving our practical data-set by data-set partnership mode. For a few data centers where national policies impose a registration step, center staff and ESSD editors created bypass access routes to facilitate anonymous reviews. For ESSD purposes, open access and doi cooperation leading to reliable curation allows a win, win, win partnership among centers, providers, and journal.

San Francisco childcare centers' preparedness in the prevention and management of asthma among preschool-aged children.

PubMed

Young, Chelsea A; Stookey, Jodi; Patel, Anisha I; Chan, Curtis; Evans, Jane; Cohn, Karen; Agana, Luz; Yen, Irene H; Fernandez, Alicia; Cabana, Michael D

2016-09-01

Asthma is a common health condition for children in childcare. National recommendations for asthma in childcare exist. However, no studies have investigated the extent to which childcare centers adhere to these recommendations. We aimed to assess childcare center adherence to National Asthma Education and Prevention Program (NAEPP) recommendations for asthma care and preparedness and to identify characteristics associated with increased adherence to national asthma recommendations. We developed a standardized instrument. Each childcare center received a score of 0 through 7 based on number of recommendations met. We conducted t-tests, chi square tests and linear regression to identify childcare center factors associated with increased asthma preparedness. 36 out of 40 eligible childcare centers (90%) participated. These sites served 1570 children primarily between the ages of 2 to 5 years. On average, centers met 3.8 out of 7 (SD  =  1.3) recommendations. Staff familiarity caring for children with asthma (p < 0.001) and the center's asthma prevalence (p  =  0.01) was positively associated with the center's asthma preparedness. The 3 areas most in need of improvement related to asthma medications, asthma action plans and asthma policies. None of the managers reported being familiar with the NAEPP recommendations. There is room for improvement in the asthma care and preparedness of childcare centers. The 3 areas in which centers performed poorly (appropriate asthma medication management, use of asthma action plans, and presence of appropriate asthma policies) suggest that closer collaboration between clinicians and childcare centers may be a key to improving asthma management for young children.

What Are the Costs of Trauma Center Readiness? Defining and Standardizing Readiness Costs for Trauma Centers Statewide.

PubMed

Ashley, Dennis W; Mullins, Robert F; Dente, Christopher J; Garlow, Laura; Medeiros, Regina S; Atkins, Elizabeth V; Solomon, Gina; Abston, Dena; Ferdinand, Colville H

2017-09-01

Trauma center readiness costs are incurred to maintain essential infrastructure and capacity to provide emergent services on a 24/7 basis. These costs are not captured by traditional hospital cost accounting, and no national consensus exists on appropriate definitions for each cost. Therefore, in 2010, stakeholders from all Level I and II trauma centers developed a survey tool standardizing and defining trauma center readiness costs. The survey tool underwent minor revisions to provide further clarity, and the survey was repeated in 2013. The purpose of this study was to provide a follow-up analysis of readiness costs for Georgia's Level I and Level II trauma centers. Using the American College of Surgeons Resources for Optimal Care of the Injured Patient guidelines, four readiness cost categories were identified: Administrative, Clinical Medical Staff, Operating Room, and Education/Outreach. Through conference calls, webinars and face-to-face meetings with financial officers, trauma medical directors, and program managers from all trauma centers, standardized definitions for reporting readiness costs within each category were developed. This resulted in a survey tool for centers to report their individual readiness costs for one year. The total readiness cost for all Level I trauma centers was $34,105,318 (avg $6,821,064) and all Level II trauma centers was $20,998,019 (avg $2,333,113). Methodology to standardize and define readiness costs for all trauma centers within the state was developed. Average costs for Level I and Level II trauma centers were identified. This model may be used to help other states define and standardize their trauma readiness costs.

34 CFR 350.33 - What cooperation requirements must a Rehabilitation Engineering Research Center meet?

Code of Federal Regulations, 2013 CFR

2013-07-01

... Engineering Research Center meet? 350.33 Section 350.33 Education Regulations of the Offices of the Department... Engineering Research Centers Does the Secretary Assist? § 350.33 What cooperation requirements must a Rehabilitation Engineering Research Center meet? A Rehabilitation Engineering Research Center— (a) Shall...

34 CFR 350.33 - What cooperation requirements must a Rehabilitation Engineering Research Center meet?

Code of Federal Regulations, 2011 CFR

2011-07-01

... Engineering Research Center meet? 350.33 Section 350.33 Education Regulations of the Offices of the Department... Engineering Research Centers Does the Secretary Assist? § 350.33 What cooperation requirements must a Rehabilitation Engineering Research Center meet? A Rehabilitation Engineering Research Center— (a) Shall...

34 CFR 350.33 - What cooperation requirements must a Rehabilitation Engineering Research Center meet?

Code of Federal Regulations, 2012 CFR

2012-07-01

... Engineering Research Center meet? 350.33 Section 350.33 Education Regulations of the Offices of the Department... Engineering Research Centers Does the Secretary Assist? § 350.33 What cooperation requirements must a Rehabilitation Engineering Research Center meet? A Rehabilitation Engineering Research Center— (a) Shall...

34 CFR 350.33 - What cooperation requirements must a Rehabilitation Engineering Research Center meet?

Code of Federal Regulations, 2014 CFR

2014-07-01

... Engineering Research Center meet? 350.33 Section 350.33 Education Regulations of the Offices of the Department... Engineering Research Centers Does the Secretary Assist? § 350.33 What cooperation requirements must a Rehabilitation Engineering Research Center meet? A Rehabilitation Engineering Research Center— (a) Shall...

34 CFR 350.33 - What cooperation requirements must a Rehabilitation Engineering Research Center meet?

Code of Federal Regulations, 2010 CFR

2010-07-01

... Engineering Research Center meet? 350.33 Section 350.33 Education Regulations of the Offices of the Department... Engineering Research Centers Does the Secretary Assist? § 350.33 What cooperation requirements must a Rehabilitation Engineering Research Center meet? A Rehabilitation Engineering Research Center— (a) Shall...

Finding the Center of Volume of the Forearm

NASA Astrophysics Data System (ADS)

Klein, Stacy S.; Roselli, Robert J.

2008-04-01

A typical first-year physics course teaches students about the center of mass using both regular and irregularly shaped objects. Students often suspend an object in each of two dimensions from a string with the intersection determining the center of mass of the object. While these methods can be effective, they are not particularly exciting or motivating. Wouldn't it be more interesting to find the center of mass of a body part, such as the forearm? Through a series of simple measurements and assumptions, students can generate a first-order approximation of the center of volume and center of mass of their forearm. Comparisons can be made between the muscular forearm of the football player in the class with the scrawniest arm in the room, creating a deeper understanding of center of mass and how it relates to the human body.

Issues faced by community health centers.

PubMed

Grover, Jane

2009-05-01

Federally qualified health centers face numerous issues with regard to marketplace competition, staffing, and reimbursement streams that assure financial viability. Positioning the dental department of a health center to a high community profile strengthens the health center in professional educational development leading to a pipeline of workforce members, effective dental directors, and innovative fund-raising. A new dental team member developed by the American Dental Association can be utilized in health centers to make all traditional auxiliaries more productive.

Recruiting community health centers into pragmatic research: Findings from STOP CRC.

PubMed

Coronado, Gloria D; Retecki, Sally; Schneider, Jennifer; Taplin, Stephen H; Burdick, Tim; Green, Beverly B

2016-04-01

Challenges of recruiting participants into pragmatic trials, particularly at the level of the health system, remain largely unexplored. As part of Strategies and Opportunities to STOP Colon Cancer in Priority Populations (STOP CRC), we recruited eight separate community health centers (consisting of 26 individual safety net clinics) into a large comparative effectiveness pragmatic study to evaluate methods of raising the rates of colorectal cancer screening. In partnership with STOP CRC's advisory board, we defined criteria to identify eligible health centers and applied these criteria to a list of health centers in Washington, Oregon, and California affiliated with Oregon Community Health Information Network, a 16-state practice-based research network of federally sponsored health centers. Project staff contacted centers that met eligibility criteria and arranged in-person meetings of key study investigators with health center leadership teams. We used the Consolidated Framework for Implementation Research to thematically analyze the content of discussions during these meetings to identify major facilitators of and barriers to health center participation. From an initial list of 41 health centers, 11 met the initial inclusion criteria. Of these, leaders at three centers declined and at eight centers (26 clinic sites) agreed to participate (73%). Participating and nonparticipating health centers were similar with respect to clinic size, percent Hispanic patients, and percent uninsured patients. Participating health centers had higher proportions of Medicaid patients and higher baseline colorectal cancer screening rates. Common facilitators of participation were perception by center leadership that the project was an opportunity to increase colorectal cancer screening rates and to use electronic health record tools for population management. Barriers to participation were concerns of center leaders about ability to provide fecal testing to and assure follow-up of uninsured patients, limited clinic capacity to prepare mailings required by the study protocol, discomfort with randomization, and concerns about delaying program implementation at some clinics due to the research requirements. Our findings address an important research gap and may inform future efforts to recruit community health centers into pragmatic research. © The Author(s) 2015.

Recruiting community health centers into pragmatic research: Findings from STOP CRC

PubMed Central

Coronado, Gloria D; Retecki, Sally; Schneider, Jennifer; Taplin, Stephen H; Burdick, Tim; Green, Beverly B

2015-01-01

Background Challenges of recruiting participants into pragmatic trials, particularly at the level of the health system, remain largely unexplored. As part of Strategies and Opportunities to STOP Colon Cancer in Priority Populations (STOP CRC), we recruited eight separate community health centers (consisting of 26 individual safety net clinics) into a large comparative effectiveness pragmatic study to evaluate methods of raising the rates of colorectal cancer screening. Methods In partnership with STOP CRC’s advisory board, we defined criteria to identify eligible health centers and applied these criteria to a list of health centers in Washington, Oregon, and California affiliated with OCHIN (formerly Oregon Community Health Information Network), a 16-state practice-based research network of federally sponsored health centers. Project staff contacted centers that met eligibility criteria and arranged in-person meetings of key study investigators with health center leadership teams. We used the Consolidated Framework for Implementation Research to thematically analyze the content of discussions during these meetings to identify major facilitators of and barriers to health center participation. Results From an initial list of 41 health centers, 11 met the initial inclusion criteria. Of these, leaders at three centers declined and at eight centers (26 clinic sites) agreed to participate (73%). Participating and nonparticipating health centers were similar with respect to clinic size, percent Hispanic patients, and percent uninsured patients. Participating health centers had higher proportions of Medicaid patients and higher baseline colorectal cancer screening rates. Common facilitators of participation were perception by center leadership that the project was an opportunity to increase colorectal cancer screening rates and to use electronic health record tools for population management. Barriers to participation were concerns of center leaders about ability to provide fecal testing to and assure follow up of uninsured patients, limited clinic capacity to prepare mailings required by the study protocol, discomfort with randomization, and concerns about delaying program implementation at some clinics due to the research requirements. Conclusion Our findings address an important research gap and may inform future efforts to recruit community health centers into pragmatic research. PMID:26419905

Surveying Cystic Fibrosis Care Centers to Assess Adoption of Infection Prevention and Control Recommendations.

PubMed

Saiman, Lisa; Zhou, Juyan J; Jiang, Xiaotong; Kosorok, Michael R; Muhlebach, Marianne S

2018-04-15

OBJECTIVEIn 2013, the Cystic Fibrosis (CF) Foundation developed an updated guideline for infection prevention and control (IP&C) practices for CF. We sought to assess the adoption of specific recommendations by CF care centers.METHODSDirectors of the 277 CF care centers in the United States were asked to complete a confidential online survey regarding the adoption of selected IP&C recommendations. Selected recommendations were those we considered less likely to be incorporated into a center's written IP&C policies.RESULTSCenter directors from 198 of 277 CF centers (71%) completed the survey between December 2015 and June 2016; pediatric and larger centers were more likely to do so. Overall, 70% have adopted ≥75% of the selected recommendations. As recommended, almost all provided education to CF center staff (98%) and patients and families (97%); fewer developed educational materials in collaboration with local IP&C teams (59%) and/or patients and families (37%). Among 108 centers with non-English-speaking patients, 65 (60%) provided educational materials in relevant languages. Most (74%) held group education events; of the 138 centers with in-person meetings, 45% allowed 1 individual with CF to attend, and 51% allowed no individuals with CF to attend. Most centers (93%) held outdoor events, and 84% allowed >1 individual with CF to attend. Audits of exam-room cleaning were performed by 49% of CF centers.CONCLUSIONSCystic fibrosis centers in the United States have adopted many of the recommendations addressed in this survey. Nonetheless, these findings suggest opportunities for improvement. More CF centers should provide education to non-English-speaking patients and families, and CF centers should perform audits of room cleaning.Infect Control Hosp Epidemiol. 2018:1-5.

Radiotherapy in Italy after conservative treatment of early breast cancer. A survey by the Italian Society of Radiation Oncology (AIRO).

PubMed

Aristei, Cynthia; Amichetti, Maurizio; Ciocca, Mario; Nardone, Luigia; Bertoni, Filippo; Vidali, Cristiana

2008-01-01

The aim of surveys on clinical practice is to stimulate discussion and optimize practice. In this paper the current Italian radiotherapy practice after breast-conserving surgery for early breast cancer is described and adherence to national and international guidelines is assessed. Furthermore, results are compared with an earlier survey in northern Italy and international reports. A multiple-choice questionnaire sent to all 138 Italian radiation oncology centers. 48% of centers responded. Most performed breast-conserving surgery when tumor size was < or =3 cm. All centers routinely performed axillary dissection; 45 carried out sentinel node biopsy followed by axillary dissection when the sentinel node was positive. Most centers re-excised when resection margins were positive. The median interval between surgery and radiotherapy, when chemotherapy was not administered, was 60 days. Adjuvant chemotherapy was preferably administered before radiotherapy. Regional lymph nodes were never irradiated in 10 centers; in all others irradiation depended on the number of positive lymph nodes and/or involvement of axillary fat and/or tumor location in medial quadrants. All centers used standard fractionation; hypofractionated schemes were available in 6. Most centers used 4-6 MV photons. In 59 centers the boost dose of 10 Gy could be increased if margins were not negative. All centers ensured patient setup reproducibility. Treatment planning was computerized in 59 centers. The irradiation dose was prescribed at the ICRU point in 56 centers and portal films were made in 54 centers. Intraoperative radiotherapy was used in 4 centers: for partial breast irradiation in 1 and for boost administration in 3 centers. Although the quality of radiotherapy delivery has improved in Italy in recent years, approaches that do not conform to international standards persist.

30 CFR 75.825 - Power centers.

Code of Federal Regulations, 2014 CFR

2014-07-01

....825 Power centers. (a) Main disconnecting switch. The power center supplying high voltage power to the continuous mining machine must be equipped with a main disconnecting switch that, when in the open position... the main disconnecting switch required in paragraph (a) of this section, the power center must be...

30 CFR 75.825 - Power centers.

Code of Federal Regulations, 2012 CFR

2012-07-01

....825 Power centers. (a) Main disconnecting switch. The power center supplying high voltage power to the continuous mining machine must be equipped with a main disconnecting switch that, when in the open position... the main disconnecting switch required in paragraph (a) of this section, the power center must be...

30 CFR 75.825 - Power centers.

Code of Federal Regulations, 2013 CFR

2013-07-01

....825 Power centers. (a) Main disconnecting switch. The power center supplying high voltage power to the continuous mining machine must be equipped with a main disconnecting switch that, when in the open position... the main disconnecting switch required in paragraph (a) of this section, the power center must be...

Behind the Mosaic: Insurgent Centers of Gravity and Counterinsurgency

DTIC Science & Technology

2011-12-01

centers of gravity vary by time, space , and purpose. While Clausewitz’s key statement on a center of gravity defines a single center of gravity, he...explicitly or implicitly, that multiple centers of gravity can vary with time, space , and purpose. Shimon Naveh Retired Israeli Reserve Brigadier...century military forces, which in turn expanded operations in time and space . The integration of operations distributed in time and space distributed

Patients Prioritize Waitlist over Post-Transplant Outcomes When Evaluating Kidney Transplant Centers.

PubMed

Husain, S Ali; Brennan, Corey; Michelson, Ariane; Tsapepas, Demetra; Patzer, Rachel E; Schold, Jesse D; Mohan, Sumit

2018-06-26

Factors that patients value when choosing a transplant center have not been well studied. In order to guide the improvement of patient-facing materials, we conducted an anonymous electronic survey of National Kidney Foundation Patient Panel members that assessed relative importance of patient experience, practical considerations, transplant center reputation, center experience, and waitlist when selecting a transplant center. 409 respondents completed the survey, of whom 68% were kidney transplant recipients and 32% had chronic kidney disease or were on dialysis (CKD). Participants had mean age 56±12 years and were predominantly female (61%), white (79%), and had an associate's degree or higher (68%). Participants most often prioritized waitlist when evaluating transplant centers (transplanted 26%, CKD 40%), and waitlist was almost twice as likely as outcomes to be ranked most important (30% vs 17%). Education level and transplant status were significantly associated with center prioritization. Waitlisted respondents most commonly (48%) relied on physicians for information when selecting a center, while a minority cited transplant-specific organizations. In order to improve shared decision-making, materials outlining center-specific waitlist features should be prioritized. Novel patient-oriented metrics for measuring transplant center quality that align with patient priorities must be explored. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

TOP 01-1-011B Vehicle Test Facilities at Aberdeen Test Center and Yuma Test Center

DTIC Science & Technology

2017-12-12

TYPE Final 3. DATES COVERED (From - To) 4. TITLE AND SUBTITLE Test Operations Procedure (TOP) 01-1-011B Vehicle Test Facilities at Aberdeen... Test Center and Yuma Test Center 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHORS 5d. PROJECT NUMBER 5e... Test Center 400 Colleran Road Aberdeen Proving Ground, MD 21005-5059 U.S. Army Yuma Proving Ground Yuma Test Center 301 C. Street Yuma, AZ

KSC-06pd0373

NASA Image and Video Library

2006-02-27

KENNEDY SPACE CENTER, FLA. - At the dais (right), Kwatsi Alibaruho speaks to guests at NASA Kennedy Space Center's annual BEST (Black Employee Strategy Team) African-American History Month luncheon. Among attendees was Center Director Jim Kennedy. The guest speaker for the luncheon, Alibaruho is a flight director from Johnson Space Center Mission Control. The theme for this year's luncheon was "Creating New Paths From Journeys Past." The luncheon was held in the Kurt H. Debus Center at Kennedy Space Center's Visitor Complex. Photo credit: NASA/George Shelton

Hospital image and the positioning of service centers: an application in market analysis and strategy development.

PubMed

Smith, S M; Clark, M

1990-09-01

The research confirms the coexistence of different images for hospitals, service centers within the same hospitals, and service programs offered by each of the service centers. The images of individual service centers are found not to be tied to the image of the host facility. Further, service centers and host facilities have differential rankings on the same service decision attributes. Managerial recommendations are offered for "image differentiation" between a hospital and its care centers.

Splish-splash: Center of mass, stability, and a fun pool toy

NASA Astrophysics Data System (ADS)

Ashman, Seth

2018-03-01

Center of mass is a common topic in physics courses. It appears in relation to studies of stable and unstable equilibrium, momentum, and rotation. Science products suppliers frequently include gadgets that demonstrate the concepts of center of mass and stability, such as the classic balancing bird. Additionally, The Physics Teacher has featured articles studying the center of mass of a rotating baton, locating the center of mass of a hanging Slinky toy, and describing a wide range of interesting systems.

Automatic image acquisition processor and method

DOEpatents

Stone, William J.

1986-01-01

A computerized method and point location system apparatus is disclosed for ascertaining the center of a primitive or fundamental object whose shape and approximate location are known. The technique involves obtaining an image of the object, selecting a trial center, and generating a locus of points having a predetermined relationship with the center. Such a locus of points could include a circle. The number of points overlying the object in each quadrant is obtained and the counts of these points per quadrant are compared. From this comparison, error signals are provided to adjust the relative location of the trial center. This is repeated until the trial center overlies the geometric center within the predefined accuracy limits.

Automatic image acquisition processor and method

DOEpatents

Stone, W.J.

1984-01-16

A computerized method and point location system apparatus is disclosed for ascertaining the center of a primitive or fundamental object whose shape and approximate location are known. The technique involves obtaining an image of the object, selecting a trial center, and generating a locus of points having a predetermined relationship with the center. Such a locus of points could include a circle. The number of points overlying the object in each quadrant is obtained and the counts of these points per quadrant are compared. From this comparison, error signals are provided to adjust the relative location of the trial center. This is repeated until the trial center overlies the geometric center within the predefined accuracy limits.

Experiences of Opium Dependents from Performance of Methadone Centers of Kerman, Iran

PubMed Central

Banazadeh Mahani, Nabi; Kheradmand, Ali; Abedi, Heidarali

2009-01-01

Background: To assess patients' satisfaction and to evaluate methadone therapy program, it is important to understand the experiences of opium dependents during the treatment period in methadone centers and determine the quality of this program and revise standards based on that. This study aimed to describe the nature and structure of patients' experiences during treatment in methadone centers. Methods: This was a qualitative method using phenomenology. Sampling was purposive and the participants were selected from opium dependents referred to Kerman methadone centers during 2007. Sampling continued until data saturation and the sample size was 32. Colaizzi's method was applied for data analysis. Findings: The findings of this study included 27 codes categorized in four main groups: experiences of structure, personnel, patients, and regulations. These four categories showed the main structure of experiences in methadone centers. Conclusion: Lack of treatment centers in near-by cities or the problems of those centers suggest that it is necessary to establish new centers or solve the problems of centers in near-by cities. The type of patients referring to the centers plays a role in treatment process. The regular presence of physicians and other personnel and their concerns and care for patients as well as longer working hours of the centers have roles in patients' satisfaction and increase of consistency with treatment. Discussing the rules and regulations of the center with patients including the obligatory of daily reference to the center to obtain medicine and injections sound necessary. Also, it is necessary to find ways for solving problems of urine tests. PMID:24494087

Program Spotlight: Dana Farber/Harvard Cancer Center Partnership Receives $8 Million Grant

Cancer.gov

The UMass Boston and Dana Farber/Harvard Cancer Center PACHE Partnership received a grant to start-up a Center for Personalized Cancer Therapy on the UMass Boston campus. The center is deigned to train underrepresented students to work in cancer research.

