Science.gov

Sample records for access services department

  1. After-Hours Access to the Cleveland Clinic Foundation Library Services Department: An Examination of Services.

    ERIC Educational Resources Information Center

    Bouria, Deanne Daniels

    This study was launched to address concerns about the needs of after-hours users going unmet at the Cleveland (Ohio) Clinic Foundation Library Services Department. The collection itself is available for use on the premises by clinic employees 24 hours a day, but employees do not remain on site to provide assistance, materials may not be signed out…

  2. Differences in Access to Services in Rural Emergency Departments of Quebec and Ontario

    PubMed Central

    Archambault, Patrick; Audette, Louis David; Plant, Jeff; Bégin, François; Poitras, Julien

    2015-01-01

    Introduction Rural emergency departments (EDs) are important safety nets for the 20% of Canadians who live there. A serious problem in access to health care services in these regions has emerged. However, there are considerable geographic disparities in access to trauma center in Canada. The main objective of this project was to compare access to local 24/7 support services in rural EDs in Quebec and Ontario as well as distances to Levels 1 and 2 trauma centers. Materials and Methods Rural EDs were identified through the Canadian Healthcare Association's Guide to Canadian Healthcare Facilities. We selected hospitals with 24/7 ED physician coverage and hospitalization beds that were located in rural communities. There were 26 rural EDs in Quebec and 62 in Ontario meeting these criteria. Data were collected from ministries of health, local health authorities, and ED statistics. Fisher’s exact test, the t-test or Wilcoxon-Mann-Whitney test, were performed to compare rural EDs of Quebec and Ontario. Results All selected EDs of Quebec and Ontario agreed to participate in the study. The number of EDs visits was higher in Quebec than in Ontario (19 322 ± 6 275 vs 13 446 ± 8 056, p = 0.0013). There were no significant differences between Quebec and Ontario’s local population and small town population density. Quebec’s EDs have better access to advance imaging services such as CT scanner (77% vs 15%, p < .0001) and most the consultant support and ICU (92% vs 31%, p < .0001). Finally, more than 40% of rural EDs in Quebec and Ontario are more than 300 km away from Levels 1 and 2 trauma centers. Conclusions Considering that Canada has a Universal health care system, the discrepancies between Quebec and Ontario in access to support services are intriguing. A nationwide study is justified to address this issue. PMID:25874948

  3. Reference as an Access Service: Collaboration between Reference and Interlibrary Loan Departments

    ERIC Educational Resources Information Center

    Kern, M. Kathleen; Weible, Cherie L.

    2005-01-01

    Academic libraries increasingly rely on Interlibrary Loan (ILL) departments to obtain research materials. This adds to the workload of ILL at a time when many libraries are experiencing budget cuts and dwindling staff. Collaboration between ILL and Reference can assist ILL by providing searching expertise. Collaboration is facilitated by the…

  4. 45 CFR 152.22 - Access to services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS PRE-EXISTING CONDITION INSURANCE PLAN PROGRAM Benefits § 152.22 Access to services. (a) General rule. A PCIP may specify... reasonably available and accessible to its enrollees. (b) Emergency services. In the case of...

  5. The Future of Access Services: Should There Be One?

    ERIC Educational Resources Information Center

    Hersey, Denise P.

    2004-01-01

    The creation of "Access Services" departments in academic libraries did not translate into the creation or offering of new services for patrons. Instead, it was typically just the combination of three already existing departments. Recent changes and trends in Access Services, including new NCIP and ISO standards, an increase in the use of…

  6. 42 CFR 422.112 - Access to services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Access to services. 422.112 Section 422.112 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM (CONTINUED) MEDICARE ADVANTAGE PROGRAM Benefits and Beneficiary Protections § 422.112 Access to services. (a) Rules for...

  7. Moving beyond the Amalgam: Restructuring Access Services

    ERIC Educational Resources Information Center

    Austin, Brice

    2010-01-01

    At least since the early 1990s, academic libraries have been merging Circulation and various other related functions into a single department typically labeled "Access Services." In many cases, however, that merger has proven to be administrative rather than functional, with minimal integration of common workflows. This article describes a…

  8. Assessment and Evaluation Methods for Access Services

    ERIC Educational Resources Information Center

    Long, Dallas

    2014-01-01

    This article serves as a primer for assessment and evaluation design by describing the range of methods commonly employed in library settings. Quantitative methods, such as counting and benchmarking measures, are useful for investigating the internal operations of an access services department in order to identify workflow inefficiencies or…

  9. Database Access Integration Services (DAIS)

    SciTech Connect

    Mitchell, P. . Sensor and System Development Center); Nordell, D. )

    1992-12-01

    The Database Access Integration Services (DAIS) is a collection of services that facilitate access to data among diverse data systems in an electric utility communications network. DAIS provides access to data in distributed, heterogeneous data systems that include relational database management systems, other database management systems, control systems, file systems, and application systems. It also provides a common method for describing data, common data access operations and essential support services including a data dictionary, a data directory and distributed data access management capabilities. The DAIS project has developed specifications intended for vendor and third-party implementation. The software developed is only to implement a data access integration demonstration. These specifications can serve as a basis for influencing industry standards development. One important consequence of this strategy is that most actual software development will be performed by vendors, not utilities. DAIS is a tool to support data access. It is policy neutral regarding issues such as local or central administration of data or standardization of information model contents (e.g., EPRI Plant Information Network). As a tool, it can be used to help realize such policies. The DAIS does not provide data storage facilities, schema integration, distributed query processing, distributed applications or cooperative processing. Rather, DAIS is complementary to these functions and can be used with other software that does provide these functions. This project documented the requirements for the DAIS. These requirements are the basis for design of the DAIS specifications. The key requirements for a DAIS are: Uniform access to heterogeneous utility data systems, remote update; coexistence with local data systems; local autonomy ; Security and access restriction enforcement; OSI compatibility; open architecture and extensibility; and operating platform independence.

  10. 28 CFR 115.182 - Access to emergency medical services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Access to emergency medical services. 115.182 Section 115.182 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Lockups Medical and Mental Care § 115.182 Access to...

  11. 28 CFR 115.182 - Access to emergency medical services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Access to emergency medical services. 115.182 Section 115.182 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Lockups Medical and Mental Care § 115.182 Access to...

  12. 28 CFR 115.182 - Access to emergency medical services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Access to emergency medical services. 115.182 Section 115.182 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Lockups Medical and Mental Care § 115.182 Access to...

  13. Data access service of China-VO

    NASA Astrophysics Data System (ADS)

    Sang, Jian; Zhao, Yong-Heng; Cui, Chen-Zhou

    2004-09-01

    With the development of technologies and the implementation of large quantity of astronomical observation projects, astronomy faces data avalanche and has entered an information era. A basic aim of the Virtual Observatory is to provide uniform access to highly distributed, complicated, huge astronomical datasets, and to realize federation of global astronomical data resources, so that astronomers can obtain required data efficiently and conveniently for their research. China Virtual Observatory (China-VO) project designs and implements astronomical data access services based on Grid technology, and provides uniform interface to Grid client application. In this paper, we introduce the data access service toolkit development using Globus Toolkit, the Grid services encapsulation of catalogs according to the latest astronomical data standards recommended by International Virtual Observatory Alliance, the implements of catalog Cone Search access service. Furthermore, we also introduce how to construct other Grid services using above data access services.

  14. Local Health Department Activities to Ensure Access to Care

    PubMed Central

    Luo, Huabin; Sotnikov, Sergey; Shah, Gulzar

    2016-01-01

    Background Local health departments (LHDs) can play an important role in linking people to personal health services and ensuring the provision of health care when it is otherwise unavailable. However, the extent to which LHDs are involved in ensuring access to health care in its jurisdictions is not well known. Purpose To provide nationally representative estimates of LHD involvement in specific activities to ensure access to healthcare services and to assess their association with macro-environment/community and LHD capacity and process characteristics. Methods Data used were from the 2010 National Profile of Local Health Departments Study, Area Resource Files, and the Association of State and Territorial Health Officials’ 2010 Profile of State Public Health Agencies Survey. Data were analyzed in 2012. Results Approximately 66.0% of LHDs conducted activities to ensure access to medical care, 45.9% to dental care, and 32.0% to behavioral health care. About 28% of LHDs had not conducted activities to ensure access to health care in their jurisdictions in 2010. LHDs with higher per capita expenditures and larger jurisdiction population sizes were more likely to provide access to care services (p <0.05). Conclusions There is substantial variation in LHD engagement in activities to ensure access to care. Differences in LHD capacity and the needs of the communities in which they are located may account for this variation. Further research is needed to determine whether this variation is associated with adverse population health outcomes. PMID:24237913

  15. Communication Access to Health and Social Services

    ERIC Educational Resources Information Center

    Parr, Susie; Pound, Carole; Hewitt, Alan

    2006-01-01

    This article describes the efforts of a group of people in the United Kingdom at Connect-the communication disability network-to make health and social services more communicatively accessible to people with aphasia. The project involved listening to people with aphasia talk about their experiences with health and social care services and working…

  16. Transparent data service with multiple wireless access

    NASA Technical Reports Server (NTRS)

    Dean, Richard A.; Levesque, Allen H.

    1993-01-01

    The rapid introduction of digital wireless networks is an important part of the emerging digital communications scene. The introduction of Digital Cellular, LEO and GEO Satellites, and Personal Communications Services poses both a challenge and an opportunity for the data user. On the one hand wireless access will introduce significant new portable data services such as personal notebooks, paging, E-mail, and fax that will put the information age in the user's pocket. On the other hand the challenge of creating a seamless and transparent environment for the user in multiple access environments and across multiple network connections is formidable. A summary of the issues associated with developing techniques and standards that can support transparent and seamless data services is presented. The introduction of data services into the radio world represents a unique mix of RF channel problems, data protocol issues, and network issues. These problems require that experts from each of these disciplines fuse the individual technologies to support these services.

  17. Interoperable Data Access Services for NOAA IOOS

    NASA Astrophysics Data System (ADS)

    de La Beaujardiere, J.

    2008-12-01

    The Integrated Ocean Observing System (IOOS) is intended to enhance our ability to collect, deliver, and use ocean information. The goal is to support research and decision-making by providing data on our open oceans, coastal waters, and Great Lakes in the formats, rates, and scales required by scientists, managers, businesses, governments, and the public. The US National Oceanic and Atmospheric Administration (NOAA) is the lead agency for IOOS. NOAA's IOOS office supports the development of regional coastal observing capability and promotes data management efforts to increase data accessibility. Geospatial web services have been established at NOAA data providers including the National Data Buoy Center (NDBC), the Center for Operational Oceanographic Products and Services (CO-OPS), and CoastWatch, and at regional data provider sites. Services established include Open-source Project for a Network Data Access Protocol (OpenDAP), Open Geospatial Consortium (OGC) Sensor Observation Service (SOS), and OGC Web Coverage Service (WCS). These services provide integrated access to data holdings that have been aggregated at each center from multiple sources. We wish to collaborate with other groups to improve our service offerings to maximize interoperability and enhance cross-provider data integration, and to share common service components such as registries, catalogs, data conversion, and gateways. This paper will discuss the current status of NOAA's IOOS efforts and possible next steps.

  18. Leveraging Resources to Create Comprehensive Access Services

    ERIC Educational Resources Information Center

    Boisvert, Pamela K.

    2007-01-01

    The Colleges of Worcester Consortium has created a broad array of statewide, higher education access services over several decades by leveraging federal, state, local, and foundation resources. The consortium comprises thirteen diverse colleges and universities in central Massachusetts and is a nonprofit regional association of these institutions:…

  19. Access to Service: Rural and Remote Communities.

    ERIC Educational Resources Information Center

    Knight, Robert

    This paper discusses public library services to remote communities in Australia, focusing on New South Wales (NSW). The first section presents background on the public library network in NSW, including statistics, descriptors/characteristics of public libraries, and funding to establish public Internet access. The second section addresses regional…

  20. Barriers to Accessing Services for Young Children

    ERIC Educational Resources Information Center

    Williams, Marian E.; Perrigo, Judith L.; Banda, Tanya Y.; Matic, Tamara; Goldfarb, Fran D.

    2013-01-01

    This study investigates barriers to accessing services for children under age 3 presenting with language delays and behavioral difficulties, including language barriers for Spanish-speaking families. Using a telephone script, researchers called 30 agencies in Los Angeles County, including regional centers (the state network of Part C agencies for…

  1. 47 CFR 54.807 - Interstate access universal service support.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 3 2013-10-01 2013-10-01 false Interstate access universal service support. 54... SERVICES (CONTINUED) UNIVERSAL SERVICE Interstate Access Universal Service Support Mechanism § 54.807 Interstate access universal service support. (a) Each Eligible Telecommunications Carrier (ETC) that...

  2. 47 CFR 54.807 - Interstate access universal service support.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 3 2011-10-01 2011-10-01 false Interstate access universal service support. 54... SERVICES (CONTINUED) UNIVERSAL SERVICE Interstate Access Universal Service Support Mechanism § 54.807 Interstate access universal service support. (a) Each Eligible Telecommunications Carrier (ETC) that...

  3. 47 CFR 54.807 - Interstate access universal service support.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 3 2014-10-01 2014-10-01 false Interstate access universal service support. 54.807 Section 54.807 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) UNIVERSAL SERVICE Interstate Access Universal Service Support Mechanism § 54.807 Interstate access universal service support....

  4. 47 CFR 54.807 - Interstate access universal service support.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 3 2012-10-01 2012-10-01 false Interstate access universal service support. 54... SERVICES (CONTINUED) UNIVERSAL SERVICE Interstate Access Universal Service Support Mechanism § 54.807 Interstate access universal service support. (a) Each Eligible Telecommunications Carrier (ETC) that...

  5. 47 CFR 54.807 - Interstate access universal service support.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Interstate access universal service support. 54... SERVICES (CONTINUED) UNIVERSAL SERVICE Interstate Access Universal Service Support Mechanism § 54.807 Interstate access universal service support. (a) Each Eligible Telecommunications Carrier (ETC) that...

  6. Unifying access to services: ESO's user portal

    NASA Astrophysics Data System (ADS)

    Chavan, A. M.; Tacconi-Garman, L. E.; Peron, M.; Sogni, F.; Canavan, T.; Nass, P.

    2006-06-01

    The European Southern Observatory (ESO) is in the process of creating a central access point for all services offered to its user community via the Web. That gateway, called the User Portal, will provide registered users with a personalized set of service access points, the actual set depending on each user's privileges. Correspondence between users and ESO will take place by way of "profiles", that is, contact information. Each user may have several active profiles, so that an investigator may choose, for instance, whether their data should be delivered to their own address or to a collaborator. To application developers, the portal will offer authentication and authorization services, either via database queries or an LDAP server. The User Portal is being developed as a Web application using Java-based technology, including servlets and JSPs.

  7. 42 CFR 422.114 - Access to services under an MA private fee-for-service plan.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Access to services under an MA private fee-for-service plan. 422.114 Section 422.114 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM MEDICARE ADVANTAGE PROGRAM Benefits...

  8. Department of Health and Human Services

    MedlinePlus

    ... content HHS .gov Search U.S. Department of Health & Human Services Search Close A-Z Index About HHS ... Start Standards The U.S. Department of Health and Human Services announced new standards to further strengthen the ...

  9. Improving service accessibility in service-oriented HIS.

    PubMed

    Babamir, Seyed Morteza; Arabfard, Masoud

    2012-12-01

    Nowadays, new trend in design and implementation of Hospital Information System (HIS) is towards using Web-based Service-Oriented Architecture (SOA). However, the standard SOA includes an insensitive service store through which the accessibility of some hospital services becomes difficult when their specification or network address are changed or missed. This paper discusses problems of insensitive service store and then presents a model where a sensitive service store is used to mitigate the problems. To show the efficiency of the proposed model, HIS of the Shahid Beheshti Hospital of Kashan including information systems of Admission, Outpatient, Ward, Pharmacy, Medical Document, Discharge and Insurance was designed and implemented with sensitive service store and its performance was considered. PMID:22898904

  10. Streamlining Data Access Services and Data Analysis Services Integration

    NASA Astrophysics Data System (ADS)

    Del Rio, N.; Pennington, D. D.; Pinheiro da Silva, P.; Benedict, K. K.

    2012-12-01

    There are few data analysis services capable of understanding and consuming data coming from multiple data access services. This lack of interoperability between data access services and data analysis services is indeed a major roadblock for science because it prevents the reuse and repurposing of both data and analytical software to support new scientific discoveries. In this presentation, we discuss this problem in light of the Earth, Life, and Semantic Web (ELSEWEB) project funded through NASA's ACCESS Program. The project uses the University of Kansas' Lifemapper system as its analytical Web Service platform, which models potential future species distributions under scenarios of climate change. In an effort to broaden the range of scenarios to include land cover/land use change, ELSEWEB aims to streamline the flow of highly heterogeneous geographic, social, and geological data hosted at UNM's Earth Data Analysis Center (EDAC) through a collection of OGC Web Coverage Services into Lifemapper. In turn, this integration will enable new modeling of complex factors associated with biotic change such as health and infectious disease, that depend not only on climate change and species distributions, but also on other human/environmental interactions. In this presentation we discuss the integration of Lifemapper and EDAC data and model services, provided by a third party semantic system, known as VisKo, that (1) translates Lifemapper data requirements to EDAC service invocations and (2) pipes the data output from EDAC into Lifemapper. VisKo is supported by a knowledge base of web service descriptions that contains information about interface requirements as well as invocation details, including service parameters. VisKo ontologies are designed to capture the knowledge required by the system to orchestrate and execute service pipelines that perform scientist's required computation. The ELSEWEB project also aims to expand VisKo's original goal of building visualization

  11. The Role of the Access Services Manager in the Virtual Library

    ERIC Educational Resources Information Center

    Jetton, Lora Lennertz; Bailey, Alberta S.

    2010-01-01

    This article updates a previous article published in 1992 that described the role of the access services manager in policy formation. Since that time, the access services department and mission has matured and evolved to a prominent position within the library organization. Technological changes and innovation in the marketplace of wired and…

  12. 39 CFR 3055.91 - Consumer access to postal services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 39 Postal Service 1 2012-07-01 2012-07-01 false Consumer access to postal services. 3055.91 Section 3055.91 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL SERVICE PERFORMANCE AND CUSTOMER SATISFACTION REPORTING Reporting of Customer Satisfaction § 3055.91 Consumer access to postal services. (a)...

  13. 39 CFR 3055.91 - Consumer access to postal services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 39 Postal Service 1 2013-07-01 2013-07-01 false Consumer access to postal services. 3055.91 Section 3055.91 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL SERVICE PERFORMANCE AND CUSTOMER SATISFACTION REPORTING Reporting of Customer Satisfaction § 3055.91 Consumer access to postal services. (a)...

  14. 39 CFR 3055.91 - Consumer access to postal services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 39 Postal Service 1 2014-07-01 2014-07-01 false Consumer access to postal services. 3055.91 Section 3055.91 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL SERVICE PERFORMANCE AND CUSTOMER SATISFACTION REPORTING Reporting of Customer Satisfaction § 3055.91 Consumer access to postal services. (a)...

  15. 39 CFR 3055.91 - Consumer access to postal services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 39 Postal Service 1 2011-07-01 2011-07-01 false Consumer access to postal services. 3055.91 Section 3055.91 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL SERVICE PERFORMANCE AND CUSTOMER SATISFACTION REPORTING Reporting of Customer Satisfaction § 3055.91 Consumer access to postal services. (a)...

  16. Access Services Education in Library and Information Science Programs

    ERIC Educational Resources Information Center

    McCaslin, David

    2009-01-01

    This article defines the elements of Access Services, explains the importance of those aspects in the library, and proposes a course centered on Access Services for library schools. The areas of circulation, interlibrary loan, course reserves, collection maintenance, and public relations are core components of Access Services. Each of those…

  17. 28 CFR 16.99 - Exemption of the Immigration and Naturalization Service Systems-limited access.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Naturalization Service Systems-limited access. 16.99 Section 16.99 Judicial Administration DEPARTMENT OF JUSTICE... Naturalization Service Alien File (A-File) and Central Index System (CIS), JUSTICE/INS-001A. (2) The Immigration and Naturalization Service Index System, JUSTICE/INS-001 which consists of the following...

  18. 28 CFR 16.99 - Exemption of the Immigration and Naturalization Service Systems-limited access.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Naturalization Service Systems-limited access. 16.99 Section 16.99 Judicial Administration DEPARTMENT OF JUSTICE... Naturalization Service Alien File (A-File) and Central Index System (CIS), JUSTICE/INS-001A. (2) The Immigration and Naturalization Service Index System, JUSTICE/INS-001 which consists of the following...

  19. 28 CFR 16.99 - Exemption of the Immigration and Naturalization Service Systems-limited access.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Naturalization Service Systems-limited access. 16.99 Section 16.99 Judicial Administration DEPARTMENT OF JUSTICE... Naturalization Service Alien File (A-File) and Central Index System (CIS), JUSTICE/INS-001A. (2) The Immigration and Naturalization Service Index System, JUSTICE/INS-001 which consists of the following...

  20. 28 CFR 16.99 - Exemption of the Immigration and Naturalization Service Systems-limited access.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Naturalization Service Systems-limited access. 16.99 Section 16.99 Judicial Administration DEPARTMENT OF JUSTICE... Naturalization Service Alien File (A-File) and Central Index System (CIS), JUSTICE/INS-001A. (2) The Immigration and Naturalization Service Index System, JUSTICE/INS-001 which consists of the following...

  1. 28 CFR 16.99 - Exemption of the Immigration and Naturalization Service Systems-limited access.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Naturalization Service Systems-limited access. 16.99 Section 16.99 Judicial Administration DEPARTMENT OF JUSTICE... Naturalization Service Alien File (A-File) and Central Index System (CIS), JUSTICE/INS-001A. (2) The Immigration and Naturalization Service Index System, JUSTICE/INS-001 which consists of the following...

  2. NASA Alternate Access to Station Service Concept

    NASA Astrophysics Data System (ADS)

    Bailey, M. D.; Crumbly, C.

    2002-01-01

    The evolving nature of the NASA space enterprise compels the agency to develop new and innovative space systems concepts. NASA, working with increasingly strained budgets and a declining manpower base, is attempting to transform from operational activities to procurement of commercial services. NASA's current generation reusable launch vehicle, the Shuttle, is in transition from a government owned and operated entity to a commercial venture to reduce the civil servant necessities for that program. NASA foresees its second generation launch vehicles being designed and operated by industry for commercial and government services. The "service" concept is a pioneering effort by NASA. The purpose the "service" is not only to reduce the civil servant overhead but will free up government resources for further research and enable industry to develop a space business case so that industry can sustain itself beyond government programs. In addition, NASA desires a decreased responsibility thereby decreasing liability. The Second Generation Reusable Launch Vehicle (RLV) program is implementing NASA's Space Launch Initiative (SLI) to enable industry to develop the launch vehicles of the future. The Alternate Access to Station (AAS) project office within this program is chartered with enabling industry to demonstrate an alternate access capability for the International Space Station (ISS). The project will not accomplish this by traditional government procurement methods, not by integrating the space system within the project office, or by providing the only source of business for the new capability. The project funds will ultimately be used to purchase a service to take re-supply cargo to the ISS, much the same as any business might purchase a service from FedEx to deliver a package to its customer. In the near term, the project will fund risk mitigation efforts for enabling technologies. AAS is in some ways a precursor to the 2nd Generation RLV. By accomplishing ISS resupply

  3. NASA Alternate Access to Station Service Concept

    NASA Technical Reports Server (NTRS)

    Bailey, Michelle D.; Crumbly, Chris

    2001-01-01

    The evolving nature of the NASA space enterprise compels the agency to develop new and innovative space systems concepts. NASA, working with increasingly strained budgets and a declining manpower base, is attempting to transform from operational activities to procurement of commercial services. NASA's current generation reusable launch vehicle, the Shuttle, is in transition from a government owned and operated entity to a commercial venture to reduce the civil servant necessities for that program. NASA foresees its second generation launch vehicles being designed and operated by industry for commercial and government services. The "service" concept is a pioneering effort by NASA. The purpose the "service" is not only to reduce the civil servant overhead but will free up government resources for further research - and enable industry to develop a space business case so that industry can sustain itself beyond government programs. In addition, NASA desires a decreased responsibility thereby decreasing liability. The Second Generation Reusable Launch Vehicle (RLV) program is implementing NASA's Space Launch Initiative (SLI) to enable industry to develop the launch vehicles of the future. The Alternate Access to Station (AAS) project office within this program is chartered with enabling industry to demonstrate an alternate access capability for the International Space Station (ISS). The project will not accomplish this by traditional government procurement methods, not by integrating the space system within the project office, or by providing the only source of business for the new capability. The project funds will ultimately be used to purchase a service to take re-supply cargo to the ISS, much the same as any business might purchase a service from FedEx to deliver a package to its customer. In the near term, the project will fund risk mitigation efforts for enabling technologies. AAS is in some ways a precursor to the 2nd Generation RLV. By accomplishing ISS resupply

  4. 47 CFR 69.3 - Filing of access service tariffs.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ....3, see the List of CFR Sections Affected, which appears in the Finding Aids section of the printed... 47 Telecommunication 3 2010-10-01 2010-10-01 false Filing of access service tariffs. 69.3 Section... (CONTINUED) ACCESS CHARGES General § 69.3 Filing of access service tariffs. (a) Except as provided...

  5. Focus on: Deaconess Hospital Biomedical Services Department.

    PubMed

    Pastorello, R A

    1986-01-01

    This paper describes the Biomedical Services Department of Deaconess Hospital, which is centrally located in Oklahoma City, OK. The hospital provides family-centered general and acute care with practically all medical specialties represented. The Department consists of one department supervisor, one technician, and one part-time shared-service secretary. The Department is responsible for the repair, safety testing, and calibration of over 600 instruments, and serves an important role in the selection and support of patient care equipment. Training of users is another major role for this department. PMID:10279020

  6. Welfare Reform: Job Access Program Improves Local Service Coordination, but Evaluation Should Be Completed. Report to Congressional Committees.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC.

    The following were examined: (1) the Department of Transportation's (DOT) efforts to evaluate the Job Access and Reverse Commute (Job Access) program; (2) transportation and related services provided by Job Access; (3) whether the program fosters collaboration between grantees and others in the design, financing, and delivery of those services;…

  7. 47 CFR 36.213 - Network access services revenues.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 2 2011-10-01 2011-10-01 false Network access services revenues. 36.213 Section 36.213 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES... Income Accounts Operating Revenues § 36.213 Network access services revenues. (a) End User...

  8. 47 CFR 36.213 - Network access services revenues.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Network access services revenues. 36.213 Section 36.213 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES... Income Accounts Operating Revenues § 36.213 Network access services revenues. (a) End User...

  9. 47 CFR 36.213 - Network access services revenues.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 2 2013-10-01 2013-10-01 false Network access services revenues. 36.213 Section 36.213 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES... Income Accounts Operating Revenues § 36.213 Network access services revenues. (a) End User...

  10. 47 CFR 36.213 - Network access services revenues.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 2 2012-10-01 2012-10-01 false Network access services revenues. 36.213 Section 36.213 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES... Income Accounts Operating Revenues § 36.213 Network access services revenues. (a) End User...

  11. 47 CFR 36.213 - Network access services revenues.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 2 2014-10-01 2014-10-01 false Network access services revenues. 36.213 Section 36.213 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES... Income Accounts Operating Revenues § 36.213 Network access services revenues. (a) End User...

  12. The SSD's (social services department) management challenge.

    PubMed

    Raynes, N

    1993-03-01

    Health services managers are used to organisational change, but social services departments have been addressing, and are still facing, major challenges associated with implementing the changes to community care provision. Norma Raynes gives a perspective on local authorities' culture and bureaucracy, which need to change if the community care revolution is to be sustained. PMID:10124959

  13. Evaluating Service Quality in Universities: A Service Department Perspective

    ERIC Educational Resources Information Center

    Smith, Gareth; Smith, Alison; Clarke, Alison

    2007-01-01

    Purpose: The purpose of the study is to report on an in-depth exploration of service quality in an Information Technology service department in a Higher Education Institute (HEI) and to evaluate the instrument used. Design/methodology/approach: The study surveys customers using the SERVQUAL instrument, which is one of the most widely used and…

  14. SLAC All Access: Vacuum Microwave Device Department

    SciTech Connect

    Haase, Andy

    2012-10-09

    The Vacuum Microwave Device Department (VMDD) builds the devices that make SLAC's particle accelerators go. These devices, called klystrons, generate intense waves of microwave energy that rocket subatomic particles up to nearly the speed of light.

  15. SLAC All Access: Vacuum Microwave Device Department

    ScienceCinema

    Haase, Andy

    2014-06-13

    The Vacuum Microwave Device Department (VMDD) builds the devices that make SLAC's particle accelerators go. These devices, called klystrons, generate intense waves of microwave energy that rocket subatomic particles up to nearly the speed of light.

  16. Access Control of Cloud Service Based on UCON

    NASA Astrophysics Data System (ADS)

    Danwei, Chen; Xiuli, Huang; Xunyi, Ren

    Cloud computing is an emerging computing paradigm, and cloud service is also becoming increasingly relevant. Most research communities have recently embarked in the area, and research challenges in every aspect. This paper mainly discusses cloud service security. Cloud service is based on Web Services, and it will face all kinds of security problems including what Web Services face. The development of cloud service closely relates to its security, so the research of cloud service security is a very important theme. This paper introduces cloud computing and cloud service firstly, and then gives cloud services access control model based on UCON and negotiation technologies, and also designs the negotiation module.

  17. Access to Libraries and Information Services.

    ERIC Educational Resources Information Center

    Bob, Murray L.

    The unresolved aspects of access that were handled in the "Report of the Commissioner of Education's Committee on Library Development, 1970" and the "Report of the Commissioner of Education's Committee on Direct Access, 1974" are discussed. Travel distance to libraries providing reference and referral, interlibrary loan, and on-line data base…

  18. Students' Motivation to Access Academic Advising Services

    ERIC Educational Resources Information Center

    Henning, Marcus A.

    2009-01-01

    The interrelationships between motivation for choosing a program of study, intention to access academic advisors, academic difficulty, and actual appointments with academic advisors were based on student self-reports of motivation and intentions. In addition, academic achievement measures and data on student access to academic advisors were…

  19. Service Accessibility for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth

    ERIC Educational Resources Information Center

    Acevedo-Polakovich, Ignacio David; Bell, Bailey; Gamache, Peter; Christian, Allison S.

    2013-01-01

    Although Lesbian, Gay, Bisexual, Transgender, Queer and/or Questioning (LGBTQ) youth experience alarming rates of behavioral and social problems, service use among these youth is disproportionately low. It is likely that decreased service accessibility plays a causal role in service underutilization among LGBTQ youth. To expand the existing…

  20. 45 CFR 1624.5 - Accessibility of legal services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... qualified person with a disability shall, because a legal services program's facilities are inaccessible to... 45 Public Welfare 4 2011-10-01 2011-10-01 false Accessibility of legal services. 1624.5 Section 1624.5 Public Welfare Regulations Relating to Public Welfare (Continued) LEGAL SERVICES...

  1. 45 CFR 1624.5 - Accessibility of legal services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... qualified person with a disability shall, because a legal services program's facilities are inaccessible to... 45 Public Welfare 4 2010-10-01 2010-10-01 false Accessibility of legal services. 1624.5 Section 1624.5 Public Welfare Regulations Relating to Public Welfare (Continued) LEGAL SERVICES...

  2. Health services accessibility among Spanish elderly.

    PubMed

    Fernández-Mayoralas, G; Rodríguez, V; Rojo, F

    2000-01-01

    The paper aims to identify the variables that best explain the use of health services by people aged 65 and over in Spain. The data comes from the 1993 Spanish National Health Survey (ENSE 93). The conceptual framework is the model proposed by Andersen, who suggests that utilisation is a function of predisposition to use the services, the ability to use them and of need. A bivariate and multivariate analysis (SPSS-X Discriminant Procedure) is conducted to define the predictors that best discriminate users and non-users. The use of each health service is explained by a different set of variables. The need variables play a more important role in predicting the use of non-discretionary services that are more closely related to healing processes (medical consultations, emergencies and hospitalisation). The predisposing and enabling variables are more relevant in explaining the use of dental services, indicating a certain degree of inequity of these discretionary services. PMID:10622691

  3. Providing Access to Justice through Service Learning

    ERIC Educational Resources Information Center

    Kubichek, Mary

    2010-01-01

    In the Casper College Legal Service (CCLS) program, Casper College paralegal students, under supervision of pro bono attorneys, use paralegal skills to provide legal services and work product. CCLS is different from other legal clinics; it is not law school based, bar based, or court based. CCLS is paralegal based.

  4. 28 CFR 1100.33 - Access to information and translation services for victims of severe forms of trafficking in...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Access to information and translation services for victims of severe forms of trafficking in persons. 1100.33 Section 1100.33 Judicial Administration DEPARTMENT OF JUSTICE AND DEPARTMENT OF STATE TRAFFICKING IN PERSONS Victims of Severe Forms of Trafficking in Persons § 1100.33 Access...

  5. 28 CFR 1100.33 - Access to information and translation services for victims of severe forms of trafficking in...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Access to information and translation services for victims of severe forms of trafficking in persons. 1100.33 Section 1100.33 Judicial Administration DEPARTMENT OF JUSTICE AND DEPARTMENT OF STATE TRAFFICKING IN PERSONS Victims of Severe Forms of Trafficking in Persons § 1100.33 Access...

  6. 47 CFR 51.217 - Nondiscriminatory access: Telephone numbers, operator services, directory assistance services...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ..., operator services, directory assistance services, and directory listings. 51.217 Section 51.217... Obligations of All Local Exchange Carriers § 51.217 Nondiscriminatory access: Telephone numbers, operator... carrier (LEC) in that LEC's service area. (2) Nondiscriminatory access. “Nondiscriminatory access”...

  7. Describing Simple Data Access Services Version 1.0

    NASA Astrophysics Data System (ADS)

    Plante, Raymond; Delago, Jesus; Harrison, Paul; Tody, Doug; IVOA Registry Working Group; Plante, Raymond

    2013-11-01

    An application that queries or consumes descriptions of VO resources must be able to recognize a resource's support for standard IVOA protocols. This specification describes how to describe a service that supports any of the four fundamental data access protocols Simple Cone Search (SCS), Simple Image Access (SIA), Simple Spectral Access (SSA), Simple Line Access (SLA) using the VOResource XML encoding standard. A key part of this specification is the set of VOResource XML extension schemas that define new metadata that are specific to those protocols. This document describes in particular rules for describing such services within the context of IVOA Registries and data discovery as well as the VO Standard Interface (VOSI) and service selfdescription. In particular, this document spells out the essential markup needed to identify support for a standard protocol and the base URL required to access the interface that supports that protocol.

  8. Fair and Equitable Postal Service Access Act

    THOMAS, 112th Congress

    Rep. Moore, Gwen [D-WI-4

    2011-09-15

    10/03/2011 Referred to the Subcommittee on Federal Workforce, U.S. Postal Service, and Labor Policy . (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  9. African Americans' Access to Vocational Rehabilitation Services after Antidiscrimination Legislation

    ERIC Educational Resources Information Center

    Mwachofi, Ari K.

    2008-01-01

    The purpose of this study was to determine changes in African Americans' access to occasional rehabilitation (VR) services subsequent to landmark legislative and judicial antidiscrimination provisions of the mid-20th century. This study compared African American VR access before the antidiscrimination legislation in 1937 and after the legislation…

  10. Making Spatial Statistics Service Accessible On Cloud Platform

    NASA Astrophysics Data System (ADS)

    Mu, X.; Wu, J.; Li, T.; Zhong, Y.; Gao, X.

    2014-04-01

    Web service can bring together applications running on diverse platforms, users can access and share various data, information and models more effectively and conveniently from certain web service platform. Cloud computing emerges as a paradigm of Internet computing in which dynamical, scalable and often virtualized resources are provided as services. With the rampant growth of massive data and restriction of net, traditional web services platforms have some prominent problems existing in development such as calculation efficiency, maintenance cost and data security. In this paper, we offer a spatial statistics service based on Microsoft cloud. An experiment was carried out to evaluate the availability and efficiency of this service. The results show that this spatial statistics service is accessible for the public conveniently with high processing efficiency.

  11. Unifying Access to National Hydrologic Data Repositories via Web Services

    NASA Astrophysics Data System (ADS)

    Valentine, D. W.; Jennings, B.; Zaslavsky, I.; Maidment, D. R.

    2006-12-01

    The CUAHSI hydrologic information system (HIS) is designed to be a live, multiscale web portal system for accessing, querying, visualizing, and publishing distributed hydrologic observation data and models for any location or region in the United States. The HIS design follows the principles of open service oriented architecture, i.e. system components are represented as web services with well defined standard service APIs. WaterOneFlow web services are the main component of the design. The currently available services have been completely re-written compared to the previous version, and provide programmatic access to USGS NWIS. (steam flow, groundwater and water quality repositories), DAYMET daily observations, NASA MODIS, and Unidata NAM streams, with several additional web service wrappers being added (EPA STORET, NCDC and others.). Different repositories of hydrologic data use different vocabularies, and support different types of query access. Resolving semantic and structural heterogeneities across different hydrologic observation archives and distilling a generic set of service signatures is one of the main scalability challenges in this project, and a requirement in our web service design. To accomplish the uniformity of the web services API, data repositories are modeled following the CUAHSI Observation Data Model. The web service responses are document-based, and use an XML schema to express the semantics in a standard format. Access to station metadata is provided via web service methods, GetSites, GetSiteInfo and GetVariableInfo. The methdods form the foundation of CUAHSI HIS discovery interface and may execute over locally-stored metadata or request the information from remote repositories directly. Observation values are retrieved via a generic GetValues method which is executed against national data repositories. The service is implemented in ASP.Net, and other providers are implementing WaterOneFlow services in java. Reference implementation of

  12. Access Answers: A Digest of LISTSERVS of Interest to Access Services

    ERIC Educational Resources Information Center

    Smith, Fred W.

    2011-01-01

    This article presents a digest of LISTSERVS of interest to access services for the period of April to June 2011. It presents questions and answers from Interlibrary Loan (ILL) people, CIRCPLUS, and OFFCAMP.

  13. 47 CFR 64.1508 - Blocking access to 900 service.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Blocking access to 900 service. 64.1508 Section 64.1508 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) MISCELLANEOUS RULES RELATING TO COMMON CARRIERS Interstate Pay-Per-Call and Other...

  14. Public and Private Adoption: A Comparison of Service and Accessibility.

    ERIC Educational Resources Information Center

    Daly, Kerry J.; Sobol, Michael P.

    1994-01-01

    Used data from national survey of public and private adoption service providers in Canada to examine similarities and differences with respect to clients served, issues associated with adoption accessibility, and nature of postadoption services. Found high degree of homogeneity that cut across public and private division, with typical adoptive…

  15. Matrix Management in Practice in Access Services at the NCSU Libraries

    ERIC Educational Resources Information Center

    Harris, Colleen S.

