Sample records for a centers

  1. 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.

  2. [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.

  3. 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…

  4. 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 ...

  5. Tornadoes: A Center Approach.

    ERIC Educational Resources Information Center

    Christman-Rothlein, Liz; Meinbach, Anita M.

    1981-01-01

    Information is given on how to put together a learning center. Discusses information and activity packets for a complete learning center on tornadoes including objectives, directions, materials, photographs of physical arrangements, and posttest. (DC)

  6. 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.

  7. Starting a sleep center.

    PubMed

    Epstein, Lawrence J; Valentine, Paul S

    2010-05-01

    The demand for sleep medicine services has grown tremendously during the last decade and will likely continue. To date, growth in demand has been met by growth in the number of new sleep centers. The need for more new centers will be dependent on market drivers that include increasing regulatory requirements, personnel shortages, integration of home sleep testing, changes in reimbursement, a shift in emphasis from diagnostics to treatment, and an increased consumer focus on sleep. The decision to open a new center should be based on understanding the market dynamics, completing a market analysis, and developing a business plan. The business plan should include an overview of the facility, a personnel and organizational structure, an evaluation of the business environment, a financial plan, a description of services provided, and a strategy for obtaining, managing, and extending a referral base. Implementation of the business plan and successful operation require ongoing planning and monitoring of operational parameters. The need for new sleep centers will likely continue, but the shifting market dynamics indicate a greater need for understanding the marketplace and careful planning.

  8. Transforming a family medicine center and residency program into a federally qualified health center.

    PubMed

    Cousineau, Michael R; Flores, Hector; Cheng, Scott; Gates, Jerry D; Douglas, James H; Clute, Gerald B; Coan, Carl E

    2013-05-01

    The authors describe a family medicine center before and after a merger between the Keck School of Medicine of the University of Southern California, the California Hospital Medical Center, and the Eisner Pediatric and Family Medical Center in 2012. The merger provided new opportunities to stabilize the financial base of a clinical practice struggling financially and to enhance the training of residents and other health professionals in primary care, which motivated the partners to consider this new model. After 18 months of negotiations, they were able to convert the family medicine center and residency program into a new federally qualified health center. The benefits to this new model include an increase in both patient volume and the quality of education, supporting residency accreditation; a greater number of residents from U.S. medical schools; enhanced education and preparation of primary care physicians for practice in medically underserved communities; enhanced reimbursements and new opportunities for state, local, and federal grants; and quality improvement and new information technology. The partners overcame academic, administrative, legal, and regulatory obstacles, communication barriers, and differences in culture and expectations to achieve this merger. Keys to their success include the commitment of the leaders at the three institutions to the goals of the merger, a dedicated project manager and consultants, opportunities for new revenue sources and reimbursements, and support from a pioneering charitable foundation. The authors conclude by discussing the implications of using community health centers as the focal point for training primary care clinicians and addressing workforce shortages.

  9. 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

  10. Model for a patient-centered comparative effectiveness research center.

    PubMed

    Costlow, Monica R; Landsittel, Douglas P; James, A Everette; Kahn, Jeremy M; Morton, Sally C

    2015-04-01

    This special report describes the systematic approach the University of Pittsburgh and the University of Pittsburgh Medical Center (UPMC) undertook in creating an infrastructure for comparative effectiveness and patient-centered outcomes research resources. We specifically highlight the administrative structure, communication and training opportunities, stakeholder engagement resources, and support services offered. © 2015 Wiley Periodicals, Inc.

  11. 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…

  12. 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

  13. To center or not to center? Investigating inertia with a multilevel autoregressive model.

    PubMed

    Hamaker, Ellen L; Grasman, Raoul P P P

    2014-01-01

    Whether level 1 predictors should be centered per cluster has received considerable attention in the multilevel literature. While most agree that there is no one preferred approach, it has also been argued that cluster mean centering is desirable when the within-cluster slope and the between-cluster slope are expected to deviate, and the main interest is in the within-cluster slope. However, we show in a series of simulations that if one has a multilevel autoregressive model in which the level 1 predictor is the lagged outcome variable (i.e., the outcome variable at the previous occasion), cluster mean centering will in general lead to a downward bias in the parameter estimate of the within-cluster slope (i.e., the autoregressive relationship). This is particularly relevant if the main question is whether there is on average an autoregressive effect. Nonetheless, we show that if the main interest is in estimating the effect of a level 2 predictor on the autoregressive parameter (i.e., a cross-level interaction), cluster mean centering should be preferred over other forms of centering. Hence, researchers should be clear on what is considered the main goal of their study, and base their choice of centering method on this when using a multilevel autoregressive model.

  14. To center or not to center? Investigating inertia with a multilevel autoregressive model

    PubMed Central

    Hamaker, Ellen L.; Grasman, Raoul P. P. P.

    2015-01-01

    Whether level 1 predictors should be centered per cluster has received considerable attention in the multilevel literature. While most agree that there is no one preferred approach, it has also been argued that cluster mean centering is desirable when the within-cluster slope and the between-cluster slope are expected to deviate, and the main interest is in the within-cluster slope. However, we show in a series of simulations that if one has a multilevel autoregressive model in which the level 1 predictor is the lagged outcome variable (i.e., the outcome variable at the previous occasion), cluster mean centering will in general lead to a downward bias in the parameter estimate of the within-cluster slope (i.e., the autoregressive relationship). This is particularly relevant if the main question is whether there is on average an autoregressive effect. Nonetheless, we show that if the main interest is in estimating the effect of a level 2 predictor on the autoregressive parameter (i.e., a cross-level interaction), cluster mean centering should be preferred over other forms of centering. Hence, researchers should be clear on what is considered the main goal of their study, and base their choice of centering method on this when using a multilevel autoregressive model. PMID:25688215

  15. 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…

  16. Establishing a multidisciplinary academic cosmetic center.

    PubMed

    Rao, Venkat K; Schmid, Daniel B; Hanson, Summer E; Bentz, Michael L

    2011-12-01

    The demand for cosmetic services has risen rapidly in recent years, but has slowed down with the current economic downturn. Managed care organizations and Medicare have been steadily reducing their reimbursements for physician services. The payment for reconstructive surgical procedures has been decreasing and is likely to worsen with healthcare reform, and many plastic surgery residency programs are facing fiscal challenges. An adequate volume of patients needing cosmetic services is necessary to recruit and train the best candidates to the residency programs. Self-pay patients will help ensure the fiscal viability of plastic surgery residency programs. Attracting patients to an academic healthcare center will become more difficult in a recession without the appropriate facilities, programs, and pricing strategies. Setting up a modern cosmetic services program at an academic center has some unique challenges, including funding, academic politics, and turf. The authors opened a free-standing academic multidisciplinary center at their medical school 3 years ago. The center is an off-site, 13,000-sq ft facility that includes faculty from plastic surgery, ear, nose, and throat, dermatology, and vascular surgery. In this article, the authors discuss the process of developing and executing a plan for starting an aesthetic services center in an academic setting. The financing of the center and factors in pricing services are discussed. The authors show the impact of the center on their cosmetic surgery patient volumes, resident education, and finances. They expect that their experience will be helpful to other plastic surgery programs at academic medical centers.

  17. A caveat concerning center of resistance

    PubMed Central

    Nägerl, Hans; Kubein-Meesenburg, Dietmar

    2013-01-01

    The center of resistance is a concept in theoretical orthodontics used to describe tooth movement under loads. It is commonly used to qualitatively predict tooth movement without recourse to complex equations or simulations. We start with a survey of the historical origin of the technical term. After this, the periodontal ligament is idealized as a linear elastic suspension. The mathematical formalism of vector and tensor calculus will clarify our reasoning. We show that a point such as the center of resistance basically only exists in two dimensions or in very special symmetric spatial configurations. In three dimensions, a simple counterexample of a suspension without a center of resistance is given. A second more tooth-like example illustrates the magnitude of the effects in question in dentistry. In conclusion, the center of resistance should be replaced by a newer and wider mathematical concept, the “center of elasticity,” together with a limiting parameter, the “radius of resistance.” PMID:24019849

  18. 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…

  19. 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.

  20. 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…

  1. Verified Centers, Nonverified Centers or Other Facilities: A National Analysis of Burn Patient Treatment Location

    PubMed Central

    Zonies, David; Mack, Christopher; Kramer, Bradley; Rivara, Frederick; Klein, Matthew

    2009-01-01

    Background Although comprehensive burn care requires significant resources, patients may be treated at verified burn centers, non-verified burn centers, or other facilities due to a variety of factors. The purpose of this study was to evaluate the association between patient and injury characteristics and treatment location using a national database. Study Design We performed an analysis of all burn patients admitted to United States hospitals participating in the Healthcare Cost and Utilization Project over 2 years. Univariate and multivariate analyses were performed to identify patient and injury factors associated with the likelihood of treatment at designated burn care facilities. Definitve care facilities were categorized as American Burn Association verified centers, non-verified burn centers, or other facilities. Results Over the two years, 29,971 burn patients were treated in 1,376 hospitals located in 19 participating states. A total of 6,712 (22%) patients were treated at verified centers, with 26% and 52% treated at non-verified or other facilities, respectively. Patients treated at verified centers were younger than those at non-verified or other facilities (33.1 years vs. 33.7 years vs. 41.9 years, p<0.001) and had a higher rate of inhalation injury (3.4% vs. 3.2% vs. 2.2%, p<0.001). Independent factors associated with treatment at verified centers include burns to the head/neck (RR 2.4, CI 2.1-2.7), hand (RR 1.8, CI 1.6-1.9), electrical injury (RR 1.4, CI 1.4, CI 1.2-1.7), and fewer co-morbidities (RR 0.55, CI 0.5-0.6). Conclusions More than two-thirds of significantly burned patients are treated at non-verified burn centers in the U.S. Many patients meeting ABA criteria for transfer to a burn center are being treated at non-burn center facilities. PMID:20193892

  2. 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.

  3. Medical center farmers markets: a strategic partner in the patient-centered medical home.

    PubMed

    George, Daniel R; Rovniak, Liza S; Kraschnewski, Jennifer L; Morrison, Kathy J; Dillon, Judith F; Bates, Beth Y

    2013-08-01

    The number of medical center-based farmers markets has increased in the past decade, but little is known about how such organizations contribute to the preventive health goals of the patient-centered medical home. In 2010, we started a seasonal farmers market at Penn State Hershey Medical Center to help support the institution's commitment to the medical home. We obtained descriptive data on the farmers market from hospital and market records and tracking information on the market's Facebook and Twitter sites. We computed summary measures to characterize how the market has begun to meet the 6 standards of the 2011 National Committee for Quality Assurance's report on the medical home. During the 2010 and 2011 seasons, 146 medical center volunteers from 40 departments formed 23 interprofessional teams that spent an average of 551 volunteer hours per season at the market, providing health screenings (n = 695) and speaking to customers (n = 636) about preventive health. Fifty-five nonmedical community health partners provided 208 hours of service at the market alongside medical center staff. Market programming contributed to 5 regional preventive health partnerships and created opportunities for interprofessional mentoring, student leadership, data management, development of social media skills, and grant-writing experience. The market contributed to all 6 medical home standards outlined by the National Committee for Quality Assurance. Medical center markets can support medical home standards. With systematic tracking of the health effects and integration with electronic medical health records, markets hold potential to contribute to comprehensive patient-centered care.

  4. 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…

  5. HRSA: Find a Health Center

    MedlinePlus

    ... to 8 p.m. ET, weekdays (except federal holidays). Additional Links: organdonor.gov Organ Procurement and Transplantation ... to 8 p.m. ET, weekdays (except federal holidays) HRSA Contact Center Close × Center Name Close Close ...

  6. 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

  7. 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.

  8. 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…

  9. A specialized information center. The clinical neurology information center.

    PubMed Central

    Friedlander, W J

    1978-01-01

    The history, philosophy, and methodology of a unique specialized medical information center are reported. The Clinical Neurology Information Center is an educational information service (giving its audience information which can be the basis for formulating their own questions) rather than an instructional information service (giving information in reply to questions). Clinical, as well as basic neuroscience, information is culled by professional neurologists from 855 medical periodicals. The essence of each article is summarized in a single sentence ("terse conclusions") or a bibliographic reference only is given; this material is published every two weeks in the Concise Clinical Neurology Review (CCNR). The format of the CCNR is such that the reader should be able to scan a very large amount of current literature by investing only twenty to thirty minutes every two weeks. The values of this system as well as some of its problems are discussed. PMID:354706

  10. Building a balanced scorecard for a burn center.

    PubMed

    Wachtel, T L; Hartford, C E; Hughes, J A

    1999-08-01

    The Balanced Scorecard provides a model that can be adapted to the management of any burn center, burn service or burn program. This model enables an organization to translate its mission and vision into specific strategic objectives across the four perspective: (1) the financial perspective; (2) the customer service perspective; (3) the internal business perspective; and (4) the growth and learning perspective. Once the appropriate objectives are identified, the Balanced Scorecard guides the organization to develop reasonable performance measures and establishes targets, initiatives and alternatives to meet programmatic goals and pursue longer-term visionary improvements. We used the burn center at the University of Colorado Health Sciences Center to test whether the Balanced Scorecard methodology was appropriate for the core business plan of a healthcare strategic business unit (i.e. a burn center).

  11. Implementing the patient-centered medical home in complex adaptive systems: Becoming a relationship-centered patient-centered medical home.

    PubMed

    Flieger, Signe Peterson

    This study explores the implementation experience of nine primary care practices becoming patient-centered medical homes (PCMH) as part of the New Hampshire Citizens Health Initiative Multi-Stakeholder Medical Home Pilot. The purpose of this study is to apply complex adaptive systems theory and relationship-centered organizations theory to explore how nine diverse primary care practices in New Hampshire implemented the PCMH model and to offer insights for how primary care practices can move from a structural PCMH to a relationship-centered PCMH. Eighty-three interviews were conducted with administrative and clinical staff at the nine pilot practices, payers, and conveners of the pilot between November and December 2011. The interviews were transcribed, coded, and analyzed using both a priori and emergent themes. Although there is value in the structural components of the PCMH (e.g., disease registries), these structures are not enough. Becoming a relationship-centered PCMH requires attention to reflection, sensemaking, learning, and collaboration. This can be facilitated by settings aside time for communication and relationship building through structured meetings about PCMH components as well as the implementation process itself. Moreover, team-based care offers a robust opportunity to move beyond the structures to focus on relationships and collaboration. (a) Recognize that PCMH implementation is not a linear process. (b) Implementing the PCMH from a structural perspective is not enough. Although the National Committee for Quality Assurance or other guidelines can offer guidance on the structural components of PCMH implementation, this should serve only as a starting point. (c) During implementation, set aside structured time for reflection and sensemaking. (d) Use team-based care as a cornerstone of transformation. Reflect on team structures and also interactions of the team members. Taking the time to reflect will facilitate greater sensemaking and learning and

  12. Implementing the patient-centered medical home in complex adaptive systems: Becoming a relationship-centered patient-centered medical home

    PubMed Central

    Flieger, Signe Peterson

    2017-01-01

    Background This study explores the implementation experience of nine primary care practices becoming patient-centered medical homes (PCMH) as part of the New Hampshire Citizens Health Initiative Multi-Stakeholder Medical Home Pilot. Purpose The purpose of this study is to apply complex adaptive systems theory and relationship-centered organizations theory to explore how nine diverse primary care practices in New Hampshire implemented the PCMH model and to offer insights for how primary care practices can move from a structural PCMH to a relationship-centered PCMH. Methodology/Approach Eighty-three interviews were conducted with administrative and clinical staff at the nine pilot practices, payers, and conveners of the pilot between November and December 2011. The interviews were transcribed, coded, and analyzed using both a priori and emergent themes. Findings Although there is value in the structural components of the PCMH (e.g., disease registries), these structures are not enough. Becoming a relationship-centered PCMH requires attention to reflection, sensemaking, learning, and collaboration. This can be facilitated by settings aside time for communication and relationship building through structured meetings about PCMH components as well as the implementation process itself. Moreover, team-based care offers a robust opportunity to move beyond the structures to focus on relationships and collaboration. Practice Implications (a) Recognize that PCMH implementation is not a linear process. (b) Implementing the PCMH from a structural perspective is not enough. Although the National Committee for Quality Assurance or other guidelines can offer guidance on the structural components of PCMH implementation, this should serve only as a starting point. (c) During implementation, set aside structured time for reflection and sensemaking. (d) Use team-based care as a cornerstone of transformation. Reflect on team structures and also interactions of the team members. Taking

  13. Person-Centered Gestalt Therapy: A Synthesis.

    ERIC Educational Resources Information Center

    Herlihy, Barbara

    1985-01-01

    Highlights the similarities between the person-centered approach to counseling of Carl Rogers and the Gestalt therapy of Fritz Perls. Discusses implementation of the two approaches and suggests they may be synthesized into a person-centered Gestalt therapy. (MCF)

  14. [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.

  15. 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)

  16. Gateway's Horizon: A Center of Excellence

    ERIC Educational Resources Information Center

    Herring, Jayne; Colony, Lee

    2007-01-01

    This article describes Gateway Technical College's Horizon Center for Transportation Technology, located in Kenosha, Wisconsin, which was the product of collaboration with business and industry, community support and a U.S. Department of Labor (DOL) grant. The center, which opened this fall, is a prime example of a sustainable community…

  17. 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…

  18. Operating and Managing a Backup Control Center

    NASA Technical Reports Server (NTRS)

    Marsh, Angela L.; Pirani, Joseph L.; Bornas, Nicholas

    2010-01-01

    Due to the criticality of continuous mission operations, some control centers must plan for alternate locations in the event an emergency shuts down the primary control center. Johnson Space Center (JSC) in Houston, Texas is the Mission Control Center (MCC) for the International Space Station (ISS). Due to Houston s proximity to the Gulf of Mexico, JSC is prone to threats from hurricanes which could cause flooding, wind damage, and electrical outages to the buildings supporting the MCC. Marshall Space Flight Center (MSFC) has the capability to be the Backup Control Center for the ISS if the situation is needed. While the MSFC Huntsville Operations Support Center (HOSC) does house the BCC, the prime customer and operator of the ISS is still the JSC flight operations team. To satisfy the customer and maintain continuous mission operations, the BCC has critical infrastructure that hosts ISS ground systems and flight operations equipment that mirrors the prime mission control facility. However, a complete duplicate of Mission Control Center in another remote location is very expensive to recreate. The HOSC has infrastructure and services that MCC utilized for its backup control center to reduce the costs of a somewhat redundant service. While labor talents are equivalent, experiences are not. Certain operations are maintained in a redundant mode, while others are simply maintained as single string with adequate sparing levels of equipment. Personnel at the BCC facility must be trained and certified to an adequate level on primary MCC systems. Negotiations with the customer were done to match requirements with existing capabilities, and to prioritize resources for appropriate level of service. Because some of these systems are shared, an activation of the backup control center will cause a suspension of scheduled HOSC activities that may share resources needed by the BCC. For example, the MCC is monitoring a hurricane in the Gulf of Mexico. As the threat to MCC

  19. Providing a Learning-Centered Instructional Environment.

    ERIC Educational Resources Information Center

    Evans, Ruby

    This paper describes efforts made by the faculty at Santa Fe Community College (Florida) to provide a learning-centered instructional environment for students in an introductory statistics class. Innovation in instruction has been stressed as institutions switch from "teacher-centered classrooms" to "student-centered…

  20. Medical Center Farmers Markets: A Strategic Partner in the Patient-Centered Medical Home

    PubMed Central

    Rovniak, Liza S.; Kraschnewski, Jennifer L.; Morrison, Kathy J.; Dillon, Judith F.; Bates, Beth Y.

    2013-01-01

    Background The number of medical center–based farmers markets has increased in the past decade, but little is known about how such organizations contribute to the preventive health goals of the patient-centered medical home. Community Context In 2010, we started a seasonal farmers market at Penn State Hershey Medical Center to help support the institution’s commitment to the medical home. Methods We obtained descriptive data on the farmers market from hospital and market records and tracking information on the market’s Facebook and Twitter sites. We computed summary measures to characterize how the market has begun to meet the 6 standards of the 2011 National Committee for Quality Assurance’s report on the medical home. Outcome During the 2010 and 2011 seasons, 146 medical center volunteers from 40 departments formed 23 interprofessional teams that spent an average of 551 volunteer hours per season at the market, providing health screenings (n = 695) and speaking to customers (n = 636) about preventive health. Fifty-five nonmedical community health partners provided 208 hours of service at the market alongside medical center staff. Market programming contributed to 5 regional preventive health partnerships and created opportunities for interprofessional mentoring, student leadership, data management, development of social media skills, and grant-writing experience. The market contributed to all 6 medical home standards outlined by the National Committee for Quality Assurance. Interpretation Medical center markets can support medical home standards. With systematic tracking of the health effects and integration with electronic medical health records, markets hold potential to contribute to comprehensive patient-centered care. PMID:23906327

  1. Alternative Fuels Data Center: Johnson Space Center Explores Alternative

    Science.gov Websites

    Fuel VehiclesA> Johnson Space Center Explores Alternative Fuel Vehicles to someone by E-mail Share Alternative Fuels Data Center: Johnson Space Center Explores Alternative Fuel Vehicles on Facebook Tweet about Alternative Fuels Data Center: Johnson Space Center Explores Alternative Fuel Vehicles on

  2. Computer Center: Setting Up a Microcomputer Center--1 Person's Perspective.

    ERIC Educational Resources Information Center

    Duhrkopf, Richard, Ed.; Collins, Michael, A. J., Ed.

    1988-01-01

    Considers eight components to be considered in setting up a microcomputer center for use with college classes. Discussions include hardware, software, physical facility, furniture, technical support, personnel, continuing financial expenditures, and security. (CW)

  3. A Nature Center for Your Community.

    ERIC Educational Resources Information Center

    Shomon, Joseph J.

    A nature center is an outdoor education area; a parcel of natural land where people, particularly the young, and nature can meet. It can be an educational section of a state or national forest or park set aside specifically to serve the people of one or several nearby communities. These centers usually include an educational or interpretive…

  4. Ames Research Center Publications: A Continuing Bibliography

    NASA Technical Reports Server (NTRS)

    1981-01-01

    The Ames Research Center Publications: A Continuing Bibliography contains the research output of the Center indexed during 1981 in Scientific and Technical Aerospace Reports (STAR), Limited Scientific and Technical Aerospace Reports (LSTAR), International Aerospace Abstracts (IAA), and Computer Program Abstracts (CPA). This bibliography is published annually in an attempt to effect greater awareness and distribution of the Center's research output.

  5. [RABIN MEDICAL CENTER - A TERTIARY CENTER OF EXCELLENCE IN SERVICE, TEACHING AND RESEARCH].

    PubMed

    Niv, Yaron; Halpern, Eyran

    2017-04-01

    Rabin Medical Center (RMC) belongs to Clalit Health Services and is a tertiary, academic medical center with all the facilities of modern and advanced medicine. Annually in the RMC, 650,000 patients are treated in the outpatient clinics, and 100,000 patients are hospitalized in the hospital departments. All these patients are treated by 4500 devoted staff members, including 1000 physicians and 2000 nurses. RMC is one of the largest, centrally located medical centers for medical and nursing students' education in Israel, taking place in clinical departments, as well as in basic sciences courses. We also have a nursing school attached to the hospital. Our vision supports excellence in research. We have a special Research Department that supports RMC researchers, with research coordinators, and all the relevant facilities to assist in clinical and basic science studies. We also promote collaboration efforts with many academic centers in Israel and abroad. The scope of RMC research is broad, including 700 new studies every year and 1500 active studies currently. This issue of Harefuah is dedicated to the clinical and basic science research conducted at RMC with original papers presenting research performed by our departments and laboratories.

  6. 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...

  7. 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...

  8. 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.

  9. 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...

  10. 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

  11. A Peer-to-Peer Mentoring Program for In-Center Hemodialysis: A Patient-Centered Quality Improvement Program.

    PubMed

    St Clair Russell, Jennifer; Southerland, Shiree; Huff, Edwin D; Thomson, Maria; Meyer, Klemens B; Lynch, Janet R

    2017-01-01

    A patient-centered quality improvement program implemented in one Virginia hemodialysis facility sought to determine if peer-to-peer (P2P) programs can assist patients on in-center hemodialysis with self-management and improve outcomes. Using a single-arm, repeatedmeasurement, quasi-experimental design, 46 patients participated in a four-month P2P intervention. Outcomes include knowledge, self-management behaviors, and psychosocial health indicators: self-efficacy, perceived social support, hemodialysis social support, and healthrelated quality of life (HRQoL). Physiological health indicators included missed and shortened treatments, arteriovenous fistula placement, interdialytic weight gain, serum phosphorus, and hospitalizations. Mentees demonstrated increased knowledge, self-efficacy, perceived social support, hemodialysis social support, and HRQoL. Missed treatments decreased. Mentors experienced increases in knowledge, self-management, and social support. A P2P mentoring program for in-center hemodialysis can benefit both mentees and mentors. Copyright© by the American Nephrology Nurses Association.

  12. 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…

  13. 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…

  14. Organizing a Learning Center.

    ERIC Educational Resources Information Center

    Davis, Harold S.

    The organization and development of instructional materials centers (IMC's) as a part of a program of educational improvement is discussed. Analysis is made of the advantages, disadvantages, and organization of centralized IMC's, decentralized IMC's, and coordinated IMC's, with recommendations being made for their development. The operation of…

  15. The value of a writing center at a medical university.

    PubMed

    Ariail, Jennie; Thomas, Suzanne; Smith, Tom; Kerr, Lisa; Richards-Slaughter, Shannon; Shaw, Darlene

    2013-01-01

    Students often enter graduate healthcare/biomedical schools with insufficient undergraduate instruction in effective writing, yet the ability to write well affects their career opportunities in health care and in scientific research. The present study was conducted to determine the value and effectiveness of instruction by faculty with expertise in teaching writing at a writing center at an academic health science center. Two separate sources of data were collected and analyzed. First, an anonymous campus-wide survey assessed students' satisfaction and utilization of the university's Writing Center. Second, a nonexperimental objective study was conducted comparing a subsample of students who used versus those who did not receive instruction at the Writing Center on quality of writing, as determined by an evaluator who was blind to students' utilization status. From the campus-wide survey, more than 90% of respondents who used the center (which was 26% of the student body) agreed that it was a valuable and effective resource. From the objective study of writing quality, students who used the Writing Center were twice as likely as students who did not to receive an A grade on the written assignment, and the blinded evaluator accurately estimated which students used the Writing Center based on the clarity of writing. The instruction at the Writing Center at our university is highly valued by students, and its value is further supported by objective evidence of efficacy. Such a center offers the opportunity to provide instruction that medical and other healthcare students increasingly need without requiring additions to existing curricula. By developing competency in writing, students prepare for scholarly pursuits, and through the process of writing, they engage critical thinking skills that can make them more attuned to narrative and more reflective and empathetic in the clinical setting.

  16. 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.

  17. A Learner Centered Education.

    ERIC Educational Resources Information Center

    Ballard, Florence N.

    This paper proposes a learner-centered educational system, focusing on aspects that are intrinsically associated with the modern educational system, such as the curriculum, school community, parents, learners, and educational support personnel. It examines: primary level preparation (literacy, numeracy, and basic knowledge; examination and…

  18. Inside a Postpartum Nursing Center: Tradition and Change.

    PubMed

    Yeh, Yueh-Chen; St John, Winsome; Venturato, Lorraine

    2016-06-01

    The purpose of this study was to explore how traditional ritual practices are incorporated into the context of contemporary healthcare. An ethnographic study was conducted, using observations and interviews with 27 first-time mothers and 3 nurses at a postpartum nursing center in Taipei, Taiwan. Nursing routines, policies and care provision at the center affected the way traditional ritual practices were conducted. New mothers in this study constructed their everyday activities at the center by incorporating and modifying the ritual practices inside and outside the postpartum nursing center setting. Social changes have an influence on traditional postpartum ritual practices so a postpartum nursing center becomes a choice for postpartum women. Thus, health care professionals should value their own functions and roles at the postpartum nursing center since the new mothers regard them as the primary support resource to help them recover from giving birth. Therefore, they need to re-examine their practices from the postpartum women's perspective to provide better support and sensitive care to postpartum women and their families. Copyright © 2016. Published by Elsevier B.V.

  19. 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

  20. A national neurological excellence centers network.

    PubMed

    Pazzi, S; Cristiani, P; Cavallini, A

    1998-02-01

    The most relevant problems related to the management of neurological disorders are (i) the frequent hospitalization in nonspecialist departments, with the need for neurological consultation, and (ii) the frequent requests of GPs for highly specialized investigations that are very expensive and of little value in arriving at a correct diagnosis. In 1996, the Consorzio di Bioingegneria e Informatica Medica in Italy realized the CISNet project (in collaboration with the Consorzio Istituti Scientifici Neuroscienze e Tecnologie Biomediche and funded by the Centro Studi of the National Public Health Council) for the implementation of a national neurological excellence centers network (CISNet). In the CISNet project, neurologists will be able to give on-line interactive consultation and off-line consulting services identifying correct diagnostic/therapeutic procedures, evaluating the need for both examination in specialist centers and admission to specialized centers, and identifying the most appropriate ones.

  1. 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

  2. Aphasia centers in North America: a survey.

    PubMed

    Simmons-Mackie, Nina; Holland, Audrey L

    2011-08-01

    There is a growing trend toward dedicated programs designed to improve the lives of people with aphasia and their families. We are referring to these programs collectively as "aphasia centers." These programs purportedly differ from more traditional medically based aphasia rehabilitation. However, there is no directory of aphasia centers and no definition of what constitutes such a program. Therefore, an online survey was designed to identify and describe aphasia centers in the United States and Canada. A 37-question survey was posted online via SurveyMonkey. An introductory letter was distributed by electronic mail to a listserv and mailing lists of programs associated with aphasia. Potential respondents who considered themselves an aphasia center were asked to complete the survey. A total of 33 survey responses were analyzed, and descriptive data were compiled resulting in a description of the following aspects of aphasia centers: demographic information, mission, admission and discharge policies, assessment practices, program logistics, staffing patterns, marketing, funding, and services offered. In addition, a qualitative analysis of written text responses revealed the following key themes that appear to characterize the responding programs: services that differ from traditional aphasia rehabilitation; a sense of community; a holistic focus on quality of life, psychosocial well-being, participation, and social support; the centrality of group interaction; and variety/intensity of services. © Thieme Medical Publishers.

  3. Starting a Day Care Center: The Day Care Center Handbook.

    ERIC Educational Resources Information Center

    Checkett, Donald

    Designed to be of help to individuals and groups seeking to establish a day care center in the metropolitan St. Louis area, this manual calls attention to important and basic information which must be taken into account if planning is to produce tangible results. Following a brief section defining commonly used terms referring to organized…

  4. Adult Resource Center--A Community/University Project.

    ERIC Educational Resources Information Center

    Vegso, Kathryn A.

    Cooperative planning, based upon a decade of reentry programs for adults, culminated in the establishment of a public service known as the Adult Resource Center at the University of Akron (Ohio). Located in a renovated building between the campus and the downtown community, the Adult Resource Center serves as a liaison with social service…

  5. Robust pupil center detection using a curvature algorithm

    NASA Technical Reports Server (NTRS)

    Zhu, D.; Moore, S. T.; Raphan, T.; Wall, C. C. (Principal Investigator)

    1999-01-01

    Determining the pupil center is fundamental for calculating eye orientation in video-based systems. Existing techniques are error prone and not robust because eyelids, eyelashes, corneal reflections or shadows in many instances occlude the pupil. We have developed a new algorithm which utilizes curvature characteristics of the pupil boundary to eliminate these artifacts. Pupil center is computed based solely on points related to the pupil boundary. For each boundary point, a curvature value is computed. Occlusion of the boundary induces characteristic peaks in the curvature function. Curvature values for normal pupil sizes were determined and a threshold was found which together with heuristics discriminated normal from abnormal curvature. Remaining boundary points were fit with an ellipse using a least squares error criterion. The center of the ellipse is an estimate of the pupil center. This technique is robust and accurately estimates pupil center with less than 40% of the pupil boundary points visible.

  6. 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.

  7. A Computer Learning Center for Environmental Sciences

    NASA Technical Reports Server (NTRS)

    Mustard, John F.

    2000-01-01

    In the fall of 1998, MacMillan Hall opened at Brown University to students. In MacMillan Hall was the new Computer Learning Center, since named the EarthLab which was outfitted with high-end workstations and peripherals primarily focused on the use of remotely sensed and other spatial data in the environmental sciences. The NASA grant we received as part of the "Centers of Excellence in Applications of Remote Sensing to Regional and Global Integrated Environmental Assessments" was the primary source of funds to outfit this learning and research center. Since opening, we have expanded the range of learning and research opportunities and integrated a cross-campus network of disciplines who have come together to learn and use spatial data of all kinds. The EarthLab also forms a core of undergraduate, graduate, and faculty research on environmental problems that draw upon the unique perspective of remotely sensed data. Over the last two years, the Earthlab has been a center for research on the environmental impact of water resource use in and regions, impact of the green revolution on forest cover in India, the design of forest preserves in Vietnam, and detailed assessments of the utility of thermal and hyperspectral data for water quality analysis. It has also been used extensively for local environmental activities, in particular studies on the impact of lead on the health of urban children in Rhode Island. Finally, the EarthLab has also served as a key educational and analysis center for activities related to the Brown University Affiliated Research Center that is devoted to transferring university research to the private sector.

  8. A review of the design and development processes of simulation for training in healthcare - A technology-centered versus a human-centered perspective.

    PubMed

    Persson, Johanna

    2017-01-01

    This article reviews literature about simulation systems for training in healthcare regarding the prevalence of human-centered approaches in the design and development of these systems, motivated by a tradition in this field of working technology-centered. The results show that the focus on human needs and context of use is limited. It is argued that a reduction of the focus on technical advancements in favor of the needs of the users and the healthcare community, underpinned by human factors and ergonomics theory, is favorable. Due to the low number of identified articles describing or discussing human-centered approaches it is furthermore concluded that the publication culture promotes technical descriptions and summative evaluations rather than descriptions and reflections regarding the design and development processes. Shifting the focus from a technology-centered approach to a human-centered one can aid in the process of creating simulation systems for training in healthcare that are: 1) relevant to the learning objectives, 2) adapted to the needs of users, context and task, and 3) not selected based on technical or fidelity criteria. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. A Culture of Learning: Inside a Living-Learning Center

    ERIC Educational Resources Information Center

    Kranzow, Jeannine; Hinkle, Sara E.; Muthiah, Richard; Davis, Colin

    2015-01-01

    Exploring the culture of a living-learning center, this study examines the educational practices that aim to link in- and out-of-class experiences. Through a cultural lens, the authors offer a glimpse into a living-learning center located within a state institution in the Midwest that models a way of effectively connecting the curricular and…

  10. 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.

  11. Polar Science Weekend: A University / Science Center Collaboration

    NASA Astrophysics Data System (ADS)

    Stern, H. L.; Moritz, R. E.; Lettvin, E.; Schatz, D.; Russell, L.

    2008-12-01

    Polar Science Weekend (PSW) is a four-day event featuring hands-on activities, live demonstrations, and a variety of exhibits about the polar regions and current polar research, presented by scientists from the University of Washington's Polar Science Center, and held at Seattle's Pacific Science Center. PSW was conceived and organized jointly by the Polar Science Center and Pacific Science Center, which is Washington State's most well-attended museum. The first PSW in March 2006 drew over 5000 visitors, and subsequent PSWs in 2007 and 2008 have both surpassed that figure. The success of this university / science center partnership has made PSW an annual event, and has served as a model for Pacific Science Center's Portal to the Public program, in which partnerships with other scientific institutions have been built. Researchers at the Polar Science Center (PSC) study the physical processes controlling high-latitude oceans, atmosphere, sea ice, and ice sheets, and are involved in numerous IPY projects. PSC scientists also engage in many outreach efforts such as classroom visits and public lectures, but PSW stands out as the highlight of the year. The partnership with Pacific Science Center brings access to facilities, publicity, and a large audience that would not otherwise be readily available to PSC. Pacific Science Center, constructed for the 1962 World's Fair in Seattle, serves more than one million visitors per year. Pacific Science Center's mission is to inspire a lifelong interest in science, math and technology by engaging diverse communities through interactive and innovative exhibits and programs. PSW helps to advance this mission by bringing students, teachers, and families face-to-face with scientists who work in some of the most remote and challenging places on earth, to learn first-hand about polar research in a fun and informal setting. This is made possible only by the partnership with PSC. In this talk we will present descriptions and photos of PSW

  12. Patterns for Designing Children's Centers. A Report.

    ERIC Educational Resources Information Center

    Osmon, Fred Linn

    This book summarizes the issues involved in the design of a children's center. A children's center is defined as an away from home, group child care program for 2-4 year olds. The material is organized into 35 chapters or "patterns." A pattern is a package of design requirements whose solution is focused on a distinct part of the physical…

  13. Establishing a Center to Support Faculty Research

    ERIC Educational Resources Information Center

    Goodwin, Laura; Kozleski, Elizabeth; Muth, Rodney; Rhodes, Lynn K.; White, Kim Kennedy

    2005-01-01

    This article describes the establishment in fall 2002 of a School of Education Research Center designed to support faculty in increasing productivity and quality in research. Details are provided about center goals, services, staffing, space, resources, and logistics during the first year of operation. In addition, data are shared about faculty…

  14. How To Start a Child Care Center.

    ERIC Educational Resources Information Center

    Benner, Phylis M., Comp.; Hollestelle, Kay, Comp.