BioEnergy Science Center

DOE Office of Scientific and Technical Information (OSTI.GOV)

None

The BioEnergy Science Center, led by Oak Ridge National Laboratory, has been making advances in biofuels for over a decade. These achievements in plant genomics, microbial engineering, biochemistry, and plant physiology will carry over into the Center for Bioenergy Innovation, a new Department of Energy bioenergy research center.

A midwifery-led in-hospital birth center within an academic medical center: successes and challenges.

PubMed

Perdion, Karen; Lesser, Rebecca; Hirsch, Jennifer; Barger, Mary; Kelly, Thomas F; Moore, Thomas R; Lacoursiere, D Yvette

2013-01-01

The University of California San Diego Community Women's Health Program (CWHP) has emerged as a successful and sustainable coexistence model of women's healthcare. The cornerstone of this midwifery practice is California's only in-hospital birth center. Located within the medical center, this unique and physically separate birth center has been the site for more than 4000 births. With 10% cesarean delivery and 98% breast-feeding rates, it is an exceptional example of low-intervention care. Integrating this previously freestanding birth center into an academic center has brought trials of mistrust and ineffectual communication. Education, consistent leadership, and development of multidisciplinary guidelines aided in overcoming these challenges. This collaborative model provides a structure in which residents learn to be respectful consultants and appreciate differences in medical practice. The CWHP and its Birth Center illustrates that through persistence and flexibility a collaborative model of maternity services can flourish and not only positively influence new families but also future generations of providers.

Evaluation design of New York City's regulations on nutrition, physical activity, and screen time in early child care centers.

PubMed

Breck, Andrew; Goodman, Ken; Dunn, Lillian; Stephens, Robert L; Dawkins, Nicola; Dixon, Beth; Jernigan, Jan; Kakietek, Jakub; Lesesne, Catherine; Lessard, Laura; Nonas, Cathy; O'Dell, Sarah Abood; Osuji, Thearis A; Bronson, Bernice; Xu, Ye; Kettel Khan, Laura

2014-10-16

This article describes the multi-method cross-sectional design used to evaluate New York City Department of Health and Mental Hygiene's regulations of nutrition, physical activity, and screen time for children aged 3 years or older in licensed group child care centers. The Center Evaluation Component collected data from a stratified random sample of 176 licensed group child care centers in New York City. Compliance with the regulations was measured through a review of center records, a facility inventory, and interviews of center directors, lead teachers, and food service staff. The Classroom Evaluation Component included an observational and biometric study of a sample of approximately 1,400 children aged 3 or 4 years attending 110 child care centers and was designed to complement the center component at the classroom and child level. The study methodology detailed in this paper may aid researchers in designing policy evaluation studies that can inform other jurisdictions considering similar policies.

Information sharing guidebook for transportation management centers, emergency operations centers, and fusion centers.

DOT National Transportation Integrated Search

2010-06-01

This guidebook provides an overview of the mission and functions of transportation management centers, emergency operations centers, and fusion centers. The guidebook focuses on the types of information these centers produce and manage and how the sh...

Information sharing guidebook for transportation management centers, emergency operations centers, and fusion centers

DOT National Transportation Integrated Search

2010-06-01

This guidebook provides an overview of the mission and functions of transportation management centers, emergency operations centers, and fusion centers. The guidebook focuses on the types of information these centers produce and manage and how the sh...

Coordinating Educational Assessment Across College Centers.

ERIC Educational Resources Information Center

Churchill, Ruth; And Others

An operational model developed as a result of a systematic analysis of three distinctly different Antioch centers--Juarez Lincoln University, Philadelphia Graduate Center, and Antioch-New England (the Keene Center)--is presented. Juarez Lincoln offers a 15-month program leading to the Master of Education degree. Many of the students are Mexican…

Center Director's Update

NASA Image and Video Library

2016-03-01

In the Space Shuttle Atlantis exhibit facility at the Kennedy Space Center's Visitor Complex, guests get a close-up look at a plant growth experiment similar to one aboard the International Space Station. This followed a presentation by center director Bob Cabana who updated community leaders on current and future activities at the space center.

Student-Centered Instruction in a Theoretical Statistics Course

ERIC Educational Resources Information Center

Bates Prins, Samantha C.

2009-01-01

This paper provides an example of how student-centered instruction can be used in a theoretical statistics class. The author taught a two-semester undergraduate probability and mathematical statistics sequence using primarily teacher-centered instruction in the first semester and primarily student-centered instruction in the second semester. A…

Center for Adaptive Optics | Software

Science.gov Websites

Center for Adaptive Optics A University of California Science and Technology Center home Adaptive Optics Software The Center for Adaptive Optics acts as a clearing house for distributing Software to Institutes it gives specialists in Adaptive Optics a place to distribute their software. All software is

Power Pack Your Center Brochure--Keys To Developing an Effective Marketing Tool.

ERIC Educational Resources Information Center

Wassom, Julie

2000-01-01

Suggests that a center's informational brochure can be either a valuable marketing tool or an expensive elimination incentive. Provides a list of five questions center directors should address before beginning the design and development of the center brochure. Lists seven guidelines for brochure development. (SD)

National Foster Care and Adoption Directory Search

MedlinePlus

... Home Topics Family-Centered Practice Philosophy and Key Elements of Family-Centered Practice Family-Centered Practice Across the Service Continuum Engaging Families Family-Centered Casework Practice Family Group Decision-Making Engaging Communities to Support Families Creating a Family- ...

Energy System Integration Facility Secure Data Center | Energy Systems

Science.gov Websites

Integration Facility | NREL Energy System Integration Facility Secure Data Center Energy System Integration Facility Secure Data Center The Energy Systems Integration Facility's Secure Data Center provides

Study on load forecasting to data centers of high power density based on power usage effectiveness

NASA Astrophysics Data System (ADS)

Zhou, C. C.; Zhang, F.; Yuan, Z.; Zhou, L. M.; Wang, F. M.; Li, W.; Yang, J. H.

2016-08-01

There is usually considerable energy consumption in data centers. Load forecasting to data centers is in favor of formulating regional load density indexes and of great benefit to getting regional spatial load forecasting more accurately. The building structure and the other influential factors, i.e. equipment, geographic and climatic conditions, are considered for the data centers, and a method to forecast the load of the data centers based on power usage effectiveness is proposed. The cooling capacity of a data center and the index of the power usage effectiveness are used to forecast the power load of the data center in the method. The cooling capacity is obtained by calculating the heat load of the data center. The index is estimated using the group decision-making method of mixed language information. An example is given to prove the applicability and accuracy of this method.

Developing a Career Planning Center. Occupational Education Research Project Final Report.

ERIC Educational Resources Information Center

Kidd, Frank E.; Embry, Judy K.

Designed as a guide for those community college institutions developing a career planning center, this handbook presents a model for planning and implementing such a center. Options for centers are suggested for three levels of development and staffing: self-directed, intermediate, and comprehensive. Chapter 1 outlines the rationale and possible…

Building a Student-Centered Culture in Times of Natural Disaster: A Case Study

ERIC Educational Resources Information Center

Hlinka, Karen Ramey

2013-01-01

Increased rates of student success and persistence have been positively linked to community colleges with student-centered cultures. A student-centered culture is one in which policies and practices promote a consistent message of concern and respect while expecting high standards of academic accomplishment. Developing a student-centered culture…

Community Involvement: A Case Study of the Education Resource Center.

ERIC Educational Resources Information Center

Wilson, Stephen; And Others

The Education Resource Center (ERC) is a community-based teachers' resource center located in Chicago (Illinois). Its conceptual base is broader than that of a typical teachers center as ERC represents a community-based social movement with a wider orientation than teacher training. ERC's policy board reflects community organizations and the…

34 CFR 464.30 - With whom must a State contract to establish a State literacy resource center?

Code of Federal Regulations, 2010 CFR

2010-07-01

... literacy resource center? 464.30 Section 464.30 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF VOCATIONAL AND ADULT EDUCATION, DEPARTMENT OF EDUCATION STATE LITERACY... establish a State literacy resource center? (a) To establish a new State literacy resource center, the...

DOE Office of Scientific and Technical Information (OSTI.GOV)

Danguy des Deserts, L.M.J.; Michael, D.; Sedillot, F.G.

An oscillating platform is described for work at sea, the platform having a weight, comprising a deck, a lattice tower having an upper part and a lower part, the tower further having a total buoyancy center, and a center of gravity, an articulation formed by flexible piles. The articulation has a center; the flexible piles are driven into the sea bed and fixed to the upper part of the tower; the tower comprising floaters in its upper part and a ballast compartment in its lower part, as well as means for resisting shear forces; the product of the total buoyancymore » of the tower by the distance between the buoyancy center of the tower and the center of the articulation are at least equal to 1.25 times the product of the weight of the platform by the distance between the center of gravity of the platform and the center of the articulation.« less

Viewgraph description of Penn State's Propulsion Engineering Research Center: Activity highlights and future plans

NASA Technical Reports Server (NTRS)

Merkle, Charles L.

1991-01-01

Viewgraphs are presented that describe the progress and status of Penn State's Propulsion Engineering Research Center. The Center was established in Jul. 1988 by a grant from NASA's University Space Engineering Research Centers Program. After two and one-half years of operation, some 16 faculty are participating, and the Center is supporting 39 graduate students plus 18 undergraduates. In reviewing the Center's status, long-term plans and goals are reviewed and then the present status of the Center and the highlights and accomplishments of the past year are summarized. An overview of plans for the upcoming year are presented.

KSC-2012-3001

NASA Image and Video Library

2012-05-23

CAPE CANAVERAL, Fla. – The high-fidelity space shuttle model is aboard the barge that will transport it from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Charisse Nahser

KSC-2012-2999

NASA Image and Video Library

2012-05-23

CAPE CANAVERAL, Fla. – The high-fidelity space shuttle model is aboard the barge that will transport it from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Charisse Nahser

KSC-2012-3003

NASA Image and Video Library

2012-05-23

CAPE CANAVERAL, Fla. – The high-fidelity space shuttle model is aboard the barge that will transport it from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Charisse Nahser

KSC-2012-3002

NASA Image and Video Library

2012-05-23

CAPE CANAVERAL, Fla. – The high-fidelity space shuttle model is aboard the barge that will transport it from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Charisse Nahser

KSC-2012-2998

NASA Image and Video Library

2012-05-23

CAPE CANAVERAL, Fla. – The high-fidelity space shuttle model is aboard the barge that will transport it from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Charisse Nahser

KSC-2012-3000

NASA Image and Video Library

2012-05-23

CAPE CANAVERAL, Fla. – The high-fidelity space shuttle model is aboard the barge that will transport it from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Charisse Nahser

Practice Patterns Analysis of Ocular Proton Therapy Centers: The International OPTIC Survey.

PubMed

Hrbacek, Jan; Mishra, Kavita K; Kacperek, Andrzej; Dendale, Remi; Nauraye, Catherine; Auger, Michel; Herault, Joel; Daftari, Inder K; Trofimov, Alexei V; Shih, Helen A; Chen, Yen-Lin E; Denker, Andrea; Heufelder, Jens; Horwacik, Tomasz; Swakoń, Jan; Hoehr, Cornelia; Duzenli, Cheryl; Pica, Alessia; Goudjil, Farid; Mazal, Alejandro; Thariat, Juliette; Weber, Damien C

2016-05-01

To assess the planning, treatment, and follow-up strategies worldwide in dedicated proton therapy ocular programs. Ten centers from 7 countries completed a questionnaire survey with 109 queries on the eye treatment planning system (TPS), hardware/software equipment, image acquisition/registration, patient positioning, eye surveillance, beam delivery, quality assurance (QA), clinical management, and workflow. Worldwide, 28,891 eye patients were treated with protons at the 10 centers as of the end of 2014. Most centers treated a vast number of ocular patients (1729 to 6369). Three centers treated fewer than 200 ocular patients. Most commonly, the centers treated uveal melanoma (UM) and other primary ocular malignancies, benign ocular tumors, conjunctival lesions, choroidal metastases, and retinoblastomas. The UM dose fractionation was generally within a standard range, whereas dosing for other ocular conditions was not standardized. The majority (80%) of centers used in common a specific ocular TPS. Variability existed in imaging registration, with magnetic resonance imaging (MRI) rarely being used in routine planning (20%). Increased patient to full-time equivalent ratios were observed by higher accruing centers (P=.0161). Generally, ophthalmologists followed up the post-radiation therapy patients, though in 40% of centers radiation oncologists also followed up the patients. Seven centers had a prospective outcomes database. All centers used a cyclotron to accelerate protons with dedicated horizontal beam lines only. QA checks (range, modulation) varied substantially across centers. The first worldwide multi-institutional ophthalmic proton therapy survey of the clinical and technical approach shows areas of substantial overlap and areas of progress needed to achieve sustainable and systematic management. Future international efforts include research and development for imaging and planning software upgrades, increased use of MRI, development of clinical protocols, systematic patient-centered data acquisition, and publishing guidelines on QA, staffing, treatment, and follow-up parameters by dedicated ocular programs to ensure the highest level of care for ocular patients. Copyright © 2016 Elsevier Inc. All rights reserved.

Practice Patterns Analysis of Ocular Proton Therapy Centers: The International OPTIC Survey

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hrbacek, Jan, E-mail: Jan.hrbacek@psi.ch; Mishra, Kavita K.; Kacperek, Andrzej

Purpose: To assess the planning, treatment, and follow-up strategies worldwide in dedicated proton therapy ocular programs. Methods and Materials: Ten centers from 7 countries completed a questionnaire survey with 109 queries on the eye treatment planning system (TPS), hardware/software equipment, image acquisition/registration, patient positioning, eye surveillance, beam delivery, quality assurance (QA), clinical management, and workflow. Results: Worldwide, 28,891 eye patients were treated with protons at the 10 centers as of the end of 2014. Most centers treated a vast number of ocular patients (1729 to 6369). Three centers treated fewer than 200 ocular patients. Most commonly, the centers treated uvealmore » melanoma (UM) and other primary ocular malignancies, benign ocular tumors, conjunctival lesions, choroidal metastases, and retinoblastomas. The UM dose fractionation was generally within a standard range, whereas dosing for other ocular conditions was not standardized. The majority (80%) of centers used in common a specific ocular TPS. Variability existed in imaging registration, with magnetic resonance imaging (MRI) rarely being used in routine planning (20%). Increased patient to full-time equivalent ratios were observed by higher accruing centers (P=.0161). Generally, ophthalmologists followed up the post–radiation therapy patients, though in 40% of centers radiation oncologists also followed up the patients. Seven centers had a prospective outcomes database. All centers used a cyclotron to accelerate protons with dedicated horizontal beam lines only. QA checks (range, modulation) varied substantially across centers. Conclusions: The first worldwide multi-institutional ophthalmic proton therapy survey of the clinical and technical approach shows areas of substantial overlap and areas of progress needed to achieve sustainable and systematic management. Future international efforts include research and development for imaging and planning software upgrades, increased use of MRI, development of clinical protocols, systematic patient-centered data acquisition, and publishing guidelines on QA, staffing, treatment, and follow-up parameters by dedicated ocular programs to ensure the highest level of care for ocular patients.« less

Comparison of Node-Centered and Cell-Centered Unstructured Finite-Volume Discretizations: Viscous Fluxes

NASA Technical Reports Server (NTRS)

Diskin, Boris; Thomas, James L.; Nielsen, Eric J.; Nishikawa, Hiroaki; White, Jeffery A.

2010-01-01

Discretization of the viscous terms in current finite-volume unstructured-grid schemes are compared using node-centered and cell-centered approaches in two dimensions. Accuracy and complexity are studied for four nominally second-order accurate schemes: a node-centered scheme and three cell-centered schemes - a node-averaging scheme and two schemes with nearest-neighbor and adaptive compact stencils for least-square face gradient reconstruction. The grids considered range from structured (regular) grids to irregular grids composed of arbitrary mixtures of triangles and quadrilaterals, including random perturbations of the grid points to bring out the worst possible behavior of the solution. Two classes of tests are considered. The first class of tests involves smooth manufactured solutions on both isotropic and highly anisotropic grids with discontinuous metrics, typical of those encountered in grid adaptation. The second class concerns solutions and grids varying strongly anisotropically over a curved body, typical of those encountered in high-Reynolds number turbulent flow simulations. Tests from the first class indicate the face least-square methods, the node-averaging method without clipping, and the node-centered method demonstrate second-order convergence of discretization errors with very similar accuracies per degree of freedom. The tests of the second class are more discriminating. The node-centered scheme is always second order with an accuracy and complexity in linearization comparable to the best of the cell-centered schemes. In comparison, the cell-centered node-averaging schemes may degenerate on mixed grids, have a higher complexity in linearization, and can fail to converge to the exact solution when clipping of the node-averaged values is used. The cell-centered schemes using least-square face gradient reconstruction have more compact stencils with a complexity similar to that of the node-centered scheme. For simulations on highly anisotropic curved grids, the least-square methods have to be amended either by introducing a local mapping based on a distance function commonly available in practical schemes or modifying the scheme stencil to reflect the direction of strong coupling. The major conclusion is that accuracies of the node centered and the best cell-centered schemes are comparable at equivalent number of degrees of freedom.

Measuring the efficiency of dental departments in medical centers: a nonparametric analysis approach.

PubMed

Wang, Su-Chen; Tsai, Chi-Cheng; Huang, Shun-Te; Hong, Yu-Jue

2002-12-01

Data envelopment analysis (DEA), a cross-sectional study design based on secondary data analysis, was used to evaluate the relative operational efficiency of 16 dental departments in medical centers in Taiwan in 1999. The results indicated that 68.7% of all dental departments in medical centers had poor performance in terms of overall efficiency and scale efficiency. All relatively efficient dental departments were in private medical centers. Half of these dental departments were unable to fully utilize available medical resources. 75.0% of public medical centers did not take full advantage of medical resources at their disposal. In the returns to scale, 56.3% of dental departments in medical centers exhibited increasing returns to scale, due to the insufficient scale influencing overall hospital operational efficiency. Public medical centers accounted for 77.8% of the institutions affected. The scale of dental departments in private medical centers was more appropriate than those in public medical centers. In the sensitivity analysis, the numbers of residents, interns, and published papers were used to assess teaching and research. Greater emphasis on teaching and research in medical centers has a large effect on the relative inefficiency of hospital operation. Dental departments in private medical centers had a higher mean overall efficiency score than those in public medical centers, and the overall efficiency of dental departments in non-university hospitals was greater than those in university hospitals. There was no information to evaluate the long-term efficiency of each dental department in all hospitals. A different combination of input and output variables, using common multipliers for efficiency value measurements in DEA, may help establish different pioneering dental departments in hospitals.

Mayor de Blasio, NYCEDC and Speaker Mark-Viverito Announce Grand Opening of

Science.gov Websites

New Health Center | City of New York Visit alpha.nyc.gov to help us test out new ideas for Opening of New Health Center Damian Center part of 'Caring Neighborhoods Initiative' and replaces previous Mark-Viverito Announce Grand Opening of New Health Center in South Bronx April 21, 2016 Damian Center

Comparing Core-Image-Based Basic Verb Learning in an EFL Junior High School: Learner-Centered and Teacher-Centered Approaches

ERIC Educational Resources Information Center

Yamagata, Satoshi

2018-01-01

The present study investigated the effects of two types of core-image-based basic verb learning approaches: the learner-centered and the teacher-centered approaches. The learner-centered approach was an activity in which participants found semantic relationships among several definitions of each basic target verb through a picture-elucidated card…

Federated Giovanni: A Distributed Web Service for Analysis and Visualization of Remote Sensing Data

NASA Technical Reports Server (NTRS)

Lynnes, Chris

2014-01-01

The Geospatial Interactive Online Visualization and Analysis Interface (Giovanni) is a popular tool for users of the Goddard Earth Sciences Data and Information Services Center (GES DISC) and has been in use for over a decade. It provides a wide variety of algorithms and visualizations to explore large remote sensing datasets without having to download the data and without having to write readers and visualizers for it. Giovanni is now being extended to enable its capabilities at other data centers within the Earth Observing System Data and Information System (EOSDIS). This Federated Giovanni will allow four other data centers to add and maintain their data within Giovanni on behalf of their user community. Those data centers are the Physical Oceanography Distributed Active Archive Center (PO.DAAC), MODIS Adaptive Processing System (MODAPS), Ocean Biology Processing Group (OBPG), and Land Processes Distributed Active Archive Center (LP DAAC). Three tiers are supported: Tier 1 (GES DISC-hosted) gives the remote data center a data management interface to add and maintain data, which are provided through the Giovanni instance at the GES DISC. Tier 2 packages Giovanni up as a virtual machine for distribution to and deployment by the other data centers. Data variables are shared among data centers by sharing documents from the Solr database that underpins Giovanni's data management capabilities. However, each data center maintains their own instance of Giovanni, exposing the variables of most interest to their user community. Tier 3 is a Shared Source model, in which the data centers cooperate to extend the infrastructure by contributing source code.

Annealing behavior of the EB-centers and M-center in low-energy electron irradiated n-type 4H-SiC

NASA Astrophysics Data System (ADS)

Beyer, F. C.; Hemmingsson, C.; Pedersen, H.; Henry, A.; Janzén, E.; Isoya, J.; Morishita, N.; Ohshima, T.