    2010-01-01

    The former Associate Head of Access and Delivery Services of the North Carolina State University Libraries reports on successful use of matrix management techniques for the Circulation and Reserves unit of the department. Despite their having fallen out of favor in much of the management literature, matrix management principles are useful for…

  16. 28 CFR 115.82 - Access to emergency medical and mental health services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Access to emergency medical and mental health services. 115.82 Section 115.82 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Adult Prisons and Jails Medical and Mental...

  17. 28 CFR 115.82 - Access to emergency medical and mental health services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Access to emergency medical and mental health services. 115.82 Section 115.82 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Adult Prisons and Jails Medical and Mental...

  18. 28 CFR 115.82 - Access to emergency medical and mental health services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Access to emergency medical and mental health services. 115.82 Section 115.82 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PRISON RAPE ELIMINATION ACT NATIONAL STANDARDS Standards for Adult Prisons and Jails Medical and Mental...

  19. Restructuring to Promote Collaboration and Exceed User Needs: The Blackwell Library Access Services Experience

    ERIC Educational Resources Information Center

    Chakraborty, Mou; English, Michael; Payne, Sharon

    2013-01-01

    Through vision, leadership, and creativity, Salisbury University's Blackwell Library transformed its access services department structurally and philosophically to better position itself to meet, and strive to exceed, today's user needs and expectations. Restructuring and the introduction of new leadership and new ideas provided the foundation for…

  20. 28 CFR 1100.33 - Access to information and translation services for victims of severe forms of trafficking in...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Department of Health and Human Services (HHS) are eligible for assistance that is administered or funded by...; (8) The right to restitution; (9) The right to notification of case status; and (10) The availability... reasonable access to translation services and/or oral interpreter services in the event the victim is...

  1. 28 CFR 1100.33 - Access to information and translation services for victims of severe forms of trafficking in...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Department of Health and Human Services (HHS) are eligible for assistance that is administered or funded by...; (8) The right to restitution; (9) The right to notification of case status; and (10) The availability... reasonable access to translation services and/or oral interpreter services in the event the victim is...

  2. 28 CFR 1100.33 - Access to information and translation services for victims of severe forms of trafficking in...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Department of Health and Human Services (HHS) are eligible for assistance that is administered or funded by...; (8) The right to restitution; (9) The right to notification of case status; and (10) The availability... reasonable access to translation services and/or oral interpreter services in the event the victim is...

  3. Quantifying Access Disadvantage and Gathering Information in Rural and Remote Localities: The Griffith Service Access Frame.

    ERIC Educational Resources Information Center

    Griffith, Dennis A.

    2003-01-01

    A purely geographic classification is not the best way to measure rural disadvantage in Australia. A service access model is described that incorporates the following elements: population center size; distance, time, and cost of travel to the service center; and a measure of the economic capacity of residents to overcome the cost of travel.…

  4. BioServices: a common Python package to access biological Web Services programmatically

    PubMed Central

    Cokelaer, Thomas; Pultz, Dennis; Harder, Lea M.; Serra-Musach, Jordi; Saez-Rodriguez, Julio

    2013-01-01

    Motivation: Web interfaces provide access to numerous biological databases. Many can be accessed to in a programmatic way thanks to Web Services. Building applications that combine several of them would benefit from a single framework. Results: BioServices is a comprehensive Python framework that provides programmatic access to major bioinformatics Web Services (e.g. KEGG, UniProt, BioModels, ChEMBLdb). Wrapping additional Web Services based either on Representational State Transfer or Simple Object Access Protocol/Web Services Description Language technologies is eased by the usage of object-oriented programming. Availability and implementation: BioServices releases and documentation are available at http://pypi.python.org/pypi/bioservices under a GPL-v3 license. Contact: cokelaer@ebi.ac.uk or bioservices@googlegroups.com Supplementary information: Supplementary data are available at Bioinformatics online. PMID:24064416

  5. NASA's Eos ClearingHOuse: Integrating Access to Data Services

    NASA Astrophysics Data System (ADS)

    Burnett, M. T.; Pfister, R.; Wichman, K.

    2002-12-01

    ECHO (The Earth Observing System (EOS) ClearingHOuse) is being developed to provide flexibility to NASA's EOS to better meet the needs of the science community. ECHO is a clearinghouse of metadata, representing the data offerings of participating data providers. ECHO is being built with the goal of being an enabling system: Enabling a variety of Data Providers to participate. Enabling access to an ever-changing variety of Earth Science Data. Enabling access to an ever-growing suite of services, provided by the Science Community, which improves the usefulness of this data, including the binding of those services to the data represented in the clearinghouse. The purpose of this enabling philosophy is to support current Science efforts, but also to give the opportunity for creative organizations and individuals to break the traditional paradigm for discovering and leveraging Earth Science Data and Services in completely new ways. This presentation will focus on ECHO's approach to integrating Data Services from varied Service Providers, and facilitating access to those services by the user community. ECHO can be viewed as a typical Service oriented architecture. The fundamental interactions that it supports are (abstractly) Publish, Find and Bind. ECHO provides interfaces and mechanisms that allow organizations to publish their services. Using these interfaces, Service Providers can effectively "plug-in" their capabilities. There are mechanisms that allow the correlation of their service to the data types in the clearinghouse. ECHO's user community can find, or discover, services through a separate set of interfaces. Bindings are the mechanisms that support the invocation of services by ECHO's user community. ECHO supports binding either directly between the user and the service provider, or indirectly by using ECHO as a Service Broker. ECHO is supporting all of these Service capabilities by leveraging the contemporary (and evolving) "standards" of Web Services. Web

  6. [Health services accessibility in a city of Northeast Brazil].

    PubMed

    Cunha, Alcione Brasileiro Oliveira; Vieira-da-Silva, Ligia Maria

    2010-04-01

    In order to analyze the implementation of measures targeting accessibility to primary health care in a municipality (county) in the State of Bahia, Brazil, a single case study was performed with two levels of analysis: system and services organization. The data were obtained from semi-structured interviews, observation of routine care, and document analysis. Of the four health units analyzed, three showed intermediate-level implementation of measures targeting accessibility. The Family Health Units showed better performance, due to measures for patient reception and referral to specialized services, but they revealed problems with scheduling of appointments. Despite having defined primary care as the portal of entry into the system and the implementation of a help desk for setting appointments with specialists, there are persistent organizational barriers in the municipality. A specific policy is recommended to improve accessibility, aimed at organization of the services supply in order to change the health care model. PMID:20512213

  7. Recommendations for a service framework to access astronomical archives

    NASA Technical Reports Server (NTRS)

    Travisano, J. J.; Pollizzi, J.

    1992-01-01

    There are a large number of astronomical archives and catalogs on-line for network access, with many different user interfaces and features. Some systems are moving towards distributed access, supplying users with client software for their home sites which connects to servers at the archive site. Many of the issues involved in defining a standard framework of services that archive/catalog suppliers can use to achieve a basic level of interoperability are described. Such a framework would simplify the development of client and server programs to access the wide variety of astronomical archive systems. The primary services that are supplied by current systems include: catalog browsing, dataset retrieval, name resolution, and data analysis. The following issues (and probably more) need to be considered in establishing a standard set of client/server interfaces and protocols: Archive Access - dataset retrieval, delivery, file formats, data browsing, analysis, etc.; Catalog Access - database management systems, query languages, data formats, synchronous/asynchronous mode of operation, etc.; Interoperability - transaction/message protocols, distributed processing mechanisms (DCE, ONC/SunRPC, etc), networking protocols, etc.; Security - user registration, authorization/authentication mechanisms, etc.; Service Directory - service registration, lookup, port/task mapping, parameters, etc.; Software - public vs proprietary, client/server software, standard interfaces to client/server functions, software distribution, operating system portability, data portability, etc. Several archive/catalog groups, notably the Astrophysics Data System (ADS), are already working in many of these areas. In the process of developing StarView, which is the user interface to the Space Telescope Data Archive and Distribution Service (ST-DADS), these issues and the work of others were analyzed. A framework of standard interfaces for accessing services on any archive system which would benefit

  8. Database Access Integration Services (DAIS). Volume 2, Specification: Final report

    SciTech Connect

    Mitchell, P.; Nordell, D.

    1992-12-01

    The Database Access Integration Services (DAIS) is a collection of services that facilitate access to data among diverse data systems in an electric utility communications network. DAIS provides access to data in distributed, heterogeneous data systems that include relational database management systems, other database management systems, control systems, file systems, and application systems. It also provides a common method for describing data, common data access operations and essential support services including a data dictionary, a data directory and distributed data access management capabilities. The DAIS project has developed specifications intended for vendor and third-party implementation. The software developed is only to implement a data access integration demonstration. These specifications can serve as a basis for influencing industry standards development. One important consequence of this strategy is that most actual software development will be performed by vendors, not utilities. DAIS is a tool to support data access. It is policy neutral regarding issues such as local or central administration of data or standardization of information model contents (e.g., EPRI Plant Information Network). As a tool, it can be used to help realize such policies. The DAIS does not provide data storage facilities, schema integration, distributed query processing, distributed applications or cooperative processing. Rather, DAIS is complementary to these functions and can be used with other software that does provide these functions. This project documented the requirements for the DAIS. These requirements are the basis for design of the DAIS specifications. The key requirements for a DAIS are: Uniform access to heterogeneous utility data systems, remote update; coexistence with local data systems; local autonomy ; Security and access restriction enforcement; OSI compatibility; open architecture and extensibility; and operating platform independence.

  9. 39 CFR 254.1 - Adoption of U.S. Access Board Standards as Postal Service Standards of Facility Accessibility.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Barriers Act (ABA) “Standards for Facility Accessibility,” the following sections of 36 CFR part 1191... 39 Postal Service 1 2012-07-01 2012-07-01 false Adoption of U.S. Access Board Standards as Postal Service Standards of Facility Accessibility. 254.1 Section 254.1 Postal Service UNITED STATES...

  10. 39 CFR 254.1 - Adoption of U.S. Access Board Standards as Postal Service Standards of Facility Accessibility.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Barriers Act (ABA) “Standards for Facility Accessibility,” the following sections of 36 CFR part 1191... 39 Postal Service 1 2014-07-01 2014-07-01 false Adoption of U.S. Access Board Standards as Postal Service Standards of Facility Accessibility. 254.1 Section 254.1 Postal Service UNITED STATES...

  11. 39 CFR 254.1 - Adoption of U.S. Access Board Standards as Postal Service Standards of Facility Accessibility.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Barriers Act (ABA) “Standards for Facility Accessibility,” the following sections of 36 CFR part 1191... 39 Postal Service 1 2013-07-01 2013-07-01 false Adoption of U.S. Access Board Standards as Postal Service Standards of Facility Accessibility. 254.1 Section 254.1 Postal Service UNITED STATES...

  12. A Service Access Security Control Model in Cyberspace

    NASA Astrophysics Data System (ADS)

    Qianmu, Li; Jie, Yin; Jun, Hou; Jian, Xu; Hong, Zhang; Yong, Qi

    A service access control model in cyberspace is proposed, which provides a generalized and effective mechanism of security management with some items constraint specifications. These constraint specifications are organized to form a construction, and an enact process is proposed to make it scalable and flexible to meet the need of diversified service application systems in cyberspace. The model of this paper erases the downward information flow by extended rules of read/write, which is the breakthrough of the limitations when applying the standard role-based access control in cyberspace.

  13. Accessing Geospatial Services in Limited Bandwidth Service-Oriented Architecture (SOA) Environments

    ERIC Educational Resources Information Center

    Boggs, James D.

    2013-01-01

    First responders are continuously moving at an incident site and this movement requires them to access Service-Oriented Architecture services, such as a Web Map Service, via mobile wireless networks. First responders from inside a building often have problems in communicating to devices outside that building due to propagation obstacles. Dynamic…

  14. VODance: VO Data Access Layer Service Creation Made Easy

    NASA Astrophysics Data System (ADS)

    Smareglia, R.; Laurino, O.; Knapic, C.

    2011-07-01

    We present a tool for rapid deployment of Virtual Observatory compliant services. Users who want to publish their datasets to the Virtual Observatory can achieve this goal without having to deal with the technical details of standard services development and without having to move their data. With VODance users just have to provide a database connection to our center that points to their available data and fill out a metadata description form without having to export their data. Data Access Layer services are created on the fly and published, through the Italian Astronomical Archive Center (IA2), to the Virtual Observatory. VODance has been successfully used to publish Cone Search and Simple Image Access Protocol services out of MySQL and Oracle database management systems.

  15. [Effective access to health services: operationalizing universal health coverage].

    PubMed

    Fajardo-Dolci, Germán; Gutiérrez, Juan Pablo; García-Saisó, Sebastián

    2015-01-01

    The right to health and its operational form, as an organized social response to health: the right to health protection, are the mainstay for the global push towards universal health coverage. The path to achieve this goal is particular to each country and relates to the baseline and specific context in relation to what is feasible. In practical terms, universal coverage involves the correlation between demand and supply of services (promotion, prevention, and care), expressed by the ability for each individual to make use of services when these are required. In those terms universal coverage is then effective access. The objective of the paper is to explore the conceptualization of effective access to health services and propose a definition that allows its operationalization thereof. This definition considers key elements of supply and demand of services, including the availability of resources and adequate provision (quality), as well as barriers to use them. PMID:26235780

  16. 75 FR 5609 - Privacy Act of 1974; Department of Homeland Security/ALL-024 Facility and Perimeter Access...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-03

    ...In accordance with the Privacy Act of 1974 the Department of Homeland Security proposes to update and reissue Department of Homeland Security/ALL--024 Facility and Perimeter Access Control and Visitor Management System of Records to include record systems within the Federal Protective Service. Categories of individuals, categories of records, purpose and routine uses of this system have been......

  17. 76 FR 8402 - Public Availability of the Department of Veterans Affairs FY 2010 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-14

    ... 2010 (Pub. L. 111-117), Department of Veterans Affairs (VA) is publishing this notice to advise the public of the accessibility of VA's FY 2010 service contract inventory available at http://www1.va.gov...@va.gov . Approved: February 7, 2010. John R. Gingrich, Chief of Staff, Department of Veterans...

  18. Emergency department capacity and access in California, 1990-2001: an economic analysis.

    PubMed

    Melnick, Glenn A; Nawathe, Amar C; Bamezai, Anil; Green, Lois

    2004-01-01

    Media report that hospitals are closing their emergency departments (EDs) and reducing access to ED services, raising concerns that EDs are not sustainable under competition and managed care. We analyzed financial, economic, capacity, and utilization data for California EDs for 1990-2001. We found that contrary to media reports, hospitals are not abandoning the ED market. Rather, our results show a robust market, where hospitals are adding ED capacity to meet increased demand and to maintain access. Supporting economic analyses show that EDs are sustainable since they generate a sizable and growing portion of inpatient admissions, which contribute to overall economic viability. PMID:15451990

  19. Distance Learning: Information Access and Services for Virtual Users.

    ERIC Educational Resources Information Center

    Iyer, Hemalata, Ed.

    This volume centers broadly on information support services for distance education. The articles in this book can be categorized into two areas: access to information resources for distance learners, and studies of distance learning programs. Contents include: "The Challenges and Benefits of Asynchronous Learning Networks" (Daphne Jorgensen);…

  20. Open Access, Satellite Education Service (OASES): Final Annual Report.

    ERIC Educational Resources Information Center

    South Oklahoma City Junior Coll., OK.

    This report assesses the Open Access, Satellite Education Services (OASES) program, a joint venture between South Oklahoma City Junior College and the Metropolitan Library System of Oklahoma County designed to provide adult education opportunities to all segments of the area's urban population. Program goals are outlined in terms of numbers of…

  1. Gender Differences in Access to Extension Services and Agricultural Productivity

    ERIC Educational Resources Information Center

    Ragasa, Catherine; Berhane, Guush; Tadesse, Fanaye; Taffesse, Alemayehu Seyoum

    2013-01-01

    Purpose: This article contributes new empirical evidence and nuanced analysis on the gender difference in access to extension services and how this translates to observed differences in technology adoption and agricultural productivity. Approach: It looks at the case of Ethiopia, where substantial investments in the extension system have been…

  2. Network-Accessible Resources and the Redefinition of Technical Services.

    ERIC Educational Resources Information Center

    Jones, Neil

    1998-01-01

    Discussion of the use of computer networks in academic libraries focuses on a technical-services perspective in the United Kingdom. Topics include access to electronic resources; standards; change management; the changing nature of the library catalog; redefining the local catalog; cataloging versus indexing; the Z39.50 information retrieval…

  3. 42 CFR 422.114 - Access to services under an MA private fee-for-service plan.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Access to services under an MA private fee-for... Benefits and Beneficiary Protections § 422.114 Access to services under an MA private fee-for-service plan. (a) Sufficient access. (1) An MA organization that offers an MA private fee-for-service plan...

  4. 42 CFR 422.114 - Access to services under an MA private fee-for-service plan.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Access to services under an MA private fee-for... Benefits and Beneficiary Protections § 422.114 Access to services under an MA private fee-for-service plan. (a) Sufficient access. (1) An MA organization that offers an MA private fee-for-service plan...

  5. 42 CFR 422.114 - Access to services under an MA private fee-for-service plan.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Access to services under an MA private fee-for... Benefits and Beneficiary Protections § 422.114 Access to services under an MA private fee-for-service plan. (a) Sufficient access. (1) An MA organization that offers an MA private fee-for-service plan...

  6. 42 CFR 422.114 - Access to services under an MA private fee-for-service plan.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Access to services under an MA private fee-for... Beneficiary Protections § 422.114 Access to services under an MA private fee-for-service plan. (a) Sufficient access. (1) An MA organization that offers an MA private fee-for-service plan must demonstrate to...

  7. Accessibility to tuberculosis treatment: assessment of health service performance.

    PubMed

    Arakawa, Tiemi; Arcêncio, Ricardo Alexandre; Scatolin, Beatriz Estuque; Scatena, Lúcia Marina; Ruffino-Netto, Antônio; Villa, Tereza Cristina Scatena

    2011-01-01

    The aim of this study was to assess the accessibility of patients to the treatment of tuberculosis in Ribeirão Preto, countryside of São Paulo State. Evaluation study type, with a quantity approach. Interviews with 100 patients initiated on anti-tuberculosis chemotherapy between 2006-2007 were conducted, using a structured questionnaire based on the Primary Care Assessment Tool (PCAT). Data were analyzed through variance analysis. There was a positive feedback regarding to organizational accessibility, however, the performance of health services has been unsatisfactory in providing transportation vouchers and in addressing the need to use transport for displacement to the health unit, resulting in indirect costs to patients. The services with the highest number of patients treated were those with higher irregularity in the conduct of home visits, showing that the availability of resources (human, material and time) and the organization of care may influence the accessibility to treatment. PMID:21876953

  8. Richmond Wellbeing Service Access Strategy for Older Adults

    PubMed Central

    Gowling, Sarah; Persson, Jennie; Holt, Genevieve; Ashbourne, Sue; Bloomfield, James; Shortland, Hannah; Bate, Clare

    2016-01-01

    IAPT (Improving Access to Psychological Therapies) is a national programme aimed at increasing availability of evidence based psychological therapies in the NHS. IAPT is primarily for people who have mild to moderate, common mental health difficulties such as depression, anxiety, phobias and post traumatic stress disorder (PTSD). The programme seeks to use the least intrusive method of care possible to treat people at the time when it will be of most help to them. Individuals are able to self-refer into most IAPT services or alternatively can request to be referred by their GP or other services in the community. Richmond Wellbeing Service (RWS) is one such IAPT Service and this research is based on our work to promote accessibility of the service to one of the harder to reach population groups - older adults. We know that IAPT services could have a positive impact on older adults as it is believed on average, 25% of over 65 year olds face common mental health problems. However, only a third of these people discuss this with their GP and so are less likely to be referred to an IAPT Service. In relation to the above, this project was designed to look at increasing access for older adults into Richmond Wellbeing Service (RWS) specifically to improve access to the RWS by older adults by 100. The overall goal was to increase older adult (65+) referral rates by 20% over a year, in raw number this would translate to an increase of 100 over a year period, and in percentage terms an average of 8% of total referrals. Results yielded an increase of 39 referrals between baseline and test period. The majority of this increase had occurred in the final five months of the projects duration(31). Interestingly the number of older adults in the older age band (85+) almost doubled within this period (from 12 to 21). In total, in percentage terms this translates to an an increase of OA referrals from 6% up to 6.7%, as above we are aiming for 8% or an additional increase of 61 patients

  9. Richmond Wellbeing Service Access Strategy for Older Adults.

    PubMed

    Gowling, Sarah; Persson, Jennie; Holt, Genevieve; Ashbourne, Sue; Bloomfield, James; Shortland, Hannah; Bate, Clare

    2016-01-01

    IAPT (Improving Access to Psychological Therapies) is a national programme aimed at increasing availability of evidence based psychological therapies in the NHS. IAPT is primarily for people who have mild to moderate, common mental health difficulties such as depression, anxiety, phobias and post traumatic stress disorder (PTSD). The programme seeks to use the least intrusive method of care possible to treat people at the time when it will be of most help to them. Individuals are able to self-refer into most IAPT services or alternatively can request to be referred by their GP or other services in the community. Richmond Wellbeing Service (RWS) is one such IAPT Service and this research is based on our work to promote accessibility of the service to one of the harder to reach population groups - older adults. We know that IAPT services could have a positive impact on older adults as it is believed on average, 25% of over 65 year olds face common mental health problems. However, only a third of these people discuss this with their GP and so are less likely to be referred to an IAPT Service. In relation to the above, this project was designed to look at increasing access for older adults into Richmond Wellbeing Service (RWS) specifically to improve access to the RWS by older adults by 100. The overall goal was to increase older adult (65+) referral rates by 20% over a year, in raw number this would translate to an increase of 100 over a year period, and in percentage terms an average of 8% of total referrals. Results yielded an increase of 39 referrals between baseline and test period. The majority of this increase had occurred in the final five months of the projects duration(31). Interestingly the number of older adults in the older age band (85+) almost doubled within this period (from 12 to 21). In total, in percentage terms this translates to an an increase of OA referrals from 6% up to 6.7%, as above we are aiming for 8% or an additional increase of 61 patients

  10. 47 CFR 61.26 - Tariffing of competitive interstate switched exchange access services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... equivalent of the ILEC interstate exchange access services typically associated with following rate elements... switched exchange access services shall mean the composite, per-minute rate for these services, including... switched exchange access services that prices those services above the higher of: (1) The rate charged...

  11. Improving Immigrants' Access to Public Services in the United States: Language Access Policy and Policy Implementation

    ERIC Educational Resources Information Center

    Sperling, Jessica

    2009-01-01

    Language access mandates in the USA, which require that governmental services be provided in any needed language, have been largely ignored since their first enacting. However, the past decade has seen an increase in the number of national, state, and local efforts to accommodate limited English-proficient individuals. This article provides an…

  12. Initiatives to reduce overcrowding and access block in Australian emergency departments: a literature review.

    PubMed

    Crawford, Kimberley; Morphet, Julia; Jones, Tamsin; Innes, Kelli; Griffiths, Debra; Williams, Allison

    2014-01-01

    Australian emergency departments are experiencing an increasing demand for their services. Patient throughput continues to expand resulting in overcrowding and access block where patients cannot gain entry to appropriate hospital beds. This is despite both state and federal governments implementing numerous schemes to address the complex causes of stress on emergency departments. This paper explores the current literature and highlights the key strategies adopted by different emergency departments to reduce delays and streamline patient flow, including: waiting room nurses; streaming; rapid assessment teams; short stay units and care coordination programmes. Many of these initiatives have proven successful at reducing the number of people re-presenting to the emergency department, addressing time delays and improving the management of existing resources and patient flow. More recent changes include increasing the scope of practice and workload for triage nurses. With the recent introduction of the National Emergency Access Target, which requires that most patients presenting to Australian emergency departments are reviewed and transferred or discharged from the department within 4h, traditional roles of nurses in the emergency department are changing and expanding to meet the needs of modern healthcare systems. PMID:25632734

  13. The Public Health Service action plan to improve access to immunization services. The Interagency Committee to Improve Access to Immunization Services.

    PubMed Central

    1992-01-01

    The Public Health Service's Interagency Committee to Improve Access to Immunization Services (ICI) has responsibility for improving the immunization protection of the nation's children and other vulnerable populations. ICI's Action Plan to Improve Access to Immunization Services sets 14 goals with 120 action steps for improving immunization services nationwide by (a) increasing coordination among Federal health, income, housing, education, and nutrition programs; (b) reducing policy and management barriers that limit access to delivery systems, and (c) strengthening the delivery infrastructure. To accomplish the goals of the plan, there is a $72.0 million increase in funding appropriated in fiscal year 1992 specifically for this purpose. The President's Budget for fiscal year 1993 includes a $24.5 million increase for continued program implementation. The additional resources will be used to address delivery and access problems, which have been determined to be the primary factors limiting immunization for many children. PMID:1594732

  14. Accessing maternal and child health services in Melbourne, Australia: Reflections from refugee families and service providers

    PubMed Central

    2012-01-01

    Background Often new arrivals from refugee backgrounds have experienced poor health and limited access to healthcare services. The maternal and child health (MCH) service in Victoria, Australia, is a joint local and state government operated, cost-free service available to all mothers of children aged 0–6 years. Although well-child healthcare visits are useful in identifying health issues early, there has been limited investigation in the use of these services for families from refugee backgrounds. This study aims to explore experiences of using MCH services, from the perspective of families from refugee backgrounds and service providers. Methods We used a qualitative study design informed by the socioecological model of health and a cultural competence approach. Two geographical areas of Melbourne were selected to invite participants. Seven focus groups were conducted with 87 mothers from Karen, Iraqi, Assyrian Chaldean, Lebanese, South Sudanese and Bhutanese backgrounds, who had lived an average of 4.7 years in Australia (range one month-18 years). Participants had a total of 249 children, of these 150 were born in Australia. Four focus groups and five interviews were conducted with MCH nurses, other healthcare providers and bicultural workers. Results Four themes were identified: facilitating access to MCH services; promoting continued engagement with the MCH service; language challenges; and what is working well and could be done better. Several processes were identified that facilitated initial access to the MCH service but there were implications for continued use of the service. The MCH service was not formally notified of new parents arriving with young children. Pre-arranged group appointments by MCH nurses for parents who attended playgroups worked well to increase ongoing service engagement. Barriers for parents in using MCH services included access to transportation, lack of confidence in speaking English and making phone bookings. Service users

  15. 22 CFR 9b.1 - Press access to the Department of State.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Press access to the Department of State. 9b.1 Section 9b.1 Foreign Relations DEPARTMENT OF STATE GENERAL REGULATIONS GOVERNING DEPARTMENT OF STATE PRESS BUILDING PASSES § 9b.1 Press access to the Department of State. (a) Media correspondents without valid Department of State press building...

  16. 22 CFR 9b.1 - Press access to the Department of State.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Press access to the Department of State. 9b.1 Section 9b.1 Foreign Relations DEPARTMENT OF STATE GENERAL REGULATIONS GOVERNING DEPARTMENT OF STATE PRESS BUILDING PASSES § 9b.1 Press access to the Department of State. (a) Media correspondents without valid Department of State press building...

  17. 22 CFR 9b.1 - Press access to the Department of State.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Press access to the Department of State. 9b.1 Section 9b.1 Foreign Relations DEPARTMENT OF STATE GENERAL REGULATIONS GOVERNING DEPARTMENT OF STATE PRESS BUILDING PASSES § 9b.1 Press access to the Department of State. (a) Media correspondents without valid Department of State press building...

  18. A SOAP Web Service for accessing MODIS land product subsets

    SciTech Connect

    SanthanaVannan, Suresh K; Cook, Robert B; Pan, Jerry Yun; Wilson, Bruce E

    2011-01-01

    Remote sensing data from satellites have provided valuable information on the state of the earth for several decades. Since March 2000, the Moderate Resolution Imaging Spectroradiometer (MODIS) sensor on board NASA s Terra and Aqua satellites have been providing estimates of several land parameters useful in understanding earth system processes at global, continental, and regional scales. However, the HDF-EOS file format, specialized software needed to process the HDF-EOS files, data volume, and the high spatial and temporal resolution of MODIS data make it difficult for users wanting to extract small but valuable amounts of information from the MODIS record. To overcome this usability issue, the NASA-funded Distributed Active Archive Center (DAAC) for Biogeochemical Dynamics at Oak Ridge National Laboratory (ORNL) developed a Web service that provides subsets of MODIS land products using Simple Object Access Protocol (SOAP). The ORNL DAAC MODIS subsetting Web service is a unique way of serving satellite data that exploits a fairly established and popular Internet protocol to allow users access to massive amounts of remote sensing data. The Web service provides MODIS land product subsets up to 201 x 201 km in a non-proprietary comma delimited text file format. Users can programmatically query the Web service to extract MODIS land parameters for real time data integration into models, decision support tools or connect to workflow software. Information regarding the MODIS SOAP subsetting Web service is available on the World Wide Web (WWW) at http://daac.ornl.gov/modiswebservice.

  19. Recent Developments in Alcohol Services Research on Access to Care

    PubMed Central

    Schmidt, Laura A.

    2016-01-01

    In the United States, only about 10 percent of people with an alcohol or drug use disorder receive care for the condition, pointing to a large treatment gap. Several personal characteristics influence whether a person will receive treatment; additionally, many people with an alcohol use disorder do not perceive the need for treatment. The extent of the treatment gap differs somewhat across different population subgroups, such as those based on gender, age, or race and ethnicity. Recent health care reforms, such as implementation of the Patient Protection and Affordable Care Act of 2010, likely will improve access to substance abuse treatment. In addition, new treatment approaches, service delivery systems, and payment innovations may facilitate access to substance abuse services. Nevertheless, efforts to bridge the treatment gap will continue to be needed to ensure that all people who need alcohol and drug abuse treatment can actually receive it. PMID:27159809

  20. Recent Developments in Alcohol Services Research on Access to Care.

    PubMed

    Schmidt, Laura A

    2016-01-01

    In the United States, only about 10 percent of people with an alcohol or drug use disorder receive care for the condition, pointing to a large treatment gap. Several personal characteristics influence whether a person will receive treatment; additionally, many people with an alcohol use disorder do not perceive the need for treatment. The extent of the treatment gap differs somewhat across different population subgroups, such as those based on gender, age, or race and ethnicity. Recent health care reforms, such as implementation of the Patient Protection and Affordable Care Act of 2010, likely will improve access to substance abuse treatment. In addition, new treatment approaches, service delivery systems, and payment innovations may facilitate access to substance abuse services. Nevertheless, efforts to bridge the treatment gap will continue to be needed to ensure that all people who need alcohol and drug abuse treatment can actually receive it. PMID:27159809

  1. 77 FR 43369 - Lexisnexis, a Subsidiary of Reed Elsevier Customer Service Department and Fulfillment Department...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-24

    ... Register on June 28, 2012 (77 FR 38665). At the request of a state workforce official, the Department... Employment and Training Administration Lexisnexis, a Subsidiary of Reed Elsevier Customer Service Department...; Lexisnexis, a Subsidiary of Reed Elsevier Customer Service Department and Fulfillment Department,...

  2. Doctors accessing mental-health services: an exploratory study

    PubMed Central

    Randal, Patte

    2011-01-01

    Objective To develop a more in-depth understanding of how doctors do and do not access mental healthcare from the perspectives of doctors themselves and people they have contact with through the process. Design Qualitative methodology was used with semistructured interviews transcribed and analysed using Grounded Theory. Participants were 11 doctors with experience as patients of psychiatrists, four doctor and four non-doctor personal contacts (friends, family and colleagues) and eight treating psychiatrists. Results Participants described experiencing unrealistic expectations and a harsh work environment with poor self care and denial and minimisation of signs of mental health difficulties. Doctor contacts described particular difficulty in responding effectively to doctor friends, family and colleagues in need of mental healthcare. In contrast, non-doctor personal contacts were more able to identify and speak about concerns but not necessarily to enable accessing adequate mental-health services. Conclusions Three areas with potential to address in supporting doctors' accessing of appropriate healthcare have been identified: (1) processes to enable doctors to maintain high standards of functioning with less use of minimisation and denial; (2) improving the quality and effectiveness of informal doctor-to-doctor conversations about mental-health issues among themselves; (3) role of non-doctor support people in identifying doctors' mental-health needs and enabling their access to mental healthcare. Further research in all these areas has the potential to contribute to improving doctors' access to appropriate mental healthcare and may be of value for the general population. PMID:22021726

  3. Access of rural AFDC Medicaid beneficiaries to mental health services.

    PubMed

    Lambert, D; Agger, M S

    1995-01-01

    This article examines geographic differences in the use of mental health services among Aid to Families with Dependent Children (AFDC)-eligible Medicaid beneficiaries in Maine. Findings indicate that rural AFDC beneficiaries have significantly lower utilization of mental health services than urban beneficiaries. Specialty mental health providers account for the majority of ambulatory visits for both rural and urban beneficiaries. However, rural beneficiaries rely more on primary-care providers than do urban beneficiaries. Differences in use are largely explained by variations in the supply of specialty mental health providers. This finding supports the long-held assumption that lower supply is a barrier to access to mental health services in rural areas. PMID:10153467

  4. Department of Health and Human Services, Office for Civil Rights

    MedlinePlus

    ... Civil Rights Search U.S. Department of Health & Human Services Search Close HHS A-Z Index About Us ... to participate in certain health care and human services programs without unlawful discrimination. HIPAA - Health Information Privacy ...

  5. A JEE RESTful service to access Conditions Data in ATLAS

    NASA Astrophysics Data System (ADS)

    Formica, Andrea; Gallas, E. J.

    2015-12-01

    Usage of condition data in ATLAS is extensive for offline reconstruction and analysis (e.g. alignment, calibration, data quality). The system is based on the LCG Conditions Database infrastructure, with read and write access via an ad hoc C++ API (COOL), a system which was developed before Run 1 data taking began. The infrastructure dictates that the data is organized into separate schemas (assigned to subsystems/groups storing distinct and independent sets of conditions), making it difficult to access information from several schemas at the same time. We have thus created PL/SQL functions containing queries to provide content extraction at multi-schema level. The PL/SQL API has been exposed to external clients by means of a Java application providing DB access via REST services, deployed inside an application server (JBoss WildFly). The services allow navigation over multiple schemas via simple URLs. The data can be retrieved either in XML or JSON formats, via simple clients (like curl or Web browsers).

  6. Web Services Provide Access to SCEC Scientific Research Application Software

    NASA Astrophysics Data System (ADS)

    Gupta, N.; Gupta, V.; Okaya, D.; Kamb, L.; Maechling, P.

    2003-12-01

    Web services offer scientific communities a new paradigm for sharing research codes and communicating results. While there are formal technical definitions of what constitutes a web service, for a user community such as the Southern California Earthquake Center (SCEC), we may conceptually consider a web service to be functionality provided on-demand by an application which is run on a remote computer located elsewhere on the Internet. The value of a web service is that it can (1) run a scientific code without the user needing to install and learn the intricacies of running the code; (2) provide the technical framework which allows a user's computer to talk to the remote computer which performs the service; (3) provide the computational resources to run the code; and (4) bundle several analysis steps and provide the end results in digital or (post-processed) graphical form. Within an NSF-sponsored ITR project coordinated by SCEC, we are constructing web services using architectural protocols and programming languages (e.g., Java). However, because the SCEC community has a rich pool of scientific research software (written in traditional languages such as C and FORTRAN), we also emphasize making existing scientific codes available by constructing web service frameworks which wrap around and directly run these codes. In doing so we attempt to broaden community usage of these codes. Web service wrapping of a scientific code can be done using a "web servlet" construction or by using a SOAP/WSDL-based framework. This latter approach is widely adopted in IT circles although it is subject to rapid evolution. Our wrapping framework attempts to "honor" the original codes with as little modification as is possible. For versatility we identify three methods of user access: (A) a web-based GUI (written in HTML and/or Java applets); (B) a Linux/OSX/UNIX command line "initiator" utility (shell-scriptable); and (C) direct access from within any Java application (and with the

  7. Does better access to FPs decrease the likelihood of emergency department use?

    PubMed Central

    Mian, Oxana; Pong, Raymond

    2012-01-01

    Abstract Objective To determine whether better access to FP services decreases the likelihood of emergency department (ED) use among the Ontario population. Design Population-based telephone survey. Setting Ontario. Participants A total of 8502 Ontario residents aged 16 years and older. Main outcome measures Emergency department use in the 12 months before the survey. Results Among the general population, having a regular FP was associated with having better access to FPs for immediate care (P < .001) but was not associated with a decreased likelihood of ED visits (odds ratio [OR] = 1.49, P = .03). Better actual access to FP services for immediate care was associated with a decreased likelihood of ED use (OR = 0.62, P < .001) among the general population. Among those with chronic diseases, having a regular FP was associated with a decreased likelihood of ED use (OR = 0.47, P = .01). Of the Ontario population, 39.3% wanted to see FPs for immediate care at least once a year; 63.1% of them had seen FPs without difficulties and were significantly less likely to use EDs than those who did not see FPs or had difficulties accessing physicians when needed (OR = 0.62, P < .001). Having a chronic health condition, recent immigrant status, residence in rural and northern parts of Ontario, and lower educational and income levels were significant predictors of a higher likelihood of ED use, independent of access to FPs (P < .05). Conclusion A decreased likelihood of ED use is strongly associated with having a regular FP among those with chronic diseases and with having access to FPs for immediate care among the general population. Further research is needed to understand what accounts for a higher likelihood of ED use among those with regular FPs, new immigrants, residents of northern and rural areas of Ontario, and people with low socioeconomic status when actual access and sociodemographic characteristics have been taken into consideration. More important, this study

  8. Sigmoidoscopy/proctoscopy service with open access to general practitioners.

    PubMed Central

    Donald, I P; FitzGerald Frazer, J S; Wilkinson, S P

    1985-01-01

    Many hospitals now offer barium enema examinations to general practitioners on an open access basis, so bypassing the traditional sequence of first carrying out a sigmoidoscopy. An open access sigmoidoscopy/proctoscopy service was therefore opened with requests for a barium enema being denied unless preceded by sigmoidoscopy. During the first three and a half years 1458 patients referred direct from their general practitioners were examined using a rigid sigmoidoscope. Patients were also examined with a proctoscope if thought appropriate. After the first year of the service a subsequent examination with a fibreoptic sigmoidoscope was also carried out if the presenting symptom was bleeding for which no cause could be found with the rigid instruments. A total of 516 abnormalities were found to account for symptoms in 506 patients giving a diagnostic rate of 35%. The most common lesion was piles (307 cases). Other relatively common disorders included inflammatory bowel disease (107 cases), benign tumours (44), and malignant tumours (38). Of 41 patients subsequently undergoing fibreoptic sigmoidoscopy a cause for the bleeding was found in 32, the most common being a malignant tumour (16). Most general practitioners in the district used the service and a questionnaire survey indicated that most found it very helpful. Requests from general practitioners for a barium enema fell substantially over the period. PMID:3918744

  9. 47 CFR 9.7 - Access to 911 and E911 service capabilities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 1 2012-10-01 2012-10-01 false Access to 911 and E911 service capabilities. 9.7 Section 9.7 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL INTERCONNECTED VOICE OVER INTERNET PROTOCOL SERVICES § 9.7 Access to 911 and E911 service capabilities. (a) Access. Subject to...