    This paper is addressed to those who want to start their own child care center, and provides guidelines for doing so. It identifies the first things to be considered--planning and conducting a community needs assessment to analyze the competition in the area and make the decision of opening a day care center, and gathering information from a…

  15. College Psychotherapy at a Taiwanese Counseling Center

    ERIC Educational Resources Information Center

    Lin, Yii-nii

    2014-01-01

    This article introduces Yii-nii Lin, Professor in the Center for Teacher Education at the National Tsing Hua University in Taiwan, and prior director of the university's counseling center for a 3 year term. She has worked as a university counselling psychologist for more than 15 years when she participated in an online interview that questioned…

  16. Making the Change: From a Teacher-Centered to a Learner-Centered Environment--A Phenomenological Study

    ERIC Educational Resources Information Center

    Roof, Patty L.

    2012-01-01

    Nursing education is calling for transformation in teaching practices which includes learner-centered environments. The purpose of this qualitative phenomenological study was to explore 15 nursing faculty life experiences as they relate to the choice of a learning environment. Participants expressed their life experiences through interview…

  17. [A relational database to store Poison Centers calls].

    PubMed

    Barelli, Alessandro; Biondi, Immacolata; Tafani, Chiara; Pellegrini, Aristide; Soave, Maurizio; Gaspari, Rita; Annetta, Maria Giuseppina

    2006-01-01

    Italian Poison Centers answer to approximately 100,000 calls per year. Potentially, this activity is a huge source of data for toxicovigilance and for syndromic surveillance. During the last decade, surveillance systems for early detection of outbreaks have drawn the attention of public health institutions due to the threat of terrorism and high-profile disease outbreaks. Poisoning surveillance needs the ongoing, systematic collection, analysis, interpretation, and dissemination of harmonised data about poisonings from all Poison Centers for use in public health action to reduce morbidity and mortality and to improve health. The entity-relationship model for a Poison Center relational database is extremely complex and not studied in detail. For this reason, not harmonised data collection happens among Italian Poison Centers. Entities are recognizable concepts, either concrete or abstract, such as patients and poisons, or events which have relevance to the database, such as calls. Connectivity and cardinality of relationships are complex as well. A one-to-many relationship exist between calls and patients: for one instance of entity calls, there are zero, one, or many instances of entity patients. At the same time, a one-to-many relationship exist between patients and poisons: for one instance of entity patients, there are zero, one, or many instances of entity poisons. This paper shows a relational model for a poison center database which allows the harmonised data collection of poison centers calls.

  18. Student-Centered and Teacher-Centered Classroom Management: A Case Study of Three Elementary Teachers

    ERIC Educational Resources Information Center

    Garrett, Tracey

    2008-01-01

    The major purpose of this case study was to document the classroom management beliefs and practices of three teachers reputed to implement student-centered instruction and to examine the relationship between their instructional and managerial approaches. More specifically, do teachers who use student-centered instruction also implement…

  19. Anatomy of a Security Operations Center

    NASA Technical Reports Server (NTRS)

    Wang, John

    2010-01-01

    Many agencies and corporations are either contemplating or in the process of building a cyber Security Operations Center (SOC). Those Agencies that have established SOCs are most likely working on major revisions or enhancements to existing capabilities. As principle developers of the NASA SOC; this Presenters' goals are to provide the GFIRST community with examples of some of the key building blocks of an Agency scale cyber Security Operations Center. This presentation viII include the inputs and outputs, the facilities or shell, as well as the internal components and the processes necessary to maintain the SOC's subsistence - in other words, the anatomy of a SOC. Details to be presented include the SOC architecture and its key components: Tier 1 Call Center, data entry, and incident triage; Tier 2 monitoring, incident handling and tracking; Tier 3 computer forensics, malware analysis, and reverse engineering; Incident Management System; Threat Management System; SOC Portal; Log Aggregation and Security Incident Management (SIM) systems; flow monitoring; IDS; etc. Specific processes and methodologies discussed include Incident States and associated Work Elements; the Incident Management Workflow Process; Cyber Threat Risk Assessment methodology; and Incident Taxonomy. The Evolution of the Cyber Security Operations Center viII be discussed; starting from reactive, to proactive, and finally to proactive. Finally, the resources necessary to establish an Agency scale SOC as well as the lessons learned in the process of standing up a SOC viII be presented.

  20. Validation: A Family-Centered Communication Skill.

    PubMed

    Harvey, Pat; Ahmann, Elizabeth

    2016-01-01

    Family-centered care can seem challenging when family member behavior, choices, attitudes, or emotions are "difficult" or "challenging" to deal with. Yet nurses can develop skills to effectively interact with families in a wide variety of circumstances and then become able to practice family-centered care in any situation that might arise. One particularly useful skill is "validation," which means accepting what the family member says or does as a valid expression of thoughts and feelings in that particular circumstance at that particular time. Validation does not mean there is agreement or acceptance of unsafe behaviors, only that the nurse acknowledges that the family member's concerns and feelings are important and should be listened to and taken seriously, even in the presence of disagreement. Validation, which should be individualized, can take many forms, ranging from providing complete attention to reflection of statements, identification of possible unexpressed emotions, normalization, and finally, a full and genuine sense of connection. Understanding and practicing validation can empower nurses and family members, as well as support effectivefamily-centered communication and problem solving even in challenging circumstances.

  1. Validation: a family-centered communication skill.

    PubMed

    Harvey, Pat; Ahmann, Elizabeth

    2014-01-01

    Family-centered care can seem challenging when family member behavior, choices, attitudes, or emotions are "difficult" or "challenging" to deal with. Yet nurses can develop skills to effectively interact with families in a wide variety of circumstances and then become able to practice family-centered care in any situation that might arise. One particularly useful skill is "validation," which means accepting what the family member says or does as a valid expression of thoughts and feelings in that particular circumstance at that particular time. Validation does not mean there is agreement or acceptance of unsafe behaviors, only that the nurse acknowledges that the family member's concerns and feelings are important and should be listened to and taken seriously, even in the presence of disagreement. Validation, which should be individualized, can take many forms, ranging from providing complete attention to reflection of statements, identification of possible unexpressed emotions, normalization, and finally, a full and genuine sense of connection. Understanding and practicing validation can empower nurses and family members, as well as support effective family-centered communication and problem solving, even in challenging circumstances.

  2. A new barrier-free burn center.

    PubMed

    Edlich, R F; Neal, J G; Suber, F; Kirby, D; Woods, J A; Bentram, D; McGawen, J

    1998-01-01

    This article describes a barrier-free burn center that is accessible to persons with disabilities and that complies with Title III of the Americans with Disabilities Act. The burn center has 3 separate components: patient rooms, patient support facilities, and staff support facilities. Thirteen rooms are used to care for 16 patients. Two of the 13 rooms are accessible to people with disabilities. These 2 rooms have wide doors that permit a wheelchair to pass through, and they have enough clear floor space for a wheelchair to make a 180 degrees turn. The rooms have a sink that is accessible from a wheelchair. The bathrooms have large, clear floor spaces that allow for the turning of a wheelchair, elevated toilets, grab bars, and showers that permit wheelchair access. Special wheelchairs that provide easier shower and commode access are available. The patient support services feature a large hydrotherapy room that contains a table-shower system that allows a person in a wheelchair to gain access to both sides of the shower table. A tub room has been constructed to provide compact patient bathing and hydromassage, and it is also accessible to people in wheelchairs. The staff support services include a locker room that has a shower accessible to people with disabilities so that staff members with mobility disorders can work in the burn center. Grade II braille writing marks all of the signs that designate the permanent rooms and spacing in the burn center and in the contiguous common use areas. The common use area has a restroom accessible to people with disabilities and a waiting room with a telephone communications system for people with mobility disorders or mobility impairment.

  3. School Centered Management: A Matter of Style.

    ERIC Educational Resources Information Center

    Rennie, Robert J.

    1985-01-01

    School Centered Management (SCM) focuses on the school as the center of all management endeavors. Systematic delegation, support, and accountability are parts of SCM's situational approach to management. (MLF)

  4. Rethinking exploitation: a process-centered account.

    PubMed

    Jansen, Lynn A; Wall, Steven

    2013-12-01

    Exploitation has become an important topic in recent discussions of biomedical and research ethics. This is due in no small measure to the influence of Alan Wertheimer's path-breaking work on the subject. This paper presents some objections to Wertheimer's account of the concept. The objections attempt to show that his account places too much emphasis on outcome-based considerations and too little on process-based considerations. Building on these objections, the paper develops an alternative process-centered account of the concept. This alternative account of exploitation takes as its point of departure the broadly Kantian notion that it is wrong to use another as an instrument for the advancement of one's own ends. It sharpens this slippery notion and adds a number of refinements to it. The paper concludes by arguing that process-centered accounts of exploitation better illuminate the ethical challenges posed by research on human subjects than outcome-centered accounts.

  5. Trauma center staffing, infrastructure, and patient characteristics that influence trauma center need.

    PubMed

    Faul, Mark; Sasser, Scott M; Lairet, Julio; Mould-Millman, Nee-Kofi; Sugerman, David

    2015-01-01

    The most effective use of trauma center resources helps reduce morbidity and mortality, while saving costs. Identifying critical infrastructure characteristics, patient characteristics and staffing components of a trauma center associated with the proportion of patients needing major trauma care will help planners create better systems for patient care. We used the 2009 National Trauma Data Bank-Research Dataset to determine the proportion of critically injured patients requiring the resources of a trauma center within each Level I-IV trauma center (n=443). The outcome variable was defined as the portion of treated patients who were critically injured. We defined the need for critical trauma resources and interventions ("trauma center need") as death prior to hospital discharge, admission to the intensive care unit, or admission to the operating room from the emergency department as a result of acute traumatic injury. Generalized Linear Modeling (GLM) was used to determine how hospital infrastructure, staffing Levels, and patient characteristics contributed to trauma center need. Nonprofit Level I and II trauma centers were significantly associated with higher levels of trauma center need. Trauma centers that had a higher percentage of transferred patients or a lower percentage of insured patients were associated with a higher proportion of trauma center need. Hospital infrastructure characteristics, such as bed capacity and intensive care unit capacity, were not associated with trauma center need. A GLM for Level III and IV trauma centers showed that the number of trauma surgeons on staff was associated with trauma center need. Because the proportion of trauma center need is predominantly influenced by hospital type, transfer frequency, and insurance status, it is important for administrators to consider patient population characteristics of the catchment area when planning the construction of new trauma centers or when coordinating care within state or regional

  6. NASA(Field Center Based) Technology Commercialization Centers

    NASA Technical Reports Server (NTRS)

    1995-01-01

    Under the direction of the IC(sup 2) Institute, the Johnson Technology Commercialization Center has met or exceeded all planned milestones and metrics during the first two and a half years of the NTCC program. The Center has established itself as an agent for technology transfer and economic development in- the Clear Lake community, and is positioned to continue as a stand-alone operation. This report presents data on the experimental JTCC program, including all objective measures tracked over its duration. While the metrics are all positive, the data indicates a shortage of NASA technologies with strong commercial potential, barriers to the identification and transfer of technologies which may have potential, and small financial return to NASA via royalty-bearing licenses. The Center has not yet reached the goal of self-sufficiency based on rental income, and remains dependent on NASA funding. The most important issues raised by the report are the need for broader and deeper community participation in the Center, technology sourcing beyond JSC, and the form of future funding which will be appropriate.

  7. 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

  8. 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.

  9. Data Center Consolidation: A Step towards Infrastructure Clouds

    NASA Astrophysics Data System (ADS)

    Winter, Markus

    Application service providers face enormous challenges and rising costs in managing and operating a growing number of heterogeneous system and computing landscapes. Limitations of traditional computing environments force IT decision-makers to reorganize computing resources within the data center, as continuous growth leads to an inefficient utilization of the underlying hardware infrastructure. This paper discusses a way for infrastructure providers to improve data center operations based on the findings of a case study on resource utilization of very large business applications and presents an outlook beyond server consolidation endeavors, transforming corporate data centers into compute clouds.

  10. Designing a Computerized Presentation Center.

    ERIC Educational Resources Information Center

    Christopher, Doris A.

    1995-01-01

    The Office Systems and Business Education Department at California State University (Los Angeles) developed a computerized presentation center, with multimedia classrooms and a multipurpose room, where students learn computerized presentation design skills, faculty can develop materials for class, and local business can do videoconferencing and…

  11. 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

  12. Environmental Learning Centers: A Template.

    ERIC Educational Resources Information Center

    Vozick, Eric

    1999-01-01

    Provides a working model, or template, for community-based environmental learning centers (ELCs). The template presents a philosophy as well as a plan for staff and administration operations, educational programming, and financial support. The template also addresses "green" construction and maintenance of buildings and grounds and…

  13. A Multimedia Publishing Center from Scratch (and Scavenge).

    ERIC Educational Resources Information Center

    D'Ignazio, Fred

    1995-01-01

    Provides guidance for turning the library media center into a place where students can use multimedia tools for research, authoring, and publishing. Sidebars include: a multimedia club sample student contract, a component list for a multimedia workstation starter kit, a checklist for planning and assembling mini-centers, and a sample multimedia…

  14. Suggestions for Successfully Establishing a University Selling Center

    ERIC Educational Resources Information Center

    Shepherd, C. David; Eastman, Jacqueline K.

    2008-01-01

    The authors describe the multiple benefits a university selling center offers to students, faculty members, administrators, and the general business community. The seven essential steps in first establishing a university selling center are addressed: find a champion, obtain the support of administration, find a white knight, establish a board of…

  15. 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…

  16. [Challenges in building a surgical obesity center].

    PubMed

    Fischer, L; El Zein, Z; Bruckner, T; Hünnemeyer, K; Rudofsky, G; Reichenberger, M; Schommer, K; Gutt, C N; Büchler, M W; Müller-Stich, B P

    2014-04-01

    It is estimated that approximately 1 million adults in Germany suffer from grade III obesity. The aim of this article is to describe the challenges faced when constructing an operative obesity center. The inflow of patients as well as personnel and infrastructure of the interdisciplinary Diabetes and Obesity Center in Heidelberg were analyzed. The distribution of continuous data was described by mean values and standard deviation and analyzed using variance analysis. The interdisciplinary Diabetes and Obesity Center in Heidelberg was founded in 2006 and offers conservative therapeutic treatment and all currently available operative procedures. For every operative intervention carried out an average of 1.7 expert reports and 0.3 counter expertises were necessary. The time period from the initial presentation of patients in the department of surgery to an operation was on average 12.8 months (standard deviation SD ± 4.5 months). The 47 patients for whom remuneration for treatment was initially refused had an average body mass index (BMI) of 49.2 kg/m(2) and of these 39 had at least the necessity for treatment of a comorbidity. Of the 45 patients for whom the reason for the refusal of treatment costs was given as a lack of conservative treatment, 30 had undertaken a medically supervised attempt at losing weight over at least 6 months. Additionally, 19 of these patients could document participation in a course at a rehabilitation center, a Xenical® or Reduktil® therapy or had undertaken the Optifast® program. For the 20 patients who supposedly lacked a psychosomatic evaluation, an adequate psychosomatic evaluation was carried out in all cases. The establishment of an operative obesity center can last for several years. A essential prerequisite for success seems to be the constructive and targeted cooperation with the health insurance companies.

  17. 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

  18. Progress to a Gallium-Arsenide Deep-Center Laser

    PubMed Central

    Pan, Janet L.

    2009-01-01

    Although photoluminescence from gallium-arsenide (GaAs) deep-centers was first observed in the 1960s, semiconductor lasers have always utilized conduction-to-valence-band transitions. Here we review recent materials studies leading to the first GaAs deep-center laser. First, we summarize well-known properties: nature of deep-center complexes, Franck-Condon effect, photoluminescence. Second, we describe our recent work: insensitivity of photoluminescence with heating, striking differences between electroluminescence and photoluminescence, correlation between transitions to deep-states and absence of bandgap-emission. Room-temperature stimulated-emission from GaAs deep-centers was observed at low electrical injection, and could be tuned from the bandgap to half-the-bandgap (900–1,600 nm) by changing the electrical injection. The first GaAs deep-center laser was demonstrated with electrical injection, and exhibited a threshold of less than 27 mA/cm2 in continuous-wave mode at room temperature at the important 1.54 μm fiber-optic wavelength. This small injection for laser action was explained by fast depopulation of the lower state of the optical transition (fast capture of free holes onto deep-centers), which maintains the population inversion. The evidence for laser action included: superlinear L-I curve, quasi-Fermi level separations satisfying Bernard-Duraffourg’s criterion, optical gains larger than known significant losses, clamping of the optical-emission from lossy modes unable to reach laser action, pinning of the population distribution during laser action.

  19. Barriers and facilitators to implementing a patient-centered model of contraceptive provision in community health centers.

    PubMed

    Politi, Mary C; Estlund, Amy; Milne, Anne; Buckel, Christina M; Peipert, Jeffrey F; Madden, Tessa

    2016-01-01

    The Contraceptive CHOICE Project developed a patient-centered model for contraceptive provision including: (1) structured, evidence-based counseling; (2) staff and health care provider education; and (3) removal of barriers such as cost and multiple appointments to initiate contraception. In preparation for conducting a research study of the CHOICE model in three community health settings, we sought to identify potential barriers and facilitators to implementation. Using a semi-structured interview guide guided by a framework of implementation research, we conducted 31 qualitative interviews with female patients, staff, and health care providers assessing attitudes, beliefs, and barriers to receiving contraception. We also asked about current contraceptive provision and explored organizational practices relevant to implementing the CHOICE model. We used a grounded theory approach to identify major themes. Many participants felt that current contraceptive provision could be improved by the CHOICE model. Potential facilitators included agreement about the necessity for improved contraceptive knowledge among patients and staff; importance of patient-centered contraceptive counseling; and benefits to same-day insertion of long-acting reversible contraception (LARC). Potential barriers included misconceptions about contraception held by staff and providers; resistance to new practices; costs associated with LARC; and scheduling challenges required for same-day insertion of LARC. In addition to staff and provider training, implementing a patient-centered model of contraceptive provision needs to be supplemented by strategies to manage patient and system-level barriers. Community health center staff, providers, and patients support patient-centered contraceptive counseling to improve contraception provision if organizations can address these barriers.

  20. A method which can enhance the optical-centering accuracy

    NASA Astrophysics Data System (ADS)

    Zhang, Xue-min; Zhang, Xue-jun; Dai, Yi-dan; Yu, Tao; Duan, Jia-you; Li, Hua

    2014-09-01

    Optical alignment machining is an effective method to ensure the co-axiality of optical system. The co-axiality accuracy is determined by optical-centering accuracy of single optical unit, which is determined by the rotating accuracy of lathe and the optical-centering judgment accuracy. When the rotating accuracy of 0.2um can be achieved, the leading error can be ignored. An axis-determination tool which is based on the principle of auto-collimation can be used to determine the only position of centerscope is designed. The only position is the position where the optical axis of centerscope is coincided with the rotating axis of the lathe. Also a new optical-centering judgment method is presented. A system which includes the axis-determination tool and the new optical-centering judgment method can enhance the optical-centering accuracy to 0.003mm.

  1. 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.

  2. 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

  3. A Visit to the Lederman Science Center

    Science.gov Websites

    Lederman Science Center. With the hands-on exhibits, you can discover the tools and methods scientists use Lederman Science Center Roll over the rooms in the floor plan to see the pictures of rooms in the

  4. A Treasure Chest of Primary Learning Center Ideas.

    ERIC Educational Resources Information Center

    Kessler, Margaret; Kessler, John

    Defining a learning center as a classroom area containing several learning stations where students may work independently with materials which teach, reinforce, or enrich their skills, this guide presents a number of ideas for use in the visual motivation display area of such a center. Suggestions for displays for the various teaching stations are…

  5. Validating a Technology Enhanced Student-Centered Learning Model

    ERIC Educational Resources Information Center

    Kang, Myunghee; Hahn, Jungsun; Chung, Warren

    2015-01-01

    The Technology Enhanced Student Centered Learning (TESCL) Model in this study presents the core factors that ensure the quality of learning in a technology-supported environment. Although the model was conceptually constructed using a student-centered learning framework and drawing upon previous studies, it should be validated through real-world…

  6. The Center of Mass of a Soft Spring

    ERIC Educational Resources Information Center

    Serna, Juan D.; Joshi, Amitabh

    2011-01-01

    This article uses calculus to find the center of mass of a soft, vertically suspended, cylindrical helical spring, which necessarily is stretched non-uniformly by the action of gravity. A general expression for the vertical position of the center of mass is obtained and compared with other results in the literature.

  7. Supportive care services in hemato-oncology centers: a national survey.

    PubMed

    Mercadante, Sebastiano; Costanzi, Andrea; David, Fabrizio; Villari, Patrizia; Musso, Maurizio; Marchetti, Paolo; Casuccio, Alessandra

    2016-10-01

    In the field of hemato-oncology, there is paucity of data assessing models of integration between hemato-oncology and other partner specialties. The aim of this national survey was to gather information about the status of the integration of this kind of activity in hemato-oncologic units existing in Italy. A national telephone survey was conducted to gather information about the status of the integration of hemato-oncologic and supportive care/anesthesiological services. From the national registry of hemato-oncology units, 149 centers were contacted by phone and a dedicated doctor was identified to gather information about the center through a telephone interview. Eighty-one centers (54.3 %) agreed to participate. A mean of 206 (SD 132) painful procedures/year/center were performed. No significant differences among regions and centers were found (P = 0.680). Of the centers, 41.9 % usually asked for anesthesiological consultation to perform painful procedures. No differences were found between the regions (P = 0.137). A mean of 1.8 (SD 1.2) days elapsed from the request to the procedure performance (P = 0.271). No differences among the regions were found (P = 0.350). A mean of 220 (SD 89) central venous vascular accesses/year/center were performed. No differences among regions were found (P = 0.170). No differences among the centers were found (P = 0.691). A mean of 1.8 (SD 1.2) days elapsed from the request to the performance of procedure. Of the centers, 64.2 % had a palliative care team. No differences among regions were found (P = 0.331). A mean of 31.5 (SD 12.2) consultations/year/center for pain control were required. No differences among the regions were found (P = 0.556). Of the centers, 30.8 % had some beds for palliative care. No differences among the regions were found (P = 0.641). Of the centers, 32 % had a hospice was available. No differences among regions were found (P = 0.298). Integration between hemato

  8. Aerial view of the Kennedy Space Center Visitor Center

    NASA Technical Reports Server (NTRS)

    1998-01-01

    The Kennedy Space Center Visitor Center, shown in this aerial view looking south, sprawls across 70 acres on Florida's Space Coast , and is located off State Road 405, NASA Parkway, six miles inside the Space Center entrance. SR 405 can be seen at the bottom of the photo. Just above the roadway, from left can be seen the Shuttle/Gantry mockup; the Post Show Dome; the Astronaut Memorial; and to the far right, the Center for Space Education. Behind the Memorial are a cluster of buildings that include the Theater Complex, Cafeteria, Space Flight Exhibit Building, Souvenir Sales Building, Spaceport Central, and Ticket Pavilion. At the upper right are various rockets that have played a significant role in the growth of the space program.

  9. Democracy Through Learner-Centered Education: a Turkish Perspective

    NASA Astrophysics Data System (ADS)

    Yilmaz, Kaya

    2009-01-01

    Aimed at documenting the problems and constraints confronting learner-centered instruction in Turkey, this article first explains the link between democracy and education and the role of learner-centered instruction in realizing democratic ends. By drawing on John Dewey's ideas and Turkish scholars' perspectives on Turkish education, the article then presents the problems and constraints that pose threats to the implementation of learner-centered instruction in Turkey. The author also explains the problems within the Turkish educational system and teacher education programmes, and the challenges that in-service teachers and students may experience with learner-centered instruction.

  10. Reconsiderations: After "The Idea of a Writing Center"

    ERIC Educational Resources Information Center

    Boquet, Elizabeth H.; Lerner, Neal

    2008-01-01

    Originally published in a 1984 issue of "College English," Stephen North's article "The Idea of a Writing Center" has over the years been much cited in writing center scholarship. Even so, this scholarship as a whole did not proceed to gain much presence in "CE" and other broadly-oriented composition journals. Reconsidering North's piece, the…

  11. A Child Abuse Assessment Center: Alternative Investigative Approaches.

    ERIC Educational Resources Information Center

    Hiester, Douglas S.

    A child abuse assessment center was created in Dade County, Florida, and was funded by state and local government sources. Staff includes a project director, two clinical social workers, a follow-up case monitor, clerical support, and a psychologist. The center attempts to minimize trauma to the child victim of sexual and physical abuse by a…

  12. 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

  13. Camp health center usage at a Scout jamboree.

    PubMed

    Stephens, Christopher R

    2012-11-01

    To describe the incidence, reasons for, and characteristics of health center visits by campers at a Canadian provincial Scout jamboree. A retrospective observational design utilized a medical record review process. The study sample was 804 campers present for 4,816 camper days (CDs). There were 172 visits to the camp health center for an incidence rate of 36 per 1,000 CDs. The median length of stay was 30 minutes. Patients with illnesses were seen 1.7 times more frequently than those with injuries. One in five visits was for follow-up. More than 97% of visits occurred during the scheduled health center hours of operation. The rate of adverse events (AEs) was 3.32 per 1,000 CDs, accounting for 9.3% of all visits. The incidence of health center visits and AEs are consistent with studies conducted with other resident camps. Camp administrators, organizers, and healthcare personnel must be prepared to provide care for a wide range of illnesses and injuries at camp. Understanding the trends associated with camp health center usage allows adequate personnel and physical resources to be prepared and identifies increased usage levels. Nurses can use this information to advocate for nurses to be employed at camps to aid in health prevention services as well as to manage illnesses and injuries.

  14. 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.

  15. A Client-Centered Review of Rogers with Gloria

    ERIC Educational Resources Information Center

    Moon, Kathryn A.

    2007-01-01

    Carl Rogers's nondirective theory and his response style with Gloria (E. L. Shostrom, 1965) are discussed in reply to S. A. Wickman and C. Campbell's (2003) "An Analysis of How Carl Rogers Enacted Client-Centered Conversation With Gloria." Client-centered studies of C. Rogers's transcripts give context for reformulating S. A. Wickman and C.…

  16. 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.

  17. 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…

  18. Land Application Training Center - A Field Based Classroom

    NASA Astrophysics Data System (ADS)

    Godfrey, Jonathan; Lindbo, David L.; McLaughlin, Rich

    2015-04-01

    More and more professionals have to be licensed or certified to perform activities related to soil and the environment. Many certification programs have been solely based on classroom instruction with no field experience. We saw this as a gap in training that could lead to problems with implementation and job performance. As a result we developed a field based training center to assist with both certification training and continuing education of environmental professionals. The center broke ground in 1997 and has expanded over the years to include soils and waste application, wetland restoration, and sediment and erosion control demonstrations. This presentation describes the individual components and outlines the courses offered at the training center.

  19. Teacher Centering: A National Institute. Conference Report.

    ERIC Educational Resources Information Center

    Tague, Linda Clark, Ed.; And Others

    This report is organized around six chapters: (1) "How This Institute Came About"; (2) "Agenda"; (3) "Teacher Centering in 1976: The Real Experience"; (4) "Description of Teacher Centers"; (5) "Conference Reactions"; and (6) "Conference Directory of Participants." The first chapter discusses the sponsors, and organizers of the conference. Chapter…

  20. A Tale of Three Centers

    ERIC Educational Resources Information Center

    Lubey, Lynn; Huffman, Dennis; Grinberg, Nancy

    2011-01-01

    Prince George's Community College has developed three distinct models for off-campus centers. Examination of each model reveals the impact of variables such as location, ownership, design, target audience for a particular site (student demographics, community needs, and access issues), the role of partnerships with other institutions, and…

  1. The Precarious Question of Black Cultural Centers Versus Multicultural Centers.

    ERIC Educational Resources Information Center

    Princes, Carolyn D. W.

    This paper discusses the role of black cultural centers on university campuses, focusing on whether black cultural centers or multicultural centers best meet the needs of an increasingly diverse student body and society. It examines the historical role of black cultural centers as vehicles to promote educational opportunity, student retention, and…

  2. Experiential Learning: A Review of College Health Centers

    ERIC Educational Resources Information Center

    Greaney, Elizabeth J.

    2010-01-01

    This exploratory study was conducted using a descriptive design and examined the use of college health centers for academic internships and clinical rotations. In addition, the study examined the relationship among health center director and school characteristics and the presence of academic internships or clinical rotations and the directors'…

  3. Steering the Ark: A Cultural Center for Children

    ERIC Educational Resources Information Center

    Drury, Martin

    2006-01-01

    In this article, the author reflects on his experience developing and running The Ark, a Cultural Center for Children in Dublin, Ireland. The author describes the practice and ten guiding principles behind the center. While acknowledging that arts education and arts practice for and with young people is a rich and varied landscape, within which a…

  4. 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

  5. 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

  6. 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. 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...

  8. 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...

  9. The impact of a large-scale power outage on hemodialysis center operations.

    PubMed

    Abir, Mahshid; Jan, Sophia; Jubelt, Lindsay; Merchant, Raina M; Lurie, Nicole

    2013-12-01

    On June 29, 2012, mid-Atlantic storms resulted in a large-scale power outage affecting up to three million people across multiple (US) states. Hemodialysis centers are dependent on electricity to provide dialysis care to end-stage renal disease patients. The objective of this study was to determine how the power outage impacted operations in a sample of hemodialysis centers in the impacted regions. The sample consisted of all hemodialysis centers located in the District of Columbia and a total of five counties with the largest power losses in West Virginia, Virginia, and Maryland. A semi-structured interview guide was developed, and the charge nurse or supervisor in each facility was interviewed. The survey questions addressed whether their centers lost power, if so, for how long, where their patients received dialysis, whether their centers had backup generators, and if so, whether they had any problems operating them, and whether their center received patients from other centers if they had power. Calls were placed to 90 dialysis centers in the sampled areas and a 90% response rate was achieved. Overall, hemodialysis operations at approximately 30% (n = 24) of the centers queried were impacted by the power outage. Of the 36 centers that lost power, 31% (n = 11) referred their patients to other dialysis centers, 22% (n = 8) accommodated their patients during a later shift or on a different day; the rest of the centers either experienced brief power outages that did not affect operations or experienced a power outage on days that the center is usually closed. Some centers in the study cohort reported receiving patients from other centers for dialysis 33% (n = 27). Thirty-two percent (n = 26) of the centers queried had backup generators on site. Eleven percent (n = 4) of the centers experiencing power outages reported that backup generators were brought in by their parent companies. Comprehensive emergency planning for dialysis centers should include provisions for

  10. Aerial view of the Kennedy Space Center Visitor Center

    NASA Technical Reports Server (NTRS)

    1998-01-01

    The Kennedy Space Center Visitor Center, shown in this aerial view looking northwest, sprawls across 70 acres on Florida's Space Coast and is located off State Road 405, NASA Parkway, six miles inside the Space Center entrance. SR 405 can be seen at the top of the photo (left to right). Just below the roadway, from left, can be seen the Center for Space Education, the Theater Complex, Astronaut Memorial, the Post Show Dome, and Shuttle/Gantry mockup. In front of the theater complex are a cluster of buildings that include the Cafeteria, Space Flight Exhibit Building, Souvenir Sales Building, Spaceport Central, and Ticket Pavilion. At the left of the complex are various rockets that have played a significant role in the growth of the space program. Beyond the roadway can be seen the Banana River.

  11. The development of a community breast center.

    PubMed

    Edge, R M; Peterson, C; James Ward, S

    1999-01-01

    Maximum capacity for mammography services had been reached at the Kaweah Delta Health Care District, a 504-bed, multicampus hospital district in Visalia, Calif., so the community supported the idea of better and easier access to cancer care. Kaweah Delta Foundation, the hospital's development arm, helped raise funds for a new community breast center after hearing from local women that they disliked traveling to Los Angeles or San Francisco for state-of-the-art technology in diagnosis. They also requested better education and quicker exam results. The new Center was the result of a collaborative effort between imaging services and the cancer care program at Kaweah Delta. A nearby hospital, with more space for parking and room to offer an education program, became the site of the new Center. New equipment that met MQSA guidelines was purchased. An architectural firm designed a layout for patient comfort and privacy and efficient throughput for high volume work. The purchase of a second mammography unit allowed the Center to offer same-day and next-day appointments, which increased both physician and patient satisfaction. Consultation services with a radiologist are now offered. An education program that includes group support meetings and referrals to an oncology clinical nurse specialist are also offered. A new mobile mammography unit, housed at a newly acquired hospital 13 miles away, serves the needs of women in the two-county rural area who have no transportation. With careful planning and collaboration, the volume of mammography services has doubled in a year. Customer service ratings have soared.

  12. What Currently Defines a Breast Center? Initial Data From the National Accreditation Program for Breast Centers

    PubMed Central

    Moran, Meena S.; Kaufman, Cary; Burgin, Cindy; Swain, Sandra; Granville, Tenisha; Winchester, David P.

    2013-01-01

    Purpose: The definition of a “breast center” varies significantly, ranging from hospital-based or free-standing comprehensive programs to private subspecialty practices with patient resources in close proximity. This study analyzes the 2-year data of the National Accreditation Program for Breast Centers (NAPBC) to assess the demographics of the types of programs seeking breast center (BC) accreditation. The results of a postaccreditation survey are also analyzed. Materials and Methods: All data (ie, Survey Application Record, on-site surveyors' reports, postaccreditation survey) for programs applying for accreditation between October 31, 2008, and October 31, 2010, were entered into a database at the American College of Surgeons headquarters. Analysis was conducted with SPSS v.19 and Microsoft Excel 2007. Results: During the initial 2-year period, 238 centers were surveyed across 41 states. With regard to the 27 standards and 17 BC components, 68% of centers had no deficiencies, 28% had ≤ 10% deficiencies, 3% had deficiencies in 11% to 29% of standards, and 2% had ≥ 30% deficiencies. The most common standards with noncompliance were accreditation for ultrasound-guided biopsy (standard 11), stereotactic biopsy (standard 10), and accrual onto clinical trials (standard 3.2). The only BC component found to be absent was survivorship program (1%). Desciptive categories were as follows: 81.5% were hospital-based centers, 13.5% were free-standing facilities, 2.5% were group practices, and 3% were “other.” There were no significant associations between descriptive category and full accreditation versus contingency or failure, or deficiencies in any one standard (all Ps > .05). On the basis of responses to the postaccreditation survey, 76% admitted making significant changes before the survey process. Conclusion: This initial analysis of the NAPBC 2-year data suggests that a wide variety of BC models adequately provide a high level of care and services for

  13. Test Control Center

    NASA Image and Video Library

    2000-10-25

    At the test observation periscope in the Test Control Center exhibit in StenniSphere at the John C. Stennis Space Center in Hancock County, Miss., visitors can observe a test of a Space Shuttle Main Engine exactly as test engineers might see it during a real engine test. The Test Control Center exhibit exactly simulates not only the test control environment, but also the procedure of testing a rocket engine. Designed to entertain while educating, StenniSphere includes informative dispays and exhibits from NASA's lead center for rocket propulsion and remote sensing applications. StenniSphere is open free of charge from 9 a.m. to 5 p.m. daily.

  14. The Universe Observing Center a modern center to teach and communicate astronomy

    NASA Astrophysics Data System (ADS)

    Ribas, Salvador J.

    2011-06-01

    The Universe Observing Center is one of the parts of the Parc Astronòmic Montsec (PAM). PAM is an initiative of the Catalan government, through the Consorci del Montsec (Montsec Consortium), to take advantage of the capabilities and potential of the Montsec region to develop scientific research, training and outreach activities, particularly in the field of Astronomy. The choice of the Montsec mountains to install the PAM was motivated by the magnificent conditions for observing the sky at night; the sky above Montsec is the best (natural sky free of light pollution) in Catalonia for astronomical observations. The PAM has two main parts: the Observatori Astronòmic del Montsec (OAdM) and the Universe Observing Center (COU). The OAdM is a professional observatory with an 80-cm catadioptric telescope (Joan Oró Telescope). This telescope is a robotic telescope that can be controlled from anywhere in the world via the Internet. The COU is a large multipurpose center which is intended to become an educational benchmark for teaching and communicate astronomy and other sciences in Catalonia. The management of the COU has three main goals: 1) Teach primary and secondary school students in our Educational Training Camp. 2) Teach university students housing the practical astronomy lectures of the universities. 3) Communicate astronomy to the general public. The COU comprises special areas for these purposes: the Telescopes Park with more than 20 telescopes, a coelostat for solar observations and two dome containing full-automated telescopes. The most special equipment is ``The Eye of Montsec'', with its 12m dome containing a multimedia digital planetarium and a platform for direct observation of the sky and the environment. During 2009 we expect around 10000 visitors in Montsec area to enjoy science with Montsec dark skies and an special natural environment.