2011-05-01

After low-energy electron irradiation of epitaxial n-type 4H-SiC with a dose of 5×1016 cm-2, the bistable M-center, previously reported in high-energy proton implanted 4H-SiC, is detected in the deep level transient spectroscopy (DLTS) spectrum. The annealing behavior of the M-center is confirmed, and an enhanced recombination process is suggested. The annihilation process is coincidental with the evolvement of the bistable EB-centers in the low temperature range of the DLTS spectrum. The annealing energy of the M-center is similar to the generation energy of the EB-centers, thus partial transformation of the M-center to the EB-centers is suggested. The EB-centers completely disappeared after annealing temperatures higher than 700 ∘C without the formation of new defects in the observed DLTS scanning range. The threshold energy for moving Si atom in SiC is higher than the applied irradiation energy, and the annihilation temperatures are relatively low, therefore the M-center, EH1 and EH3, as well as the EB-centers are attributed to defects related to the C atom in SiC, most probably to carbon interstitials and their complexes.

KENNEDY SPACE CENTER, FLA. - KSC Director Jim Kennedy (left) and incoming KSC Deputy Director Woodrow Whitlow talk about One NASA during the rollout of the Agency initiative at KSC. They were joined at the IMAX Theater® by other NASA leaders James Jennings, NASA’s associate deputy administrator for institutions and asset management; Ed Weiler, associate administrator for Space Science; Kevin Peterson, Dryden Flight Research Center director; and implementation team lead Johnny Stevenson to explain how their respective centers contribute to One NASA. Glenn Research Center Director Dr. Julian Earls gave a motivational speech during the luncheon held at the Visitor Complex Debus Conference Center.

NASA Image and Video Library

2003-08-20

KENNEDY SPACE CENTER, FLA. - KSC Director Jim Kennedy (left) and incoming KSC Deputy Director Woodrow Whitlow talk about One NASA during the rollout of the Agency initiative at KSC. They were joined at the IMAX Theater® by other NASA leaders James Jennings, NASA’s associate deputy administrator for institutions and asset management; Ed Weiler, associate administrator for Space Science; Kevin Peterson, Dryden Flight Research Center director; and implementation team lead Johnny Stevenson to explain how their respective centers contribute to One NASA. Glenn Research Center Director Dr. Julian Earls gave a motivational speech during the luncheon held at the Visitor Complex Debus Conference Center.

Bragg superlattice for obtaining individual photoluminescence of diamond color centers in dense 3D ensembles

NASA Astrophysics Data System (ADS)

Kukushkin, V. A.

2017-10-01

A way to significantly increase the spatial resolution of the color center photoluminescence collection in chemically vapor-deposited (CVD) diamond at a fixed exciting beam focal volume is suggested. It is based on the creation of a narrow waveguide for the color center photoluminescence with a small number of allowed vertical indices of guided modes. The waveguide is formed between the top surface of a CVD diamond film and an underlaid mirror—a Bragg superlattice made of interchanging high- and low boron-doped layers of CVD diamond. The guided color center photoluminescence is extracted through the top surface of a CVD diamond film with the frustrated total internal reflection method. According to the results of simulation made for a case when color centers are nitrogen-vacancy (NV) centers, the suggested way allows to increase the maximal value of the NV center concentration still compatible with selective collection of their photoluminescence by several times at a fixed exciting beam focal volume. This increase is provided without the deterioration of the NV center photoluminescence collection efficiency.

Center removal amount control of magnetorheological finishing process by spiral polishing way

NASA Astrophysics Data System (ADS)

Wang, Yajun; He, Jianguo; Ji, Fang; Huang, Wen; Xiao, Hong; Luo, Qing; Zheng, Yongcheng

2010-10-01

Spiral polishing is a traditional process of computer-controlled optical surfacing. However, the additional polishing amount is great and the center polishing amount is difficult to control. At first, a simplified mathematics model is presented for magnetorheological finishing, which indicates that the center polishing amount and additional polishing amount are proportional to the length and peak value of magnetorheological finishing influence function, and are inversely proportional to pitch and rotation rate of spiral track, and the center polishing amount is much bigger than average polishing amount. Secondly, the relationships of "tool feed way and center polishing amount", "spiral pitch and calculation accuracy of influence matrix for dwell time function solution", "spiral pitch and center polishing amount" and "peak removal rate, dimensions of removal function and center removal amount" are studied by numerical computation by Archimedes spiral path. It shows that the center polishing amount is much bigger in feed stage than that in backhaul stage when the head of influence function is towards workpiece edge in feeding; and the bigger pitch, the bigger calculation error of influence matrix elements; and the bigger pitch, the smaller center polishing amount, and the smaller peak removal rate and dimensions of removal function, the smaller center removal amount. At last, the polishing results are given, which indicates that the center polishing amount is acceptable with a suitable polishing amount rate of feed stage and backhaul stage, and with a suitable spiral pitch during magnetorheological finishing procedure by spiral motion way.

Proposed Construction of the Madera County Educational Center in the State Center Community College District. A Report to the Governor and Legislature in Response to a Request from the Board of Governors of the California Community Colleges.

ERIC Educational Resources Information Center

California State Postsecondary Education Commission, Sacramento.

In this report, the California Postsecondary Education Commission responds to a request by the Chancellor of the California Community Colleges to review the need for and location of a new educational center, the Madera County Educational Center, north of Fresno within the State Center Community College District. The report contains nine…

Dike zones on Venus

NASA Technical Reports Server (NTRS)

Markov, M. S.; Sukhanov, A. L.

1987-01-01

Venusian dike zone structures were identified from Venera 15 and 16 radar images. These include: a zone of subparallel rows centered at 30 deg N, 7 deg E; a system of intersecting bands centered at 67 deg N, 284 deg E; polygonal systems in lavas covering the structural base uplift centered at 47 deg N, 200 deg E; a system of light bands in the region of the ring structure centered at 43 deg N, 13 deg E; and a dike band centered at 27 deg N, 36 deg E.

78 FR 14549 - National Contact Center; Information Collection; National Contact Center Customer Evaluation Survey

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-06

...] National Contact Center; Information Collection; National Contact Center Customer Evaluation Survey AGENCY: Contact Center Services, Federal Citizen Information Center, Office of Citizen Services and Innovative... National Contact Center customer evaluation surveys. In this request, the previously approved surveys have...

An evidence base for patient-centered cancer care: a meta-analysis of studies of observed communication between cancer specialists and their patients.

PubMed

Venetis, Maria K; Robinson, Jeffrey D; Turkiewicz, Katie Laplant; Allen, Mike

2009-12-01

In the context of patients visiting cancer specialists, the objective is to test the association between both patient-centered communication (including Affective Behavior and Participation Behavior) and Instrumental Behavior and patients' post-visit satisfaction with a variety of visit phenomena. Meta-analysis of 25 articles representing 10 distinct data sets. Both patient-centered- and instrumental behavior are significantly, positively associated with satisfaction, with patient-centered communication having a relatively stronger association. There is an evidence base for the efficacy of patient-centered care. Cancer specialists need to train to improve their patient-centered communication.

KSC-03pd1110

NASA Image and Video Library

2003-04-09

KENNEDY SPACE CENTER, FLA. -- NASA Kennedy Space Center engineer Lamar Russell, who is serving as team lead for debris siting reports outside of Texas, points out to his Lufkin Command Center team a location targeted for a grid search. Kennedy Space Center workers are participating in the Columbia Recovery efforts at the Lufkin (Texas) Command Center, four field sites in East Texas, and the Barksdale, La., hangar site. KSC is working with representatives from other NASA Centers and with those from a number of federal, state and local agencies in the recovery effort. KSC provides vehicle technical expertise in the field to identify, collect and return Shuttle hardware to KSC.

Solution of multi-center molecular integrals of Slater-type orbitals

NASA Technical Reports Server (NTRS)

Tai, H.

1989-01-01

The troublesome multi-center molecular integrals of Slater-type orbitals (STO) in molecular physics calculations can be evaluated by using the Fourier transform and proper coupling of the two center exchange integrals. A numerical integration procedure is then readily rendered to the final expression in which the integrand consists of well known special functions of arguments containing the geometrical arrangement of the nuclear centers and the exponents of the atomic orbitals. A practical procedure was devised for the calculation of a general multi-center molecular integrals coupling arbitrary Slater-type orbitals. Symmetry relations and asymptotic conditions are discussed. Explicit expressions of three-center one-electron nuclear-attraction integrals and four-center two-electron repulsion integrals for STO of principal quantum number n=2 are listed. A few numerical results are given for the purpose of comparison.

Strabismus

MedlinePlus

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Nystagmus

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Uveitis

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Retinoblastoma

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Radiological Control Center (RADCC) Renaming Ceremony

NASA Image and Video Library

2017-03-31

Space Center, presents Myrna Scott, widow of Randy Scott, with a replica of the emblem noting that the spaceport's Radiological Control Center has been named in honor of her husband who died last year. The ceremony in the center's Radiological Control Center honored the extensive contributions of Randy Scott. A professional health physicist of more than 40 years, Scott served as the Florida spaceport's Radiation Protection Officer for 14 years until his death June 17, 2016.

7 CFR 226.19a - Adult day care center provisions.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 4 2013-01-01 2013-01-01 false Adult day care center provisions. 226.19a Section 226..., DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT CARE FOOD PROGRAM Operational Provisions § 226.19a Adult day care center provisions. (a) Adult day care centers may participate in the Program...

7 CFR 226.19a - Adult day care center provisions.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 4 2012-01-01 2012-01-01 false Adult day care center provisions. 226.19a Section 226..., DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT CARE FOOD PROGRAM Operational Provisions § 226.19a Adult day care center provisions. (a) Adult day care centers may participate in the Program...

7 CFR 226.19a - Adult day care center provisions.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 4 2014-01-01 2014-01-01 false Adult day care center provisions. 226.19a Section 226..., DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT CARE FOOD PROGRAM Operational Provisions § 226.19a Adult day care center provisions. (a) Adult day care centers may participate in the Program...

A Report on New Haven's Library Neighborhood Centers.

ERIC Educational Resources Information Center

Bloss, Meredith

A library neighborhood center is a community built around a branch library, providing the usual branch library functions of self-education and improvement. Four of New Haven's eight branch libraries are designed as library neighborhood centers. The centers are supported by the Ford Foundation, the City of New Haven, the Office of Economic…

Forum: Learning Outcomes in Communication. The LOCs and the Shift to Student-Centered Learning

ERIC Educational Resources Information Center

Brown, Timothy J.; Castor, Theresa; Byrnes-Loinette, Kerry; Bowman, Jonathan; McBride, Chad

2016-01-01

Traditional teaching is based upon a "teacher"-centered rather than a "student"-centered approach (Bain, 2004). A teacher-centered approach underscores the long held philosophy that instructors are the gatekeepers of knowledge whose job is to convey their knowledge through a lecture, with students as passive receivers during…

Development and Demise of a Women's Center.

ERIC Educational Resources Information Center

Liss, Lora

The formation, development, and demise of a women's center in suburban New York are described. The women's center resulted from a conference designed to assess problems confronting women and to mobilize resources to meet those problems. However, after the formation of the center, a struggle for leadership and conflicts over the values and beliefs…

Constructing a Learner-Centered Syllabus: One Professor's Journey. IDEA Paper #60

ERIC Educational Resources Information Center

Richmond, Aaron S.

2016-01-01

Educators increasingly agree that a learner-centered syllabus is associated with better rapport between students and teachers and increased student motivation, achievement, and empowerment. Accordingly, in 2009 Cullen and Harris developed a rubric for assessing the degree to which a syllabus is learner-centered versus teacher-centered. To date,…

OWC with vortex beams in data center networks

NASA Astrophysics Data System (ADS)

Kupferman, Judy; Arnon, Shlomi

2017-10-01

Data centers are a key building block in the rapidly growing area of internet technology. A typical data center has tens of thousands of servers, and communication between them must be flexible and robust. Vortex light beams have orbital angular momentum and can provide a useful and flexible method for optical wireless communication in data centers. Vortex beams can be generated with orbital angular momentum but independent of polarization, and used in a multiplexed system. We propose a multiplexing vortex system to increase the communication capacity using optical wireless communication for data center networks. We then evaluate performance. This paper is intended for use as an engineering guideline for design of vortex multiplexing in data center applications.

The transplant center and business unit as a model for specialized care delivery.

PubMed

Gaber, A Osama; Schwartz, Roberta L; Bernard, David P; Zylicz, Susan

2013-12-01

Transplant centers are valuable assets to a transplantation hospital and essential to organize the delivery of patient care. A transplant center defined around physicians and activities of caring for patients with organ failure creates a team better equipped to manage care across the continuum of the diseases treated by transplantation. Through monitoring of clinical and financial outcomes, the transplant center can better respond to the changing regulatory and financial landscape of health care. This article seeks to explain the major organizational challenges facing the transplant center and how a transplant center can best serve its patients and parent organization. Copyright © 2013 Elsevier Inc. All rights reserved.

48 CFR 235.017 - Federally Funded Research and Development Centers.

Code of Federal Regulations, 2011 CFR

2011-10-01

... and Development Centers. 235.017 Section 235.017 Federal Acquisition Regulations System DEFENSE... DEVELOPMENT CONTRACTING 235.017 Federally Funded Research and Development Centers. (a) Policy. (2) No DoD... Funded Research and Development Center (FFRDC) if a member of its board of directors or trustees...

48 CFR 235.017 - Federally Funded Research and Development Centers.

Code of Federal Regulations, 2014 CFR

2014-10-01

... and Development Centers. 235.017 Section 235.017 Federal Acquisition Regulations System DEFENSE... DEVELOPMENT CONTRACTING 235.017 Federally Funded Research and Development Centers. (a) Policy. (2) No DoD... Funded Research and Development Center (FFRDC) if a member of its board of directors or trustees...

48 CFR 235.017 - Federally Funded Research and Development Centers.

Code of Federal Regulations, 2010 CFR

2010-10-01

... and Development Centers. 235.017 Section 235.017 Federal Acquisition Regulations System DEFENSE... DEVELOPMENT CONTRACTING 235.017 Federally Funded Research and Development Centers. (a) Policy. (2) No DoD... Funded Research and Development Center (FFRDC) if a member of its board of directors or trustees...

48 CFR 235.017 - Federally Funded Research and Development Centers.

Code of Federal Regulations, 2013 CFR

2013-10-01

... and Development Centers. 235.017 Section 235.017 Federal Acquisition Regulations System DEFENSE... DEVELOPMENT CONTRACTING 235.017 Federally Funded Research and Development Centers. (a) Policy. (2) No DoD... Funded Research and Development Center (FFRDC) if a member of its board of directors or trustees...

48 CFR 235.017 - Federally Funded Research and Development Centers.

Code of Federal Regulations, 2012 CFR

2012-10-01

... and Development Centers. 235.017 Section 235.017 Federal Acquisition Regulations System DEFENSE... DEVELOPMENT CONTRACTING 235.017 Federally Funded Research and Development Centers. (a) Policy. (2) No DoD... Funded Research and Development Center (FFRDC) if a member of its board of directors or trustees...

75 FR 48853 - National Health Center Week, 2010

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-11

... Part IV The President Proclamation 8545--National Health Center Week, 2010 #0; #0; #0..., 2010 National Health Center Week, 2010 By the President of the United States of America A Proclamation America's community health centers are a vital component of our health care system, providing underserved...

77 FR 47765 - National Health Center Week, 2012

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-09

... Health Center Week, 2012 By the President of the United States of America A Proclamation For nearly half a century, health centers have helped make primary care services available and affordable for... lives. During National Health Center Week, we recognize the professionals who power our Nation's health...

PLANNING A NATURE CENTER.

ERIC Educational Resources Information Center

ASHBAUGH, BYRON L.

THIS BULLETIN IS PRODUCED BY THE NATURE CENTERS DIVISION, NATIONAL AUDUBON SOCIETY TO PROVIDE PROFESSIONAL GUIDANCE AND TECHNICAL KNOW-HOW IN THE DEVELOPMENT OF COMMUNITY NATURE AND CONSERVATION CENTERS. THE TOPICS COVERED ARE--(1) PURPOSE AND VALUE OF A NATURE AND CONSERVATION CENTER, (2) INITIAL CONSIDERATIONS SUCH AS COMMUNITY READINESS, LAND…

Predictors of senior center use among older adults in New York City public housing.

PubMed

Schneider, Amanda E; Ralph, Nancy; Olson, Carolyn; Flatley, Anne-Marie; Thorpe, Lorna

2014-12-01

Despite agreement among stakeholders that senior centers can promote physical and mental health, research on senior center use in urban populations is limited. Our objective was to describe demographic and health factors associated with senior center use among urban, low-income older adults in order to inform programming and outreach efforts. We used data from a 2009 telephone survey of 1036 adults randomly selected from rosters of New York City public housing residents aged 65 and older. We analyzed senior center use by race/ethnicity, age, gender, health, housing type, and income, and used a forward selection approach to build best-fit models predicting senior center use. Older adults of all ages and of both genders reported substantial use of senior centers, with nearly one third (31.3%) reporting use. Older adults living alone, at risk of depression, or living in specialized senior housing had the greatest use of centers. Senior center use varied by race/ethnicity, and English-speaking Hispanics had a higher prevalence of use than Spanish-speaking Hispanics (adjusted prevalence ratio [PR]=1.69, 95% CI: 1.11-2.59). Spanish-speaking communities and older adults living in non-senior congregate housing are appropriate targets for increased senior center outreach efforts.

[Descriptive Study of sickness absence in the health care sector of Catalonia (2009-2012)].

PubMed

Vilardell, Miquel; Esteve Pardo, Maria; Carreras Valls, Rosa; Olivé Cristany, Victòria; Bretau Viñas, Frederic; Subirats Cid, Pilar; Sánchez Flores, Eugenia; Villegas Rodríguez, Sonia; Guixeras Campos, Assumpció; Torrecillas Mota, Susana; Barroso Reinon, Sonia; Serra Pujadas, Consol; Santiñà Vila, Manel

2016-01-01

To describe the incidence and evolution of sickness absence (SA) for non-occupational and occupational illness/injury in the population of workers in Catalonian Health Centers based on the definition of a set of common indicators. The study population consisted of 25,964 workers from 30 health centers in Catalonia, during 2009-2012. Information on SA episodes was obtained from records of the Directorate of Human Resources. SA indicators were defined, and SA incidence rates and temporal evolution were calculated, depending on the length and type of episode, and the size and activity of health centers. SA incidence rates for non-occupational illness and injury showed a decreasing trend during 2009-2012. Smaller centers had lower SA rates for non-occupational conditions than larger centers (p〈0.001). Social health centers had higher SA rates of non-occupational illness and injury, especially those with a very short duration (p〈0.001). Primary care centers had the lowest SA occupational illness and injury rates, with the highest rates occurring in the social health centers, especially long-term centers (p〈0.001). The differences in incidence rates of SA detected by type of activity of the health centers could be due to differences in working conditions. Copyright belongs to the Societat Catalana de Salut Laboral.

Ocular Melanoma

MedlinePlus

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Herpes Keratitis

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Cataract Surgery

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Black Eye

MedlinePlus

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Ocular Hypertension

MedlinePlus

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Corneal Ulcer

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Bacterial Keratitis

MedlinePlus

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Fungal Keratitis

MedlinePlus

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Eye Symptoms

MedlinePlus

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Protective Eyewear

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Preoperative Testing

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Eye Allergies

MedlinePlus

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KSC-04PD-2500

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Center Director Jim Kennedy (right) presents a plaque to the Centers Chief Financial Officer, Nap Carroll, who spearheaded the Kennedy Space Center Combined Federal Campaign. The 2004 campaign netted $389,000 to donate to the United Way of Brevard.

The Volpe National Transportation Systems Center : an introduction

DOT National Transportation Integrated Search

1997-01-01

The Volpe National Transportation Systems Center (Volpe Center) has a long and proud history of defining problems and developing solutions. For more than 25 years, the Center has been applying its unique technical knowledge in planning, research, dev...

78 FR 30303 - National Contact Center; Submission for OMB Review; National Contact Center Customer Evaluation...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-22

...] National Contact Center; Submission for OMB Review; National Contact Center Customer Evaluation Survey AGENCY: Contact Center Services, Federal Citizen Information Center, Office of Citizen Services and... regarding the National Contact Center customer evaluation surveys. In this request, the previously approved...

On the practice of ignoring center-patient interactions in evaluating hospital performance.

PubMed

Varewyck, Machteld; Vansteelandt, Stijn; Eriksson, Marie; Goetghebeur, Els

2016-01-30

We evaluate the performance of medical centers based on a continuous or binary patient outcome (e.g., 30-day mortality). Common practice adjusts for differences in patient mix through outcome regression models, which include patient-specific baseline covariates (e.g., age and disease stage) besides center effects. Because a large number of centers may need to be evaluated, the typical model postulates that the effect of a center on outcome is constant over patient characteristics. This may be violated, for example, when some centers are specialized in children or geriatric patients. Including interactions between certain patient characteristics and the many fixed center effects in the model increases the risk for overfitting, however, and could imply a loss of power for detecting centers with deviating mortality. Therefore, we assess how the common practice of ignoring such interactions impacts the bias and precision of directly and indirectly standardized risks. The reassuring conclusion is that the common practice of working with the main effects of a center has minor impact on hospital evaluation, unless some centers actually perform substantially better on a specific group of patients and there is strong confounding through the corresponding patient characteristic. The bias is then driven by an interplay of the relative center size, the overlap between covariate distributions, and the magnitude of the interaction effect. Interestingly, the bias on indirectly standardized risks is smaller than on directly standardized risks. We illustrate our findings by simulation and in an analysis of 30-day mortality on Riksstroke. © 2015 The Authors. Statistics in Medicine published by John Wiley & Sons Ltd.