  10. 47 CFR 9.7 - Access to 911 and E911 service capabilities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 1 2014-10-01 2014-10-01 false Access to 911 and E911 service capabilities. 9.7 Section 9.7 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL INTERCONNECTED VOICE OVER INTERNET PROTOCOL SERVICES § 9.7 Access to 911 and E911 service capabilities. (a) Access. Subject to...

  11. 47 CFR 9.7 - Access to 911 and E911 service capabilities.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 1 2013-10-01 2013-10-01 false Access to 911 and E911 service capabilities. 9.7 Section 9.7 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL INTERCONNECTED VOICE OVER INTERNET PROTOCOL SERVICES § 9.7 Access to 911 and E911 service capabilities. (a) Access. Subject to...

  12. 47 CFR 9.7 - Access to 911 and E911 service capabilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Access to 911 and E911 service capabilities. 9.7 Section 9.7 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL INTERCONNECTED VOICE OVER INTERNET PROTOCOL SERVICES § 9.7 Access to 911 and E911 service capabilities. (a) Access. Subject to...

  13. 47 CFR 9.7 - Access to 911 and E911 service capabilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 1 2011-10-01 2011-10-01 false Access to 911 and E911 service capabilities. 9.7 Section 9.7 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL INTERCONNECTED VOICE OVER INTERNET PROTOCOL SERVICES § 9.7 Access to 911 and E911 service capabilities. (a) Access. Subject to...

  14. Discussing the Issues: A Report on the 2013 Ivies + Access Services Symposium

    ERIC Educational Resources Information Center

    Wilson, Andrew M.

    2014-01-01

    As access services emerges as a discrete discipline within the field of librarianship, opportunities for access services librarians to meet and discuss the issues facing today's libraries continue to grow. One annual meeting that has attracted less attention over the years is the Ivies + Access Services Symposium. Held at various member…

  15. 77 FR 54783 - Improving Access to Mental Health Services for Veterans, Service Members, and Military Families

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-05

    ..., employees, or agents, or any other person. (Presidential Sig.) THE WHITE HOUSE, August 31, 2012. [FR Doc... Documents#0;#0; ] Executive Order 13625 of August 31, 2012 Improving Access to Mental Health Services for... deployments and intense combat conditions require optimal support for the emotional and mental health needs...

  16. Issues in Accessing Services. Tierra de Oportunidad Module 13. LAES: Latino Adult Education Services Project.

    ERIC Educational Resources Information Center

    Kissam, Ed; Dorsey, Holda

    This module, which may be used as the basis for a workshop or as a special topic unit in adult basic education or English-as-a-Second-Language (ESL) courses, discusses how to access the formalized human service delivery systems in the United States, which often replace the networks of extended families and friends that immigrants relied on in…

  17. Pharmaceutical services in the Department of Veterans Affairs.

    PubMed

    Ogden, J E; Muniz, A; Patterson, A A; Ramirez, D J; Kizer, K W

    1997-04-01

    The status of pharmaceutical services in the Department of Veterans Affairs (VA) is described. The VA health care system is transforming itself from a hospital-based organization into 22 health care networks that emphasize primary and ambulatory care. The impact on VA pharmacy has been substantial. Roles of VA pharmacists and technicians have been enhanced, and a clinical career ladder for pharmacists was created. VA pharmacy officials and leaders from the University of Tennessee College of Pharmacy have been partnering since 1988 in strategic planning to determine how VA pharmacy can do business and serve patients better. Areas targeted for implementation or improvement include staff development, prescribing authority for pharmacists, automation, the physical design of VA pharmacies, residency programs, and a pharmacy benefit management (PBM) product line. The VA PBM is working to enhance the appropriate use of pharmaceuticals in the veteran population, reduce overall health care expenditures, and provide a more consistent quality of care. Specific PBM programs involve the implementation of drug treatment guidelines, a national formulary, and national contracts. There are plans for pharmacoepidemiologic and pharmacoeconomic research in the geriatric veteran population. The VA health care system and its pharmacy service are changing in ways intended to bring about easier access to care, higher quality, and increased responsiveness to patients' needs. PMID:9099341

  18. Impact of Medicare payment reductions on access to surgical services.

    PubMed Central

    Mitchell, J B; Cromwell, J

    1995-01-01

    OBJECTIVE. This study evaluates the impact of surgical fee reductions under Medicare on the utilization of surgical services. DATA SOURCES. Medicare physician claims data were obtained from 11 states for a five-year time period (1985-1989). STUDY DESIGN. Under OBRA-87, Medicare reduced payments for 11 surgical procedures. A fixed effects regression method was used to determine the impact of these payment reductions on access to care for potentially vulnerable Medicare beneficiaries: joint Medicaid-eligibles, blacks, and the very old. DATA COLLECTION/EXTRACTION METHODS. Medicare claims and enrollment data were used to construct a cross-section time-series of population-based surgical rates from 1985 through 1989. PRINCIPAL FINDINGS. Reductions in surgical fees led to small but significant increases in use for three procedures, small decreases in use for two procedures, and no impact on the remaining six procedures. There was little evidence that access to surgery was impaired for potentially vulnerable enrollees; in fact, declining fees often led to greater rates of increases for some subgroups. CONCLUSIONS. Our results suggest that volume responses by surgeons to payment changes under the Medicare Fee Schedule may be smaller than HCFA's original estimates. Nevertheless, both access and quality of care should continue to be closely monitored. PMID:8537224

  19. Pilot evaluation of a web-based intervention targeting sexual health service access.

    PubMed

    Brown, K E; Newby, K; Caley, M; Danahay, A; Kehal, I

    2016-04-01

    Sexual health service access is fundamental to good sexual health, yet interventions designed to address this have rarely been implemented or evaluated. In this article, pilot evaluation findings for a targeted public health behavior change intervention, delivered via a website and web-app, aiming to increase uptake of sexual health services among 13-19-year olds are reported. A pre-post questionnaire-based design was used. Matched baseline and follow-up data were identified from 148 respondents aged 13-18 years. Outcome measures were self-reported service access, self-reported intention to access services and beliefs about services and service access identified through needs analysis. Objective service access data provided by local sexual health services were also analyzed. Analysis suggests the intervention had a significant positive effect on psychological barriers to and antecedents of service access among females. Males, who reported greater confidence in service access compared with females, significantly increased service access by time 2 follow-up. Available objective service access data support the assertion that the intervention may have led to increases in service access. There is real promise for this novel digital intervention. Further evaluation is planned as the model is licensed to and rolled out by other local authorities in the United Kingdom. PMID:26928566

  20. [Gender, equality, and health services access: an empirical approximation].

    PubMed

    Gómez Gómez, Elsa

    2002-01-01

    This piece describes the conceptual framework and the objectives that guided a research initiative in the Region of the Americas that was called "Gender, Equity, and Access to Health Services" and that was sponsored in 2001 by the Pan American Health Organization. The piece does not summarize the results of the six projects that were carried under the initiative, whose analyses have not all been completed. Instead, the piece discusses some of the foundations of the initiative and provides a general introduction to the country studies that were done. The six studies were done in Barbados/Jamaica, Brazil, Chile, Colombia, Ecuador, and Peru. The primary objective of the initiative was to stimulate the use of existing quantitative information in the countries, with the goal of starting a process of systematically documenting two things: 1) the unfair, unnecessary, and avoidable inequalities between men and women in their access to health care and 2) the linkages between those inequalities and other socioeconomic factors. The concept of gender equity that guided this examination of health care was not the usual one calling for the equal distribution of resources. Rather, it was the notion that resources should be allocated differentially, according to the particular needs of men and of women, and that persons should pay for health services according to their economic ability rather than their risk level. The starting point for the initiative was the premise that gender inequities in utilizing and paying for health care result from gender differences in the macroeconomic and microeconomic distribution of resources. The piece concludes that achieving equity in health care access will require a better understanding of the gender needs and gender barriers that are linked to social structures and health systems. PMID:12162830

  1. 47 CFR 51.901 - Purpose and scope of transitional access service pricing rules.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... service pricing rules. 51.901 Section 51.901 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) INTERCONNECTION Transitional Access Service Pricing § 51.901 Purpose and scope of transitional access service pricing rules. (a) The purpose of this section is...

  2. 47 CFR 51.901 - Purpose and scope of transitional access service pricing rules.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... service pricing rules. 51.901 Section 51.901 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) INTERCONNECTION Transitional Access Service Pricing § 51.901 Purpose and scope of transitional access service pricing rules. (a) The purpose of this section is...

  3. 47 CFR 51.901 - Purpose and scope of transitional access service pricing rules.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... service pricing rules. 51.901 Section 51.901 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) INTERCONNECTION Transitional Access Service Pricing § 51.901 Purpose and scope of transitional access service pricing rules. (a) The purpose of this section is...

  4. Perceived Barriers Affecting Access to Preventive Dental Services: Application of DEMATEL Method

    PubMed Central

    Bahadori, Mohammadkarim; Ravangard, Ramin; Asghari, Baratali

    2013-01-01

    Background Identifying perceived access barriers to preventive dental services is one of the basic steps to improve the public health. Objectives This study aimed to determine the perceived barriers affecting access to preventive dental services in one of Tehran dental clinics in 2012. Patients and Methods This research was a cross-sectional descriptive-analytical study conducted in one of Tehran dental clinics in 2012 using decision–making trial and evaluation laboratory (DEMATEL) method. The study sample included all patients (100 patients) who had referred to the endodontic treatment department from 26 - 31 May, 2012. The required data were collected using a questionnaire. Collected data were analyzed using SPSS 18.0 and MATLAB 7.9.0 SPSSS 18.0, as well as, some descriptive and analytical tests including Mean, Standard Deviation (SD), and Independent T- Test. Results The five determinants of cost, inconvenience, fear, organization, and patient-dentist relationship were determined as barriers to access to dental services among which the cost and patient-dentist relationship were identified as the first and last priorities with the coordinates (1.4 and 1.4) and (1.25 and -0.65), respectively. Conclusions High cost of dental care has led to not referring patients to the clinic. Oral health costs are too high; however insurance organizations have no commitment to support such services. Policymakers, administrators, and insurance organizations have a major role in improving access to dental services. These decision-makers in making their policies can provide the required financial resources, shift the available resources towards preventive care and periodic checkups, and consider providing proper and sufficient places for dental care facilities. PMID:24578831

  5. 14 CFR 382.43 - Must information and reservation services of carriers be accessible to individuals with hearing...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 4 2013-01-01 2013-01-01 false Must information and reservation services of carriers be accessible to individuals with hearing impairments? 382.43 Section 382.43 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) SPECIAL REGULATIONS NONDISCRIMINATION ON THE BASIS...

  6. Intraosseous access and adults in the emergency department.

    PubMed

    Lowther, Ashleigh

    This article examines the use of the intraosseous route for obtaining vascular access in adults. It discusses indications for intraosseous access, the techniques and devices used, and contraindications. PMID:21901968

  7. Myths versus facts in emergency department overcrowding and hospital access block.

    PubMed

    Richardson, Drew B; Mountain, David

    2009-04-01

    Overcrowding occurs when emergency department (ED) function is impeded, primarily by overwhelming of ED staff resources and physical capacity by excessive numbers of patients needing or receiving care. Access block occurs when there is excessive delay in access to appropriate inpatient beds (> 8 hours total time in the ED). Access block for admitted patients is the principal cause of overcrowding, and is mainly the result of a systemic lack of capacity throughout health systems, and not of inappropriate presentations by patients who should have attended a general practitioner. Overcrowding is most strongly associated with excessive numbers of admitted patients being kept in the ED. Excessive numbers of admitted patients in the ED are associated with diminished quality of care and poor patient outcomes. These include (but are not limited to) adverse events, errors, delayed time-critical care, increased morbidity and excess deaths (estimated as at least 1500 per annum in Australia). There is no evidence that telephone advice lines or collocated after-hours GP services assist in reducing ED workloads. Changes to ED structure and function do not address the underlying causes or major adverse effects of overcrowding. They are also rapidly overwhelmed by increasing access block. The causes of overcrowding, and hence the solutions, lie outside the ED. Solutions will mainly be found in managing hospital bedstock and systemic capacity (including the use of step-down and community resources) so that appropriate inpatient beds remain available for acutely sick patients. PMID:19351311

  8. Health Services, Student Services Department: Program Evaluation. 1990-91.

    ERIC Educational Resources Information Center

    Jeschke, Thomas; And Others

    This document evaluates the Des Moines Public Schools health services and education program, which utilizes the professional expertise of school nurses throughout the district. The program promotes success in the learning process for students (including those with complex health care needs, conditions, and disabilities), employees, and the…

  9. 76 FR 26341 - Medicaid Program; Methods for Assuring Access to Covered Medicaid Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-06

    ... 6, 2011 Part II Department of Health and Human Services Centers for Medicare & Medicaid Services 42... OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Part 447 RIN 0938-AQ54..., Department of Health and Human Services, Attention: CMS-2328-P, P.O. Box 8016, Baltimore, MD...

  10. 20. Photocopy of National Park Service photograph, US Department of ...

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

    20. Photocopy of National Park Service photograph, US Department of Interior, Washington, DC. Photograph No. 8005.B, 4 July 1963. CASCADE FROM ABOVE - Meridian Hill Park, Bounded by Fifteenth, Sixteenth, Euclid & W Streets, Northwest, Washington, District of Columbia, DC

  11. 12. Photocopy of photograph, National Park Service, US Department of ...

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

    12. Photocopy of photograph, National Park Service, US Department of Interior, Washington, DC. Photograph No. 9525-A, 15 December 1965 ARMILLARY SPHERE AT EXEDRA - Meridian Hill Park, Bounded by Fifteenth, Sixteenth, Euclid & W Streets, Northwest, Washington, District of Columbia, DC

  12. MPEG-21 as an access control tool for the National Health Service Care Records Service.

    PubMed

    Brox, Georg A

    2005-01-01

    Since the launch of the National Health Service (NHS) Care Records Service with plans to share patient information across England, there has been an emphasis on the need for manageable access control methods. MPEG-21 is a structured file format which includes an Intellectual Property Management and Protection (IPMP) function using XML to present all digitally stored items in the patient record. Using DICreator software, patient records consisting of written text, audio-recordings, non-X-ray digital imaging and video sequences were linked up successfully. Audio records were created using Talk-Back 2002 to standardize and optimize recording quality. The recorded reports were then linked and archived using iTunes. A key was used each time the file was displayed to secure access to confidential patient data. The building of the correct file structure could be monitored during the entire creation of the file. The results demonstrated the ability to ensure secure access of the MPEG-21 file by both health-care professionals and patients by use of different keys and a specific MPEG-21 browser. The study also showed that the enabling of IPMP will provide accurate audit trails to authenticate appropriate access to medical information. PMID:16035983

  13. An authentication scheme for secure access to healthcare services.

    PubMed

    Khan, Muhammad Khurram; Kumari, Saru

    2013-08-01

    Last few decades have witnessed boom in the development of information and communication technologies. Health-sector has also been benefitted with this advancement. To ensure secure access to healthcare services some user authentication mechanisms have been proposed. In 2012, Wei et al. proposed a user authentication scheme for telecare medical information system (TMIS). Recently, Zhu pointed out offline password guessing attack on Wei et al.'s scheme and proposed an improved scheme. In this article, we analyze both of these schemes for their effectiveness in TMIS. We show that Wei et al.'s scheme and its improvement proposed by Zhu fail to achieve some important characteristics necessary for secure user authentication. We find that security problems of Wei et al.'s scheme stick with Zhu's scheme; like undetectable online password guessing attack, inefficacy of password change phase, traceability of user's stolen/lost smart card and denial-of-service threat. We also identify that Wei et al.'s scheme lacks forward secrecy and Zhu's scheme lacks session key between user and healthcare server. We therefore propose an authentication scheme for TMIS with forward secrecy which preserves the confidentiality of air messages even if master secret key of healthcare server is compromised. Our scheme retains advantages of Wei et al.'s scheme and Zhu's scheme, and offers additional security. The security analysis and comparison results show the enhanced suitability of our scheme for TMIS. PMID:23828650

  14. Factors Influencing Emergency Department Preference for Access to Healthcare

    PubMed Central

    Brown, Lindsay E.; Burton, Ryan; Hixon, Brian; Kakade, Manasi; Bhagalia, Parul; Vick, Catherine; Edwards, Andrew; Hawn, Mary T.

    2012-01-01

    Introduction: African-Americans are more likely than Caucasians to access healthcare through the emergency department (ED); however, the reasons behind this pattern are unclear. The objective is to investigate the effect of race, insurance, socioeconomic status, and perceived health on the preference for ED use. Methods: This is a prospective study at a tertiary care ED from June to July 2009. Patients were surveyed to capture demographics, healthcare utilization, and baseline health status. The primary outcome of interest was patient-reported routine place of healthcare. Other outcomes included frequency of ED visits in the previous 6 months, barriers to primary care and patient perception of health using select questions from the Medical Outcomes Study Short Form 36 (SF-36). Results: Two hundred and ninety-two patients completed the survey of whom 58% were African-American and 44% were uninsured. African-Americans were equally likely to report 3 or more visits to the ED, but more likely to state a preference for the ED for their usual place of care (24% vs. 13%, p < 0.01). No significant differences between groups were found for barriers to primary care, including insurance. African-Americans less often reported comorbidities or hospitalization within the previous 6 months (23% vs. 34%, p = 0.04). On logistic regression modeling, African-Americans were more than 2 times as likely to select the ED as their usual place of healthcare (OR 2.24, 95% CI 1.22 – 4.08). Conclusion: African-Americans, independent of health insurance, are more likely than Caucasians to designate the ED as their routine place of healthcare. PMID:23359637

  15. 47 CFR 64.402 - Policies and procedures for the provision of priority access service by commercial mobile radio...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... priority access service by commercial mobile radio service providers. 64.402 Section 64.402... Policies and procedures for the provision of priority access service by commercial mobile radio service providers. Commercial mobile radio service providers that elect to provide priority access service...

  16. 47 CFR 64.402 - Policies and procedures for the provision of priority access service by commercial mobile radio...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... priority access service by commercial mobile radio service providers. 64.402 Section 64.402... Policies and procedures for the provision of priority access service by commercial mobile radio service providers. Commercial mobile radio service providers that elect to provide priority access service...

  17. October 1 Begins New Era of Telephone Access: 711 Will Permit Easy Nationwide Access to Relay Services.

    ERIC Educational Resources Information Center

    Communication Disorders Quarterly, 2002

    2002-01-01

    This article highlights the debut of a new three-digit number for access to all Telecommunication Relay Services. Under new federal rules, 711 dialing must be provided by all U.S. telecommunication carriers, including wireline, wireless, and payphone providers. In addition, carriers are required to publicize the availability of 711 access. (CR)

  18. 39 CFR 254.1 - Adoption of U.S. Access Board Standards as Postal Service Standards of Facility Accessibility.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Barriers Act (ABA) “Standards for Facility Accessibility,” the following sections of 36 CFR part 1191... THE ARCHITECTURAL BARRIERS ACT § 254.1 Adoption of U.S. Access Board Standards as Postal Service... Barriers Act, Scoping (which contains ABA Chapter 1, Application and Administration, and ABA Chapter...

  19. The Ohio Department of Youth Services Juvenile Prison Library System

    ERIC Educational Resources Information Center

    Herring, Deidra N.

    2009-01-01

    The article is an introduction to The Ohio Department of Youth Services librarians and the services they provide. Information about each juvenile prison facility is revealed and provides an explanation of guidelines and standards for prison libraries. Sixty-eight questions were asked in four in-person interviews to present a profile of the…

  20. Dallas Police Department Youth Services Program: Police Diversion Program.

    ERIC Educational Resources Information Center

    Dallas Police Dept., TX.

    The Youth Section of the Dallas Police Department has instituted an innovative police diversion project entitled the Youth Services Program as an operational unit of the police department. Fourteen civilian counselors supervised by a police lieutenant function as a diversion unit for arrested juveniles between the ages of 10 and 16. Juveniles that…

  1. 7 CFR 652.6 - Department delivery of technical services.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 6 2011-01-01 2011-01-01 false Department delivery of technical services. 652.6 Section 652.6 Agriculture Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES... USDA Federal assistance rules and requirements for competency, quality, and selection, as...

  2. 7 CFR 652.6 - Department delivery of technical services.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 6 2013-01-01 2013-01-01 false Department delivery of technical services. 652.6 Section 652.6 Agriculture Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES... USDA Federal assistance rules and requirements for competency, quality, and selection, as...

  3. 7 CFR 652.6 - Department delivery of technical services.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 6 2014-01-01 2014-01-01 false Department delivery of technical services. 652.6 Section 652.6 Agriculture Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES... USDA Federal assistance rules and requirements for competency, quality, and selection, as...

  4. 7 CFR 652.6 - Department delivery of technical services.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 6 2012-01-01 2012-01-01 false Department delivery of technical services. 652.6 Section 652.6 Agriculture Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES... USDA Federal assistance rules and requirements for competency, quality, and selection, as...

  5. 7 CFR 652.6 - Department delivery of technical services.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 6 2010-01-01 2010-01-01 false Department delivery of technical services. 652.6 Section 652.6 Agriculture Regulations of the Department of Agriculture (Continued) NATURAL RESOURCES... requirements for competency, quality, and selection, as appropriate. Any contract, contribution...

  6. Dynamic RACH Partition for Massive Access of Differentiated M2M Services

    PubMed Central

    Du, Qinghe; Li, Wanyu; Liu, Lingjia; Ren, Pinyi; Wang, Yichen; Sun, Li

    2016-01-01

    In machine-to-machine (M2M) networks, a key challenge is to overcome the overload problem caused by random access requests from massive machine-type communication (MTC) devices. When differentiated services coexist, such as delay-sensitive and delay-tolerant services, the problem becomes more complicated and challenging. This is because delay-sensitive services often use more aggressive policies, and thus, delay-tolerant services get much fewer chances to access the network. To conquer the problem, we propose an efficient mechanism for massive access control over differentiated M2M services, including delay-sensitive and delay-tolerant services. Specifically, based on the traffic loads of the two types of services, the proposed scheme dynamically partitions and allocates the random access channel (RACH) resource to each type of services. The RACH partition strategy is thoroughly optimized to increase the access performances of M2M networks. Analyses and simulation demonstrate the effectiveness of our design. The proposed scheme can outperform the baseline access class barring (ACB) scheme, which ignores service types in access control, in terms of access success probability and the average access delay. PMID:27043568

  7. Dynamic RACH Partition for Massive Access of Differentiated M2M Services.

    PubMed

    Du, Qinghe; Li, Wanyu; Liu, Lingjia; Ren, Pinyi; Wang, Yichen; Sun, Li

    2016-01-01

    In machine-to-machine (M2M) networks, a key challenge is to overcome the overload problem caused by random access requests from massive machine-type communication (MTC) devices. When differentiated services coexist, such as delay-sensitive and delay-tolerant services, the problem becomes more complicated and challenging. This is because delay-sensitive services often use more aggressive policies, and thus, delay-tolerant services get much fewer chances to access the network. To conquer the problem, we propose an efficient mechanism for massive access control over differentiated M2M services, including delay-sensitive and delay-tolerant services. Specifically, based on the traffic loads of the two types of services, the proposed scheme dynamically partitions and allocates the random access channel (RACH) resource to each type of services. The RACH partition strategy is thoroughly optimized to increase the access performances of M2M networks. Analyses and simulation demonstrate the effectiveness of our design. The proposed scheme can outperform the baseline access class barring (ACB) scheme, which ignores service types in access control, in terms of access success probability and the average access delay. PMID:27043568

  8. 34 CFR 370.7 - What shall the designated agency do to make its services accessible?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... CLIENT ASSISTANCE PROGRAM General § 370.7 What shall the designated agency do to make its services... formats that are accessible to clients or client applicants who seek or receive CAP services....

  9. Access to fertility services by transgender persons: an Ethics Committee opinion.

    PubMed

    2015-11-01

    This statement explores the ethical considerations surrounding the provision of fertility services to transgender individuals and concludes that denial of access to fertility services is not justified. PMID:26363388

  10. Assessing potential spatial accessibility of health services in rural China: a case study of Donghai county

    PubMed Central

    2013-01-01

    Introduction There is a great health services disparity between urban and rural areas in China. The percentage of people who are unable to access health services due to long travel times increases. This paper takes Donghai County as the study unit to analyse areas with physician shortages and characteristics of the potential spatial accessibility of health services. We analyse how the unequal health services resources distribution and the New Cooperative Medical Scheme affect the potential spatial accessibility of health services in Donghai County. We also give some advice on how to alleviate the unequal spatial accessibility of health services in areas that are more remote and isolated. Methods The shortest traffic times of from hospitals to villages are calculated with an O-D matrix of GIS extension model. This paper applies an enhanced two-step floating catchment area (E2SFCA) method to study the spatial accessibility of health services and to determine areas with physician shortages in Donghai County. The sensitivity of the E2SFCA for assessing variation in the spatial accessibility of health services is checked using different impedance coefficient valuesa. Geostatistical Analyst model and spatial analyst method is used to analyse the spatial pattern and the edge effect of potential spatial accessibility of health services. Results The results show that 69% of villages have access to lower potential spatial accessibility of health services than the average for Donghai County, and 79% of the village scores are lower than the average for Jiangsu Province. The potential spatial accessibility of health services diminishes greatly from the centre of the county to outlying areas. Using a smaller impedance coefficient leads to greater disparity among the villages. The spatial accessibility of health services is greater along highway in the county. Conclusions Most of villages are in underserved health services areas. An unequal distribution of health service

  11. 47 CFR 54.621 - Access to advanced telecommunications and information services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 3 2012-10-01 2012-10-01 false Access to advanced telecommunications and information services. 54.621 Section 54.621 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) UNIVERSAL SERVICE Universal Service Support for Health Care...

  12. 47 CFR 54.621 - Access to advanced telecommunications and information services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 3 2011-10-01 2011-10-01 false Access to advanced telecommunications and information services. 54.621 Section 54.621 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) UNIVERSAL SERVICE Universal Service Support for Health Care...

  13. Improving access to computer-based library and drug information services in patient-care areas.

    PubMed

    Tobia, R C; Bierschenk, N F; Knodel, L C; Bowden, V M

    1990-01-01

    A project to increase access to drug and biomedical information through electronic linkage of drug information and library services to three patient-care areas is described. In February 1987, microcomputer work stations were installed in the Bexar County Hospital District's hospital emergency department, medical residents' office, and ambulatory-care clinic, as well as in The University of Texas Health Science Center's library reference area and drug information service office. Drug information was available on compact disk through the Micromedex Computerized Clinical Information System (CCIS) database, which includes DRUGDEX, POISINDEX, EMERGINDEX, and IDENTIDEX. Each work station was also connected to the library's computer via modem, allowing access to the Library Information System, books, journals, audiovisual materials, miniMEDLINE, and an electronic mail system. During the six-month project, the system was used 5487 times by 702 people. The system was successful in providing drug and other information in clinical settings and in introducing clinical staff members to new information technology. To increase access to the system after the project ended, the CD-ROM version was discontinued, and the distributed tape version of CCIS for VAX computers was added to the library's online information system, making drug information more available throughout the campus and teaching hospitals. In 1988-89 an average of 200 people accessed the tape version of CCIS each month. Although it is difficult to replace the convenience of an onsite library, at least some drug and biomedical information needs in the clinical setting can be met through computer networking. PMID:2405657

  14. 47 CFR 54.621 - Access to advanced telecommunications and information services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... information services. 54.621 Section 54.621 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED... § 54.621 Access to advanced telecommunications and information services. (a) Twenty-five percent of the monthly cost of eligible Internet access shall be eligible for universal support. Health care...

  15. Personnel Management in Access Services: A General Overview of the Literature, 1990-2002

    ERIC Educational Resources Information Center

    Lee, Leslie A.; Wu, Michelle M.

    2003-01-01

    Access services is not unique in its need for effective personnel management. A review of the literature indicates that there are many publications on or relating to library personnel administration; however, relatively few of them are dedicated to the narrow topic of access services. As such, this review encompasses literature that is general to…

  16. The Effect of Access to an Online Tutorial Service on College Algebra Student Outcomes

    ERIC Educational Resources Information Center

    Kersaint, Gladis; Dogbey, James; Barber, Jeff; Kephart, David

    2011-01-01

    This study investigated outcomes (achievement, attitude, and retention) of college algebra students who had access to an online tutoring resource using a pre-posttest control group design. Students in the experimental groups were provided access to an online tutoring service unlike the students in the control group. Both groups had access to other…

  17. [A comprehensive and critical view of conceptual models for access to health services, 1970-2013].

    PubMed

    Arrivillaga, Marcela; Borrero, Yadira Eugenia

    2016-01-01

    The aim of this study was to critically analyze various conceptual models on access to health services described in the literature from 1970 to 2013. A systematic review was conducted on applied and theoretical research publications that explicitly conceptualized access to health services. The review included 25 articles that met the study's objectives. The analysis used a matrix containing the conceptual model's logic and its description. Access to health services was classified in five categories: (i) decent minimums, (ii) market-driven, (iii) factors and multicausality, (iv) needs-based, and (v) social justice and the right to health. The study concludes that the predominant concept of access in the literature has been the market logic of medical care services, linked to the logic of factors and multicausality. Meanwhile, no conceptual model was found for access to health services based explicitly on social justice and the right to health. PMID:27192027

  18. Web service module for access to g-Lite

    NASA Astrophysics Data System (ADS)

    Goranova, R.; Goranov, G.

    2012-10-01

    G-Lite is a lightweight grid middleware for grid computing installed on all clusters of the European Grid Infrastructure (EGI). The middleware is partially service-oriented and does not provide well-defined Web services for job management. The existing Web services in the environment cannot be directly used by grid users for building service compositions in the EGI. In this article we present a module of well-defined Web services for job management in the EGI. We describe the architecture of the module and the design of the developed Web services. The presented Web services are composable and can participate in service compositions (workflows). An example of usage of the module with tools for service compositions in g-Lite is shown.

  19. Challenges in accessing sexual and reproductive health services by people with physical disabilities in Kampala, Uganda

    PubMed Central

    2014-01-01

    Introduction Despite the universal right to access the same range, quality and standard of free or affordable health care and programs as provided to other persons, people with physical disabilities (PWPDs) continue to experience challenges in accessing these services. This article presents the challenges faced by PWPDs in accessing sexual and reproductive health (SRH) services in Kampala, Uganda. Methods This was a qualitative study that was conducted with male and female PWPDs in Kampala in 2007. Data on the challenges experienced by PWPDs in accessing SRH services were collected using in-depth interviews with 40 PWPDs and key informant interviews with 10 PWPDs’ representatives, staff of agencies supporting PWPDs and health workers. All data were captured verbatim using an audio-tape recorder, entered into a Microsoft Word computer program and analyzed manually following a content thematic approach. Results The study findings show that PWPDs face a multitude of challenges in accessing SRH services including negative attitudes of service providers, long queues at health facilities, distant health facilities, high costs of services involved, unfriendly physical structures and the perception from able-bodied people that PWPDs should be asexual. Conclusion People with physical disabilities (PWPDs) face health facility-related (service provider and facility-related challenges), economic and societal challenges in accessing SRH services. These findings call for a need to sensitize service providers on SRH needs of PWPDs for better support and for the government to enforce the provision of PWPD-friendly services in all health facilities. PMID:25086444

  20. Provision of Personal Healthcare Services by Local Health Departments

    PubMed Central

    Luo, Huabin; Sotnikov, Sergey; Winterbauer, Nancy

    2016-01-01

    Introduction The scope of local health department (LHD) involvement in providing personal healthcare services versus population-based services has been debated for decades. A 2012 IOM report suggests that LHDs should gradually withdraw from providing personal healthcare services. The purpose of this study is to assess the level of LHD involvement in provision of personal healthcare services during 2008–2013 and examine the association between provision of personal healthcare services and per capita public health expenditures. Methods Data are from the 2013 survey of LHDs and Area Health Resource Files. The number, ratio, and share of revenue from personal healthcare services were estimated. Both linear and panel fixed effects models were used to examine the association between provision of personal healthcare services and per capita public health expenditures. Data were analyzed in 2014. Results The mean number of personal healthcare services provided by LHDs did not change significantly in 2008–2013. Overall, personal services constituted 28% of total service items. The share of revenue from personal services increased from 16.8% in 2008 to 20.3% in 2013. Results from the fixed effect panel models show a positive association between personal healthcare services’ share of revenue and per capita expenditures (b=0.57, p<0.001). Conclusions A lower share of revenue from personal healthcare services is associated with lower per capita expenditures. LHDs, especially those serving <25,000 people, are highly dependent on personal healthcare revenue to sustain per capita expenditures. LHDs may need to consider strategies to replace lost revenue from discontinuing provision of personal healthcare services. PMID:25997902

  1. Improving Access to Longitudinal Patient Health Information within an Emergency Department

    PubMed Central

    Wilcox, A.B.; Shen, S.; Dorr, D.A.; Hripcsak, G.; Heermann, L; Narus, S.P.

    2012-01-01

    We designed and implemented an electronic patient tracking system with improved user authentication and patient selection. We then measured access to clinical information from previous clinical encounters before and after implementation of the system. Clinicians accessed longitudinal information for 16% of patient encounters before, and 40% of patient encounters after the intervention, indicating such a system can improve clinician access to information. We also attempted to evaluate the impact of providing this access on inpatient admissions from the emergency department, by comparing the odds of inpatient admission from an emergency department before and after the improved access was made available. Patients were 24% less likely to be admitted after the implementation of improved access. However, there were many potential confounders, based on the inherent pre-post design of the evaluation. Our experience has strong implications for current health information exchange initiatives. PMID:23646076

  2. 47 CFR 54.806 - Calculation by the Administrator of interstate access universal service support for areas served...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... access universal service support for areas served by price cap local exchange carriers. 54.806 Section 54...) UNIVERSAL SERVICE Interstate Access Universal Service Support Mechanism § 54.806 Calculation by the Administrator of interstate access universal service support for areas served by price cap local...

  3. 47 CFR 54.806 - Calculation by the Administrator of interstate access universal service support for areas served...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... access universal service support for areas served by price cap local exchange carriers. 54.806 Section 54...) UNIVERSAL SERVICE Interstate Access Universal Service Support Mechanism § 54.806 Calculation by the Administrator of interstate access universal service support for areas served by price cap local...

  4. 47 CFR 54.806 - Calculation by the Administrator of interstate access universal service support for areas served...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... access universal service support for areas served by price cap local exchange carriers. 54.806 Section 54...) UNIVERSAL SERVICE Interstate Access Universal Service Support Mechanism § 54.806 Calculation by the Administrator of interstate access universal service support for areas served by price cap local...

  5. 47 CFR 54.806 - Calculation by the Administrator of interstate access universal service support for areas served...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... access universal service support for areas served by price cap local exchange carriers. 54.806 Section 54...) UNIVERSAL SERVICE Interstate Access Universal Service Support Mechanism § 54.806 Calculation by the Administrator of interstate access universal service support for areas served by price cap local...

  6. Clinical Pharmacy Services in Canadian Emergency Departments: A National Survey

    PubMed Central

    Wanbon, Richard; Lyder, Catherine; Villeneuve, Eric; Shalansky, Stephen; Manuel, Leslie; Harding, Melanie

    2015-01-01

    Background: Providing clinical pharmacy services in emergency departments (EDs) is important because adverse drug events commonly occur before, during, and after ED encounters. Survey studies in the United States have indicated a relatively low presence of clinical pharmacy services in the ED setting, but a descriptive survey specific to Canada has not yet been performed. Objectives: To describe the current status of pharmacy services in Canadian EDs and potential barriers to implementing pharmacy services in this setting. Methods: All Canadian hospitals with an ED and at least 50 acute care beds were contacted to identify the presence of dedicated ED pharmacy services (defined as at least 0.5 full-time equivalent [FTE] position). Three different electronic surveys were then distributed by e-mail to ED pharmacy team members (if available), pharmacy managers (at hospitals without an ED pharmacy team), and ED managers (all hospitals). The surveys were completed between July and September 2013. Results: Of the 243 hospitals identified, 95 (39%) had at least 0.5 FTE clinical pharmacy services in the ED (based on initial telephone screening). Of the 60 ED pharmacy teams that responded to the survey, 56 had pharmacists (27 of which also had ED pharmacy technicians) and 4 had pharmacy technicians (without pharmacists). Forty-four (79%) of the 56 ED pharmacist services had been established within the preceding 10 years. Order clarification, troubleshooting, medication reconciliation, and assessment of renal dosing were the services most commonly provided. The large majority of pharmacy managers and ED managers identified the need for ED pharmacy services where such services do not yet exist. Inadequate funding, competing priorities, and lack of training were the most commonly reported barriers to providing this service. Conclusions: Although the establishment of ward-based pharmacy services in Canadian EDs has increased over the past 10 years, lack of funding and a lack of

  7. Population Accessibility to Radiotherapy Services in New South Wales Region of Australia: a methodological contribution

    NASA Astrophysics Data System (ADS)

    Shukla, Nagesh; Wickramasuriya, Rohan; Miller, Andrew; Perez, Pascal

    2015-05-01

    This paper proposes an integrated modelling process to assess the population accessibility to radiotherapy treatment services in future based on future cancer incidence and road network-based accessibility. Previous research efforts assessed travel distance/time barriers affecting access to cancer treatment services, as well as epidemiological studies that showed that cancer incidence rates vary with population demography. It is established that travel distances to treatment centres and demographic profiles of the accessible regions greatly influence the demand for cancer radiotherapy (RT) services. However, an integrated service planning approach that combines spatially-explicit cancer incidence projections, and the RT services accessibility based on patient road network have never been attempted. This research work presents this novel methodology for the accessibility assessment of RT services and demonstrates its viability by modelling New South Wales (NSW) cancer incidence rates for different age-sex groups based on observed cancer incidence trends; estimating the road network-based access to current NSW treatment centres; and, projecting the demand for RT services in New South Wales, Australia from year 2011 to 2026.