  15. An Intercenter Comparison of Nasolabial Appearance Including a Center Using Nasoalveolar Molding.

    PubMed

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

    2018-05-01

    To compare nasolabial appearance outcomes of patients with complete unilateral cleft lip and palate (CUCLP) in preadolescence from 4 cleft centers including a center using nasoalveolar molding (NAM) and primary nasal reconstruction. Retrospective cohort study. Four cleft centers in North America. 135 subjects with repaired CUCLP. Frontal and profile facial pictures were assessed using the Asher-McDade rating scale. Intra- and interrater reliability were tested using weighted Kappa statistics. Median scores by center were compared with Kruskal-Wallis statistics. Intrarater reliability scores were moderate to good. Interrater reliability scores were moderate. Significant differences ( P < .05) among centers were found. For nasal form, center G (median = 2.83) had better scores than centers C and D (C median = 3.33, D median = 3.17). For nose symmetry, center G had better scores (median = 2.33) than all other centers (B median = 2.67, C median = 2.83, D median = 2.83). For vermillion border, center G had better scores (median = 2.58) than centers B and C (B median = 3.17, C median = 3.17). For nasolabial profile, center G (median score = 2.67) had better scores than center C (median = 3.00). For total nasolabial score, center G (median = 2.67) had better scores than all other centers (B median = 2.83, C median = 3, D median = 2.83). The protocol followed by center G, the only center that performed NAM and primary nasal reconstruction, produced better results in all categories when compared to center C, the only center that did not perform presurgical orthopedics or lip/nose revisions. When compared to centers that performed traditional presurgical orthopedics and surgical revisions (B and D), center G was not consistently better in all categories. As with other uncontrolled, retrospective intercenter studies, it is not possible to attribute the outcomes to a specific protocol component.

  16. Neonatal Outcomes in the Birth Center Setting: A Systematic Review.

    PubMed

    Phillippi, Julia C; Danhausen, Kathleen; Alliman, Jill; Phillippi, R David

    2018-01-01

    This systematic review investigates the effect of the birth center setting on neonatal mortality in economically developed countries to aid women and clinicians in decision making. We searched the Google Scholar, CINAHL, and PubMed databases using key terms birth/birthing center or out of hospital with perinatal/neonatal outcomes. Ancestry searches identified additional studies, and an alert was set for new publications. We included primary source studies in English, published after 1980, conducted in a developed country, and researching planned birth in centers with guidelines similar to American Association of Birth Centers standards. After initial review, we conducted a preliminary analysis, assessing which measures of neonatal health, morbidity, and mortality were included across studies. Neonatal mortality was selected as the sole summary measure as other measures were sporadically reported or inconsistently defined. Seventeen studies were included, representing at least 84,500 women admitted to a birth center in labor. There were substantial differences of study design, sampling techniques, and definitions of neonatal outcomes across studies, limiting conclusive statements of the effect of intrapartum care in a birth center. No reviewed study found a statistically increased rate of neonatal mortality in birth centers compared to low-risk women giving birth in hospitals, nor did data suggest a trend toward higher neonatal mortality in birth centers. As in all birth settings, nulliparous women, women aged greater than 35 years, and women with pregnancies of more than 42 weeks' gestation may have an increased risk of neonatal mortality. There are substantial flaws in the literature concerning the effect of birth center care on neonatal outcomes. More research is needed on subgroups at risk of poor outcomes in the birth center environment. To expedite research, consistent use of national and international definitions of perinatal and neonatal mortality within

  17. Aerial view of the Kennedy Space Center Visitor Center

    NASA Technical Reports Server (NTRS)

    1998-01-01

    The Kennedy Space Center Visitor Complex, shown in this aerial view looking east, sprawls across 70 acres on Florida's Space Coast. It is located off State Road 405, NASA Parkway, six miles inside the Space Center entrance. SR 405 can be seen at the top left of the photo. In the foreground is the display of rockets that have played a significant role in the growth of the space program. Just above that, left to right, can be seen the Theater Complex, Space Flight Exhibit Building and Spaceport Central. Other buildings clustered at the center are the Cafeteria, Souvenir Sales Building, and Ticket Pavilion. To the left of the Theater Complex are the Astronaut Memorial, the Post Show Dome, and the Shuttle/Gantry mockup. Not seen in the photo is the Center for Space Education.

  18. Aerial view of the Kennedy Space Center Visitor Center

    NASA Technical Reports Server (NTRS)

    1998-01-01

    This Shuttle/Gantry mockup and Post Show Dome anchor the northeast corner of the Kennedy Space Center Visitor Complex. The Astronaut Memorial is located just above. Sprawling across 70 acres on Florida's Space Coast, the complex is located off State Road 405, NASA Parkway, six miles inside the Space Center entrance. The building at the upper left is the Theater Complex. Other exhibits and buildings on the site are the Center for Space Education, Cafeteria, Space Flight Exhibit Building, Souvenir Sales Building, Spaceport Central, Ticket Pavilion and Center for Space Education.

  19. Implementation of a virtual link between power system testbeds at Marshall Spaceflight Center and Lewis Research Center

    NASA Technical Reports Server (NTRS)

    Doreswamy, Rajiv

    1990-01-01

    The Marshall Space Flight Center (MSFC) owns and operates a space station module power management and distribution (SSM-PMAD) testbed. This system, managed by expert systems, is used to analyze and develop power system automation techniques for Space Station Freedom. The Lewis Research Center (LeRC), Cleveland, Ohio, has developed and implemented a space station electrical power system (EPS) testbed. This system and its power management controller are representative of the overall Space Station Freedom power system. A virtual link is being implemented between the testbeds at MSFC and LeRC. This link would enable configuration of SSM-PMAD as a load center for the EPS testbed at LeRC. This connection will add to the versatility of both systems, and provide an environment of enhanced realism for operation of both testbeds.

  20. 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…

  1. Person-Centered Care: A Definition and Essential Elements.

    PubMed

    2016-01-01

    Improving healthcare safety, quality, and coordination, as well as quality of life, are important aims of caring for older adults with multiple chronic conditions and/or functional limitations. Person-centered care is an approach to meeting these aims, but there are no standardized, agreed-upon parameters for delivering such care. The SCAN Foundation charged a team from the American Geriatrics Society (AGS) in collaboration with a research and clinical team from the Keck School of Medicine of the University of Southern California to provide the evidence base to support a definition of person-centered care and its essential elements. An interprofessional panel of experts in person-centered care principles and practices that the AGS convened developed this statement. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society.

  2. 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…

  3. Center for Defect Physics - Energy Frontier Research Center (A "Life at the Frontiers of Energy Research" contest entry from the 2011 Energy Frontier Research Centers (EFRCs) Summit and Forum)

    ScienceCinema

    Stocks, G. Malcolm (Director, Center for Defect Physics in Structural Materials); CDP Staff

    2017-12-09

    'Center for Defect Physics - Energy Frontier Research Center' was submitted by the Center for Defect Physics (CDP) to the 'Life at the Frontiers of Energy Research' video contest at the 2011 Science for Our Nation's Energy Future: Energy Frontier Research Centers (EFRCs) Summit and Forum. Twenty-six EFRCs created short videos to highlight their mission and their work. CDP is directed by G. Malcolm Stocks at Oak Ridge National Laboratory, and is a partnership of scientists from nine institutions: Oak Ridge National Laboratory (lead); Ames Laboratory; Brown University; University of California, Berkeley; Carnegie Mellon University; University of Illinois, Urbana-Champaign; Lawrence Livermore National Laboratory; Ohio State University; and University of Tennessee. The Office of Basic Energy Sciences in the U.S. Department of Energy's Office of Science established the 46 Energy Frontier Research Centers (EFRCs) in 2009. These collaboratively-organized centers conduct fundamental research focused on 'grand challenges' and use-inspired 'basic research needs' recently identified in major strategic planning efforts by the scientific community. The overall purpose is to accelerate scientific progress toward meeting the nation's critical energy challenges.

  4. Center for Defect Physics - Energy Frontier Research Center (A "Life at the Frontiers of Energy Research" contest entry from the 2011 Energy Frontier Research Centers (EFRCs) Summit and Forum)

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

    Stocks, G. Malcolm; Ice, Gene

    "Center for Defect Physics - Energy Frontier Research Center" was submitted by the Center for Defect Physics (CDP) to the "Life at the Frontiers of Energy Research" video contest at the 2011 Science for Our Nation's Energy Future: Energy Frontier Research Centers (EFRCs) Summit and Forum. Twenty-six EFRCs created short videos to highlight their mission and their work. CDP is directed by G. Malcolm Stocks at Oak Ridge National Laboratory, and is a partnership of scientists from eight institutions: Oak Ridge National Laboratory (lead); Ames Laboratory; University of California, Berkeley; Carnegie Mellon University; University of Illinois, Urbana-Champaign; Ohio State University;more » University of Georgia and University of Tennessee. The Office of Basic Energy Sciences in the U.S. Department of Energy's Office of Science established the 46 Energy Frontier Research Centers (EFRCs) in 2009. These collaboratively-organized centers conduct fundamental research focused on 'grand challenges' and use-inspired 'basic research needs' recently identified in major strategic planning efforts by the scientific community. The overall purpose is to accelerate scientific progress toward meeting the nation's critical energy challenges.« less

  5. 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…

  6. Integrating Automation into a Multi-Mission Operations Center

    NASA Technical Reports Server (NTRS)

    Surka, Derek M.; Jones, Lori; Crouse, Patrick; Cary, Everett A, Jr.; Esposito, Timothy C.

    2007-01-01

    NASA Goddard Space Flight Center's Space Science Mission Operations (SSMO) Project is currently tackling the challenge of minimizing ground operations costs for multiple satellites that have surpassed their prime mission phase and are well into extended mission. These missions are being reengineered into a multi-mission operations center built around modern information technologies and a common ground system infrastructure. The effort began with the integration of four SMEX missions into a similar architecture that provides command and control capabilities and demonstrates fleet automation and control concepts as a pathfinder for additional mission integrations. The reengineered ground system, called the Multi-Mission Operations Center (MMOC), is now undergoing a transformation to support other SSMO missions, which include SOHO, Wind, and ACE. This paper presents the automation principles and lessons learned to date for integrating automation into an existing operations environment for multiple satellites.

  7. Teacher Centers as a Social Phenomenon: An Anthropological Inquiry.

    ERIC Educational Resources Information Center

    Van Fleet, Alanson

    1979-01-01

    This article discusses the social and educational conditions that have supported the development of teacher centers, using a perspective from social anthropology, Malinowski's "functional" theory of institutions. Teacher centers are seen as a reflection of growing teacher power in a climate of shifting authority structures. (SJL)

  8. Sports Center Is a Lab for Learning about Life.

    ERIC Educational Resources Information Center

    American School and University, 1982

    1982-01-01

    Dickinson College (Pennsylvania) has a new sports center featuring a clear span roof system and an "earth sink" that stores excess heat for later use. The relationship between sports and the liberal arts is the basis for courses taught in the center. (Author/MLF)

  9. 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.

  10. Emergency Operations Center at Johnson Space Center

    NASA Technical Reports Server (NTRS)

    Caylor, Gary C.

    1997-01-01

    In June 1966, at the start of the Gulf Coast hurricane season, the Johnson Space Center (JSC) celebrated the opening of its new 4,000-square foot, state-of-the-art Emergency Operations Center (EOC). The new EOC has been upgraded and enhanced to support a wide spectrum of emergencies affecting JSC and neighboring communities. One of the main features of the EOC is its premier computerized dispatch center. The new system unites many of JSC's critical emergency functions into one integrated network. It automatically monitors fire alarms, security entrances, and external cameras. It contains the JSC inventory of hazardous materials, by building and room, and can call up Material Safety Data Sheets for most of the generic hazardous materials used on-site. The EOC is available for community use during area emergencies such as hurricanes and is a welcome addition to the Clear Lake/Galveston Bay Area communities' emergency response resources.

  11. Skills Center.

    ERIC Educational Resources Information Center

    Canter, Patricia; And Others

    The services of the Living Skills Center for the Visually Handicapped, a habilitative service for blind young adults, are described. It is explained that the Center houses its participants in their own apartments in a large complex and has served over 70 young people in 4 years. The evaluation section describes such assessment instruments as an…

  12. Economics of data center optics

    NASA Astrophysics Data System (ADS)

    Huff, Lisa

    2016-03-01

    Traffic to and from data centers is now reaching Zettabytes/year. Even the smallest of businesses now rely on data centers for revenue generation. And, the largest data centers today are orders of magnitude larger than the supercomputing centers of a few years ago. Until quite recently, for most data center managers, optical data centers were nice to dream about, but not really essential. Today, the all-optical data center - perhaps even an all-single mode fiber (SMF) data center is something that even managers of medium-sized data centers should be considering. Economical transceivers are the key to increased adoption of data center optics. An analysis of current and near future data center optics economics will be discussed in this paper.

  13. A Study Identifying the Components of a Quality Child Care Center.

    ERIC Educational Resources Information Center

    Panetta, Sandra J.

    Specific characteristics of a quality day care center are identified through a survey of parents, teachers, and directors utilizing or working in day care centers. The introduction to this descriptive research study offers background information on the history of the child care movement in America and a review of related research projects. A…

  14. Exploring Nonoffending Caregiver Satisfaction with a Children's Advocacy Center

    ERIC Educational Resources Information Center

    Bonach, Kathryn; Mabry, J. Beth; Potts-Henry, Candice

    2010-01-01

    This study is a case evaluation research report on one Children's Advocacy Center that provides a coordinated response to allegations of child maltreatment, particularly sexual abuse. The data come from a mailed survey of nonoffending caregivers measuring their satisfaction with services provided through the Children's Advocacy Center. The results…

  15. Facilitating Parent Centers: A Sharing of Ideas and Experiences.

    ERIC Educational Resources Information Center

    Heath, Terri; And Others

    This handbook describes the development and operation of family enhancement programs in Parent Centers in Wisconsin. Parent Centers, also called Family Centers, provide opportunities for parents to meet each other and to share concerns, ideas and fun. They can be "legitimate" places for parents to find friends for their children and…

  16. 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…

  17. Center for Adaptive Optics | Home

    Science.gov Websites

    Center for Adaptive Optics A University of California Science and Technology Center home Directions to The Center for Adaptive Optics Building Directions to the Center for Adaptive Optics Building * Seaway Inn * West Cliff Inn Last Modified: Apr 3, 2012 Center for Adaptive Optics | Search | The Center

  18. 3. CONNECTING TUNNEL AT BOTTOM CENTER TO CENTER, CONTROL BUILDING ...

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

    3. CONNECTING TUNNEL AT BOTTOM CENTER TO CENTER, CONTROL BUILDING B AT CENTER, WATER TANK TO UPPER LEFT, VIEW TOWARDS WEST. - Glenn L. Martin Company, Titan Missile Test Facilities, Control Building B, Waterton Canyon Road & Colorado Highway 121, Lakewood, Jefferson County, CO

  19. Managing a Modern University Research Center.

    ERIC Educational Resources Information Center

    Veres, John G., III

    1988-01-01

    The university research center of the future will function best to serve the rapidly changing public and private demand for services with a highly trained core staff, adequately funded and equipped, whose morale and quality of work performance is a prime consideration. (MSE)

  20. A Modified Artificial Bee Colony Algorithm for p-Center Problems

    PubMed Central

    Yurtkuran, Alkın

    2014-01-01

    The objective of the p-center problem is to locate p-centers on a network such that the maximum of the distances from each node to its nearest center is minimized. The artificial bee colony algorithm is a swarm-based meta-heuristic algorithm that mimics the foraging behavior of honey bee colonies. This study proposes a modified ABC algorithm that benefits from a variety of search strategies to balance exploration and exploitation. Moreover, random key-based coding schemes are used to solve the p-center problem effectively. The proposed algorithm is compared to state-of-the-art techniques using different benchmark problems, and computational results reveal that the proposed approach is very efficient. PMID:24616648

  1. 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 ...

  2. Children's cancer centers

    MedlinePlus

    Pediatric cancer center; Pediatric oncology center; Comprehensive cancer center ... Treating childhood cancer is not the same as treating adult cancer. The cancers are different. So are the treatments and the ...

  3. 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.

  4. Dryden Flight Research Center: Center Overview

    NASA Technical Reports Server (NTRS)

    Ratnayake, Nalin

    2009-01-01

    This viewgraph presentation describes a general overview of Dryden Flight Research Center. Strategic partnerships, Dryden's mission activity, exploration systems and aeronautics research programs are also described.

  5. Transforming a High School Media Center into a Library Learning Commons

    ERIC Educational Resources Information Center

    Chiara, Nancy A.

    2014-01-01

    This study outlines a planned action based research project focused on studying the transformation of an urban high school media center to a learning commons model. This study includes a descriptive account as well as the impact of steps taken to match the media center to the needs of the 21st century learner. The research focuses on shifting…

  6. 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.

  7. Honoring 15 Years of the 21st Century Community Learning Centers Program: A Polity-Centered Analysis

    ERIC Educational Resources Information Center

    Phillips, Sarah Fierberg

    2010-01-01

    Emphasizing the intersection of policy and politics, this paper uses Theda Skocpol's polity-centered approach (1992) to analyze two key moments in the history of the 21st Century Community Learning Centers (CCLC) program: (1) 1998, when the program's budget grew from $40 million to $200 million; and (2) 2003, when President Bush attempted to cut…

  8. A Strategic Planning Model for Community Mental Health Centers.

    ERIC Educational Resources Information Center

    Del Pizzo, Les; And Others

    1987-01-01

    Describes a strategic plan developed at a community mental health center, the Summit Center for Human Development, to deal with its own survival while public demand increases, and federal and state programs are cut back. Examines current and prospective services and outlines directions for enhancing the mandated and optional services provided…

  9. The Community Mental Health Center as a Matrix Organization.

    ERIC Educational Resources Information Center

    White, Stephen L.

    1978-01-01

    This article briefly reviews the literature on matrix organizational designs and discusses the ways in which the matrix design might be applied to the special features of a community mental health center. The phases of one community mental health center's experience in adopting a matrix organizational structure are described. (Author)

  10. Developing a Family-Centered, Hospital-Based Perinatal Education Program

    PubMed Central

    Westmoreland, Marcia Haskins; Zwelling, Elaine

    2000-01-01

    The development of a family-centered, comprehensive perinatal education program for a large, urban hospital system is described. This program was developed in conjunction with the building of a new women's center and, although the authors were fortunate that several opportunities for educational program development were linked to this project, many of the steps taken and the lessons learned can be helpful to anyone desiring to develop a similar program. This article relates perinatal education to the principles of family-centered maternity care, outlines the criteria for a quality educational program, gives rationale for this type of program development, and offers practical suggestions for starting or enhancing a perinatal education program within a hospital system. PMID:17273228

  11. Stephenson Cancer Center

    Cancer.gov

    Stephenson Cancer Center at the University of Oklahoma in Oklahoma City is an NCI-designated cancer center at the forefront of NCI-supported cancer research. Learn more about the Stephenson Cancer Center's mission.

  12. When Teacher-Centered Instructors Are Assigned to Student-Centered Classrooms

    ERIC Educational Resources Information Center

    Lasry, Nathaniel; Charles, Elizabeth; Whittaker, Chris

    2014-01-01

    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…

  13. Identification of the iron-sulfur center of spinach ferredoxin-nitrite reductase as a tetranuclear center, and preliminary EPR studies of mechanism.

    PubMed

    Lancaster, J R; Vega, J M; Kamin, H; Orme-Johnson, N R; Orme-Johnson, W H; Krueger, R J; Siegel, L M

    1979-02-25

    EPR spectroscopic and chemical analyses of spinach nitrite reductase show that the enzyme contains one reducible iron-sulfur center, and one site for binding either cyanide or nitrite, per siroheme. The heme is nearly all in the high spin ferric state in the enzyme as isolated. The extinction coefficient of the enzyme has been revised to E386 = 7.6 X 10(4) cm-1 (M heme)-1. The iron-sulfur center is reduced with difficulty by agents such as reduced methyl viologen (equilibrated with 1 atm of H2 at pH 7.7 in the presence of hydrogenase) or dithionite. Complexation of the enzyme with CO (a known ligand for nitrite reductase heme) markedly increases the reducibility of the iron-sulfur center. New chemical analyses and reinterpretation of previous data show that the enzyme contains 6 mol of iron and 4 mol of acid-labile S2-/mol of siroheme. The EPR spectrum of reduced nitrite reductase in 80% dimethyl sulfoxide establishes clearly that the enzyme contains a tetranuclear iron-sulfur (Fe4S4) center. The ferriheme and Fe4S4 centers are reduced at similar rates (k = 3 to 4 s-1) by dithionite. The dithionite-reduced Fe4S4 center is rapidly (k = 100 s-1) reoxidized by nitrite. These results indicate a role for the Fe4S4 center in catalysis.

  14. 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…

  15. Student Teaching Centers: A Pilot Project. Report Number 3.

    ERIC Educational Resources Information Center

    Fischer, Stephen J.; Goddu, Roland J. B.

    Student Teaching Centers (STC) were established as a pilot project by Harvard University in cooperation with several public schools. The centers are directed by resident supervisors who are responsible for the supervision of student teachers, demonstration teaching of a limited number of classes in their respective fields, and, in some cases, the…

  16. Study of a conceptual nuclear energy center at Green River, Utah. Power demand, load center assessment and transmission

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

    Smith, D.R.; Thaik, A.; Pingel, P.

    This document constitutes a segment of a feasibility study investigating the ramification of constructing a nuclear energy center in an arid western region. In this phase of the study. The projected power demands and load center locations were reviewed and assessed. Alternative transmission systems were analysed and a conceptual transmission for bulk power transportation is proposed with potential line routes. Environmental impacts of the proposed transmission were also identified.

  17. 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…

  18. Finding topological center of a geographic space via road network

    NASA Astrophysics Data System (ADS)

    Gao, Liang; Miao, Yanan; Qin, Yuhao; Zhao, Xiaomei; Gao, Zi-You

    2015-02-01

    Previous studies show that the center of a geographic space is of great importance in urban and regional studies, including study of population distribution, urban growth modeling, and scaling properties of urban systems, etc. But how to well define and how to efficiently extract the center of a geographic space are still largely unknown. Recently, Jiang et al. have presented a definition of topological center by their block detection (BD) algorithm. Despite the fact that they first introduced the definition and discovered the 'true center', in human minds, their algorithm left several redundancies in its traversal process. Here, we propose an alternative road-cycle detection (RCD) algorithm to find the topological center, which extracts the outmost road-cycle recursively. To foster the application of the topological center in related research fields, we first reproduce the BD algorithm in Python (pyBD), then implement the RCD algorithm in two ways: the ArcPy implementation (arcRCD) and the Python implementation (pyRCD). After the experiments on twenty-four typical road networks, we find that the results of our RCD algorithm are consistent with those of Jiang's BD algorithm. We also find that the RCD algorithm is at least seven times more efficient than the BD algorithm on all the ten typical road networks.

  19. 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…

  20. 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,…

  1. Public Health Potential of Farmers’ Markets on Medical Center Campuses: A Case Study From Penn State Milton S. Hershey Medical Center

    PubMed Central

    Kraschnewski, Jennifer L.; Rovniak, Liza S.

    2011-01-01

    There are currently 7175 farmers’ markets in the United States, and these organizations are increasingly viewed as one facet of the solution to national health problems. There has been a recent trend toward establishing markets on medical center campuses, and such partnerships can augment a medical center's ability to serve community health. However, to our knowledge no studies have described the emergence of a market at a medical center, the barriers and challenges such an initiative has faced, or the nature of programming it may foster. We provide a qualitative description of the process of starting a seasonal, once-a-week, producers-only market at the Pennsylvania State Hershey Medical Center, and we call for greater public health attention to these emerging community spaces. PMID:22021298

  2. Public health potential of farmers' markets on medical center campuses: a case study from Penn State Milton S. Hershey Medical Center.

    PubMed

    George, Daniel R; Kraschnewski, Jennifer L; Rovniak, Liza S

    2011-12-01

    There are currently 7175 farmers' markets in the United States, and these organizations are increasingly viewed as one facet of the solution to national health problems. There has been a recent trend toward establishing markets on medical center campuses, and such partnerships can augment a medical center's ability to serve community health. However, to our knowledge no studies have described the emergence of a market at a medical center, the barriers and challenges such an initiative has faced, or the nature of programming it may foster. We provide a qualitative description of the process of starting a seasonal, once-a-week, producers-only market at the Pennsylvania State Hershey Medical Center, and we call for greater public health attention to these emerging community spaces.

  3. Problem of gas accretion on a gravitational center

    NASA Technical Reports Server (NTRS)

    Ladygin, V. A.

    1980-01-01

    A method of the approximated solution of the problem of accretion on a rapidly moving gravitational center is developed. This solution is obtained in the vicinity of the axis of symmetry in the region of the potential flow. The solution of the problem of stationary gas accretion on a moving gravitational center simulates the movement of a substance in interstellar space in the vicinity of a black hole. A detailed picture of gas accretion on a black hole is of interest in connection with the problem of observation of black holes.

  4. Space Operations Center System Analysis: Requirements for a Space Operations Center, revision A

    NASA Technical Reports Server (NTRS)

    Woodcock, G. R.

    1982-01-01

    The system and program requirements for a space operations center as defined by systems analysis studies are presented as a guide for future study and systems definition. Topics covered include general requirements for safety, maintainability, and reliability, service and habitat modules, the health maintenance facility; logistics modules; the docking tunnel; and subsystem requirements (structures, electrical power, environmental control/life support; extravehicular activity; data management; communications and tracking; docking/berthing; flight control/propulsion; and crew support). Facilities for flight support, construction, satellite and mission servicing, and fluid storage are included as well as general purpose support equipment.

  5. 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

  6. A source-controlled data center network model

    PubMed Central

    Yu, Yang; Liang, Mangui; Wang, Zhe

    2017-01-01

    The construction of data center network by applying SDN technology has become a hot research topic. The SDN architecture has innovatively separated the control plane from the data plane which makes the network more software-oriented and agile. Moreover, it provides virtual multi-tenancy, effective scheduling resources and centralized control strategies to meet the demand for cloud computing data center. However, the explosion of network information is facing severe challenges for SDN controller. The flow storage and lookup mechanisms based on TCAM device have led to the restriction of scalability, high cost and energy consumption. In view of this, a source-controlled data center network (SCDCN) model is proposed herein. The SCDCN model applies a new type of source routing address named the vector address (VA) as the packet-switching label. The VA completely defines the communication path and the data forwarding process can be finished solely relying on VA. There are four advantages in the SCDCN architecture. 1) The model adopts hierarchical multi-controllers and abstracts large-scale data center network into some small network domains that has solved the restriction for the processing ability of single controller and reduced the computational complexity. 2) Vector switches (VS) developed in the core network no longer apply TCAM for table storage and lookup that has significantly cut down the cost and complexity for switches. Meanwhile, the problem of scalability can be solved effectively. 3) The SCDCN model simplifies the establishment process for new flows and there is no need to download flow tables to VS. The amount of control signaling consumed when establishing new flows can be significantly decreased. 4) We design the VS on the NetFPGA platform. The statistical results show that the hardware resource consumption in a VS is about 27% of that in an OFS. PMID:28328925

  7. A source-controlled data center network model.

    PubMed

    Yu, Yang; Liang, Mangui; Wang, Zhe

    2017-01-01

    The construction of data center network by applying SDN technology has become a hot research topic. The SDN architecture has innovatively separated the control plane from the data plane which makes the network more software-oriented and agile. Moreover, it provides virtual multi-tenancy, effective scheduling resources and centralized control strategies to meet the demand for cloud computing data center. However, the explosion of network information is facing severe challenges for SDN controller. The flow storage and lookup mechanisms based on TCAM device have led to the restriction of scalability, high cost and energy consumption. In view of this, a source-controlled data center network (SCDCN) model is proposed herein. The SCDCN model applies a new type of source routing address named the vector address (VA) as the packet-switching label. The VA completely defines the communication path and the data forwarding process can be finished solely relying on VA. There are four advantages in the SCDCN architecture. 1) The model adopts hierarchical multi-controllers and abstracts large-scale data center network into some small network domains that has solved the restriction for the processing ability of single controller and reduced the computational complexity. 2) Vector switches (VS) developed in the core network no longer apply TCAM for table storage and lookup that has significantly cut down the cost and complexity for switches. Meanwhile, the problem of scalability can be solved effectively. 3) The SCDCN model simplifies the establishment process for new flows and there is no need to download flow tables to VS. The amount of control signaling consumed when establishing new flows can be significantly decreased. 4) We design the VS on the NetFPGA platform. The statistical results show that the hardware resource consumption in a VS is about 27% of that in an OFS.

  8. Starting and Operating a Child Care Center. ERIC/EECE Report.

    ERIC Educational Resources Information Center

    Cesarone, Bernard

    2001-01-01

    Reviews ERIC documents and journal articles that discuss various issues related to starting, operating, and marketing a child care center. Annotations include center and family care operations. (Author/DLH)

  9. 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.

  10. Multi-site randomized controlled trial of a child-centered physical activity program, a parent-centered dietary-modification program, or both in overweight children: the HIKCUPS study.

    PubMed

    Okely, Anthony D; Collins, Clare E; Morgan, Philip J; Jones, Rachel A; Warren, Janet M; Cliff, Dylan P; Burrows, Tracy L; Colyvas, Kim; Steele, Julie R; Baur, Louise A

    2010-09-01

    To evaluate whether a child-centered physical activity program, combined with a parent-centered dietary program, was more efficacious than each treatment alone, in preventing unhealthy weight-gain in overweight children. An assessor-blinded randomized controlled trial involving 165 overweight/obese 5.5- to 9.9- year-old children. Participants were randomly assigned to 1 of 3 interventions: a parent-centered dietary program (Diet); a child-centered physical activity program (Activity); or a combination of both (Diet+Activity). All groups received 10 weekly face-to-face sessions followed by 3 monthly relapse-prevention phone calls. Analysis was by intention-to-treat. The primary outcome was change in body mass index z-score at 6 and 12 months (n=114 and 106, respectively). Body mass index z-scores were reduced at 12-months in all groups, with the Diet (mean [95% confidence interval]) (-0.39 [-0.51 to 0.27]) and Diet + Activity (-0.32, [-0.36, -0.23]) groups showing a greater reduction than the Activity group (-0.17 [-0.28, -0.06]) (P=.02). Changes in other outcomes (waist circumference and metabolic profile) were not statistically significant among groups. Relative body weight decreased at 6 months and was sustained at 12 months through treatment with a child-centered physical activity program, a parent-centered dietary program, or both. The greatest effect was achieved when a parent-centered dietary component was included. Copyright (c) 2010 Mosby, Inc. All rights reserved.

  11. 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

  12. NMA Analysis Center

    NASA Technical Reports Server (NTRS)

    Kierulf, Halfdan Pascal; Andersen, Per Helge

    2013-01-01

    The Norwegian Mapping Authority (NMA) has during the last few years had a close cooperation with Norwegian Defence Research Establishment (FFI) in the analysis of space geodetic data using the GEOSAT software. In 2012 NMA has taken over the full responsibility for the GEOSAT software. This implies that FFI stopped being an IVS Associate Analysis Center in 2012. NMA has been an IVS Associate Analysis Center since 28 October 2010. NMA's contributions to the IVS as an Analysis Centers focus primarily on routine production of session-by-session unconstrained and consistent normal equations by GEOSAT as input to the IVS combined solution. After the recent improvements, we expect that VLBI results produced with GEOSAT will be consistent with results from the other VLBI Analysis Centers to a satisfactory level.

  13. Poison Control Centers

    MedlinePlus

    ... 1222 immediately. Name State American Association of Poison Control Centers Address AAPCC Central Office NOT A POISON ... not for emergency use. Arkansas ASPCA Animal Poison Control Center Address 1717 S. Philo Road, Suite 36 Urbana, ...

  14. Profile Of A Rural Teachers' Center. Teachers' Center Exchange. Occasional Paper No. 2.

    ERIC Educational Resources Information Center

    Martin, Peter H.

    Project RISE (Regional In-Service Education) is an inservice center serving teachers, administrators, support staff and parents in central Connecticut. It began in 1976 with state funding, and serves 500 teachers in nine rural and small town districts. An initial needs assessment provided a basis for planning and responding to individual teachers'…

  15. 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.

  16. ErgoTMC, A New Tool For Human-Centered TMC Design

    DOT National Transportation Integrated Search

    2000-04-01

    The Federal Highway Administration (FHWA) has recently made available a new tool to assist Transportation Management Center (TMC) managers and designers in incorporating human-centered design principles into their TMCs. ErgoTMC, a web site tailored t...

  17. A Medical Television Center; a Guide to Organizing a Large Television Center in Health Science Educational Institutions. Monograph 5.

    ERIC Educational Resources Information Center

    Potts, Robert E.

    Guidelines are presented for establishing large television centers in health science education institutions. Television distribution systems are described, and staff, equipment, space and budgetary requirements are discussed. Included are: (1) a proposed chart of organizational development and job descriptions; (2) suggested equipment purchases;…

  18. A work-centered cognitively based architecture for decision support: the work-centered infomediary layer (WIL) model

    NASA Astrophysics Data System (ADS)

    Zachary, Wayne; Eggleston, Robert; Donmoyer, Jason; Schremmer, Serge

    2003-09-01

    Decision-making is strongly shaped and influenced by the work context in which decisions are embedded. This suggests that decision support needs to be anchored by a model (implicit or explicit) of the work process, in contrast to traditional approaches that anchor decision support to either context free decision models (e.g., utility theory) or to detailed models of the external (e.g., battlespace) environment. An architecture for cognitively-based, work centered decision support called the Work-centered Informediary Layer (WIL) is presented. WIL separates decision support into three overall processes that build and dynamically maintain an explicit context model, use the context model to identify opportunities for decision support and tailor generic decision-support strategies to the current context and offer them to the system-user/decision-maker. The generic decision support strategies include such things as activity/attention aiding, decision process structuring, work performance support (selective, contextual automation), explanation/ elaboration, infosphere data retrieval, and what if/action-projection and visualization. A WIL-based application is a work-centered decision support layer that provides active support without intent inferencing, and that is cognitively based without requiring classical cognitive task analyses. Example WIL applications are detailed and discussed.

  19. 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.

  20. 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.

  1. Key success factors of health research centers: A mixed method study.

    PubMed

    Tofighi, Shahram; Teymourzadeh, Ehsan; Heydari, Majid

    2017-08-01

    In order to achieve success in future goals and activities, health research centers are required to identify their key success factors. This study aimed to extract and rank the factors affecting the success of research centers at one of the medical universities in Iran. This study is a mixed method (qualitative-quantitative) study, which was conducted between May to October in 2016. The study setting was 22 health research centers. In qualitative phase, we extracted the factors affecting the success in research centers through purposeful interviews with 10 experts of centers, and classified them into themes and sub-themes. In the quantitative phase, we prepared a questionnaire and scored and ranked the factors recognized by 54 of the study samples by Friedman test. Nine themes and 42 sub-themes were identified. Themes included: strategic orientation, management, human capital, support, projects, infrastructure, communications and collaboration, paradigm and innovation and they were rated respectively as components of success in research centers. Among the 42 identified factors, 10 factors were ranked respectively as the key factors of success, and included: science and technology road map, strategic plan, evaluation indexes, committed human resources, scientific evaluation of members and centers, innovation in research and implementation, financial support, capable researchers, equipment infrastructure and teamwork. According to the results, the strategic orientation was the most important component in the success of research centers. Therefore, managers and authorities of research centers should pay more attention to strategic areas in future planning, including the science and technology road map and strategic plan.