Current status of brachytherapy in Korea: a national survey of radiation oncologists

PubMed Central

Kim, Joo-Young; Park, Won; Kim, Young Seok

2016-01-01

Objective The aim of the present study was to acquire information on brachytherapy resources in Korea through a national survey of radiation oncologists. Methods Between October 2014 and January 2015, a questionnaire on the current status of brachytherapy was distributed to all 86 radiation oncology departments in Korea. The questionnaire was divided into sections querying general information on human resources, brachytherapy equipment, and suggestions for future directions of brachytherapy policy in Korea. Results The response rate of the survey was 88.3%. The average number of radiation oncologists per center was 2.3. At the time of survey, 28 centers (36.8%) provided brachytherapy to patients. Among the 28 brachytherapy centers, 15 (53.5%) were located in in the capital Seoul and its surrounding metropolitan areas. All brachytherapy centers had a high-dose rate system using 192Ir (26 centers) or 60Co (two centers). Among the 26 centers using 192Ir sources, 11 treated fewer than 40 patients per year. In the two centers using 60Co sources, the number of patients per year was 16 and 120, respectively. The most frequently cited difficulties in performing brachytherapy were cost related. A total of 21 centers had a plan to sustain the current brachytherapy system, and four centers noted plans to upgrade their brachytherapy system. Two centers stated that they were considering discontinuation of brachytherapy due to cost burdens of radioisotope source replacement. Conclusion The present study illustrated the current status of brachytherapy in Korea. Financial difficulties were the major barriers to the practice of brachytherapy. PMID:27102244

Current status of brachytherapy in Korea: a national survey of radiation oncologists.

PubMed

Kim, Haeyoung; Kim, Joo Young; Kim, Juree; Park, Won; Kim, Young Seok; Kim, Hak Jae; Kim, Yong Bae

2016-07-01

The aim of the present study was to acquire information on brachytherapy resources in Korea through a national survey of radiation oncologists. Between October 2014 and January 2015, a questionnaire on the current status of brachytherapy was distributed to all 86 radiation oncology departments in Korea. The questionnaire was divided into sections querying general information on human resources, brachytherapy equipment, and suggestions for future directions of brachytherapy policy in Korea. The response rate of the survey was 88.3%. The average number of radiation oncologists per center was 2.3. At the time of survey, 28 centers (36.8%) provided brachytherapy to patients. Among the 28 brachytherapy centers, 15 (53.5%) were located in in the capital Seoul and its surrounding metropolitan areas. All brachytherapy centers had a high-dose rate system using (192)Ir (26 centers) or (60)Co (two centers). Among the 26 centers using (192)Ir sources, 11 treated fewer than 40 patients per year. In the two centers using (60)Co sources, the number of patients per year was 16 and 120, respectively. The most frequently cited difficulties in performing brachytherapy were cost related. A total of 21 centers had a plan to sustain the current brachytherapy system, and four centers noted plans to upgrade their brachytherapy system. Two centers stated that they were considering discontinuation of brachytherapy due to cost burdens of radioisotope source replacement. The present study illustrated the current status of brachytherapy in Korea. Financial difficulties were the major barriers to the practice of brachytherapy.

Center-Specific Factors Associated with Peritonitis Risk-A Multi-Center Registry Analysis.

PubMed

Nadeau-Fredette, Annie-Claire; Johnson, David W; Hawley, Carmel M; Pascoe, Elaine M; Cho, Yeoungjee; Clayton, Philip A; Borlace, Monique; Badve, Sunil V; Sud, Kamal; Boudville, Neil; McDonald, Stephen P

♦ Previous studies have reported significant variation in peritonitis rates across dialysis centers. Limited evidence is available to explain this variability. The aim of this study was to assess center-level predictors of peritonitis and their relationship with peritonitis rate variations. ♦ All incident peritoneal dialysis (PD) patients treated in Australia between October 2003 and December 2013 were included. Data were accessed through the Australia and New Zealand Dialysis and Transplant Registry. The primary outcome was peritonitis rate, evaluated in a mixed effects negative binomial regression model. Peritonitis-free survival was assessed as a secondary outcome in a Cox proportional hazards model. ♦ Overall, 8,711 incident PD patients from 51 dialysis centers were included in the study. Center-level predictors of lower peritonitis rates included smaller center size, high proportion of PD, low peritoneal equilibration test use at PD start, and low proportion of hospitalization for peritonitis. In contrast, a low proportion of automated PD exposure, high icodextrin exposure and low or high use of antifungal prophylaxis at the time of peritonitis were associated with a higher peritonitis rate. Similar results were obtained for peritonitis-free survival. Overall, accounting for center-level characteristics appreciably decreased peritonitis variability among dialysis centers (p = 0.02). ♦ This study identified specific center-level characteristics associated with the variation in peritonitis risk. Whether these factors are directly related to peritonitis risk or surrogate markers for other center characteristics is uncertain and should be validated in further studies. Copyright © 2016 International Society for Peritoneal Dialysis.

Software-defined optical network for metro-scale geographically distributed data centers.

PubMed

Samadi, Payman; Wen, Ke; Xu, Junjie; Bergman, Keren

2016-05-30

The emergence of cloud computing and big data has rapidly increased the deployment of small and mid-sized data centers. Enterprises and cloud providers require an agile network among these data centers to empower application reliability and flexible scalability. We present a software-defined inter data center network to enable on-demand scale out of data centers on a metro-scale optical network. The architecture consists of a combined space/wavelength switching platform and a Software-Defined Networking (SDN) control plane equipped with a wavelength and routing assignment module. It enables establishing transparent and bandwidth-selective connections from L2/L3 switches, on-demand. The architecture is evaluated in a testbed consisting of 3 data centers, 5-25 km apart. We successfully demonstrated end-to-end bulk data transfer and Virtual Machine (VM) migrations across data centers with less than 100 ms connection setup time and close to full link capacity utilization.

Child center closures: Does nonprofit status provide a comparative advantage?

PubMed

Lam, Marcus; Klein, Sacha; Freisthler, Bridget; Weiss, Robert E

2013-03-01

Reliable access to dependable, high quality childcare services is a vital concern for large numbers of American families. The childcare industry consists of private nonprofit, private for-profit, and governmental providers that differ along many dimensions, including quality, clientele served, and organizational stability. Nonprofit providers are theorized to provide higher quality services given comparative tax advantages, higher levels of consumer trust, and management by mission driven entrepreneurs. This study examines the influence of ownership structure, defined as nonprofit, for-profit sole proprietors, for-profit companies, and governmental centers, on organizational instability, defined as childcare center closures. Using a cross sectional data set of 15724 childcare licenses in California for 2007, we model the predicted closures of childcare centers as a function of ownership structure as well as center age and capacity. Findings indicate that for small centers (capacity of 30 or less) nonprofits are more likely to close, but for larger centers (capacity 30+) nonprofits are less likely to close. This suggests that the comparative advantages available for nonprofit organizations may be better utilized by larger centers than by small centers. We consider the implications of our findings for parents, practitioners, and social policy.

Investigation on location dependent detectability in cone beam CT images with uniform and anatomical backgrounds

NASA Astrophysics Data System (ADS)

Han, Minah; Baek, Jongduk

2017-03-01

We investigate location dependent lesion detectability of cone beam computed tomography images for different background types (i.e., uniform and anatomical), image planes (i.e., transverse and longitudinal) and slice thicknesses. Anatomical backgrounds are generated using a power law spectrum of breast anatomy, 1/f3. Spherical object with a 5mm diameter is used as a signal. CT projection data are acquired by the forward projection of uniform and anatomical backgrounds with and without the signal. Then, projection data are reconstructed using the FDK algorithm. Detectability is evaluated by a channelized Hotelling observer with dense difference-of-Gaussian channels. For uniform background, off-centered images yield higher detectability than iso-centered images for the transverse plane, while for the longitudinal plane, detectability of iso-centered and off-centered images are similar. For anatomical background, off-centered images yield higher detectability for the transverse plane, while iso-centered images yield higher detectability for the longitudinal plane, when the slice thickness is smaller than 1.9mm. The optimal slice thickness is 3.8mm for all tasks, and the transverse plane at the off-center (iso-center and off-center) produces the highest detectability for uniform (anatomical) background.

Child center closures: Does nonprofit status provide a comparative advantage?

PubMed Central

Lam, Marcus; Klein, Sacha; Freisthler, Bridget; Weiss, Robert E.

2013-01-01

Reliable access to dependable, high quality childcare services is a vital concern for large numbers of American families. The childcare industry consists of private nonprofit, private for-profit, and governmental providers that differ along many dimensions, including quality, clientele served, and organizational stability. Nonprofit providers are theorized to provide higher quality services given comparative tax advantages, higher levels of consumer trust, and management by mission driven entrepreneurs. This study examines the influence of ownership structure, defined as nonprofit, for-profit sole proprietors, for-profit companies, and governmental centers, on organizational instability, defined as childcare center closures. Using a cross sectional data set of 15724 childcare licenses in California for 2007, we model the predicted closures of childcare centers as a function of ownership structure as well as center age and capacity. Findings indicate that for small centers (capacity of 30 or less) nonprofits are more likely to close, but for larger centers (capacity 30+) nonprofits are less likely to close. This suggests that the comparative advantages available for nonprofit organizations may be better utilized by larger centers than by small centers. We consider the implications of our findings for parents, practitioners, and social policy. PMID:23543882

Comparison of Node-Centered and Cell-Centered Unstructured Finite-Volume Discretizations. Part 1; Viscous Fluxes

NASA Technical Reports Server (NTRS)

Diskin, Boris; Thomas, James L.; Nielsen, Eric J.; Nishikawa, Hiroaki; White, Jeffery A.

2009-01-01

Discretization of the viscous terms in current finite-volume unstructured-grid schemes are compared using node-centered and cell-centered approaches in two dimensions. Accuracy and efficiency are studied for six nominally second-order accurate schemes: a node-centered scheme, cell-centered node-averaging schemes with and without clipping, and cell-centered schemes with unweighted, weighted, and approximately mapped least-square face gradient reconstruction. The grids considered range from structured (regular) grids to irregular grids composed of arbitrary mixtures of triangles and quadrilaterals, including random perturbations of the grid points to bring out the worst possible behavior of the solution. Two classes of tests are considered. The first class of tests involves smooth manufactured solutions on both isotropic and highly anisotropic grids with discontinuous metrics, typical of those encountered in grid adaptation. The second class concerns solutions and grids varying strongly anisotropically over a curved body, typical of those encountered in high-Reynolds number turbulent flow simulations. Results from the first class indicate the face least-square methods, the node-averaging method without clipping, and the node-centered method demonstrate second-order convergence of discretization errors with very similar accuracies per degree of freedom. The second class of tests are more discriminating. The node-centered scheme is always second order with an accuracy and complexity in linearization comparable to the best of the cell-centered schemes. In comparison, the cell-centered node-averaging schemes are less accurate, have a higher complexity in linearization, and can fail to converge to the exact solution when clipping of the node-averaged values is used. The cell-centered schemes using least-square face gradient reconstruction have more compact stencils with a complexity similar to the complexity of the node-centered scheme. For simulations on highly anisotropic curved grids, the least-square methods have to be amended either by introducing a local mapping of the surface anisotropy or modifying the scheme stencil to reflect the direction of strong coupling.

Variation in Structure and Process of Care in Traumatic Brain Injury: Provider Profiles of European Neurotrauma Centers Participating in the CENTER-TBI Study.

PubMed

Cnossen, Maryse C; Polinder, Suzanne; Lingsma, Hester F; Maas, Andrew I R; Menon, David; Steyerberg, Ewout W

2016-01-01

The strength of evidence underpinning care and treatment recommendations in traumatic brain injury (TBI) is low. Comparative effectiveness research (CER) has been proposed as a framework to provide evidence for optimal care for TBI patients. The first step in CER is to map the existing variation. The aim of current study is to quantify variation in general structural and process characteristics among centers participating in the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study. We designed a set of 11 provider profiling questionnaires with 321 questions about various aspects of TBI care, chosen based on literature and expert opinion. After pilot testing, questionnaires were disseminated to 71 centers from 20 countries participating in the CENTER-TBI study. Reliability of questionnaires was estimated by calculating a concordance rate among 5% duplicate questions. All 71 centers completed the questionnaires. Median concordance rate among duplicate questions was 0.85. The majority of centers were academic hospitals (n = 65, 92%), designated as a level I trauma center (n = 48, 68%) and situated in an urban location (n = 70, 99%). The availability of facilities for neuro-trauma care varied across centers; e.g. 40 (57%) had a dedicated neuro-intensive care unit (ICU), 36 (51%) had an in-hospital rehabilitation unit and the organization of the ICU was closed in 64% (n = 45) of the centers. In addition, we found wide variation in processes of care, such as the ICU admission policy and intracranial pressure monitoring policy among centers. Even among high-volume, specialized neurotrauma centers there is substantial variation in structures and processes of TBI care. This variation provides an opportunity to study effectiveness of specific aspects of TBI care and to identify best practices with CER approaches.

National Health Information Center

MedlinePlus

... About ODPHP National Health Information Center National Health Information Center The National Health Information Center (NHIC) is ... of interest View the NHO calendar . Federal Health Information Centers and Clearinghouses Federal Health Information Centers and ...

Practicing Fireworks Safety

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What Is Cellulitis?

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Bell's Palsy Symptoms

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What Is Glaucoma?

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Preventing Eye Injuries

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Cataract Vision Simulator

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Chalazia and Styes

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Retinopathy of Prematurity

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What Is Hemangioma?

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Employee attitudes towards aggression in persons with dementia: Readiness for wider adoption of person-centered frameworks.

PubMed

Burshnic, V L; Douglas, N F; Barker, R M

2018-04-01

Person-centered care, as compared to standard approaches, is a widely accepted, evidence-based approach for managing aggressive behaviour in persons with dementia. The attitudes, beliefs and values of long-term care and mental health nursing employees are important prerequisites to implementing person-centered practices. Research shows that nursing employees typically support person-centered approaches; however, less is known about the attitudes of non-nursing employee groups. Nurse managers and administrators tended to agree with person-centered approaches for managing aggression in dementia, suggesting some prerequisites are in place to support wider adoption of person-centered frameworks. Employees with more resident contact tended to support person-centered approaches the least, suggesting discipline-specific trainings may not be adequate for preparing frontline staff to use person-centered techniques. Attitudes towards aggressive behaviour may be especially varied and contradictory within certain employee groups, providing implications for facility-wide initiatives. Person-centered values and practices should be monitored and reinforced across the organization. Person-centered trainings should be interdisciplinary in nature and focused on care areas, such as mealtime or bathing. Long-term care facilities should consider allowing nurse management and registered nurses to share the burden of direct resident care with frontline employees on a more regular basis. Introduction Implementing person-centered care requires shared attitudes, beliefs and values among all care employees. Existing research has failed to examine the attitudes of non-nursing employees. Aim This study examined attitudes towards aggression among nursing and non-nursing employees to address gaps in existing research and assess readiness for wider adoption of person-centered frameworks. Method The Management of Aggression in People with Dementia Attitude Questionnaire was used to survey attitudes of employees in Michigan-based nursing homes. Results Overall, employees preferred person-centered over standard approaches. Job title was a significant predictor of paradigm support. Frontline employees were found to support person-centered attitudes the least. Wide-ranging responses were noted within employee groups. Discussion Job title may influence the degree to which an employee supports and utilizes person-centered approaches. Employees with the most contact with persons with dementia may be the least likely to implement person-centered approaches. In contrast to prior studies, years of experience was not a significant predictor of attitude towards aggressive behaviour. Wide-ranging responses indicate that employee attitudes are varied and complex. Implications Person-centered approaches should be trained within care areas rather than individual employee groups. Programs should be interdisciplinary and seek to establish a shared understanding of person-centered beliefs and values. © 2018 John Wiley & Sons Ltd.

Making Child Care Centers SAFER: A Non-Regulatory Approach to Improving Child Care Center Siting

PubMed Central

Somers, Tarah S; Harvey, Margaret L.; Rusnak, Sharee Major

2011-01-01

Licensed child care centers are generally considered to be safe because they are required to meet state licensing regulations. As part of their licensing requirements, many states inspect child care centers and include an assessment of the health and safety of the facility to look for hazardous conditions or practices that may harm children. However, most states do not require an environmental assessment of the child care center building or land to prevent a center from being placed on, next to, or inside contaminated buildings. Having worked on several sites where child care centers were affected by environmental contaminants, the Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry (ATSDR) endeavor to raise awareness of this issue. One of ATSDR's partner states, Connecticut, took a proactive, non-regulatory approach to the issue with the development its Child Day Care Screening Assessment for Environmental Risk Program. PMID:21563710

Variation in monitoring and treatment policies for intracranial hypertension in traumatic brain injury: a survey in 66 neurotrauma centers participating in the CENTER-TBI study.

PubMed

Cnossen, Maryse C; Huijben, Jilske A; van der Jagt, Mathieu; Volovici, Victor; van Essen, Thomas; Polinder, Suzanne; Nelson, David; Ercole, Ari; Stocchetti, Nino; Citerio, Giuseppe; Peul, Wilco C; Maas, Andrew I R; Menon, David; Steyerberg, Ewout W; Lingsma, Hester F

2017-09-06

No definitive evidence exists on how intracranial hypertension should be treated in patients with traumatic brain injury (TBI). It is therefore likely that centers and practitioners individually balance potential benefits and risks of different intracranial pressure (ICP) management strategies, resulting in practice variation. The aim of this study was to examine variation in monitoring and treatment policies for intracranial hypertension in patients with TBI. A 29-item survey on ICP monitoring and treatment was developed on the basis of literature and expert opinion, and it was pilot-tested in 16 centers. The questionnaire was sent to 68 neurotrauma centers participating in the Collaborative European Neurotrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study. The survey was completed by 66 centers (97% response rate). Centers were mainly academic hospitals (n = 60, 91%) and designated level I trauma centers (n = 44, 67%). The Brain Trauma Foundation guidelines were used in 49 (74%) centers. Approximately 90% of the participants (n = 58) indicated placing an ICP monitor in patients with severe TBI and computed tomographic abnormalities. There was no consensus on other indications or on peri-insertion precautions. We found wide variation in the use of first- and second-tier treatments for elevated ICP. Approximately half of the centers were classified as using a relatively aggressive approach to ICP monitoring and treatment (n = 32, 48%), whereas the others were considered more conservative (n = 34, 52%). Substantial variation was found regarding monitoring and treatment policies in patients with TBI and intracranial hypertension. The results of this survey indicate a lack of consensus between European neurotrauma centers and provide an opportunity and necessity for comparative effectiveness research.

The National Space Science and Technology Center (NSSTC)

NASA Technical Reports Server (NTRS)

2003-01-01

The National Space Science and Technology Center (NSSTC), located in Huntsville, Alabama, is a laboratory for cutting-edge research in selected scientific and engineering disciplines. The major objectives of the NSSTC are to provide multiple fields of expertise coming together to solve solutions to science and technology problems, and gaining recognition as a world-class science research organization. The center, opened in August 2000, focuses on space science, Earth sciences, information technology, optics and energy technology, biotechnology and materials science, and supports NASA's mission of advancing and communicating scientific knowledge using the environment of space for research. In addition to providing basic and applied research, NSSTC, with its student participation, also fosters the next generation of scientists and engineers. NSSTC is a collaborated effort between NASA and the state of Alabama through the Space Science and Technology alliance, a group of six universities including the Universities of Alabama in Huntsville (UAH),Tuscaloosa (UA), and Birmingham (UAB); the University of South Alabama in Mobile (USA);Alabama Agricultural and Mechanical University (AM) in Huntsville; and Auburn University (AU) in Auburn. Participating federal agencies include NASA, Marshall Space Flight Center, the National Oceanic and Atmospheric Administration, the Department of Defense, the National Science Foundation, and the Department of Energy. Industries involved include the Space Science Research Center, the Global Hydrology and Climate Center, the Information Technology Research Center, the Optics and Energy Technology Center, the Propulsion Research Center, the Biotechnology Research Center, and the Materials Science Research Center. This photo shows the completed center with the additional arnex (right of building) that added an additional 80,000 square feet (7,432 square meters) to the already existent NSSTC, nearly doubling the size of the core facility. At full capacity, the NSSTC tops 200,000 square feet (18,580 square meters) and houses approximately 550 employees.

Case mix-adjusted cost of colectomy at low-, middle-, and high-volume academic centers.

PubMed

Chang, Alex L; Kim, Young; Ertel, Audrey E; Hoehn, Richard S; Wima, Koffi; Abbott, Daniel E; Shah, Shimul A

2017-05-01

Efforts to regionalize surgery based on thresholds in procedure volume may have consequences on the cost of health care delivery. This study aims to delineate the relationship between hospital volume, case mix, and variability in the cost of operative intervention using colectomy as the model. All patients undergoing colectomy (n = 90,583) at 183 academic hospitals from 2009-2012 in The University HealthSystems Consortium Database were studied. Patient and procedure details were used to generate a case mix-adjusted predictive model of total direct costs. Observed to expected costs for each center were evaluated between centers based on overall procedure volume. Patient and procedure characteristics were significantly different between volume tertiles. Observed costs at high-volume centers were less than at middle- and low-volume centers. According to our predictive model, high-volume centers cared for a less expensive case mix than middle- and low-volume centers ($12,786 vs $13,236 and $14,497, P < .01). Our predictive model accounted for 44% of the variation in costs. Overall efficiency (standardized observed to expected costs) was greatest at high-volume centers compared to middle- and low-volume tertiles (z score -0.16 vs 0.02 and -0.07, P < .01). Hospital costs and cost efficiency after an elective colectomy varies significantly between centers and may be attributed partially to the patient differences at those centers. These data demonstrate that a significant proportion of the cost variation is due to a distinct case mix at low-volume centers, which may lead to perceived poor performance at these centers. Copyright © 2016 Elsevier Inc. All rights reserved.

Detonation command and control

DOE Office of Scientific and Technical Information (OSTI.GOV)

Mace, Jonathan Lee; Seitz, Gerald J.; Echave, John A.

The detonation of one or more explosive charges and propellant charges by a detonator in response to a fire control signal from a command and control system comprised of a command center and instrumentation center with a communications link therebetween. The fire control signal is selectively provided to the detonator from the instrumentation center if plural detonation control switches at the command center are in a fire authorization status, and instruments, and one or more interlocks, if included, are in a ready for firing status. The instrumentation and command centers are desirably mobile, such as being respective vehicles.