  8. Socioeconomic inequalities in the access to and quality of health care services

    PubMed Central

    Nunes, Bruno Pereira; Thumé, Elaine; Tomasi, Elaine; Duro, Suele Manjourany Silva; Facchini, Luiz Augusto

    2014-01-01

    OBJECTIVE To assess the inequalities in access, utilization, and quality of health care services according to the socioeconomic status. METHODS This population-based cross-sectional study evaluated 2,927 individuals aged ≥ 20 years living in Pelotas, RS, Southern Brazil, in 2012. The associations between socioeconomic indicators and the following outcomes were evaluated: lack of access to health services, utilization of services, waiting period (in days) for assistance, and waiting time (in hours) in lines. We used Poisson regression for the crude and adjusted analyses. RESULTS The lack of access to health services was reported by 6.5% of the individuals who sought health care. The prevalence of use of health care services in the 30 days prior to the interview was 29.3%. Of these, 26.4% waited five days or more to receive care and 32.1% waited at least an hour in lines. Approximately 50.0% of the health care services were funded through the Unified Health System. The use of health care services was similar across socioeconomic groups. The lack of access to health care services and waiting time in lines were higher among individuals of lower economic status, even after adjusting for health care needs. The waiting period to receive care was higher among those with higher socioeconomic status. CONCLUSIONS Although no differences were observed in the use of health care services across socioeconomic groups, inequalities were evident in the access to and quality of these services. PMID:26039400

  9. Telemental Health Technology in Deaf and General Mental-Health Services: Access and Use

    ERIC Educational Resources Information Center

    Austen, Sally; McGrath, Melissa

    2006-01-01

    Long-distance travel to provide mental health services for deaf people has implications for efficiency, safety, and equality of service. However, uptake of Telemental Health (TMH) has been slow in both deaf and general mental health services. A quantitative study was used to investigate access to TMH and whether staff confidence, experience, or…

  10. Accessing Services for Youth with Emotional Disturbances in and after High School

    ERIC Educational Resources Information Center

    Wagner, Mary M.; Wei, Xin; Thornton, S. Patrick; Valdes, Kathryn

    2016-01-01

    This study uses data from the National Longitudinal Transition Study-2 to examine the rates at which youth with emotional disturbances received services during and up to 8 years after high school. Parents' efforts to obtain services, information sources accessed, problems encountered, and the perceived sufficiency of services to meet youths' needs…

  11. Semantic Data Access Services at NASA's Atmospheric Science Data Center

    NASA Astrophysics Data System (ADS)

    Huffer, E.; Hertz, J.; Kusterer, J.

    2012-12-01

    The corpus of Earth Science data products at the Atmospheric Science Data Center at NASA's Langley Research Center comprises a widely heterogeneous set of products, even among those whose subject matter is very similar. Two distinct data products may both contain data on the same parameter, for instance, solar irradiance; but the instruments used, and the circumstances under which the data were collected and processed, may differ significantly. Understanding the differences is critical to using the data effectively. Data distribution services must be able to provide prospective users with enough information to allow them to meaningfully compare and evaluate the data products offered. Semantic technologies - ontologies, triple stores, reasoners, linked data - offer functionality for addressing this issue. Ontologies can provide robust, high-fidelity domain models that serve as common schema for discovering, evaluating, comparing and integrating data from disparate products. Reasoning engines and triple stores can leverage ontologies to support intelligent search applications that allow users to discover, query, retrieve, and easily reformat data from a broad spectrum of sources. We argue that because of the extremely complex nature of scientific data, data distribution systems should wholeheartedly embrace semantic technologies in order to make their data accessible to a broad array of prospective end users, and to ensure that the data they provide will be clearly understood and used appropriately by consumers. Toward this end, we propose a distribution system in which formal ontological models that accurately and comprehensively represent the ASDC's data domain, and fully leverage the expressivity and inferential capabilities of first order logic, are used to generate graph-based representations of the relevant relationships among data sets, observational systems, metadata files, and geospatial, temporal and scientific parameters to help prospective data consumers

  12. Fair Access to Care Services (FACS): implementation in the mental health context of the UK.

    PubMed

    Cestari, L; Munroe, M; Evans, S; Smith, A; Huxley, P

    2006-11-01

    Since April 2003, all adults requiring social care services must have an assessment to determine their eligibility, which is set within the four-level framework of Fair Access to Care Services [FACS; LAC (2002)13]. This paper examines the implementation of FACS by community mental health teams in eight sites in mental health partnership trusts, and one in a mental health and social care trust in the UK. Twenty-eight respondents (managers within trusts and social services departments) participated in in-depth qualitative interviews, which were undertaken between August 2004 and February 2005. The interviews covered: consultation with users and partner organisations; training and briefings for staff; FACS thresholds; integration of FACS and the Care Programme Approach; and the impact of implementing FACS on budgetary arrangements between health and social care. Using the framework analysis approach to analyse data, it was found that FACS implementation in mental health services has been somewhat haphazard, and has identified real differences between health and social care approaches to eligibility determination, assessment and priorities. In particular, the type and amount of consultation, training and induction into FACS was variable, and in some cases, unacceptably poor. While FACS may have reduced variability between authorities, the exercise of professional judgement in the operation of FACS and the lack of high-quality preventative services remain as potential sources of inequity within the system. The authors conclude that FACS has revealed and reinforced a growing separation rather than an integration of mental health and social care ideas and practices, at least in the participating sites. PMID:17059489

  13. Access to Tuberculosis Services for Individuals with Disability in Rural Malawi, a Qualitative Study

    PubMed Central

    Grut, Lisbet; Sanudi, Lifah; Braathen, Stine Hellum; Jürgens, Thomas; Eide, Arne H.

    2015-01-01

    Tuberculosis occurs in all populations, but with higher prevalence in poor contexts. Vulnerable groups, including individuals with disability, run a particular risk due to poorer access to information and health services. Studying access to tuberculosis services for vulnerable groups in poor contexts may provide useful insight into the quality of such services in low-income contexts. This article aims to present a contextual understanding of access to tuberculosis services for people with disabilities in one district in southern Malawi. A qualitative method with semi-structured interviews and site observations was applied. In all, 89 participants were interviewed: 47 persons with disability, 11 parents/guardians of youths with disability, and the remaining 31 comprising eight health workers, four community rehabilitation assistants and volunteers, and 19 leaders in the community.Our main findings are that lack of information and knowledge, and considerable confusion related to tuberculosis, its cause and how to protect oneself, are major barrier to accessing services. Disease awareness and personal risk perception are key factors in this regard. Further findings concerns the pathways to tuberculosis related health services, in particular having a test and completing the treatment. The combination of lack of knowledge and barriers in accessing tests implies substantial availability and access problems.It is of importance to understand the combined impact of individual, social, contextual, and systems barriers to fully address the complexity of accessing tuberculosis services for vulnerable groups in poor populations. Lack of disability specific strategies in the local health services may be part of the reason why individuals with disability to not access such services. PMID:25830950

  14. Access to tuberculosis services for individuals with disability in rural Malawi, a qualitative study.

    PubMed

    Grut, Lisbet; Sanudi, Lifah; Braathen, Stine Hellum; Jürgens, Thomas; Eide, Arne H

    2015-01-01

    Tuberculosis occurs in all populations, but with higher prevalence in poor contexts. Vulnerable groups, including individuals with disability, run a particular risk due to poorer access to information and health services. Studying access to tuberculosis services for vulnerable groups in poor contexts may provide useful insight into the quality of such services in low-income contexts. This article aims to present a contextual understanding of access to tuberculosis services for people with disabilities in one district in southern Malawi. A qualitative method with semi-structured interviews and site observations was applied. In all, 89 participants were interviewed: 47 persons with disability, 11 parents/guardians of youths with disability, and the remaining 31 comprising eight health workers, four community rehabilitation assistants and volunteers, and 19 leaders in the community.Our main findings are that lack of information and knowledge, and considerable confusion related to tuberculosis, its cause and how to protect oneself, are major barrier to accessing services. Disease awareness and personal risk perception are key factors in this regard. Further findings concerns the pathways to tuberculosis related health services, in particular having a test and completing the treatment. The combination of lack of knowledge and barriers in accessing tests implies substantial availability and access problems.It is of importance to understand the combined impact of individual, social, contextual, and systems barriers to fully address the complexity of accessing tuberculosis services for vulnerable groups in poor populations. Lack of disability specific strategies in the local health services may be part of the reason why individuals with disability to not access such services. PMID:25830950

  15. 7 CFR 1951.136 - Procedures for Department of Treasury offset and cross-servicing for the Rural Housing Service...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 14 2010-01-01 2009-01-01 true Procedures for Department of Treasury offset and cross-servicing for the Rural Housing Service (Community Facility Program only) and the Rural Business-Cooperative Service. 1951.136 Section 1951.136 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE,...

  16. Implementation of levels of services on broadband networks with cable modem access

    NASA Astrophysics Data System (ADS)

    Campos, Luis A.; Yu, Che-Fn

    1997-10-01

    Residential broadband access networks using technologies such as ADSL and cable modems have enabled the provisioning of emerging Internet applications such as Internet telephony, video conferencing and interactive games. These applications have specific end-to-end performance requirements from the network in order to have an acceptable performance. Currently the Internet is a best effort network which doesn't provide levels of service. There are many elements of an end-to-end network which are currently suitable to provide quality-of- service guaranties such as ATM links. Nevertheless, only with recent deployments of broadband access technologies and the introduction of Internet protocols such as RSVP, providing levels of service becomes feasible without the use expensive links to the customer site. This paper examines several network implementation options for introducing levels of service using cable modem access. Limitations imposed by the applications on the network as well as the contribution of the different network elements to level of service parameters such as end-to-end delay, throughput and jitter are examined. Concentration network architectures as well as proposed backbone configuration options for end-to-end level of service provisioning are presented. At the access network, provisioning of level of service using bandwidth control through packet throttling and through access network design providing excess bandwidth to customers are presented. HFC protocol dependent means to provide level of services including reservation and ATM based protocols are examined as well.

  17. AccessMod 3.0: computing geographic coverage and accessibility to health care services using anisotropic movement of patients

    PubMed Central

    Ray, Nicolas; Ebener, Steeve

    2008-01-01

    Background Access to health care can be described along four dimensions: geographic accessibility, availability, financial accessibility and acceptability. Geographic accessibility measures how physically accessible resources are for the population, while availability reflects what resources are available and in what amount. Combining these two types of measure into a single index provides a measure of geographic (or spatial) coverage, which is an important measure for assessing the degree of accessibility of a health care network. Results This paper describes the latest version of AccessMod, an extension to the Geographical Information System ArcView 3.×, and provides an example of application of this tool. AccessMod 3 allows one to compute geographic coverage to health care using terrain information and population distribution. Four major types of analysis are available in AccessMod: (1) modeling the coverage of catchment areas linked to an existing health facility network based on travel time, to provide a measure of physical accessibility to health care; (2) modeling geographic coverage according to the availability of services; (3) projecting the coverage of a scaling-up of an existing network; (4) providing information for cost effectiveness analysis when little information about the existing network is available. In addition to integrating travelling time, population distribution and the population coverage capacity specific to each health facility in the network, AccessMod can incorporate the influence of landscape components (e.g. topography, river and road networks, vegetation) that impact travelling time to and from facilities. Topographical constraints can be taken into account through an anisotropic analysis that considers the direction of movement. We provide an example of the application of AccessMod in the southern part of Malawi that shows the influences of the landscape constraints and of the modes of transportation on geographic coverage

  18. The NORM technology connection web site : streamlined access to NORM-related service company and regulatory information.

    SciTech Connect

    Smith, K. P.; Richmond, P.; LePoire, D. J.; Arnish, J. J.; Johnson, R.

    2000-11-08

    Argonne National Laboratory has developed an Internet web site providing access to critical information needed to support decisions on the management and disposal of wastes containing naturally occurring radioactive material (NORM). The NORM Technology Connection web site provides current information on (1) service companies that provide support on NORM issues (e.g., site characterization and remediation, sample analysis, radiation safety training, disposal) and (2) existing applicable NORM regulations and guidelines. A third element of the site is an electronic mail list that allows users to post or respond to questions about the management of NORM. Development of the NORM Technology Connection web site was funded by the U.S. Department of Energy, Office of Fossil Energy. It is hosted and maintained by the Interstate Oil and Gas Compact Commission. The web site is publicly available; access is free, as is participation by any of the service companies.

  19. Spatial Data Access Tool: Enable visualization and access of geospatial data using OGC services and Google Earth

    NASA Astrophysics Data System (ADS)

    Wei, Y.; Santhana Vannan, S.; Cook, R. B.; Wilson, B. E.; Beaty, T.

    2009-12-01

    The Spatial Data Access Tool (SDAT) deployed in the Oak Ridge National Laboratory Distributed Active Archive Center (ORNL DAAC, http://daac.ornl.gov) and the Modeling and Synthesis Thematic Data Center (MAST-DC, http://nacp.ornl.gov/) provides visualization and access to a number of land cover, biophysical, elevation, ecosystem, climate, soil, and model output data sets using Open Geospatial Consortium (OGC) services. OGC services such as Web Map Service (WMS) and Web Coverage Service (WCS) provide applications and users visualization and access to geospatial data in different spatial/temporal extent, projection, resolution, and data format. OGC WMS allows users to visualize the data, and OGC WCS allows users to access the data. Based on OGC WMS, the SDAT tool provides two options for geospatial data visualization. The first option is a Web-based interface that utilizes open source library, OpenLayers, to interact with OGC WMS to produce dynamic maps. This interface also provides options for users to specify WCS parameters, such as projection and resolution, to download geospatial data. The second option is a Google Earth KMZ file created for each data set. The Google Earth KMZ files use the OGC WMS internally to provide visualization of the data dynamically within the Google Earth software. Using Google Earth and OGC WMS, it is possible for users to visualize the spatial pattern within a large extent and also to investigate the details in finer resolution. The KMZ files provide the capability to play time series animation if a data set contains multiple time steps. The KMZ files are also hyperlinked to the SDAT tool for each data granule so that users can easily download the geospatial data after visualizing them in Google Earth. Future work includes adding more geospatial data, supporting more data formats and projections, and deploying Web Feature Service (WFS) to support vector data.

  20. Access to and Use of Eye Care Services in Rural Arkansas

    ERIC Educational Resources Information Center

    Kilmer, Greta; Bynum, LaTonya; Balamurugan, Appathurai

    2010-01-01

    Context: Rural residents are more likely to be uninsured and have low income. Purpose: To determine if rural residents in Arkansas have decreased access to eye care services and use them less frequently than urban residents. Methods: Data from the 2006 Visual Impairment and Access to Eye Care Module from the Arkansas Behavioral Risk Factor…

  1. 12 CFR 234.6 - Access to Federal Reserve Bank accounts and services.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 4 2014-01-01 2014-01-01 false Access to Federal Reserve Bank accounts and... Access to Federal Reserve Bank accounts and services. (a) This section applies to any designated financial market utility for which the Board may authorize a Federal Reserve Bank to open an account...

  2. Practical Strategies for Making Online Library Services and Instruction Accessible to All Patrons

    ERIC Educational Resources Information Center

    Wray, Christina C.

    2013-01-01

    Providing accessible library services and instruction to distance users with disabilities can seem daunting. This article, which grew out of a webinar presented by the author to the Health Science Special Interest Group of ACRL, provides practical strategies to help content creators utilize built-in accessibility features and provides a resources…

  3. Ensuring Rights: Improving Access to Sexual and Reproductive Health Services for Female International Students in Australia

    ERIC Educational Resources Information Center

    Poljski, Carolyn; Quiazon, Regina; Tran, Chau

    2014-01-01

    Drawing on the research and advocacy work being conducted by the Multicultural Centre for Women's Health (MCWH), a national community-based organization in Victoria, Australia, the paper analyzes female international students' experiences with accessing sexual and reproductive health information and services. Accessibility of sexual and…

  4. The Adoption and Discontinuation of Clinical Services by Local Health Departments

    PubMed Central

    Rodriguez, Hector P.

    2014-01-01

    Objectives. We identified factors associated with local health department (LHD) adoption and discontinuation of clinical services. Methods. We used multivariate regression with 1997 and 2008 LHD survey and area resource data to examine factors associated with LHDs maintaining or offering more clinical services (adopter) versus offering fewer services (discontinuer) over time and with the number of clinical services discontinued among discontinuers. Results. Few LHDs (22.2%) were adopters. The LHDs were more likely to be adopters if operating in jurisdictions with local boards of health and not in health professional shortage areas, and if experiencing larger percentage increase in non-White population and Medicaid managed care penetration. Discontinuer LHDs eliminated more clinical services in jurisdictions that decreased core public health activities’ scope over time, increased community partners’ involvement in these activities, had larger increases in Medicaid managed care penetration, and had lower LHD expenditures per capita over time. Conclusions. Most LHDs are discontinuing clinical services over time. Those that cover a wide range of core public health functions are less likely to discontinue services when residents lack care access. Thus, the impact of discontinuation on population health may be mitigated. PMID:24228663

  5. 77 FR 5614 - Department of State FY11 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-03

    ... Department of State FY11 Service Contract Inventory AGENCY: Department of State. ACTION: Notice of the release of the Department of State FY11 Service Contract Inventory. SUMMARY: The Department of State has publically released its Service Contract Inventory for FY11 and its analysis of the FY10 inventory. They...

  6. 76 FR 9399 - Department of State FY10 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-17

    ... Department of State FY10 Service Contract Inventory AGENCY: Department of State. ACTION: Notice of the release of the Department of State FY10 Service Contract Inventory. SUMMARY: The Department of State has publically released its Service Contract Inventory for FY10. Section 743 of Division C of the FY...

  7. 78 FR 13743 - Department of State FY11 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-28

    ... Department of State FY11 Service Contract Inventory AGENCY: Department of State. ACTION: Notice of the release of the Department of State FY11 Service Contract Inventory. SUMMARY: The Department of State has publically released its Service Contract Inventory for FY12 and its analysis of the FY11 inventory. They...

  8. "On the Sidelines": Access to Autism-Related Services in the West Bank.

    PubMed

    Dababnah, Sarah; Bulson, Kathleen

    2015-12-01

    We examined access to autism-related services among Palestinians (N = 24) raising children with autism spectrum disorder (ASD) in the West Bank. Using qualitative methods, we identified five primary interview themes. Poor screening, diagnostic, and psychoeducational practices were prevalent, as parents reported service providers minimized parental concerns and communicated ineffectively with the caregivers regarding treatment options. Geographic barriers and financial burdens prevented many families from seeking or maintaining services. Limited service availability was a dominant barrier: parents reported limited or denied access to education, community-based services, and ASD-specific interventions. Consequently, several families noted their children did not receive any services whatsoever. Research, practices and policies to address the shortage of services for children with ASD are urgently needed in the West Bank. PMID:26219419

  9. A Statewide Examination of College Access Services and Resources in Virginia

    ERIC Educational Resources Information Center

    Alleman, Nathan F.; Stimpson, Racheal L.; Holly, L. Neal

    2009-01-01

    In the summer of 2008, the Commonwealth of Virginia was awarded a $1.1 million grant from the U. S. Department of Education. The College Access Challenge Grant Program (CACGP) is coordinated through the State Council of Higher Education for Virginia (SCHEV). The focus of the grant is to increase student access to postsecondary education,…

  10. RegPrecise web services interface: programmatic access to the transcriptional regulatory interactions in bacteria reconstructed by comparative genomics.

    PubMed

    Novichkov, Pavel S; Brettin, Thomas S; Novichkova, Elena S; Dehal, Paramvir S; Arkin, Adam P; Dubchak, Inna; Rodionov, Dmitry A

    2012-07-01

    Web services application programming interface (API) was developed to provide a programmatic access to the regulatory interactions accumulated in the RegPrecise database (http://regprecise.lbl.gov), a core resource on transcriptional regulation for the microbial domain of the Department of Energy (DOE) Systems Biology Knowledgebase. RegPrecise captures and visualize regulogs, sets of genes controlled by orthologous regulators in several closely related bacterial genomes, that were reconstructed by comparative genomics. The current release of RegPrecise 2.0 includes >1400 regulogs controlled either by protein transcription factors or by conserved ribonucleic acid regulatory motifs in >250 genomes from 24 taxonomic groups of bacteria. The reference regulons accumulated in RegPrecise can serve as a basis for automatic annotation of regulatory interactions in newly sequenced genomes. The developed API provides an efficient access to the RegPrecise data by a comprehensive set of 14 web service resources. The RegPrecise web services API is freely accessible at http://regprecise.lbl.gov/RegPrecise/services.jsp with no login requirements. PMID:22700702

  11. Web service activities at the IRIS DMC to support federated and multidisciplinary access

    NASA Astrophysics Data System (ADS)

    Trabant, Chad; Ahern, Timothy K.

    2013-04-01

    At the IRIS Data Management Center (DMC) we have developed a suite of web service interfaces to access our large archive of, primarily seismological, time series data and related metadata. The goals of these web services include providing: a) next-generation and easily used access interfaces for our current users, b) access to data holdings in a form usable for non-seismologists, c) programmatic access to facilitate integration into data processing workflows and d) a foundation for participation in federated data discovery and access systems. To support our current users, our services provide access to the raw time series data and metadata or conversions of the raw data to commonly used formats. Our services also support simple, on-the-fly signal processing options that are common first steps in many workflows. Additionally, high-level data products derived from raw data are available via service interfaces. To support data access by researchers unfamiliar with seismic data we offer conversion of the data to broadly usable formats (e.g. ASCII text) and data processing to convert the data to Earth units. By their very nature, web services are programmatic interfaces. Combined with ubiquitous support for web technologies in programming & scripting languages and support in many computing environments, web services are very well suited for integrating data access into data processing workflows. As programmatic interfaces that can return data in both discipline-specific and broadly usable formats, our services are also well suited for participation in federated and brokered systems either specific to seismology or multidisciplinary. Working within the International Federation of Digital Seismograph Networks, the DMC collaborated on the specification of standardized web service interfaces for use at any seismological data center. These data access interfaces, when supported by multiple data centers, will form a foundation on which to build discovery and access mechanisms

  12. Women's Access to Agricultural Extension Services in Botswana.

    ERIC Educational Resources Information Center

    Bettles, F. M.

    Extension services to women in rural Botswana, particularly emphasized since the women's extension program began in 1975, must take into account constraints faced by female farmers, as past development processes have concentrated on male perceptions of concern (the beef industry, modernizing the economy). In Botswana, agriculture has traditionally…

  13. 42 CFR 422.112 - Access to services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... may specify the networks of providers from whom enrollees may obtain services if the MA organization... must meet the following requirements: (1) Provider network. (i) Maintain and monitor a network of... network as primary care providers (PCPs), specialists, hospitals, skilled nursing facilities, home...

  14. Access to Cancer Services for Rural Colorectal Cancer Patients

    ERIC Educational Resources Information Center

    Baldwin, Laura-Mae; Cai, Yong; Larson, Eric H.; Dobie, Sharon A.; Wright, George E.; Goodman, David C.; Matthews, Barbara; Hart, L. Gary

    2008-01-01

    Context: Cancer care requires specialty surgical and medical resources that are less likely to be found in rural areas. Purpose: To examine the travel patterns and distances of rural and urban colorectal cancer (CRC) patients to 3 types of specialty cancer care services--surgery, medical oncology consultation, and radiation oncology consultation.…

  15. 42 CFR 422.112 - Access to services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... services in accordance with § 422.113. (10) Prevailing patterns of community health care delivery. MA plans... must do so consistent with the prevailing community pattern of health care delivery in the areas where the network is being offered. Factors making up community patterns of health care delivery that...

  16. 42 CFR 422.112 - Access to services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... services in accordance with § 422.113. (10) Prevailing patterns of community health care delivery. MA plans... must do so consistent with the prevailing community pattern of health care delivery in the areas where the network is being offered. Factors making up community patterns of health care delivery that...

  17. 42 CFR 422.112 - Access to services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... services in accordance with § 422.113. (10) Prevailing patterns of community health care delivery. MA plans... must do so consistent with the prevailing community pattern of health care delivery in the areas where the network is being offered. Factors making up community patterns of health care delivery that...

  18. Integrated Behavioral Health Services: Improving Access to Mental Health Care

    ERIC Educational Resources Information Center

    Sturm, Lynne A.; Perry, Deborah F.

    2007-01-01

    This article describes innovative service delivery models and clinical strategies that support the social-emotional development of young children and their families in the pediatric primary care setting. By understanding the trends affecting well-child care, early childhood providers will be better equipped to partner with their pediatric…

  19. 28 CFR 115.282 - Access to emergency medical and mental health services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Mental Care § 115.282 Access to emergency medical and mental health services. (a) Resident victims of... intervention services, the nature and scope of which are determined by medical and mental health practitioners according to their professional judgment. (b) If no qualified medical or mental health practitioners are...

  20. 28 CFR 115.282 - Access to emergency medical and mental health services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Mental Care § 115.282 Access to emergency medical and mental health services. (a) Resident victims of... intervention services, the nature and scope of which are determined by medical and mental health practitioners according to their professional judgment. (b) If no qualified medical or mental health practitioners are...

  1. 28 CFR 115.282 - Access to emergency medical and mental health services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Mental Care § 115.282 Access to emergency medical and mental health services. (a) Resident victims of... intervention services, the nature and scope of which are determined by medical and mental health practitioners according to their professional judgment. (b) If no qualified medical or mental health practitioners are...

  2. Rural Older Adults' Access Barriers to In-Home and Community-Based Services

    ERIC Educational Resources Information Center

    Li, Hong

    2006-01-01

    This study identified specific access barriers to seven commonly used in-home and community-based services (CBS) and examined factors that were related to barriers to these services. The data used in this study were extracted from the 1999 National Long Term Care Survey and included 283 dyads of rural older adults and their caregivers. The CBS to…

  3. "On the Sidelines": Access to Autism-Related Services in the West Bank

    ERIC Educational Resources Information Center

    Dababnah, Sarah; Bulson, Kathleen

    2015-01-01

    We examined access to autism-related services among Palestinians (N = 24) raising children with autism spectrum disorder (ASD) in the West Bank. Using qualitative methods, we identified five primary interview themes. Poor screening, diagnostic, and psychoeducational practices were prevalent, as parents reported service providers minimized parental…

  4. Pilot Evaluation of a Web-Based Intervention Targeting Sexual Health Service Access

    ERIC Educational Resources Information Center

    Brown, K. E.; Newby, K.; Caley, M.; Danahay, A.; Kehal, I.

    2016-01-01

    Sexual health service access is fundamental to good sexual health, yet interventions designed to address this have rarely been implemented or evaluated. In this article, pilot evaluation findings for a targeted public health behavior change intervention, delivered via a website and web-app, aiming to increase uptake of sexual health services among…

  5. The Role of Maternal Depression in Accessing Early Intervention Services for Children with Developmental Delay

    ERIC Educational Resources Information Center

    Colgan, Siobhan Eileen

    2012-01-01

    This study investigated the relationship between maternal depression and children's access to early intervention services among a sample of children with developmental delay at age two who were determined to be eligible for early intervention services, were full term and of normal birth weight, and were not previously identified with any…

  6. Ensuring Access and Inclusion for Marginalised Children in Extended Services: Identifying the Barriers and Promoting Choice

    ERIC Educational Resources Information Center

    Frost, Nick; Elmer, Sue; Best, Lesly; Mills, Sue

    2010-01-01

    This article by Nick Frost of Leeds Metropolitan University, Sue Elmer of Leeds Trinity University, and Lesly Best and Sue Mills, who are both Independent Researchers, looks at the experience of marginalised children in extended services. The authors conducted research into access to, and inclusion in, extended services based within schools and…

  7. Equity in Access to Health Promotion and Risk Reduction Services: Implications for Elder Health.

    ERIC Educational Resources Information Center

    Smith, Nancy H.; Howze, Elizabeth Harper

    Although there is a national emphasis on health promotion and preventive practices, questions remain regarding the equity of access to these services by low income and minority groups, and the implications of inequities for elder health. Data from a systematic survey of 500 public and private providers of health promotion services in northern…

  8. Investigation of Priority Needs in Terms of Museum Service Accessibility for Visually Impaired Visitors

    ERIC Educational Resources Information Center

    Handa, Kozue; Dairoku, Hitoshi; Toriyama, Yoshiko

    2010-01-01

    This study investigates the priority needs of museum service accessibility for visually impaired visitors. For this purpose, conjoint analysis was utilized. Four conjoint attributes of museum services were selected: A--facilities for wayfinding; B--exhibitions and collections including objects for touching, hearing, smelling, etc.; C--information…

  9. Public vs. Private Insurance: Cost, Use, Accessibility, and Outcomes of Services for Children with Autism Spectrum Disorders

    ERIC Educational Resources Information Center

    Young, April; Ruble, Lisa; McGrew, John

    2009-01-01

    Very little research has been conducted on insurance type (private vs. public funded) and costs, accessibility, and use of services of children with autism. Analysis of five parent reported outcomes: (a) out-of-pocket expenditures, (b) variety of services used, (c) access to services, (d) child and family service outcomes, and (e) satisfaction…

  10. Ocean products delivered by the Mercator Ocean Service Department

    NASA Astrophysics Data System (ADS)

    Crosnier, L.; Durand, E.; Soulat, F.; Messal, F.; Buarque, S.; Toumazou, V.; Landes, V.; Drevillon, M.; Lellouche, J.

    2008-12-01

    The newly created Service Department at Mercator Ocean is now offering various services for academic and private ocean applications. Mercator Ocean runs operationally ocean forecast systems for the Global and North Atlantic Ocean. These systems are based on an ocean general circulation model NEMO as well as on data assimilation of sea level anomalies, sea surface temperature and temperature and salinity vertical profiles. Three dimensional ocean fields of temperature, salinity and currents are updated and available weekly, including analysis and 2 weeks forecast fields. The Mercator Ocean service department is now offering a wide range of ocean derived products. This presentation will display some of the various products delivered in the framework of academic and private ocean applications: " Monitoring of the ocean current at the surface and at depth in several geographical areas for offshore oil platform, for offshore satellite launch platform, for transatlantic sailing or rowing boat races. " Monitoring of ocean climate indicators (Coral bleaching...) for marine reserve survey; " Monitoring of upwelling systems for fisheries; " Monitoring of the ocean heat content for tropical cyclone monitoring. " Monitoring of the ocean temperature/salinity and currents to guide research vessels during scientific cruises. The Mercator Ocean products catalogue will grow wider in the coming years, especially in the framework of the European GMES MyOcean project (FP7).

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

    PubMed

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

    2015-12-01

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

  12. A Privacy Access Control Framework for Web Services Collaboration with Role Mechanisms

    NASA Astrophysics Data System (ADS)

    Liu, Linyuan; Huang, Zhiqiu; Zhu, Haibin

    With the popularity of Internet technology, web services are becoming the most promising paradigm for distributed computing. This increased use of web services has meant that more and more personal information of consumers is being shared with web service providers, leading to the need to guarantee the privacy of consumers. This paper proposes a role-based privacy access control framework for Web services collaboration, it utilizes roles to specify the privacy privileges of services, and considers the impact on the reputation degree of the historic experience of services in playing roles. Comparing to the traditional privacy access control approaches, this framework can make the fine-grained authorization decision, thus efficiently protecting consumers' privacy.

  13. Interactive distance education service (IDES) using the Centralized Access Node System (CANS)

    NASA Astrophysics Data System (ADS)

    Moon, Phil J.; Choi, Mun K.; Jun, Mun S.; Lee, Chul H.

    1995-02-01

    The successes of B-ISDN project depend on attractive application services. Thus, it is very important to analyze application services which users desire, and to study the customer access network for applications. Especially, because the cost of the constructions for the customer access network need high, it is very important to configure this network economically and effectively. We recognize the importance how to provide B-ISDN application services and to configure the customer access network. This paper describes the Interactive Distance Education Service (IDES) requirements in the user and network aspects. The requirements include the service definition, reference configuration, procedure and Quality Of Service. And also this paper proposes the configuration of customer access network for providing IDES using the Centralized Access Node system which is a kind of the B-NT system. There are many applications area in IDES, we describe the three scenarios--for rural area, between the major and minor campus and for joint education including the university, research institute and enterprise.

  14. Ultrasound guidance for central vascular access in the pediatric emergency department.

    PubMed

    Skippen, Peter; Kissoon, Niranjan

    2007-03-01

    Central vascular access is sometimes required for hemodynamic monitoring and infusion of fluids and medications in the pediatric emergency department. In many cases, it is attempted after failed peripheral venous and intraosseous access. Some evidence exists demonstrating benefits of ultrasound (US)-guided central vascular cannulation in adults in emergency departments. With appropriate education in its use, US-guided cannulation of central veins in children is likely to be associated with less complications and greater success. In the pediatric emergency department, the femoral vein is the most practical central venous cannulation site. A sound educational and quality assurance program is necessary for US-guided cannulation in the pediatric emergency department. PMID:17413442

  15. 77 FR 5804 - Public Availability of the Department of Health and Human Services FY 2011 Service Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-06

    ... guidance issued on November 5, 2010 by the Office of Management and Budget's Office of Federal Procurement... HUMAN SERVICES Public Availability of the Department of Health and Human Services FY 2011 Service... Acquisition Policy and Accountability, Division of Acquisition, Department of Health and Human...

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

    PubMed Central

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

    2011-01-01

    Objectives Changes in the contractual responsibilities of primary care practitioners and health boards have resulted in a plethora of arrangements relating to out-of-hours healthcare services. Rather than being guaranteed access to a GP (usually either their own or another through a local GP co-operative), patients have a number of alternative routes to services. Our objective was to identify and assess the availability and adequacy of relevant standards, responsibilities and information systems in Scotland to monitor the impact of contractual changes to out-of-hours healthcare services on equity of access. Design Cross-sectional study. Setting All providers of primary care out-of-hours services in Scotland. Participants Not applicable. Main outcome measures First, identification and policy review of current standards and performance monitoring systems, data and information, primarily through directly contacting national and local organizations responsible for monitoring out-of-hours care, supplemented by literature searches to highlight specific issues arising from the review; and second, mapping of data items by out-of-hours provider type to identify overlap and significant gaps. Results In Scotland, data monitoring systems have not kept pace with changes in the organization of out-of-hours care, so the impact on access to services for different population groups is unknown. There are significant gaps in information collected with respect to workforce, distribution of services, service utilisation and clinical outcomes. Conclusions Since 2004 there have been major changes to the way patients access out-of-hours healthcare in the UK. In Scotland, none of the current systems provide information on whether the new services satisfy the key NHS principle of equity of access. There is an urgent need for a comprehensive review of data standards and systems relating to out-of-hours care in order to monitor and evaluate inputs, processes and outcomes of care not least in

  17. Equality, accessibility, and availability of physical therapy services in Israel-Perception of national directors.

    PubMed

    Jacob, Tamar; Parag, Ayala

    2015-07-01

    To date no research has described Israeli physical therapy (PT) services to determine whether they are provided in the spirit intended by the National Health Insurance Law (NHIL). This study aimed to assess the equality, accessibility, and availability of PT services in Israel. Qualitative research was based on semi-structured, personal interviews with all national directors of PT services in Israel, followed by content analysis of the data obtained. According to the findings, PT services are provided by all Health Maintenance Organisations (HMOs) throughout Israel. In peripheral areas, access to services is limited; availability of services at most clinics is poor, a problem which is solved mainly by referring patients to PT outsourcing. The number of treatment sessions is determined by the NHIL; however, all directors agreed that the number of treatments provided should be based on a professional decision following patient evaluation and progress, rather than on administrative considerations. Inequality of service to peripheral areas could be reduced by creating cooperation between HMOs, thereby establishing clinics capable of providing services that are both accessible and equitable. In addition, the number of sessions provided to patients in the health-care basket should be reassessed, and a set of uniform criteria should be created for determining the optimal number of PT sessions. This could lead to greater uniformity in distribution of PT services provided by the HMOs. PMID:25600829

  18. An interaction-based access control model (IBAC) for collaborative services

    SciTech Connect

    Altunay, Mine; Byrd, Gregory T.; Brown, Doug E.; Dean, Ralph A.; /North Carolina State U.

    2008-04-01

    A collaboration is a collection of services that work together to achieve a common goal. Although collaborations help when tackling difficult problems, they lead to security issues. First, a collaboration is often performed by services that are drawn from different security domains. Second, a service interacts with multiple peer services during the collaboration. These interactions are not isolated from one another--e.g., data may flow through a sequence of different services. As a result, a service is exposed to multiple peer services in varying degrees, leading to different security threats. We identify the types of interactions that can be present in collaborations, and discuss the security threats due to each type. We propose a model for representing the collaboration context so that a service can be made aware of the existing interactions. We provide an access control model for a service participating in a collaboration. We couple our access control model with a policy model, so that the access requirements from collaborations can be expressed and evaluated.