  2. Key success factors of health research centers: A mixed method study

    PubMed Central

    Tofighi, Shahram; Teymourzadeh, Ehsan; Heydari, Majid

    2017-01-01

    Background In order to achieve success in future goals and activities, health research centers are required to identify their key success factors. Objective This study aimed to extract and rank the factors affecting the success of research centers at one of the medical universities in Iran. Methods This study is a mixed method (qualitative-quantitative) study, which was conducted between May to October in 2016. The study setting was 22 health research centers. In qualitative phase, we extracted the factors affecting the success in research centers through purposeful interviews with 10 experts of centers, and classified them into themes and sub-themes. In the quantitative phase, we prepared a questionnaire and scored and ranked the factors recognized by 54 of the study samples by Friedman test. Results Nine themes and 42 sub-themes were identified. Themes included: strategic orientation, management, human capital, support, projects, infrastructure, communications and collaboration, paradigm and innovation and they were rated respectively as components of success in research centers. Among the 42 identified factors, 10 factors were ranked respectively as the key factors of success, and included: science and technology road map, strategic plan, evaluation indexes, committed human resources, scientific evaluation of members and centers, innovation in research and implementation, financial support, capable researchers, equipment infrastructure and teamwork. Conclusion According to the results, the strategic orientation was the most important component in the success of research centers. Therefore, managers and authorities of research centers should pay more attention to strategic areas in future planning, including the science and technology road map and strategic plan. PMID:28979733

  3. Centers of Excellence: A Catalogue

    NASA Technical Reports Server (NTRS)

    Phelps, Paul B. (Compiler)

    1988-01-01

    This report summarizes information on State-sponsored 'Centers of Excellence' gathered during a survey of State programs in the Fall of 1987. For the purposes of this catalog, 'Centers of Excellence' refers to organizations or activities with the following characteristics: institutionalized, focused, cooperative Research and Development (R&D) programs; supported in part by State governments, in addition to universities, industry and (in some cases) Federal agencies; performed by teams that may include both industry and university employees; and concentrated on relatively specific R&D agendas, usually with near term commercial or governmental applicability. Most of these activities involve state-of-the-art advancement of new technologies under conditions leading to early practical applications. Not included in this catalog are project-level matching grant programs. The principal purpose of this catalog is to help NASA program management, at all levels. to identify and where appropriate, to initiate relationships with other technology-developing organizations. These State-sponsored programs should be of particular interest, because: they present an opportunity to leverage NASA's R&D investments; they are concentrated at the frontier, yet have a concern for practical applications; and they involve industrial participation under conditions that increase the probability of prompt, widespread dissemination in the form of new or enhanced commercial products, processes, or services.

  4. A Meaning-Centered Therapy for Addictions

    ERIC Educational Resources Information Center

    Thompson, Geoff

    2012-01-01

    This article describes a treatment for addictions, based on the idea that addiction is a response to living a life that has little personal meaning. First, it presents the theory of Meaning-Centered Therapy (MCT) as developed by Paul Wong, particularly the need to understand intoxication from the addict's perspective. Next, it presents the…

  5. Space Operations Center: A concept analysis

    NASA Technical Reports Server (NTRS)

    Livingston, L. E.

    1979-01-01

    The Space Operations Center is a concept for a shuttle-service, permanent, manned facility in low Earth orbit. An analysis of this concept was conducted and the results are reported. It is noted that there are no NASA plans at present to implement such a concept. The results are intended for consideration in future planning.

  6. Actions Needed to Ensure Scientific and Technical Information is Adequately Reviewed at Goddard Space Flight Center, Johnson Space Center, Langley Research Center, and Marshall Space Flight Center

    NASA Technical Reports Server (NTRS)

    2008-01-01

    This audit was initiated in response to a hotline complaint regarding the review, approval, and release of scientific and technical information (STI) at Johnson Space Center. The complainant alleged that Johnson personnel conducting export control reviews of STI were not fully qualified to conduct those reviews and that the reviews often did not occur until after the STI had been publicly released. NASA guidance requires that STI, defined as the results of basic and applied scientific, technical, and related engineering research and development, undergo certain reviews prior to being released outside of NASA or to audiences that include foreign nationals. The process includes technical, national security, export control, copyright, and trade secret (e.g., proprietary data) reviews. The review process was designed to preclude the inappropriate dissemination of sensitive information while ensuring that NASA complies with a requirement of the National Aeronautics and Space Act of 1958 (the Space Act)1 to provide for the widest practicable and appropriate dissemination of information resulting from NASA research activities. We focused our audit on evaluating the STI review process: specifically, determining whether the roles and responsibilities for the review, approval, and release of STI were adequately defined and documented in NASA and Center-level guidance and whether that guidance was effectively implemented at Goddard Space Flight Center, Johnson Space Center, Langley Research Center, and Marshall Space Flight Center. Johnson was included in the review because it was the source of the initial complaint, and Goddard, Langley, and Marshall were included because those Centers consistently produce significant amounts of STI.

  7. Library Services in a Supercomputer Center.

    ERIC Educational Resources Information Center

    Layman, Mary

    1991-01-01

    Describes library services that are offered at the San Diego Supercomputer Center (SDSC), which is located at the University of California at San Diego. Topics discussed include the user population; online searching; microcomputer use; electronic networks; current awareness programs; library catalogs; and the slide collection. A sidebar outlines…

  8. 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.

  9. A conceptual framework for patient-centered fertility treatment.

    PubMed

    Duthie, Elizabeth A; Cooper, Alexandra; Davis, Joseph B; Schoyer, Katherine D; Sandlow, Jay; Strawn, Estil Y; Flynn, Kathryn E

    2017-09-07

    Patient-centered care is a pillar of quality health care and is important to patients experiencing infertility. In this study we used empirical, in-depth data on couples' experiences of infertility treatment decision making to inform and revise a conceptual framework for patient-centered fertility treatment that was developed based on health care professionals' conceptualizations of fertility treatment, covering effectiveness, burden, safety, and costs. In this prospective, longitudinal mixed methods study, we collected data from both members (separately) of 37 couples who scheduled an initial consult with a reproductive specialist. Data collection occurred 1 week before the initial consultation, 1 week after the initial consultation, and then roughly 2, 4, 8, and 12 months later. Data collection included semi-structured qualitative interviews, self-reported questionnaires, and medical record review. Interviews were recorded, transcribed, and content analyzed in NVivo. A single coder analyzed all transcripts, with > 25% of transcripts coded by a second coder to ensure quality control and consistency. Content analysis of the interview transcripts revealed 6 treatment dimensions: effectiveness, physical and emotional burden, time, cost, potential risks, and genetic parentage. Thus, the revised framework for patient-centered fertility treatment retains much from the original framework, with modification to one dimension (from safety to potential risks) and the addition of two dimensions (time and genetic parentage). For patients and their partners making fertility treatment decisions, tradeoffs are explicitly considered across dimensions as opposed to each dimension being considered on its own. Patient-centered fertility treatment should account for the dimensions of treatment that patients and their partners weigh when making decisions about how to add a child to their family. Based on the lived experiences of couples seeking specialist medical care for

  10. Mississippi Technology Transfer Center

    NASA Technical Reports Server (NTRS)

    1987-01-01

    The Mississippi Technology Transfer Center at the John C. Stennis Space Center in Hancock County, Miss., was officially dedicated in 1987. The center is home to several state agencies as well as the Center For Higher Learning.

  11. Aerial view of the Kennedy Space Center Visitor Center

    NASA Technical Reports Server (NTRS)

    1998-01-01

    The Kennedy Space Center Visitor Complex, shown in this aerial view looking south, sprawls across 70 acres on Florida's Space Coast. It is located off State Road 405, NASA Parkway, six miles inside the Space Center entrance. SR 405 can be seen at the bottom of the photo. Just above the roadway, from left, can be seen the Shuttle/Gantry mockup, the Post Show Dome, the Astronaut Memorial, and to the far right, the Center for Space Education. Behind the Memorial are a cluster of buildings that include the Theater Complex, Cafeteria, Space Flight Exhibit Building, Souvenir Sales Building, Spaceport Central, and Ticket Pavilion. At the upper right of the site is a display of rockets that have played a significant role in the growth of the space program. Parking lots span the width of the complex on the south side.

  12. Climate Prediction Center

    Science.gov Websites

    Climate Stratosphere Pacific Islands International Desks Climate.gov Climate Test Bed (CTB) JAWF USAID FEWS-NET NWS / NCEP Aviation Weather Center Climate Prediction Center Environmental Modeling Center non-operational server hosts the redesigned web pages developed, thus far, as part of the Climate

  13. Student perceptions of a patient- centered medical training curriculum

    PubMed Central

    Gallentine, Ashley; Salinas-Miranda, Abraham A.; Shaffer-Hudkins, Emily; Hinojosa, Sara; Monroe, Alicia

    2014-01-01

    Objectives To evaluate a patient-centered medical training curriculum, the SELECT program, through perceptions of the inaugural student cohort. Methods Data were collected from two focus groups conducted in the university setting, comprised of fifteen first-year medical students who participated in the SELECT program during its inaugural year. A questioning protocol was used to guide the focus group discussion, which was transcribed and hand-coded through thematic analyses. Results Various themes related to patient-centered care were identified. Students noted changes in their attitudes towards interacting with patients in an empowering and educative manner as a result of communication and motivational interviewing exercises. Additionally, they recognized certain external, structural barriers as well as internal conflict between pragmatism and emotional intelligence that could potentially hinder patient-centered care. The impact of family dynamics and social support on quality of life and health outcomes was acknowledged. Students also emphasized the value of collaborating with multiple health professionals. Lastly, students provided suggestions for program improvement, namely additional simulations, more education regarding other healthcare professionals’ roles, more standardized experiences, and application of principles to acute and primary care. Conclusions Upon completion of the first year of the SELECT program, students gained an appreciation for patient-centered care and various factors and skills that facilitate such care. Additionally, they experienced a dissonance between didactic concepts from the curriculum and observed medical practices. This study highlights the educational benefits of a patient-centered medical curriculum and provides suggestions for future improvement. PMID:25341218

  14. Psychology in academic health centers: a true healthcare home.

    PubMed

    Rozensky, Ronald H

    2012-12-01

    This article is based on the invited presentation by the author at the American Psychological Association's Annual Convention, August 4-7, 2011, upon his receipt of the Joseph D. Matarazzo Award for Distinguished Contributions to Psychology in Academic Health Centers presented by the Association of Psychologists in Academic Health Centers. This article relates the history, roles, and responsibilities of psychologists in academic health centers to the ultimate survival and success of professional psychology. It describes implications of the Patient Protection and Affordable Care Act (ACA) on the institutional practice of psychology including how psychology's place in academic health centers positions the field well for the future of healthcare reform. The article provides several recommendations to help professional psychology prepare for that future of integrated, interprofessional healthcare.

  15. PACS for imaging centers.

    PubMed

    Farnsworth, T J

    2003-01-01

    PACS can be a difficult and confusing decision for any radiology provider, but it can be an even more dynamic question for an outpatient imaging center. Every center represents a unique situation and requires a specialized solution. Typically, most of what is said and discussed about PACS concentrates on solutions and requirements for hospital radiology facilities. Administrators of imaging centers have different problems from hospital administrators, and they need different answers. For imaging centers, the financial justification for PACS may be less immediate than for hospitals. The first thing that must be understood is that no PAC system can make a typical imaging center completely filmless, at least not for quite a while. A hospital has the ability to dictate to its internal referring physicians how a radiological study is delivered, whereas in an imaging center environment, the roles are very much reversed. Once the justification are made for the financial viability of PACS in an imaging center, the next question is how to finance the acquisition of PACS. The decision will depend on how you cost justify your PACS, as well as the shape of your business model, and it will come to a decision between capital purchase or contracting with an application service provider, or ASP. Historically, in the hospital-dominated marketplace, PAC systems have been treated as capital acquisitions. However, for most imaging center, owning the system is more of a problem than a benefit. ASPs increasingly represent a successful alternative for imaging centers. One of the biggest things to consider with PACS is how to store all of those images. There are typically two options, on-site and off-site, with a new "hybrid" option surfacing more recently. Each option has benefits for the user, but the benefits of off-site storage are increasing as the technology advances. Some of the benefits are data security and access. Other issues to address are HIPAA compliance, standardized

  16. The Design of a Pre-School "Learning Laboratory" in a Rehabilitation Center.

    ERIC Educational Resources Information Center

    Gordon, Ronnie

    The educational philosophy and medical setting of a preschool program in a rehabilitation center for handicapped children are presented in this monograph. Children with diverse physical, mental, and behavioral problems are served by the Center, which emphasizes development of each child's potential within the limits of his disabilities. The basic…

  17. A Quantitative Literature Review of the Effectiveness of Suicide Prevention Centers.

    ERIC Educational Resources Information Center

    Dew, Mary Amanda; And Others

    1987-01-01

    Applied meta-analysis to several series of studies to evaluate the effectiveness of prevention centers. Results indicate that centers do attract a high-risk population; center clients were more likely to commit suicide than were members of the general population, and individuals who committed suicide were more likely to have been clients than were…

  18. Visitors Center activities

    NASA Technical Reports Server (NTRS)

    1997-01-01

    More than 2,000 children and adults from Mississippi, Louisiana and Alabama recently build a 12-foot tall Space Shuttle made entirely from tiny LEGO bricks at the John C. Stennis Space Center Visitors Center in South Mississippi. The shuttle was part of an exhibit titled 'Travel in Space' World Show which depicts the history of flight and space travel from the Wright brothers to future generations of space vehicles. For more information concerning hours of operation or Visitors Center educational programs, call 1-800-237-1821 in Mississippi and Louisiana or (601) 688-2370.

  19. 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.

  20. A Model for a Health Career Information Center.

    ERIC Educational Resources Information Center

    Bruhn, John G.; And Others

    1980-01-01

    One part of a model health career information center was a toll-free health careers hotline which provided information to high school and college students, parents, counselors, and teachers. Evaluation of the hotline indicates that it fills a need, is considered useful by callers, and is of relatively small cost. (Author/CT)

  1. 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.

  2. 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...

  3. Center-defined unacceptable HLA antigens facilitate transplants for sensitized patients in a multi-center kidney exchange program.

    PubMed

    Baxter-Lowe, L A; Cecka, M; Kamoun, M; Sinacore, J; Melcher, M L

    2014-07-01

    Multi-center kidney paired donation (KPD) is an exciting new transplant option that has not yet approached its full potential. One barrier to progress is accurate virtual crossmatching for KPD waitlists with many highly sensitized patients. Virtual crossmatch results from a large multi-center consortium, the National Kidney Registry (NKR), were analyzed to determine the effectiveness of flexible center-specific criteria for virtual crossmatching. Approximately two-thirds of the patients on the NKR waitlist are highly sensitized (>80% CPRA). These patients have antibodies against HLA-A (63%), HLA-B (66%), HLA-C (41%), HLA-DRB1 (60%), HLA-DRB3/4/5 (18-22%), HLA-DQB1 (54%) and HLA-DPB1 (26%). With donors typed for these loci before activation, 91% of virtual crossmatches accurately predicted an acceptable cell-based donor crossmatch. Failed virtual crossmatches were attributed to equivocal virtual crossmatches (46%), changes in HLA antibodies (21%), antibodies against HLA-DQA (6%), transcription errors (6%), suspected non-HLA antibodies (5%), allele-specific antibodies (1%) and unknown causes (15%). Some failed crossmatches could be prevented by modifiable factors such as more frequent assessment of HLA antibodies, DQA1 typing of donors and auditing data entry. Importantly, when transplant centers have flexibility to define crossmatch criteria, it is currently feasible to use virtual crossmatching for highly sensitized patients to reliably predict acceptable cell-based crossmatches. © Copyright 2014 The American Society of Transplantation and the American Society of Transplant Surgeons.

  4. Running a Successful Center: A Giant Step Forward in the Professions's Maturation.

    ERIC Educational Resources Information Center

    Farmer, Noel T., Jr.

    1986-01-01

    Based on his successful experience with the NASSP assessment center process in personnel selection and career development, a Maryland curriculum superintendent suggests that assessment center process and results need to be integrated into schools' promotional policies, their training and appraisal procedures, their human resource planning, and…

  5. Learning-Centered Leadership: A Conceptual Foundation

    ERIC Educational Resources Information Center

    Murphy, Joseph; Elliott, Stephen N.; Goldring, Ellen; Porter, Andrew C.

    2006-01-01

    The purpose of this analysis is to describe the research base that undergirds the emerging concept of learning-centered leadership. We begin with our definition of leadership. Leadership is "the process of influencing others to achieve mutually agreed upon purposes for the organization" (Patterson, 1993, p. 3). Next, we make a number of…

  6. Conference Center Serves as a Solar Lab

    ERIC Educational Resources Information Center

    American School and University, 1977

    1977-01-01

    The Alumni House Conference Center is a working example of how to use and conserve energy. The solar system is expected to provide at least a third of the building's heat in the coldest months. (Author/MLF)

  7. 2. GRADIENT INTO A STREET IN SUPPLY CENTER, FROM SIDEWALK ...

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

    2. GRADIENT INTO A STREET IN SUPPLY CENTER, FROM SIDEWALK ON SOUTHERN SIDE OF BRIDGE AT A POINT EAST OF 4TH STREET, LOOKING WEST, WITH MONUMENT AT END OF A STREET. - Oakland Naval Supply Center, Maritime Street Overpass, Connecting Seventh Street & Third Street, Oakland, Alameda County, CA

  8. Implementing a Reliability Centered Maintenance Program at NASA's Kennedy Space Center

    NASA Technical Reports Server (NTRS)

    Tuttle, Raymond E.; Pete, Robert R.

    1998-01-01

    Maintenance practices have long focused on time based "preventive maintenance" techniques. Components were changed out and parts replaced based on how long they had been in place instead of what condition they were in. A reliability centered maintenance (RCM) program seeks to offer equal or greater reliability at decreased cost by insuring only applicable, effective maintenance is performed and by in large part replacing time based maintenance with condition based maintenance. A significant portion of this program involved introducing non-intrusive technologies, such as vibration analysis, oil analysis and I/R cameras, to an existing labor force and management team.

  9. Alternative Fuels Data Center

    Science.gov Websites

    AFDC » Tools Printable Version Share this resource Send a link to Alternative Fuels Data Center to someone by E-mail Share Alternative Fuels Data Center on Facebook Tweet about Alternative Fuels Data on Delicious Rank Alternative Fuels Data Center on Digg Find More places to share Alternative Fuels

  10. Complete Quantum Control of a Single Silicon-Vacancy Center in a Diamond Nanopillar

    NASA Astrophysics Data System (ADS)

    Zhang, Jingyuan Linda; Lagoudakis, Konstantinos G.; Tzeng, Yan-Kai; Dory, Constantin; Radulaski, Marina; Kelaita, Yousif; Shen, Zhi-Xun; Melosh, Nicholas A.; Chu, Steven; Vuckovic, Jelena

    Coherent quantum control of a quantum bit (qubit) is an important step towards its use in a quantum network. SiV- center in diamond offers excellent physical qualities such as low inhomogeneous broadening, fast photon emission, and a large Debye-Waller factor, while the fast spin manipulation and techniques to extend the spin coherence time are under active investigation. Here, we demonstrate full coherent control over the state of a single SiV- center in a diamond nanopillar using ultrafast optical pulses. The high quality of the chemical vapor deposition grown SiV- centers allows us to coherently manipulate and quasi-resonantly read out the state of the single SiV- center. Moreover, the SiV- centers being coherently controlled are integrated into diamond nanopillar arrays in a site-controlled, individually addressable manner with high yield, low strain, and high spectral stability, which paves the way for scalable on chip optically accessible quantum system in a quantum photonic network. Financial support is provided by the DOE Office of Basic Energy Sciences, Division of Materials Sciences through Stanford Institute for Materials and Energy Sciences (SIMES) under contract DE-AC02-76SF00515.

  11. Family Centers

    DTIC Science & Technology

    1992-12-30

    34 Family Policy," December 30, 1988 o / (b) DoD Directive 4001.1, "Installation Management ,, September 4, 1986 (c) DoD 4165.63-M, "DoD Housing Management ... managing the competing demands of the military mission and the family . They shall provide the information and family services necessary to support single...effectiveness of Family Centers. The evaluation system shall include: (1) A management information report to allow Family Centers to reflect actual workloads

  12. Family Care Map: Sustaining family-centered care in Polytrauma Rehabilitation Centers

    PubMed Central

    Ford, James H.; Wise, Meg; Krahn, Dean; Oliver, Karen Anderson; Hall, Carmen; Sayer, Nina

    2015-01-01

    The study assessed sustainability of the Family Care Map, a family-centered approach to providing care for Veterans with polytrauma-related injuries, in four Department of Veterans Affairs Polytrauma Rehabilitation Centers. We applied a mixed-methods approach. Staff surveys used standardized measures of sustainability, commitment to change, information, and participation during implementation. Qualitative inquiry assessed Family Care Map implementation and facilitators and barriers to sustainability. Staff sustainability perceptions had a significant positive correlation with affective commitment to change, participation, and information received about the change process. Family Care Map integration into standard practices and use of its concepts with patients and families related to staff perceptions about sustainability. The degree of use and integration of the Family Care Map in traumatic brain injury/polytrauma care varied among the Polytrauma Rehabilitation Centers. Some successful sustainability strategies included integration into daily workflow and organizational culture. Examples of sustainability barriers included staff awareness and use and outdated information. Some practices, such as measuring and documenting the use of the Family Care Map in treatment plans, may not routinely occur. The focus on family-centered care will require further evaluation of organization-, staff-, and innovation-level attributes that influence sustainability of changes designed to improve family-centered care. PMID:25671632

  13. 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...

  14. 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.

  15. 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.

  16. Contact centers, pervasive computing and telemedicine: a quality health care triangle.

    PubMed

    Maglaveras, Nicos

    2004-01-01

    The Citizen Health System (CHS) is a European Commission (CEC) funded project in the field of IST for Health. Its main goal is to develop a generic contact center which in its pilot stage can be used in the monitoring, treatment and management of chronically ill patients at home in Greece, Spain, and Germany. Such contact centers, using any type of communication technology, and providing timely and preventive prompting to the patients are envisaged in the future to evolve into well-being contact centers providing services to all citizens. In this paper, we present the structure of such a generic contact center and present its major achievements, and their impact to the quality of health delivery.

  17. Four-center bubbled BPS solutions with a Gibbons-Hawking base

    NASA Astrophysics Data System (ADS)

    Heidmann, Pierre

    2017-10-01

    We construct four-center bubbled BPS solutions with a Gibbons-Hawking base space. We give a systematic procedure to build scaling solutions: starting from three-supertube configurations and using generalized spectral flows and gauge transformations to extend to solutions with four Gibbons-Hawking centers. This allows us to construct very large families of smooth horizonless solutions that have the same charges and angular momentum as supersymmetric black holes with a macroscopically large horizon area. Our construction reveals that all scaling solutions with four Gibbons Hawking centers have an angular momentum at around 99% of the cosmic censorship bound. We give both an analytical and a numerical explanation for this unexpected feature.

  18. A Holistic Emphasis: The UCLA American Indian Studies Research Center.

    ERIC Educational Resources Information Center

    Champagne, Duane

    2001-01-01

    At UCLA, the American Indian Studies Center's structure as an organized research unit allows a platform for many activities not normally within the purview of departments. The Center implements a holistic, Native view of research, policy, community engagement, and education; has a library and publications; and is a gathering place for American…

  19. A theory of germinal center B cell selection, division, and exit.

    PubMed

    Meyer-Hermann, Michael; Mohr, Elodie; Pelletier, Nadége; Zhang, Yang; Victora, Gabriel D; Toellner, Kai-Michael

    2012-07-26

    High-affinity antibodies are generated in germinal centers in a process involving mutation and selection of B cells. Information processing in germinal center reactions has been investigated in a number of recent experiments. These have revealed cell migration patterns, asymmetric cell divisions, and cell-cell interaction characteristics, used here to develop a theory of germinal center B cell selection, division, and exit (the LEDA model). According to this model, B cells selected by T follicular helper cells on the basis of successful antigen processing always return to the dark zone for asymmetric division, and acquired antigen is inherited by one daughter cell only. Antigen-retaining B cells differentiate to plasma cells and leave the germinal center through the dark zone. This theory has implications for the functioning of germinal centers because compared to previous models, high-affinity antibodies appear one day earlier and the amount of derived plasma cells is considerably larger. Copyright © 2012 The Authors. Published by Elsevier Inc. All rights reserved.

  20. A cross-case analysis of three Native Science Field Centers

    NASA Astrophysics Data System (ADS)

    Augare, Helen J.; Davíd-Chavez, Dominique M.; Groenke, Frederick I.; Little Plume-Weatherwax, Melissa; Lone Fight, Lisa; Meier, Gene; Quiver-Gaddie, Helene; Returns From Scout, Elvin; Sachatello-Sawyer, Bonnie; St. Pierre, Nate; Valdez, Shelly; Wippert, Rachel

    2017-06-01

    Native Science Field Centers (NSFCs) were created to engage youth and adults in environmental science activities through the integration of traditional Native ways of knowing (understanding about the natural world based on centuries of observation including philosophy, worldview, cosmology, and belief systems of Indigenous peoples), Native languages, and Western science concepts. This paper focuses on the Blackfeet Native Science Field Center, the Lakota Native Science Field Center, and the Wind River Native Science Field Center. One of the long-term, overarching goals of these NSFCs was to stimulate the interest of Native American students in ways that encouraged them to pursue academic and career paths in science, technology, engineering, and mathematics (STEM) fields. A great deal can be learned from the experiences of the NSFCs in terms of effective educational strategies, as well as advantages and challenges in blending Native ways of knowing and Western scientific knowledge in an informal science education setting. Hopa Mountain—a Bozeman, Montana-based nonprofit—partnered with the Blackfeet Community College on the Blackfeet Reservation, Fremont County School District #21 on the Wind River Reservation, and Oglala Lakota College on the Pine Ridge Reservation to cooperatively establish the Native Science Field Centers. This paper presents a profile of each NSFC and highlights their program components and accomplishments.

  1. Development of a Writing Center: A Bright Idea.

    ERIC Educational Resources Information Center

    McKeague, Patricia M.; Reis, Elizabeth

    Recognizing that good writing skills are critical to achieving college and career success, the Communications Department at Moraine Valley Community College (MVCC) initiated a 10-month research and planning process which culminated in the establishment of a Writing Center (WC) in the fall of 1990. The objectives of the WC are to: (1) offer all…

  2. Solar energy for a community recreation center

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

    Libman, D.E.

    1980-01-01

    A 58,000 ft/sup 2/ recreation center in Shenandoah, Georgia is described. Rooftop solar collectors and reflectors serve as a basis for the active solar heating and cooling systems. The recreation center clearly demonstrates the technical feasibility of solar application in a recreation setting; economically, however, results are shown to be mixed. Although effective in the heating mode, solar cooling is considered as questionable in terms of a reasonable payoff period. A computer model predicts a payoff period of 11 years based on 1977 energy prices. The design and construction costs of the solar heating and cooling system ($726,000) was 90%more » financed by ERDA. A hockey-size ice rink and a gymnasium plus locker rooms and meeting rooms comprised the major part of the floor space. Problems encountered and operation of the facility are described. (MJJ)« less

  3. NASA New England Outreach Center

    NASA Technical Reports Server (NTRS)

    2002-01-01

    The NASA New England Outreach Center in Nashua, New Hampshire was established to serve as a catalyst for heightening regional business awareness of NASA procurement, technology and commercialization opportunities. Emphasis is placed on small business participation, with the highest priority given to small disadvantaged businesses, women-owned businesses, HUBZone businesses, service disabled veteran owned businesses, and historically black colleges and universities and minority institutions. The Center assists firms and organizations to understand NASA requirements and to develop strategies to capture NASA related procurement and technology opportunities. The establishment of the NASA Outreach Center serves to stimulate business in a historically underserved area. NASA direct business awards have traditionally been highly present in the West, Midwest, South, and Southeast areas of the United States. The Center guides and assists businesses and organizations in the northeast to target opportunities within NASA and its prime contractors and capture business and technology opportunities. The Center employs an array of technology access, one-on-one meetings, seminars, site visits, and targeted conferences to acquaint Northeast firms and organizations with representatives from NASA and its prime contractors to learn about and discuss opportunities to do business and access the inventory of NASA technology. This stimulus of interaction also provides firms and organizations the opportunity to propose the use of their developed technology and ideas for current and future requirements at NASA. The Center provides a complement to the NASA Northeast Regional Technology Transfer Center in developing prospects for commercialization of NASA technology. In addition, the Center responds to local requests for assistance and NASA material and documents, and is available to address immediate concerns and needs in assessing opportunities, timely support to interact with NASA Centers on

  4. Visitors Center activities

    NASA Technical Reports Server (NTRS)

    1997-01-01

    Astronaut Katherine Hire and LEGO-Master Model Builders assisted children from Mississippi, Louisiana and Mississippi in the building of a 12-foot tall Space Shuttle made entirely from tiny LEGO bricks at the John C. Stennis Space Center Visitors Center in South Mississippi. The shuttle was part of an exhibit titled ' Travel in Space' World Show which depicts the history of flight and space travel from the Wright brothers to future generations of space vehicles. For more information concerning hours of operation or Visitors Center educational programs, call 1-800-237-1821 in Mississippi and Louisiana or (601) 688-2370.

  5. 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…

  6. A Player-Centered Approach to Coaching

    ERIC Educational Resources Information Center

    de Souza, Adriano; Oslin, Judy

    2008-01-01

    The purpose of this article is to describe a player-centered approach (PCA), highlighting its qualities, and then to provide examples of its application in coaching and teaching sport. Most of the examples relate to the game of volleyball, but many of the recommendations and examples can be applied to most team sports. The article will conclude…

  7. Integration of pharmacists into a patient-centered medical home.

    PubMed

    Scott, Mollie Ashe; Hitch, Bill; Ray, Lisa; Colvin, Gaye

    2011-01-01

    To define the joint principles of the patient-centered medical home (PCMH) and describe the integration of pharmacists into a PCMH. Family medicine residency training program in North Carolina from 2001 to 2011. Mountain Area Health Education Family Health Center is a family medicine residency training program that is part of the North Carolina Area Health Education Center system. The goal of the organization is to train and retain health care students and residents. The practice is recognized as a level III PCMH by the National Committee for Quality Assurance (NCQA) and seeks to provide quality, safe, patient-centered care according to the joint principles of PCMH. Pharmacists, nurses, nutritionists, care managers, Spanish translators, and behavioral medicine specialists work collaboratively with physicians to provide seamless, comprehensive care. The Department of Pharmacotherapy is embedded in the family medicine clinic. Three pharmacists and two pharmacy residents are involved in providing direct patient care services, ensuring access to community resources, assisting patients with transitions of care, providing interprofessional education, and participating in continuous quality improvement initiatives. The pharmacists serve as clinical pharmacist practitioners and provide medication therapy management services in a pharmacotherapy clinic, anticoagulation clinics, and an osteoporosis clinic and via an inpatient family medicine service. Multiple learners such as student pharmacists, pharmacy residents, and family medicine residents rotate through the various pharmacy clinics to learn about pharmacotherapeutic principles and the role of the pharmacist in PCMH. PCMH is a comprehensive, patient-centered, team-based approach to population management in the primary care setting. Pharmacists play a vital role in PCMH and make fundamental contributions to patient care across health care settings. Such innovations in the ambulatory care setting create a unique niche

  8. The Goddard Earth Sciences and Technology Center (GEST Center)

    NASA Technical Reports Server (NTRS)

    2002-01-01

    The following is a technical report of the progress made under Cooperative Agreement NCC5494, the Goddard Earth Sciences and Technology Center (GEST). The period covered by this report is October 1, 2001 through December 31, 2001. GEST is a consortium of scientists and engineers, led by the University of Maryland, Baltimore County (UMBC), to conduct scientific research in Earth and information sciences and related technologies in collaboration with the NASA Goddard Space Flight Center (GSFC). GEST was established through a cooperative agreement signed May 11, 2000, following a competitive procurement process initiated by GSFC.

  9. Center for Space Construction

    NASA Technical Reports Server (NTRS)

    Su, Renjeng

    1998-01-01

    The Center for Space Construction (CSC) at University of Colorado at Boulder is one of eight University Space Engineering Research Centers established by NASA in 1988. The mission of the Center is to conduct research into space technology and to directly contribute to space engineering education. The Center reports to the Department of Aerospace Engineering Sciences and resides in the College of Engineering and Applied Sciences. The College has a long and successful track record of cultivating multi-disciplinary research and education programs. The Center for Space Construction represents prominent evidence of this record. The basic concept on which the Center was founded is the in-space construction of large space systems, such as space stations, interplanetary space vehicles, and extraterrestrial space structures. Since 1993, the scope of CSC research has evolved to include the design and construction of all spacecraft, large and small. With the broadened scope our research projects seek to impact the technological basis for spacecraft such as remote sensing satellites, communication satellites and other special-purpose spacecraft, as well as large space platforms. A summary of accomplishments, including student participation and degrees awarded, during the contract period is presented.

  10. World Saver Center.

    ERIC Educational Resources Information Center

    Kennedy, Theresa; And Others

    Conservation is a concern for all cultures, and children are familiar with this concept because of recycling in their homes and home towns. The World Saver Center, an example of the thematic approach to learning, is designed to allow children to experiment with concepts of conservation in a familiar setting. The center, designed to resemble an…

  11. Center-to-center : local self-evaluation report

    DOT National Transportation Integrated Search

    2003-04-01

    Texas Department of Transportation implemented a software system to facilitate sharing of traffic management related information and control of Intelligent Transportation System field devices between Traffic Management Centers with heterogeneous Adva...

  12. Method for maintaining a cutting blade centered in a kerf

    DOEpatents

    Blaedel, Kenneth L.; Davis, Pete J.; Landram, Charles S.

    2002-01-01

    A saw having a self-pumped hydrodynamic blade guide or bearing for retaining the saw blade in a centered position in the saw kerf (width of cut made by the saw). The hydrodynamic blade guide or bearing utilizes pockets or grooves incorporated into the sides of the blade. The saw kerf in the workpiece provides the guide or bearing stator surface. Both sides of the blade entrain cutting fluid as the blade enters the kerf in the workpiece, and the trapped fluid provides pressure between the blade and the workpiece as an inverse function of the gap between the blade surface and the workpiece surface. If the blade wanders from the center of the kerf, then one gap will increase and one gap will decrease and the consequent pressure difference between the two sides of the blade will cause the blade to re-center itself in the kerf. Saws using the hydrodynamic blade guide or bearing have particular application in slicing slabs from boules of single crystal materials, for example, as well as for cutting other difficult to saw materials such as ceramics, glass, and brittle composite materials.

  13. E-Center: A Collaborative Platform for Wide Area Network Users

    NASA Astrophysics Data System (ADS)

    Grigoriev, M.; DeMar, P.; Tierney, B.; Lake, A.; Metzger, J.; Frey, M.; Calyam, P.

    2012-12-01

    The E-Center is a social collaborative web-based platform for assisting network users in understanding network conditions across network paths of interest to them. It is designed to give a user the necessary tools to isolate, identify, and resolve network performance-related problems. E-Center provides network path information on a link-by-link level, as well as from an end-to-end perspective. In addition to providing current and recent network path data, E-Center is intended to provide a social media environment for them to share issues, ideas, concerns, and problems. The product has a modular design that accommodates integration of other network services that make use of the same network path and performance data.

  14. 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

  15. Wings: A New Paradigm in Human-Centered Design

    NASA Technical Reports Server (NTRS)

    Schutte, Paul C.

    1997-01-01

    Many aircraft accidents/incidents investigations cite crew error as a causal factor (Boeing Commercial Airplane Group 1996). Human factors experts suggest that crew error has many underlying causes and should be the start of an accident investigation and not the end. One of those causes, the flight deck design, is correctable. If a flight deck design does not accommodate the human's unique abilities and deficits, crew error may simply be the manifestation of this mismatch. Pilots repeatedly report that they are "behind the aircraft" , i.e., they do not know what the automated aircraft is doing or how the aircraft is doing it until after the fact. Billings (1991) promotes the concept of "human-centered automation"; calling on designers to allocate appropriate control and information to the human. However, there is much ambiguity regarding what it mean's to be human-centered. What often are labeled as "human-centered designs" are actually designs where a human factors expert has been involved in the design process or designs where tests have shown that humans can operate them. While such designs may be excellent, they do not represent designs that are systematically produced according to some set of prescribed methods and procedures. This paper describes a design concept, called Wings, that offers a clearer definition for human-centered design. This new design concept is radically different from current design processes in that the design begins with the human and uses the human body as a metaphor for designing the aircraft. This is not because the human is the most important part of the aircraft (certainly the aircraft would be useless without lift and thrust), but because he is the least understood, the least programmable, and one of the more critical elements. The Wings design concept has three properties: a reversal in the design process, from aerodynamics-, structures-, and propulsion-centered to truly human-centered; a design metaphor that guides function

  16. GSDC: A Unique Data Center in Korea for HEP research

    NASA Astrophysics Data System (ADS)

    Ahn, Sang-Un

    2017-04-01

    Global Science experimental Data hub Center (GSDC) at Korea Institute of Science and Technology Information (KISTI) is a unique data center in South Korea established for promoting the fundamental research fields by supporting them with the expertise on Information and Communication Technology (ICT) and the infrastructure for High Performance Computing (HPC), High Throughput Computing (HTC) and Networking. GSDC has supported various research fields in South Korea dealing with the large scale of data, e.g. RENO experiment for neutrino research, LIGO experiment for gravitational wave detection, Genome sequencing project for bio-medical, and HEP experiments such as CDF at FNAL, Belle at KEK, and STAR at BNL. In particular, GSDC has run a Tier-1 center for ALICE experiment using the LHC at CERN since 2013. In this talk, we present the overview on computing infrastructure that GSDC runs for the research fields and we discuss on the data center infrastructure management system deployed at GSDC.