Detonation command and control

DOEpatents

Mace, Jonathan L.; Seitz, Gerald J.; Echave, John A.; Le Bas, Pierre-Yves

2015-11-10

The detonation of one or more explosive charges and propellant charges by a detonator in response to a fire control signal from a command and control system comprised of a command center and instrumentation center with a communications link therebetween. The fire control signal is selectively provided to the detonator from the instrumentation center if plural detonation control switches at the command center are in a fire authorization status, and instruments, and one or more interlocks, if included, are in a ready for firing status. The instrumentation and command centers are desirably mobile, such as being respective vehicles.

Detonation command and control

DOEpatents

Mace, Jonathan L.; Seitz, Gerald J.; Echave, John A.; Le Bas, Pierre-Yves

2016-05-31

The detonation of one or more explosive charges and propellant charges by a detonator in response to a fire control signal from a command and control system comprised of a command center and instrumentation center with a communications link there between. The fire control signal is selectively provided to the detonator from the instrumentation center if plural detonation control switches at the command center are in a fire authorization status, and instruments, and one or more interlocks, if included, are in a ready for firing status. The instrumentation and command centers are desirably mobile, such as being respective vehicles.

Get Screened at 40

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What is Color Blindness?

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Retinal Detachment Vision Simulator

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Eye Injuries at Home

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Smoking and Eye Health

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Recommended Types of Sunglasses

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What Is Diabetic Retinopathy?

MedlinePlus

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Amblyopia: Lazy Eye Diagnosis

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Eyeglasses for Vision Correction

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Central Serous Retinopathy Treatment

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Amblyopia: Lazy Eye Treatment

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Microvascular Cranial Nerve Palsy

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Use of Windbreaks for Hurricane Protection of Critical Facilities

NASA Technical Reports Server (NTRS)

Hyater-Adams, Sinone; DeYoung, Russell J.

2012-01-01

The protection of NASA Langley Research Center from future hurricanes is important in order to allow the center to fulfill its mission. The impact of the center is not only great within NASA but the economy as well. The infrastructure of the Center is under potential risk in the future because of more intense hurricanes with higher speed winds and flooding. A potential method of protecting the Center s facilities is the placement of a windbreak barrier composed of indigenous trees. The New Town program that is now in progress creates a more condensed area of focus for protection. A potential design for an efficient tree windbreak barrier for Langley Research center is proposed.

Patterns in hospitals' use of a regional poison information center.

PubMed Central

Chafee-Bahamon, C; Caplan, D L; Lovejoy, F H

1983-01-01

A statewide poison center undertook a study to identify types of hospitals which used its information services. Initial trends in calls from hospitals to the center over the center's first two years and percentages of hospitals' patient caseloads for which the center consulted were analyzed for 104 acute care hospitals by hospitals' location, size, and emergency room staffing. After the center's establishment as a regional resource, emergency room staff in urban teaching hospitals showed the greatest increase in calls within a year (88 per cent) and the highest consultation rates for poison patients seen (57 per cent). Private physician emergency room staff, and staff in distant and rural hospitals, showed lower or no increases in calls and lower consultation rates. Findings suggest that private physician emergency room staff and staff in distant and rural hospitals be considered for poison center outreach. Marketing of consultation services for non-pediatric overdoses is also indicated. PMID:6829822

A hypothesis on the formation of the primary ossification centers in the membranous neurocranium: a mathematical and computational model.

PubMed

Garzón-Alvarado, Diego A

2013-01-21

This article develops a model of the appearance and location of the primary centers of ossification in the calvaria. The model uses a system of reaction-diffusion equations of two molecules (BMP and Noggin) whose behavior is of type activator-substrate and its solution produces Turing patterns, which represents the primary ossification centers. Additionally, the model includes the level of cell maturation as a function of the location of mesenchymal cells. Thus the mature cells can become osteoblasts due to the action of BMP2. Therefore, with this model, we can have two frontal primary centers, two parietal, and one, two or more occipital centers. The location of these centers in the simplified computational model is highly consistent with those centers found at an embryonic level. Copyright © 2012 Elsevier Ltd. All rights reserved.

Syracuse University's Center for Instructional Development; Its Role, Organization, and Procedures.

ERIC Educational Resources Information Center

Diamond, Robert M.

A brief report on the Syracuse University Center for Instructional Development is presented which describes the Center's organizational structure and operational procedures. The center combines support services for video, audio, graphics and photographic preparation of materials for instructional use; a research and evaluation unit to assess…

Une maison de culture (A Culture Center).

ERIC Educational Resources Information Center

Mourlevat, Alain

1980-01-01

Describes the "Culture Center" designed by Le Corbusier and located in Firminy, France. The role of the center in arousing intellectual curiosity in people living in a technological age is discussed. The audience of this culture center, young people, and the types of activities directed toward them are described. (AMH)

High-Performance Computing Data Center Warm-Water Liquid Cooling |

Science.gov Websites

Computational Science | NREL Warm-Water Liquid Cooling High-Performance Computing Data Center Warm-Water Liquid Cooling NREL's High-Performance Computing Data Center (HPC Data Center) is liquid water Liquid cooling technologies offer a more energy-efficient solution that also allows for effective

32 CFR 705.25 - Navy Exhibit Center.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 5 2010-07-01 2010-07-01 false Navy Exhibit Center. 705.25 Section 705.25 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY UNITED STATES NAVY REGULATIONS AND OFFICIAL RECORDS PUBLIC AFFAIRS REGULATIONS § 705.25 Navy Exhibit Center. (a) The center is a...

Leading the Learner-Centered Campus

ERIC Educational Resources Information Center

Stamm, Liesa

2011-01-01

For those who advocate for greater attention to the development of the whole student, promoting a climate of student-centered learning on our campuses should be a major component of our endeavors. In "Leading the Learner-Centered Campus", Harris and Cullen provide some concrete proposals for achieving student-centered learning as central to the…

Topics for Lehigh County Seniors.

ERIC Educational Resources Information Center

Lehigh County Community Coll., Schnecksville, PA.

Lehigh County Community College (Pennsylvania) and the Lehigh County Senior Citizens' Center collaborated on a project to assess the learning needs of the senior center's 1,600 members. A needs assessment completed by 68 center members and interviews of an additional 38 center members established that senior citizens preferred short-term workshops…

Tried & Tested. Ideas from Teacher Centers in the Southeast.

ERIC Educational Resources Information Center

Bohstedt, Jinx, Ed.; Eisenmann-Donahue, Pat, Ed.

Throughout the southeastern United States, teacher centers share much in common. The conceptual framework of teachers helping teachers inspires the development of resources and services which are similar whether the center serves a large district or only a few schools. Although the teacher centers share similar philosophies, concerns, successes,…

Conversations on Collaboration: Graduate Students as Writing Program Administrators in the Writing Center

ERIC Educational Resources Information Center

Hewerdine, Jennifer M.

2017-01-01

This research sought to ascertain through a phenomenological approach whether and how collaboration occurs in writing center administration. The reflections and perceptions of former writing center gWPAs provided insight into a variety of institutional contexts and experiences present in writing center collaboration. The participants perceived…

15 CFR 30.5 - Electronic Export Information filing application and certification processes and standards.

Code of Federal Regulations, 2011 CFR

2011-01-01

... through the AES. A service center shall be certified to transmit electronically to the AES. The USPPI, authorized agent, or service center may use a software package designed by a certified vendor to file EEI... software vendor or service center shall complete certification testing. Service centers may only transmit...

75 FR 48365 - Solicitation for a Cooperative Agreement-NIC Cost Containment Online Resource Center Project

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-10

...--NIC Cost Containment Online Resource Center Project AGENCY: National Institute of Corrections, U.S... containment online resource center. The NIC Cost Containment Online Resource Center (CCORC) will be housed on... project's four tasks are to (1) compile a guide providing a detailed review of existing evidence-based...

Motivation to volunteer among senior center participants.

PubMed

Pardasani, Manoj

2018-04-01

Senior centers in the United States play a vital role in the aging continuum of care as the focal points of a community-based system of services targeting independent older adults to promote their social integration and civically engagement. Although several studies have evaluated the diversity of senior center programs, demographic characteristics of participants, and benefits of participation, very few have explored motivations to volunteer among participants. Many senior centers rely on a cadre of participants who volunteer there to assist with programs and meal services. However, a systematic examination of volunteering interests and the rationale for volunteering among senior center participants has been missing from the literature. This mixed-methods study, conducted at a large suburban senior center, explores the interests and motivations of volunteerism among the participants. The study found that there was limited interest in volunteering among senior center participants. Those who were motivated to volunteer wanted to do so in order to stay connected with their community. There was strong interest in volunteering for single events or projects rather than a long-term commitment. Implications for senior centers are discussed.

Segmentation decreases the magnitude of the tilt illusion

PubMed Central

Qiu, Cheng; Kersten, Daniel; Olman, Cheryl A.

2013-01-01

In the tilt illusion, the perceived orientation of a target grating depends strongly on the orientation of a surround. When the orientations of the center and surround gratings differ by a small angle, the center grating appears to tilt away from the surround orientation (repulsion), whereas for a large difference in angle, the center appears to tilt toward the surround orientation (attraction). In order to understand how segmentation/perceptual grouping of the center and surround affect the magnitude of the tilt illusion, we conducted three psychophysical experiments in which we measured observers' perception of center orientation as a function of center-surround relative contrast, relative disparity depth, and geometric features such as occlusion and collinearity. All of these manipulations affected the strength of perceived orientation bias in the center. Our results suggest that if stronger segmentation/perceptual grouping is induced between the center and surround, the tilt repulsion bias decreases/increases. A grouping-dependent tilt illusion plays an important role in visual search and detection by enhancing the sensitivity of our visual system to feature discrepancies, especially in relatively homogenous environments. PMID:24259671

Environment Assessment for the Construction of a Visitor/Education Center at NASA Stennis Space Center

NASA Technical Reports Server (NTRS)

Kennedy, Carolyn D.

2006-01-01

This document is an environmental assessment that examines the environmental impacts of a proposed plan to clear land and to construct a building for the operation of a Visitor/Education Center at a location next to the Mississippi Welcome Center on Interstate 10 along highway 607 in Hancock County Mississippi.

Data center cooling method

DOEpatents

Chainer, Timothy J.; Dang, Hien P.; Parida, Pritish R.; Schultz, Mark D.; Sharma, Arun

2015-08-11

A method aspect for removing heat from a data center may use liquid coolant cooled without vapor compression refrigeration on a liquid cooled information technology equipment rack. The method may also include regulating liquid coolant flow to the data center through a range of liquid coolant flow values with a controller-apparatus based upon information technology equipment temperature threshold of the data center.

Evaluation of infrastructure, equipment and training of 28 burn units/burn centers in Germany, Austria and Switzerland.

PubMed

Vogt, Peter M; Busche, Marc N

2011-03-01

Treatment of burn patients requires special training and skills, and an adequate infrastructure. In the United States, burn center referral criteria and requirements of burn centers are defined by the American Burn Association (ABA) in the Guidelines for the Operation of Burn Centers, and in Germany, by the German Society for Burn Treatment (DGV). The European Burn centers in Austria and the German-speaking part of Switzerland share the standards in the setting of the German-speaking Association for Burn Therapy (DAV) with some modifications. The aim of this study was to evaluate the current infrastructure of burn centers in the three German-speaking countries with respect to the existing guidelines. Therefore, guidelines for burn center referral criteria and burn center requirements were compared between the USA (ABA) and Germany (DGV). In addition, a questionnaire was sent to all burn centers in Germany, Austria and the German-speaking part of Switzerland, in order to collect current information regarding the architectural and medical infrastructure, available equipment and care-providing personnel. The comparison of guidelines for the USA and Germany revealed similar burn center referral criteria for both countries. With respect to burn center requirements, both the USA and Germany have similar requirements, albeit with different focus points. In Germany, the main focus lies on the infrastructural requirements for burn centers, while in the US, the main focus lies on the requirements for medical and nursing personnel. Critical review of the responses from the burn centers of German-speaking countries revealed that the biggest infrastructural differences among centers were observed in burn units providing pediatric care, as compared to adult burn centers. In summary, the DGV guidelines for German-speaking countries reflect an overall adoption of the ABA guidelines, and the burn centers included in this study met those requirements. As a result of the positive experience and effective treatment of burn patients in German-speaking countries, we recommend an adoption of the ABA guidelines to those countries and societies that are in need of appropriate standards of burn care. Copyright © 2010 Elsevier Ltd and ISBI. All rights reserved.

5. Command center doors at command center entry, building 501, ...

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

5. Command center doors at command center entry, building 501, looking north - Offutt Air Force Base, Strategic Air Command Headquarters & Command Center, Command Center, 901 SAC Boulevard, Bellevue, Sarpy County, NE

Contact Lenses for Vision Correction

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Contact Lens-Related Eye Infections

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Sun, UV Radiation and Your Eyes

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Blood Pressure Drugs and AMD

MedlinePlus

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Recognizing and Treating Eye Injuries

MedlinePlus

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Nearsightedness Linked to Years in School

MedlinePlus

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Botulinum Toxin (Botox) for Facial Wrinkles

MedlinePlus

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Non-Proliferative Diabetic Retinopathy Vision Simulator

MedlinePlus

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Eye Health in Sports and Recreation

MedlinePlus

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Testing Children for Color Blindness

MedlinePlus

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13. SAC command center, weather center, underground structure, building 501, ...

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

13. SAC command center, weather center, underground structure, building 501, undated - Offutt Air Force Base, Strategic Air Command Headquarters & Command Center, Command Center, 901 SAC Boulevard, Bellevue, Sarpy County, NE

What Is Age-Related Macular Degeneration?

MedlinePlus

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Issues in the Development of Long Term Care Gerontology Centers: The Centers Concept. Selected Topics in Long Term Care. Volume 6.

ERIC Educational Resources Information Center

Mortenson, Lee E.; Berdes, Celia M.

This document, one in a series developed to provide technical assistance to 22 Long-Term Care Gerontology Centers, describes the current administrative and structural phenomenon of these centers. Precedents useful in assessing both the current climate and actual prospects for development of long term care centers are cited. The first section…

International External Quality Assurance for Laboratory Diagnosis of Diphtheria ▿

PubMed Central

Neal, S. E.; Efstratiou, A.

2009-01-01

The diphtheria surveillance network (DIPNET) encompassing National Diphtheria Reference Centers from 25 European countries is a Dedicated Surveillance Network recognized by the European Commission. A key DIPNET objective is the quality assessment of microbiological procedures for diphtheria across the European Union and beyond. A detailed questionnaire on the level of reference laboratory services and an external quality assessment (EQA) panel comprising six simulated throat specimens were sent to 34 centers. Twenty-three centers are designated National Diphtheria Reference Centers, with the laboratory in the United Kingdom being the only WHO Collaborating Centre. A variety of screening and identification tests were used, including the cysteinase test (20/34 centers), pyrazinamidase test (17/34 centers), and commercial kits (25/34 centers). The classic Elek test for toxigenicity testing is mostly used (28/34 centers), with variations in serum sources and antitoxin concentrations. Many laboratories reported problems obtaining Elek reagents or media. Only six centers produced acceptable results for all six specimens. Overall, 21% of identification and 13% of toxigenicity reports were unacceptable. Many centers could not isolate the target organism, and most found difficulties with the specimens that contained Corynebacterium striatum as a commensal contaminant. Nineteen centers generated either false-positive or negative toxigenic results, which may have caused inappropriate medical management. The discrepancies in this diphtheria diagnostics EQA alarmingly reflect the urgent need to improve laboratory performance in diphtheria diagnostics in Europe, standardize feasible and robust microbiological methods, and build awareness among public health authorities. Therefore, DIPNET recommends that regular workshops and EQA distributions for diphtheria diagnostics should be supported and maintained. PMID:19828749

Evolution of complex higher brain centers and behaviors: behavioral correlates of mushroom body elaboration in insects.

PubMed

Farris, Sarah M

2013-01-01

Large, complex higher brain centers have evolved many times independently within the vertebrates, but the selective pressures driving these acquisitions have been difficult to pinpoint. It is well established that sensory brain centers become larger and more structurally complex to accommodate processing of a particularly important sensory modality. When higher brain centers such as the cerebral cortex become greatly expanded in a particular lineage, it is likely to support the coordination and execution of more complex behaviors, such as those that require flexibility, learning, and social interaction, in response to selective pressures that made these new behaviors advantageous. Vertebrate studies have established a link between complex behaviors, particularly those associated with sociality, and evolutionary expansions of telencephalic higher brain centers. Enlarged higher brain centers have convergently evolved in groups such as the insects, in which multimodal integration and learning and memory centers called the mushroom bodies have become greatly elaborated in at least four independent lineages. Is it possible that similar selective pressures acting on equivalent behavioral outputs drove the evolution of large higher brain centers in all bilaterians? Sociality has greatly impacted brain evolution in vertebrates such as primates, but it has not been a major driver of higher brain center enlargement in insects. However, feeding behaviors requiring flexibility and learning are associated with large higher brain centers in both phyla. Selection for the ability to support behavioral flexibility appears to be a common thread underlying the evolution of large higher brain centers, but the precise nature of these computations and behaviors may vary. © 2013 S. Karger AG, Basel.

The impact of drop-in centers on the health of street children in New Delhi, India: A cross-sectional study.

PubMed

Nath, Ronita; Shannon, Harry; Georgiades, Kathy; Sword, Wendy; Raina, Parminder

2016-12-01

(1) To determine whether street children who visit drop-in centers experience better physical and mental health, and engage in less substance use than street children who do not visit centers. (2) To determine whether the duration of attendance at a center has an impact on the above outcomes. We conducted a cross-sectional study with 69 street children from two drop-in centers in New Delhi, India (attenders) and a comparison group of 65 street children who did not visit drop-in centers (non-attenders). We used pretested questionnaires to assess their physical health, substance use status and mental health. Attenders experienced fewer ill health outcomes, engaged in less substance use, and had better mental health outcomes than non-attenders (p<0.01). For every month of attendance at a drop-in center, street children experienced 2.1% (95% CI 0% to 4.1%, p=0.05) fewer ill health outcomes per month and used 4.6% (95% CI 1.3% to 8%, p=0.01) fewer substances. Street children were also less likely to have been a current substance user than a never substance user for every additional month of attendance at a center (OR: 0.79, 95% CI: 0.66-0.96, p=0.02). Duration of drop-in center attendance was not a significant factor in predicting mental health problems. Drop-in centers may improve the physical health of street children and reduce their substance abuse. Rigorous longitudinal studies are needed to better determine if drop-in centers impact the health and substance use status of street children in LMICs. Copyright © 2016 Elsevier Ltd. All rights reserved.

Industry Invests in Research Centers.

ERIC Educational Resources Information Center

Ploch, Margie

1983-01-01

Universities and industry are forging new relationships to support academic research and industrial research and development, including the establishment of university/cooperative research centers. Discusses various cooperative projects at these research centers. Includes a list of representative R&D centers in biotechnology, building…

Development of XML Schema for Broadband Digital Seismograms and Data Center Portal

NASA Astrophysics Data System (ADS)

Takeuchi, N.; Tsuboi, S.; Ishihara, Y.; Nagao, H.; Yamagishi, Y.; Watanabe, T.; Yanaka, H.; Yamaji, H.

2008-12-01

There are a number of data centers around the globe, where the digital broadband seismograms are opened to researchers. Those centers use their own user interfaces and there are no standard to access and retrieve seismograms from different data centers using unified interface. One of the emergent technologies to realize unified user interface for different data centers is the concept of WebService and WebService portal. Here we have developed a prototype of data center portal for digital broadband seismograms. This WebService portal uses WSDL (Web Services Description Language) to accommodate differences among the different data centers. By using the WSDL, alteration and addition of data center user interfaces can be easily managed. This portal, called NINJA Portal, assumes three WebServices: (1) database Query service, (2) Seismic event data request service, and (3) Seismic continuous data request service. Current system supports both station search of database Query service and seismic continuous data request service. Data centers supported by this NINJA portal will be OHP data center in ERI and Pacific21 data center in IFREE/JAMSTEC in the beginning. We have developed metadata standard for seismological data based on QuakeML for parametric data, which has been developed by ETH Zurich, and XML-SEED for waveform data, which was developed by IFREE/JAMSTEC. The prototype of NINJA portal is now released through IFREE web page (http://www.jamstec.go.jp/pacific21/).

U.S. Environmental Protection Agency national network of research centers: A case study in socio-political influences on research

DOE Office of Scientific and Technical Information (OSTI.GOV)

Morehouse, K.

1995-12-01

During the 15 years that the U.S. Environmental Protection Agency (EPA) has supported university-based research centers, there have been many changes in mission, operating style, funding level, eligibility, and selection process. Even the definition of the term {open_quotes}research center{close_quotes} is open to debate. Shifting national priorities, political realities, and funding uncertainties have powered the evolution of research centers in EPA, although the agency`s basic philosophy on the purpose and value of this approach to research remains essentially unchanged. Today, EPA manages 28 centers, through the Office of Exploratory Research. These centers are administered under three distinct programs. Each program hasmore » its own mission and goals which guide the way individual centers are selected and operated. This paper will describe: (1) EPA`s philosophy of reserach centers, (2) the complicated history of EPA research centers, (3) coordination and interaction among EPA centers and others, (4) opportunities for collaboration, and (5) plans for the future.« less

KSC-04PD-0253

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. KSC Director Jim Kennedy (center) makes a presentation to NASA and other officials about the benefits of locating NASAs new Shared Services Center in the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the NASA Shared Services Center. The center would centralize NASAs payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

NV-centers in nanodiamonds: How good they are

NASA Astrophysics Data System (ADS)

Plakhotnik, Taras; Aman, Haroon

2018-02-01

This paper presents a method for determination of the size distribution for diamond nanocrystals containing luminescent nitrogen-vacancy (NV) centers using the luminescence intensity only. We also revise the basic photo physical properties of NV centers and conclude that the luminescence quantum yield of such centers is significantly smaller than the frequently stated 100\\%. The yield can be as low as 5\\% for centers embedded in nanocrystals and depends on their shape and the refractive index of the surrounding medium. The paper also addresses the value of the absorption cross-section of NV centers.