  19. Barriers to accessing generic health and social care services: a qualitative study of injecting drug users.

    PubMed

    Neale, Joanne; Tompkins, Charlotte; Sheard, Laura

    2008-03-01

    While research has clearly documented the difficulties injectors encounter in accessing specialist addiction services, there is less evidence of the problems they face when securing general health care and non-substance-misuse-specific support. This paper seeks to fill some of these knowledge gaps. Between January and May 2006, 75 current injectors were recruited and interviewed through three needle exchange programmes located in diverse geographical areas of West Yorkshire. Interview data were transcribed verbatim and analysed using Framework. Findings showed that injectors were often positive about the help they received from generic health and social care services. Nonetheless, they identified a range of barriers relating to inability to access desired assistance, the burden of appointments, travel to services, stigma and negative staff attitudes, personal ill-health, lack of material resources, and anxieties about accessing support. Although some types of barriers were more evident at some services than at others and/or affected particular subgroups of injector more than others, the impact of any barrier was contingent on a range of factors. These included the attitudes of individual professionals, the circumstances and needs of individual injectors, the local availability of suitable alternative services, and the frequency with which a service needed to be accessed. In order to better understand and potentially reduce service barriers, findings are linked to broader conceptual and theoretical debates relating to social exclusion and Foucault's analyses of power and knowledge. PMID:18290980

  20. Accessibility of Catering Service Venues and Adolescent Drinking in Beijing, China

    PubMed Central

    Lu, Shijun; Du, Songming; Ren, Zhoupeng; Zhao, Jing; Chambers, Christina; Wang, Jinfeng; Ma, Guansheng

    2015-01-01

    This study assessed the association between accessibility of catering service venues and adolescents’ alcohol use over the previous 30 days. The data were collected from cross-sectional surveys conducted in 2014, 2223 students at 27 high schools in Chaoyang and Xicheng districts, Beijing using self-administered questionnaires to collect the adolescents information on socio-demographic characteristics and recent alcohol experiences. The accessibility of, and proximity to, catering service venues were summarized by weights, which were calculated by multiplication of the type-weight and the distance-weight. All sampled schools were categorized into three subgroups (low, middle, and high geographic density) based on the tertile of nearby catering service venues, and a multi-level logistic regression analysis was performed to explore variance between the school levels. Considering the setting characteristics, the catering service venues weighted value was found to account for 8.6% of the school level variance of adolescent alcohol use. The odds ratios (OR) and 95% confidence intervals (CI) of drinking over the past 30-days among adolescents with medium and high accessibility of catering service venues were 1.17 (0.86, 1.57) and 1.47 (1.06, 2.02), respectively (p < 0.001 for trend test). This study addressed a gap in the adolescent drinking influence by the catering service venues around schools in China. Results suggest that the greater accessibility of catering service venues around schools is associated with a growing risk of recent drinking. PMID:26132475

  1. Factors that help injecting drug users to access and benefit from services: A qualitative study

    PubMed Central

    Neale, Joanne; sheard, Laura; Tompkins, Charlotte NE

    2007-01-01

    Background International research shows that injecting drug users (IDUs) can encounter many barriers when they try to access drug treatment and other services. However, the existing literature is mostly quantitative and does not consider the kinds of factors that injectors themselves identify as enabling them to access and benefit from services. Responding to this gap in knowledge, our paper explores IDUs' own suggestions for improving service engagement and their reports of other factors enabling them to seek help. Methods Semi-structured qualitative interviews were conducted with 75 current illicit drug injectors in three geographically diverse areas of West Yorkshire, England. Recruitment was through needle exchange programmes, with additional snowball sampling to ensure inclusivity of gender, ethnicity and primary drug injected. Transcribed data were analysed thematically using Framework. Results Although participants were often satisfied with current access to services, they made three broad suggestions for improving engagement. These were: providing more services (more providers and more forms of support); better operation of existing services (including better communication systems and more flexibility around individual needs); and staffing-related improvements (particularly, less judgemental and more understanding staff attitudes). Other factors identified as important enablers of help seeking were: having supporting relationships (particularly with family members); personal circumstances/life events (especially becoming a parent); and an injector's state of mind (such as feeling motivated and positive). Conclusion A range of practical suggestions for improving IDUs' access to drug treatment and other services are identified. PMID:17971204

  2. Accessibility of Catering Service Venues and Adolescent Drinking in Beijing, China.

    PubMed

    Lu, Shijun; Du, Songming; Ren, Zhoupeng; Zhao, Jing; Chambers, Christina; Wang, Jinfeng; Ma, Guansheng

    2015-07-01

    This study assessed the association between accessibility of catering service venues and adolescents' alcohol use over the previous 30 days. The data were collected from cross-sectional surveys conducted in 2014, 2223 students at 27 high schools in Chaoyang and Xicheng districts, Beijing using self-administered questionnaires to collect the adolescents information on socio-demographic characteristics and recent alcohol experiences. The accessibility of, and proximity to, catering service venues were summarized by weights, which were calculated by multiplication of the type-weight and the distance-weight. All sampled schools were categorized into three subgroups (low, middle, and high geographic density) based on the tertile of nearby catering service venues, and a multi-level logistic regression analysis was performed to explore variance between the school levels. Considering the setting characteristics, the catering service venues weighted value was found to account for 8.6% of the school level variance of adolescent alcohol use. The odds ratios (OR) and 95% confidence intervals (CI) of drinking over the past 30-days among adolescents with medium and high accessibility of catering service venues were 1.17 (0.86, 1.57) and 1.47 (1.06, 2.02), respectively (p < 0.001 for trend test). This study addressed a gap in the adolescent drinking influence by the catering service venues around schools in China. Results suggest that the greater accessibility of catering service venues around schools is associated with a growing risk of recent drinking. PMID:26132475

  3. Diabetes care and service access among elderly Vietnamese with type 2 diabetes

    PubMed Central

    2013-01-01

    Background Vietnamese patients are disproportionately represented in type 2 diabetes mellitus statistics and also incur high rates of diabetes complications. This situation is compounded by limited access to health care. The aim of this project was to gain a deeper understanding of the difficulties Vietnamese patients experience when accessing services and managing their type 2 diabetes mellitus, and to identify factors that are important in promoting health service use. Methods Three focus groups with 15 Vietnamese participants with type 2 diabetes mellitus, 60 to >70 years of age, were conducted in Vietnamese. Open-ended questions were used and focussed on experiences of living with diabetes and access to healthcare services in the Inner Northwest Melbourne region. Audio recordings were transcribed and then translated into English. Data were analysed using a thematic analysis framework. Results Findings indicate four main themes, which together provide some insight into the experiences of living with diabetes and accessing ongoing care and support, for elderly Vietnamese with type 2 diabetes. Themes included: (1) the value of being healthy; (2) controlling diabetes; (3) staying healthy; and (4) improving services and information access. Conclusions Participants in this study were encouraged to adhere to diabetes self-management principles, based largely on a fear of medical complications. Important aspects of healthcare access were identified as; being treated with respect, having their questions answered and having access to interpreters and information in Vietnamese. Attention to these details is likely to lead to improved access to healthcare services and ultimately to improve glycemic control and overall health status for this community. PMID:24168109

  4. Creating community-based access to primary healthcare for the uninsured through strategic alliances and restructuring local health department programs.

    PubMed

    Scotten, E Shirin L; Absher, Ann C

    2006-01-01

    In 2003, the Wilkes County Health Department joined with county healthcare providers to develop the HealthCare Connection, a coordinated and continuous system of low-cost quality care for uninsured and low-income working poor. Through this program, local providers of primary and specialty care donate specialty care or ancillary services not provided by the Health Department, which provides case management for the program. Basing their methods on business models learned through the UNC Management Academy for Public Health, planners investigated the best practices for extending healthcare coverage to the underinsured and uninsured, analyzed operational costs, discovered underutilized local resources, and built capacity within the organization. The HealthCare Connection is an example of how a rural community can join together in a common business practice to improve healthcare access for uninsured and/or low-income adults. PMID:16912606

  5. Accessibility

    MedlinePlus

    ... www.nlm.nih.gov/medlineplus/accessibility.html MedlinePlus Accessibility To use the sharing features on this page, ... Subscribe to RSS Follow us Disclaimers Copyright Privacy Accessibility Quality Guidelines Viewers & Players MedlinePlus Connect for EHRs ...

  6. Location-allocation and accessibility models for improving the spatial planning of public health services.

    PubMed

    Polo, Gina; Acosta, C Mera; Ferreira, Fernando; Dias, Ricardo Augusto

    2015-01-01

    This study integrated accessibility and location-allocation models in geographic information systems as a proposed strategy to improve the spatial planning of public health services. To estimate the spatial accessibility, we modified the two-step floating catchment area (2SFCA) model with a different impedance function, a Gaussian weight for competition among service sites, a friction coefficient, distances along a street network based on the Dijkstra's algorithm and by performing a vectorial analysis. To check the accuracy of the strategy, we used the data from the public sterilization program for the dogs and cats of Bogot´a, Colombia. Since the proposed strategy is independent of the service, it could also be applied to any other public intervention when the capacity of the service is known. The results of the accessibility model were consistent with the sterilization program data, revealing that the western, central and northern zones are the most isolated areas under the sterilization program. Spatial accessibility improvement was sought by relocating the sterilization sites using the maximum coverage with finite demand and the p-median models. The relocation proposed by the maximum coverage model more effectively maximized the spatial accessibility to the sterilization service given the non-uniform distribution of the populations of dogs and cats throughout the city. The implementation of the proposed strategy would provide direct benefits by improving the effectiveness of different public health interventions and the use of financial and human resources. PMID:25775411

  7. Location-Allocation and Accessibility Models for Improving the Spatial Planning of Public Health Services

    PubMed Central

    Polo, Gina; Acosta, C. Mera; Ferreira, Fernando; Dias, Ricardo Augusto

    2015-01-01

    This study integrated accessibility and location-allocation models in geographic information systems as a proposed strategy to improve the spatial planning of public health services. To estimate the spatial accessibility, we modified the two-step floating catchment area (2SFCA) model with a different impedance function, a Gaussian weight for competition among service sites, a friction coefficient, distances along a street network based on the Dijkstra’s algorithm and by performing a vectorial analysis. To check the accuracy of the strategy, we used the data from the public sterilization program for the dogs and cats of Bogot´a, Colombia. Since the proposed strategy is independent of the service, it could also be applied to any other public intervention when the capacity of the service is known. The results of the accessibility model were consistent with the sterilization program data, revealing that the western, central and northern zones are the most isolated areas under the sterilization program. Spatial accessibility improvement was sought by relocating the sterilization sites using the maximum coverage with finite demand and the p-median models. The relocation proposed by the maximum coverage model more effectively maximized the spatial accessibility to the sterilization service given the non-uniform distribution of the populations of dogs and cats throughout the city. The implementation of the proposed strategy would provide direct benefits by improving the effectiveness of different public health interventions and the use of financial and human resources. PMID:25775411

  8. Data Access Services interoperability in the Geosciences by means of the GI-axe Brokering Framework

    NASA Astrophysics Data System (ADS)

    Boldrini, Enrico; Santoro, Mattia; Papeschi, Fabrizio; Nativi, Stefano

    2013-04-01

    Many software tools are in use in the different Geosciences domains to the aim of publishing, accessing, evaluating and using available datasets in a service based environment. These tools/services are often domain-specific and usually support a small and disciplinary set of protocols and data models. On the other hand, multidisciplinary applications need to access many of these tools/services belonging to different domains in order to retrieve heterogeneous datasets (e.g. satellite acquired gridded coverages and in-situ sensor time series), then "uniformly process them" and achieve a deeper insight. Moreover datasets, to be easily processed, should be available according to a given Common Grid Environment (CGE): i.e. a geospatial environment characterized by a common spatio-temporal CRS (Coordinate Reference System), resolution, extension and by a common format encoding. Now, the interoperability effort needed by multidisciplinary applications is ordinarily in charge of data providers servers or user clients: in both cases, this represents a high entry barrier. The GI-axe Access Broker addresses this interoperability issue by taking charge of the needed implementation effort. It acts as an intermediation service between the User Clients and the Data Provider Services, placing itself in a third party (Broker) Layer. Indeed the Access Broker can access datasets available through well known access services in use by the Geosciences communities (e.g. OGC WCS, WMS, WFS, OPeNDAP, FTP, REST APIs, …) and republish them according to the application client interfaces. Moreover, GI-axe transforms datasets according to the a CGE specified by Users. In doing so it may resort to external processing services already in use by the community, supplementing the functionalities already supported by the data provider services. The external processing services list can be configured by Users. GI-axe is also a flexible framework, composed of extensible components. This architecture

  9. Access to In-Network Emergency Physicians and Emergency Departments Within Federally Qualified Health Plans in 2015

    PubMed Central

    Dorner, Stephen C.; Camargo, Carlos A.; Schuur, Jeremiah D.; Raja, Ali S.

    2016-01-01

    Introduction Under regulations established by the Affordable Care Act, insurance plans must meet minimum standards in order to be sold through the federal Marketplace. These standards to become a qualified health plan (QHP) include maintaining a provider network sufficient to assure access to services. However, the complexity of emergency physician (EP) employment practices – in which the EPs frequently serve as independent contractors of emergency departments, independently establish insurance contracts, etc… – and regulations governing insurance repayment may hinder the application of network adequacy standards to emergency medicine. As such, we hypothesized the existence of QHPs without in-network access to EPs. The objective is to identify whether there are QHPs without in-network access to EPs using information available through the federal Marketplace and publicly available provider directories. Results In a national sample of Marketplace plans, we found that one in five provider networks lacks identifiable in-network EPs. QHPs lacking EPs spanned nearly half (44%) of the 34 states using the federal Marketplace. Conclusion Our data suggest that the present regulatory framework governing network adequacy is not generalizable to emergency care, representing a missed opportunity to protect patient access to in-network physicians. These findings and the current regulations governing insurance payment to EPs dis-incentivize the creation of adequate physician networks, incentivize the practice of balance billing, and shift the cost burden to patients. PMID:26823925

  10. 75 FR 67998 - Notice of Inventory Completion: U.S. Department of Agriculture, Forest Service, Chattahoochee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-04

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR National Park Service Notice of Inventory Completion: U.S. Department of Agriculture, Forest Service... objects in the possession of the U.S. Department of Agriculture, Forest Service,...

  11. 38 CFR 17.242 - Coordination of programs with Department of Health and Human Services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... with Department of Health and Human Services. 17.242 Section 17.242 Pensions, Bonuses, and Veterans... § 17.242 Coordination of programs with Department of Health and Human Services. Programs for sharing... jurisdiction of the Department of Health and Human Services. Grants for Exchange of Information...

  12. 38 CFR 17.242 - Coordination of programs with Department of Health and Human Services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... with Department of Health and Human Services. 17.242 Section 17.242 Pensions, Bonuses, and Veterans... § 17.242 Coordination of programs with Department of Health and Human Services. Programs for sharing... jurisdiction of the Department of Health and Human Services. Grants for Exchange of Information...

  13. 38 CFR 17.242 - Coordination of programs with Department of Health and Human Services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... with Department of Health and Human Services. 17.242 Section 17.242 Pensions, Bonuses, and Veterans... § 17.242 Coordination of programs with Department of Health and Human Services. Programs for sharing... jurisdiction of the Department of Health and Human Services. Grants for Exchange of Information...

  14. 38 CFR 17.242 - Coordination of programs with Department of Health and Human Services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... with Department of Health and Human Services. 17.242 Section 17.242 Pensions, Bonuses, and Veterans... § 17.242 Coordination of programs with Department of Health and Human Services. Programs for sharing... jurisdiction of the Department of Health and Human Services. Grants for Exchange of Information...

  15. 38 CFR 17.242 - Coordination of programs with Department of Health and Human Services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... with Department of Health and Human Services. 17.242 Section 17.242 Pensions, Bonuses, and Veterans... § 17.242 Coordination of programs with Department of Health and Human Services. Programs for sharing... jurisdiction of the Department of Health and Human Services. Grants for Exchange of Information...

  16. In or out? Barriers and facilitators to refugee-background young people accessing mental health services.

    PubMed

    Colucci, Erminia; Minas, Harry; Szwarc, Josef; Guerra, Carmel; Paxton, Georgia

    2015-12-01

    Refugee young people have been identified as a group with high risk for mental health problems, due to their experience of trauma, forced migration, and stressors associated with settlement. A high prevalence of mental health problems is reported in this group, however some research suggests refugee young people have low rates of mental health service access. There is little information available on barriers and facilitators to mental service delivery for this group. Using data from 15 focus groups and five key informant interviews with a total of 115 service providers from 12 agencies in Melbourne, Australia, this paper explores barriers and facilitators to engaging young people from refugee backgrounds with mental health services. Eight key themes emerged: cultural concepts of mental health, illness, and treatment; service accessibility; trust; working with interpreters; engaging family and community; the style and approach of mental health providers; advocacy; and continuity of care. PMID:25731986

  17. Programmatic access to data and information at the IRIS DMC via web services

    NASA Astrophysics Data System (ADS)

    Weertman, B. R.; Trabant, C.; Karstens, R.; Suleiman, Y. Y.; Ahern, T. K.; Casey, R.; Benson, R. B.

    2011-12-01

    The IRIS Data Management Center (DMC) has developed a suite of web services that provide access to the DMC's time series holdings, their related metadata and earthquake catalogs. In addition, services are available to perform simple, on-demand time series processing at the DMC prior to being shipped to the user. The primary goal is to provide programmatic access to data and processing services in a manner usable by and useful to the research community. The web services are relatively simple to understand and use and will form the foundation on which future DMC access tools will be built. Based on standard Web technologies they can be accessed programmatically with a wide range of programming languages (e.g. Perl, Python, Java), command line utilities such as wget and curl or with any web browser. We anticipate these services being used for everything from simple command line access, used in shell scripts and higher programming languages to being integrated within complex data processing software. In addition to improving access to our data by the seismological community the web services will also make our data more accessible to other disciplines. The web services available from the DMC include ws-bulkdataselect for the retrieval of large volumes of miniSEED data, ws-timeseries for the retrieval of individual segments of time series data in a variety of formats (miniSEED, SAC, ASCII, audio WAVE, and PNG plots) with optional signal processing, ws-station for station metadata in StationXML format, ws-resp for the retrieval of instrument response in RESP format, ws-sacpz for the retrieval of sensor response in the SAC poles and zeros convention and ws-event for the retrieval of earthquake catalogs. To make the services even easier to use, the DMC is developing a library that allows Java programmers to seamlessly retrieve and integrate DMC information into their own programs. The library will handle all aspects of dealing with the services and will parse the returned

  18. Access block causes emergency department overcrowding and ambulance diversion in Perth, Western Australia

    PubMed Central

    Fatovich, D; Nagree, Y; Sprivulis, P

    2005-01-01

    Objective: Access block refers to the situation where patients in the emergency department (ED) requiring inpatient care are unable to gain access to appropriate hospital beds within a reasonable time frame. We systematically evaluated the relationship between access block, ED overcrowding, ambulance diversion, and ED activity. Methods: This was a retrospective analysis of data from the Emergency Department Information System for the three major central metropolitan EDs in Perth, Western Australia, for the calendar years 2001–2. Bivariate analyses were performed in order to study the relationship between a range of emergency department workload variables, including access block (>8 hour total ED stay for admitted patients), ambulance diversion, ED overcrowding, and ED waiting times. Results: We studied 259 580 ED attendances. Total diversion hours increased 74% from 3.39 hours/day in 2001 to 5.90 hours/day in 2002. ED overcrowding (r = 0.96; 95% confidence interval (CI) 0.91 to 0.98), ambulance diversion (r = 0.75; 95% CI 0.49 to 0.88), and ED waiting times for care (r = 0.83; 95% CI 0.65 to 0.93) were strongly correlated with high levels of ED occupancy by access blocked patients. Total attendances, admissions, discharges, and low acuity patient attendances were not associated with ambulance diversion. Conclusion: Reducing access block should be the highest priority in allocating resources to reduce ED overcrowding. This would result in reduced overcrowding, reduced ambulance diversion, and improved ED waiting times. Improving hospital inpatient flow, which would directly reduce access block, is most likely to achieve this. PMID:15843704

  19. Access to general practitioner services amongst underserved Australians: a microsimulation study

    PubMed Central

    2012-01-01

    Background One group often identified as having low socioeconomic status, those living in remote or rural areas, are often recognised as bearing an unequal burden of illness in society. This paper aims to examine equity of utilisation of general practitioner services in Australia. Methods Using the 2005 National Health Survey undertaken by the Australian Bureau of Statistics, a microsimulation model was developed to determine the distribution of GP services that would occur if all Australians had equal utilisation of health services relative to need. Results It was estimated that those who are unemployed would experience a 19% increase in GP services. Persons residing in regional areas would receive about 5.7 million additional GP visits per year if they had the same access to care as Australians residing in major cities. This would be a 18% increase. There would be a 20% increase for inner regional residents and a 14% increase for residents of more remote regional areas. Overall there would be a 5% increase in GP visits nationally if those in regional areas had the same access to care as those in major cities. Conclusion Parity is an insufficient goal and disadvantaged persons and underserved areas require greater access to health services than the well served metropolitan areas due to their greater poverty and poorer health status. Currently underserved Australians suffer a double disadvantage: poorer health and poorer access to health services. PMID:22264385

  20. Remote information service access system based on a client-server-service model

    DOEpatents

    Konrad, Allan M.

    1999-01-01

    A local host computing system, a remote host computing system as connected by a network, and service functionalities: a human interface service functionality, a starter service functionality, and a desired utility service functionality, and a Client-Server-Service (CSS) model is imposed on each service functionality. In one embodiment, this results in nine logical components and three physical components (a local host, a remote host, and an intervening network), where two of the logical components are integrated into one Remote Object Client component, and that Remote Object Client component and the other seven logical components are deployed among the local host and remote host in a manner which eases compatibility and upgrade problems, and provides an illusion to a user that a desired utility service supported on a remote host resides locally on the user's local host, thereby providing ease of use and minimal software maintenance for users of that remote service.

  1. Remote information service access system based on a client-server-service model

    DOEpatents

    Konrad, A.M.

    1997-12-09

    A local host computing system, a remote host computing system as connected by a network, and service functionalities: a human interface service functionality, a starter service functionality, and a desired utility service functionality, and a Client-Server-Service (CSS) model is imposed on each service functionality. In one embodiment, this results in nine logical components and three physical components (a local host, a remote host, and an intervening network), where two of the logical components are integrated into one Remote Object Client component, and that Remote Object Client component and the other seven logical components are deployed among the local host and remote host in a manner which eases compatibility and upgrade problems, and provides an illusion to a user that a desired utility service supported on a remote host resides locally on the user`s local host, thereby providing ease of use and minimal software maintenance for users of that remote service. 16 figs.

  2. Remote information service access system based on a client-server-service model

    DOEpatents

    Konrad, Allan M.

    1997-01-01

    A local host computing system, a remote host computing system as connected by a network, and service functionalities: a human interface service functionality, a starter service functionality, and a desired utility service functionality, and a Client-Server-Service (CSS) model is imposed on each service functionality. In one embodiment, this results in nine logical components and three physical components (a local host, a remote host, and an intervening network), where two of the logical components are integrated into one Remote Object Client component, and that Remote Object Client component and the other seven logical components are deployed among the local host and remote host in a manner which eases compatibility and upgrade problems, and provides an illusion to a user that a desired utility service supported on a remote host resides locally on the user's local host, thereby providing ease of use and minimal software maintenance for users of that remote service.

  3. Remote information service access system based on a client-server-service model

    DOEpatents

    Konrad, Allan M.

    1996-01-01

    A local host computing system, a remote host computing system as connected by a network, and service functionalities: a human interface service functionality, a starter service functionality, and a desired utility service functionality, and a Client-Server-Service (CSS) model is imposed on each service functionality. In one embodiment, this results in nine logical components and three physical components (a local host, a remote host, and an intervening network), where two of the logical components are integrated into one Remote Object Client component, and that Remote Object Client component and the other seven logical components are deployed among the local host and remote host in a manner which eases compatibility and upgrade problems, and provides an illusion to a user that a desired utility service supported on a remote host resides locally on the user's local host, thereby providing ease of use and minimal software maintenance for users of that remote service.

  4. Remote information service access system based on a client-server-service model

    DOEpatents

    Konrad, A.M.

    1996-08-06

    A local host computing system, a remote host computing system as connected by a network, and service functionalities: a human interface service functionality, a starter service functionality, and a desired utility service functionality, and a Client-Server-Service (CSS) model is imposed on each service functionality. In one embodiment, this results in nine logical components and three physical components (a local host, a remote host, and an intervening network), where two of the logical components are integrated into one Remote Object Client component, and that Remote Object Client component and the other seven logical components are deployed among the local host and remote host in a manner which eases compatibility and upgrade problems, and provides an illusion to a user that a desired utility service supported on a remote host resides locally on the user`s local host, thereby providing ease of use and minimal software maintenance for users of that remote service. 16 figs.

  5. HIV risk behavior and access to services: what predicts HIV testing among heterosexually active homeless men?

    PubMed

    Wenzel, Suzanne L; Rhoades, Harmony; Tucker, Joan S; Golinelli, Daniela; Kennedy, David P; Zhou, Annie; Ewing, Brett

    2012-06-01

    HIV is a serious epidemic among homeless persons, where rates of infection are estimated to be three times higher than in the general population. HIV testing is an effective tool for reducing HIV transmission and for combating poor HIV/AIDS health outcomes that disproportionately affect homeless persons, however, little is known about the HIV testing behavior of homeless men. This study examined the association between individual (HIV risk) and structural (service access) factors and past year HIV testing. Participants were a representative sample of 305 heterosexually active homeless men interviewed from meal programs in the Skid Row region of Los Angeles. Logistic regression examined the association between past year HIV testing and demographic characteristics, HIV risk behavior, and access to other services in the Skid Row area in the past 30 days. Despite high rates of past year HIV testing, study participants also reported high rates of HIV risk behavior, suggesting there is still significant unmet need for HIV prevention among homeless men. Having recently used medical/dental services in the Skid Row area (OR: 1.91; CI: 1.09, 3.35), and being a military veteran (OR: 2.10; CI: 1.01-4.37) were significantly associated with HIV testing service utilization. HIV testing was not associated with HIV risk behavior, but rather with access to services and veteran status, the latter of which prior research has linked to increased service access. We suggest that programs encouraging general medical service access may be important for disseminating HIV testing services to this high-risk, vulnerable population. PMID:22676465

  6. Generalized access control strategies for integrated services token passing systems

    NASA Astrophysics Data System (ADS)

    Pang, Joseph W. M.; Tobagi, Fouad A.; Boyd, Stephen

    1994-08-01

    The demand for integrated services local area networks is increasing at a rapid pace with the advent of many new and exciting applications: office and factory automation, distributed computing, and multimedia communications. To support these new applications, it is imperative to integrate traffic with diverse statistical characteristics and differing delay requirements on the same network. An attractive approach for integrating traffic has been adopted in two token passing local area network standards, the IEEE 802.4 token bus standard and FDDI. The idea is to control the transmissions of each station based on a distributed timing algorithm, so as to achieve the following goals: (1) to limit the token cycles so that time-critical traffic can be accommodated, and (2) to allocate pre-specified bandwidths to different stations when the network is overloaded. We have investigated the analysis and design of this protocol. In this paper, we generalize the transmission control algorithm used previously. The major advantages of the generalization over the original protocol are: (1) it provides a much expanded design space, (2) it guarantees convergent behavior, and (3) it gives meaningful insights into the dynamics of the basic control algorithm.

  7. Access to Rural Mental Health Services: Service Use and Out-of-Pocket Costs

    ERIC Educational Resources Information Center

    Ziller, Erika C.; Anderson, Nathaniel J.; Coburn, Andrew F.

    2010-01-01

    Purpose: To examine rural-urban differences in the use of mental health services (mental health and substance abuse office visits, and mental health prescriptions) and in the out-of-pocket costs paid for these services. Methods: The pooled 2003 and 2004 Medical Expenditure Panel Surveys were used to assess differences in mental health service use…

  8. Applying Fourth Generation Management to Access Services: Reinventing Customer Service and Process Management

    ERIC Educational Resources Information Center

    Hasty, Douglas F.

    2004-01-01

    Are librarians doing all they can to ensure that customer services are delivered with the customer in mind? Librarians are great at helping, but we sometimes need help with identifying customers, defining their needs, developing services, and reviewing the processes behind the services. Fourth Generation Management provides new insight for…

  9. Efficient Service Delivery for High-speed Railway Communications Using MIMO and Access Control Technique

    NASA Astrophysics Data System (ADS)

    Zhou, Yuzhe; Ai, Bo

    2014-07-01

    In order to realize the notion of "anytime, anywhere" communication for high-speed train passengers, the Long Term Evolution for Railway is designed to provide broadband accesses and reliable communications for high-speed train passengers. However, with the increase of train speed, the system is subject to high bit error rate, Doppler frequency shift, and call drops. This paper is trying to solve these problems by employing the Multiple-Input Multiple-Output technique and access control schemes. The goal is to provide higher quality of services such as data rate, reliability, and delay for train passengers. Physical layer performance analysis and access control schemes are proposed in a two-hop model. Handovers and service types are also considered. Simulation results show that proposed models and schemes perform better in improving the quality of services.

  10. Evaluating Project Connect: improving juvenile probationers' mental health and substance use service access.

    PubMed

    Wasserman, Gail A; McReynolds, Larkin S; Musabegovic, Hana; Whited, Andria L; Keating, Joseph M; Huo, Yanling

    2009-11-01

    Project Connect is a multilayered county-specific program aimed at linking juvenile probationers to needed mental health and substance use services. In four NY counties, the intervention included cooperative agreements between probation and mental health authorities, program materials to facilitate referral, in-service training for probation officers, and systematic screening for mental health needs. Charts for 583 Baseline youths were reviewed and compared with 594 youths undergoing intake under Project Connect. Compared to Baseline, under Project Connect, referred youths were 2.7 times as likely to access services, regardless of youth or county characteristics, service availability, or when the intervention took place. PMID:19582568

  11. APPRAISAL OF ACCESS TO DENTAL SERVICES IN SOUTH EAST OF IRAN USING FIVE AS MODEL

    PubMed Central

    Moosazadeh, Mahmood; Amiresmaili, Mohammadreza; Karimi, Sara; Arabpoor, Mahboobeh; Afshari, Mahdi

    2016-01-01

    Background: Access to dental services not only refers to utilization but also to the extent by which the utilization is judged according to professional norms. This study aimed to study the access to dental services using the Five As model. Methods: This cross sectional study was conducted in southeast of Iran. A sample of 400 subjects participated in the study according to a multistage sampling method. A questionnaire was used for data collection. Data were analyzed using independent T test, ANOVA and multivariate linear regression models by means of SPSS V.20 software. Findings: Affordability, availability, accessibility, accommodation and acceptability mean scores were 58.2±12.2, 53.9±12.9, 59.4±15.7, 60.2±8.6, 70±11.5 and 60.3±7.4 respectively. According to multivariate linear regression models, there was significant associations between affordability and age, education level, having basic insurance and family income. Moreover, total accessibility was significantly correlated with education and monthly family income. Conclusion: This study showed that access to dental services was at the moderate level among the studied population. It also revealed that age, basic insurance coverage, family income and level of education, are determinants of this accessibility. PMID:27482161

  12. Access to and use of infertility services in the United States: framing the challenges.

    PubMed

    Adashi, Eli Y; Dean, Laura A

    2016-05-01

    An overview of access to and use of general infertility and assisted reproductive technology (ART) services in the United States (U.S.) shows a declining trend for the ever-use of infertility services. Moreover, the use of ART services lags relative to other member nations of the Organization for Economic Co-operation and Development (OECD). Access to and use of general infertility and ART services is primarily undermined by a severely constrained underwriting universe dominated by self-insured employers and by a finite number of state infertility insurance mandates. The contribution of traditional public and private payers to the underwriting of ART is limited. As compared with OECD member nations wherein the access to and underwriting of general infertility and ART services is universal, the current status quo in the U.S. can only be characterized as dismal. Further, the current state of affairs is socially unjust in that the right to build a family in the face of infertility appears to have become a function of economic prowess. Given the dominance of the self-insured employers as underwriters of general infertility and ART services, advocacy directed at this interest group is likely to prove most productive. Improving the state of underwriting of general infertility and ART services in the U.S. must be embraced as a central moral imperative and as an unwavering strategic goal of the professional societies entrusted with the reproductive health of women and men. PMID:26826275

  13. Performance Issues Related to Web Service Usage for Remote Data Access

    SciTech Connect

    Pais, V. F.; Stancalie, V.; Mihailescu, F. A.; Totolici, M. C.

    2008-04-07

    Web services are starting to be widely used in applications for remotely accessing data. This is of special interest for research based on small and medium scale fusion devices, since scientists participating remotely to experiments are accessing large amounts of data over the Internet. Recent tests were conducted to see how the new network traffic, generated by the use of web services, can be integrated in the existing infrastructure and what would be the impact over existing applications, especially those used in a remote participation scenario.

  14. Rural telemedicine infrastructure and services in the Department of Cauca, Colombia.

    PubMed

    Rendón, Alvaro; Martínez, Andrés; Dulcey, María F; Seoane, Joaquín; Shoemaker, Richard G; Villarroel, Valentín; López, Diego M; Simó, Javier

    2005-08-01

    The development of telemedicine programs for the public health network of the Department of Cauca, Colombia, (Department is the major political and territorial division of the country. The Department of Cauca is located on the Pacific coast in the southwest of the country.) would make it possible to satisfy many identified needs such as medical coordination, continuing education, epidemiologic surveillance, patient referral and counterreferral, and an end to the feeling of isolation among professionals who work in rural health centers. Nevertheless, geographic, economic, and social difficulties, and the lack of a telecommunication infrastructure in areas with these characteristics present a challenge of such magnitude that the majority of existing telemedicine projects in Colombia have been centered in urban or other areas which present fewer difficulties. In the municipality of Silvia, the University of Cauca has established a prototype network using the "Hispano-American Health Link" (EHAS in Spanish) program technologies, which uses very high frequency (VHF) and wireless fidelity, (WiFi, a set of standards for wireless local area networks) radio systems for the deployment of low-cost voice and data networks. Over this network information access and exchange services have been developed, in order to meet the needs identified above. The objectives were to obtain information about the development of the project's activities and their possible impact. Project telecommunication network and information services are described, and the results and conclusions of the first evaluation are presented. PMID:16149891

  15. Improving Access to EOSDIS Data and Services by a User Registration System

    NASA Astrophysics Data System (ADS)

    Smith, P.; Mitchell, A.; Farley, J. D.; Murphy, K. J.; Nakamura, E.

    2011-12-01

    As NASA's Earth Observing System Data and Information System (EOSDIS) systems have evolved over the years, most of the EOSDIS data are now available to users via anonymous on-line access. Although the changes have improved the dissemination efficiency of earth science data, the anonymous access has made it difficult to characterize users, capture metrics on the value of EOSDIS and provide customized services that benefit users. As the number of web-based applications continues to grow, data centers and application providers have implemented their own user registration systems and provided new tools and interfaces for their registered users. This has led to the creation of independent registration systems for accessing data and interacting with online tools and services. The user profile information maintained at each of these registration systems is not consistent and the registration enforcement varies by system as well. This problem is in no way unique to EOSDIS and represents a general challenge to the distributed computing community. In a study done in 2007*, the average user has approximately 7 passwords for about 25 accounts and enters a password 8 times a day. These numbers have only increased in the last three years. A consolidation of registration systems into an EOSDIS wide User Registration System (URS) presents an opportunity to improve the user experience through simplification of user registration and profile management. Users will be able to register once at a central location and gain basic access to publicly available EOSDIS data or services hosted at each of the data centers, including accessing tools & data that cannot fully interoperate without user identification. This single source of user profile information is simple for the user to update, and allows Data Center staff to seamlessly continue to provide account services. The Data Centers will offer new services such as providing targeted notifications of changes to data and service

  16. ChEMBL web services: streamlining access to drug discovery data and utilities

    PubMed Central

    Davies, Mark; Nowotka, Michał; Papadatos, George; Dedman, Nathan; Gaulton, Anna; Atkinson, Francis; Bellis, Louisa; Overington, John P.

    2015-01-01

    ChEMBL is now a well-established resource in the fields of drug discovery and medicinal chemistry research. The ChEMBL database curates and stores standardized bioactivity, molecule, target and drug data extracted from multiple sources, including the primary medicinal chemistry literature. Programmatic access to ChEMBL data has been improved by a recent update to the ChEMBL web services (version 2.0.x, https://www.ebi.ac.uk/chembl/api/data/docs), which exposes significantly more data from the underlying database and introduces new functionality. To complement the data-focused services, a utility service (version 1.0.x, https://www.ebi.ac.uk/chembl/api/utils/docs), which provides RESTful access to commonly used cheminformatics methods, has also been concurrently developed. The ChEMBL web services can be used together or independently to build applications and data processing workflows relevant to drug discovery and chemical biology. PMID:25883136

  17. Reorganizing pediatric rehabilitation services to improve accessibility: do we sacrifice quality?

    PubMed Central

    2010-01-01

    Background The impact of a pediatric rehabilitation service delivery reorganization to improve access to services on parents' and service providers' perception of service quality was evaluated. Child-, family-, service- and service provider-related characteristics possibly associated with these perceptions were explored. Methods Perceptions were measured using the Measure of Processes of Care tools and open ended questions before (2007), during (2008) and following (2009) service reorganization. Child and family characteristics, services received and service provider data were documented. Mean MPOC scores were compared over time (ANOVAs and Generalized Estimating Equations) and t-tests, correlations and ANOVAs determined whether the characteristics influenced scores. Results Families' (n = 222) and service providers' (n = 129) perceptions of quality were high in 2007 (3.67 to 6.31/7) and remained high over the next 2 years (p ≥ 0.16). Two MPOC domain scores (Respectful care and Providing general information) were consistently scored the highest (mean ≥ 5.66/7) and the lowest (mean ≤ 4.75/7), respectively. Families with more education and those with children 12-21 years old tended to attribute lower MPOC scores. Participants were generally satisfied with the new service model and recommendations included improving information exchange. Conclusions Results suggest that it is possible to reorganize pediatric rehabilitation services while maintaining quality. PMID:20687932

  18. Disparities in Access to Easy-to-Use Services for Children with Special Health Care Needs.

    PubMed

    Rosen-Reynoso, Myra; Porche, Michelle V; Kwan, Ngai; Bethell, Christina; Thomas, Veronica; Robertson, Julie; Hawes, Eva; Foley, Susan; Palfrey, Judith

    2016-05-01

    Objectives Families, clinicians and policymakers desire improved delivery of health and related services for children with special health care needs (CSHCN). We analyzed factors associated with ease of use in obtaining such services. We also explored what were specific difficulties or delays in receiving services. By examining data from the National Survey of Children with Special Health Care Needs (NS-CSHCN 2009-2010) and using the revised criteria for "ease of use," we were able to assess the percentage of parents who reported that their experiences seeking services for their children met those criteria. Methods We performed Chi square tests to examine associations between the independent variables and their relationship to the difficulties or delays assessed in the survey; including: eligibility, availability of services, waiting lists, cost, and access to information. We used logistic regression to determine the association of meeting the "ease of use" criteria with socio-demographic, complexity of need, and access variables. Results Overall, a third of families of CSHCN (35.3 %) encounter difficulties, delays, or frustrations in obtaining health and related services. The lack of access to health and community services in this study fell most heavily on children from racial/ethnic minority backgrounds, those in poverty, and those with complex emotional/behavioral or developmental needs and functional limitations. Conclusions for Practice CSHCN require services from a broad array of providers across multiple systems. Unfortunately, there are certain difficulties that hamper the accessibility of these systems. These findings underscore the need for both practice-level response and systems-level reform to ensure equitable distribution of health and community resources. PMID:26728898

  19. Reaching the Unreachable: Barriers of the Poorest to Accessing NGO Healthcare Services in Bangladesh

    PubMed Central

    Alam, Mohammed M.; Sultana, Fadia; Sayeed, Shahana N.; Pressman, Aliza M.; Powers, Mary Beth

    2006-01-01

    The NGO Service Delivery Program (NSDP), a USAID-funded programme, is the largest NGO programme in Bangladesh. Its strategic flagship activity is the essential services package through which healthcare services are administered by NGOs in Bangladesh. The overall goal of the NSDP is to increase access to essential healthcare services by communities, especially the poor. Recognizing that the poorest in the community often have no access to essential healthcare services due to various barriers, a study was conducted to identify what the real barriers to access by the poor are. This included investigations to further understand the perceptions of the poor of real or imagined barriers to accessing healthcare; ways for healthcare centres to maximize services to the poor; how healthcare providers can maximize service-use; inter-personal communication between healthcare providers and those seeking healthcare among the poor; and ways to improve the capacity of service providers to reach the poorest segment of the community. The study, carried out in two phases, included 24 static and satellite clinics within the catchment areas of eight NGOs under the NSDP in Bangladesh, during June-September 2003. Participatory urban and rural appraisal techniques, focus-group discussions, and in-depth interviews were employed as research methods in the study. The target populations in the study included males and females, service-users and non-users, and special groups, such as fishermen, sex workers, potters, Bedes (river gypsies), and lower-caste people—all combined representing a heterogeneous community. The following four major categories of barriers emerged as roadblocks to accessing quality healthcare for the poor: (a) low income to be able to afford healthcare, (b) lack of awareness of the kind of healthcare services available, (c) deficiencies and inconsistencies in the quality of services, and (d) lack of close proximity to the healthcare facility. Those interviewed perceived

  20. The organisation of the Department of Veterinary Services in Malaysia.

    PubMed

    Mohd Nor, M N; Abu Mustapa, A J; Abu Hassan, M A; Chang, K W

    2003-08-01

    The Department of Veterinary Services (DVS) in Malaysia was established in 1888 as an agency to control exotic and domestic animal diseases. Over the years, the structure and functions of the organisation have evolved to meet the growing demand for veterinary services. The responsibilities of the Veterinary Services are enshrined in the Constitution of Malaysia. The current organisation of the DVS is structured to achieve the following objectives:---to prevent, control and eradicate animal and zoonotic diseases--to facilitate the growth and development of a strong animal industry--to ensure that animal products for human consumption are wholesome, clean, safe and suitable to be consumed--to facilitate the growth and development of the animal feed industry--to ensure the welfare and well-being of all animals. To meet these objectives the DVS has nine different divisions, as follows: Planning and Evaluation, Epidemiology and Veterinary Medicine, Veterinary Public Health, Research and Development, Industry Development, Production and Development of Genetic Resources, Human Resource Development (HRD), Enforcement, and Administration. The development of the animal industry is managed through national development policies, including the Third National Agriculture Policy. The basis for current programmes for disease control and animal industry development is the Eighth Development Plan (2001-2005). Over the period of this Plan, Malaysia will address the need for sanitary and phytosanitary measures by developing specific programmes covering all fields of the animal industry. This is just one way in which Malaysia is meeting the challenges of the increased liberalisation of trade created by the World Trade Organization and the Association of Southeast Asian Nations Free Trade Area. The development of the industry is focused on the major commodities, namely, beef, mutton, poultry meat, eggs, pork and milk. Other commodities receive support if it is considered economically

  1. Consumer Satisfaction with Telerehabilitation Service Provision of Alternative Computer Access and Augmentative and Alternative Communication

    PubMed Central

    LOPRESTI, EDMUND F.; JINKS, ANDREW; SIMPSON, RICHARD C.