  17. 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

  18. 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.

  19. 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

  20. Human-Centered Design Capability

    NASA Technical Reports Server (NTRS)

    Fitts, David J.; Howard, Robert

    2009-01-01

    For NASA, human-centered design (HCD) seeks opportunities to mitigate the challenges of living and working in space in order to enhance human productivity and well-being. Direct design participation during the development stage is difficult, however, during project formulation, a HCD approach can lead to better more cost-effective products. HCD can also help a program enter the development stage with a clear vision for product acquisition. HCD tools for clarifying design intent are listed. To infuse HCD into the spaceflight lifecycle the Space and Life Sciences Directorate developed the Habitability Design Center. The Center has collaborated successfully with program and project design teams and with JSC's Engineering Directorate. This presentation discusses HCD capabilities and depicts the Center's design examples and capabilities.

  1. Patient-centered care, nurse work environment and implicit rationing of nursing care in Swiss acute care hospitals: A cross-sectional multi-center study.

    PubMed

    Bachnick, Stefanie; Ausserhofer, Dietmar; Baernholdt, Marianne; Simon, Michael

    2018-05-01

    Patient-centered care is a key element of high-quality healthcare and determined by individual, structural and process factors. Patient-centered care is associated with improved patient-reported, clinical and economic outcomes. However, while hospital-level characteristics influence patient-centered care, little evidence is available on the association of patient-centered care with characteristic such as the nurse work environment or implicit rationing of nursing care. The aim of this study was to describe patient-centered care in Swiss acute care hospitals and to explore the associations with nurse work environment factors and implicit rationing of nursing care. This is a sub-study of the cross-sectional multi-center "Matching Registered Nurse Services with Changing Care Demands" study. We included 123 units in 23 acute care hospitals from all three of Switzerland's language regions. The sample consisted of 2073 patients, hospitalized for at least 24 h and ≥18 years of age. From the same hospital units, 1810 registered nurses working in direct patient care were also included. Patients' perceptions of patient-centered care were assessed using four items from the Generic Short Patient Experiences Questionnaire. Nurses completed questionnaires assessing perceived staffing and resource adequacy, adjusted staffing, leadership ability and level of implicit rationing of nursing care. We applied a Generalized Linear Mixed Models for analysis including individual-level patient and nurse data aggregated to the unit level. Patients reported high levels of patient-centered care: 90% easily understood nurses, 91% felt the treatment and care were adapted for their situation, 82% received sufficient information, and 70% felt involved in treatment and care decisions. Higher staffing and resource adequacy was associated with higher levels of patient-centered care, e.g., sufficient information (β 0.638 [95%-CI: 0.30-0.98]). Higher leadership ratings were associated with

  2. 3. FLAME DEFLECTOR AT CENTER, CONNECTING TUNNEL AT CENTER RIGHT, ...

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

    3. FLAME DEFLECTOR AT CENTER, CONNECTING TUNNEL AT CENTER RIGHT, VIEW TOWARDS SOUTHWEST. - Glenn L. Martin Company, Titan Missile Test Facilities, Captive Test Stand D-1, Waterton Canyon Road & Colorado Highway 121, Lakewood, Jefferson County, CO

  3. A Guide to the Data Resources of the Henry A. Murray Research Center of Radcliffe College: A Center for the Study of Lives [and] Index to [the] Guide.

    ERIC Educational Resources Information Center

    Radcliffe Coll., Cambridge, MA. Henry A. Murray Research Center.

    The first of two volumes provides information about data resources available at the Henry A. Murray Research Center of Radcliffe College, a multidisciplinary research center that is a national repository for social and behavioral science data on human development and social change; topics of special concern to women are collection priorities. The…

  4. Mass center estimation of a drag-free satellite

    NASA Technical Reports Server (NTRS)

    Sanz Fernandez De Cordova, S.; Debra, D. B.

    1975-01-01

    The mass center location of a spinning drag-free satellite can be estimated because there is control required to accelerate the mass center along the axis of spin as long as there is some nutation in the spinning motion. Linear and nonlinear models are compared and observability discussed. Online estimation fails when nutation is damped so an offline mechanization is proposed. A new sensor has been designed to permit greater relative motion than was possible on the drag-free satellite flown in 1972 (JH-1). Experimental laboratory results using a spinning vehicle with the new sensor mounted 30 cm from a spherical air bearing support are presented which confirm earlier simulation results.

  5. Visualization Center Dedicated

    NASA Image and Video Library

    2003-10-17

    The dedication ceremony of the University of Southern Mississippi Center of Higher Learning (CHL) High-Performance Visualization Center at SSC was held Oct. 17. The center's RAVE II 3-D visualization system, available to both on- and off-site scientists, turns data into a fully immersive environment for the user. Cutting the ribbon are, from left, Rear Adm. Thomas Donaldson, commander of the Naval Meteorology and Oceanography Command; Jim Meredith, former director of the CHL; USM President Dr. Shelby Thames; Lt. Gov. Amy Tuck; Dr. Peter Ranelli, director of the CHL; Dewey Herring, chairman of the policy board for the CHL; and former Sen. Cecil Burge.

  6. Visualization Center Dedicated

    NASA Technical Reports Server (NTRS)

    2003-01-01

    The dedication ceremony of the University of Southern Mississippi Center of Higher Learning (CHL) High-Performance Visualization Center at SSC was held Oct. 17. The center's RAVE II 3-D visualization system, available to both on- and off-site scientists, turns data into a fully immersive environment for the user. Cutting the ribbon are, from left, Rear Adm. Thomas Donaldson, commander of the Naval Meteorology and Oceanography Command; Jim Meredith, former director of the CHL; USM President Dr. Shelby Thames; Lt. Gov. Amy Tuck; Dr. Peter Ranelli, director of the CHL; Dewey Herring, chairman of the policy board for the CHL; and former Sen. Cecil Burge.

  7. 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

  8. 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. From left, Scott Thurston, Kennedy deputy of the spacecraft office of the Commercial Crew Program, talks with Scott Colloredo, director of the Center Planning and Development Directorate. 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

  9. 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 talk with Trey Carlson, Kennedy Master Planner, at the Center Planning and Development Directorate, or CPDD, display. In the background is Mario Busacca, chief of CPDD’s Spaceport Planning Office. 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

  10. The Willowbrook futures project: a longitudinal analysis of person-centered planning.

    PubMed

    Holburn, Steve; Jacobson, John W; Schwartz, Allen A; Flory, Michael J; Vietze, Peter M

    2004-01-01

    We conducted a longitudinal comparative evaluation of person-centered planning processes and outcomes for 20 individuals with intellectual disabilities and problem behavior (former residents of Willowbrook) and a matched contrast group, who received traditional interdisciplinary service planning (ISP). At the inception of the study, all participants were living in one of four other developmental centers (institutions) in New York City. Process and outcome data obtained from questionnaires completed by team members approximately every 8 months at four time periods showed that the rate of improvement in both person-centered planning process and outcomes for the intervention group was significantly greater than that of the comparison group. Eighteen of 19 person-centered planning participants moved to community living arrangements, as did 5 of 18 in the contrast group.

  11. Orbital State Manipulation of a Diamond Nitrogen-Vacancy Center Using a Mechanical Resonator

    NASA Astrophysics Data System (ADS)

    Chen, H. Y.; MacQuarrie, E. R.; Fuchs, G. D.

    2018-04-01

    We study the resonant optical transitions of a single nitrogen-vacancy (NV) center that is coherently dressed by a strong mechanical drive. Using a gigahertz-frequency diamond mechanical resonator that is strain coupled to a NV center's orbital states, we demonstrate coherent Raman sidebands out to the ninth order and orbital-phonon interactions that mix the two excited-state orbital branches. These interactions are spectroscopically revealed through a multiphonon Rabi splitting of the orbital branches which scales as a function of resonator driving amplitude and is successfully reproduced in a quantum model. Finally, we discuss the application of mechanical driving to engineering NV-center orbital states.

  12. 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.

  13. 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.

  14. Making Feminism Matter: The Revitalization of a Campus Women's Center.

    ERIC Educational Resources Information Center

    Miller, Alice

    1988-01-01

    Describes the revitalization of the Brooklyn College Women's Center, a 10-year-old women's center experiencing the effects of the conservative 1980s. Discusses the challenge of making feminism matter to young women who may be suspicious or indifferent, or who may not have identified their needs as "women's issues." (NB)

  15. A Chance for Independence. Weslaco Training and Development Center Program.

    ERIC Educational Resources Information Center

    Texas Education Agency, Austin.

    The booklet describes the origins and operations of the Weslaco (Texas) Training and Development Center, a center for severely retarded and handicapped students (ages 10-22). The facility simulates normal living and working conditions and focuses on household management skills (grocery list and meal preparation, clothing care, household repairs),…

  16. Serving the Community: A Small, Liberal Arts College Writing Center.

    ERIC Educational Resources Information Center

    Rossini, Carol

    The word "service" certainly conjures some undesirable connotations, and theorists such as Nancy Grimm propose that writing centers need to shed their service labels to attain respectability. In this paper, the writing center director of a small liberal arts college shares her perspective and juxtaposes that with Grimm's position that…

  17. 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

  18. 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

  19. 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. An attendee talks with Trent Smith, program manager, and Tammy Belk, a program specialist, at the ISS Ground Processing and Research Office display. 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

  20. Communication technology in trauma centers: a national survey.

    PubMed

    Xiao, Yan; Kim, Young-Ju; Gardner, Sharyn D; Faraj, Samer; MacKenzie, Colin F

    2006-01-01

    The relationship between information and communication technology (ICT) and trauma work coordination has long been recognized. The purpose of the study was to investigate the type and frequency of use of various ICTs to activate and organize trauma teams in level I/II trauma centers. In a cross-sectional survey, questionnaires were mailed to trauma directors and clinicians in 457 trauma centers in the United States. Responses were received from 254 directors and 767 clinicians. Communication with pre-hospital care providers was conducted predominantly via shortwave radio (67.3%). The primary communication methods used to reach trauma surgeons were manual (56.7%) and computerized group page (36.6%). Computerized group page (53.7%) and regular telephone (49.8%) were cited as the most advantageous devices; e-mail (52.3%) and dry erase whiteboard (52.1%) were selected as the least advantageous. Attending surgeons preferred less overhead paging and more cellular phone communication than did emergency medicine physicians and nurses. Cellular phones have become an important part of hospital-field communication. In high-volume trauma centers, there is a need for more accurate methods of communicating with field personnel and among hospital care providers.

  1. 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…

  2. School-Based Health Centers

    MedlinePlus

    ... care group, such as a community health center, hospital, or health department. A few are run by the school district itself. Centers often get money from charities and the government so they can give care ...

  3. 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...

  4. Implementing Personalized Medicine in a Cancer Center

    PubMed Central

    Fenstermacher, David A.; Wenham, Robert M.; Rollison, Dana E.; Dalton, William S.

    2011-01-01

    In 2006, the Moffitt Cancer Center partnered with patients, community clinicians, industry, academia, and seventeen hospitals in the United States to begin a personalized cancer care initiative called Total Cancer Care™ . Total Cancer Care was designed to collect tumor specimens and clinical data throughout a patient’s lifetime with the goal of finding “the right treatment, for the right patient, at the right time.” Because Total Cancer Care is a partnership with the patient and involves collection of clinical data and tumor specimens for research purposes, a formal protocol and patient consent process was developed and an information technology platform was constructed to provide a robust “warehouse” for clinical and molecular profiling data. To date, over 76,000 cancer patients from Moffitt and consortium medical centers have been enrolled in the protocol. The TCC initiative has developed many of the capabilities and resources that are building the foundation of personalized medicine. PMID:22157297

  5. Contemporary Parenteral Antiplatelet Bridging Strategies: A Single-Center Real-World Experience at a Tertiary Care Center.

    PubMed

    Stern, Gretchen; Rimsans, Jessica; Qamar, Arman; Vaduganathan, Muthiah; Bhatt, Deepak L

    2018-03-13

    Oral antiplatelet therapy may require interruption soon after percutaneous coronary intervention (PCI) or acute coronary syndrome. The optimal parenteral antiplatelet bridge strategy with glycoprotein IIb/IIIa inhibitors or cangrelor, a P2Y12 inhibitor, is unclear. We explore real-world use of cangrelor or eptifibatide for antiplatelet bridging at a large tertiary-care center. Thirty-one patients (9 eptifibatide, 20 cangrelor, and 2 both) received bridge therapy from October 2015 to June 2017. Primary bridge therapy indications included surgery (68%), limited enteral access/absorption (16%), and high-perceived bleed risk (16%). Median duration of bridge therapy was 61 (20-100) hours for cangrelor and 83 (19-98) hours for eptifibatide. Severe/life-threatening bleeding or stent thrombosis was not observed. GUSTO-defined bleeding occurred in 30% (cangrelor) and 27% (eptifibatide). Initial dosing errors occurred in 23% of patients. Death during hospitalization occurred in 16% of patients. Parenteral antiplatelet bridging was used for ~3 days in this single-center, tertiary care experience, commonly for unplanned surgery following PCI. Despite high-risk presentations with >15% in-hospital mortality, efficacy profiles were reassuring with no identified stent thrombosis, but bleeding and dosing errors were common. Antiplatelet bridging should only be used in well-selected patients at the appropriate dose for the minimal necessary duration.

  6. Carbon Monoxide Information Center

    MedlinePlus Videos and Cool Tools

    ... Education Centers Carbon Monoxide Information Center Carbon Monoxide Information Center En Español The Invisible Killer Carbon monoxide, ... Install one and check its batteries regularly. View Information About CO Alarms Other CO Topics Safety Tips ...

  7. 7 CFR 226.19a - Adult day care center provisions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... time in excess of the center's authorized capacity, or for any meal served at a for-profit center... records of time of service meal counts by type (breakfast, lunch, supper, and snacks) served to enrolled... participating in the Program must serve one or more of the following meal types—breakfast, lunch, supper, and...

  8. 7 CFR 226.19a - Adult day care center provisions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... time in excess of the center's authorized capacity, or for any meal served at a for-profit center... records of time of service meal counts by type (breakfast, lunch, supper, and snacks) served to enrolled... participating in the Program must serve one or more of the following meal types—breakfast, lunch, supper, and...

  9. A Market Study for the Center for the Performing Arts.

    ERIC Educational Resources Information Center

    Rae, John; And Others

    In fall 1983, a telephone survey was conducted by Macomb Community College (MCC) to assess community perceptions of the college's Center for the Performing Arts (CPA) and to aid in developing marketing strategies for the Center. Interviews were conducted with 500 randomly selected Macomb County (Michigan) residents to determine if they had…

  10. Use of a "Freak Out" Control Center

    ERIC Educational Resources Information Center

    Casse, Robert M.

    1970-01-01

    A student staffed center, established to help those on bad trips", utilizes services of volunteer personnel for therapeutic support. A physician is on call to administer chemotherapy when needed. During the first year of operation, no cases of hepatitis or freak outs have been reported. (CJ)

  11. Traveling salesman problem with a center.

    PubMed

    Lipowski, Adam; Lipowska, Dorota

    2005-06-01

    We study a traveling salesman problem where the path is optimized with a cost function that includes its length L as well as a certain measure C of its distance from the geometrical center of the graph. Using simulated annealing (SA) we show that such a problem has a transition point that separates two phases differing in the scaling behavior of L and C, in efficiency of SA, and in the shape of minimal paths.

  12. A Reading Resource Center: Why and How

    ERIC Educational Resources Information Center

    Minkoff, Henry

    1974-01-01

    Hunter College has set up a Reading Resource Center where students receive individualized help in specific problem areas not covered in their reading classes and where teachers can find materials either for their own edification or for use in the classroom. (Author)

  13. 5. Log calving barn (center), loafing shed (right of center), ...

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

    5. Log calving barn (center), loafing shed (right of center), and wood-frame garage (far right). View to southwest. - William & Lucina Bowe Ranch, County Road 44, 0.1 mile northeast of Big Hole River Bridge, Melrose, Silver Bow County, MT

  14. 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

  15. Impact of copper ligand mutations on a cupredoxin with a green copper center.

    PubMed

    Roger, Magali; Sciara, Giuliano; Biaso, Frédéric; Lojou, Elisabeth; Wang, Xie; Bauzan, Marielle; Giudici-Orticoni, Marie-Thérèse; Vila, Alejandro J; Ilbert, Marianne

    2017-05-01

    Mononuclear cupredoxins contain a type 1 copper center with a trigonal or tetragonal geometry usually maintained by four ligands, a cystein, two histidines and a methionine. The recent discovery of new members of this family with unusual properties demonstrates, however, the versatility of this class of proteins. Changes in their ligand set lead to drastic variation in their metal site geometry and in the resulting spectroscopic and redox features. In our work, we report the identification of the copper ligands in the recently discovered cupredoxin AcoP. We show that even though AcoP possesses a classical copper ligand set, it has a highly perturbed copper center. In depth studies of mutant's properties suggest a high degree of constraint existing in the copper center of the wild type protein and even the addition of exogenous ligands does not lead to the reconstitution of the initial copper center. Not only the chemical nature of the axial ligand but also constraints brought by its covalent binding to the protein backbone might be critical to maintain a green copper site with high redox potential. This work illustrates the importance of experimentally dissecting the molecular diversity of cupredoxins to determine the molecular determinants responsible for their copper center geometry and redox potential. Copyright © 2017 Elsevier B.V. All rights reserved.

  16. A Review of the Chinese Higher Education Evaluation Center

    ERIC Educational Resources Information Center

    Luo, Laura Pan; Dehai, Wang

    2007-01-01

    The authors discuss the Higher Education Evaluation Center, the administrative body under the auspices of the Chinese Ministry of Education responsible for organizing and conducting evaluation of baccalaureate and associate degree programs offered at different universities and colleges in China. The Center also conducts research on regulations and…

  17. 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.

  18. NIST Diffusion Data Center

    National Institute of Standards and Technology Data Gateway

    NIST Diffusion Data Center (Web, free access)   The NIST Diffusion Data Center is a collection of over 14,100 international papers, theses, and government reports on diffusion published before 1980.

  19. 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.

  20. A Queue Simulation Tool for a High Performance Scientific Computing Center

    NASA Technical Reports Server (NTRS)

    Spear, Carrie; McGalliard, James

    2007-01-01

    The NASA Center for Computational Sciences (NCCS) at the Goddard Space Flight Center provides high performance highly parallel processors, mass storage, and supporting infrastructure to a community of computational Earth and space scientists. Long running (days) and highly parallel (hundreds of CPUs) jobs are common in the workload. NCCS management structures batch queues and allocates resources to optimize system use and prioritize workloads. NCCS technical staff use a locally developed discrete event simulation tool to model the impacts of evolving workloads, potential system upgrades, alternative queue structures and resource allocation policies.

  1. 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…

  2. A continuum of sociotechnical requirements for patient-centered problem lists.

    PubMed

    Collins, Sarah; Tsivkin, Kira; Hongsermeier, Tonya; Dubois, David; Nandigam, Hari Krishna; Rocha, Roberto A

    2013-01-01

    Specific requirements for patient-centered health information technology remain ill-defined. To create operational definitions of patient-centered problem lists, we propose a continuum of sociotechnical requirements with five stages: 1) Intradisciplinary Care Planning: Viewing and searching for problems by discipline; 2) Multi-disciplinary Care Planning: Categorizing problem states to meet discipline-specific needs; 3) Interdisciplinary Care Planning: Sharing and linking problems between disciplines; 4) Integrated and Coordinated Care Planning: Associating problems with assessments, tasks, interventions and outcomes across disciplines for coordination, knowledge development, and reporting; and 5) Patient-Centered Care Planning: Engaging patients in identification of problems and maintenance of their problem list.

  3. 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

  4. Sustainability of a person-centered ward atmosphere and possibility to provide person-centered forensic psychiatric care after facility relocation.

    PubMed

    Alexiou, Eirini; Wijk, Helle; Ahlquist, Gustaf; Kullgren, Anette; Degl' Innocenti, Alessio

    2018-05-01

    This longitudinal study aims to assess the sustainability of staff perceptions of ward atmosphere and their possibility to provide person-centered forensic psychiatric care after relocation to new hospitals that aimed to provide supportive work conditions for the staff to be able to perform care of high quality. In this study we only present the result for the repeated measures, that is, only the individuals that performed both the questionnaires at baseline and at the three follow-ups. Data were collected prospectively between 2010 and 2016; before (baseline) and after relocation of the forensic psychiatric clinics to new buildings, i.e., after six months (follow-up 1), after one year (follow-up 2) and after two years (follow-up 3), respectively. Data were obtained by employing structured validated questionnaires. The main findings of this study display an improvement in the staff assessment of a person-centered atmosphere from baseline to follow-up 3 in the domains of safety, everydayness and community where safety was evaluated the highest. No sustainable significant changes were found concerning staff's assessment of the support for them to provide person-centered care. The findings show sustainability of person-centered ward atmosphere in forensic psychiatric care according to staff's assessment after relocation from traditional health care facilities to evidence-based designed premises. In this study the increased staff perception of the possibility to provide person-centered care in the new facilities could not be revealed as sustainability over the two years of follow-up. Copyright © 2018. Published by Elsevier Ltd.

  5. 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, senior technologist, talks with attendees at the Swamp Works display. 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

  6. 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...

  7. The National Center for Atmospheric Research (NCAR) Research Data Archive: a Data Education Center

    NASA Astrophysics Data System (ADS)

    Peng, G. S.; Schuster, D.

    2015-12-01

    The National Center for Atmospheric Research (NCAR) Research Data Archive (RDA), rda.ucar.edu, is not just another data center or data archive. It is a data education center. We not only serve data, we TEACH data. Weather and climate data is the original "Big Data" dataset and lessons learned while playing with weather data are applicable to a wide range of data investigations. Erroneous data assumptions are the Achilles heel of Big Data. It doesn't matter how much data you crunch if the data is not what you think it is. Each dataset archived at the RDA is assigned to a data specialist (DS) who curates the data. If a user has a question not answered in the dataset information web pages, they can call or email a skilled DS for further clarification. The RDA's diverse staff—with academic training in meteorology, oceanography, engineering (electrical, civil, ocean and database), mathematics, physics, chemistry and information science—means we likely have someone who "speaks your language." Data discovery is another difficult Big Data problem; one can only solve problems with data if one can find the right data. Metadata, both machine and human-generated, underpin the RDA data search tools. Users can quickly find datasets by name or dataset ID number. They can also perform a faceted search that successively narrows the options by user requirements or simply kick off an indexed search with a few words. Weather data formats can be difficult to read for non-expert users; it's usually packed in binary formats requiring specialized software and parameter names use specialized vocabularies. DSs create detailed information pages for each dataset and maintain lists of helpful software, documentation and links of information around the web. We further grow the level of sophistication of the users with tips, tutorials and data stories on the RDA Blog, http://ncarrda.blogspot.com/. How-to video tutorials are also posted on the NCAR Computational and Information Systems

  8. Advancing the Culture of Teaching on Campus: How a Teaching Center Can Make a Difference

    ERIC Educational Resources Information Center

    Cook, Constance, Ed.; Kaplan, Matthew, Ed.

    2011-01-01

    Written by the director and staff of the first, and one of the largest, teaching centers in American higher education--the University of Michigan's Center for Research on Learning and Teaching (CRLT)--this book offers a unique perspective on the strategies for making a teaching center integral to an institution's educational mission. It presents a…

  9. Serramonte Transit Center Study

    DOT National Transportation Integrated Search

    1983-06-01

    The purposes of the study are to determine, from this particular case -- the : Serramonte Center Plan -- guidelines for achieving the successful design and : operation of a bus station and bus access arrangement on a shopping center site, : including...

  10. Funding Opportunity: Genomic Data Centers

    Cancer.gov

    Funding Opportunity CCG, Funding Opportunity Center for Cancer Genomics, CCG, Center for Cancer Genomics, CCG RFA, Center for cancer genomics rfa, genomic data analysis network, genomic data analysis network centers,

  11. Adult Basic Learning in an Activity Center: A Demonstration Approach.

    ERIC Educational Resources Information Center

    Metropolitan Adult Education Program, San Jose, CA.

    Escuela Amistad, an activity center in San Jose, California, is now operating at capacity, five months after its origin. Average daily attendance has been 125 adult students, 18-65, most of whom are females of Mexican-American background. Activities and services provided by the center are: instruction in English as a second language, home…

  12. Academic health centers: their future in a changing economic environment.

    PubMed

    Nash, D B

    1985-10-01

    In order to survive, academic health centers will have to learn new ways of coping with the changing health environment. Explored here are the trends affecting academic health centers and speculation on how to meet the challenges presented. The author outlines a new dimension to the classical tripod of teaching, research, and patient care.

  13. 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.

  14. 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.

  15. Campus Health Centers' Lack of Information Regarding Providers: A Content Analysis of Division-I Campus Health Centers' Provider Websites.

    PubMed

    Perrault, Evan K

    2018-07-01

    Campus health centers are a convenient, and usually affordable, location for college students to obtain health care. Staffed by licensed and trained professionals, these providers can generally offer similar levels of care that providers at off-campus clinics can deliver. Yet, previous research finds students may forgo this convenient, on-campus option partially because of a lack of knowledge regarding the quality of providers at these campus clinics. This study sought to examine where this information deficit may come from by analyzing campus health centers' online provider information. All Division-I colleges or universities with an on-campus health center, which had information on their websites about their providers (n = 294), had their providers' online information analyzed (n = 2,127 providers). Results revealed that schools commonly offer professional information (e.g., provider specialties, education), but very little about their providers outside of the medical context (e.g., hobbies) that would allow a prospective student patient to more easily relate. While 181 different kinds of credentials were provided next to providers' names (e.g., MD, PA-C, FNP-BC), only nine schools offered information to help students understand what these different credentials meant. Most schools had information about their providers within one-click of the homepage. Recommendations for improving online information about campus health center providers are offered.

  16. [Pharmacovigilance center --internal medicine interactions: A useful diagnostic tool].

    PubMed

    Rochoy, M; Gautier, S; Bordet, R; Caron, J; Launay, D; Hachulla, E; Hatron, P-Y; Lambert, M

    2015-08-01

    Patients hospitalized in internal medicine often have unexplained clinical symptoms for which a drug origin can be considered. The prevalence of patients hospitalized for iatrogenic is estimated between 4-22%. We wanted to evaluate the diagnostic value of the regional center of pharmacovigilance to identify or confirm an iatrogenic disease in the department of internal medicine of Lille and characterize factors associated with drug-related side effect. This is a single-center prospective diagnostic study. We included all subsequent requests from the department of internal medicine with the Nord-Pas-de-Calais regional pharmacovigilance center between 2010 and 2012. The opinion of the regional pharmacovigilance centre was held on the record of the adverse drug reaction in the national pharmacovigilance database and analyzed according to the conclusion of iatrogenic used by clinicians in internal medicine (reference diagnosis) with a follow-up to June 2013. The variables relating to the patient, medication and adverse events were analyzed by binary logistic regression. We analyzed 160 contacts: 118 concordant cases, 38 false-positives (drug-related side effect retained by the regional pharmacovigilance center only), 4 false negatives. Registration in the national pharmacovigilance database had a sensitivity of 96% (95% CI [0.92 to 0.99]), a specificity of 46% (95% CI [0.38 to 0.53]), a value positive predictive of 69% (95% CI [0.62 to 0.76]), a negative predictive value of 89% (95% CI [0.84 to 0.94]) and a negative likelihood ratio of 0.1. False-positive had chronological and semiological accountabilities questionable (adjusted RR=2.1, 95% CI [1.2 to 2.8]). In our study, the regional pharmacovigilance center confirms the clinician's suspicion of drug-related side effects and helps to exclude drug-induced with a high negative predictive value. Copyright © 2015 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

  17. Fluor Hanford ALARA Center is a D and D Resource

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

    Waggoner, L.O.

    2008-01-15

    The mission at the Hanford Nuclear Reservation changed when the last reactor plant was shut down in 1989 and work was started to place all the facilities in a safe condition and begin decontamination, deactivation, decommissioning, and demolition (D and D). These facilities consisted of old shutdown reactor plants, spent fuel pools, processing facilities, and 177 underground tanks containing 53 million gallons of highly radioactive and toxic liquids and sludge. New skills were needed by the workforce to accomplish this mission. By 1995, workers were in the process of getting the facilities in a safe condition and it became obviousmore » improvements were needed in their tools, equipment and work practices. The Hanford ALARA Program looked good on paper, but did little to help contractors that were working in the field. The Radiological Control Director decided that the ALARA program needed to be upgraded and a significant improvement could be made if workers had a place they could visit that had samples of the latest technology and could talk to experienced personnel who have had success doing D and D work. Two senior health physics personnel who had many years experience in doing radiological work were chosen to obtain tools and equipment from vendors and find a location centrally located on the Hanford site. Vendors were asked to loan their latest tools and equipment for display. Most vendors responded and the Hanford ALARA Center of Technology opened on October 1, 1996. Today, the ALARA Center includes a classroom for conducting training and a mockup area with gloveboxes. Two large rooms have a containment tent, several glove bags, samples of fixatives/expandable foam, coating displays, protective clothing, heat stress technology, cutting tools, HEPA filtered vacuums, ventilation units, pumps, hydraulic wrenches, communications equipment, shears, nibblers, shrouded tooling, and several examples of innovative tools developed by the Hanford facilities. See

  18. 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

  19. Multi-Center Implementation of NPR 7123.1A: A Collaborative Effort

    NASA Technical Reports Server (NTRS)

    Hall, Phillip B.; McNelis, Nancy B.

    2011-01-01

    Collaboration efforts between MSFC and GRC Engineering Directorates to implement the NASA Systems Engineering (SE) Engine have expanded over the past year to include other NASA Centers. Sharing information on designing, developing, and deploying SE processes has sparked further interest based on the realization that there is relative consistency in implementing SE processes at the institutional level. This presentation will provide a status on the ongoing multi-center collaboration and provide insight into how these NPR 7123.1A SE-aligned directives are being implemented and managed to better support the needs of NASA programs and projects. NPR 7123.1A, NASA Systems Engineering Processes and Requirements, was released on March 26, 2007 to clearly articulate and establish the requirements on the implementing organization for performing, supporting, and evaluating SE activities. In early 2009, MSFC and GRC Engineering Directorates undertook a collaborative opportunity to share their research and work associated with developing, updating and revising their SE process policy to comply and align with NPR 7123.1A. The goal is to develop instructions, checklists, templates, and procedures for each of the 17 SE process requirements so that systems engineers will be a position to define work that is process-driven. Greater efficiency and more effective technical management will be achieved due to consistency and repeatability of SE process implementation across and throughout each of the NASA centers. An added benefit will be to encourage NASA centers to pursue and collaborate on joint projects as a result of using common or similar processes, methods, tools, and techniques.

  20. Language-Centered Social Studies: A Natural Integration.

    ERIC Educational Resources Information Center

    Barrera, Rosalinda B.; Aleman, Magdalena

    1983-01-01

    Described is a newspaper project in which elementary students report life as it was in the Middle Ages. Students are involved in a variety of language-centered activities. For example, they gather and evaluate information about medieval times and write, edit, and proofread articles for the newspaper. (RM)

  1. Center for Instructional Technology: A Strategic Imperative

    ERIC Educational Resources Information Center

    Volzer, Debra; Weaver, Mark

    2004-01-01

    Ohio Dominican University, a small traditional Catholic Liberal Arts University steeped in the Dominican tradition, is in the midst of a technological metamorphosis. At the forefront of the change is the Center for Instructional Technology. Charged with supporting the development of technology enhanced, hybrid, and totally online curriculum, the…

  2. Flight researh at NASA Ames Research Center: A test pilot's perspective

    NASA Technical Reports Server (NTRS)

    Hall, G. Warren

    1987-01-01

    In 1976 NASA elected to assign responsibility for each of the various flight regimes to individual research centers. The NASA Ames Research Center at Moffett Field, California was designated lead center for vertical and short takeoff and landing, V/STOL research. The three most recent flight research airplanes being flown at the center are discussed from the test pilot's perspective: the Quiet Short Haul Research Aircraft; the XV-15 Tilt Rotor Research Aircraft; and the Rotor Systems Research Aircraft.

  3. Data Center Energy Efficiency and Renewable Energy Site Assessment: Anderson Readiness Center; Salem, Oregon

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

    Metzger, I.; Van Geet, O.

    This report summarizes the results from the data center energy efficiency and renewable energy site assessment conducted for the Oregon Army National Guard in Salem, Oregon. A team led by NREL conducted the assessment of the Anderson Readiness Center data centers March 18-20, 2014 as part of ongoing efforts to reduce energy use and incorporate renewable energy technologies where feasible. Although the data centers in this facility account for less than 5% of the total square footage, they are estimated to be responsible for 70% of the annual electricity consumption.

  4. Teacher Curriculum Work Center: A Descriptive Study.

    ERIC Educational Resources Information Center

    Feiman, Sharon

    This monograph is one of a continuing series initiated to provide materials for teachers, parents, school administrators, and governmental decision-makers that might encourage reexamination of a range of evaluation issues and perspectives about schools and schooling. This monograph is a descriptive study of the Teacher Curriculum Work Center,…

  5. Upgrading the Center for Lightweighting Automotive Materials and Processing - a GATE Center of Excellence at the University of Michigan-Dearborn

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

    Mallick, P. K.

    2012-08-30

    The Center for Lightweighting Materials and Processing (CLAMP) was established in September 1998 with a grant from the Department of Energy’s Graduate Automotive Technology Education (GATE) program. The center received the second round of GATE grant in 2005 under the title “Upgrading the Center for Lightweighting Automotive Materials and Processing”. Using the two grants, the Center has successfully created 10 graduate level courses on lightweight automotive materials, integrated them into master’s and PhD programs in Automotive Systems Engineering, and offered them regularly to the graduate students in the program. In addition, the Center has created a web-based lightweight automotive materialsmore » database, conducted research on lightweight automotive materials and organized seminars/symposia on lightweight automotive materials for both academia and industry. The faculty involved with the Center has conducted research on a variety of topics related to design, testing, characterization and processing of lightweight materials for automotive applications and have received numerous research grants from automotive companies and government agencies to support their research. The materials considered included advanced steels, light alloys (aluminum, magnesium and titanium) and fiber reinforced polymer composites. In some of these research projects, CLAMP faculty have collaborated with industry partners and students have used the research facilities at industry locations. The specific objectives of the project during the current funding period (2005 – 2012) were as follows: (1) develop new graduate courses and incorporate them in the automotive systems engineering curriculum (2) improve and update two existing courses on automotive materials and processing (3) upgrade the laboratory facilities used by graduate students to conduct research (4) expand the Lightweight Automotive Materials Database to include additional materials, design case studies and make

  6. Why Would a Community College Want a Women's Center.

    ERIC Educational Resources Information Center

    Tyree, Larry; And Others

    Outlines of presentations from a forum on community services and women's centers at Florida postsecondary institutions are provided. Larry Tyree's presentation covered various aspects of community services including administrative commitment, program benefits from an administrative viewpoint, characteristics of continuing education, and components…

  7. 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.

  8. BKG Data Center

    NASA Technical Reports Server (NTRS)

    Thorandt, Volkmar; Wojdziak, Reiner

    2013-01-01

    This report summarizes the activities and background information of the IVS Data Center for the year 2012. Included is information about functions, structure, technical equipment, and staff members of the BKG Data Center.

  9. Vocabulary and Experiences to Develop a Center of Mass Model

    ERIC Educational Resources Information Center

    Kaar, Taylor; Pollack, Linda B.; Lerner, Michael E.; Engels, Robert J.

    2017-01-01

    The use of systems in many introductory courses is limited and often implicit. Modeling two or more objects as a system and tracking the center of mass of that system is usually not included. Thinking in terms of the center of mass facilitates problem solving while exposing the importance of using conservation laws. We present below three…

  10. Techniques for evaluating optimum data center operation

    DOEpatents

    Hamann, Hendrik F.; Rodriguez, Sergio Adolfo Bermudez; Wehle, Hans-Dieter

    2017-06-14

    Techniques for modeling a data center are provided. In one aspect, a method for determining data center efficiency is provided. The method includes the following steps. Target parameters for the data center are obtained. Technology pre-requisite parameters for the data center are obtained. An optimum data center efficiency is determined given the target parameters for the data center and the technology pre-requisite parameters for the data center.

  11. 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…

  12. PSI-Center Final Progress Report

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

    Jarboe, Thomas R.; Shumlak, Uri; Sovinec, Carl

    This is the Final Progress Report of the Plasma Science and Innovation Center (PSI-Center) covering March 2014 through February 2017. The Center has accomplished a great deal during this period. The PSI-Center is organized into four groups: Edge and Dynamic Neutrals; Transport and Kinetic Effects; Equilibrium, Stability, and Kinetic Effects in 3D Topologies; and Interface for Validation. Each group has made good progress and the results from each group are given in detail.