1401318

NASA Image and Video Library

2014-09-18

KIM WHITSON, DIRECTOR OF PROCUREMENT AT THE MARSHALL SPACE FLIGHT CENTER IN HUNTSVILLE ALABAMA, SPEAKS TO THE NASA / MARSHALL SMALL BUSINESS ALLIANCE MEETING ON SEPT. 18 AT THE DAVIDSON CENTER FOR SPACE EXPLORATION AT THE U.S. SPACE & ROCKET CENTER. MORE THAN 450 REPRESENTATIVES FROM SMALL BUSINESSES DISCUSSED POTENTIAL SUB-CONTRACTING OPPORTUNITIES WITH REPRESENTATIVES FROM MARSHALL CENTER, JOHNSON SPACE CENTER, GODDARD SPACE FLIGHT CENTER, KENNEDY SPACE CENTER, STENNIS SPACE CENTER AND THE NASA SHARED SERVICES.

Kennedy Space Center Director Update

NASA Image and Video Library

2014-03-06

CAPE CANAVERAL, Fla. - Community leaders, business executives, educators, and state and local government leaders were updated on NASA Kennedy Space Center programs and accomplishments during Center Director Bob Cabana’s Center Director Update at the Debus Center at the Kennedy Space Center Visitor Complex in Florida. Rob Mueller, a senior technologist, talks to an attendee about Kennedy’s Swamp Works Laboratory. Attendees talked with Cabana and other senior Kennedy managers and visited displays featuring updates on Kennedy programs and projects, including International Space Station, Commercial Crew, Ground System Development and Operations, Launch Services, Center Planning and Development, Technology, KSC Swamp Works and NASA Education. The morning concluded with a tour of the new Space Shuttle Atlantis exhibit at the visitor complex. For more information, visit http://www.nasa.gov/kennedy. Photo credit: NASA/Daniel Casper

Monitoring adherence to cold chain storage of vaccines in 2014 in the Małopolska province

PubMed

Wiercińska, Ewa; Orzeł-Nowak, Anita; Mrozowska, Barbara; Foremny, Jarosław

2017-01-01

The principles of „cold chain” have been developed for the safe transport and storage of vaccines because of their sensitivity to temperature and are guidelines for use in all countries. Available information on adherence to the principles of the “cold chain” by healthcare providers in Poland is insufficient. The aim of the study was to assess compliance with these rules in storing vaccines by vaccination centers implementing an immunization program in 2014 in the Malopolska province The study was conducted in 111 vaccination centers in 19 districts of Malopolska, which represents 12% of all vaccination centers in the Malopolska province in 2014. The selection of vaccination centers for the study was not random. During a routine inspection of vaccination centers, an employee of the District Sanitary-Epidemiological Station conducted a study using a specially-prepared questionnaire. Inspections in vaccination centers which qualified for the study were conducted from March to September 2015. Among the analyzed vaccinations centers 90% had a refrigerator or refrigerator-freezer, and 10% a pharmaceutical refrigerator. 3.6% of refrigerators were produced before 2000. A 24-hour recording of the temperature was conducted in 67.6% vaccination centers. 40.5% of vaccination centers had a 24-hour system of recording and notification when temperature parameters had been exceeded in refrigeration devices. 22.5% of vaccination centers had emergency power supply. 13.5% of vaccination centers a power failure occurred in refrigerators, including 40% of the vaccination centers which had a text message notification system.. Total cost of destroyed vaccines amounted to over 20 thousand zl. Correct storage conditions are needed for vaccines to maintain their full effectiveness, which is why it is necessary to intensify efforts to ensure compliance with the principles of the cold chain in the storage of vaccines by healthcare providers.

An education initiative modifies opinions of hemodialysis nurses towards home dialysis.

PubMed

Phillips, Matthew; Wile, Colleen; Bartol, Carolyn; Stockman, Cynthia; Dhir, Minakshi; Soroka, Steven D; Hingwala, Jay; Bargman, Joanne M; Chan, Christopher T; Tennankore, Karthik K

2015-01-01

It has been shown that in-center hemodialysis (HD) nurses prefer in-center HD for patients with certain characteristics; however it is not known if their opinions can be changed. To determine if an education initiative modified the perceptions of in-center HD nurses towards home dialysis. Cross-sectional survey of in-center HD nurses before and after a three hour continuing nursing education (CNE) initiative. Content of the CNE initiative included a didactic review of benefits of home dialysis, common misconceptions about patient eligibility, cost comparisons of different modalities and a home dialysis patient testimonial video. All in-center HD nurses (including those working in satellite dialysis units) affiliated with a single academic institution. Survey themes included perceived barriers to home dialysis, preferred modality (home versus in-center HD), ideal modality distribution in the local program, awareness of home dialysis and patient education about home modalities. Paired comparisons of responses before and after the CNE initiative. Of the 115 in-center HD nurses, 100 registered for the CNE initiative and 89 completed pre and post surveys (89% response rate). At baseline, in-center HD nurses perceived that impaired cognition, poor motor strength and poor visual acuity were barriers to peritoneal dialysis and home HD. In-center HD was preferred for availability of multidisciplinary care and medical personnel in case of catastrophic events. After the initiative, perceptions were more in favor of home dialysis for all patient characteristics, and most patient/system factors. Home dialysis was perceived to be underutilized both at baseline and after the initiative. Finally, in-center HD nurses were more aware of home dialysis, felt better informed about its benefits and were more comfortable teaching in-center HD patients about home modalities after the CNE session. Single-center study. CNE initiatives can modify the opinions of in-center HD nurses towards home modalities and should complement the multitude of strategies aimed at promoting home dialysis.

Perceptual-center modeling is affected by including acoustic rate-of-change modulations.

PubMed

Harsin, C A

1997-02-01

This study investigated the acoustic correlates of perceptual centers (p-centers) in CV and VC syllables and developed an acoustic p-center model. In Part 1, listeners located syllables' p-centers by a method-of-adjustment procedure. The CV syllables contained the consonants /s/,/r/,/n/,/t/,/d/,/k/, and /g/; the VCs, the consonants /s/,/r/, and /n/. The vowel in all syllables was /a/. The results of this experiment replicated and extended previous findings regarding the effects of phonetic variation on p-centers. In Part 2, a digital signal processing procedure was used to acoustically model p-center perception. Each stimulus was passed through a six-band digital filter, and the outputs were processed to derive low-frequency modulation components. These components were weighted according to a perceived modulation magnitude function and recombined to create six psychoacoustic envelopes containing modulation energies from 3 to 47 Hz. In this analysis, p-centers were found to be highly correlated with the time-weighted function of the rate-of-change in the psychoacoustic envelopes, multiplied by the psychoacoustic envelope magnitude increment. The results were interpreted as suggesting (1) the probable role of low-frequency energy modulations in p-center perception, and (2) the presence of perceptual processes that integrate multiple articulatory events into a single syllabic event.

Kennedy Space Center Director Update

NASA Image and Video Library

2014-03-06

CAPE CANAVERAL, Fla. - Community leaders, business executives, educators, and state and local government leaders were updated on NASA Kennedy Space Center programs and accomplishments during KSC Center Director Bob Cabana’s Center Director Update at the Debus Center at the Kennedy Space Center Visitor Complex in Florida. Attendees talked with Cabana and other senior Kennedy managers and visited displays featuring updates on Kennedy programs and projects, including International Space Station, Commercial Crew, Ground System Development and Operations, Launch Services, Center Planning and Development, Technology, KSC Swamp Works and NASA Education. The morning concluded with a tour of the new Space Shuttle Atlantis exhibit at the visitor complex. For more information, visit http://www.nasa.gov/kennedy. Photo credit: NASA/Daniel Casper

Kennedy Space Center Director Update

NASA Image and Video Library

2014-03-06

CAPE CANAVERAL, Fla. - Community leaders, business executives, educators, and state and local government leaders were updated on NASA Kennedy Space Center programs and accomplishments during Center Director Bob Cabana’s Center Director Update at the Debus Center at the Kennedy Space Center Visitor Complex in Florida. Attendees talked with Cabana and other senior Kennedy managers and visited displays featuring updates on Kennedy programs and projects, including International Space Station, Commercial Crew, Ground System Development and Operations, Launch Services, Center Planning and Development, Technology, KSC Swamp Works and NASA Education. The morning concluded with a tour of the new Space Shuttle Atlantis exhibit at the visitor complex. For more information, visit http://www.nasa.gov/kennedy. Photo credit: NASA/Daniel Casper

KSC-2012-3008

NASA Image and Video Library

2012-05-24

CAPE CANAVERAL, Fla. – As the sun rises over the turn basin at NASA’s Kennedy Space Center in Florida, the barge transporting the high-fidelity space shuttle model begins the journey from Kennedy to Johnson Space Center's visitor center in Houston. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Charisse Nahser

KSC-2012-3019

NASA Image and Video Library

2012-05-24

CAPE CANAVERAL, Fla. – Seen from Jetty Park in Florida, the barge transporting the high-fidelity space shuttle model travels through Port Canaveral during the first leg of their journey from NASA’s Kennedy Space Center to Johnson Space Center's visitor center in Houston. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Jim Grossmann

KSC-2012-3017

NASA Image and Video Library

2012-05-24

CAPE CANAVERAL, Fla. – The barge transporting the high-fidelity space shuttle model travels through the shallow waters of Port Canaveral, Fla., during the first leg of their journey from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Jim Grossmann

KSC-2012-3014

NASA Image and Video Library

2012-05-24

CAPE CANAVERAL, Fla. – The barge transporting the high-fidelity space shuttle model begins the journey from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston. Seen in the background is Kennedy’s Vehicle Assembly Building. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Jim Grossmann

KSC-2012-3018

NASA Image and Video Library

2012-05-24

CAPE CANAVERAL, Fla. – Seen from Jetty Park in Florida, the barge transporting the high-fidelity space shuttle model travels through Port Canaveral during the first leg of their journey from NASA’s Kennedy Space Center to Johnson Space Center's visitor center in Houston. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Jim Grossmann

KSC-2012-3007

NASA Image and Video Library

2012-05-24

CAPE CANAVERAL, Fla. – As the sun rises over the turn basin at NASA’s Kennedy Space Center in Florida, the barge transporting the high-fidelity space shuttle model begins the journey from Kennedy to Johnson Space Center's visitor center in Houston. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Charisse Nahser

KSC-2012-3016

NASA Image and Video Library

2012-05-24

CAPE CANAVERAL, Fla. – The barge transporting the high-fidelity space shuttle model travels through the shallow waters of Port Canaveral, Fla., during the first leg of their journey from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Jim Grossmann

KSC-2012-3015

NASA Image and Video Library

2012-05-24

CAPE CANAVERAL, Fla. – The barge transporting the high-fidelity space shuttle model travels through the shallow waters of the locks at Port Canaveral, Fla., during the first leg of their journey from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Jim Grossmann

KSC-2012-3005

NASA Image and Video Library

2012-05-24

CAPE CANAVERAL, Fla. – As the sun rises over the turn basin at NASA’s Kennedy Space Center in Florida, the high-fidelity space shuttle model is aboard the barge that will transport it from Kennedy to Johnson Space Center's visitor center in Houston. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Charisse Nahser

KSC-2012-3006

NASA Image and Video Library

2012-05-24

CAPE CANAVERAL, Fla. – As the sun rises over the turn basin at NASA’s Kennedy Space Center in Florida, the barge transporting the high-fidelity space shuttle model begins the journey from Kennedy to Johnson Space Center's visitor center in Houston. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Charisse Nahser

KSC-2012-2959

NASA Image and Video Library

2012-05-22

CAPE CANAVERAL, Fla. – The barge that will transport the high-fidelity space shuttle model from NASA’s Kennedy Space Center in Florida to Johnson Space Center's visitor center in Houston is seen in Kennedy’s turn basin near the Vehicle Assembly Building. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility next year to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Amanda Diller

KSC-2012-3004

NASA Image and Video Library

2012-05-24

CAPE CANAVERAL, Fla. – As the sun rises over the turn basin at NASA’s Kennedy Space Center in Florida, the high-fidelity space shuttle model is aboard the barge that will transport it from Kennedy to Johnson Space Center's visitor center in Houston. The model was built in Apopka, Fla., by Guard-Lee and installed at Kennedy Space Center Visitor Complex in 1993.The model has been parked at the turn basin the past five months to allow the Kennedy Space Center Visitor Complex to begin building a new facility to display space shuttle Atlantis in 2013. For more information about Johnson’s visitor center, called Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Charisse Nahser

34 CFR 366.50 - What assurances shall a center provide and comply with?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 34 Education 2 2010-07-01 2010-07-01 false What assurances shall a center provide and comply with... LIVING Assurances for Centers § 366.50 What assurances shall a center provide and comply with? To be eligible for assistance under this part, an eligible agency shall provide satisfactory assurances that— (a...

Center Stage: A Platform for the Discussion of Teaching/Learning Ideas. 1991-1992.

ERIC Educational Resources Information Center

O'Heron, Paul, Ed.

1992-01-01

"Center Stage" is a monthly publication of Broome Community College (Binghamton, New York), sponsored by the Teaching Resources Center as a platform for the discussion of ideas about teaching and learning by Broome College faculty. The second volume (nine issues) of "Center Stage" includes the following articles: "Towards a Learning Community:…

KENNEDY SPACE CENTER, FLA. - Astronaut Barry E. Wilmore (left) and Center Director Jim Kennedy pose for a photo after Wilmore presented Kennedy with a special award for Spaceport Super Safety and Health Day.

NASA Image and Video Library

2003-10-15

KENNEDY SPACE CENTER, FLA. - Astronaut Barry E. Wilmore (left) and Center Director Jim Kennedy pose for a photo after Wilmore presented Kennedy with a special award for Spaceport Super Safety and Health Day.

Alternative Fuels Data Center: Natural Gas Safety after a Traffic Accident

Science.gov Websites

Natural Gas Safety after a Traffic Accident to someone by E-mail Share Alternative Fuels Data Center: Natural Gas Safety after a Traffic Accident on Facebook Tweet about Alternative Fuels Data Center : Natural Gas Safety after a Traffic Accident on Twitter Bookmark Alternative Fuels Data Center: Natural Gas

The Beginnings of a Nature Center.

ERIC Educational Resources Information Center

Cherem, Gabriel J.; And Others

This guide is a comprehensive interpretive plan for the development of a nature center. Although the plan centers on a proposed nature center, the ideas included in the guide can be applied to other situations. The guide deals with all aspects of planning and is divided into seven chapters. Chapter 1, Visitorship, looks at the people who attend…

34 CFR 350.21 - What collaboration must a Rehabilitation Research and Training Center engage in?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 34 Education 2 2010-07-01 2010-07-01 false What collaboration must a Rehabilitation Research and... Centers Does the Secretary Assist? § 350.21 What collaboration must a Rehabilitation Research and Training Center engage in? A Rehabilitation Research and Training Center must be operated by or in collaboration...

34 CFR 350.21 - What collaboration must a Rehabilitation Research and Training Center engage in?

Code of Federal Regulations, 2011 CFR

2011-07-01

... 34 Education 2 2011-07-01 2010-07-01 true What collaboration must a Rehabilitation Research and... Centers Does the Secretary Assist? § 350.21 What collaboration must a Rehabilitation Research and Training Center engage in? A Rehabilitation Research and Training Center must be operated by or in collaboration...

Foundation of the American Academy of Ophthalmology

MedlinePlus

... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Academy Publications EyeNet Ophthalmology ... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Find an Ophthalmologist Advanced ...

Four Fantastic Foods to Keep Your Eyes Healthy

MedlinePlus

... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Academy Publications EyeNet Ophthalmology ... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Find an Ophthalmologist Advanced ...

Retinal Detachment: Torn or Detached Retina Diagnosis

MedlinePlus

... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Academy Publications EyeNet Ophthalmology ... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Find an Ophthalmologist Advanced ...

Retinal Detachment: Torn or Detached Retina Treatment

MedlinePlus

... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Academy Publications EyeNet Ophthalmology ... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Find an Ophthalmologist Advanced ...

Amblyopia: What Is the Cause of Lazy Eye?

MedlinePlus

... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Academy Publications EyeNet Ophthalmology ... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Find an Ophthalmologist Advanced ...

Centering prayer for women receiving chemotherapy for recurrent ovarian cancer: a pilot study.

PubMed

Johnson, Mary E; Dose, Ann M; Pipe, Teri Britt; Petersen, Wesley O; Huschka, Mashele; Gallenberg, Mary M; Peethambaram, Prema; Sloan, Jeff; Frost, Marlene H

2009-07-01

To explore the feasibility of implementing centering prayer in chemotherapy treatment and assess its influence on mood, spiritual well-being, and quality of life in women with recurrent ovarian cancer. Descriptive pilot study. Outpatient chemotherapy treatment suite in a large cancer center in the midwestern United States. A convenience sample of 10 women receiving outpatient chemotherapy for recurrent ovarian cancer. A centering prayer teacher led participants through three one-hour sessions over nine weeks. Data were collected prior to the first session, at the conclusion of the final session, and at three and six months after the final session. Feasibility and influence of centering prayer on mood, spiritual well-being, and quality of life. Most participants identified centering prayer as beneficial. Emotional well-being, anxiety, depression, and faith scores showed improvement. Centering prayer can potentially benefit women with recurrent ovarian cancer. Additional research is needed to assess its feasibility and effectiveness. Nurses may promote or suggest centering prayer as a feasible intervention for the psychological and spiritual adjustment of patients with recurrent ovarian cancer.

Center Size and Center Performance.

ERIC Educational Resources Information Center

Helburn, Suzanne; Morris, John

1996-01-01

Examined the impact of child care center size on cost, quality, and profits per child. Examined centers ranging from 40 to 80 children and found total cost and revenue per child were similar for small, medium, and large centers. Found profits per child were highest in large centers and that there was no relationship between center quality and…

5. Aerial view west, Adams Dam Road bottom center, State ...

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

5. Aerial view west, Adams Dam Road bottom center, State Route 100 center, duck pond and reservoir center, State Route 100 center right, State Route 92 below center right, Brandywine Creek State Park center bottom. - Winterthur Farms, Intersection State Routes 92 & 100, Intersection State Routes 92 & 100, Winterthur, New Castle County, DE

Survival in pediatric lung transplantation: The effect of center volume and expertise.

PubMed

Khan, Muhammad S; Zhang, Wei; Taylor, Rachel A; Dean McKenzie, E; Mallory, George B; Schecter, Marc G; Morales, David L S; Heinle, Jeffrey S; Adachi, Iki

2015-08-01

Institutional operative volume has been shown to impact outcomes of various procedures including lung transplantation (LTx). We sought to determine whether this holds true with pediatric LTx by comparing outcomes of adult centers (with larger overall volume) to those of pediatric centers (with smaller volume but more pediatric-specific experience). A retrospective analysis of the Organ Procurement and Transplant Network data was performed. Centers were categorized as either adult (LTx volume predominantly in adult patients), high-volume pediatric (HVP, ≥4 LTxs/year), or low-volume pediatric (LVP, <4 LTxs/year). Outcomes were compared in "younger children" (<12 years) and "older children and adolescents" (12 to 17 years). In total, 1,046 pediatric LTxs were performed between 1987 and 2012 at 62 centers (adult 51 [82%], HVP 3 [5%], LVP 8 [13%]). Although adult centers had larger overall LTx volume, their pediatric experiences were severely limited (median 1/year). In younger children, HVP centers were significantly better than LVP centers for patient survival (half-life: 7.3 vs 2.9 years, p = 0.002). Similarly, in older children and adolescents, HVP centers were significantly better than adult centers for patient survival (half-life: 4.6 vs 2.5 years, p = 0.001). Of note, even LVP centers tended to have longer patient survival than adult centers (p = 0.064). Multivariable analysis identified adult centers as an independent risk factor for graft failure (hazard ratio: 1.5, p < 0.001) as with LVP (hazard ratio: 1.3, p = 0.0078). Despite larger overall clinical volume, outcomes among pediatric LTx recipients in adult centers are not superior to those of pediatric centers. Not only center volume but pediatric-specific experience has an impact on outcomes in pediatric LTx. Copyright © 2015 International Society for Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved.

Maximizing the value of a breast center.

PubMed

Goldman, Mickey; Chang, Dan

2010-08-01

This article focuses on the value and benefit of a Breast Center to an organization by identifying the best ways to maximize their contribution in order to create and sustain a financially viable, clinically respected and community-oriented Breast Center. The goal of the Breast Center is to ultimately benefit the community and the hospital's Comprehensive Cancer Program as a whole. The value propositions are divided into three areas that have positive impacts to the program and hospital, collectively. These value propositions are: 1. Financial Value e identified values of the Breast Center that contribute to the bottom line - or Return on Investment (ROI) - of the Cancer Program. 2. Clinical Quality Values - identified values of the Breast Center that improve the quality of care and outcomes of the patients. 3. Intangibles Values - identified values of the Breast Center that connect to the community and women that is invaluable to the Cancer Program. 2010 Elsevier Ltd. All rights reserved.

Quantum-entanglement storage and extraction in quantum network node

NASA Astrophysics Data System (ADS)

Shan, Zhuoyu; Zhang, Yong

Quantum computing and quantum communication have become the most popular research topic. Nitrogen-vacancy (NV) centers in diamond have been shown the great advantage of implementing quantum information processing. The generation of entanglement between NV centers represents a fundamental prerequisite for all quantum information technologies. In this paper, we propose a scheme to realize the high-fidelity storage and extraction of quantum entanglement information based on the NV centers at room temperature. We store the entangled information of a pair of entangled photons in the Bell state into the nuclear spins of two NV centers, which can make these two NV centers entangled. And then we illuminate how to extract the entangled information from NV centers to prepare on-demand entangled states for optical quantum information processing. The strategy of engineering entanglement demonstrated here maybe pave the way towards a NV center-based quantum network.