    2015-01-01

    Telerehabilitation (TR) services for assistive technology evaluation and training have the potential to reduce travel demands for consumers and assistive technology professionals while allowing evaluation in more familiar, salient environments for the consumer. Sixty-five consumers received TR services for augmentative and alternative communication or alternative computer access, and consumer satisfaction was compared with twenty-eight consumers who received exclusively in-person services. TR recipients rated their TR services at a median of 6 on a 6-point Likert scale TR satisfaction questionnaire, although individual responses did indicate room for improvement in the technology. Overall satisfaction with AT services was rated highly by both in-person (100% satisfaction) and TR (99% satisfaction) service recipients. PMID:27563382

  2. Consumer Satisfaction with Telerehabilitation Service Provision of Alternative Computer Access and Augmentative and Alternative Communication.

    PubMed

    Lopresti, Edmund F; Jinks, Andrew; Simpson, Richard C

    2015-01-01

    Telerehabilitation (TR) services for assistive technology evaluation and training have the potential to reduce travel demands for consumers and assistive technology professionals while allowing evaluation in more familiar, salient environments for the consumer. Sixty-five consumers received TR services for augmentative and alternative communication or alternative computer access, and consumer satisfaction was compared with twenty-eight consumers who received exclusively in-person services. TR recipients rated their TR services at a median of 6 on a 6-point Likert scale TR satisfaction questionnaire, although individual responses did indicate room for improvement in the technology. Overall satisfaction with AT services was rated highly by both in-person (100% satisfaction) and TR (99% satisfaction) service recipients. PMID:27563382

  3. Virtual queueing techniques for UBR+ service in ATM with fair access and minimum bandwidth guarantee

    SciTech Connect

    Siu, K.Y.; Wu, Y.; Ren, W.

    1998-11-01

    The ATM Forum is currently discussing the need for a new best-effort service called UBR+, which is an enhancement to the existing UBR service, to support data traffic. The objective of the UBR+ service is to provide each user with a minimum service rate guarantee and a fair access to any excess available bandwidth. In this paper, the authors present a new efficient scheme for supporting this service. The key advantage of the scheme is that it employs only FIFO queueing (instead of per-VC queueing) and admits simple implementation in ATM switches. The ideas involve a simple scheduling mechanism that is based on per-VC queueing and incorporate the virtual queueing technique that can efficiently emulate per-VC queueing on a shared FIFO queue. Simulation results are presented to show that the schemes can deliver almost ideal performance for supporting the new service requirements of UBR+.

  4. 39 CFR 760.1 - Treasury Department regulations; applicability to Postal Service.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Circular No. 300, 31 CFR part 306 (other than subpart O), as amended from time to time, shall apply insofar... 39 Postal Service 1 2014-07-01 2014-07-01 false Treasury Department regulations; applicability to Postal Service. 760.1 Section 760.1 Postal Service UNITED STATES POSTAL SERVICE POSTAL SERVICE...

  5. 39 CFR 760.1 - Treasury Department regulations; applicability to Postal Service.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Circular No. 300, 31 CFR part 306 (other than subpart O), as amended from time to time, shall apply insofar... 39 Postal Service 1 2010-07-01 2010-07-01 false Treasury Department regulations; applicability to Postal Service. 760.1 Section 760.1 Postal Service UNITED STATES POSTAL SERVICE POSTAL SERVICE...

  6. 39 CFR 760.1 - Treasury Department regulations; applicability to Postal Service.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Circular No. 300, 31 CFR part 306 (other than subpart O), as amended from time to time, shall apply insofar... 39 Postal Service 1 2011-07-01 2011-07-01 false Treasury Department regulations; applicability to Postal Service. 760.1 Section 760.1 Postal Service UNITED STATES POSTAL SERVICE POSTAL SERVICE...

  7. 39 CFR 760.1 - Treasury Department regulations; applicability to Postal Service.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Circular No. 300, 31 CFR part 306 (other than subpart O), as amended from time to time, shall apply insofar... 39 Postal Service 1 2012-07-01 2012-07-01 false Treasury Department regulations; applicability to Postal Service. 760.1 Section 760.1 Postal Service UNITED STATES POSTAL SERVICE POSTAL SERVICE...

  8. 39 CFR 760.1 - Treasury Department regulations; applicability to Postal Service.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Circular No. 300, 31 CFR part 306 (other than subpart O), as amended from time to time, shall apply insofar... 39 Postal Service 1 2013-07-01 2013-07-01 false Treasury Department regulations; applicability to Postal Service. 760.1 Section 760.1 Postal Service UNITED STATES POSTAL SERVICE POSTAL SERVICE...

  9. 47 CFR 51.217 - Nondiscriminatory access: Telephone numbers, operator services, directory assistance services...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., regardless of the identity of the customer's local telephone service provider. (3) Directory assistance... paragraph (c)(3)(iv) of this section, on a nondiscriminatory basis, notwithstanding the identity of the customer's local service provider, or the identity of the provider for the customer whose listing...

  10. Comparison of perceived and modelled geographical access to accident and emergency departments: a cross-sectional analysis from the Caerphilly Health and Social Needs Study

    PubMed Central

    Fone, David L; Christie, Stephen; Lester, Nathan

    2006-01-01

    Background Assessment of the spatial accessibility of hospital accident and emergency departments as perceived by local residents has not previously been investigated. Perceived accessibility may affect where, when, and whether potential patients attend for treatment. Using data on 11,853 respondents to a population survey in Caerphilly county borough, Wales, UK, we present an analysis comparing the accessibility of accident and emergency departments as reported by local residents and drive-time to the nearest accident and emergency department modelled using a geographical information system (GIS). Results Median drive-times were significantly shorter in the lowest perceived access category and longer in the best perceived access category (p < 0.001). The perceived access and GIS modelled drive-time variables were positively correlated (Spearman's rank correlation coefficient, r = 0.38, p < 0.01). The strongest correlation was found for respondents living in areas in which nearly all households had a car or van (r = 0.47, p < 0.01). Correlations were stronger among respondents reporting good access to public transport and among those reporting a recent accident and emergency attendance for injury treatment compared to other respondents. Correlation coefficients did not vary substantially by levels of household income. Drive-time, road distance and straight-line distance were highly inter-correlated and substituting road distance or straight-line distance as the GIS modelled spatial accessibility measure only marginally decreased the magnitude of the correlations between perceived and GIS modelled access. Conclusion This study provides evidence that the accessibility of hospital-based health care services as perceived by local residents is related to measures of spatial accessibility modelled using GIS. For studies that aim to model geographical separation in a way that correlates well with the perception of local residents, there may be minimal advantage in using

  11. Essays on the Impacts of Geography and Institutions on Access to Energy and Public Infrastructure Services

    NASA Astrophysics Data System (ADS)

    Archibong, Belinda

    While previous literature has emphasized the importance of energy and public infrastructure services for economic development, questions surrounding the implications of unequal spatial distribution in access to these resources remain, particularly in the developing country context. This dissertation provides evidence on the nature, origins and implications of this distribution uniting three strands of research from the development and political economy, regional science and energy economics fields. The dissertation unites three papers on the nature of spatial inequality of access to energy and infrastructure with further implications for conflict risk , the historical institutional and biogeographical determinants of current distribution of access to energy and public infrastructure services and the response of households to fuel price changes over time. Chapter 2 uses a novel survey dataset to provide evidence for spatial clustering of public infrastructure non-functionality at schools by geopolitical zone in Nigeria with further implications for armed conflict risk in the region. Chapter 3 investigates the drivers of the results in chapter 2, exploiting variation in the spatial distribution of precolonial institutions and geography in the region, to provide evidence for the long-term impacts of these factors on current heterogeneity of access to public services. Chapter 4 addresses the policy implications of energy access, providing the first multi-year evidence on firewood demand elasticities in India, using the spatial variation in prices for estimation.

  12. Access to HIV Care and Support Services for African American Transwomen Living with HIV

    PubMed Central

    Wilson, Erin C.; Arayasirikul, Sean; Johnson, Kelly

    2014-01-01

    Low access to HIV care and support has led to survival rates for transwomen that are half that of other populations at risk for HIV. Within the population, HIV disproportionately impacts African American transwomen. Interventions to increase access to HIV care and support are needed to better serve those most affected and vulnerable within the population. We conducted a study of barriers and facilitators to care and support services for African American transwomen to fill a gap in the literature to improve access for this particularly impacted population. A total of 10 in-depth interviews were conducted with African American transwomen living with HIV who lived outside the metro area of San Francisco. Three overarching thematic topics emerged-gender stigma, peer, and institutional distrust - giving insight into African American transwomen's barriers to HIV care and support services. A number of factors within these themes impacted access, such as whether organizations offered gender-related care, the geography of organizations as it relates to safe transportation and location, confidentiality and trust of peers and organizations, and trauma. Specific instrumental, institutional and emotional supports are provided that that may increase access to care and support services for African American transwomen living with HIV. PMID:24817835

  13. HIV multidisciplinary teams work: support services improve access to and retention in HIV primary care.

    PubMed

    Sherer, R; Stieglitz, K; Narra, J; Jasek, J; Green, L; Moore, B; Shott, S; Cohen, M

    2002-08-01

    The multidisciplinary team model of HIV care evolved out of necessity due to the diverse characteristics and needs of people living with HIV disease. Though it is now accepted as the international standard of care, it represents a significant departure from methods of care for other infectious diseases, and debate continues regarding the effectiveness of its interventions. The debate has been largely uninformed by data; for example, little is known about the relationship between ancillary support services and primary care outcomes. We hypothesized that support services increase access to and retention in HIV primary care in an inner city public hospital clinic. We conducted a retrospective analysis of clinical data sets on 2,647 patients at the CORE Center, Chicago from 1997-1998 to investigate the relationship between four support services-case management (CM), transportation (TRANS), mental health (MH) and chemical dependency (CD)-and access to and retention in HIV primary care. We found that patients who received each of these services were significantly more likely to receive any care, regular care and had more visits than patients with no service, and retention increased by 15-18%. Female gender, younger age, self-pay status and IDU predicted less regular care. Need for all services was substantial and significantly greater in women. Outcomes improved to the greatest extent among patients who needed and received each service. We conclude that support services significantly increased access to and retention in HIV primary care. Our findings validate the multidisciplinary team model of HIV care, and suggest that health services that are tailored to the express needs of patients lead to better care and improved health outcomes. Further testing of changes in health care delivery to meet the rapidly changing needs of people living with HIV disease and respond to the constantly changing practice of HIV medicine is urgently needed to maintain and extend the advances

  14. 28 CFR 115.382 - Access to emergency medical and mental health services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ....382 Access to emergency medical and mental health services. (a) Resident victims of sexual abuse shall... nature and scope of which are determined by medical and mental health practitioners according to their professional judgment. (b) If no qualified medical or mental health practitioners are on duty at the time...

  15. 28 CFR 115.382 - Access to emergency medical and mental health services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ....382 Access to emergency medical and mental health services. (a) Resident victims of sexual abuse shall... nature and scope of which are determined by medical and mental health practitioners according to their professional judgment. (b) If no qualified medical or mental health practitioners are on duty at the time...

  16. 28 CFR 115.382 - Access to emergency medical and mental health services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ....382 Access to emergency medical and mental health services. (a) Resident victims of sexual abuse shall... nature and scope of which are determined by medical and mental health practitioners according to their professional judgment. (b) If no qualified medical or mental health practitioners are on duty at the time...

  17. Access to Generic Substance Abuse Services for Persons with Mental Retardation.

    ERIC Educational Resources Information Center

    Lottman, Thomas J.

    1993-01-01

    Investigated access to generic substance abuse services for persons with mental retardation. Telephone survey of chemical dependency treatment agencies revealed that agencies accepting mentally retarded clients differed significantly from nonaccepting agencies in their perceived difficulty in integrating these clients and in their acceptance of…

  18. Domestic Violence Survivors' Access of Career Counseling Services: A Qualitative Investigation

    ERIC Educational Resources Information Center

    Chronister, Krista M.; Linville, Deanna; Kaag, Kristi Palmer

    2008-01-01

    The present study was a qualitative investigation of the impact of domestic violence on women's career development and the contextual barriers and supports that affect women's ability to access career counseling services. Our sample included 11 women who completed various stages of a community-based career counseling intervention program. The…

  19. Efficient Information Access for Location-Based Services in Mobile Environments

    ERIC Educational Resources Information Center

    Lee, Chi Keung

    2009-01-01

    The demand for pervasive access of location-related information (e.g., local traffic, restaurant locations, navigation maps, weather conditions, pollution index, etc.) fosters a tremendous application base of "Location Based Services (LBSs)". Without loss of generality, we model location-related information as "spatial objects" and the accesses…

  20. Enhancing Health Literacy through Accessing Health Information, Products, and Services: An Exercise for Children and Adolescents

    ERIC Educational Resources Information Center

    Brey, Rebecca A.; Clark, Susan E.; Wantz, Molly S.

    2007-01-01

    The second National Health Education Standard states the importance of student demonstration of the ability to access valid health information and services. The teaching technique presented in this article provides an opportunity for children and adolescents to develop their health literacy and advocacy skills by contributing to a class resource…

  1. Making Student Services Welcoming and Accessible through Accommodations and Universal Design

    ERIC Educational Resources Information Center

    Burgstahler, Sheryl; Moore, Elizabeth

    2009-01-01

    Thirteen focus groups with a total of 53 postsecondary students with disabilities and 14 focus groups with a total of 72 personnel from student service offices on campuses nationwide identified access problems encountered by students with disabilities in these offices and potential solutions to these problems. Students shared experiences in which…

  2. Health Service Access across Racial/Ethnic Groups of Children in the Child Welfare System

    ERIC Educational Resources Information Center

    Wells, Rebecca; Hillemeier, Marianne M.; Bai, Yu; Belue, Rhonda

    2009-01-01

    Objective: This study examined health service access among children of different racial/ethnic groups in the child welfare system in an attempt to identify and explain disparities. Methods: Data were from the National Survey of Child and Adolescent Well-Being (NSCAW). N for descriptive statistics = 2,505. N for multiple regression model = 537.…

  3. 78 FR 20101 - Access to Confidential Business Information by Chemical Abstract Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-03

    ... Services (CAS) of Columbus, Ohio, to access information which has been submitted to EPA under sections 5... is expected under EPA Contract Number EP-W-13-008, contractor CAS of 2540 Olentangy River Rd., P.O... under Contract Number EP-W- 06-011. This is a renewal of a long-existing contract with CAS....

  4. Adult College Career Employment Support Services: ACCESS. Emeritus Career and Vocational Exploration.

    ERIC Educational Resources Information Center

    McGrew, Lee

    A part of the Adult College Career Employment Support Services (ACCESS), the minicourse entitled Emeritus Career and Vocational Exploration has been designed to facilitate the entry or reentry of older persons into the work force as paid or volunteer workers. Organized into two four-week modules, the course offers participants assistance in…

  5. Social Capital, Acculturation, Mental Health, and Perceived Access to Services among Mexican American Women

    ERIC Educational Resources Information Center

    Valencia-Garcia, Dellanira; Simoni, Jane M.; Alegria, Margarita; Takeuchi, David T.

    2012-01-01

    Objective: We examined whether individual-level social capital--the intangible resources in a community available through membership in social networks or other social structures and perceived trust in the community--was associated with acculturation, depression and anxiety symptoms, and perceived access to services among women of Mexican…

  6. Access to Services and Meeting the Needs of People with Learning Disabilities.

    ERIC Educational Resources Information Center

    Lennox, Tamsin N.; Nadkarni, Joanne; Moffat, Peter; Robertson, Caroline

    2003-01-01

    A survey in one English community of 49 adults with intellectual disabilities found basic health needs (such as feet problems, incontinence, eyesight problems, and specific medical conditions) were often not being met. Access to primary care services to address these needs is discussed along with suggestions for future research and recommendations…

  7. 76 FR 9012 - Access to Confidential Business Information by Electronic Consulting Services, Inc.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-16

    ...EPA has authorized its contractor, Electronic Consulting Services, Inc. (ECS) of Fairfax, VA, to access information which has been submitted to EPA under all sections of the Toxic Substances Control Act (TSCA). Some of the information may be claimed or determined to be Confidential Business Information...

  8. Sorting Out the Web: Approaches to Subject Access. Contemporary Studies in Information Management, Policies, and Services.

    ERIC Educational Resources Information Center

    Schwartz, Candy

    This book examines what has been done in providing subject access to networked resources. The first chapter provides a historical overview of information services, developments in information technology, end users, and the Internet, as well as a discussion of the library response to these developments. The second chapter discusses metadata,…

  9. Provider Perspectives on School-Based Mental Health for Urban Minority Youth: Access and Services

    ERIC Educational Resources Information Center

    Gamble, Brandon E.; Lambros, Katina M.

    2014-01-01

    This article provides results from a qualitative study on the efforts of school-based mental health providers (SBMHPs) who serve students in urban, suburban, and ethnically diverse settings to help families access quality mental health services. School-based mental health plays a key role in the provision of direct and indirect intervention…

  10. Increasing Access to Health Administrative Data with ICES Data & Analytic Services.

    PubMed

    Ishiguro, Lisa; Saskin, Refik; Vermeulen, Marian J; Yates, Erika; Gunraj, Nadia; Victor, J Charles

    2016-01-01

    The Institute for Clinical Evaluative Sciences (ICES) is one of only a few organizations in Ontario permitted to access, link and analyze health administrative data for the purpose of generating evidence to inform decisions in policy and practice. Although ICES is a leading research institute, its access to the data has historically been restricted to scientists with an ICES affiliation. This requirement, designed to meet ICES' data privacy and security obligations, created barriers with respect to the widespread use of Ontario's data assets. In 2014, as part of the government's commitment to the Strategy for Patient-Oriented Research, ICES launched the Data & Analytic Services platform, which is aimed at increasing access to data and analytic services to investigators external to ICES. In making the data widely available to the broader research community, this initiative engages investigators involved in front-line care, stimulates new avenues of research and fosters collaboration that was previously challenging or unfeasible. PMID:27133600

  11. Accessibility to tuberculosis control services and tuberculosis programme performance in southern Ethiopia

    PubMed Central

    Dangisso, Mesay Hailu; Datiko, Daniel Gemechu; Lindtjørn, Bernt

    2015-01-01

    Background Despite the expansion of health services and community-based interventions in Ethiopia, limited evidence exists about the distribution of and access to health facilities and their relationship with the performance of tuberculosis (TB) control programmes. We aim to assess the geographical distribution of and physical accessibility to TB control services and their relationship with TB case notification rates (CNRs) and treatment outcome in the Sidama Zone, southern Ethiopia. Design We carried out an ecological study to assess physical accessibility to TB control facilities and the association of physical accessibility with TB CNRs and treatment outcome. We collected smear-positive pulmonary TB (PTB) cases treated during 2003–2012 from unit TB registers and TB service data such as availability of basic supplies for TB control and geographic locations of health services. We used ArcGIS 10.2 to measure the distance from each enumeration location to the nearest TB control facilities. A linear regression analysis was employed to assess factors associated with TB CNRs and treatment outcome. Results Over a decade the health service coverage (the health facility–to-population ratio) increased by 36% and the accessibility to TB control facilities also improved. Thus, the mean distance from TB control services was 7.6 km in 2003 (ranging from 1.8 to 25.5 km) between kebeles (the smallest administrative units) and had decreased to 3.2 km in 2012 (ranging from 1.5 to 12.4 km). In multivariate linear regression, as distance from TB diagnostic facilities (b-estimate=−0.25, p<0.001) and altitude (b-estimate=−0.31, p<0.001) increased, the CNRs of TB decreased, whereas a higher population density was associated with increased TB CNRs. Similarly, distance to TB control facilities (b-estimate=−0.27, p<0.001) and altitude (b-estimate=−0.30, p<0.001) were inversely associated with treatment success (proportion of treatment completed or cured cases). Conclusions

  12. Constraints and Benefits of Child Welfare Contracts with Behavioral Health Providers: Conditions that Shape Service Access.

    PubMed

    Bunger, Alicia C; Cao, Yiwen; Girth, Amanda M; Hoffman, Jill; Robertson, Hillary A

    2016-09-01

    This qualitative study examines worker perceptions of how public child welfare agencies' purchase of service contracts with private behavioral health organizations can both facilitate and constrain referral making and children's access to services. Five, 90-min focus groups were conducted with workers (n = 50) from an urban public child welfare agency in the Midwest. Using a modified grounded theory approach, findings suggest that contracts may expedite service linkages, but contract benefits are conditioned upon design and implementation. Results also suggest the critical role of front line workers in carrying out contractual relationships. Implications for research and interventions for enhancing contracting are discussed. PMID:26427998

  13. From the voices of women: facilitating survivor access to IPV services.

    PubMed

    Simmons, Catherine A; Farrar, Melissa; Frazer, Kitty; Thompson, Mary Jane

    2011-10-01

    This mixed-method study investigated perceptions women domestic violence survivors/victims have about why women do not seek help from formal support structures and actions domestic helping agencies can take to facilitate survivor access to services. Congruent with previous research, quantitative analysis identified 17 reasons women do not seek help from formal support structures. Expanding current knowledge, concept mapping revealed six ways family violence programs can better reach women in abusive relationships, including (1) remove barriers to services, (2) improve comfort with services, (3) "talk about it," (4) improve community awareness, (5) victim-targeted marketing, and (6) "I honestly don't know." PMID:22071094

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

    PubMed Central

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

    2014-01-01

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

  15. Accessing near real-time Antarctic meteorological data through an OGC Sensor Observation Service (SOS)

    NASA Astrophysics Data System (ADS)

    Kirsch, Peter; Breen, Paul

    2013-04-01

    We wish to highlight outputs of a project conceived from a science requirement to improve discovery and access to Antarctic meteorological data in near real-time. Given that the data was distributed in both spatial and temporal domains and is to be accessed across several science disciplines, the creation of an interoperable, OGC compliant web service was deemed the most appropriate approach. We will demonstrate an implementation of the OGC SOS Interface Standard to discover, browse, and access Antarctic meteorological data-sets. A selection of programmatic (R, Perl) and web client interfaces utilizing open technologies ( e.g. jQuery, Flot, openLayers ) will be demonstrated. In addition we will show how high level abstractions can be constructed to allow the users flexible and straightforward access to SOS retrieved data.

  16. 49 CFR 40.399 - How does the Department notify service agents of its decision?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 1 2011-10-01 2011-10-01 false How does the Department notify service agents of its decision? 40.399 Section 40.399 Transportation Office of the Secretary of Transportation... How does the Department notify service agents of its decision? If you are a service agent involved...

  17. 49 CFR 40.399 - How does the Department notify service agents of its decision?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 1 2012-10-01 2012-10-01 false How does the Department notify service agents of its decision? 40.399 Section 40.399 Transportation Office of the Secretary of Transportation... How does the Department notify service agents of its decision? If you are a service agent involved...

  18. 49 CFR 40.399 - How does the Department notify service agents of its decision?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 1 2013-10-01 2013-10-01 false How does the Department notify service agents of its decision? 40.399 Section 40.399 Transportation Office of the Secretary of Transportation... How does the Department notify service agents of its decision? If you are a service agent involved...

  19. 76 FR 79221 - Penske Logistics, LLC, Customer Service Department General Motors and Tier Finished Goods...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-21

    ..., 2011 (76 FR 13233). At the request of the Texas Workforce Agency, the Department reviewed the... Employment and Training Administration Penske Logistics, LLC, Customer Service Department General Motors and... workers of Penske Logistics, LLC, Customer Service Department, a subsidiary of General...

  20. Internet health information use and e‐mail access by parents attending a paediatric emergency department

    PubMed Central

    Goldman, R D; Macpherson, A

    2006-01-01

    Objectives To document internet access and health related usage patterns by families of children in a large paediatric emergency department (ED), and to discover if parents want the internet to become a tool for transferring medical test results. Methods This was a pre‐tested, 21 item, interview conducted with parents at the paediatric ED in Toronto over 3 months. Descriptive statistics and frequency distributions were calculated and variables associated with parents wishing to access results electronically were examined. Results In total, 950 parents completed the interview (93%), of whom 87% reported routine internet access, 75% reported having an e‐mail account, and 60% accessed their e‐mail once or more a day. Over half (56%) reported searching the internet for health related information, with 8.5% of these searching immediately preceding their visit. Nearly three quarters (73%) indicated they would like to receive an e‐mail containing the results of tests conducted in the ED; 66% of all respondents and 89% of those with e‐mail indicated that they would like their child's primary care provider to receive information electronically. Conclusion The majority of families have internet access and most want to receive medical information electronically and to send it to the primary provider. The vast use of internet for health related information emphasises the need to guide parents regarding reliable resources online, possibly as part of their ED visit. PMID:16627833

  1. EarthScope: Cyberinfrastructure to Access USArray Data Products and Services

    NASA Astrophysics Data System (ADS)

    Ahern, T. K.; Trabant, C. M.; Bahavar, M.; Hutko, A. R.; Karstens, R.; Reyes, C. G.; Suleiman, Y. Y.; Weertman, B.

    2013-12-01

    Motivated by the need to improve efficiency in the way earth scientists access information, IRIS has developed significant new cyberinfrastructure to allow access to all time series data at the IRIS DMC including the wealth of new observations generated as a part of EarthScope. Driven specifically by the USArray component of EarthScope, IRIS Data Services has also actively developed a wealth of new higher level products that serve as stepping stones to further research. These products are available either through the SPUD product management system or directly through web services. This presentation will highlight ways that web services simplify access to the time series information at the IRIS DMC, allow simple incorporation of data into scientist's workflows, provide limited preprocessing of data, as well as providing access to higher level products that can bridge the gap between disciplines as well as assisting seismologists in data selection. IRIS is actively promoting these web services techniques in other high profile projects sponsored by the National Science Foundation including both Cooperation between Europe and the United States (COOPEUS) project as well as within the NSF promoted EarthCube project. In both of these activities it is IRIS' goal to assist in the integration of data between earth science disciplines by leveraging the experience we have gained in our web service activities. Additionally IRIS will leverage web services to better provide research ready data sets. Such data sets will enable researchers to request data that are suitable for use in their specific research studies by comparing data quality attributes of the data to those that the researcher specifies are required in their work.

  2. Uniform Access to Astronomical Web Services and its Implementation in SkyMouse

    NASA Astrophysics Data System (ADS)

    Sun, Hua-Ping; Cui, Chen-Zhou; Zhao, Yong-Heng

    2008-06-01

    With the progress of information technologies and astronomical observation technologies, as an example of cyber-infrastructure based sciences, the Virtual Observatory (VO) is initiated and spreaded quickly. More and more on-line accessible database systems and different kinds of services are available. Although astronomers have been aware of the importance of the interoperability, integrated access to the on-line information is still difficult. The SkyMouse is a smart system developed by Chinese Virtual Observatory project to let us access different online resource systems easier than ever. Not like some VO efforts on uniformed access systems, for example, NVO DataScope, SkyMouse tries to show a comprehensive overview for a specific object, but not to snatch as much data as possible. Stimulated by a simple "Mouse Over" on an interested object name, various VO-compliant and traditional databases, i.e. SIMBAD, NED, VizieR, DSS, ADS, are queried by the SkyMouse. An overview for the given object, including basic information, image, observation and references, is displayed in the user's default web browser. In this article, the authors will introduce the framework of SkyMouse. During the development of SkyMouse, various Web services will be called. In order to invoke these Web services, two problems must be solved, i.e. interoperability and performance. In the paper, a detailed description for these problems and the authors' resolution are given.

  3. Toward Federated Security and Data Access Control within a Services Oriented Architecture for Publishing Hydrologic Data

    NASA Astrophysics Data System (ADS)

    Horsburgh, J. S.; Tarboton, D. G.; Schreuders, K.; Patil, K. S.

    2010-12-01

    Academic researchers who manage experimental watersheds, observatories, and research sites need the ability to effectively collect, manage, and publish hydrologic data. This often requires the ability to control and document access to the data. One current mechanism for publishing data from experimental sites uses the Consortium of Universities for the Advancement of Hydrologic Science, Inc. (CUAHSI) Hydrologic Information System (HIS). The CUAHSI HIS Project has developed a software stack called HydroServer for publishing hydrologic data. HydroServer relies on a standard relational database schema for storing hydrologic observations, called the Observations Data Model (ODM), a standard set of web services for publishing observations stored in an ODM database, called WaterOneFlow, and a standard XML schema for exchanging hydrologic observations data, called Water Markup Language (WaterML). These standards make is possible for disparate investigators to publish their data as web services within a federated network of HydroServers. Once a HydroServer is operational, all Internet users can access all of the data on the server, with no requirement for users to identify themselves, or restriction on what can be accessed. There are a number of situations where data producers want to take advantage of the organization and functionality that ODM and the HydroServer software stack provides, but without providing unrestricted and unlogged access to all of the data that they are putting on their server. These include the desire of academic data collectors to: 1) control who can access/download data; 2) publish research results based on data before the data are released to the general public; 3) keep track of who is downloading and using their data to evaluate and document its impact on the community; 4) have and use a data use/access agreement and ensure that they get credit and appropriate citation for the data that they publish; 5) expose the best or highest quality data

  4. A Flexible Component based Access Control Architecture for OPeNDAP Services

    NASA Astrophysics Data System (ADS)

    Kershaw, Philip; Ananthakrishnan, Rachana; Cinquini, Luca; Lawrence, Bryan; Pascoe, Stephen; Siebenlist, Frank

    2010-05-01

    Network data access services such as OPeNDAP enable widespread access to data across user communities. However, without ready means to restrict access to data for such services, data providers and data owners are constrained from making their data more widely available. Even with such capability, the range of different security technologies available can make interoperability between services and user client tools a challenge. OPeNDAP is a key data access service in the infrastructure under development to support the CMIP5 (Couple Model Intercomparison Project Phase 5). The work is being carried out as part of an international collaboration including the US Earth System Grid and Curator projects and the EU funded IS-ENES and Metafor projects. This infrastructure will bring together Petabytes of climate model data and associated metadata from over twenty modelling centres around the world in a federation with a core archive mirrored at three data centres. A security system is needed to meet the requirements of organisations responsible for model data including the ability to restrict data access to registered users, keep them up to date with changes to data and services, audit access and protect finite computing resources. Individual organisations have existing tools and services such as OPeNDAP with which users in the climate research community are already familiar. The security system should overlay access control in a way which maintains the usability and ease of access to these services. The BADC (British Atmospheric Data Centre) has been working in collaboration with the Earth System Grid development team and partner organisations to develop the security architecture. OpenID and MyProxy were selected at an early stage in the ESG project to provide single sign-on capability across the federation of participating organisations. Building on the existing OPeNDAP specification an architecture based on pluggable server side components has been developed at the BADC

  5. Increasing access to terrestrial ecology and remote sensing (MODIS) data through Web services and visualization tools

    NASA Astrophysics Data System (ADS)

    Santhana Vannan, S.; Cook, R. B.; Wei, Y.

    2012-12-01

    In recent years user access to data and information is increasingly handled through tools, services, and applications. Standards-based services have facilitated this development. These service-based methods to access data has boosted the use of data and in increasingly complex ways. The Oak Ridge National Laboratory Distributed Active Archive Center (ORNL DAAC) has taken the approach of service-based access to data and visualization for distribution and visualization of its terrestrial ecology data, including MODIS (Moderate Resolution Imaging Spectroradiometer) remote sensing data products. The MODIS data products are highly useful for field research. The spectral, spatial and temporal characteristics of MODIS products have made them an important data source for analyzing key science questions relating to Earth system processes at multiple spatial and temporal scales. However, MODIS data volume and the complexity in data format make it less usable in some cases. To solve this usability issue, the ORNL DAAC has developed a system that prepares and distributes subsets of selected MODIS land products in a scale and format useful for field researchers. Web and Web service tools provide MODIS subsets in comma-delimited text format and in GIS compatible GeoTIFF format. Users can download and visualize MODIS subsets for a set of pre-defined locations, order MODIS subsets for any land location or automate the process of subset extraction using a SOAP-based Web service. The MODIS tools and services can be extended to support the large volume of data that would be produced by the various decadal survey missions. http://daac.ornl.gov/MODIS . The ORNL DAAC has also created a Web-based Spatial Data Access Tool (SDAT) that enables users to browse, visualize, and download a wide variety of geospatial data in various user-selected spatial/temporal extents, formats, and projections. SDAT is based on Open Geospatial Consortium (OGC) Web service standards that allows users to

  6. Transforming Community Access Services through Client- and Family-Centred Homecare Transitions.

    PubMed

    Meadows, Carl; Camus, Susann; Fraser, Julie

    2015-03-01

    This article describes how one provincial health region adopted a client- and family-centred approach to improve access to community health services. Transition best practices and the "Triple Aim" supplied a framework for the transformation of transition of clients needing home healthcare services (Berwick et al. 2008). The need to improve the patient and family experience, establish and streamline professional practice standards, strengthen interprofessional collaborations, increase efficiency, create a critical mass of experts in the clinical domain of care transitions and program access, and evaluate customer experience were the organizational drivers for this transformation. The new framework identifies clients' needs and assigns a priority code. It also identifies which family member provides what support to the client and offers a one-stop service number staffed by individuals trained to provide client- and family-centred homecare services. This transformation of home healthcare transitions has improved the client and family experience, strengthened service provider satisfaction and generated efficiencies in prioritizing and delivering community healthcare services. PMID:26154123

  7. Access to HIV prevention services among gender based violence survivors in Tanzania

    PubMed Central

    Mboya, Beati; Temu, Florence; Awadhi, Bayoum; Ngware, Zubeda; Ndyetabura, Elly; Kiondo, Gloria; Maridadi, Janneth

    2012-01-01

    Introduction Currently, Tanzania's HIV prevalence is 5.7%. Gender inequality and Gender Based Violence (GBV) are among factors fuelling the spread of HIV in Tanzania. This study was conducted to assess universal access to HIV prevention services among GBV survivors in Iringa and Dar-es-Salaam where HIV prevalence is as high as 14.7% and 9% respectively compared to a national average of 5.7%. Methods In 2010, a mixed methods study using triangulation model was conducted in Iringa and Dar-es-Salaam regions to represent rural and urban settings respectively. Questionnaires were administered to 283 randomly selected survivors and 37 health providers while 28 in-depth interviews and 16 focus group discussions were conducted among various stakeholders. Quantitative data was analyzed in SPSS by comparing descriptive statistics while qualitative data was analyzed using thematic framework approach. Results Counseling and testing was the most common type of HIV prevention services received by GBV survivors (29%). Obstacles for HIV prevention among GBV survivors included: stigma, male dominance culture and fear of marital separation. Bribery in service delivery points, lack of confidentiality, inadequate GBV knowledge among health providers, and fear of being involved in legal matters were mentioned to be additional obstacles to service accessibility by survivors. Reported consequences of GBV included: psychological problems, physical trauma, chronic illness, HIV infection. Conclusion GBV related stigma and cultural norms are obstacles to HIV services accessibility. Initiation of friendly health services, integration of GBV into HIV services and community based interventions addressing GBV related stigma and cultural norms are recommended. PMID:23467278

  8. Measuring Equity in Access to Pharmaceutical Services Using Concentration Curve; Model Development

    PubMed Central

    Davari, Majid; Khorasani, Elahe; Bakhshizade, Zahra; Jafarian Jazi, Marzie; Ghaffari Darab, Mohsen; Maracy, Mohammad Reza

    2015-01-01

    This paper has two objectives. First, it establishes a model for scoring the access to pharmaceutical services. Second, it develops a model for measuring socioeconomic indicators independent of the time and place of study. These two measures are used for measuring equity in access to pharmaceutical services using concentration curve. We prepared an open-ended questionnaire and distributed it to academic experts to get their ideas to form access indicators and assign score to each indicator based on the pharmaceutical system. An extensive literature review was undertaken for the selection of indicators in order to determine the socioeconomic status (SES) of individuals. Experts’ opinions were also considered for scoring these indicators. These indicators were weighted by the Stepwise Adoption of Weights and were used to develop a model for measuring SES independent of the time and place of study. Nine factors were introduced for assessing the access to pharmaceutical services, based on pharmaceutical systems in middle-income countries. Five indicators were selected for determining the SES of individuals. A model for income classification based on poverty line was established. Likewise, a model for scoring home status based on national minimum wage was introduced. In summary, five important findings emerged from this study. These findings may assist researchers in measuring equity in access to pharmaceutical services and also could help them to apply a model for determining SES independent of the time and place of study. These also could provide a good opportunity for researchers to compare the results of various studies in a reasonable way; particularly in middle-income countries. PMID:26664403

  9. Measuring Equity in Access to Pharmaceutical Services Using Concentration Curve; Model Development.

    PubMed

    Davari, Majid; Khorasani, Elahe; Bakhshizade, Zahra; Jafarian Jazi, Marzie; Ghaffari Darab, Mohsen; Maracy, Mohammad Reza

    2015-01-01

    This paper has two objectives. First, it establishes a model for scoring the access to pharmaceutical services. Second, it develops a model for measuring socioeconomic indicators independent of the time and place of study. These two measures are used for measuring equity in access to pharmaceutical services using concentration curve. We prepared an open-ended questionnaire and distributed it to academic experts to get their ideas to form access indicators and assign score to each indicator based on the pharmaceutical system. An extensive literature review was undertaken for the selection of indicators in order to determine the socioeconomic status (SES) of individuals. Experts' opinions were also considered for scoring these indicators. These indicators were weighted by the Stepwise Adoption of Weights and were used to develop a model for measuring SES independent of the time and place of study. Nine factors were introduced for assessing the access to pharmaceutical services, based on pharmaceutical systems in middle-income countries. Five indicators were selected for determining the SES of individuals. A model for income classification based on poverty line was established. Likewise, a model for scoring home status based on national minimum wage was introduced. In summary, five important findings emerged from this study. These findings may assist researchers in measuring equity in access to pharmaceutical services and also could help them to apply a model for determining SES independent of the time and place of study. These also could provide a good opportunity for researchers to compare the results of various studies in a reasonable way; particularly in middle-income countries. PMID:26664403

  10. Perceived Barriers for Accessing Health Services among Individuals with Disability in Four African Countries

    PubMed Central

    Eide, Arne H.; Mannan, Hasheem; Khogali, Mustafa; van Rooy, Gert; Swartz, Leslie; Munthali, Alister; Hem, Karl-Gerhard; MacLachlan, Malcolm; Dyrstad, Karin

    2015-01-01

    There is an increasing awareness among researchers and others that marginalized and vulnerable groups face problems in accessing health care. Access problems in particular in low-income countries may jeopardize the targets set by the United Nations through the Millennium Development Goals. Thus, identifying barriers for individuals with disability in accessing health services is a research priority. The current study aimed at identifying the magnitude of specific barriers, and to estimate the impact of disability on barriers for accessing health care in general. A population based household survey was carried out in Sudan, Namibia, Malawi, and South Africa, including a total of 9307 individuals. The sampling strategy was a two-stage cluster sampling within selected geographical areas in each country. A listing procedure to identify households with disabled members using the Washington Group six screening question was followed by administering household questionnaires in households with and without disabled members, and questionnaires for individuals with and without disability. The study shows that lack of transport, availability of services, inadequate drugs or equipment, and costs, are the four major barriers for access. The study also showed substantial variation in perceived barriers, reflecting largely socio-economic differences between the participating countries. Urbanity, socio-economic status, and severity of activity limitations are important predictors for barriers, while there is no gender difference. It is suggested that education reduces barriers to health services only to the extent that it reduces poverty. Persons with disability face additional and particular barriers to health services. Addressing these barriers requires an approach to health that stresses equity over equality. PMID:25993307

  11. Patients' Online Access to Their Primary Care Electronic Health Records and Linked Online Services: Implications for Research and Practice.