  13. 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.

  14. 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. At left, Susan Fernandez from the Office of Senator Marco Rubio talks with another attendee near the Education display. 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

  15. 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 mingled and visited various displays, including Ground Systems Development and Operations Program and Education Office displays. 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

  16. 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. An attendee talks with engineers Jason Hopkins and Lisa Lutz, at the Ground Systems Development and Operations display. 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

  17. 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. An attendee talks with Scott Thurston, Kennedy deputy of the spacecraft office at the Commercial Crew Program display. 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

  18. 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…

  19. A bee in the corridor: centering and wall-following

    NASA Astrophysics Data System (ADS)

    Serres, Julien R.; Masson, Guillaume P.; Ruffier, Franck; Franceschini, Nicolas

    2008-12-01

    In an attempt to better understand the mechanism underlying lateral collision avoidance in flying insects, we trained honeybees ( Apis mellifera) to fly through a large (95-cm wide) flight tunnel. We found that, depending on the entrance and feeder positions, honeybees would either center along the corridor midline or fly along one wall. Bees kept following one wall even when a major (150-cm long) part of the opposite wall was removed. These findings cannot be accounted for by the “optic flow balance” hypothesis that has been put forward to explain the typical bees’ “centering response” observed in narrower corridors. Both centering and wall-following behaviors are well accounted for, however, by a control scheme called the lateral optic flow regulator, i.e., a feedback system that strives to maintain the unilateral optic flow constant. The power of this control scheme is that it would allow the bee to guide itself visually in a corridor without having to measure its speed or distance from the walls.

  20. Center vortices in confinement

    NASA Astrophysics Data System (ADS)

    Alexandru, Viorel-Andrei

    2001-11-01

    The confinement property of quarks is still one of the puzzles of today's physics. Although QCD is believed to accurately describe the interaction between quarks, due to the peculiar nature of the theory we are still unable to prove that it confines the quarks. Most analytical efforts in QCD are based on perturbative techniques which are useless in studying confinement. Lattice gauge theory enables us to get non-perturbative results. We use lattice techniques to investigate one of the proposed mechanisms of quark confinement, namely the center vortex idea. We first present a cursory introduction to lattice theory and the methods used to detect confinement on the lattices. We then show how the center vortices are suppose to produce confinement using center vortices to study Z2 lattice gauge theory. A review of the current studies regarding the idea of center vortices follows. The last chapter is dedicated to studying a particular definition of center vortices due to Tomboulis. We show how to implement this definition of vortices in numerical simulations and use numerical simulations to check the assumptions underlying the formalism. We also compare Tomboulis definition with other methods used to identify vortices on lattice.

  1. Naturally surveilled space: the design of a male drug rehabilitation center

    NASA Astrophysics Data System (ADS)

    Permana, A. R.; Aryanti, T.; Rahmanullah, F.

    2016-04-01

    The increase of drug addicts in Indonesia has not been supported by adequate facilities, both quantitatively and qualitatively. Despite being treated in a rehabilitation center, drug addicts may still use drugs surreptitiously and put themselves in danger. Architectural design may contribute to this either positively or negatively. This article elaborates a therapeutic design of a male rehabilitation center in the borderland of Bandung city, Indonesia. Employing the notion of natural surveillance, the rehabilitation center is designed to allow continual control over attendees without them feeling suppressed. The center design uses the behavioral approach to consider both attendees’ physical and psychological comforts, as well as their security. Building masses are designed in a way that forms an inward orientation and are laid out circularly according to the therapy processes that attendees must undertake. Moreover, rooms are planned differently in response to attendees’ unique conditions and restrictive physical requirements, such as their restriction on lighting and requirement of water for treatment. The landscape uses shady trees and vegetations as natural borders to demarcate the private zone, where attendees live, from the public area, where visitors may enter. The design is intended to provide a model for a responsive drug rehabilitation center that facilitates drug addicts’ recovery.

  2. Iowa Water Center | Iowa Water Center

    Science.gov Websites

    :42 Advancing the state of water knowledge and management The Iowa Water Center is a part of a 10% of that original resource remains, and little to no information exists on the current status or information to assess the condition of wetlands. Information gathered from monitoring wetlands may help answer

  3. 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

  4. ACTS data center

    NASA Technical Reports Server (NTRS)

    Syed, Ali; Vogel, Wolfhard J.

    1993-01-01

    Viewgraphs on ACTS Data Center status report are included. Topics covered include: ACTS Data Center Functions; data flow overview; PPD flow; RAW data flow; data compression; PPD distribution; RAW Data Archival; PPD Audit; and data analysis.

  5. Lincoln County Primary Care Center Is a Model for Good Health.

    ERIC Educational Resources Information Center

    Casto, James E.

    1992-01-01

    Describes a rural West Virginia health-care center as a successful model program for integration between the clinic and community. Describes center facilities, funding sources, community cooperation, and cooperative residency program with regional medical school. Discusses implications for other medical-education programs. Describes differences…

  6. Arts and Crafts Centers

    DTIC Science & Technology

    1976-08-01

    This guide contains design criteria for Army Arts and Crafts Centers which are in some Instances referred to as Skill Development Centers. The term...useful in planning improvements or in better utilizing existing Arts and Crafts Centers or other suitable facilities. d. This guide is directed

  7. University/Science Center Collaborations (A Science Center Perspective): Developing an Infrastructure of Partnerships with Science Centers to Support the Engagement of Scientists and Engineers in Education and Outreach for Broad Impact

    NASA Astrophysics Data System (ADS)

    Marshall, Eric

    2009-03-01

    Science centers, professional associations, corporations and university research centers share the same mission of education and outreach, yet come from ``different worlds.'' This gap may be bridged by working together to leverage unique strengths in partnership. Front-end evaluation results for the development of new resources to support these (mostly volunteer-based) partnerships elucidate the factors which lead to a successful relationship. Maintaining a science museum-scientific community partnership requires that all partners devote adequate resources (time, money, etc.). In general, scientists/engineers and science museum professionals often approach relationships with different assumptions and expectations. The culture of science centers is distinctly different from the culture of science. Scientists/engineers prefer to select how they will ultimately share their expertise from an array of choices. Successful partnerships stem from clearly defined roles and responsibilities. Scientists/engineers are somewhat resistant to the idea of traditional, formal training. Instead of developing new expertise, many prefer to offer their existing strengths and expertise. Maintaining a healthy relationship requires the routine recognition of the contributions of scientists/engineers. As professional societies, university research centers and corporations increasingly engage in education and outreach, a need for a supportive infrastructure becomes evident. Work of TryScience.org/VolTS (Volunteers TryScience), the MRS NISE Net (Nanoscale Informal Science Education Network) subcommittee, NRCEN (NSF Research Center Education Network), the IBM On Demand Community, and IEEE Educational Activities exemplify some of the pieces of this evolving infrastructure.

  8. The Teaching of Afro-Asian Literature: A Comparison between the Nonconventional Learner-Centered and the Conventional Teacher-Centered Approaches

    ERIC Educational Resources Information Center

    Wong Gonzales, Wilkinson Daniel O.

    2014-01-01

    In the past few decades, nonconventional learner-centered (NLC) trends in ELT have emerged amidst the current and probably dominant conventional teacher-centered (CTC) approaches used by majority of private and public schools in the Philippines. With the implementation of the K-12 curriculum, Afro-Asian literature remained the focus of the eighth…

  9. Marketing Your Advising Center.

    ERIC Educational Resources Information Center

    Flickinger, Jan

    1989-01-01

    A tour of centralized university advising centers revealed that the busiest centers had done an excellent job of marketing themselves to their campus clientele. Factors affecting successful marketing include image, location, service, advertising, and innovative problem-solving. (MSE)

  10. Evaluating Teacher Centers

    ERIC Educational Resources Information Center

    Feiman, Sharon

    1977-01-01

    Considers what teacher centers actually are, what they do, what they are supposed to do, and how they are formed. Discusses three types of centers, their organizational structure and function, and the theory underlying them. (Editor/RK)

  11. Kennedy Space Center Director Update

    NASA Image and Video Library

    2014-03-06

    CAPE CANAVERAL, Fla. – NASA Kennedy Space Center Director Robert Cabana welcomes community leaders, business executives, educators, community organizers, and state and local government leaders to the Kennedy Space Center Visitor Complex Debus Center for the Kennedy Space Center Director Update. 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

  12. Kennedy Space Center Director Update

    NASA Image and Video Library

    2014-03-06

    CAPE CANAVERAL, Fla. – NASA Kennedy Space Center Director Robert Cabana addresses the community leaders, business executives, educators, community organizers, and state and local government leaders attending the Kennedy Space Center Director in the Kennedy Space Center Visitor Complex Debus Center. 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

  13. Kennedy Space Center Director Update

    NASA Image and Video Library

    2014-03-06

    CAPE CANAVERAL, Fla. – NASA Kennedy Space Center Director Robert Cabana briefs the community leaders, business executives, educators, community organizers, and state and local government leaders attending the Kennedy Space Center Director in the Kennedy Space Center Visitor Complex Debus Center. 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

  14. Metals and Ceramics Information Center.

    DTIC Science & Technology

    1983-07-01

    Continue on revrse side if necessary and identify by block number) Technical Information Center Ceramics DoD Information Analysis Center Information...Metals and Ceramics Information Center (MCIC) is one of the technical Information Analysis Centers (IACs) chartered and sponsored by the Department of...engineering programs for the DoD. The Center is responsible for the collection, review, analysis , appraisal, and summary of the available scientific and

  15. A National Network of Neurotechnology Centers for the BRAIN Initiative

    PubMed Central

    Alivisatos, A. Paul; Chun, Miyoung; Church, George M.; Greenspan, Ralph J.; Roukes, Michael L.; Yuste, Rafael

    2017-01-01

    We propose the creation of a national network of neurotechnology centers to enhance and accelerate the BRAIN Initiative and optimally leverage the effort and creativity of individual laboratories involved in it. As “brain observatories,” these centers could provide the critical interdisciplinary environment both for realizing ambitious and complex technologies and for providing individual investigators with access to them. PMID:26481036

  16. Teaching Reading in a Learning Assistance Center.

    ERIC Educational Resources Information Center

    Caverly, David

    This paper reviews nine principles regarding the reading process, and six scaffolds for teaching students to read, and then suggests a specific developmental reading program for a learning center built upon this knowledge. It is generally accepted that four factors interact to form the reading/learning process: (1) Material; (2) Self; (3)…

  17. Managing Returns in a Catalog Distribution Center

    ERIC Educational Resources Information Center

    Gates, Joyce; Stuart, Julie Ann; Bonawi-tan, Winston; Loehr, Sarah

    2004-01-01

    The research team of the Purdue University in the United States developed an algorithm that considers several different factors, in addition to cost, to help catalog distribution centers process their returns more efficiently. A case study to teach the students important concepts involved in developing a solution to the returns disposition problem…

  18. Person-Centered Transition Planning.

    ERIC Educational Resources Information Center

    Miner, Craig A.; Bates, Paul E.

    1997-01-01

    Describes a person-centered planning approach for involving students with disabilities and their families in the transition planning process. Components of person-centered planning are discussed, including development of a personal profile, identification of future lifestyle preferences, action steps and responsible parties, and necessary changes…

  19. National Technology Transfer Center

    NASA Technical Reports Server (NTRS)

    Rivers, Lee W.

    1992-01-01

    Viewgraphs on the National Technology Transfer Center (NTTC) are provided. The NTTC mission is to serve as a hub for the nationwide technology-transfer network to expedite the movement of federally developed technology into the stream of commerce. A description of the Center is provided.

  20. Recycling: Establishing a Citizen-Sponsored Reclamation Center.

    ERIC Educational Resources Information Center

    Keep America Beautiful, Inc., New York, NY.

    This booklet applies the Clean Community System (CCS) of Keep America Beautiful, Inc. to the development of citizen-sponsored recycling projects. Six initial steps in establishing a reclamation center are given and include information gathering, market analysis, legal requirements, and site location. Suggestions are included for recruiting staff…

  1. Enhancing Localized Evaporation through Separated Light Absorbing Centers and Scattering Centers

    PubMed Central

    Zhao, Dengwu; Duan, Haoze; Yu, Shengtao; Zhang, Yao; He, Jiaqing; Quan, Xiaojun; Tao, Peng; Shang, Wen; Wu, Jianbo; Song, Chengyi; Deng, Tao

    2015-01-01

    This report investigates the enhancement of localized evaporation via separated light absorbing particles (plasmonic absorbers) and scattering particles (polystyrene nanoparticles). Evaporation has been considered as one of the most important phase-change processes in modern industries. To improve the efficiency of evaporation, one of the most feasible methods is to localize heat at the top water layer rather than heating the bulk water. In this work, the mixture of purely light absorptive plasmonic nanostructures such as gold nanoparticles and purely scattering particles (polystyrene nanoparticles) are employed to confine the incident light at the top of the solution and convert light to heat. Different concentrations of both the light absorbing centers and the light scattering centers were evaluated and the evaporation performance can be largely enhanced with the balance between absorbing centers and scattering centers. The findings in this study not only provide a new way to improve evaporation efficiency in plasmonic particle-based solution, but also shed lights on the design of new solar-driven localized evaporation systems. PMID:26606898

  2. Hole-Center Locating Tool

    NASA Technical Reports Server (NTRS)

    Senter, H. F.

    1984-01-01

    Tool alines center of new hold with existing hole. Tool marks center of new hole drilled while workpiece is in place. Secured with bolts while hole center marked with punch. Used for field installations where reference points unavailable or work area cramped and not easily accessible with conventional tools.

  3. Language Resource Centers Program

    ERIC Educational Resources Information Center

    Office of Postsecondary Education, US Department of Education, 2012

    2012-01-01

    The Language Resource Centers (LRC) program provides grants to institutions of higher education to establish, strengthen, and operate resource centers that serve to improve the nation's capacity to teach and learn foreign languages. Eligible applicants are institutions of higher education. Duration of the grant is four years. Center activities…

  4. Why Mental Health Centers Should Not Do Home-Based Family Centered Services.

    ERIC Educational Resources Information Center

    Leverington, John J.; Bryce, Marvin

    Home Based Family Centered (HBFC) services give primary responsibility for evaluation, service planning, and counseling to the direct service in-home family therapist. In the mental health center (MHC), the psychiatrist may see a child once in the office and make a diagnosis and recommendation for the child, and sometimes for the parents. Also in…

  5. Establishing a Drug Rehabilitation Center in a Prison Setting.

    ERIC Educational Resources Information Center

    Page, Richard C.

    The implementation of a drug treatment center in a prison environment is described. Such topics as the program initiation, selection of residents, early program operation are discussed. Program activities such as regular group counseling and rational therapy were developed to assist residents in the resolution of personal problems and interactions…

  6. Effective trauma center partnerships to address firearm injury: a new paradigm.

    PubMed

    Richmond, Therese S; Schwab, C William; Riely, Jeaneen; Branas, Charles C; Cheney, Rose; Dunfey, Maura

    2004-06-01

    Firearm violence is the second leading cause of injury-related death. This study examined the use of local trauma centers as lead organizations in their communities to address firearm injury. Three trauma centers in cities with populations less than 100,000 were linked with a university-based firearm injury research center. A trauma surgeon director and coordinator partnered with communities, recruited and directed advisory boards, established a local firearm injury surveillance system, and informed communities using community-specific profiles. Primary process and outcome measures included completeness of data, development of community-specific profiles, number of data-driven consumer media pieces, number of meetings to inform policy makers, and an analysis of problems encountered. Local trauma centers in smaller communities implemented a firearm injury surveillance system, produced community-specific injury profiles, and engaged community leaders and policy makers to address firearm injury. Community-specific profiles demonstrated consistent firearm suicide rates (6.58-6.82 per 100,000) but variation in firearm homicide rates (1.08-12.5 per 100,000) across sites. There were 63 data-driven media pieces and 18 forums to inform community leaders and policy makers. Completeness of data elements ranged from 57.1% to 100%. Problems experienced were disconnected data sources, multiple data owners, potential for political fallout, limited trauma center data, skills sets of medical professionals, and sustainability. Trauma centers, when provided resources and support, with the model described, can function as lead organizations in partnering with the community to acquire and use community-specific data for local firearm injury prevention.

  7. The Management of Information Analysis Centers: Proceedings of a Forum Sponsored by the COSATI Panel on Information Analysis Centers.

    ERIC Educational Resources Information Center

    Smith, William A., Ed.

    The papers given at the May 17-19, 1971 forum on Management of Information Analysis Centers held at the National Bureau of Standards in Gaithersburg, Md. are presented in four sessions separated by topic. Besides the welcoming remarks and the keynote address, session 1 contains three general papers on information analysis centers and automatic…

  8. [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

  9. A Healthy Approach to Fitness Center Security.

    ERIC Educational Resources Information Center

    Sturgeon, Julie

    2000-01-01

    Examines techniques for keeping college fitness centers secure while maintaining an inviting atmosphere. Building access control, preventing locker room theft, and suppressing causes for physical violence are discussed. (GR)

  10. Regional Instrumentation Centers.

    ERIC Educational Resources Information Center

    Cromie, William J.

    1980-01-01

    Focuses on the activities of regional instrumentation centers that utilize the state-of-the-art instruments and methodology in basic scientific research. The emphasis is on the centers involved in mass spectroscopy, magnetic resonance spectroscopy, lasers, and accelerators. (SA)

  11. Interhospital transfer handoff practices among US tertiary care centers: A descriptive survey.

    PubMed

    Herrigel, Dana J; Carroll, Madeline; Fanning, Christine; Steinberg, Michael B; Parikh, Amay; Usher, Michael

    2016-06-01

    Interhospital transfer is an understudied area within transitions of care. The process by which hospitals accept and transfer patients is not well described. National trends and best practices are unclear. To describe the demographics of large transfer centers, to identify common handoff practices, and to describe challenges and notable innovations involving the interhospital transfer handoff process. A convenience sample of 32 tertiary care centers in the United States was studied. Respondents were typically transfer center directors surveyed by phone. Data regarding transfer center demographics, handoff communication practices, electronic infrastructure, and data sharing were obtained. The median number of patients transferred each month per receiving institution was 700 (range, 250-2500); on average, 28% of these patients were transferred to an intensive care unit. Transfer protocols and practices varied by institution. Transfer center coordinators typically had a medical background (78%), and critical care-trained registered nurse was the most prevalent (38%). Common practices included: mandatory recorded 3-way physician-to-physician conversation (84%) and mandatory clinical status updates prior to patient arrival (81%). However, the timeline of clinical status updates was variable. Less frequent transfer practices included: electronic medical record (EMR) cross-talk availability and utilization (23%), real-time transfer center documentation accessibility in the EMR (32%), and referring center clinical documentation available prior to transport (29%). A number of innovative strategies to address challenges involving interhospital handoffs are reported. Interhospital transfer practices vary widely amongst tertiary care centers. Practices that lead to improved patient handoffs and reduced medical errors need additional prospective evaluation. Journal of Hospital Medicine 2016;11:413-417. © 2016 Society of Hospital Medicine. © 2016 Society of Hospital Medicine.

  12. Break-even analysis in a nurse-managed center.

    PubMed

    McBryde-Foster, Merry J

    2005-01-01

    The concept of break-even analysis as a financial assessment tool is defined and demonstrated in evaluation of a proposed nurse-managed center. The advantages of using break-even analysis during proposal development are explored.

  13. A User's Evaluation of a NASA Regional Dissemination Center.

    ERIC Educational Resources Information Center

    Sovel, M. Terry; Coddington, Dean C.

    Retrospective searches provided by a NASA Regional Dissemination Center (RDC) were found to be of substantial value to researchers during a six-month experimental period at the University of Denver's Research Institute (DRI). The purpose of the experiment was to gain a better understanding of the usefulness of an RDC to a user organization. DRI…

  14. Rapid-Response Parenting Intervention in Diagnostic Centers as a Patient-Centered Innovation for Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    McMillin, Stephen Edward; Bultas, Margaret W.; Wilmott, Jennifer; Grafeman, Sarah; Zand, Debra H.

    2015-01-01

    Parents of children newly diagnosed with autism spectrum disorders are a high-need population for whom skills-based parenting interventions likely help. Diagnostic centers are compelling locations to deliver parenting interventions because families are served in an accessible location and at a time they receive overwhelming treatment…

  15. Project THEMIS: A Center for Remote Sensing.

    DTIC Science & Technology

    This report summarizes the technical work accomplished under Project THEMIS, A Center for Remote Sensing at the University of Kansas during the...period 16 September 1967 through 15 September 1973. The highlights of the four major areas forming the remote sensing system are presented. A detailed description of the latest radar spectrometer results is presented.

  16. Center for Adaptive Optics | Center

    Science.gov Websites

    Astronomy, UCSC's CfAO and ISEE, and Maui Community College, runs education and internship programs in postdocs. E-mail: cfao@ucolick.org Institutions: University of California, Berkeley Astronomy Department Retinal Imaging Laboratory Eye Center University of California, Irvine Department of Physics and Astronomy

  17. Bayesian methods to determine performance differences and to quantify variability among centers in multi-center trials: the IHAST trial.

    PubMed

    Bayman, Emine O; Chaloner, Kathryn M; Hindman, Bradley J; Todd, Michael M

    2013-01-16

    To quantify the variability among centers and to identify centers whose performance are potentially outside of normal variability in the primary outcome and to propose a guideline that they are outliers. Novel statistical methodology using a Bayesian hierarchical model is used. Bayesian methods for estimation and outlier detection are applied assuming an additive random center effect on the log odds of response: centers are similar but different (exchangeable). The Intraoperative Hypothermia for Aneurysm Surgery Trial (IHAST) is used as an example. Analyses were adjusted for treatment, age, gender, aneurysm location, World Federation of Neurological Surgeons scale, Fisher score and baseline NIH stroke scale scores. Adjustments for differences in center characteristics were also examined. Graphical and numerical summaries of the between-center standard deviation (sd) and variability, as well as the identification of potential outliers are implemented. In the IHAST, the center-to-center variation in the log odds of favorable outcome at each center is consistent with a normal distribution with posterior sd of 0.538 (95% credible interval: 0.397 to 0.726) after adjusting for the effects of important covariates. Outcome differences among centers show no outlying centers. Four potential outlying centers were identified but did not meet the proposed guideline for declaring them as outlying. Center characteristics (number of subjects enrolled from the center, geographical location, learning over time, nitrous oxide, and temporary clipping use) did not predict outcome, but subject and disease characteristics did. Bayesian hierarchical methods allow for determination of whether outcomes from a specific center differ from others and whether specific clinical practices predict outcome, even when some centers/subgroups have relatively small sample sizes. In the IHAST no outlying centers were found. The estimated variability between centers was moderately large.

  18. Alternative Fuels Data Center: Research and Development of Electricity as a

    Science.gov Websites

    Vehicle FuelA> Research and Development of Electricity as a Vehicle Fuel to someone by E-mail Share Alternative Fuels Data Center: Research and Development of Electricity as a Vehicle Fuel on Facebook Tweet about Alternative Fuels Data Center: Research and Development of Electricity as a Vehicle

  19. A tale of two cultures: examining patient-centered care in a forensic mental health hospital

    PubMed Central

    Livingston, James D.; Nijdam-Jones, Alicia; Brink, Johann

    2012-01-01

    Several questions remain unanswered regarding the extent to which the principles and practices of patient-centered care are achievable in the context of a forensic mental health hospital. This study examined patient-centered care from the perspectives of patients and providers in a forensic mental health hospital. Patient-centered care was assessed using several measures of complementary constructs. Interviews were conducted with 30 patients and surveys were completed by 28 service providers in a forensic mental health hospital. Patients and providers shared similar views of the therapeutic milieu and recovery orientation of services; however, providers were more likely to perceive the hospital as being potentially unsafe. Overall, the findings indicated that characteristics of patient-centered care may be found within a forensic mental health hospital. The principles of patient-centered care can be integrated into service delivery in forensic mental health hospitals, though special attention to providers’ perceptions of safety is needed. PMID:22815648

  20. A Study of Flood Evacuation Center Using GIS and Remote Sensing Technique

    NASA Astrophysics Data System (ADS)

    Mustaffa, A. A.; Rosli, M. F.; Abustan, M. S.; Adib, R.; Rosli, M. I.; Masiri, K.; Saifullizan, B.

    2016-07-01

    This research demonstrated the use of Remote Sensing technique and GIS to determine the suitability of an evacuation center. This study was conducted in Batu Pahat areas that always hit by a series of flood. The data of Digital Elevation Model (DEM) was obtained by ASTER database that has been used to delineate extract contour line and elevation. Landsat 8 image was used for classification purposes such as land use map. Remote Sensing incorporate with GIS techniques was used to determined the suitability location of the evacuation center from contour map of flood affected areas in Batu Pahat. GIS will calculate the elevation of the area and information about the country of the area, the road access and percentage of the affected area. The flood affected area map may provide the suitability of the flood evacuation center during the several levels of flood. The suitability of evacuation centers can be determined based on several criteria and the existing data of the evacuation center will be analysed. From the analysis among 16 evacuation center listed, there are only 8 evacuation center suitable for the usage during emergency situation. The suitability analysis was based on the location and the road access of the evacuation center toward the flood affected area. There are 10 new locations with suitable criteria of evacuation center proposed on the study area to facilitate the process of rescue and evacuating flood victims to much safer and suitable locations. The results of this study will help in decision making processes and indirectly will help organization such as fire-fighter and the Department of Social Welfare in their work. Thus, this study can contribute more towards the society.

  1. Engineering Research Centers: A Partnership for Competitiveness.

    ERIC Educational Resources Information Center

    National Science Foundation, Arlington, VA.

    This publication consists of colorful data sheets on the National Science Foundation's Engineering Research Centers (ERC) Program, a program designed to strengthen the competitiveness of U.S. industries by bringing new approaches and goals to academic engineering research and education. The main elements of the ERC mission are cross-disciplinary…

  2. 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…

  3. 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 <a href='http://www-pao.ksc.nasa.gov/kscpao/release/1996/146-96.htm'> ribbon-cutting ceremonya> 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.

  4. GSFC VLBI Analysis Center

    NASA Technical Reports Server (NTRS)

    Gordon, David; Ma, Chopo; Petrov, Leonid; MacMillan, Dan

    2001-01-01

    This report presents the activities of the Goddard Space Flight Center's Very Long Base Interferometry (VLBI) Analysis Center during the period from March 1, 1999 through December 31, 2000. The center's primary software development, analysis, and research activities axe reported, and the responsible staff members are described. Plans for 2001 are also presented.

  5. SLAC Occupational Health Center

    Science.gov Websites

    Images ESH Home > SLAC Occupational Health Center SLAC Occupational Health Center Medical Emergency After Hours Care Services at SLAC Wellness Programs SLAC Occupational Health Center Monday - Friday 8:00 nearest emergency department to SLAC is the Stanford Health Care Emergency Department, open 24/7, located

  6. A National Network of Neurotechnology Centers for the BRAIN Initiative.

    PubMed

    Alivisatos, A Paul; Chun, Miyoung; Church, George M; Greenspan, Ralph J; Roukes, Michael L; Yuste, Rafael

    2015-11-04

    We propose the creation of a national network of neurotechnology centers to enhance and accelerate the BRAIN Initiative and optimally leverage the effort and creativity of individual laboratories involved in it. As "brain observatories," these centers could provide the critical interdisciplinary environment both for realizing ambitious and complex technologies and for providing individual investigators with access to them. Copyright © 2015 Elsevier Inc. All rights reserved.

  7. Shipboard communications center Intelligent Gateway demonstration report

    DOT National Transportation Integrated Search

    1995-03-01

    The United States Coast Guard Research and Development Center (USCG R&D Center) had a requirement to modernize and improve communications centers on Coast Guard cutters. The USCG R&D Center teamed with the Volpe Center to evaluate requirements in the...

  8. Reliability Centered Maintenance - Methodologies

    NASA Technical Reports Server (NTRS)

    Kammerer, Catherine C.

    2009-01-01

    Journal article about Reliability Centered Maintenance (RCM) methodologies used by United Space Alliance, LLC (USA) in support of the Space Shuttle Program at Kennedy Space Center. The USA Reliability Centered Maintenance program differs from traditional RCM programs because various methodologies are utilized to take advantage of their respective strengths for each application. Based on operational experience, USA has customized the traditional RCM methodology into a streamlined lean logic path and has implemented the use of statistical tools to drive the process. USA RCM has integrated many of the L6S tools into both RCM methodologies. The tools utilized in the Measure, Analyze, and Improve phases of a Lean Six Sigma project lend themselves to application in the RCM process. All USA RCM methodologies meet the requirements defined in SAE JA 1011, Evaluation Criteria for Reliability-Centered Maintenance (RCM) Processes. The proposed article explores these methodologies.

  9. Wireless Internet and Student-Centered Learning: A Partial Least-Squares Model

    ERIC Educational Resources Information Center

    Lu, Eric Y.; Ma, Hongyan; Turner, Sandra; Huang, Wayne

    2007-01-01

    Wireless Internet technology is gaining a foothold on more and more campuses, yet few studies have investigated how wireless Internet supports and enhances a student-centered learning environment. This study seeks to fill the gap by developing an instrument to measure how wireless Internet supports student-centered learning. A web survey was…

  10. A patient centered electronic health: eHealth system development.

    PubMed

    Schiza, Eirini C; Neokleous, Kleanthis C; Petkov, Nikolai; Schizas, Christos N

    2015-01-01

    Medical practice and patient-doctor relationship will continue improving while technology is integrated in our everyday life. In recent years the term eHealth landmarked a new era with improved health provider's skills and knowledge, and increased patient participation in medical care activities. To show why the design and implementation of a healthcare system needs to follow a specific philosophy dictated by the level of eHealth maturity of a country and its citizens. Based on the maturity level, an adaptable framework for implementing an Electronic Health System at national level is derived, guided by the Patient Centered Philosophy as defined and introduced by the EU directives. Implementation prerequisites are analyzed together with guiding principles for identifying the maturity level of an organization or country. Cyprus being a small EU country, it can be used as pilot site for the whole Europe, was chosen for this study and its maturity level analysis is presented. Recommendations that determine general steps needed to prepare the ground for an adequate patient-centered national healthcare system are accompanied. The implementation of an integrated Electronic Health Record at National level, as a prerequisite for a patient-centered eHealth environment is evidently demonstrated.

  11. A Case Study Documenting the Process by Which Biology Instructors Transition from Teacher-Centered to Learner-Centered Teaching

    PubMed Central

    Marbach-Ad, Gili; Hunt Rietschel, Carly

    2016-01-01

    In this study, we used a case study approach to obtain an in-depth understanding of the change process of two university instructors who were involved with redesigning a biology course. Given the hesitancy of many biology instructors to adopt evidence-based, learner-centered teaching methods, there is a critical need to understand how biology instructors transition from teacher-centered (i.e., lecture-based) instruction to teaching that focuses on the students. Using the innovation-decision model for change, we explored the motivation, decision-making, and reflective processes of the two instructors through two consecutive, large-enrollment biology course offerings. Our data reveal that the change process is somewhat unpredictable, requiring patience and persistence during inevitable challenges that arise for instructors and students. For example, the change process requires instructors to adopt a teacher-facilitator role as opposed to an expert role, to cover fewer course topics in greater depth, and to give students a degree of control over their own learning. Students must adjust to taking responsibility for their own learning, working collaboratively, and relinquishing the anonymity afforded by lecture-based teaching. We suggest implications for instructors wishing to change their teaching and administrators wishing to encourage adoption of learner-centered teaching at their institutions. PMID:27856550

  12. Ecology-centered experiences among children and adolescents: A qualitative and quantitative analysis

    NASA Astrophysics Data System (ADS)

    Orton, Judy

    The present research involved two studies that considered ecology-centered experiences (i.e., experiences with living things) as a factor in children's environmental attitudes and behaviors and adolescents' ecological understanding. The first study (Study 1) examined how a community garden provides children in an urban setting the opportunity to learn about ecology through ecology-centered experiences. To do this, I carried out a yearlong ethnographic study at an urban community garden located in a large city in the Southeastern United States. Through participant observations and informal interviews of community garden staff and participants, I found children had opportunities to learn about ecology through ecology-centered experiences (e.g., interaction with animals) along with other experiences (e.g., playing games, reading books). In light of previous research that shows urban children have diminished ecological thought---a pattern of thought that privileges the relationship between living things---because of their lack of ecology-centered experiences (Coley, 2012), the present study may have implications for urban children to learn about ecology. As an extension of Study 1, I carried out a second study (Study 2) to investigate how ecology-centered experiences contribute to adolescents' environmental attitudes and behaviors in light of other contextual factors, namely environmental responsibility support, ecological thought, age and gender. Study 2 addressed three research questions. First, does ecological thought---a pattern of thought that privileges the relationship between living things---predict environmental attitudes and behaviors (EAB)? Results showed ecological thought did not predict EAB, an important finding considering the latent assumptions of previous research about the relationship between these two factors (e.g., Brugger, Kaiser, & Roczen, 2011). Second, do two types of contextual support, ecology-centered experiences (i.e., experiences with

  13. 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...

  14. 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:…

  15. Economic implications of home births and birth centers: a structured review.

    PubMed

    Henderson, Jane; Petrou, Stavros

    2008-06-01

    It is widely perceived that home births and birth centers may help decrease the costs of maternity care for women with uncomplicated pregnancies and deliveries. This structured review examines the literature relating to the economic implications of home births and birth center care compared with hospital maternity care. The bibliographic databases MEDLINE (from 1950), CINAHL (from 1982), EMBASE (from 1980), and an "in-house" database, Econ2, were searched for relevant English language publications using MeSH and free text terms. Data were extracted with respect to the study design, inclusion criteria, clinical and cost results, and details of what was included in the cost calculations. Eleven studies were included from the United Kingdom, United States, Australia, and Canada. Two studies focused on home births versus other forms and locations of care, whereas nine focused on birth centers versus other forms and locations of care. Resource use was generally lower for women cared for at home and in birth centers due to lower rates of intervention, shorter lengths of stay, or both. However, this fact did not always translate into lower costs because, in the U.K. where many studies were conducted, more midwives of a higher grade were employed to manage the birth centers than are usually employed in maternity units, and because of costs of converting existing facilities into delivery rooms. The quality of much of the literature was poor, although no studies were excluded for this reason. Selection bias was likely to be a problem in those studies not based on randomized controlled trials because, even where birth center eligibility was applied throughout, women who choose to deliver at home or in a birth center are likely to be different in terms of expectations and approach from women choosing to deliver in hospital. This review highlights the paucity of economic literature relating to home births and birth centers. Differences in results between studies may be

  16. Center for Adaptive Optics | News

    Science.gov Websites

    * Methane Clouds Observed Near Titan's Equator May Explain Presence of Riverbeds on the Surface * 'Dark Center for Adaptive Optics A University of California Science and Technology Center home AO of Cosmic Time * Celebration of Science and Technology Centers Class of 2000 AO Headlines 2009

  17. Center for Adaptive Optics | Home

    Science.gov Websites

    Center for Adaptive Optics A University of California Science and Technology Center Adaptive distortions in optical systems ... Announcements: The CfAO Summer School on Adaptive Optics 2018 will be held mission of the UC Center for Adaptive Optics is to develop, apply, and disseminate adaptive optics science

  18. NASA Glenn Research Center Overview

    NASA Technical Reports Server (NTRS)

    Sehra, Arun K.

    2002-01-01

    This viewgraph presentation provides information on the NASA Glenn Research Center. The presentation is a broad overview, including the chain of command at the center, its aeronautics facilities, and the factors which shape aerospace product line integration at the center. Special attention is given to the future development of high fidelity probabilistic methods, and NPSS (Numerical Propulsion System Simulation).

  19. Precision Joining Center

    NASA Astrophysics Data System (ADS)

    Powell, J. W.; Westphal, D. A.

    1991-08-01

    A workshop to obtain input from industry on the establishment of the Precision Joining Center (PJC) was held on July 10-12, 1991. The PJC is a center for training Joining Technologists in advanced joining techniques and concepts in order to promote the competitiveness of U.S. industry. The center will be established as part of the DOE Defense Programs Technology Commercialization Initiative, and operated by EG&G Rocky Flats in cooperation with the American Welding Society and the Colorado School of Mines Center for Welding and Joining Research. The overall objectives of the workshop were to validate the need for a Joining Technologists to fill the gap between the welding operator and the welding engineer, and to assure that the PJC will train individuals to satisfy that need. The consensus of the workshop participants was that the Joining Technologist is a necessary position in industry, and is currently used, with some variation, by many companies. It was agreed that the PJC core curriculum, as presented, would produce a Joining Technologist of value to industries that use precision joining techniques. The advantage of the PJC would be to train the Joining Technologist much more quickly and more completely. The proposed emphasis of the PJC curriculum on equipment intensive and hands-on training was judged to be essential.