Spectral Behavior of Irradiated Sodium Chloride Crystals Under Europa-Like Conditions

NASA Astrophysics Data System (ADS)

Poston, Michael J.; Carlson, Robert W.; Hand, Kevin P.

2017-12-01

F- and M-color center formation (decay) was observed during (after) irradiation of sodium chloride crystal grains with 10 keV electrons as a function of temperature, radiation dose rate, and radiation dose. The F centers (peak center: 460 nm) were found to form and decay at a faster rate than the M centers (peak center: 720 nm). These effects were influenced by temperature and possibly by irradiation dose rate. Tracking the band depth ratio of the color center features during irradiation could enable age determination of geologically very young features on the surface of Europa and other icy ocean worlds.

Photofragment slice imaging studies of pyrrole and the Xe{center_dot}{center_dot}{center_dot}pyrrole cluster

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rubio-Lago, L.; Zaouris, D.; Sakellariou, Y.

The photolysis of pyrrole has been studied in a molecular beam at wavelengths of 250, 240, and 193.3 nm, using two different carrier gases, He and Xe. A broad bimodal distribution of H-atom fragment velocities has been observed at all wavelengths. Near threshold at both 240 and 250 nm, sharp features have been observed in the fast part of the H-atom distribution. Under appropriate molecular beam conditions, the entire H-atom loss signal from the photolysis of pyrrole at both 240 and 250 nm (including the sharp features) disappear when using Xe as opposed to He as the carrier gas. Wemore » attribute this phenomenon to cluster formation between Xe and pyrrole, and this assumption is supported by the observation of resonance enhanced multiphoton ionization spectra for the (Xe{center_dot}{center_dot}{center_dot}pyrrole) cluster followed by photofragmentation of the nascent cation cluster. Ab initio calculations are presented for the ground states of the neutral and cationic (Xe{center_dot}{center_dot}{center_dot}pyrrole) clusters as a means of understanding their structural and energetic properties.« less

MO-FG-204-09: High Spatial Resolution and Artifact-Free CT Bone Imaging at Off-Centered Positions: An Application of Model-Based Iterative Reconstruction

DOE Office of Scientific and Technical Information (OSTI.GOV)

Chen, G; Li, K; Gomez-Cardona, D

Purpose: Although the anatomy of interest should be positioned as close as possible to the isocenter of CT scanners, off-centering may be inevitable during certain exams in clinical practice such as lumbar spine and elbow imaging. Off-centering degrades image sharpness, generates streak artifacts, and sometimes creates blooming artifacts due to truncation. The purpose of this work was to investigate whether the use of model-based image reconstruction (MBIR) can alleviate the negative impacts of off-centering to achieve high quality CT bone imaging. Methods: Both an anthropomorphic phantom and an ex vivo swine elbow sample were scanned at centered and off-centered positionsmore » using clinical CT bone scan protocols. The magnitude of off-centering was determined from localizer radiographs. Both FBP and MBIR reconstructions were performed. For FBP, both standard and Bone Plus kernels commonly used in bone imaging were used. Objective assessment of image sharpness, noise standard deviation, and noise nonuniformity were performed. Additionally, we retrospectively analyzed human subject data acquired under off-centered conditions as a validation study. Results: In FBP images of the phantom, off-centering by 10 cm led to a 14% increase in noise (p<1e-3) and a 68% increase in noise nonuniformity (p<0.02). A visible drop in bone sharpness was observed. In contrast, no significant difference in the noise magnitude or the noise nonuniformity between the centered and off-centered MBIR images was found. The image sharpness of off-centered MBIR images outperformed that of FBP images reconstructed with the Bone Plus kernel. In images of the swine elbow off-centered by 20 cm, not only was the noise and spatial resolution performance improved by MBIR, truncation artifacts were also elliminated. The human subject study generated similar results, in which the visibility of the off-centered lumbar spine was significantly improved. Conclusion: High quality CT bone imaging at off-centered positions can be achieved using MBIR. This work was partially supported by an NIH grant R01CA169331 and GE Healthcare. K. Li, D. Gomez-Cardona: Nothing to disclose. G.-H. Chen: Research funded, GE Healthcare; Research funded, Siemens AX. A. Budde, J. Hsieh: Employee, GE Healthcare.« less

76 FR 3148 - Fogarty International Center; Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-19

... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Fogarty International Center.... App.), notice is hereby given of a meeting of the Fogarty International Center Advisory Board. The... clearly unwarranted invasion of personal privacy. Name of Committee: Fogarty International Center Advisory...

13 CFR 306.7 - Performance evaluations of University Centers.

Code of Federal Regulations, 2013 CFR

2013-01-01

... University Centers. 306.7 Section 306.7 Business Credit and Assistance ECONOMIC DEVELOPMENT ADMINISTRATION, DEPARTMENT OF COMMERCE TRAINING, RESEARCH AND TECHNICAL ASSISTANCE INVESTMENTS University Center Economic Development Program § 306.7 Performance evaluations of University Centers. (a) EDA will: (1) Evaluate each...

13 CFR 306.7 - Performance evaluations of University Centers.

Code of Federal Regulations, 2011 CFR

2011-01-01

... University Centers. 306.7 Section 306.7 Business Credit and Assistance ECONOMIC DEVELOPMENT ADMINISTRATION, DEPARTMENT OF COMMERCE TRAINING, RESEARCH AND TECHNICAL ASSISTANCE INVESTMENTS University Center Economic Development Program § 306.7 Performance evaluations of University Centers. (a) EDA will: (1) Evaluate each...

13 CFR 306.7 - Performance evaluations of University Centers.

Code of Federal Regulations, 2012 CFR

2012-01-01

... University Centers. 306.7 Section 306.7 Business Credit and Assistance ECONOMIC DEVELOPMENT ADMINISTRATION, DEPARTMENT OF COMMERCE TRAINING, RESEARCH AND TECHNICAL ASSISTANCE INVESTMENTS University Center Economic Development Program § 306.7 Performance evaluations of University Centers. (a) EDA will: (1) Evaluate each...

13 CFR 306.7 - Performance evaluations of University Centers.

Code of Federal Regulations, 2014 CFR

2014-01-01

... University Centers. 306.7 Section 306.7 Business Credit and Assistance ECONOMIC DEVELOPMENT ADMINISTRATION, DEPARTMENT OF COMMERCE TRAINING, RESEARCH AND TECHNICAL ASSISTANCE INVESTMENTS University Center Economic Development Program § 306.7 Performance evaluations of University Centers. (a) EDA will: (1) Evaluate each...

THE SPACEMAN MAKES SPECIAL APPEARANCE AT THE APOLLO/SATURN V CENTER RIBBON-CUTTING CEREMONY

NASA Technical Reports Server (NTRS)

1996-01-01

The Spaceman from the Kennedy Space Center Visitor Center makes a grand entrance complete with special effects during the ribbon-cutting ceremony to mark the official opening of the Apollo/Saturn V Center. The 100,000-square-foot facility includes two theaters, various exhibits and an Apollo-era Saturn V rocket, which formerly was on display outside the Vehicle Assembly Building and is one of only three moon rockets remaining in existence. The new center is located off the Kennedy Parkway at the Banana Creek launch viewing site and will be an attraction of the Visitor Center.

IOL Implants: Lens Replacement and Cataract Surgery (Intraocular Lenses)

MedlinePlus

... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Academy Publications EyeNet Ophthalmology ... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Find an Ophthalmologist Advanced ...

People with Increased Risk of Eye Damage from UV Light

MedlinePlus

... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Academy Publications EyeNet Ophthalmology ... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Find an Ophthalmologist Advanced ...

KSC-06pd0846

NASA Image and Video Library

2006-05-17

KENNEDY SPACE CENTER, FLA. -- A baby osprey sits on its nest situated at the top of a pole in the parking lot at the NASA News Center at Kennedy Space Center. Behind the nest can be seen the immense flag painted on the side of the Vehicle Assembly Building. This is the third year the ospreys have raised a family at the News Center. Known as a fish hawk, ospreys select sites of opportunity, from trees and telephone poles to rocks or even flat ground. In the United States they are found from Alaska and Newfoundland to Florida and the Gulf Coast. Osprey nests are found throughout the Kennedy Space Center and nearby Merritt Island National Wildlife Refuge, which shares a boundary with the Center. Photo credit: NASA/George Shelton

New types of high field pinning centers and pinning centers for the peak effect

NASA Astrophysics Data System (ADS)

Gajda, Daniel; Zaleski, Andrzej; Morawski, Andrzej; Hossain, Md Shahriar A.

2017-08-01

In this article, we report the results of a study that shows the existence of pinning centers inside grains and between grains in NbTi wires. We accurately show the ranges of magnetic fields in which the individual pinning centers operate. The pinning centers inside grains are activated in high magnetic fields above 6 T. We show the range of magnetic fields in which individual defects, dislocations, precipitates inside grains and substitutions in the crystal lattice can operate. We show the existence of a new kind of high field pinning center, which operates in high magnetic fields from 8 to ˜9.5 T. We indicate that dislocations create pinning centers in the range of magnetic fields from 6 to 8 T. In addition, our measurements suggest that the peak effect (increased critical current density (J c) near the upper critical field (B c2)) could be attributed to martensitic (needle-shaped) α‧-Ti inclusions inside grains. These centers are very important because they work very effectively in magnetic fields above 9.5-10 T. We also show that the α-Ti precipitates (between grains) with a thickness similar to the coherence length create pinning centers which work very effectively in magnetic fields from 3 to 6 T. In magnetic fields below 3 T, they act very efficiently in grain boundaries. The measurements indicate that the pinning centers created by dislocations only can be tested by transport measurements. This indicates that dislocations do not increase the magnetic critical current density (J cm). Cold drawing improves pinning centers at grain boundaries and increases the dislocation density, and cold-drawing pinning centers are responsible for the peak effect.

The concept of a composite perioperative quality index in kidney transplantation.

PubMed

Taber, David J; McGillicuddy, John W; Bratton, Charles F; Lin, Angello; Chavin, Kenneth D; Baliga, Prabhakar K

2014-04-01

Public reporting of patient and graft outcomes in a national registry and close Centers for Medicare and Medicaid Services oversight has resulted in transplantation being a highly regulated surgical discipline. Despite this, transplantation surgery lacks comprehensive tracking and reporting of perioperative quality measures. Therefore, the aim of this study was to determine the association between a kidney transplantation centers' perioperative quality benchmarking and graft and patient outcomes. This was an analysis of 2011 aggregate data compiled from 2 national datasets that track outcomes from member hospitals and transplantation centers. The transplantation centers included in this study were composed of accredited US kidney transplantation centers that report data through the national registry and are associate members of the University HealthSystem Consortium. A total of 16,811 kidney transplantations were performed at 236 centers in the United States in 2011, of which 10,241 (61%) from 93 centers were included in the analysis. Of the 6 perioperative quality indicators, 3 benchmarked metrics were significantly associated with a kidney transplantation center's underperformance: mean ICU length of stay (C-statistic 0.731; p = 0.002), 30-day readmissions (C-statistic 0.697; p = 0.012) and in-hospital complications (C-statistic 0.785; p = 0.001). The composite quality index strongly correlated with inadequate center performance (C-statistic 0.854; p < 0.001, R(2) = 0.349). The centers in the lowest quartile of the quality index performed 2,400 kidney transplantations in 2011, which led to 2,640 more hospital days, 4,560 more ICU days, 120 more postoperative complications, and 144 more patients with 30-day readmissions, when compared with centers in the 3 higher-quality quartiles. An objective index of a transplantation center's quality of perioperative care is significantly associated with patient and graft survival. Copyright © 2014 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

KENNEDY SPACE CENTER, FLA. - After talking to the media, NASA Administrator Sean O’Keefe (left) speaks to Congressman Dave Weldon (center) and Florida Congressman Tom Feeney (right). O’Keefe and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Senator Bill Nelson, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

NASA Image and Video Library

2004-02-19

KENNEDY SPACE CENTER, FLA. - After talking to the media, NASA Administrator Sean O’Keefe (left) speaks to Congressman Dave Weldon (center) and Florida Congressman Tom Feeney (right). O’Keefe and government officials were at the park for a presentation about the assets of the research park as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included U.S. Senator Bill Nelson, U.S. Representative Ric Keller, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

Vice President Mike Pence visits Kennedy Space Center

NASA Image and Video Library

2017-07-06

Vice President Mike Pence, second from right; NASA Acting Administrator Robert Lightfoot, left; Deputy Director, Kennedy Space Center, Janet Petro, second from left; NASA astronaut Reid Wiseman, center; and Director, Kennedy Space Center, Robert Cabana, right, look at the Orion capsule that will fly on the first integrated flight with the Space Launch System rocket in 2019, during a tour of the Kennedy Space Center's Operations and Checkout Building.

KENNEDY SPACE CENTER, FLA. - Congressman Dave Weldon listens to a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Tom Feeney, U.S. Representative Ric Keller, U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

NASA Image and Video Library

2004-02-19

KENNEDY SPACE CENTER, FLA. - Congressman Dave Weldon listens to a presentation about the assets of the Central Florida Research Park, near Orlando, as the site of NASA’s new Shared Services Center. Six sites around the U.S. are under consideration for location of the Center, which would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Others attending the presentation included Congressman Tom Feeney, U.S. Representative Ric Keller, U.S. Senator Bill Nelson, Center Director Jim Kennedy and Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida.

KENNEDY SPACE CENTER, FLA. - KSC Director Jim Kennedy makes a presentation to NASA and other officials about the benefits of locating NASA’s new Shared Services Center in the Central Florida Research Park, near Orlando. At the far left is Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida. Central Florida leaders are proposing the research park as the site for the NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

NASA Image and Video Library

2004-02-19

KENNEDY SPACE CENTER, FLA. - KSC Director Jim Kennedy makes a presentation to NASA and other officials about the benefits of locating NASA’s new Shared Services Center in the Central Florida Research Park, near Orlando. At the far left is Pamella J. Dana, Ph.D., director, Office of Tourism, Trade, and Economic Development in Florida. Central Florida leaders are proposing the research park as the site for the NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

KENNEDY SPACE CENTER, FLA. - NASA’s Ed Weiler, associate administrator for Space Science, speaks to employees and guests during the rollout at KSC of the Agency initiative One NASA . The event was held at the IMAX Theater®. Explaining how their respective centers contribute to One NASA, along with Weiler, were KSC Director Jim Kennedy; James Jennings, NASA’s associate deputy administrator for institutions and asset management; Kevin Peterson, Dryden Flight Research Center director; incoming KSC Deputy Director Woodrow Whitlow; and implementation team lead Johnny Stevenson. Glenn Research Center Director Dr. Julian Earls gave a motivational speech during the luncheon held at the Visitor Complex Debus Conference Center.

NASA Image and Video Library

2003-08-20

KENNEDY SPACE CENTER, FLA. - NASA’s Ed Weiler, associate administrator for Space Science, speaks to employees and guests during the rollout at KSC of the Agency initiative One NASA . The event was held at the IMAX Theater®. Explaining how their respective centers contribute to One NASA, along with Weiler, were KSC Director Jim Kennedy; James Jennings, NASA’s associate deputy administrator for institutions and asset management; Kevin Peterson, Dryden Flight Research Center director; incoming KSC Deputy Director Woodrow Whitlow; and implementation team lead Johnny Stevenson. Glenn Research Center Director Dr. Julian Earls gave a motivational speech during the luncheon held at the Visitor Complex Debus Conference Center.

When the African-Centered Paradigm Is Not Enough: Lessons from an Urban Charter School

ERIC Educational Resources Information Center

Clarkson, Lesa M. Covington; Johnstone, Jerika R.

2011-01-01

This article reflects on processes and characteristics that had a positive impact on improving mathematics achievement at an African-centered charter school. In doing so, an exploratory look into organizational culture provides the basis for a discussion on African-centered school culture. African-centered education played a major role in…

Way Station to Space: A History of the John C. Stennis Space Center

NASA Technical Reports Server (NTRS)

Herring, Mack R.

1997-01-01

A history of the NASA John C. Stennis Space Center is presented. A study of the Apollo era is provided. This new addition to the NASA history series is also an allegory of the Center's relationship to the local communities in Mississippi and Louisiana, its sister Centers, and to NASA Headquarters.

Organizing a Successful Family Center in Your School. A Resource Guide. Revised 2005

ERIC Educational Resources Information Center

Wisconsin Department of Public Instruction, 2005

2005-01-01

This booklet was developed to help school staff members, parents, and community leaders understand how family centers can promote family participation and strengthen their schools. It also serves as a guide to establishing family centers. The term, family center, is used throughout this booklet, although many schools prefer to call their center…

Chaos in the Classroom: Center Learning in a 1st Grade Setting

ERIC Educational Resources Information Center

Lanaux, Courtney F.; Vice, Kristen E.; Fashing-Varner, Kenneth J.

2014-01-01

How can centers be utilized in a classroom so students have full control of what they are learning and when? Can centers be used effectively post-kindergarten? During student teaching in a first grade classroom in southeast Louisiana, two student teachers, their classroom mentor teacher, and the 1st grade students experienced center learning that…

The Thrust and Scope of Teacher Centers and the Prospects for Curriculum Improvement.

ERIC Educational Resources Information Center

Romero, J. Christian; Heerman, Charles E.

California State University, Chico (CSU, Chico) has had a teacher center program underway for two years. By coupling the concept of centers with the traditional California requirement of a fifth year of professional training for preservice teachers CSU, Chico has designed, within a 70-mile radius of the campus, 14 teacher training centers, each…

Transforming a Curriculum Center for the 21st Century at Eastern Washington University Libraries

ERIC Educational Resources Information Center

Miller, Julie; Meyer, Nadean

2008-01-01

Teacher education is a vital component of Eastern Washington University's (EWU) mission and history. In 2006, after several years of decline in collections and usage of its curriculum center, EWU Libraries made a commitment to transform it into a center for twenty-first century educators. The center has changed greatly in a short time with five…

14 CFR 25.499 - Nose-wheel yaw and steering.

Code of Federal Regulations, 2012 CFR

2012-01-01

... steering. (a) A vertical load factor of 1.0 at the airplane center of gravity, and a side component at the... structure forward of the center of gravity must be designed for the following loads: (1) A vertical load factor at the center of gravity of 1.0. (2) A forward acting load at the airplane center of gravity of 0...

14 CFR 25.499 - Nose-wheel yaw and steering.

Code of Federal Regulations, 2013 CFR

2013-01-01

... steering. (a) A vertical load factor of 1.0 at the airplane center of gravity, and a side component at the... structure forward of the center of gravity must be designed for the following loads: (1) A vertical load factor at the center of gravity of 1.0. (2) A forward acting load at the airplane center of gravity of 0...

Virtual Resources Centers and Their Role in Small Rural Schools.

ERIC Educational Resources Information Center

Freitas, Candido Varela de; Silva, Antonio Pedro da

Virtual resources centers have been considered a pedagogical tool since the increasing development of electronic means allowed for the storage of huge amounts of information and its easy retrieval. Bearing in mind the need for enhancing the appearance of those centers, a discipline of "Management of Resources Centers" was included in a…

Centering Faith-Based Identities in Collaborative Contexts: Critically Prophetic Action at the Robinson Community Learning Center

ERIC Educational Resources Information Center

Miller, Peter M.; Caponigro, Jay; Tyson, Luther

2008-01-01

This paper examines the working philosophy of a university-community collaborative program--the Robinson Community Learning Center (RCLC), a multifaceted community service center located in the Northeast Neighborhood of South Bend, Indiana, in the United States. This program's multitude of educational and social services includes individualized…

Constructing Student Learning through Faculty Development: Writing Experts, Writing Centers, and Faculty Resources

ERIC Educational Resources Information Center

Werner, Courtney L.

2013-01-01

In this article, the author explains how a writing center can be a potential host for housing writing instruction across the disciplines. She recommends writing centers act as hosts for various faculty development opportunities throughout the semester, and states that these centers can also hold faculty development resources and collaborative…

34 CFR 350.22 - What activities must a Rehabilitation Research and Training Center conduct?

Code of Federal Regulations, 2010 CFR

2010-07-01

... Training Center conduct? 350.22 Section 350.22 Education Regulations of the Offices of the Department of... DISABILITY AND REHABILITATION RESEARCH PROJECTS AND CENTERS PROGRAM What Rehabilitation Research and Training Centers Does the Secretary Assist? § 350.22 What activities must a Rehabilitation Research and Training...

Social Interaction and Design in an Online Multiliteracy Center

ERIC Educational Resources Information Center

Beaver, Alaina Feltenberger

2016-01-01

This qualitative study investigates tutor and student interaction in an online multiliteracy center (the Hub) at a major public research university. This study addresses a gap in the current literature on how writing centers transition to multiliteracy centers and prepare their tutors for consulting with students around aspects of design. There is…

Offering Women Childbirth Choices: A Case for Nurse-Midwives and Free-Standing Birth Centers.

ERIC Educational Resources Information Center

Heffron, Marsha S.

2002-01-01

Describes the use of Certified Nurse Midwives and birth centers, examining how they present a safe, alternative maternity care option for low-risk women and discussing safety issues to consider with alternative childbirth experiences, birth center licensure and accreditation, cost effectiveness of freestanding birth centers, and client…

Regional Information Centers: A Frontier in Small Library Automation. Dissemination Document No. 12.

ERIC Educational Resources Information Center

Oldsen, Carl F.; Vinsonhaler, John F.

The regional information center is examined as an instrument for innovation in small library automation and as a basis for the evolution of national information systems. Summarized is development of regional information centers in education, including centers specially for handicapped children, and indicated are trends toward national information…

Service Delivery and Related Issues at the Trace Research and Development Center.