    PubMed

    Mold, Freda; de Lusignan, Simon

    2015-01-01

    Online access to medical records and linked services, including requesting repeat prescriptions and booking appointments, enables patients to personalize their access to care. However, online access creates opportunities and challenges for both health professionals and their patients, in practices and in research. The challenges for practice are the impact of online services on workload and the quality and safety of health care. Health professionals are concerned about the impact on workload, especially from email or other online enquiry systems, as well as risks to privacy. Patients report how online access provides a convenient means through which to access their health provider and may offer greater satisfaction if they get a timely response from a clinician. Online access and services may also result in unforeseen consequences and may change the nature of the patient-clinician interaction. Research challenges include: (1) Ensuring privacy, including how to control inappropriate carer and guardian access to medical records; (2) Whether online access to records improves patient safety and health outcomes; (3) Whether record access increases disparities across social classes and between genders; and (4) Improving efficiency. The challenges for practice are: (1) How to incorporate online access into clinical workflow; (2) The need for a business model to fund the additional time taken. Creating a sustainable business model for a safe, private, informative, more equitable online service is needed if online access to records is to be provided outside of pay-for-service systems. PMID:26690225

  12. Patients’ Online Access to Their Primary Care Electronic Health Records and Linked Online Services: Implications for Research and Practice

    PubMed Central

    Mold, Freda; de Lusignan, Simon

    2015-01-01

    Online access to medical records and linked services, including requesting repeat prescriptions and booking appointments, enables patients to personalize their access to care. However, online access creates opportunities and challenges for both health professionals and their patients, in practices and in research. The challenges for practice are the impact of online services on workload and the quality and safety of health care. Health professionals are concerned about the impact on workload, especially from email or other online enquiry systems, as well as risks to privacy. Patients report how online access provides a convenient means through which to access their health provider and may offer greater satisfaction if they get a timely response from a clinician. Online access and services may also result in unforeseen consequences and may change the nature of the patient-clinician interaction. Research challenges include: (1) Ensuring privacy, including how to control inappropriate carer and guardian access to medical records; (2) Whether online access to records improves patient safety and health outcomes; (3) Whether record access increases disparities across social classes and between genders; and (4) Improving efficiency. The challenges for practice are: (1) How to incorporate online access into clinical workflow; (2) The need for a business model to fund the additional time taken. Creating a sustainable business model for a safe, private, informative, more equitable online service is needed if online access to records is to be provided outside of pay-for-service systems. PMID:26690225

  13. Framework for the development of the clinical image access service using Java

    NASA Astrophysics Data System (ADS)

    Moreno, Ramon A.; Furuie, Sergio S.

    2003-05-01

    The implementation of the Object Management Group Healthcare Domain Task Force specification is very complex and time consuming. Most healthcare institutions lack professionals with the necessary time, knowledge or experience to understand and adapt the specification to the needs of the institution. In this paper we propose a framework that facilitates the development of Clinical Image Access Service (CIAS) and Clinical Observation Access Service (COAS) using Java. The framework hides the inherent complexity of ORB initialization, object reference and object persistence, allowing the implementers to focus on the access to the information that will be made available by the HDTF services. The framework is based on a delegation scheme for the main components of the CIAS and COAS specification. The framework handles tasks such as object initialization, registration, activation and deactivation which, otherwise, would be responsibility of the implementers. The framework has been implemented using JacORB 1.4 although it can support any ORB. The framework is being used to integrate different systems at the Heart Institute of Sao Paulo. The use of this framework can ease the implementation and integration of distributed information systems. It will improve the quality of healthcare services and allow interoperability between healthcare providers by the use of OMG growing standard in medicine.

  14. Emergency Department Services Use among Immigrant and Non-Immigrant Groups in the United States

    PubMed Central

    Tarraf, Wassim; Vega, William; González, Hector M.

    2013-01-01

    Background Immigrants have disproportionate lack of access to healthcare and insurance. Emergency departments could serve as a healthcare substitute and increased demand can negatively affect the U.S. emergency services system. Methods Medical Expenditures Panel Survey (2000–2008) data was modeled to compare ED use between non-citizens, foreign-born (naturalized), and US-born citizens. Group differences were assessed using non-linear decomposition techniques. Results Non-citizens were less likely to use ED services (8.7%) compared to naturalized immigrants (10.6%) and US-born Americans (14.7%). Differences in ED use persisted after adjusting for the Behavioral Model covariates. Healthcare need and insurance partially explained the differences in ED use between the groups. Conclusion Between 2000–2008 non-citizen immigrants used markedly less ED services compared to U.S. citizens, regardless of their nation of origin. We also found that demographic and healthcare need profiles contributed to the divergence in use patterns between groups. A less restrictive healthcare policy environment can potentially contribute to lower population disease burden and greater efficiencies in the U.S. health care system. PMID:23447058

  15. Cultural Barriers to South Indian Families' Access to Services and Educational Goals for their Children with Disabilities

    ERIC Educational Resources Information Center

    Kalyanpur, Maya; Gowramma, I. P.

    2007-01-01

    Using semi-structured interviews and focus groups, a study of twelve parents of preschoolers and young adults with disabilities in India revealed the cultural and social barriers to families' access to services and their educational goals for their child. Concerns common to both groups included difficulty of accessing information on services in a…

  16. Research on Rural Residence and Access to Drug Abuse Services: Where Are We and where Do We Go?

    ERIC Educational Resources Information Center

    Borders, Tyrone F.; Booth, Brenda M.

    2007-01-01

    Context: Illicit drug use is common in rural areas, but very little research has investigated rural populations' access to drug abuse services. Purpose: To describe the current state of the scientific literature on access to drug abuse services in rural areas and suggest directions for future research. Methods: We performed a literature review of…

  17. 75 FR 386 - Memorandum of Understanding Between the United States Department of Health and Human Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-05

    ... HUMAN SERVICES Food and Drug Administration Memorandum of Understanding Between the United States Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research and Northeastern University AGENCY: Food and Drug Administration, HHS. ACTION: Notice....

  18. A study of HIV positive undocumented African migrants' access to health services in the UK.

    PubMed

    Whyte, James; Whyte, Maria D; Hires, Kimberly

    2015-01-01

    Newly immigrated persons, whatever their origin, tend to fall in the lower socioeconomic levels. In fact, failure of an asylum application renders one destitute in a large proportion of cases, often resulting in a profound lack of access to basic necessities. With over a third of HIV positive failed asylum seekers reporting no income, and the remainder reporting highly limited resources, poverty is a reality for the vast majority. The purpose of the study was to determine the basic social processes that guide HIV positive undocumented migrant's efforts to gain health services in the UK. The study used the Grounded Theory Approach. Theoretical saturation occurred after 16 participants were included in the study. The data included reflections of the prominent factors related to the establishment of a safe and productive life and the ability of individuals to remain within the UK. The data reflected heavily upon the ability of migrants to enter the medical care system during their asylum period, and on an emerging pattern of service denial after loss on immigration appeal. The findings of this study are notable in that they have demonstrated sequence of events along a timeline related to the interaction between the asylum process and access to health-related services. The results reflect that African migrants maintain a degree of formal access to health services during the period that they possess legal access to services and informal access after the failure of their asylum claim. The purpose of this paper is to examine the basic social processes that characterize efforts to gain access to health services among HIV positive undocumented African migrants to the UK. The most recent estimates indicate that there are a total of 618,000 migrants who lack legal status within the UK. Other studies have placed the number of undocumented migrants within the UK in the range of 525,000-950,000. More than 442,000 are thought to dwell in the London metropolitan area. Even in

  19. A study of Iranian immigrants’ experiences of accessing Canadian health care services: a grounded theory

    PubMed Central

    2012-01-01

    Background Immigration is not a new phenomenon but, rather, has deep roots in human history. Documents from every era detail individuals who left their homelands and struggled to reestablish their lives in other countries. The aim of this study was to explore and understand the experience of Iranian immigrants who accessed Canadian health care services. Research with immigrants is useful for learning about strategies that newcomers develop to access health care services. Methods The research question guiding this study was, “What are the processes by which Iranian immigrants learn to access health care services in Canada?” To answer the question, a constructivist grounded theory approach was applied. Initially, unstructured interviews were conducted with 17 participants (11 women and six men) who were adults (at least 18 years old) and had immigrated to Canada within the past 15 years. Eight participants took part in a second interview, and four participants took part in a third interview. Results Using a constructivist grounded theory approach, “tackling the stumbling blocks of access” emerged as the core category. The basic social process (BSP), becoming self-sufficient, was a transitional process and had five stages: becoming a stranger; feeling helpless; navigating/seeking information; employing strategies; and becoming integrated and self-sufficient. We found that “tackling the stumbling blocks of access” was the main struggle throughout this journey. Some of the immigrants were able to overcome these challenges and became proficient in accessing health care services, but others were unable to make the necessary changes and thus stayed in earlier stages/phases of transition, and sometimes returned to their country of origin. Conclusion During the course of this journey a substantive grounded theory was developed that revealed the challenges and issues confronted by this particular group of immigrants. This process explains why some Iranian

  20. Frequency and Correlates of Service Access among Youth with Autism Transitioning to Adulthood

    PubMed Central

    Taylor, Julie Lounds; Henninger, Natalie A.

    2014-01-01

    This study examined service receipt and unmet service needs among youth with autism spectrum disorders (ASD) in their last year of high school, as well as the youth (intellectual disability, race/ethnicity, autism severity, comorbid psychiatric diagnoses, behavior problems, adaptive behavior) and family (income, parental health, parental depressive symptoms, parental anxiety) correlates of service access. Thirty-nine families of youth with ASD participated. Data were collected via parental interview/questionnaire and youth psychological evaluation. Results suggested that this sample was underserved relative to a nationally-representative cohort. Those with a comorbid psychiatric diagnosis and lower levels of adaptive behavior received more services. Greater unmet needs were reported for youth who were racial/ethnic minorities, who had more behavior problems, and whose parents had greater anxiety. PMID:25081594

  1. Architecture for access to a compute intensive image mosaic service in the NVO

    NASA Astrophysics Data System (ADS)

    Berriman, G. Bruce; Curkendall, David; Good, John C.; Jacob, Joseph C.; Katz, Daniel S.; Kong, Mihseh; Monkewitz, Serge; Moore, Reagan; Prince, Thomas A.; Williams, Roy E.

    2002-12-01

    The National Virtual Observatory (NVO) will provide on-demand access to data collections, data fusion services and compute intensive applications. The paper describes the development of a framework that will support two key aspects of these objectives: a compute engine that will deliver custom image mosaics, and a "request management system," based on an e-business applications server, for job processing, including monitoring, failover and status reporting. We will develop this request management system to support a diverse range of astronomical requests, including services scaled to operate on the emerging computational grid infrastructure. Data requests will be made through existing portals to demonstrate the system: the NASA/IPAC Extragalactic Database (NED), the On-Line Archive Science Information Services (OASIS) at the NASA/IPAC Infrared Science Archive (IRSA); the Virtual Sky service at Caltech's Center for Advanced Computing Research (CACR), and the yourSky mosaic server at the Jet Propulsion Laboratory (JPL).

  2. Earthdata Search: Combining New Services and Technologies for Earth Science Data Discovery, Visualization, and Access

    NASA Astrophysics Data System (ADS)

    Quinn, P.; Pilone, D.

    2014-12-01

    A host of new services are revolutionizing discovery, visualization, and access of NASA's Earth science data holdings. At the same time, web browsers have become far more capable and open source libraries have grown to take advantage of these capabilities. Earthdata Search is a web application which combines modern browser features with the latest Earthdata services from NASA to produce a cutting-edge search and access client with features far beyond what was possible only a couple of years ago. Earthdata Search provides data discovery through the Common Metadata Repository (CMR), which provides a high-speed REST API for searching across hundreds of millions of data granules using temporal, spatial, and other constraints. It produces data visualizations by combining CMR data with Global Imagery Browse Services (GIBS) image tiles. Earthdata Search renders its visualizations using custom plugins built on Leaflet.js, a lightweight mobile-friendly open source web mapping library. The client further features an SVG-based interactive timeline view of search results. For data access, Earthdata Search provides easy temporal and spatial subsetting as well as format conversion by making use of OPeNDAP. While the client hopes to drive adoption of these services and standards, it provides fallback behavior for working with data that has not yet adopted them. This allows the client to remain on the cutting-edge of service offerings while still boasting a catalog containing thousands of data collections. In this session, we will walk through Earthdata Search and explain how it incorporates these new technologies and service offerings.

  3. Gender, sexuality and the discursive representation of access and equity in health services literature: implications for LGBT communities

    PubMed Central

    2011-01-01

    Background This article considers how health services access and equity documents represent the problem of access to health services and what the effects of that representation might be for lesbian, gay, bisexual and transgender (LGBT) communities. We conducted a critical discourse analysis on selected access and equity documents using a gender-based diversity framework as determined by two objectives: 1) to identify dominant and counter discourses in health services access and equity literature; and 2) to develop understanding of how particular discourses impact the inclusion, or not, of LGBT communities in health services access and equity frameworks.The analysis was conducted in response to public health and clinical research that has documented barriers to health services access for LGBT communities including institutionalized heterosexism, biphobia, and transphobia, invisibility and lack of health provider knowledge and comfort. The analysis was also conducted as the first step of exploring LGBT access issues in home care services for LGBT populations in Ontario, Canada. Methods A critical discourse analysis of selected health services access and equity documents, using a gender-based diversity framework, was conducted to offer insight into dominant and counter discourses underlying health services access and equity initiatives. Results A continuum of five discourses that characterize the health services access and equity literature were identified including two dominant discourses: 1) multicultural discourse, and 2) diversity discourse; and three counter discourses: 3) social determinants of health (SDOH) discourse; 4) anti-oppression (AOP) discourse; and 5) citizen/social rights discourse. Conclusions The analysis offers a continuum of dominant and counter discourses on health services access and equity as determined from a gender-based diversity perspective. The continuum of discourses offers a framework to identify and redress organizational assumptions

  4. The Relationship between Same-Day Access and Continuity in Primary Care and Emergency Department Visits

    PubMed Central

    Cordasco, Kristina M.; Chow, Adam

    2015-01-01

    We examined how emergency department (ED) visits for potentially preventable, mental health, and other diagnoses were related to same-day access and provider continuity in primary care using administrative data from 71,296 patients in 22 VHA clinics over a three-year period. ED visits were categorized as non-emergent; primary care treatable; preventable; not preventable; or mental health-related. We conducted multi-level regression models adjusted for patient and clinic factors. More same-day access significantly predicted fewer non-emergent and primary care treatable ED visits while continuity was not significantly related to any type of ED visit. Neither measure was related to ED visits for mental health problems. PMID:26332981

  5. SPDF Ancillary Services and Technologies Supporting Open Access, Use and Archiving of MMS Data

    NASA Astrophysics Data System (ADS)

    Candey, R. M.; Bilitza, D.; Chimiak, R.; Cooper, J. F.; Garcia, L. N.; Harris, B. T.; Hills, H. K.; Johnson, R. C.; Kovalick, T. J.; Lal, N.; Leckner, H. A.; Liu, M. H.; McGuire, R. E.; Papitashvili, N. E.; Roberts, D. A.; Yurow, R. E.

    2015-12-01

    The primary data and orbit services of NASA's Space Physics Data Facility (SPDF) now or soon to be supporting direct and correlative analysis of MMS survey and burst science data products are discussed in the McGuire et.al. paper "SPDF Data and Orbit Services Supporting Open Access, Use and Archiving of MMS Data." This present paper will review additional services and elements of the SPDF program relevant to SPDF's support of MMS and SPDF's broader long-term role as an active heliophysics final archive. Specific topics include - Additional detail on options and APIs for accessing data in SPDF; - Status and plans for the Common Data Format (CDF) and ISTP/SPDF metadata standard, including extension of the metadata standard to planned science data in netCDF from the upcoming GOLD and ICON missions; - Future missions to be supported by SPDF; - Overview and status of MMS and other data descriptions in the Heliophysics Data Portal (HDP)/Virtual Space Physics Observatory (VSPO) - Status and plans for the OMNI database and services, as baseline solar wind data for interpreting magnetospheric data such as that of MMS; - An overview of SPDF's ingest and archiving architecture, including our ongoing effort to bring online legacy heliophysics data originally archived at NSSDC. All SPDF data and services are available from the SPDF home page at http://spdf.gsfc.nasa.gov .

  6. Characteristics of collaborative care in increasing access to mental health service in the Asian community.

    PubMed

    Sung, Jeehee; Mayo, Nicolle; Ko, Mei-Ju; Lasley, Chandra

    2013-09-01

    This study examined the use of thematic analysis to determine how characteristics of collaborative care facilitate accessibility to mental health services among the Asian community in the United States. This investigation explored characteristics of collaborative care in patient treatment, barriers that prevent the Asian community from utilizing care, and how collaborative settings can facilitate mental health care access in the Asian community. Mental health providers with relevant experiences in collaborative care were recruited through snowball sampling to participate in a telephone interview with the researchers. The results suggested a collectivistic culture, valuing authority, acculturation, language, and stigma as themes of Asian patients as well as key providers (mental and medical health providers), colocation, the physician's leading role, the provider's language, and collaboration among providers as themes for collaborative care. The study suggests that collaborative care's foundational characteristics can promote easier access to mental health care for the Asian community. PMID:23937434

  7. Prevalence and Correlates of Handgun Access Among Adolescents Seeking Care In An Urban Emergency Department

    PubMed Central

    Loh, Kevin; Walton, Maureen A.; Harrison, Stephanie Roahen; Zimmerman, Marc; Stanley, Rachel; Chermack, Stephen T; Cunningham, Rebecca M.

    2010-01-01

    OBJECTIVE To determine prevalence and correlates of handgun access among adolescents seeking care in an urban Emergency Department (ED) in order to inform future injury prevention strategies. METHODS In this observational cross-sectional study performed in the ED of a large urban hospital, 14- to 18-year-old adolescents completed a computerized survey of risk behaviors. Adolescents seeking ED care (for injury or medical complaint) were approached seven days a week over a 22-month period. Validated measures included measures of demographics, sexual activity, substance use, injury, violent behavior, and handgun access. A logistic regression model predicting handgun access was performed. RESULTS A total of 3050 adolescents completed the survey (44% male, 58.9% African American), with 417 (12%) refusing to participate. One-third of the sample (n=1003) reported access to a handgun, and of those 54% were males (n=542). Logistic regression results indicated that older age (AOR: 1.58; 95% CI: 1.30–1.94), African American race (AOR: 1.34; 95% CI: 1.11–1.61), male gender (AOR: 1.99; 95% CI: 1.66–2.37), and being employed (AOR: 1.35; 95% CI: 1.11–1.65), as well as seeking ED care for a medical complaint as compared to intentional injury (AOR: 1.69; 95% CI 1.62–2.50) predicted handgun access. Binge drinking (AOR: 1.75; 95% CI: 1.37–2.27),marijuana use (AOR: 1.93; 95% CI: 1.58–2.36), sexual activity (AOR: 1.64; 95% CI: 1.32–2.02), prior injury by a gun (AOR: 1.80; 95% CI: 1.32–2.46), serious physical violence (AOR: 1.37; 95% CI: 1.13–1.66) and group fighting (AOR: 2.07; 95% CI: 1.68–2.56) also predicted access. CONCLUSIONS High rates of handgun access were evident among adolescents presenting in an inner city ED, including those seeking care for non injury related reasons. Adolescents with access to handguns were more likely to report risk behaviors and past injury, providing clinicians with an opportunity for injury prevention initiatives. PMID:20159053

  8. Improving access to adequate water and basic sanitation services in Indonesia.

    PubMed

    Haryanto, Budi; Sutomo, Sumengen

    2012-01-01

    A wide range of water problems faces nations and individuals around the world. These problems include international and regional disputes over water, water scarcity and contamination,unsustainable use of groundwater, ecological degradation,and the threat of climate change. At the heart of the world's water problems, however, is the failure to provide even the most basic water services for billions of people and the devastating human health problems associated with that failure. In 2000, the World Health Organization reported about regularly monitoring access to water and sanitation of 89%of the world's population, in which about 1.1 billion people lacked access to "improved water supply" and more than 2.4 billion lacked access to "improved sanitation". The development of water and basic sanitation services in Indonesia does not indicate any significant progress in the last two decades.The prevalence of water-borne diseases tends to increase yearly, which poses a risk for a population of over a million people. Therefore, it is not realistic to achieve the Millennium Development Goals target by 2015. Redefining approaches like providing integrated programs and action in water and sanitation services must be a priority to protect human health in Indonesia. PMID:23095182

  9. Progressive segmented health insurance: Colombian health reform and access to health services.

    PubMed

    Ruiz, Fernando; Amaya, Liliana; Venegas, Stella

    2007-01-01

    Equal access for poor populations to health services is a comprehensive objective for any health reform. The Colombian health reform addressed this issue through a segmented progressive social health insurance approach. The strategy was to assure universal coverage expanding the population covered through payroll linked insurance, and implementing a subsidized insurance program for the poorest populations, those not affiliated through formal employment. A prospective study was performed to follow-up health service utilization and out-of-pocket expenses using a cohort design. It was representative of four Colombian cities (Cendex Health Services Use and Expenditure Study, 2001). A four part econometric model was applied. The model related medical service utilization and medication with different socioeconomic, geographic, and risk associated variables. Results showed that subsidized health insurance improves health service utilization and reduces the financial burden for the poorest, as compared to those non-insured. Other social health insurance schemes preserved high utilization with variable out-of-pocket expenditures. Family and age conditions have significant effect on medical service utilization. Geographic variables play a significant role in hospital inpatient service utilization. Both, geographic and income variables also have significant impact on out-of-pocket expenses. Projected utilization rates and a simulation favor a dual policy for two-stage income segmented insurance to progress towards the universal insurance goal. PMID:16929487

  10. 42 CFR 59.7 - What criteria will the Department of Health and Human Services use to decide which family...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Human Services use to decide which family planning services projects to fund and in what amount? 59.7 Section 59.7 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS... Department of Health and Human Services use to decide which family planning services projects to fund and...

  11. Spatial Access to Emergency Services in Low- and Middle-Income Countries: A GIS-Based Analysis.

    PubMed

    Tansley, Gavin; Schuurman, Nadine; Amram, Ofer; Yanchar, Natalie

    2015-01-01

    Injury is a leading cause of the global disease burden, accounting for 10 percent of all deaths worldwide. Despite 90 percent of these deaths occurring in low and middle-income countries (LMICs), the majority of trauma research and infrastructure development has taken place in high-income settings. Furthermore, although accessible services are of central importance to a mature trauma system, there remains a paucity of literature describing the spatial accessibility of emergency services in LMICs. Using data from the Service Provision Assessment component of the Demographic and Health Surveys of Namibia and Haiti we defined the capabilities of healthcare facilities in each country in terms of their preparedness to provide emergency services. A Geographic Information System-based network analysis method was used to define 5- 10- and 50-kilometer catchment areas for all facilities capable of providing 24-hour care, higher-level resuscitative services or tertiary care. The proportion of a country's population with access to each level of service was obtained by amalgamating the catchment areas with a population layer. A significant proportion of the population of both countries had poor spatial access to lower level services with 25% of the population of Haiti and 51% of the population of Namibia living further than 50 kilometers from a facility capable of providing 24-hour care. Spatial access to tertiary care was considerably lower with 51% of Haitians and 72% of Namibians having no access to these higher-level services within 50 kilometers. These results demonstrate a significant disparity in potential spatial access to emergency services in two LMICs compared to analogous estimates from high-income settings, and suggest that strengthening the capabilities of existing facilities may improve the equity of emergency services in these countries. Routine collection of georeferenced patient and facility data in LMICs will be important to understanding how spatial access

  12. Spatial Access to Emergency Services in Low- and Middle-Income Countries: A GIS-Based Analysis

    PubMed Central

    Tansley, Gavin; Schuurman, Nadine; Amram, Ofer; Yanchar, Natalie

    2015-01-01

    Injury is a leading cause of the global disease burden, accounting for 10 percent of all deaths worldwide. Despite 90 percent of these deaths occurring in low and middle-income countries (LMICs), the majority of trauma research and infrastructure development has taken place in high-income settings. Furthermore, although accessible services are of central importance to a mature trauma system, there remains a paucity of literature describing the spatial accessibility of emergency services in LMICs. Using data from the Service Provision Assessment component of the Demographic and Health Surveys of Namibia and Haiti we defined the capabilities of healthcare facilities in each country in terms of their preparedness to provide emergency services. A Geographic Information System-based network analysis method was used to define 5- 10- and 50-kilometer catchment areas for all facilities capable of providing 24-hour care, higher-level resuscitative services or tertiary care. The proportion of a country’s population with access to each level of service was obtained by amalgamating the catchment areas with a population layer. A significant proportion of the population of both countries had poor spatial access to lower level services with 25% of the population of Haiti and 51% of the population of Namibia living further than 50 kilometers from a facility capable of providing 24-hour care. Spatial access to tertiary care was considerably lower with 51% of Haitians and 72% of Namibians having no access to these higher-level services within 50 kilometers. These results demonstrate a significant disparity in potential spatial access to emergency services in two LMICs compared to analogous estimates from high-income settings, and suggest that strengthening the capabilities of existing facilities may improve the equity of emergency services in these countries. Routine collection of georeferenced patient and facility data in LMICs will be important to understanding how spatial

  13. 31 CFR 223.22 - Fees for services of the Treasury Department.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Fees for services of the Treasury Department. 223.22 Section 223.22 Money and Finance: Treasury Regulations Relating to Money and Finance... BUSINESS WITH THE UNITED STATES § 223.22 Fees for services of the Treasury Department. (a) Fees shall...

  14. The Suffolk County Department of Social Services Performance Study. A Final Report.

    ERIC Educational Resources Information Center

    Spottheim, David; Wilson, George R.

    The Suffolk County (New York) Department of Social Services sponsored a performance study to gain insight into the department's operations. Management science techniques were used to portray operations of the Client Benefit (CBA) and Community Service (CSA) Divisions. The CBA administers public assistance programs, and the CSA provides social…

  15. Privacy-Aware Relevant Data Access with Semantically Enriched Search Queries for Untrusted Cloud Storage Services.

    PubMed

    Pervez, Zeeshan; Ahmad, Mahmood; Khattak, Asad Masood; Lee, Sungyoung; Chung, Tae Choong

    2016-01-01

    Privacy-aware search of outsourced data ensures relevant data access in the untrusted domain of a public cloud service provider. Subscriber of a public cloud storage service can determine the presence or absence of a particular keyword by submitting search query in the form of a trapdoor. However, these trapdoor-based search queries are limited in functionality and cannot be used to identify secure outsourced data which contains semantically equivalent information. In addition, trapdoor-based methodologies are confined to pre-defined trapdoors and prevent subscribers from searching outsourced data with arbitrarily defined search criteria. To solve the problem of relevant data access, we have proposed an index-based privacy-aware search methodology that ensures semantic retrieval of data from an untrusted domain. This method ensures oblivious execution of a search query and leverages authorized subscribers to model conjunctive search queries without relying on predefined trapdoors. A security analysis of our proposed methodology shows that, in a conspired attack, unauthorized subscribers and untrusted cloud service providers cannot deduce any information that can lead to the potential loss of data privacy. A computational time analysis on commodity hardware demonstrates that our proposed methodology requires moderate computational resources to model a privacy-aware search query and for its oblivious evaluation on a cloud service provider. PMID:27571421

  16. Privacy-Aware Relevant Data Access with Semantically Enriched Search Queries for Untrusted Cloud Storage Services

    PubMed Central

    Pervez, Zeeshan; Ahmad, Mahmood; Khattak, Asad Masood; Lee, Sungyoung; Chung, Tae Choong

    2016-01-01

    Privacy-aware search of outsourced data ensures relevant data access in the untrusted domain of a public cloud service provider. Subscriber of a public cloud storage service can determine the presence or absence of a particular keyword by submitting search query in the form of a trapdoor. However, these trapdoor-based search queries are limited in functionality and cannot be used to identify secure outsourced data which contains semantically equivalent information. In addition, trapdoor-based methodologies are confined to pre-defined trapdoors and prevent subscribers from searching outsourced data with arbitrarily defined search criteria. To solve the problem of relevant data access, we have proposed an index-based privacy-aware search methodology that ensures semantic retrieval of data from an untrusted domain. This method ensures oblivious execution of a search query and leverages authorized subscribers to model conjunctive search queries without relying on predefined trapdoors. A security analysis of our proposed methodology shows that, in a conspired attack, unauthorized subscribers and untrusted cloud service providers cannot deduce any information that can lead to the potential loss of data privacy. A computational time analysis on commodity hardware demonstrates that our proposed methodology requires moderate computational resources to model a privacy-aware search query and for its oblivious evaluation on a cloud service provider. PMID:27571421

  17. Access to services and maintenance of safer sex practices among people living with HIV/AIDS.

    PubMed

    Reilly, Thom; Woo, Grace

    2003-01-01

    Access to services and their relationship to the maintenance of long-term safer sex practices are addressed in this study of 360 HIV+ adults recruited from outpatient medical facilities. Protease inhibitors, antiviral therapies, and entitlements were reported as the most needed services, while entitlements and money to pay for housing were reported as the largest unmet needs. Differences across ethnic and gender groups were observed. One-third of all respondents reported at least one occasion of unprotected anal or vaginal intercourse in the previous six months. The practice of unsafe sex was found to be significantly related to both the number of needed services and the number of unmet needs, even after controlling for demographic variables. In addition, a higher proportion of those who engaged in unsafe sex reported a higher need for psychological counseling and social support. These findings underscore the important linkage between access to services with avoidance of high-risk sexual behavior in HIV+ persons. Implications for the delivery of culturally appropriate, gender-specific and community-based interventions are discussed. PMID:12564653

  18. 47 CFR 54.806 - Calculation by the Administrator of interstate access universal service support for areas served...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 3 2014-10-01 2014-10-01 false Calculation by the Administrator of interstate access universal service support for areas served by price cap local exchange carriers. 54.806 Section 54.806 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) UNIVERSAL SERVICE Interstate...

  19. Some Programs Should Not Run on Laptops - Providing Programmatic Access to Applications Via Web Services

    NASA Astrophysics Data System (ADS)

    Gupta, V.; Gupta, N.; Gupta, S.; Field, E.; Maechling, P.

    2003-12-01

    hosted these Web Services as a part of the SCEC Community Modeling Environment (SCEC/CME) ITR Project (http://www.scec.org/cme). We have implemented Web Services for several of the reasons sited previously. For example, we implemented a FORTRAN-based Earthquake Rupture Forecast (ERF) as a Web Service for use by client computers that don't support a FORTRAN runtime environment. We implemented a Generic Mapping Tool (GMT) Web Service for use by systems that don't have local access to GMT. We implemented a Hazard Map Calculator Web Service to execute Hazard calculations that are too computationally intensive to run on a local system. We implemented a Coordinate Conversion Web Service to enforce a standard and consistent method for converting between UTM and Lat/Lon. Our experience developing these services indicates both strengths and weakness in current Web Service technology. Client programs that utilize Web Services typically need network access, a significant disadvantage at times. Programs with simple input and output parameters were the easiest to implement as Web Services, while programs with complex parameter-types required a significant amount of additional development. We also noted that Web services are very data-oriented, and adapting object-oriented software into the Web Service model proved problematic. Also, the Web Service approach of converting data types into XML format for network transmission has significant inefficiencies for some data sets.

  20. Health service utilization and access to medicines among Syrian refugee children in Jordan

    PubMed Central

    Lyles, Emily; Akhu‐Zaheya, Laila; Burton, Ann; Weiss, William

    2016-01-01

    Summary Background With over one million Syrian refugee children in the region, we undertook this study to characterize care‐seeking behaviors and health service utilization for child refugees with the aim of informing humanitarian programming for non‐camp settings in Jordan. Methods A survey of Syrian refugees living outside of camps in Jordan was conducted using a 125 × 12 cluster design with probability proportional to size sampling to obtain a representative sample. The questionnaire focused on access to health services, including a module on care seeking for children. Results Care seeking was high with 90.9% of households with a child less than 18 years seeking medical care the last time it was needed. Households most often sought care for children in the public sector (54.6%), followed by private (36.5%) and charity sectors (8.9%). Among child care seekers, 88.6% were prescribed medication during the most recent visit, 90.6% of which obtained the medication. Overall, 49.4% of households reported out‐of‐pocket expenditures for either the consultation or prescribed medications at the most recent visit (mean $US21.1 and median $US0). Conclusions Syrian refugees had good access to care for their sick children at the time of the survey; however, this has likely deteriorated since the survey because of the withdrawal of free access for refugees. The number of refugees in Jordan and relative accessibility of care has resulted in a large burden on the health system; the Jordanian government will require additional support if current levels of health access are to be maintained for Syrian refugees. © 2016 The Authors. The International Journal of Health Planning and Management published by John Wiley & Sons Ltd. PMID:26799158

  1. Accessibility of dental services according to family income in a non-insured population.

    PubMed

    Grytten, J; Holst, D; Laake, P

    1993-12-01

    The aim of this study was to examine the effect of family income on accessibility to dental services among adults in Norway. The analysis was performed on a set of national data collected in 1989, which was representative of the non-institutionalized Norwegian population aged 20 years and above. The sample size was 1200 individuals. The data were analyzed according to a two-part model. The first part determined the probability of whether the consumer had demanded the services or not during the last year according to family income. The second part estimated how the amount of services utilized depended on family income, for those with demand. The elasticity of the odds of having demanded the services with respect to family income was 0.48. Family income had no effect on the amount of services utilized. Additional analyses also showed that there was no effect of family income on the probability of having received a filling or a crown when visiting the dentist. In Norway, almost all costs for dental services are paid by the consumer. It is not possible from the data alone to say whether subsidized dental care is an effective way of reducing the inequalities in demand. PMID:8303334

  2. Enhanced Access to Earth Science Data through Standards-based Web Services and Applications

    NASA Astrophysics Data System (ADS)

    Hiatt, S. H.; Hashimoto, H.; Melton, F. S.; Michaelis, A.; Milesi, C.; Nemani, R. R.; Votava, P.; Wang, W.

    2009-12-01

    The Terrestrial Observation and Prediction System (TOPS) at NASA Ames Research Center's Ecological Forecasting Lab generates a suite of gridded data products in near real-time that are designed to enhance management decisions related to floods, droughts, forest fires, human health, as well as crop, range, and forest production. Derived from the synthesis of satellite imagery, ground observations, and specialized ecosystem models, our data products hold great potential for supporting research and practical applications across a wide range of disciplines. In order to provide enhanced access to our data and to promote multidisciplinary collaboration we implement standards-based web services. We serve TOPS data conforming to the Open-source Project for a Network Data Access Protocol (OPeNDAP) which allows subsetting and distribution of large HDF or NetCDF datasets, complete with standards-based metadata. Additionally, we implement a standard Web Map Service (WMS) for visualization of geospatial data. To further extend the use of our data to a wider audience we build upon these web services to develop browser-based visualization and analysis tools. We use Asynchronous Javascript and XML (AJAX) techniques to build interactive web applications leveraging our web services. For example, our WMS provides the map image tiles used in our mapping client. Users can click on the map to query TOPS datasets and regional summaries via OPeNDAP, producing time-series charts allowing temporal analysis of environmental trends and associated phenomena. We present the TOPS Data Gateway and its components, highlighting how the use of open protocols and standards provides improved data access for our clients and research partners, encouraging data interoperability and multidisciplinary collaboration.

  3. Changing landscapes, changing practice: negotiating access to sleeping sickness services in a post-conflict society.

    PubMed

    Palmer, Jennifer J; Kelly, Ann H; Surur, Elizeous I; Checchi, Francesco; Jones, Caroline

    2014-11-01

    For several decades, control programmes for human African trypanosomiasis (HAT, or sleeping sickness) in South Sudan have been delivered almost entirely as humanitarian interventions: large, well-organised, externally-funded but short-term programmes with a strategic focus on active screening. When attempts to hand over these programmes to local partners fail, resident populations must actively seek and negotiate access to tests at hospitals via passive screening. However, little is known about the social impact of such humanitarian interventions or the consequences of withdrawal on access to and utilisation of remaining services by local populations. Based on qualitative and quantitative fieldwork in Nimule, South Sudan (2008-2010), where passive screening necessarily became the predominant strategy, this paper investigates the reasons why, among two ethnic groups (Madi returnees and Dinka displaced populations), service uptake was so much higher among the latter. HAT tests were the only form of clinical care for which displaced Dinka populations could self-refer; access to all other services was negotiated through indigenous area workers. Because of the long history of conflict, these encounters were often morally and politically fraught. An open-door policy to screening supported Dinka people to 'try' HAT tests in the normal course of treatment-seeking, thereby empowering them to use HAT services more actively. This paper argues that in a context like South Sudan, where HAT control increasingly depends upon patient-led approaches to case-detection, it is imperative to understand the cultural values and political histories associated with the practice of testing and how medical humanitarian programmes shape this landscape of care, even after they have been scaled down. PMID:24679924

  4. Psychiatric symptoms and service utilization among refugee children referred to a child psychiatry department: a retrospective comparative case note study.