  20. NASA Langley Teacher Resource Center at the Virginia Air and Space Center

    NASA Technical Reports Server (NTRS)

    Maher, Kim L.

    1999-01-01

    Nation's education goals through expanding and enhancing the scientific an technological competence of students and educators. To help disseminate NASA instructional materials and educational information, NASA's Education Division has established the Educator Resource Center Network. Through this network (ERCN), educators are provided the opportunity to receive free instructional information, materials, consultation, and training workshops on NASA educational products. The Office of Education at NASA Langley Research Center offers an extension of its Precollege Education program by supporting the NASA LARC Educator Resource Center at the Virginia Air & Space Center, the official visitor center for NASA LARC. This facility is the principal distribution point for educators in the five state service region that includes Virginia, West Virginia, Kentucky, North Carolina and South Carolina. The primary goal, to provide expertise and facilities to help educators access and utilize science, mathematics, and technology instructional products aligned with national standards and appropriate state frameworks and based on NASA's unique mission and results, has been accomplished. This ERC had 15,200 contacts and disseminated over 190,000 instructional items during the period of performance. In addition the manager attended 35 conferences, workshops, and educational meetings as an GR, presenter, or participant. The objective to demonstrate and facilitate the use of educational technologies has been accomplished through the following: The ERC's web page has been developed as a cyber-gateway to a multitude of NASA and other educational resources as well as to Our own database of current resource materials. NASA CORE CD-ROM technology is regularly demonstrated and promoted using the center's computers. NASA TV is available, demonstrated to educators, and used to facilitate the downlinking of NASA educational programming.

  1. Metals and Ceramics Information Center.

    DTIC Science & Technology

    1981-07-01

    Systems RESOURCE MANAGEMENT AND ECONOMIC ANALYSIS a Ordnance Technology a Space Systems and Applications a Biomass Resources 6 Business Planning • Economics ...r 19 KEY WORDS (Cwintince on reverse side 4 neressery and identify by block numnber) Technical Information Center Composites DoD Information Analysis ...The Metals and Ceramics Information Center (MCIC) is one of the technical Information Analysis Centers (IAC’s) chartered and sponsored by the

  2. A Design for the Teacher Education Center.

    ERIC Educational Resources Information Center

    McCrory, David L., Ed.

    The Middle School in Beachwood is a unique site for a teaching center due to its open-space architecture, its team teaching organization, and its flexible curriculum. The faculty of the Middle School are utilized as supervisors of teacher education students with the belief that such work is of tangible benefit for the children in the Middle…

  3. A National Periodicals Center Technical Development Plan.

    ERIC Educational Resources Information Center

    Council on Library Resources, Inc., Washington, DC.

    This technical plan for developing, managing, and operating a national periodicals center (NPC), which was prepared at the request of the Library of Congress, is designed so that it could be used by the Library or any other agency prepared to assume responsibility for the creation of a major periodicals facility. The overall goal of the NPC is to…

  4. Transition Components of the Frost Center, a Model Program Background: The Frost Center and Its Students.

    ERIC Educational Resources Information Center

    Mosso, Janet L.

    The Frost Center (Rockville, Maryland) is a private, nonprofit school and therapeutic day program that serves adolescents with emotional, learning, and behavioral disabilities and their families. Approximately two-thirds of each student's day is spent in academic classes, acquiring the skills and behavior necessary for a return to a less…

  5. Criteria for Centers of Reference for pediatric diabetes--a European perspective.

    PubMed

    Danne, Thomas; Lion, Sylvia; Madaczy, Lazlo; Veeze, Henk; Raposo, Fillipe; Rurik, Imre; Aschemeier, Bärbel; Kordonouri, Olga

    2012-09-01

    'SWEET' is an acronym standing for 'Better control in pediatric and adolescent diabeteS: Working to crEate CEnTers of Reference (CORs)' and is based on a partnership of established national and European diabetes organizations such as International Diabetes Federation, Federation of European Nurses in Diabetes, and Primary Care Diabetes Europe (PCDE, www.sweet-project.eu). A three-level classification of centers has been put forward. In addition to centers for local care, SWEET collaborating centers on their way to being a COR have been defined. Peer-audited CORs with a continuous electronic documentation of at least 150 pediatric patients with diabetes treated by a multidisciplinary team based on the International Society for Pediatric and Adolescent Diabetes (ISPAD) Clinical Practice recommendations have been created in 12 European countries. In 2011, they cared for between 150 to more than 700 youth with diabetes with an average hemoglobin A1c between 7.6 and 9.2%. Although these clinics should not be regarded as representative for the whole country, the acknowledgment as COR includes a common objective of targets and guidelines as well as recognition of expertise in treatment and education at the center. In a first step, the SWEET Online platform allows 12 countries using 11 languages to connect to one unified diabetes database. Aggregate data are de-identified and exported for longitudinal health and economic data analysis. Through their network, the CORs wish to obtain political influence on a national and international level and to facilitate dissemination of new approaches and techniques. The SWEET project hopes to extend from the initial group of centers within countries, throughout Europe, and beyond with the help of the ISPAD network. © 2012 John Wiley & Sons A/S.

  6. 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.

  7. The Center for Healthy Weight: an academic medical center response to childhood obesity

    PubMed Central

    Robinson, T N; Kemby, K M

    2012-01-01

    Childhood obesity represents a worldwide medical and public health challenge. Academic medical centers cannot avoid the effects of the obesity epidemic, and must adopt strategies for their academic, clinical and public policy responses to childhood obesity. The Center for Healthy Weight at Stanford University and Lucile Packard Children's Hospital at Stanford provides an example and model of one such strategy. The design provides both breadth and depth through six cores: Research, Patient Care, Community Programs, Advocating for Public Policy Change, Training and Professional Education, and the Healthy Hospital Initiative. The Center and its cores are designed to facilitate interdisciplinary collaboration across the university, medical school, children's hospital and surrounding community. The foci of these cores are likely to be relevant to almost any academic medical center's mission and functions. PMID:25089192

  8. New Mission Control Center Briefing

    NASA Technical Reports Server (NTRS)

    1995-01-01

    Live footage shows panelists, Chief Center Systems Division John Muratore, and Acting Chief, Control Center Systems Division, Linda Uljon, giving an overview of the new Mission Control Center. Muratore and Uljon talk about the changes and modernization of the new Center. The panelists mention all the new capabilities of the new Center. They emphasize the Distributed real time command and control environment, the reduction in operation costs, and even the change from coaxial cables to fiber optic cables. Uljon also tells us that the new Control Center will experience its first mission after the launch of STS-70 and its first complete mission (both launching and landing) during STS-71.

  9. The Bicameral Teacher Center.

    ERIC Educational Resources Information Center

    Ervay, Stuart; And Others

    1983-01-01

    Although some laypresons, teacher educators, and administrators favor current teacher centers in both concept and practice, others hesitate to endorse any movement that gives teachers added opportunities for self-determination and administrative involvement. A bicameral teacher center, with separate chambers for administrators and classroom…

  10. Specifications of a Mechanized Center for Information Services for a Public Library Reference Center. Final Report. Part 1, Preliminary Specification: Mechanized Information Services in Public Library Reference Centers.

    ERIC Educational Resources Information Center

    California Univ., Los Angeles. Inst. of Library Research.

    This document presents preliminary specifications for a library-based Center for Information Services (CIS). Four sets of issues are covered: (1) data base inventory, providing a listing of magnetic tape data bases now available from national sources or soon to be so; (2) administrative issues, including the organization of the CIS within the…

  11. Seeking Humanizing Care in Patient-Centered Care Process: A Grounded Theory Study.

    PubMed

    Cheraghi, Mohammad Ali; Esmaeili, Maryam; Salsali, Mahvash

    Patient-centered care is both a goal in itself and a tool for enhancing health outcomes. The application of patient-centered care in health care services globally however is diverse. This article reports on a study that sought to introduce patient-centered care. The aim of this study is to explore the process of providing patient-centered care in critical care units. The study used a grounded theory method. Data were collected on 5 critical care units in Tehran University of Medical Sciences. Purposive and theoretical sampling directed the collection of data using 29 semistructured interviews with 27 participants (nurses, patients, and physician). Data obtained were analyzed according to the analysis stages of grounded theory and constant comparison to identify the concepts, context, and process of the study. The core category of this grounded theory is "humanizing care," which consisted of 4 interrelated phases, including patient acceptance, purposeful patient assessment and identification, understanding patients, and patient empowerment. A core category of humanizing care integrated the theory. Humanizing care was an outcome and process. Patient-centered care is a dynamic and multifaceted process provided according to the nurses' understanding of the concept. Patient-centered care does not involve repeating routine tasks; rather, it requires an all-embracing understanding of the patients and showing respect for their values, needs, and preferences.

  12. American Overseas Research Centers Program

    ERIC Educational Resources Information Center

    Office of Postsecondary Education, US Department of Education, 2012

    2012-01-01

    The American Overseas Research Centers Program provides grants to overseas research centers that are consortia of U.S. institutions of higher education to enable the centers to promote postgraduate research, exchanges, and area studies. Eligible applicants are those consortia of U.S. institutions of higher education centers that: (1) Receive more…

  13. 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

  14. The Patient-Centered Medical Home Neighbor: A Critical Concept for a Redesigned Healthcare Delivery System

    DTIC Science & Technology

    2011-01-25

    Sharing Knowledge: Achieving Breakthrough Performance 2010 Military Health System Conference The Patient -Centered Medical Home Neighbor: A Critical...DATE 25 JAN 2011 2. REPORT TYPE 3. DATES COVERED 00-00-2011 to 00-00-2011 4. TITLE AND SUBTITLE The Patient -Centered Medical Home Neighbor: A...Conference What is the Patient -Centered Medical Home?  …a vision of health care as it should be  …a framework for organizing systems of care at both the

  15. Predicting Early Center Care Utilization in a Context of Universal Access

    ERIC Educational Resources Information Center

    Zachrisson, Henrik Daae; Janson, Harald; Naerde, Ane

    2013-01-01

    This paper reports predictors for center care utilization prior to 18 months of age in Norway, a country with a welfare system providing up to one-year paid parental leave and universal access to subsidized and publicly regulated center care. A community sample of 1103 families was interviewed about demographics, family, and child characteristics…

  16. Cesarean Outcomes in US Birth Centers and Collaborating Hospitals: A Cohort Comparison.

    PubMed

    Thornton, Patrick; McFarlin, Barbara L; Park, Chang; Rankin, Kristin; Schorn, Mavis; Finnegan, Lorna; Stapleton, Susan

    2017-01-01

    High rates of cesarean birth are a significant health care quality issue, and birth centers have shown potential to reduce rates of cesarean birth. Measuring this potential is complicated by lack of randomized trials and limited observational comparisons. Cesarean rates vary by provider type, setting, and clinical and nonclinical characteristics of women, but our understanding of these dynamics is incomplete. We sought to isolate labor setting from other risk factors in order to assess the effect of birth centers on the odds of cesarean birth. We generated low-risk cohorts admitted in labor to hospitals (n = 2527) and birth centers (n = 8776) using secondary data obtained from the American Association of Birth Centers (AABC). All women received prenatal care in the birth center and midwifery care in labor, but some chose hospital admission for labor. Analysis was intent to treat according to site of admission in spontaneous labor. We used propensity score adjustment and multivariable logistic regression to control for cohort differences and measured effect sizes associated with setting. There was a 37% (adjusted odds ratio [OR], 0.63; 95% confidence interval [CI], 0.50-0.79) to 38% (adjusted OR, 0.62; 95% CI, 0.49-0.79) decreased odds of cesarean in the birth center cohort and a remarkably low overall cesarean rate of less than 5% in both cohorts. These findings suggest that low rates of cesarean in birth centers are not attributable to labor setting alone. The entire birth center care model, including prenatal preparation and relationship-based midwifery care, should be studied, promoted, and implemented by policy makers interested in achieving appropriate cesarean rates in the United States. © 2016 by the American College of Nurse-Midwives.

  17. The Revitalized Tutoring Center

    ERIC Educational Resources Information Center

    Koselak, Jeremy

    2017-01-01

    One high-leverage strategy rooted in a strong research base--the revitalized tutoring center--provides a wealth of opportunity to students who may be otherwise underserved. This embedded, open-all-day tutoring center supports collaborative teacher teams by using peer tutors and community volunteers. By centralizing resources and providing supports…

  18. Single-nitrogen-vacancy-center quantum memory for a superconducting flux qubit mediated by a ferromagnet

    NASA Astrophysics Data System (ADS)

    Lai, Yen-Yu; Lin, Guin-Dar; Twamley, Jason; Goan, Hsi-Sheng

    2018-05-01

    We propose a quantum memory scheme to transfer and store the quantum state of a superconducting flux qubit (FQ) into the electron spin of a single nitrogen-vacancy (NV) center in diamond via yttrium iron garnet (YIG), a ferromagnet. Unlike an ensemble of NV centers, the YIG moderator can enhance the effective FQ-NV-center coupling strength without introducing additional appreciable decoherence. We derive the effective interaction between the FQ and the NV center by tracing out the degrees of freedom of the collective mode of the YIG spins. We demonstrate the transfer, storage, and retrieval procedures, taking into account the effects of spontaneous decay and pure dephasing. Using realistic experimental parameters for the FQ, NV center and YIG, we find that a combined transfer, storage, and retrieval fidelity higher than 0.9, with a long storage time of 10 ms, can be achieved. This hybrid system not only acts as a promising quantum memory, but also provides an example of enhanced coupling between various systems through collective degrees of freedom.

  19. Trauma center variation in splenic artery embolization and spleen salvage: a multicenter analysis.

    PubMed

    Banerjee, Aman; Duane, Therese M; Wilson, Sean P; Haney, Starre; O'Neill, Patrick J; Evans, Heather L; Como, John J; Claridge, Jeffrey A

    2013-07-01

    This study aimed to evaluate if variation in management of blunt splenic injury (BSI) among Level I trauma centers is associated with different outcomes related to the use of splenic artery embolization (SAE). All adult patients admitted for BSI from 2008 to 2010 at 4 Level I trauma centers were reviewed. Use of SAE was determined, and outcomes of spleen salvage and nonoperative management (NOM) failure were evaluated. A priori, a 10% SAE rate was used to group centers into high- or low-use groups. There were 1,275 BSI patients. There were intercenter differences in age, injury severity, and grade of spleen injury (Spleen Injury Scale [SIS]). Mortality was similar by center; however, BSI treatment varied significantly by center. Overall, SAE use was highest at center A compared with B, C, and D (19%, 11%, 1%, and 4%, respectively; p < 0.01). High SAE use centers had significantly higher spleen salvage rates and fewer NOM failures. Differences in the use of SAE (25% vs. 2%, p < 0.01) and salvage rate (67% vs. 56%, p = 0.03) were most dramatic between high- and low-use SAE centers for Grade 3 and 4 injured spleens. In patients who received initial NOM, multivariate logistic regression analysis showed that SAE was an independent predictor of spleen salvage (odds ratio, 5; 95% confidence interval, 1.8-13.5; p < 0.01) as were lower age, lower SIS, and Injury Severity Score (ISS). Patients treated at high SAE use centers were more likely to leave the hospital with their spleen in situ (odds ratio, 3; 95% confidence interval, 1.7-6.3; p < 0.01). Significant practice variation exists in the use of SAE in treating BSI at Level I trauma centers. Centers with higher rates of SAE use have higher spleen salvage and less NOM failure. SAE was shown to be an independent predictor of spleen salvage. Therapeutic study, level IV.

  20. Planning Community School Centers. #2 in a Series of 6 Booklets.

    ERIC Educational Resources Information Center

    Educational Facilities Labs., Inc., New York, NY.

    This booklet is the second in a series that examines community school centers. Because the exact nature of the planning process for a community school center must be developed in context, specific procedures are not prescribed. Rather, the issues that should be considered are outlined, alternative strategies and solutions are analyzed, and common…

  1. Health Care Employee Perceptions of Patient-Centered Care: A Photovoice Project

    PubMed Central

    Balbale, Salva Najib; Turcios, Stephanie; LaVela, Sherri L.

    2015-01-01

    Given the importance of health care employees in the delivery of patient-centered care, understanding their unique perspective is essential for quality improvement. The purpose of this study was to use photovoice to evaluate perceptions and experiences around patient-centered care among Veterans Affairs (VA) health care employees. We asked participants to take photographs of salient features in their environment related to patient-centered care. We used the photographs to facilitate dialogue during follow-up interviews. Twelve VA health care employees across two VA sites participated in the project. Although most participants felt satisfied with their work environment and experiences at the VA, several areas for improvement were identified. These included a need for more employee health and wellness initiatives and a need for enhanced opportunities for training and professional growth. Application of photovoice enabled us to learn about employees' unique perspectives around patient-centered care while engaging them in an evaluation of care delivery. PMID:25274626

  2. Current reinforcement model reproduces center-in-center vein trajectory of Physarum polycephalum.

    PubMed

    Akita, Dai; Schenz, Daniel; Kuroda, Shigeru; Sato, Katsuhiko; Ueda, Kei-Ichi; Nakagaki, Toshiyuki

    2017-06-01

    Vein networks span the whole body of the amoeboid organism in the plasmodial slime mould Physarum polycephalum, and the network topology is rearranged within an hour in response to spatio-temporal variations of the environment. It has been reported that this tube morphogenesis is capable of solving mazes, and a mathematical model, named the 'current reinforcement rule', was proposed based on the adaptability of the veins. Although it is known that this model works well for reproducing some key characters of the organism's maze-solving behaviour, one important issue is still open: In the real organism, the thick veins tend to trace the shortest possible route by cutting the corners at the turn of corridors, following a center-in-center trajectory, but it has not yet been examined whether this feature also appears in the mathematical model, using corridors of finite width. In this report, we confirm that the mathematical model reproduces the center-in-center trajectory of veins around corners observed in the maze-solving experiment. © 2017 Japanese Society of Developmental Biologists.

  3. Patient-centered recruitment and retention for a randomized controlled study.

    PubMed

    Chhatre, Sumedha; Jefferson, Ashlie; Cook, Ratna; Meeker, Caitlin R; Kim, Ji Hyun; Hartz, Kayla Marie; Wong, Yu-Ning; Caruso, Adele; Newman, Diane K; Morales, Knashawn H; Jayadevappa, Ravishankar

    2018-03-27

    Recruitment and retention strategies for patient-centered outcomes research are evolving and research on the subject is limited. In this work, we present a conceptual model of patient-centered recruitment and retention, and describe the recruitment and retention activities and related challenges in a patient-centered comparative effectiveness trial. This is a multicenter, longitudinal randomized controlled trial in localized prostate cancer patients. We recruited 743 participants from three sites over 15 months period (January 2014 to March 2015), and followed them for 24 months. At site 1, of the 773 eligible participants, 551 (72%) were enrolled. At site 2, 34 participants were eligible and 23 (68%) enrolled. Of the 434 eligible participants at site 3, 169 (39%) enrolled. We observed that strategies related to the concepts of trust (e.g., physician involvement, ensuring protection of information), communication (e.g., brochures and pamphlets in physicians' offices, continued contact during regular clinic visits and calling/emailing assessment), attitude (e.g., emphasizing the altruistic value of research, positive attitude of providers and research staff), and expectations (e.g., full disclosure of study requirements and time commitment, update letters) facilitated successful patient recruitment and retention. A stakeholders' advisory board provided important input for the recruitment and retention activities. Active engagement, reminders at the offices, and personalized update letters helped retention during follow-up. Usefulness of telephone recruitment was site specific and, at one site, the time requirement for telephone recruitment was a challenge. We have presented multilevel strategies for successful recruitment and retention in a clinical trial using a patient-centered approach. Our strategies were flexible to accommodate site-level requirements. These strategies as well as the challenges can aid recruitment and retention efforts of future large

  4. Intelligence Center, Pacific

    DTIC Science & Technology

    1990-03-30

    This is our final report on the Audit of the Intelligence Center, Pacific, for your information and use. The audit was made from January to August...1989 at the request of the Commander, Intelligence Center, Pacific (IPAC). The objectives of the audit were to determine whether the resources provided...corrective actions. During the audit , there was a scheduled change of command at IPAC. The former and present Commanders, IPAC, and the Director for

  5. National Space Science Data Center and World Data Center A for Rockets and Satellites - Ionospheric data holdings and services

    NASA Technical Reports Server (NTRS)

    Bilitza, D.; King, J. H.

    1988-01-01

    The activities and services of the National Space Science data Center (NSSDC) and the World Data Center A for Rockets and Satellites (WDC-A-R and S) are described with special emphasis on ionospheric physics. The present catalog/archive system is explained and future developments are indicated. In addition to the basic data acquisition, archiving, and dissemination functions, ongoing activities include the Central Online Data Directory (CODD), the Coordinated Data Analysis Workshopps (CDAW), the Space Physics Analysis Network (SPAN), advanced data management systems (CD/DIS, NCDS, PLDS), and publication of the NSSDC News, the SPACEWARN Bulletin, and several NSSD reports.

  6. Learner-Centered Principles in Teacher-Centered Practices?

    ERIC Educational Resources Information Center

    Schuh, K.L.

    2004-01-01

    In the study reported here, I compare Learner-Centered Battery (a questionnaire of students' perceptions of the classroom) results and the observation and interview data gathered in one sixth-grade classroom noting first a discrepancy between the descriptions of the classroom that stems from each. I review this discrepancy, highlighting a need for…

  7. Optimizing efficiency and operations at a California safety-net endoscopy center: a modeling and simulation approach.

    PubMed

    Day, Lukejohn W; Belson, David; Dessouky, Maged; Hawkins, Caitlin; Hogan, Michael

    2014-11-01

    Improvements in endoscopy center efficiency are needed, but scant data are available. To identify opportunities to improve patient throughput while balancing resource use and patient wait times in a safety-net endoscopy center. Safety-net endoscopy center. Outpatients undergoing endoscopy. A time and motion study was performed and a discrete event simulation model constructed to evaluate multiple scenarios aimed at improving endoscopy center efficiency. Procedure volume and patient wait time. Data were collected on 278 patients. Time and motion study revealed that 53.8 procedures were performed per week, with patients spending 2.3 hours at the endoscopy center. By using discrete event simulation modeling, a number of proposed changes to the endoscopy center were assessed. Decreasing scheduled endoscopy appointment times from 60 to 45 minutes led to a 26.4% increase in the number of procedures performed per week, but also increased patient wait time. Increasing the number of endoscopists by 1 each half day resulted in increased procedure volume, but there was a concomitant increase in patient wait time and nurse utilization exceeding capacity. By combining several proposed scenarios together in the simulation model, the greatest improvement in performance metrics was created by moving patient endoscopy appointments from the afternoon to the morning. In this simulation at 45- and 40-minute appointment times, procedure volume increased by 30.5% and 52.0% and patient time spent in the endoscopy center decreased by 17.4% and 13.0%, respectively. The predictions of the simulation model were found to be accurate when compared with actual changes implemented in the endoscopy center. Findings may not be generalizable to non-safety-net endoscopy centers. The combination of minor, cost-effective changes such as reducing appointment times, minimizing and standardizing recovery time, and making small increases in preprocedure ancillary staff maximized endoscopy center

  8. Kennedy Space Center Director Update

    NASA Image and Video Library

    2014-03-06

    CAPE CANAVERAL, Fla. - NASA Kennedy Space Center Director Robert Cabana, second from right, welcomes community leaders, business executives, educators, community organizers, and state and local government leaders to the Kennedy Space Center Visitor Complex Debus Center for the Kennedy Space Center Director Update. At far right is Brevard County District 1 Commissioner Robin Fisher. 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

  9. World data centers

    NASA Astrophysics Data System (ADS)

    Shapley, Alan H.; Hart, Pembroke J.

    One of the lasting heritages of the International Geophysical Year (1957-58) is the system of world data centers (WDC) through which there has been international exchange of a wide variety of geophysical data on a continuing basis. This voluntary exchange mechanism has been remarkably successful. The basic operating costs of the centers are provided by the host country. The international exchanges are mainly by barter. The data providers number in the thousands and the users in the tens of thousands.

  10. Carolinas Energy Career Center

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

    Classens, Anver; Hooper, Dick; Johnson, Bruce

    2013-03-31

    Central Piedmont Community College (CPCC), located in Charlotte, North Carolina, established the Carolinas Energy Career Center (Center) - a comprehensive training entity to meet the dynamic needs of the Charlotte region's energy workforce. The Center provides training for high-demand careers in both conventional energy (fossil) and renewable energy (nuclear and solar technologies/energy efficiency). CPCC completed four tasks that will position the Center as a leading resource for energy career training in the Southeast: • Development and Pilot of a New Advanced Welding Curriculum, • Program Enhancement of Non-Destructive Examination (NDE) Technology, • Student Support through implementation of a model targetedmore » toward Energy and STEM Careers to support student learning, • Project Management and Reporting. As a result of DOE funding support, CPCC achieved the following outcomes: • Increased capacity to serve and train students in emerging energy industry careers; • Developed new courses and curricula to support emerging energy industry careers; • Established new training/laboratory resources; • Generated a pool of highly qualified, technically skilled workers to support the growing energy industry sector.« less

  11. Genesis of a flexible turning center

    NASA Astrophysics Data System (ADS)

    Sanclemente, Paul; French, Robert D.

    GE - Aircraft Engines has designed, built, and is operating a flexible turning center for jet engine hardware. Although the plant is in the forefront of manufacturing technology development, it was intended from the start to be a production facility. So while there was much to learn from being involved in all phases of the project, meeting production schedules was, and is, key to its success. This paper reviews the early history of the project and ends with a view of its recent production status.

  12. A Retail Center Facing Change: Using Data to Determine Marketing Strategy

    ERIC Educational Resources Information Center

    Walker, Kristen L.; Curren, Mary T.; Kiesler, Tina

    2013-01-01

    Plaza del Valle is an open-air shopping center in the San Fernando Valley region of Los Angeles. The new marketing manager must review primary and secondary data to determine a target market, a product positioning strategy, and a promotion strategy for the retail shopping center with the ultimate goal of increasing revenue for the Plaza. She is…

  13. 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.

  14. A Population-Family Planning Resource Center: A Community Educational Service

    ERIC Educational Resources Information Center

    Berde, Carol

    1974-01-01

    The author discusses a multi-media library and information center in population and family planning which is associated with a Planned Parenthood affiliate and provides many segments of the community with educational materials and services and strengthens the affiliate's programs. (Author)

  15. Natural Science Centers: Directory.

    ERIC Educational Resources Information Center

    Natural Science for Youth Foundation, Roswell, GA.

    A nature center is defined as an organized and permanent nonprofit institution which is essentially educational, scientific, and cultural in purpose with professional staff, and open to the public on some regular schedule. A nature center manages and interprets its lands, native plants and animals and facilities to promote an understanding of…

  16. Responsibility Center Management: A Financial Paradigm and Alternative to Decentralized Budgeting.

    ERIC Educational Resources Information Center

    Hensley, Phyllis A.; Bava, D. J.; Brennan, Denise C.

    This study examined the implementation of Responsibility Center Management (RCM) systems in two institutions of higher education: the Graduate School of Business at Institution and the Center of Collaborative Education and Professional Studies at Institution B. RCM is a management and budgeting process for universities that decentralizes authority…

  17. Validation of Caregiver-Centered Delirium Detection Tools: A Systematic Review.

    PubMed

    Rosgen, Brianna; Krewulak, Karla; Demiantschuk, Danielle; Ely, E Wesley; Davidson, Judy E; Stelfox, Henry T; Fiest, Kirsten M

    2018-04-18

    To summarize the validity of caregiver-centered delirium detection tools in hospitalized adults and assess associated patient and caregiver outcomes. Systematic review. We searched MEDLINE, EMBASE, PsycINFO, CINAHL, and Scopus from inception to May 15, 2017. Hospitalized adults. Caregiver-centered delirium detection tools. We drafted a protocol from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Two reviewers independently completed abstract and full-text review, data extraction, and quality assessment. We summarized findings using descriptive statistics including mean, median, standard deviation, range, frequencies (percentages), and Cohen's kappa. Studies that reported on the validity of caregiver-centered delirium detection tools or associated patient and caregiver outcomes and were cohort or cross-sectional in design were included. We reviewed 6,056 titles and abstracts, included 6 articles, and identified 6 caregiver-centered tools. All tools were designed to be administered in several minutes or less and had 11 items or fewer. Three tools were caregiver administered (completed independently by caregivers): Family Confusion Assessment Method (FAM-CAM), Informant Assessment of Geriatric Delirium (I-AGeD), and Sour Seven. Three tools were caregiver informed (administered by a healthcare professional using caregiver input): Single Question in Delirium (SQiD), Single Screening Question Delirium (SSQ-Delirium), and Stressful Caregiving Response to Experiences of Dying. Caregiver-administered tools had better psychometric properties (FAM-CAM sensitivity 75%, 95% confidence interval (CI)=35-95%, specificity 91%, 95% CI=74-97%; Sour Seven positive predictive value 89.5%, negative predictive value 90%) than caregiver-informed tools (SQiD: sensitivity 80%, 95% CI=28.4-99.5%; specificity 71%, 95% CI=41.9-91.6%; SSQ-Delirium sensitivity 79.6%, specificity 56.1%). Delirium detection is essential for appropriate delirium management

  18. A Center for Extraterrestrial Engineering and Construction (CETEC)

    NASA Technical Reports Server (NTRS)

    Leigh, Gerald G.

    1992-01-01

    A group of knowledgeable scientists and engineers in New Mexico has recognized the need for such a testing capability and has proposed a project to evelop an extraterrestrial surface simulation facility. A group of universities, national laboratories, and private industrial firms is proposing to establish a Center for Extraterrestrial Engineering and Construction (CETEC) and to develop large extraterrestrial surface simulation facilities in which this needed testing can be realistically performed. The CETEC is envisioned to be both a center of knowledge and data regarding engineering, construction, mining, and material process operations on extraterrestrial bodies and a set of extraterrestrial surface simulation facilities. The primary CETEC facility is proposed to be a large domed building made of steel reinforced concrete with more than one acre of test floor area covered with several feet of simulated lunar soil and dust. Various aspects of the project are presented in viewgraph form.

  19. College Psychotherapy at a Hong Kong Counseling Center

    ERIC Educational Resources Information Center

    Leung, Eugenie Y.

    2013-01-01

    This article presents an online interview about college psychotherapy at a Hong Kong counseling center. The interview discusses how students generally feel about going for counseling or therapy and how common it is in Hong Kong.

  20. Developing a clinical hypermedia corpus: experiences from the use of a practice-centered method.

    PubMed Central

    Timpka, T.; Nyce, J. M.; Sjöberg, C.; Hedblom, P.; Lindblom, P.

    1992-01-01

    This paper outlines a practice-centered method for creation of a hypermedia corpus. It also describes experiences with creating such a corpus of information to support interprofessional work at a Primary Healthcare Center. From these experiences, a number of basic issues regarding information systems development within medical informatics will be discussed. PMID:1482924

  1. Media and staff in the NASA News Center at Kennedy Space Center

    NASA Image and Video Library

    2007-06-22

    Media and staff in the NASA News Center at Kennedy Space Center applaud the successful landing of Atlantis, visible on the television screens, at NASA's Dryden Flight Research Center at Edwards Air Force Base in California. Returning from mission STS-117, Atlantis touched down on runway 22 at Edwards on orbit 219 after 13 days, 20 hours and 12 minutes in space. The landing was diverted to California due to marginal weather at the Kennedy Space Center. Main gear touchdown was at 3:49:38 p.m. EDT on runway 22. Nose gear touchdown was at 3:49:49 p.m. and wheel stop was at 3:50:48 p.m. This was the 51st landing for the Space Shuttle Program at Edwards Air Force Base. The mission to the International Space Station was a success, installing the S3/S4 truss. The returning crew of seven includes astronaut Sunita Williams, who was flight engineer on the Expedition 15 crew. She achieved a new milestone, a record-setting flight at 194 days, 18 hours and 58 minutes, the longest single spaceflight ever by a female astronaut or cosmonaut.

  2. Root canal centering ability of rotary cutting nickel titanium instruments: A meta-analysis

    PubMed Central

    Gundappa, Mohan; Bansal, Rashmi; Khoriya, Sarvesh; Mohan, Ranjana

    2014-01-01

    Aim: To systematically review articles on canal centering ability of endodontic rotary cutting Nickel-Titanium (Ni-Ti) instruments and subject results to meta-analysis. Materials and Methods: A comprehensive search was initiated on canal centering ability of different rotary cutting Ni-Ti files such as Protaper, Hero Shaper, K3, Mtwo, Race, Wave One by selecting articles published in peer reviewed journals during 1991-2013 using “Pub Med” database. Inclusion and exclusion criteria were established. A data was created by tabulating: Author name, publication year, sample size, number of experimental groups, methods to evaluate canal centering ability, instrument cross section, taper, tip design, rake angle, mean and standard deviation. The data generated was subjected to meta-analysis. Results: Maximum studies were found to be conducted on mesiobuccal canal of mandibular 1st molar with curvature ranging from 15-60°. The difference in canal centering ability of different rotary cutting Ni-Ti instruments was not statistically significant. Conclusion: All endodontic rotary cutting Ni-Ti instruments are capable of producing centered preparations. Protaper depicted the best centering ability. Computed tomography is an effective method of evaluating canal centering ability. PMID:25506134

  3. Symptomatic improvement reported after receiving Reiki at a cancer infusion center.

    PubMed

    Marcus, Dawn A; Blazek-O'Neill, Betsy; Kopar, Jennifer L

    2013-03-01

    To evaluate patient-perceived benefits from receiving Reiki at a cancer infusion center. During a 6-month period, adults at a university hospital receiving Reiki through volunteer services were invited to complete a survey asking about perceived changes after Reiki. Changes in pain, mood, distress, sleep, and appetite were rated on a 5-point scale from no benefit to great benefit. Surveys were distributed after completing treatment and were returned in postage-paid envelops. A total of 145 surveys were completed (34.5% response rate), with 47 participants seen in the cancer infusion center and 98 in other areas of the hospital. Reiki was rated as a positive experience by 94% at the cancer center and 93% of others, with 92% at the cancer center and 86% of others interested in receiving additional Reiki sessions. Symptomatic improvement was similar for people at the cancer center and others, respectively, with much to great improvement for 89% and 86% for relaxation, 75% and 75% for anxiety/worry, 81% and 78% for improved mood, 43% and 35% for improved sleep, 45% and 49% for reduced pain, 38% and 43% for reduced isolation/loneliness, 75% and 63% for improved attitude, and 30% and 30% for improved appetite. Response was unaffected by previous exposure to Reiki, massage, or other touch therapy. Reiki results in a broad range of symptomatic benefits, including improvements in common cancer-related symptoms.

  4. Person-Centered, Skilled Services Using a Montessori Approach for Persons with Dementia.

    PubMed

    Douglas, Natalie; Brush, Jennifer; Bourgeois, Michelle

    2018-07-01

    The current mandate for person-centered care throughout the health care system, and especially in the nursing home industry, requires that speech-language pathologists ensure that the services they provide to elders with dementia are skilled, person centered, and relevant to positive overall health outcomes. Guidelines developed by the Association Montessori International Advisory Board for Montessori for Aging and Dementia are one avenue toward such skilled and person-centered services. The purpose of this article is to provide clinicians with practical strategies for guiding their assessment, goal writing, and intervention plans to meet the expectations of a person-centered approach to services for elders with dementia, using the Montessori approach as a philosophical guide. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  5. Gravitational lensing by a massive black hole at the Galactic center

    NASA Technical Reports Server (NTRS)

    Wardle, Mark; Yusef-Zadeh, Farhad

    1992-01-01

    The manifestations of gravitational lensing by a massive black hole at the Galactic center, with particular attention given to lensing of stars in the stellar cluster that lie behind Sgr A*, and of Sgr A east, a nonthermal extended radio source which is known with certainty to lie behind the Galactic center. Lensing of the stellar cluster produces a deficit of stellar images within 10 mas of the center, and a surplus between 30 and 300 mas. The results suggest that the proper motion of the stars will produce brightness variations of stellar images on a time scale of a few years or less. Both images of such a source should be visible, and will rise and fall in luminosity together.

  6. Voice Over Internet Protocol (VoIP) in a Control Center Environment

    NASA Technical Reports Server (NTRS)

    Pirani, Joseph; Calvelage, Steven

    2010-01-01

    The technology of transmitting voice over data networks has been available for over 10 years. Mass market VoIP services for consumers to make and receive standard telephone calls over broadband Internet networks have grown in the last 5 years. While operational costs are less with VoIP implementations as opposed to time division multiplexing (TDM) based voice switches, is it still advantageous to convert a mission control center s voice system to this newer technology? Marshall Space Flight Center (MSFC) Huntsville Operations Support Center (HOSC) has converted its mission voice services to a commercial product that utilizes VoIP technology. Results from this testing, design, and installation have shown unique considerations that must be addressed before user operations. There are many factors to consider for a control center voice design. Technology advantages and disadvantages were investigated as they refer to cost. There were integration concerns which could lead to complex failure scenarios but simpler integration for the mission infrastructure. MSFC HOSC will benefit from this voice conversion with less product replacement cost, less operations cost and a more integrated mission services environment.