ERIC Educational Resources Information Center

Smith, R. O.

The environmental context of the Trace Center is first briefly described as background for a more detailed description of the center's service delivery activities in the field of rehabilitation/education technology. Trace serves four major functions in rehabilitation/education technology. As a nationally funded rehabilitation engineering center,…

The Story of the Hawaiian Studies Center on the Brigham Young University-Hawaii Campus.

ERIC Educational Resources Information Center

Benham, Maenette K. P.

2002-01-01

With an advisory committee of native community members, elders, educators, and students, the Center for Hawaiian Language and Cultural Studies has successfully founded, within a mainstream institution with strong religious foundations, a cultural center that teaches native values and language. The center creates cultural/educational projects that…

A Learning Center Approach to Infant Education.

ERIC Educational Resources Information Center

Adams, Polly K.; Taylor, Michaell K.

Following a prefatory description of infant development and high-quality infant day care centers, this paper focuses on the construction of learning centers for infants and toddlers in day care. Issues for consideration are specified, and 18 different care/learning centers and 6 work sstations for parents/staff are briefly described. In addition…

The M/M Center: Meeting the Demand for Multicultural, Multilingual Teacher Preparation

ERIC Educational Resources Information Center

Wong, Pia Lindquist; Murai, Harold; Berta-Avila, Margarita; William-White, Lisa; Baker, Susan; Arellano, Adele; Echandia, Adriana

2007-01-01

The Multilingual/Multicultural Teacher Preparation Center (M/M Center), a teacher preparation program offered by the Bilingual/Multicultural Education Department (BMED) at California State University, Sacramento, is entering its third decade of operation. The M/M Center was established by a group of progressive teacher educators, most with a…

Family-Centered Practice with Non-Attending Students in Hong Kong

ERIC Educational Resources Information Center

Lau, Yuk King

2009-01-01

In this article, the author talks about a family-centered practice model for working with students with non-attendance problems. Family-centered practice positions the family at the center of attention or field of action. Its focus is on those transactions occurring between a person, family, and environment, which affect individuals, families and…

Technology utilization in a non-urban region: Further impact and technique of the Technology Use Studies Center

NASA Technical Reports Server (NTRS)

1976-01-01

Updated information is given pertaining to Technology Use Studies Center (TUSC) clients who are those that receive/use information as disseminated by the center. The client information is presented as a continuation of client data as set forth in the center's previous annual report.

45 CFR 1306.32 - Center-based program option.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 45 Public Welfare 4 2014-10-01 2014-10-01 false Center-based program option. 1306.32 Section 1306... annually for each child enrolled in a center-based program option. These visits must be initiated and... give individual attention to children entering and leaving the center. (d) Full day variation. (1) A...

45 CFR 1306.32 - Center-based program option.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 45 Public Welfare 4 2013-10-01 2013-10-01 false Center-based program option. 1306.32 Section 1306... annually for each child enrolled in a center-based program option. These visits must be initiated and... give individual attention to children entering and leaving the center. (d) Full day variation. (1) A...

45 CFR 1306.32 - Center-based program option.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 45 Public Welfare 4 2012-10-01 2012-10-01 false Center-based program option. 1306.32 Section 1306... annually for each child enrolled in a center-based program option. These visits must be initiated and... give individual attention to children entering and leaving the center. (d) Full day variation. (1) A...

Family-centered Care in the Outpatient General Psychiatry Clinic.

PubMed

Heru, Alison M

2015-09-01

Although family research supports family-centered care for all medical specialties, the benefit of family-centered care has not been fully realized in outpatient practice. Physicians, including psychiatrists, are not routinely taught how to work with families and may not be aware of the evidence-base for family interventions. However, some medical specialties, such as family medicine and palliative care, have a clinical practice that routinely includes the family. Clinicians working in medical clinics, such as diabetes clinics, know that successful management of chronic illness requires family involvement. Psychiatric clinics, such as The Family Center for Bipolar Disorder at Beth Israel Medical Center in New York City, also have a family-centered practice and show improved patient outcomes. This article provides guidelines, including clinical interview questions, to help psychiatrists practice family-centered care, either in a private office or in a general psychiatric outpatient clinic. The guidelines include questions that identify when to seek an in-depth family assessment or consultation. Family-centered care will become more useful when health care reimbursement focuses on patient outcome.

KSC-2011-8244

NASA Image and Video Library

2011-12-11

CAPE CANAVERAL, Fla. – The high-fidelity space shuttle model that was on display at the NASA Kennedy Space Center Visitor Complex in Florida travels northbound along Kennedy Parkway toward NASA Kennedy Space Center's Launch Complex 39 turn basin. It is standard procedure for large payloads and equipment to travel against the normal flow of traffic under the supervision of a move crew when being transported on or off center property. The shuttle was part of a display at the visitor complex that also included an external tank and two solid rocket boosters that were used to show visitors the size of actual space shuttle components. The full-scale shuttle model is being transferred from Kennedy to Space Center Houston, NASA Johnson Space Center's visitor center. The model will stay at the turn basin for a few months until it is ready to be transported to Texas via barge. The move also helps clear the way for the Kennedy Space Center Visitor Complex to begin construction of a new facility next year to display space shuttle Atlantis in 2013. For more information about Space Center Houston, visit http://www.spacecenter.org. Photo credit: NASA/Dimitri Gerondidakis

KSC-2014-3528

NASA Image and Video Library

2014-08-14

CAPE CANAVERAL, Fla. – A storm moves in over Launch Complex 39 at NASA’s Kennedy Space Center in Florida. At center is the mobile launcher that will support NASA's Space Launch System heavy-lift rocket, under development. At left is the Launch Control Center and the Vehicle Assembly Building. Kennedy's Ground Support Development and Operations Program is hard at work transforming the center's facilities into a multi-user spaceport, when the weather permits. For more on Kennedy Space Center, visit http://www.nasa.gov/kennedy. Photo credit: NASA/Ben Smegelsky

[Recommendations for the Stepwise Occupational Reintegration: Can the Characteristic of the Patients Explain the Differences Between the Rehabilitation Centers?].

PubMed

Schmid, L; Jankowiak, S; Kaluscha, R; Krischak, G

2016-06-01

The first step to initiate a stepwise occupational reintegration (SOR) is the recommendation of the rehabilitation centers. Therefore rehabilitation centers have a significant impact on the use of SOR. There is evidence that the recommendation rate between the rehabilitation centers differs clearly. The present survey therefore analyses in detail the differences of the recommendation rate and examines which patient-related factors could explain the differences. This study is based on analysis of routine data provided by the German pension insurance in Baden-Württemberg (Rehabilitationsstatistikdatenbasis 2013; RSD). In the analyses rehabilitation measures were included if they were conducted by employed patients (18-64 years) with a muscular-skeletal system disease or a disorder of the connective tissue. Logistic regression models were performed to explain the differences in the recommendation rate of the rehabilitation centers. The data of 134 853 rehabilitation measures out of 32 rehabilitation centers were available. The recommendation rate differed between the rehabilitation centers from 1.36-18.53%. The logistic regression analysis showed that the period of working incapacity 12 month before the rehabilitation and the working capacity on the current job were the most important predictors for the recommendation of a SOR by the rehabilitation centers. Also the rehabilitation centers themselves have an important influence. The results of this survey indicate that the characteristic of the patients is an important factor for the recommendation of SOR. Additionally the rehabilitation centers themselves have an influence on the recommendation of SOR. The results point to the fact that the rehabilitation centers use different criteria by making a recommendation. © Georg Thieme Verlag KG Stuttgart · New York.

Choosing Wisely When It Comes to Eye Care: Antibiotics for Pink Eye

MedlinePlus

... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Academy Publications EyeNet Ophthalmology ... Plastic Surgery Center Laser Surgery Education Center Redmond Ethics Center Global Ophthalmology Guide Find an Ophthalmologist Advanced ...

National Centers for Environmental Prediction

Science.gov Websites

Statistics Observational Data Processing Data Assimilation Monsoon Desk Model Transition Seminars Seminar conducts a program of research and development in support of the National Centers for Environmental Center NOAA Center for Weather and Climate Prediction (NCWCP) 5830 University Research Court College Park

15 CFR 290.2 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-01-01

... STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE NIST EXTRAMURAL PROGRAMS REGIONAL CENTERS FOR THE TRANSFER... efficiency. (b) The term Center or Regional Center means a NIST-established Regional Center for the Transfer... Standards and Technology. (e) The term NIST means the National Institute of Standards and Technology, U.S...

15 CFR 290.2 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE NIST EXTRAMURAL PROGRAMS REGIONAL CENTERS FOR THE TRANSFER... efficiency. (b) The term Center or Regional Center means a NIST-established Regional Center for the Transfer... Standards and Technology. (e) The term NIST means the National Institute of Standards and Technology, U.S...

15 CFR 290.2 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE NIST EXTRAMURAL PROGRAMS REGIONAL CENTERS FOR THE TRANSFER... efficiency. (b) The term Center or Regional Center means a NIST-established Regional Center for the Transfer... Standards and Technology. (e) The term NIST means the National Institute of Standards and Technology, U.S...

15 CFR 290.2 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-01-01

... STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE NIST EXTRAMURAL PROGRAMS REGIONAL CENTERS FOR THE TRANSFER... efficiency. (b) The term Center or Regional Center means a NIST-established Regional Center for the Transfer... Standards and Technology. (e) The term NIST means the National Institute of Standards and Technology, U.S...

15 CFR 290.2 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-01-01

... STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE NIST EXTRAMURAL PROGRAMS REGIONAL CENTERS FOR THE TRANSFER... efficiency. (b) The term Center or Regional Center means a NIST-established Regional Center for the Transfer... Standards and Technology. (e) The term NIST means the National Institute of Standards and Technology, U.S...

Department of Defense Information Analysis Centers.

ERIC Educational Resources Information Center

Rothschild, M. Cecilia

1987-01-01

Describes the establishment of Department of Defense (DOD) information analysis centers and discusses their purpose and activities, how they differ from special libraries and other information centers, and some problems resulting from the communication of classified information. A list of existing information analysis centers is provided. (CLB)

Effects of the proposed Prosperity Reservoir on ground water and water quality in lower Center Creek basin, Missouri

USGS Publications Warehouse

Berkas, Wayne R.; Barks, James H.

1980-01-01

Effects of the proposed Prosperity Reservoir on ground water and water quality in lower Center Creek basin depend partly on the effectiveness of Grove Creek as a hydrologic boundary between the reservoir site and the Oronogo-Duenweg mining belt. Results of two dye traces indicate that Grove Creek probably is not an effective boundary. Therefore, higher water levels near the reservoir may cause more ground water to move into the mining belt and cause a greater discharge of zinc-laden mine water into Center Creek.Ground-water-level measurements and seepage runs on Center Creek indicate a relationship between ground-water levels, mine-water discharge and seepage, and base flow in Center Creek. From March to October 1979, ground-water levels generally decreased from 5 to 20 feet at higher elevations (recharge areas) and from 1 to 3 feet near Center Creek (discharge area); total mine water discharged to the surface before entering Center Creek decreased from 5.4 to 2.2 cubic feet per second; mine-water seepage directly to Center Creek decreased from an estimated 1.9 to 1.1 cubic feet per second; and the discharge of Center Creek near Carterville decreased from 184 to 42 cubic feet per second.Fertilizer industry wastes discharged into Grove Creek resulted in significant increases of nitrogen and phosphorus in lower Center Creek.

The use of head/eye-centered, hand-centered and allocentric representations for visually guided hand movements and perceptual judgments.

PubMed

Thaler, Lore; Todd, James T

2009-04-01

Two experiments are reported that were designed to measure the accuracy and reliability of both visually guided hand movements (Exp. 1) and perceptual matching judgments (Exp. 2). The specific procedure for informing subjects of the required response on each trial was manipulated so that some tasks could only be performed using an allocentric representation of the visual target; others could be performed using either an allocentric or hand-centered representation; still others could be performed based on an allocentric, hand-centered or head/eye-centered representation. Both head/eye and hand centered representations are egocentric because they specify visual coordinates with respect to the subject. The results reveal that accuracy and reliability of both motor and perceptual responses are highest when subjects direct their response towards a visible target location, which allows them to rely on a representation of the target in head/eye-centered coordinates. Systematic changes in averages and standard deviations of responses are observed when subjects cannot direct their response towards a visible target location, but have to represent target distance and direction in either hand-centered or allocentric visual coordinates instead. Subjects' motor and perceptual performance agree quantitatively well. These results strongly suggest that subjects process head/eye-centered representations differently from hand-centered or allocentric representations, but that they process visual information for motor actions and perceptual judgments together.

Client Centeredness and Health Reform: Key Issues for Occupational Therapy

PubMed Central

Pitonyak, Jennifer S.; Fogelberg, Donald; Leland, Natalie E.

2015-01-01

Health reform promotes the delivery of patient-centered care. Occupational therapy’s rich history of client-centered theory and practice provides an opportunity for the profession to participate in the evolving discussion about how best to provide care that is truly patient centered. However, the growing emphasis on patient-centered care also poses challenges to occupational therapy’s perspectives on client-centered care. We compare the conceptualizations of client-centered and patient-centered care and describe the current state of measurement of client-centered and patient-centered care. We then discuss implications for occupational therapy’s research agenda, practice, and education within the context of patient-centered care, and propose next steps for the profession. PMID:26356651

KENNEDY SPACE CENTER, FLA. - NASA leaders discuss the Agency’s One NASA initiative with selected employees at the KSC Visitor Complex IMAX Theater®. From left are KSC Director Jim Kennedy; James Jennings, NASA’s associate deputy administrator for institutions and asset management; Ed Weiler, associate administrator for Space Science; Kevin Peterson, Dryden Flight Research Center director; incoming KSC Deputy Director Woodrow Whitlow; and implementation team lead Johnny Stevenson. Glenn Research Center Director Dr. Julian Earls gave a motivational speech during the luncheon held at the Visitor Complex Debus Conference Center.

NASA Image and Video Library

2003-08-20

KENNEDY SPACE CENTER, FLA. - NASA leaders discuss the Agency’s One NASA initiative with selected employees at the KSC Visitor Complex IMAX Theater®. From left are KSC Director Jim Kennedy; James Jennings, NASA’s associate deputy administrator for institutions and asset management; Ed Weiler, associate administrator for Space Science; Kevin Peterson, Dryden Flight Research Center director; incoming KSC Deputy Director Woodrow Whitlow; and implementation team lead Johnny Stevenson. Glenn Research Center Director Dr. Julian Earls gave a motivational speech during the luncheon held at the Visitor Complex Debus Conference Center.

Health Care Use and Spending for Medicaid Enrollees in Federally Qualified Health Centers Versus Other Primary Care Settings

PubMed Central

Lee, Sang Mee; Sharma, Ravi; Ngo-Metzger, Quyen; Mukamel, Dana B.; Gao, Yue; White, Laura M.; Shi, Leiyu; Chin, Marshall H.; Laiteerapong, Neda; Huang, Elbert S.

2016-01-01

Objectives. To compare health care use and spending of Medicaid enrollees seen at federally qualified health centers versus non–health center settings in a context of significant growth. Methods. Using fee-for-service Medicaid claims from 13 states in 2009, we compared patients receiving the majority of their primary care in federally qualified health centers with propensity score–matched comparison groups receiving primary care in other settings. Results. We found that health center patients had lower use and spending than did non–health center patients across all services, with 22% fewer visits and 33% lower spending on specialty care and 25% fewer admissions and 27% lower spending on inpatient care. Total spending was 24% lower for health center patients. Conclusions. Our analysis of 2009 Medicaid claims, which includes the largest sample of states and more recent data than do previous multistate claims studies, demonstrates that the health center program has provided a cost-efficient setting for primary care for Medicaid enrollees. PMID:27631748

KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (left) greets U.S. Representative Ric Keller during a tour of the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

NASA Image and Video Library

2004-02-19

KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (left) greets U.S. Representative Ric Keller during a tour of the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (right) greets Florida Congressman Tom Feeney during a tour of the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

NASA Image and Video Library

2004-02-19

KENNEDY SPACE CENTER, FLA. - NASA Administrator Sean O’Keefe (right) greets Florida Congressman Tom Feeney during a tour of the Central Florida Research Park, near Orlando. Central Florida leaders are proposing the research park as the site for the new NASA Shared Services Center. The center would centralize NASA’s payroll, accounting, human resources, facilities and procurement offices that are now handled at each field center. The consolidation is part of the One NASA focus. Six sites around the U.S. are under consideration by NASA.

Good physician relations key to success of women's centers.

PubMed

Anderson, H J

1991-03-05

Women's health centers are opening across the country, fueled by clinical, cultural, consumer and marketing factors. But before opening a women's center, it's important to consider all the elements that can make such a venture a success--or not. Experts say it's important to carry out a philosophy of women's health, including a strong patient education component, to complete physician recruiting before the center is to open, to hire a director, and to consider the gender issues related to staffing. In a related phenomenon, breast health centers are gaining attention as a new marketing focus in ambulatory care.

Mechanical ventilation during extracorporeal membrane oxygenation. An international survey.

PubMed

Marhong, Jonathan D; Telesnicki, Teagan; Munshi, Laveena; Del Sorbo, Lorenzo; Detsky, Michael; Fan, Eddy

2014-07-01

In patients with severe, acute respiratory failure undergoing venovenous extracorporeal membrane oxygenation (VV-ECMO), the optimal strategy for mechanical ventilation is unclear. Our objective was to describe ventilation practices used in centers registered with the Extracorporeal Life Support Organization (ELSO). We conducted an international cross-sectional survey of medical directors and ECMO program coordinators from all ELSO-registered centers. The survey was distributed using a commercial website that collected information on center characteristics, the presence of a mechanical ventilator protocol, ventilator settings, and weaning practices. E-mails were sent out to medical directors or coordinators at each ELSO center and their responses were pooled for analysis. We analyzed 141 (50%) individual responses from the 283 centers contacted across 28 countries. Only 27% of centers reported having an explicit mechanical ventilation protocol for ECMO patients. The majority of these centers (77%) reported "lung rest" to be the primary goal of mechanical ventilation, whereas 9% reported "lung recruitment" to be their ventilation strategy. A tidal volume of 6 ml/kg or less was targeted by 76% of respondents, and 58% targeted a positive end-expiratory pressure of 6-10 cm H2O while ventilating patients on VV-ECMO. Centers prioritized weaning VV-ECMO before mechanical ventilation. Although ventilation practices in patients supported by VV-ECMO vary across ELSO centers internationally, the majority of centers used a strategy that targeted lung-protective thresholds and prioritized weaning VV-ECMO over mechanical ventilation.

Effectiveness of a Mobile Mammography Program.

PubMed

Stanley, Elizabeth; Lewis, Madelene C; Irshad, Abid; Ackerman, Susan; Collins, Heather; Pavic, Dag; Leddy, Rebecca J

2017-12-01

Mobile mammography units have increasingly been used to address patient health care disparities; however, there are limited data comparing mobile units to stationary sites. This study aims to evaluate the characteristics of women who underwent mammography screening in a mobile unit versus those who underwent mammography screening at a cancer center. In this retrospective study, we analyzed all screening mammography examinations performed in a mobile unit in 2014 (n = 1433 examinations). For comparison, we randomized and reviewed an equivalent number of screening mammography examinations performed at our cancer center in 2014 (n = 1434 examinations). BI-RADS assessment, adherence to follow-up, biopsies performed, cancer detection rate, and sociodemographic variables were recorded. An independent-samples t test was conducted to identify potential differences in age between cancer center patients and mobile unit patients. Chi-square analyses were used to test for associations between location and factors such as health insurance, race, marital status, geographic area, adherence to screening guidelines, recall rate, adherence to follow-up, and cancer detection rates. Patients visiting our cancer center (mean = 57.74 years; SD = 10.55) were significantly older than those visiting the mobile unit (mean = 52.58 years; SD = 8.19; p < 0.001). There was a significant association between location and health insurance status (χ 2 = 610.92; p < 0.001) with more uninsured patients undergoing screening in the mobile van (cancer center = 3.70%, mobile unit = 38.73%). There was a significant association between screening location and patient race (χ 2 = 118.75, p < 0.001), with more white patients being screened at the cancer center (cancer center = 47.28%, mobile unit = 33.30%), more black patients being screened in the mobile van (cancer center = 49.30%, mobile unit = 54.15%), and more Hispanic patients being screened in the mobile van (cancer center = 1.05%, mobile unit = 6.77%). There was a significant association between location and patient marital status (χ 2 = 135.61, p < 0.001), with more married patients screened at the cancer center (cancer center = 49.16%, mobile unit = 38.31%), more single patients screened in the mobile van (cancer center = 25.17%, mobile unit = 34.47%), and more widowed patients being screened at the cancer center (cancer center = 8.09%, mobile unit = 4.47%). There was a significant association between location and geographic area (χ 2 = 33.33, p < 0.001), with both locations reaching more urban than rural patients (cancer center = 79.99%, mobile unit = 70.62%). There was a significant association between location and adherence to screening guidelines (χ 2 = 179.60, p < 0.001), with patients screened at the cancer center being more compliant (cancer center = 56.90%, mobile unit = 34.47%). Finally, there was a significant association between location and recall rate (χ 2 = 4.06, p < 0.001). The cancer center had a lower recall rate (13.32%) than the mobile van (15.98%). Of those patients with BI-RADS 0, there was a significant association between location and adherence to follow-up (χ 2 = 22.75, p < 0.001) with patients using the mobile unit less likely to return for additional imaging (cancer center = 2.65%, mobile unit = 17.03%). Significant differences were found among patients visiting the cancer center versus the mobile mammography van. The cancer center's population is older and more adherent to guidelines, whereas the mobile mammography population exhibited greater racial and marital diversity, higher recall rate, and lack of adherence to follow-up recommendations. By identifying these characteristics, we can develop programs and materials that meet these populations' needs and behaviors, ultimately increasing mammography screening and follow-up rates among underserved populations.