  7. Abnormal Grief: Should We Consider a More Patient-Centered Approach?

    PubMed

    Moayedoddin, Babak; Markowitz, John C

    2015-01-01

    Grief, the psychological reaction to the loss of a significant other, varies complexly in its cause, experience, evolution, and prognosis. Although most bereaved individuals experience a normal grieving process, some develop complicated grief (CG) or major depressive disorder (MDD). The DSM-5, which controversially altered the nosology, recognizes grief-related major depression (GRMD) as a diagnostic subtype if a patient meets MDD criteria two weeks post bereavement. The (DSM-5) tries to distinguish between grief and MDD, but remains a symptom-based, centered approach to grief that is not patient centered. This article reviews grief in its normal and abnormal dimensions. Using an illustrative clinical case in which interpersonal psychotherapy (IPT) was employed, we discuss the need for a more patient-centered approach to treating abnormal grief, considering the patient's personal history, perceptions, experiences of bereavement, and interpersonal environment. Clinical studies need to better identify subgroups of individuals susceptible to abnormal grief and to evaluate their response to early interventions.

  8. Management System Design for a Learner Centered School.

    ERIC Educational Resources Information Center

    Wagner, Kathleen

    2000-01-01

    Examines how a learner-centered Montessori school in Toronto, Ontario, defines, specifies, and implements its management decision-support system. Findings indicate a tightly integrated management system comprised of a few student-focused decision-support elements. Identifies relationships, resources, and particular organizational arrangements as…

  9. Sustaining and Expanding Telehealth: A Survey of Business Models from Selected Prominent U.S. Telehealth Centers.

    PubMed

    Effertz, Glen; Alverson, Dale C; Dion, Denise; Duffy, Veronica; Noon, Charles; Langell, Kevin; Antoniotti, Nina; Lowery, Curtis

    2017-02-01

    Telehealth centers across the country, including our own center, are addressing sustainability and best practice business models. We undertook this survey to explore the business models being used at other established telehealth centers. In the literature on telehealth and sustainability, there is a paucity of comparative studies as to how successful telehealth centers function. In this study, we compared the business models of 10 successful telehealth centers. We conducted the study by interviewing key individuals at the centers, either through teleconference or telephone. We found that there are five general approaches to sustaining a telehealth center: grants, telehealth network membership fees, income from providing clinical services, per encounter charges, and operating as a cost center. We also found that most centers use more than one approach. We concluded that, although the first four approaches can contribute to the success of a center, telehealth centers are and should remain cost centers for their respective institutions.

  10. Breast reconstruction after mastectomy at a comprehensive cancer center.

    PubMed

    Connors, Shahnjayla K; Goodman, Melody S; Myckatyn, Terence; Margenthaler, Julie; Gehlert, Sarah

    2016-01-01

    Breast reconstruction after mastectomy is an integral part of breast cancer treatment that positively impacts quality of life in breast cancer survivors. Although breast reconstruction rates have increased over time, African American women remain less likely to receive breast reconstruction compared to Caucasian women. National Cancer Institute-designated Comprehensive Cancer Centers, specialized institutions with more standardized models of cancer treatment, report higher breast reconstruction rates than primary healthcare facilities. Whether breast reconstruction disparities are reduced for women treated at comprehensive cancer centers is unclear. The purpose of this study was to further investigate breast reconstruction rates and determinants at a comprehensive cancer center in St. Louis, Missouri. Sociodemographic and clinical data were obtained for women who received mastectomy for definitive surgical treatment for breast cancer between 2000 and 2012. Logistic regression was used to identify factors associated with the receipt of breast reconstruction. We found a breast reconstruction rate of 54 % for the study sample. Women who were aged 55 and older, had public insurance, received unilateral mastectomy, and received adjuvant radiation therapy were significantly less likely to receive breast reconstruction. African American women were 30 % less likely to receive breast reconstruction than Caucasian women. These findings suggest that racial disparities in breast reconstruction persist in comprehensive cancer centers. Future research should further delineate the determinants of breast reconstruction disparities across various types of healthcare institutions. Only then can we develop interventions to ensure all eligible women have access to breast reconstruction and the improved quality of life it affords breast cancer survivors.

  11. 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.

  12. CALCOM: a software for calculating the center of mass of proteins.

    PubMed

    Costantini, Susan; Paladino, Antonella; Facchiano, Angelo M

    2008-02-09

    The center of mass of a protein is an artificial point useful for detecting important and simple features of proteins structure, shape and association.CALCOM is a software which calculates the center of mass of a protein, starting from PDB protein structure files. In the case of protein complexes and of protein-small ligand complexes, the position of protein residues or of ligand atoms respect to each protein subunit can be evaluated, as well as the distance among the center of mass of the protein subunits, in order to compare different conformations and evaluate the relative motion of subunits. THE SERVICE IS AVAILABLE AT THE URL: http://bioinformatica.isa.cnr.it/CALCOM/.

  13. The SPHERE Data Center: a reference for high contrast imaging processing

    NASA Astrophysics Data System (ADS)

    Delorme, P.; Meunier, N.; Albert, D.; Lagadec, E.; Le Coroller, H.; Galicher, R.; Mouillet, D.; Boccaletti, A.; Mesa, D.; Meunier, J.-C.; Beuzit, J.-L.; Lagrange, A.-M.; Chauvin, G.; Sapone, A.; Langlois, M.; Maire, A.-L.; Montargès, M.; Gratton, R.; Vigan, A.; Surace, C.

    2017-12-01

    The objective of the SPHERE Data Center is to optimize the scientific return of SPHERE at the VLT, by providing optimized reduction procedures, services to users and publicly available reduced data. This paper describes our motivation, the implementation of the service (partners, infrastructure and developments), services, description of the on-line data, and future developments. The SPHERE Data Center is operational and has already provided reduced data with a good reactivity to many observers. The first public reduced data have been made available in 2017. The SPHERE Data Center is gathering a strong expertise on SPHERE data and is in a very good position to propose new reduced data in the future, as well as improved reduction procedures.

  14. 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

  15. 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…

  16. The status of pediatric cardiology at a tertiary center in Lebanon.

    PubMed

    Arabi, Mariam; Majdalani, Marianne; El Hajj, Maria Atoui; Nemer, Georges; Sawaya, Fadi; Obeid, Mounir; Bitar, Fadi F

    2011-01-01

    Cardiac disease, both congenital and acquired, contributes significantly to morbidity and mortality in children. This article describes the status of pediatric cardiology at the Children's Heart Center in the American University of Beirut Medical Center. It addresses the available clinical services as well as the research and educational activities that are present at a tertiary center in Lebanon, a developing country with a population of 4 million. Lebanon has witnessed major developments in the field of pediatric cardiology over the past few years. About 650 babies are born with heart disease every year, with more than 425 needing treatment. Nearly all types of interventional catheterization procedures are currently being performed. About 300 open and closed pediatric cardiac surgeries are performed per year in Lebanon. In 2008, the in-hospital surgical mortality rate at our center was 2.6%, reflecting the good level of care in the treatment of children with congenital heart disease (CHD) in Lebanon. Basic research in the field of pediatric cardiology is emerging at our center. Our team has been studying the effect of chronic hypoxemia on the neonatal myocardium in an animal model of chronic hypoxia, as well as the study of molecular basis of CHD. Appropriate identification of cardiac disease, its epidemiology, and outcome is of utmost importance in guiding adequate care. Centralization of facilities is important to improve results and level of care.

  17. Growth of Integrative Medicine at Leading Cancer Centers Between 2009 and 2016: A Systematic Analysis of NCI-Designated Comprehensive Cancer Center Websites.

    PubMed

    Yun, Hyeongjun; Sun, Lingyun; Mao, Jun J

    2017-11-01

    Cancer centers have increasingly offered integrative medicine therapies in response to their patients' unmet needs. We evaluated the growth of integrative medicine in leading academic cancer centers in the United States as reflected by their public-facing websites. We performed a systematic review of 45 National Cancer Institute (NCI)-designated comprehensive cancer center websites. Two researchers independently evaluated whether the websites provided information regarding integrative medicine modalities and, if so, whether the services were provided in the same health system. They compared the proportion of cancer centers providing the information on each modality in 2016 with the data from the prior study in 2009. The most common integrative medicine therapies mentioned on the 45 NCI-designated comprehensive cancer center websites were exercise (97.8%) and acupuncture and meditation (88.9% each), followed by yoga (86.7%), massage (84.4%), and music therapy (82.2%). The majority of the websites also provided information on nutrition (95.6%), dietary supplements (93.3%), and herbs (88.9%). The most common therapies offered in the health systems were acupuncture/massage (73.3% each), meditation/yoga (68.9% each), and consultations about nutrition (91.1%), dietary supplements (84.4%), and herbs (66.7%). Compared with 2009, there was a statistically significant increase in the number of websites mentioning acupuncture, dance therapy, healing touch, hypnosis, massage, meditation, Qigong, and yoga (all P < .05). Leading US cancer centers increasingly present integrative medicine content on their websites, and the majority of them provide these services to patients in the same health systems. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  18. Family-Centered Service Delivery.

    ERIC Educational Resources Information Center

    Higgins, Cindy, Ed.

    1997-01-01

    This theme issue focuses on family-centered practices and policies for service delivery. The first article, "Family-Centered Service Delivery," reports on a study of 130 published sources in education, social work, nursing, psychology, occupational therapy, and related disciplines, which found that the key components of family-centered…

  19. 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.

  20. A Survey of Invasive Catheter Practices in US Burn Centers

    DTIC Science & Technology

    2012-12-01

    exist. The purpose of this study was to define the breadth of current practices and identify areas of practice variation that may be targets for...Centers Robert L . Sheridan, MD,*|| Alice N. Neely, PhD,† Mayra A. Castillo, RN, BS,‡ Heather A. Shankowsky, RN,§ Shawn P. Fagan, MD,*|| Kevin K. Chung, MD...Practices in US Burn Centers 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Sheridan R. L ., Neely A. N., Castillo M. A

  1. 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.

  2. Breastfeeding trends at a Community Breastfeeding Center: an evaluative survey.

    PubMed

    Adams, C; Berger, R; Conning, P; Cruikshank, L; Doré, K

    2001-01-01

    To evaluate the Community Breastfeeding Center's (CBC) impact on clients' breastfeeding experiences. Retrospective survey; participants were mailed a questionnaire. A hospital-based drop-in center operated jointly by the Wellington-Dufferin-Guelph Health Unit and Headwaters Health Care Center and offering professional breastfeeding support and peer interaction. The 164 mothers of singleton births, both inpatients and community clients, who attended the CBC during a 10-month period in 1996-1997 and completed a survey. A mailed survey with forced-choice and open-ended questions. Of the respondents, 90.9% rated their overall CBC experience as excellent or good. Seventy-three percent of respondents breastfed for 4 months or longer. Primiparae and mothers of preterm infants tended to visit the CBC more frequently, while achieving duration rates similar to other subgroups. Returning to work was the reason most frequently cited for stopping breastfeeding (35%). The CBC is an effective community support strategy to lengthen breastfeeding duration and enhance clients' satisfaction with their breastfeeding experience.

  3. A Center on Effective Secondary Schools. Final Report of Planning Grant.

    ERIC Educational Resources Information Center

    Newmann, Fred M.; Smith, Marshall S.

    Work being conducted by the Wisconsin Center for Education Research on the topic of effective secondary schools is described. The first section of this paper contains a summary of planning activities. A 5-year proposal for the Center on Effective Secondary Schools is described as well as an evaluation of that proposal. The second section presents…

  4. 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

  5. The official websites of blood centers in China: A nationwide cross-sectional study.

    PubMed

    Hu, Huiying; Wang, Jing; Zhu, Ming

    2017-01-01

    Blood collection agencies worldwide are facing ongoing and increasing medical demands for blood products. Many potential donors would search related information online before making decision of whether or not to donate blood. However, there is little knowledge of the online information and services provided by blood centers in China, despite the constantly increase of internet users. Our research investigates the number of blood centers' official websites and their quality, and highlights the deficiencies that required future advances. Identified official websites of blood centers were scored using a newly developed evaluation instrument with 42 items concerning technical aspects, information quality, information comprehensiveness and interactive services. Scores of websites were compared between blood centers with different level (provincial vs. regional blood centers) and location (blood centers located in economically developed vs. developing region). For the 253 working official websites all the 350 blood centers in China, and the mean overall score of websites was 24.7 out of 42. 79.1% websites were rated as fair (50-75% of maximum), 5.5% as good (≥75% of maximum) and 15.4% as poor(25-50% of maximum;). Websites got very low sub-scores in information quality (mean = 3.8; range 1-8; maximum = 9) and interactive services (3.3; 0-10; 10). Higher proportions of provincial (vs. regional) blood centers and economically developed (vs. developing) blood centers had official websites (p = 0.044 and p = 0.001; respectively) with better overall quality (p<0.001 and p <0.01) and better sub-scores (in all of the four sections and in technical aspects and information quality). Website overall scores was positively correlated with the number of people served by each blood center (p< 0.001) and the donation rate of each province (p = 0.046). This study suggests there is a need to further develop and improve official websites in China, especially for regional and inland blood

  6. A Learner-Centered Molecular Modeling Exercise for Allied Health Majors in a Biochemistry Class

    ERIC Educational Resources Information Center

    Fletcher, Terace M.; Ershler, Jeff

    2014-01-01

    Learner-centered molecular modeling exercises in college science courses can be especially challenging for nonchemistry majors as students typically have a higher degree of anxiety and may not appreciate the relevance of the work. This article describes a learner-centered project given to allied health majors in a Biochemistry course. The project…

  7. A Black Hole in Our Galactic Center

    ERIC Educational Resources Information Center

    Ruiz, Michael J.

    2008-01-01

    An introductory approach to black holes is presented along with astronomical observational data pertaining to the presence of a supermassive black hole at the center of our galaxy. Concepts of conservation of energy and Kepler's third law are employed so students can apply formulas from their physics class to determine the mass of the black hole…

  8. MARS Mission research center

    NASA Technical Reports Server (NTRS)

    1991-01-01

    The Mars Mission Research Center (M2RC) is one of nine University Space Engineering Research Centers established by NASA in June 1988. It is a cooperative effort between NCSU and A&T in Greensboro. The goal of the Center is to focus on research and educational technologies for planetary exploration with particular emphasis on Mars. The research combines Mission Analysis and Design, Hypersonic Aerodynamics and Propulsion, Structures and Controls, Composite Materials, and Fabrication Methods in a cross-disciplined program directed towards the development of space transportation systems for lunar and planetary travel. The activities of the students and faculty in the M2RC for the period 1 Jul. 1990 to 30 Jun. 1991 are described.

  9. The USC Epigenome Center.

    PubMed

    Laird, Peter W

    2009-10-01

    The University of Southern California (USC, CA, USA) has a long tradition of excellence in epigenetics. With the recent explosive growth and technological maturation of the field of epigenetics, it became clear that a dedicated high-throughput epigenomic data production facility would be needed to remain at the forefront of epigenetic research. To address this need, USC launched the USC Epigenome Center as the first large-scale center in academics dedicated to epigenomic research. The Center is providing high-throughput data production for large-scale genomic and epigenomic studies, and developing novel analysis tools for epigenomic research. This unique facility promises to be a valuable resource for multidisciplinary research, education and training in genomics, epigenomics, bioinformatics, and translational medicine.

  10. Romanian Data Center: A modern way for seismic monitoring

    NASA Astrophysics Data System (ADS)

    Neagoe, Cristian; Marius Manea, Liviu; Ionescu, Constantin

    2014-05-01

    The main seismic survey of Romania is performed by the National Institute for Earth Physics (NIEP) which operates a real-time digital seismic network. The NIEP real-time network currently consists of 102 stations and two seismic arrays equipped with different high quality digitizers (Kinemetrics K2, Quanterra Q330, Quanterra Q330HR, PS6-26, Basalt), broadband and short period seismometers (CMG3ESP, CMG40T, KS2000, KS54000, KS2000, CMG3T,STS2, SH-1, S13, Mark l4c, Ranger, gs21, Mark l22) and acceleration sensors (Episensor Kinemetrics). The data are transmitted at the National Data Center (NDC) and Eforie Nord (EFOR) Seismic Observatory. EFOR is the back-up for the NDC and also a monitoring center for the Black Sea tsunami events. NIEP is a data acquisition node for the seismic network of Moldova (FDSN code MD) composed of five seismic stations. NIEP has installed in the northern part of Bulgaria eight seismic stations equipped with broadband sensors and Episensors and nine accelerometers (Episensors) installed in nine districts along the Danube River. All the data are acquired at NIEP for Early Warning System and for primary estimation of the earthquake parameters. The real-time acquisition (RT) and data exchange is done by Antelope software and Seedlink (from Seiscomp3). The real-time data communication is ensured by different types of transmission: GPRS, satellite, radio, Internet and a dedicated line provided by a governmental network. For data processing and analysis at the two data centers Antelope 5.2 TM is being used running on 3 workstations: one from a CentOS platform and two on MacOS. Also a Seiscomp3 server stands as back-up for Antelope 5.2 Both acquisition and analysis of seismic data systems produce information about local and global parameters of earthquakes. In addition, Antelope is used for manual processing (event association, calculation of magnitude, creating a database, sending seismic bulletins, calculation of PGA and PGV, etc.), generating

  11. Building diversity in a complex academic health center.

    PubMed

    South-Paul, Jeannette E; Roth, Loren; Davis, Paula K; Chen, Terence; Roman, Anna; Murrell, Audrey; Pettigrew, Chenits; Castleberry-Singleton, Candi; Schuman, Joel

    2013-09-01

    For 30 years, the many diversity-related health sciences programs targeting the University of Pittsburgh undergraduate campus, school of medicine, schools of the health sciences, clinical practice plan, and medical center were run independently and remained separate within the academic health center (AHC). This lack of coordination hampered their overall effectiveness in promoting diversity and inclusion. In 2007, a group of faculty and administrators from the university and the medical center recognized the need to improve institutional diversity and to better address local health disparities. In this article, the authors describe the process of linking the efforts of these institutions in a way that would be successful locally and applicable to other academic environments. First, they engaged an independent consultant to conduct a study of the AHC's diversity climate, interviewing current and former faculty and trainees to define the problem and identify areas for improvement. Next, they created the Physician Inclusion Council to address the findings of this study and to coordinate future efforts with institutional leaders. Finally, they formed four working committees to address (1) communications and outreach, (2) cultural competency, (3) recruitment, and (4) mentoring and retention. These committees oversaw the strategic development and implementation of all diversity and inclusion efforts. Together these steps led to structural changes within the AHC and the improved allocation of resources that have positioned the University of Pittsburgh to achieve not only diversity but also inclusion and to continue to address the health disparities in the Pittsburgh community.

  12. 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...

  13. The Residential Conference Center as a Learning Sanctuary.

    ERIC Educational Resources Information Center

    Simpson, Edward G., Jr.

    1990-01-01

    Adult learning in residential conference centers is enhanced when a philosophical basis underlies their design. Six integrated elements for the development of learning sanctuaries are historical context, educational program, physical environment, support services, technology, and human resources. (SK)

  14. A cryptologic based trust center for medical images.

    PubMed

    Wong, S T

    1996-01-01

    To investigate practical solutions that can integrate cryptographic techniques and picture archiving and communication systems (PACS) to improve the security of medical images. The PACS at the University of California San Francisco Medical Center consolidate images and associated data from various scanners into a centralized data archive and transmit them to remote display stations for review and consultation purposes. The purpose of this study is to investigate the model of a digital trust center that integrates cryptographic algorithms and protocols seamlessly into such a digital radiology environment to improve the security of medical images. The timing performance of encryption, decryption, and transmission of the cryptographic protocols over 81 volumetric PACS datasets has been measured. Lossless data compression is also applied before the encryption. The transmission performance is measured against three types of networks of different bandwidths: narrow-band Integrated Services Digital Network, Ethernet, and OC-3c Asynchronous Transfer Mode. The proposed digital trust center provides a cryptosystem solution to protect the confidentiality and to determine the authenticity of digital images in hospitals. The results of this study indicate that diagnostic images such as x-rays and magnetic resonance images could be routinely encrypted in PACS. However, applying encryption in teleradiology and PACS is a tradeoff between communications performance and security measures. Many people are uncertain about how to integrate cryptographic algorithms coherently into existing operations of the clinical enterprise. This paper describes a centralized cryptosystem architecture to ensure image data authenticity in a digital radiology department. The system performance has been evaluated in a hospital-integrated PACS environment.

  15. Supervisors matter more than you think: components of a mission-centered organizational climate.

    PubMed

    Butcher, A H

    1994-01-01

    A study was conducted in a medical center among a diverse sample of employees to examine whether components of organizational climate related to workers' knowledge of the organization's mission and mission-centered values. Findings supported a mediated relationship between supervisor behaviors, mission knowledge, and customer service orientation (the organization's key mission value). Employee perceptions of coworker and organizational support and knowledge of their own performance expectations also related positively to customer service orientation. Results suggest that supervisors are in an ideal position to disseminate a mission-centered climate. Practical applications of these findings for management wishing to develop mission-centered climates in health care organizations are discussed.

  16. [Logistic and production process in a regional blood center: modeling and analysis].

    PubMed

    Baesler, Felipe; Martínez, Cristina; Yaksic, Eduardo; Herrera, Claudia

    2011-09-01

    The blood supply chain is a complex system that considers different interconnected elements that have to be synchronized correctly to satisfy in quality and quantity the final patient requirements. To determine the blood center maximum production capacity, as well as the determination of the necessary changes for a future production capacity expansion. This work was developed in the Blood Center of Concepción, Chile, operations management tools were applied to model it and to propose improvement alternatives for the production process. The use of simulation is highlighted, which permitted the replication of the center behavior and the evaluation of expansion alternatives. It is possible to absorb a 100% increment in blood demand, without making major changes or investments in the production process. Also it was possible to determine the subsequent steps in terms of investments in equipment and human resources for a future expansion of the center coverage. The techniques used to model the production process of the blood center of Concepción, Chile, allowed us to analyze how it operates, to detect "bottle necks", and to support the decision making process for a future expansion of its capacity.

  17. Clinical Diabetes Centers of Excellence: A Model for Future Adult Diabetes Care.

    PubMed

    Draznin, Boris; Kahn, Peter A; Wagner, Nicole; Hirsch, Irl B; Korytkowski, Mary; Harlan, David M; McDonnell, Marie E; Gabbay, Robert A

    2018-03-01

    Although diabetes research centers are well defined by National Institutes of Health, there is no clear definition for clinical Diabetes Centers of Excellence (DCOEs). There are multiple clinical diabetes centers across the United States, some established with philanthropic funding; however, it is not clear what defines a DCOE from a clinical perspective and what the future will be for these centers. In this Perspective we propose a framework to guide advancement for DCOEs. With the shift toward value-based purchasing and reimbursement and away from fee for service, defining the procedures for broader implementation of DCOEs as a way to improve population health and patient care experience (including quality and satisfaction) and reduce health care costs becomes critically important. It is prudent to implement new financial systems for compensating diabetes care that may not be provided by fiscally constrained private and academic medical centers. We envision that future clinical DCOEs would be composed of a well-defined infrastructure and six domains or pillars serving as the general guiding principles for developing expertise in diabetes care that can be readily demonstrated to stakeholders, including health care providers, patients, payers, and government agencies.

  18. The roles and functions of a lunar base Nuclear Technology Center

    NASA Astrophysics Data System (ADS)

    Buden, D.; Angelo, J. A., Jr.

    This paper describes the roles and functions of a special Nuclear Technology Center which is developed as an integral part of a permanent lunar base. Numerous contemporary studies clearly point out that nuclear energy technology will play a major role in any successful lunar/Mars initiative program and in the overall establishment of humanity's solar system civilization. The key role of nuclear energy in the providing power has been recognized. A Nuclear Technology Center developed as part of a permanent lunar base can also help bring about many other nuclear technology applications, such as producing radioisotopes for self-illumination, food preservation, waste sterilization, and medical treatment; providing thermal energy for mining, materials processing and agricultural; and as a source of emergency habitat power. Designing such a center will involve the deployment, operation, servicing and waste product management and disposal of megawatt class reactor power plants. This challenge must be met with a minimum of direct human support at the facility. Furthermore, to support the timely, efficient integration of this Nuclear Technology Center in the evolving lunar base infrastructure, an analog of such a facility will be needed here on Earth.

  19. Johnson Space Center

    NASA Astrophysics Data System (ADS)

    Murdin, P.

    2000-11-01

    The Johnson Space Center (JSC) in Houston is NASA's lead center for the space shuttle and the International Space Station programs and for biomedical research. Areas of study include Earth sciences and solar system exploration, astromaterials and space medicine. About 14 000 people, including 3000 civil servants, work at JSC....

  20. NASA propagation information center

    NASA Technical Reports Server (NTRS)

    Smith, Ernest K.; Flock, Warren L.

    1990-01-01

    The NASA Propagation Information Center became formally operational in July 1988. It is located in the Department of Electrical and Computer Engineering of the University of Colorado at Boulder. The center is several things: a communications medium for the propagation with the outside world, a mechanism for internal communication within the program, and an aid to management.

  1. NASA Propagation Information Center

    NASA Technical Reports Server (NTRS)

    Smith, Ernest K.; Flock, Warren L.

    1989-01-01

    The NASA Propagation Information Center became formally operational in July 1988. It is located in the Department of Electrical and Computer Engineering of the University of Colorado at Boulder. The Center is several things: a communications medium for the propagation with the outside world, a mechanism for internal communication within the program, and an aid to management.

  2. Evaluation of Participant Needs in a Regional Center for Security Studies

    ERIC Educational Resources Information Center

    Schmoker, Oliver E., III.

    2009-01-01

    This research study was implemented within the subject headquarters of a regional center, an organization responsible for security cooperation in Europe and Eurasia. The focus of the study was the center's program of security education. This program was designed to support evolving security objectives of foreign countries in order to increase the…

  3. 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.

  4. Renovating a 65-year-old performing arts center

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

    Gifford, R.S.

    This article describes the HVAC, electrical and lighting systems that were upgraded in the renovations to the Wang Center for the Performing Arts. The renovations and restorations involved a complete restoration to elaborate interior finishes and a comprehensive upgrade of antiquated core mechanical and electrical systems in a 65-year-old performing arts theater. A new thermal storage cooling system, a new electrical power distribution system, new lighting systems and a new fire protection system were accomplished simultaneously as the theater interior was completely refinished with meticulous detail. The project offered a rare opportunity to integrate current technology with what may atmore » first appear to be obsolete systems to enable the original architectural grandeur to be maintained, yet be fully functional to meet the demanding requirements of a modern performing arts center. It is an example of a successful project that was completed within a very aggressive construction schedule and within a controlled budget.« less

  5. 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...

  6. 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...

  7. 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...

  8. International Water Center

    NASA Astrophysics Data System (ADS)

    The urban district of Nancy and the Town of Nancy, France, have taken the initiative of creating an International Center of Water (Centre International de l'Eau à Nancy—NAN.C.I.E.) in association with two universities, six engineering colleges, the Research Centers of Nancy, the Rhine-Meuse Basin Agency, and the Chamber of Commerce and Industry. The aim of this center is to promote research and technology transfer in the areas of water and sanitation. In 1985 it will initiate a research program drawing on the experience of 350 researchers and engineers of various disciplines who have already been assigned to research in these fields. The research themes, the majority of which will be multidisciplinary, concern aspects of hygiene and health, the engineering of industrial processes, water resources, and the environment and agriculture. A specialist training program offering five types of training aimed at university graduates, graduates of engineering colleges, or experts, will start in October 1984.

  9. Synthesis centers as critical research infrastructure

    USGS Publications Warehouse

    Baron, Jill S.; Specht, Alison; Garnier, Eric; Bishop, Pamela; Campbell, C. Andrew; Davis, Frank W.; Fady, Bruno; Field, Dawn; Gross, Louis J.; Guru, Siddeswara M.; Halpern, Benjamin S; Hampton, Stephanie E.; Leavitt, Peter R.; Meagher, Thomas R.; Ometto, Jean; Parker, John N.; Price, Richard; Rawson, Casey H.; Rodrigo, Allen; Sheble, Laura A.; Winter, Marten

    2017-01-01

    Demand for the opportunity to participate in a synthesis-center activity has increased in the years since the US National Science Foundation (NSF)–funded National Center for Ecological Analysis and Synthesis (NCEAS) opened its doors in 1995 and as more scientists across a diversity of scientific disciplines have become aware of what synthesis centers provide. The NSF has funded four synthesis centers, and more than a dozen new synthesis centers have been established around the world, some following the NSF model and others following different models suited to their national funding environment (http://synthesis-consortium.org).Scientific synthesis integrates diverse data and knowledge to increase the scope and applicability of results and yield novel insights or explanations within and across disciplines (Pickett et al. 2007, Carpenter et al. 2009). The demand for synthesis comes from the pressing societal need to address grand challenges related to global change and other issues that cut across multiple societal sectors and disciplines and from recognition that substantial added scientific value can be achieved through the synthesis-based analysis of existing data. Demand also comes from groups of scientists who see exciting opportunities to generate new knowledge from interdisciplinary and transdisciplinary collaboration, often capitalizing on the increasingly large volume and variety of available data (Kelling et al. 2009, Bishop et al. 2014, Specht et al. 2015b). The ever-changing nature of societal challenges and the availability of data with which to address them suggest there will be an expanding need for synthesis.However, we are now entering a phase in which government support for some existing synthesis centers has ended or will be ending soon, forcing those centers to close or develop new operational models, approaches, and funding streams. We argue here that synthesis centers play such a unique role in science that continued long-term public

  10. Designing and implementing a parenting resource center for pregnant teens.

    PubMed

    Broussard, Anne B; Broussard, Brenda S

    2009-01-01

    The Resource Center for Young Parents-To-Be is a longstanding and successful grant-funded project that was initiated as a response to an identified community need. Senior-level baccalaureate nursing students and their maternity-nursing instructors are responsible for staffing the resource center's weekly sessions, which take place at a public school site for pregnant adolescents. Childbirth educators interested in working with this population could assist in replicating this exemplary clinical project in order to provide prenatal education to this vulnerable and hard-to-reach group.

  11. Spine surgery cost reduction at a specialized treatment center

    PubMed Central

    Viola, Dan Carai Maia; Lenza, Mario; de Almeida, Suze Luize Ferraz; dos Santos, Oscar Fernando Pavão; Cendoroglo, Miguel; Lottenberg, Claudio Luiz; Ferretti, Mario

    2013-01-01

    ABSTRACT Objective To compare the estimated cost of treatment of spinal disorders to those of this treatment in a specialized center. Methods An evaluation of average treatment costs of 399 patients referred by a Health Insurance Company for evaluation and treatment at the Spine Treatment Reference Center of Hospital Israelita Albert Einstein. All patients presented with an indication for surgical treatment before being referred for assessment. Of the total number of patients referred, only 54 underwent surgical treatment and 112 received a conservative treatment with motor physical therapy and acupuncture. The costs of both treatments were calculated based on a previously agreed table of values for reimbursement for each phase of treatment. Results Patients treated non-surgically had an average treatment cost of US$ 1,650.00, while patients treated surgically had an average cost of US$ 18,520.00. The total estimated cost of the cohort of patients treated was US$ 1,184,810.00, which represents a 158.5% decrease relative to the total cost projected for these same patients if the initial type of treatment indicated were performed. Conclusion Treatment carried out within a center specialized in treating spine pathologies has global costs lower than those regularly observed. PMID:23579752

  12. Production and Distribution Research Center

    DTIC Science & Technology

    1986-05-01

    Steel, Coca Cola , Standard Oil of Ohio, and Martin Marietta have been involved in joint research with members of the Center. The number of Faculty...permitted the establishment of the Center and supports its continuing development. The Center has also received research sponsorship from the Joint...published relating to results developed within the PDRC under Offce of Naval Research sponsorship . These reports are listed in Appendix A. Many of these

  13. 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

  14. Treatment Seeking and Ebola Community Care Centers in Sierra Leone: A Qualitative Study.

    PubMed

    Carter, Simone E; O'Reilly, Marion; Frith-Powell, Jack; Umar Kargbo, Alpha; Byrne, Daniel; Niederberger, Eva

    2017-01-01

    Ebola Treatment Units were able to provide only 60% of necessary treatment beds in Sierra Leone. As a result, the Government of Sierra Leone decided to construct Community Care Centers. These were intended to increase treatment-seeking behavior and reduce the community-level spread of Ebola by facilitating access to care closer to communities. Through qualitative data collection in 3 districts, this study seeks to understand the perceived impact that proximity to such Centers had on treatment-seeking behavior. Feedback from community members and Community Health Volunteers indicates that proximity to treatment reduced fears, especially those arising from the use of ambulances, lack of familiarity with medical Centers, and loss of contact with family members taken for treatment. Participants report that having a Center close to their home enables them to walk to treatment and witness survivors being discharged. Living close to Centers also enables communities to be involved in their design and daily operation, helping to build trust in them as acceptable treatment facilities. Further research is required to understand the appropriate design, operation, and epidemiological impact of Centers. Further investigation should incorporate the effect of an outbreak's severity and the stage (duration) of the outbreak on potential acceptance of Centers.

  15. Responsibility-Centered Management: A 10-Year Nursing Assessment.

    ERIC Educational Resources Information Center

    McBride, Angela Barron; Neiman, Sandra; Johnson, James

    2000-01-01

    Describes the implementation of responsibility-centered management, a decentralized model giving deans responsibility for expanding and using resources, at Indiana University's nursing school. Discusses how it led to creation of an information-rich environment, strategic decision making, and a performance-based reward structure. (SK)

  16. Dark state polarizing a nuclear spin in the vicinity of a nitrogen-vacancy center

    NASA Astrophysics Data System (ADS)

    Wang, Yang-Yang; Qiu, Jing; Chu, Ying-Qi; Zhang, Mei; Cai, Jianming; Ai, Qing; Deng, Fu-Guo

    2018-04-01

    The nuclear spin in the vicinity of a nitrogen-vacancy (NV) center possesses long coherence time and convenient manipulation assisted by the strong hyperfine interaction with the NV center. It is suggested for the subsequent quantum information storage and processing after appropriate initialization. However, current experimental schemes are either sensitive to the inclination and magnitude of the magnetic field or require thousands of repetitions to achieve successful realization. Here, we propose a method to polarize a 13C nuclear spin in the vicinity of an NV center via a dark state. We demonstrate theoretically and numerically that it is robust to polarize various nuclear spins with different hyperfine couplings and noise strengths.

  17. A Survey of Management Tasks Performed by Day Care Center Directors.

    ERIC Educational Resources Information Center

    Dent, Barbara

    The general problem addressed in this survey is the identification of the management training needs of day care center directors. A questionnaire was developed and mailed to 102 directors of full time, pre-school day care centers in Baltimore City. The directors' answers were tabulated and simple percentages were computed. Directors were asked to…

  18. 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...

  19. National Centers for Environmental Prediction

    Science.gov Websites

    Modeling Mesoscale Modeling Marine Modeling and Analysis Teams Climate Data Assimilation Ensembles and Post Weather Service National Centers for Environmental Prediction Environmental Modeling Center NOAA Center

  20. PACS strategy for imaging centers.

    PubMed

    Bedel, Victoria; Zdanowicz, Mark

    2004-01-01

    Picture archiving and communications systems (PACS) have been available in imaging centers for many years, but they often were less functional, were not well integrated into patient information systems, and lacked the network backbone to implement a system. As modalities are replaced and technology improves, the ability and time for an imaging center to acquire, integrate, and utilize PACS has arrived. However, each imaging center must determine why it should invest in PACS. A business plan is the fundamental need. Each imaging center must understand its target market, growth rate, and staffing plans. Additional considerations lie in current and future modality availability, the need for offsite delivery of images and reports, and the potential need for remote transmission of images. These issues must be identified and prioritized. A multidisciplinary team is essential. The most successful PACS implementation begins with complete involvement from all levels. The team should be comprised of people with complementary skills who are committed to a common purpose, set of performance goals, and approach for which they hold themselves mutually accountable. The team must jointly decide on the project's objectives. These objectives fall under 4 categories: clinical, service, financial, and performance. PACS must be considered a tool to help accomplish each objective. The imaging center must determine its top priorities, then translate them into a technology "wish list." The center can then list those pieces of technology that are most important and prioritize them. There are even more considerations for connecting multiple imaging centers. The team must create a comprehensive request for proposal (RFP) and determine the vendors that will receive the document. Once the RFP responses have been received and the vendor has been selected, an effective training plan must be executed. Training plans should be competency-based, ensuring comfort and competency among all staff. Upon