    PubMed

    Vaage, Aina Basilier; Garløv, Ida; Hauff, Edvard; Thomsen, Per Hove

    2007-09-01

    Refugee children may encounter barriers to accessing mental health services. We conducted a case-control study based on a systematic review of clinic records to compare psychopathology and service utilization in refugee and Norwegian children referred to a child psychiatry department in a county in southern Norway. Sixty-one refugee children were compared with 61 Norwegian-born children matched for gender, age and time of referral to the clinic. There was no significant difference in rates of referral or level of service utilization, which were proportional to the population. Compared with Norwegian children, refugee children were diagnosed more frequently with post-traumatic stress disorder and other affective and emotional disorders, and less often with pervasive developmental disorders and attention deficit hyperactivity disorder. The results are discussed in terms of referral pathways and the need for culturally competent care for refugee children. PMID:17938155

  5. Applying the Earth System Grid Security System in a Heterogeneous Environment of Data Access Services

    NASA Astrophysics Data System (ADS)

    Kershaw, Philip; Lawrence, Bryan; Lowe, Dominic; Norton, Peter; Pascoe, Stephen

    2010-05-01

    CEDA (Centre for Environmental Data Archival) based at STFC Rutherford Appleton Laboratory is host to the BADC (British Atmospheric Data Centre) and NEODC (NERC Earth Observation Data Centre) with data holdings of over half a Petabyte. In the coming months this figure is set to increase by over one Petabyte through the BADC's role as one of three data centres to host the CMIP5 (Coupled Model Intercomparison Project Phase 5) core archive of climate model data. Quite apart from the problem of managing the storage of such large volumes there is the challenge of collating the data together from the modelling centres around the world and enabling access to these data for the user community. An infrastructure to support this is being developed under the US Earth System Grid (ESG) and related projects bringing together participating organisations together in a federation. The ESG architecture defines Gateways, the web interfaces that enable users to access data and data serving applications organised into Data Nodes. The BADC has been working in collaboration with US Earth System Grid team and other partners to develop a security system to restrict access to data. This provides single sign-on via both OpenID and PKI based means and uses role based authorisation facilitated by SAML and OpenID based interfaces for attribute retrieval. This presentation will provide an overview of the access control architecture and look at how this has been implemented for CEDA. CEDA has developed an expertise in data access and information services over several years through a number of projects to develop and enhance these capabilities. Participation in CMIP5 comes at a time when a number of other software development activities are coming to fruition. New services are in the process of being deployed alongside services making up the system for ESG. The security system must apply access control across this heterogeneous environment of different data services and technologies. One strand

  6. The Copernicus Climate Change Service (C3S): Open Access to a Climate Data Store

    NASA Astrophysics Data System (ADS)

    Thepaut, Jean-Noel; Dee, Dick

    2016-04-01

    In November 2014, The European Centre for Medium-range Weather Forecasts (ECMWF) signed an agreement with the European Commission to deliver two of the Copernicus Earth Observation Programme Services on the Commission's behalf. The ECMWF delivered services - the Copernicus Climate Change Service (C3S) and Atmosphere Monitoring Service (CAMS) - will bring a consistent standard to how we monitor and predict atmospheric conditions and climate change. They will maximise the potential of past, current and future earth observations - ground, ocean, airborne, satellite - and analyse these to monitor and predict atmospheric conditions and in the future, climate change. With the wealth of free and open data that the services provide, they will help business users to assess the impact of their business decisions and make informed choices, delivering a more energy efficient and climate aware economy. These sound investment decisions now will not only stimulate growth in the short term, but reduce the impact of climate change on the economy and society in the future. C3S is in its proof of concept phase and through its Climate Data Store will provide • global and regional climate data reanalyses; • multi-model seasonal forecasts; • customisable visual data to enable examination of wide range of scenarios and model the impact of changes; • access to all the underlying data, including climate data records from various satellite and in-situ observations. In addition, C3S will provide key indicators on climate change drivers (such as carbon dioxide) and impacts (such as reducing glaciers). The aim of these indicators will be to support European adaptation and mitigation policies in a number of economic sectors. At the heart of the Service is the provision of open access to a one stop shop (the Climate Data Store) of climate data and modelling, analysing more than 20 Essential Climate Variables to build a global picture of our past, present and future climate and developing

  7. 39 CFR 602.2 - Office of Licensing, Philatelic and Retail Services Department.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... THE U.S. POSTAL SERVICE: INTELLECTUAL PROPERTY RIGHTS OTHER THAN PATENTS INTELLECTUAL PROPERTY RIGHTS... Department, formulates the program for the management of the Postal Service's rights in intellectual property... recommendations for the disposition of applications for use of Postal Service intellectual property....

  8. 39 CFR 602.2 - Office of Licensing, Philatelic and Retail Services Department.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Department, formulates the program for the management of the Postal Service's rights in intellectual property... THE U.S. POSTAL SERVICE: INTELLECTUAL PROPERTY RIGHTS OTHER THAN PATENTS INTELLECTUAL PROPERTY RIGHTS... intellectual properties in which the Postal Service should secure its rights. It receives and...

  9. 39 CFR 602.2 - Office of Licensing, Philatelic and Retail Services Department.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Department, formulates the program for the management of the Postal Service's rights in intellectual property... THE U.S. POSTAL SERVICE: INTELLECTUAL PROPERTY RIGHTS OTHER THAN PATENTS INTELLECTUAL PROPERTY RIGHTS... intellectual properties in which the Postal Service should secure its rights. It receives and...

  10. 39 CFR 602.2 - Office of Licensing, Philatelic and Retail Services Department.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Department, formulates the program for the management of the Postal Service's rights in intellectual property... THE U.S. POSTAL SERVICE: INTELLECTUAL PROPERTY RIGHTS OTHER THAN PATENTS INTELLECTUAL PROPERTY RIGHTS... intellectual properties in which the Postal Service should secure its rights. It receives and...

  11. 77 FR 12798 - Public Availability of Department of Commerce FY2011 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-02

    ... Office of the Secretary Public Availability of Department of Commerce FY2011 Service Contract Inventory... Service Contract Inventories. ] SUMMARY: In accordance with Section 743 of Division C of the Consolidated... public of the availability of the Fiscal Year (FY) 2011 Service Contract Inventory and a report...

  12. 39 CFR 602.2 - Office of Licensing, Philatelic and Retail Services Department.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... THE U.S. POSTAL SERVICE: INTELLECTUAL PROPERTY RIGHTS OTHER THAN PATENTS INTELLECTUAL PROPERTY RIGHTS... Department, formulates the program for the management of the Postal Service's rights in intellectual property... recommendations for the disposition of applications for use of Postal Service intellectual property....

  13. The post-2015 delivery of universal and sustainable access to infrastructure services. Working Paper

    SciTech Connect

    Doczi, Julian, Dorr, Tobias; Mason, Nathaniel; Scott, Andrew

    2013-06-15

    In this new working paper, the authors focus specifically on what would be necessary to achieve High Level Panel-style goals and targets for water, energy and transport, if these were to be eventually adopted by world leaders. In all three cases, much of the advocacy - and the proposed High Level Panel goals - have emphasized the need to strive for universal and sustainable access to at least basic levels of services from these sectors. Many of the proposals for post-2015 goals and targets appear ambitious, but what would it take to achieve them? This paper assesses what is needed to achieve goals for universal and sustainable access to infrastructure, specifically water, energy and transport. Using illustrative goals and targets, the paper reviews the development challenges in each sector, and what will be necessary to overcome the barriers to universal and sustainable access to water, energy and transport infrastructure services, in the areas of governance, finance, capacity development and environmental protection. The paper ends with general conclusions about infrastructure in the post-2015 development agenda.

  14. 76 FR 5778 - Public Availability of the Department of Agriculture FY 2010 Service Contract Inventory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-02

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Public Availability of the Department of Agriculture FY 2010 Service Contract Inventory AGENCY: Office of... 2010 (Pub. L. 111-117), Department of Agriculture is publishing this notice to advise the public of...

  15. 75 FR 68000 - Notice of Inventory Completion: U.S. Department of Agriculture, Forest Service, Hiawatha National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-04

    ... National Park Service Notice of Inventory Completion: U.S. Department of Agriculture, Forest Service... inventory of human remains in the control of the U.S. Department of Agriculture, Forest Service, Hiawatha... assessment of the human remains was made by U.S. Department of Agriculture, Forest Service,...

  16. Measuring access to urban health services using Geographical Information System (GIS): a case study of health service management in Bandar Abbas, Iran

    PubMed Central

    Masoodi, Mehdi; Rahimzadeh, Mahsa

    2015-01-01

    Background: The current distribution of and access to health services along with the future health needs of the population have prompted wide application of Geographic Information Systems (GISs). During recent years, GIS has been used in public health management for planning and organization of healthcare services. This study investigates geographical accessibility of residential areas in Bandar Abbas, Iran to healthcare services. Methods: Accessibility was evaluated by using Floating Catchment Area (FCA), minimum distance methods and Response Time (RT) accessibility technique. Results: More accurate measures of distances in Bandar Abbas, illustrated that Euclidean distances were not strongly correlated with network distances. The RT accessibility technique that utilizes shortest network path and time distances, presented detailed information about all the possible positions of the patients with respect to available healthcare services based on optimum and critical response times. Conclusion: Locations of public health services in Bandar Abbas were not related to the sites of populations. The RT accessibility technique provides a reasonably sensitive and robust evaluation of accessibility. PMID:26188808

  17. Beyond Culture and Language: Access to Diabetes Preventive Health Services among Somali Women in Norway.

    PubMed

    Gele, Abdi A; Torheim, Liv Elin; Pettersen, Kjell Sverre; Kumar, Bernadette

    2015-01-01

    Despite the high prevalence of type 2 diabetes in some immigrant and refugee communities in Norway, there is very little information available on their utilization of diabetes prevention interventions, particularly for women from Somali immigrant communities. A qualitative study of 30 Somali immigrant women aged 25 years and over was carried out in the Oslo area. Unstructured interviews were used to explore women's knowledge of diabetes, their access to preventive health facilities, and factors impeding their reception of preventive health programs targeted for the prevention of type 2 diabetes. The study participants were found to have a good knowledge of diabetes. They knew that a sedentary lifestyle and unhealthy diet are among the risk factors for diabetes. Regardless of their knowledge, participants reported a sedentary lifestyle accompanied with the consumption of an unhealthy diet. This was attributed to a lack of access to tailored physical activity services and poor access to health information. Considering gender-exclusive training facilities for Somali immigrant women and others with similar needs, in addition to access to tailored health information on diet, may encourage Somali women to adopt a healthy lifestyle, and it will definitely contribute to a national strategy for the prevention of diabetes. PMID:26266267

  18. Beyond Culture and Language: Access to Diabetes Preventive Health Services among Somali Women in Norway

    PubMed Central

    Gele, Abdi A.; Torheim, Liv Elin; Pettersen, Kjell Sverre; Kumar, Bernadette

    2015-01-01

    Despite the high prevalence of type 2 diabetes in some immigrant and refugee communities in Norway, there is very little information available on their utilization of diabetes prevention interventions, particularly for women from Somali immigrant communities. A qualitative study of 30 Somali immigrant women aged 25 years and over was carried out in the Oslo area. Unstructured interviews were used to explore women's knowledge of diabetes, their access to preventive health facilities, and factors impeding their reception of preventive health programs targeted for the prevention of type 2 diabetes. The study participants were found to have a good knowledge of diabetes. They knew that a sedentary lifestyle and unhealthy diet are among the risk factors for diabetes. Regardless of their knowledge, participants reported a sedentary lifestyle accompanied with the consumption of an unhealthy diet. This was attributed to a lack of access to tailored physical activity services and poor access to health information. Considering gender-exclusive training facilities for Somali immigrant women and others with similar needs, in addition to access to tailored health information on diet, may encourage Somali women to adopt a healthy lifestyle, and it will definitely contribute to a national strategy for the prevention of diabetes. PMID:26266267

  19. A SOA broker solution for standard discovery and access services: the GI-cat framework

    NASA Astrophysics Data System (ADS)

    Boldrini, Enrico

    2010-05-01

    GI-cat ideal users are data providers or service providers within the geoscience community. The former have their data already available through an access service (e.g. an OGC Web Service) and would have it published through a standard catalog service, in a seamless way. The latter would develop a catalog broker and let users query and access different geospatial resources through one or more standard interfaces and Application Profiles (AP) (e.g. OGC CSW ISO AP, CSW ebRIM/EO AP, etc.). GI-cat actually implements a broker components (i.e. a middleware service) which carries out distribution and mediation functionalities among "well-adopted" catalog interfaces and data access protocols. GI-cat also publishes different discovery interfaces: the OGC CSW ISO and ebRIM Application Profiles (the latter coming with support for the EO and CIM extension packages) and two different OpenSearch interfaces developed in order to explore Web 2.0 possibilities. An extended interface is also available to exploit all available GI-cat features, such as interruptible incremental queries and queries feedback. Interoperability tests performed in the context of different projects have also pointed out the importance to enforce compatibility with existing and wide-spread tools of the open source community (e.g. GeoNetwork and Deegree catalogs), which was then achieved. Based on a service-oriented framework of modular components, GI-cat can effectively be customized and tailored to support different deployment scenarios. In addition to the distribution functionality an harvesting approach has been lately experimented, allowing the user to switch between a distributed and a local search giving thus more possibilities to support different deployment scenarios. A configurator tool is available in order to enable an effective high level configuration of the broker service. A specific geobrowser was also naturally developed, for demonstrating the advanced GI-cat functionalities. This client

  20. Stigma and barriers to accessing mental health services perceived by Air Force nursing personnel.

    PubMed

    Hernandez, Stephen H A; Bedrick, Edward J; Parshall, Mark B

    2014-11-01

    We investigated perceptions of stigma and barriers associated with accessing mental health services among active component U.S. Air Force officer and enlisted nursing personnel (N = 211). The Britt and Hoge et al Stigma scale and Hoge et al Barriers to Care scale were administered via an anonymous, online survey. Stigma items pertained to concerns that might affect decisions to seek mental health treatment. Most of the sample agreed with the items "Members of my unit might have less confidence in me" and "My unit leadership might treat me differently." Approximately 20% to 46% agreed with the other four stigma items. Officer nursing personnel were significantly more likely than enlisted to agree that accessing mental health services would be embarrassing, harm their career, or cause leaders to blame them for the problem (p ≤ 0.03 for each comparison). Getting time off from work for treatment and scheduling appointments were perceived as barriers by 41% and 21% of respondents, respectively. We conclude that proportions of Air Force nursing personnel reporting concerns about potential stigmatizing consequences of seeking mental health care are substantial and similar to ranges previously reported by military service members screening positive for mental health problems after deployment. PMID:25373066

  1. Digital Watermarks Enabling E-Commerce Strategies: Conditional and User Specific Access to Services and Resources

    NASA Astrophysics Data System (ADS)

    Dittmann, Jana; Steinebach, Martin; Wohlmacher, Petra; Ackermann, Ralf

    2002-12-01

    Digital watermarking is well known as enabling technology to prove ownership on copyrighted material, detect originators of illegally made copies, monitor the usage of the copyrighted multimedia data and analyze the spread spectrum of the data over networks and servers. Research has shown that data hiding techniques can be applied successfully to other application areas like manipulations recognition. In this paper, we show our innovative approach for integrating watermark and cryptography based methods within a framework of new application scenarios spanning a wide range from dedicated and user specific services, "Try&Buy" mechanisms to general means for long-term customer relationships. The tremendous recent efforts to develop and deploy ubiquitous mobile communication possibilities are changing the demands but also possibilities for establishing new business and commerce relationships. Especially we motivate annotation watermarks and aspects of M-Commerce to show important scenarios for access control. Based on a description of the challenges of the application domain and our latest work we discuss, which methods can be used for establishing services in a fast convenient and secure way for conditional access services based on digital watermarking combined with cryptographic techniques. We introduce an example scenario for digital audio and an overview of steps in order to establish these concepts practically.

  2. TimeSet: A computer program that accesses five atomic time services on two continents

    NASA Technical Reports Server (NTRS)

    Petrakis, P. L.

    1993-01-01

    TimeSet is a shareware program for accessing digital time services by telephone. At its initial release, it was capable of capturing time signals only from the U.S. Naval Observatory to set a computer's clock. Later the ability to synchronize with the National Institute of Standards and Technology was added. Now, in Version 7.10, TimeSet is able to access three additional telephone time services in Europe - in Sweden, Austria, and Italy - making a total of five official services addressable by the program. A companion program, TimeGen, allows yet another source of telephone time data strings for callers equipped with TimeSet version 7.10. TimeGen synthesizes UTC time data strings in the Naval Observatory's format from an accurately set and maintained DOS computer clock, and transmits them to callers. This allows an unlimited number of 'freelance' time generating stations to be created. Timesetting from TimeGen is made feasible by the advent of Becker's RighTime, a shareware program that learns the drift characteristics of a computer's clock and continuously applies a correction to keep it accurate, and also brings .01 second resolution to the DOS clock. With clock regulation by RighTime and periodic update calls by the TimeGen station to an official time source via TimeSet, TimeGen offers the same degree of accuracy within the resolution of the computer clock as any official atomic time source.

  3. Impact of Diagnosis Related Groups of Hospital Social Service Departments.

    ERIC Educational Resources Information Center

    Patchner, Michael A.; Wattenberg, Shirley H.

    1985-01-01

    Surveyed 19 hospital social service administrators to examine the impact of Diagnosis Related Groups (DRGs). Results indicated increased recognition and increased scrutiny, and changes in discharge planning procedures. (JAC)

  4. Make emergency department 'a hub for other services'.

    PubMed

    Blakemore, Sophie

    2016-06-10

    A LANDMARK event to debate the problems facing emergency care services was hosted by the RCN's Emergency Care Association (ECA) and the Royal College of Emergency Medicine (RCEM) last month. PMID:27286012

  5. PKI-based secure mobile access to electronic health services and data.

    PubMed

    Kambourakis, G; Maglogiannis, I; Rouskas, A

    2005-01-01

    Recent research works examine the potential employment of public-key cryptography schemes in e-health environments. In such systems, where a Public Key Infrastructure (PKI) is established beforehand, Attribute Certificates (ACs) and public key enabled protocols like TLS, can provide the appropriate mechanisms to effectively support authentication, authorization and confidentiality services. In other words, mutual trust and secure communications between all the stakeholders, namely physicians, patients and e-health service providers, can be successfully established and maintained. Furthermore, as the recently introduced mobile devices with access to computer-based patient record systems are expanding, the need of physicians and nurses to interact increasingly with such systems arises. Considering public key infrastructure requirements for mobile online health networks, this paper discusses the potential use of Attribute Certificates (ACs) in an anticipated trust model. Typical trust interactions among doctors, patients and e-health providers are presented, indicating that resourceful security mechanisms and trust control can be obtained and implemented. The application of attribute certificates to support medical mobile service provision along with the utilization of the de-facto TLS protocol to offer competent confidentiality and authorization services is also presented and evaluated through experimentation, using both the 802.11 WLAN and General Packet Radio Service (GPRS) networks. PMID:16340094

  6. Concurrent access to a virtual microscope using a web service oriented architecture

    NASA Astrophysics Data System (ADS)

    Corredor, Germán.; Iregui, Marcela; Arias, Viviana; Romero, Eduardo

    2013-11-01

    Virtual microscopy (VM) facilitates visualization and deployment of histopathological virtual slides (VS), a useful tool for education, research and diagnosis. In recent years, it has become popular, yet its use is still limited basically because of the very large sizes of VS, typically of the order of gigabytes. Such volume of data requires efficacious and efficient strategies to access the VS content. In an educative or research scenario, several users may require to access and interact with VS at the same time, so, due to large data size, a very expensive and powerful infrastructure is usually required. This article introduces a novel JPEG2000-based service oriented architecture for streaming and visualizing very large images under scalable strategies, which in addition need not require very specialized infrastructure. Results suggest that the proposed architecture enables transmission and simultaneous visualization of large images, while it is efficient using resources and offering users proper response times.

  7. Planetree health information services: public access to the health information people want.

    PubMed Central

    Cosgrove, T L

    1994-01-01

    In July 1981, the Planetree Health Resource Center opened on the San Francisco campus of California Pacific Medical Center (Pacific Presbyterian Medical Center). Planetree was founded on the belief that access to information can empower people and help them face health and medical challenges. The Health Resource Center was created to provide medical library and health information resources to the general public. Over the last twelve years, Planetree has tried to develop a consumer health library collection and information service that is responsive to the needs and interests of a diverse public. In an effort to increase accessibility to the medical literature, a consumer health library classification scheme was created for the organization of library materials. The scheme combines the specificity and sophistication of the National Library of Medicine classification scheme with the simplicity of common lay terminology. PMID:8136762

  8. Apollo: Giving application developers a single point of access to public health models using structured vocabularies and Web services

    PubMed Central

    Wagner, Michael M.; Levander, John D.; Brown, Shawn; Hogan, William R.; Millett, Nicholas; Hanna, Josh

    2013-01-01

    This paper describes the Apollo Web Services and Apollo-SV, its related ontology. The Apollo Web Services give an end-user application a single point of access to multiple epidemic simulators. An end user can specify an analytic problem—which we define as a configuration and a query of results—exactly once and submit it to multiple epidemic simulators. The end user represents the analytic problem using a standard syntax and vocabulary, not the native languages of the simulators. We have demonstrated the feasibility of this design by implementing a set of Apollo services that provide access to two epidemic simulators and two visualizer services. PMID:24551417

  9. SPIDR III: A Web Services Based System for Managing and Accessing Solar Terrestrial Physics Data

    NASA Astrophysics Data System (ADS)

    Redmon, R.; Kihn, E.; Zhizhin, M.

    2005-05-01

    We present SPIDR III, a web based data access, visualization and data management system for the space environment community, allowing a solar terrestrial physics customer to intelligently access and manage historical space physics data for integration with environmental models and space weather forecasts. SPIDR III is the newly redesigned Space Physics Interactive Resource (SPIDR) web application and was redesigned with input from it's user community via an intensive usability study. We will present on SPIDR III's new features, improved use and on lessons learned in usability and federating multi-source data. In 2004, SPIDR II underwent extensive rework yielding a completely redesigned interface for improved user interaction and the addition of many enhanced and complex features. The usability alterations were motivated in large part by a usability study performed by outside professional site reviewers and involving key data managers and current SPIDR II users. SPIDR III is built following the application direct to data archive paradigm, using Web Services both for internal and external exchange of data and information. It is now a framework and application set of Web Services. This application suite is fully open source and is designed to operate as a standalone VO as well as seamlessly integrate with other existing VOs. This extensible and open design yields easy mirroring worldwide for free and open exchange of scientific data and information. Data managed by SPIDR includes Geomagnetic Indices, GOES, Ionospheric, and DMSP which is archived/ingested from many data providers including WDC, IIWG, SAO, HDF, AFCCC, SEC, NASA, and this list is easily extendable. SPIDR III may be accessed via http://spidr.ngdc.noaa.gov/spidr/ A guest login is provided for convenience. Becoming a full access user, is free and only requires completing a short registration form.

  10. Distributed data discovery, access and visualization services to Improve Data Interoperability across different data holdings

    NASA Astrophysics Data System (ADS)

    Palanisamy, G.; Krassovski, M.; Devarakonda, R.; Santhana Vannan, S.

    2012-12-01

    The current climate debate is highlighting the importance of free, open, and authoritative sources of high quality climate data that are available for peer review and for collaborative purposes. It is increasingly important to allow various organizations around the world to share climate data in an open manner, and to enable them to perform dynamic processing of climate data. This advanced access to data can be enabled via Web-based services, using common "community agreed" standards without having to change their internal structure used to describe the data. The modern scientific community has become diverse and increasingly complex in nature. To meet the demands of such diverse user community, the modern data supplier has to provide data and other related information through searchable, data and process oriented tool. This can be accomplished by setting up on-line, Web-based system with a relational database as a back end. The following common features of the web data access/search systems will be outlined in the proposed presentation: - A flexible data discovery - Data in commonly used format (e.g., CSV, NetCDF) - Preparing metadata in standard formats (FGDC, ISO19115, EML, DIF etc.) - Data subseting capabilities and ability to narrow down to individual data elements - Standards based data access protocols and mechanisms (SOAP, REST, OpenDAP, OGC etc.) - Integration of services across different data systems (discovery to access, visualizations and subseting) This presentation will also include specific examples of integration of various data systems that are developed by Oak Ridge National Laboratory's - Climate Change Science Institute, their ability to communicate between each other to enable better data interoperability and data integration. References: [1] Devarakonda, Ranjeet, and Harold Shanafield. "Drupal: Collaborative framework for science research." Collaboration Technologies and Systems (CTS), 2011 International Conference on. IEEE, 2011. [2

  11. 77 FR 5012 - Environmental Protection Agency, Department of Health and Human Services and Department of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-01

    ... office of Animal and Plant Health Inspection Service/Biotechnology Regulatory Services (APHIS/BRS) and... (such as Bacillus thuringiensis protein) produced in plants and the genetic material necessary for...

  12. [Factors associated with geographic access to health services by TB patients in three State capitals in Northeast Brazil].

    PubMed

    Souza, Márcia São Pedro Leal; Aquino, Rosana; Pereira, Susan M; Costa, Maria da Conceição Nascimento; Barreto, Mauricio Lima; Natividade, Marcio; Ximenes, Ricardo; Souza, Wayner; Dantas, Odimariles Maria; Braga, José Ueleres

    2015-01-01

    The aim of this study was to identify factors associated with geographic access to health services by tuberculosis patients in three State capitals in Northeast Brazil. The sample consisted of new tuberculosis cases reported in 2007. The study used data from the Information System on Notifiable Diseases and the National Registry of Healthcare Organizations. Addresses of households and health services were geocoded, and difficult access was defined as a distance greater than 800 meters from the household to the health service. Crude prevalence ratios were estimated, as well as adjusted prevalence ratios using Poisson regression. After adjusting the study variables, the only variable that remained associated with difficult access was primary healthcare units in Salvador, Bahia State (PR = 0.75; 95%CI: 0.720-0.794) and in Recife, Pernambuco State (PR = 0.402; 95%CI: 0.318-0.508). The study concluded that decentralization of primary care can help improve access to health services. PMID:25715296

  13. Onsite Provision of Specialized Contraceptive Services: Does Title X Funding Enhance Access?

    PubMed Central

    Riedel, Julie Cross; Menz, Mary; Darney, Philip D.; Brindis, Claire D.

    2014-01-01

    Abstract Background: This article presents the extent to which providers enrolled in California's Family Planning, Access, Care, and Treatment (Family PACT) program offer contraceptive methods onsite, thus eliminating one important access barrier. Family PACT has a diverse provider network, including public-sector providers receiving Title X funding, public-sector providers not receiving Title X funding, and private-sector providers. We explored whether Title X funding enhances providers' ability to offer contraceptive methods that require specialized skills onsite. Methods: Data were derived from 1,072 survey responses to a 2010 provider-capacity survey matched by unique identifier to administrative claims data. Results: A significantly greater proportion of Title X–funded providers compared to non–Title X public and private providers offered onsite services for the following studied methods: intrauterine contraceptives (90% Title X, 51% public non–Title X, 38% private); contraceptive implants (58% Title X, 19% public non–Title X, 7% private); vasectomy (8% Title X, 4% public non–Title X, 1% private); and fertility-awareness methods (69% Title X, 55% public non–Title X, 49% private) (all p<0.0001). The association between onsite provision and Title X funding remained after stratifying individually by clinic specialty, facility capacity to provide reproductive health services (based on staffing), and rural/urban location. Conclusions: Extra funding for publicly funded family-planning programs, through mechanisms such as Title X, appears to be associated with increased onsite access to a wide range of contraceptive services, including those that require special skills and training. PMID:24405313

  14. The NASA-GES-DISC Satellite Data/Products Access, Distribution, Services and Dissemination to Users

    NASA Technical Reports Server (NTRS)

    Vicente, Gilberto A.

    2005-01-01

    The NASA/GES/DISC/DAAC is a virtual data portal that provides convenient access to Atmospheric, Oceanic and Land datasets and value added products from various current NASA missions and instruments as well as heritage datasets from AIRS/AMSU/HSB, AVHRR, CZCS, LIMS, MODIS, MSU, OCTS, SeaWiFS, SORCE, SSI, TOMS, TOVS, UARS and TRMM. The GES-DISC-DAAC also provided a variety of services that allow users to analyze and visualize gridded data interactively online without having to download any data.

  15. Spatial-Temporal dynamics of surface water flooding and consequences for emergency services accessibility

    NASA Astrophysics Data System (ADS)

    Pattison, Ian; Green, Daniel; Yu, Dapeng; Bosher, Lee; Wilby, Rob; Yang, Lili; Ryley, Tim

    2016-04-01

    Urban areas are increasingly susceptible to surface water flooding, with more intense precipitation and intensification of land development. Flooding has both direct impacts i.e. locations inundated with water, and indirect impacts i.e. transport networks, utility e.g. electricity/water services etc. The direct areas flooded evolve in space through the event, and are predicted by standard inundation models. However, the wider indirect impacts and the spatial-temporal patterns are less constrained and it is these that are needed to manage the impacts in real-time. This paper focusses on the Category One responders of the Fire and Rescue and Ambulance Services in the City of Leicester, East Midlands, UK. Leicester is ranked 16th out of 4215 settlements at risk of surface water flooding in the UK based upon the population at risk (15,200 people) (DEFRA, 2009). The analysis undertaken involved overlaying the flood extent with the Integrated Transport Network (ITN) data within a GIS framework. Then a simple transport routing algorithm was used to predict the travel time from specific nodes representing ambulance or fire stations to different parts of the city. Flood magnitudes with 1:20, 1:100 and 1:1000 return periods have been investigated. Under a scenario of no flooding, 100% of the city is accessible by the six fire stations in the city. However, in the 1 in 20 year surface water flood event the peak inundation results in 66.5% being accessible in the 10 minute permitted time and 6% is totally inaccessible. This falls to 40% and 13% respectively for the 1 in 100 year event. Maps show the area of the city that are accessible by two or more stations within the permitted response time, which shows these areas are the most resilient to surface water flooding. However, it isn't just the peak water depths at every location which impacts accessibility within the city but the spatial-temporal patterns of the inundation. The areas within the 10 minute response time expand

  16. Based on asynchronous communication protocol of geographic space information service access mechanism research

    NASA Astrophysics Data System (ADS)

    Chen, G.; Zhao, J.; Gu, M.; Li, D.

    2014-04-01

    At present, the traditional way of accessing to classified network in geographic spatial information services is using network gatekeeper and firewall etc. to ensure public and classified network communications links. However, the physical isolation between classified network and public network is crossed, which is bound to cause classified network potential security hazard. In Yunnan province space Land dynamic monitoring integration project, it proposed the point to point text message communication protocol and asynchronous transmission mechanism. Using geo-spatial information encryption processing and data compression processing method, it reduced the risk of data sensitivity and monitored, namely to ensure data security, which realized geographic spatial information services data communication effectively between classified network and public network in the rigid field conditions.

  17. Patients’ online access to their electronic health records and linked online services: a systematic review in primary care

    PubMed Central

    Mold, Freda; de Lusignan, Simon; Sheikh, Aziz; Majeed, Azeem; Wyatt, Jeremy C; Quinn, Tom; Cavill, Mary; Franco, Christina; Chauhan, Umesh; Blakey, Hannah; Kataria, Neha; Arvanitis, Theodoros N; Ellis, Beverley

    2015-01-01

    Background Online access to medical records by patients can potentially enhance provision of patient-centred care and improve satisfaction. However, online access and services may also prove to be an additional burden for the healthcare provider. Aim To assess the impact of providing patients with access to their general practice electronic health records (EHR) and other EHR-linked online services on the provision, quality, and safety of health care. Design and setting A systematic review was conducted that focused on all studies about online record access and transactional services in primary care. Method Data sources included MEDLINE, Embase, CINAHL, Cochrane Library, EPOC, DARE, King’s Fund, Nuffield Health, PsycINFO, OpenGrey (1999–2012). The literature was independently screened against detailed inclusion and exclusion criteria; independent dual data extraction was conducted, the risk of bias (RoB) assessed, and a narrative synthesis of the evidence conducted. Results A total of 176 studies were identified, 17 of which were randomised controlled trials, cohort, or cluster studies. Patients reported improved satisfaction with online access and services compared with standard provision, improved self-care, and better communication and engagement with clinicians. Safety improvements were patient-led through identifying medication errors and facilitating more use of preventive services. Provision of online record access and services resulted in a moderate increase of e-mail, no change on telephone contact, but there were variable effects on face-to-face contact. However, other tasks were necessary to sustain these services, which impacted on clinician time. There were no reports of harm or breaches in privacy. Conclusion While the RoB scores suggest many of the studies were of low quality, patients using online services reported increased convenience and satisfaction. These services positively impacted on patient safety, although there were variations of

  18. A framework for improving access and customer service times in health care: application and analysis at the UCLA Medical Center.

    PubMed

    Duda, Catherine; Rajaram, Kumar; Barz, Christiane; Rosenthal, J Thomas

    2013-01-01

    There has been an increasing emphasis on health care efficiency and costs and on improving quality in health care settings such as hospitals or clinics. However, there has not been sufficient work on methods of improving access and customer service times in health care settings. The study develops a framework for improving access and customer service time for health care settings. In the framework, the operational concept of the bottleneck is synthesized with queuing theory to improve access and reduce customer service times without reduction in clinical quality. The framework is applied at the Ronald Reagan UCLA Medical Center to determine the drivers for access and customer service times and then provides guidelines on how to improve these drivers. Validation using simulation techniques shows significant potential for reducing customer service times and increasing access at this institution. Finally, the study provides several practice implications that could be used to improve access and customer service times without reduction in clinical quality across a range of health care settings from large hospitals to small community clinics. PMID:23903937

  19. Public service or commodity goods? Electricity reforms, access, and the politics of development in Tanzania

    NASA Astrophysics Data System (ADS)

    Ghanadan, Rebecca Hansing

    Since the 1990s, power sector reforms have become paramount in energy policy, catalyzing a debate in Africa about market-based service provision and the effects of reforms on access. My research seeks to move beyond the conceptual divide by grounding attention not in abstract 'market forces' but rather in how development institutions shape energy services and actually practice policy on the ground. Using the case of Tanzania, a country known for having instituted some of the most extensive reforms and a 'success story' in Africa, I find that reforms are creating large burdens and barriers for access and use of services, including: increasing costs, enforcement pressures, and measures to impose 'market' discipline. However, I also find that many of the most significant outcomes are not found in direct 'market' changes, but rather how reforms are selective, partial, and shaped by the wider needs and claims of the institutions driving reforms, so that questions of how reforms are implemented, how they are measured, and who tells the story become as important as the policies themselves. Using a multiple-arenas framework, including (i) a household and community level study of urban energy conditions, (ii) a study of service and management conditions at the national electric utility, (iii) an examination of the international policy process, and (iv) a study of the history of electricity services across colonial, post-independence, and reform periods, I show that African energy reforms are a technical and political project connecting energy to international investments, donor aid programs, and elite interests within national governments. Energy reforms also involve fundamental service changes that are reorganizing how the costs and benefits of energy systems are distributed, allocated, and managed. The effects of reform extend beyond formal services to have wide-reaching repercussions within natural resources, and uneven social dynamics on the ground. These features point

  20. Access to the NCAR Research Data Archive via the Globus Data Transfer Service

    NASA Astrophysics Data System (ADS)

    Cram, T.; Schuster, D.; Ji, Z.; Worley, S. J.

    2014-12-01

    The NCAR Research Data Archive (RDA; http://rda.ucar.edu) contains a large and diverse collection of meteorological and oceanographic observations, operational and reanalysis outputs, and remote sensing datasets to support atmospheric and geoscience research. The RDA contains greater than 600 dataset collections which support the varying needs of a diverse user community. The number of RDA users is increasing annually, and the most popular method used to access the RDA data holdings is through web based protocols, such as wget and cURL based scripts. In the year 2013, 10,000 unique users downloaded greater than 820 terabytes of data from the RDA, and customized data products were prepared for more than 29,000 user-driven requests. In order to further support this increase in web download usage, the RDA is implementing the Globus data transfer service (www.globus.org) to provide a GridFTP data transfer option for the user community. The Globus service is broadly scalable, has an easy to install client, is sustainably supported, and provides a robust, efficient, and reliable data transfer option for RDA users. This paper highlights the main functionality and usefulness of the Globus data transfer service for accessing the RDA holdings. The Globus data transfer service, developed and supported by the Computation Institute at The University of Chicago and Argonne National Laboratory, uses the GridFTP as a fast, secure, and reliable method for transferring data between two endpoints. A Globus user account is required to use this service, and data transfer endpoints are defined on the Globus web interface. In the RDA use cases, the access endpoint is created on the RDA data server at NCAR. The data user defines the receiving endpoint for the data transfer, which can be the main file system at a host institution, a personal work station, or laptop. Once initiated, the data transfer runs as an unattended background process by Globus, and Globus ensures that the transfer is

  1. Academic Scientists' Reaction to End-User Services: Observations on a Trial Service Giving Access to MEDLINE Using the GRATEFUL MED Software.

    ERIC Educational Resources Information Center

    Tilson, Yvette; East, Harry

    1994-01-01

    Conducted at two British universities in 1993, a year-long trial service study of 20 bio-scientists using GRATEFUL MED software access to National Library of Medicine databases, principally MEDLINE, found that the users approved most of the service's ease, convenience, and time saving features and disapproved of its susceptibility to network…

  2. ABC estimation of unit costs for emergency department services.

    PubMed

    Holmes, R L; Schroeder, R E

    1996-04-01

    Rapid evolution of the health care industry forces managers to make cost-effective decisions. Typical hospital cost accounting systems do not provide emergency department managers with the information needed, but emergency department settings are so complex and dynamic as to make the more accurate activity-based costing (ABC) system prohibitively expensive. Through judicious use of the available traditional cost accounting information and simple computer spreadsheets. managers may approximate the decision-guiding information that would result from the much more costly and time-consuming implementation of ABC. PMID:10156656

  3. Changing access to mental health care and social support when people living with HIV/AIDS become service providers.

    PubMed

    Li, Alan Tai-Wai; Wales, Joshua; Wong, Josephine Pui-Hing; Owino, Maureen; Perreault, Yvette; Miao, Andrew; Maseko, Precious; Guiang, Charlie

    2015-01-01

    As people living with HIV/AIDS (PHAs) achieve more stable health, many have taken on active peer support and professional roles within AIDS service organizations. Although the increased engagement has been associated with many improved health outcomes, emerging program and research evidence have identified new challenges associated with such transition. This paper reports on the results of a qualitative interpretive study that explored the effect of this role transition on PHA service providers' access to mental health support and self care. A total of 27 PHA service providers of diverse ethno-racial backgrounds took part in the study. Results show that while role transition often improves access to financial and health-care benefits, it also leads to new stress from workload demands, emotional triggers from client's narratives, feeling of burnout from over-immersion in HIV at both personal and professional levels, and diminished self care. Barriers to seeking support included: concerns regarding confidentiality; self-imposed and enacted stigma associated with accessing mental health services; and boundary issues resulting from changes in relationships with peers and other service providers. Evolving support mechanisms included: new formal and informal peer support networks amongst colleagues or other PHA service providers to address both personal and professional challenges, and having access to professional support offered through the workplace. The findings suggest the need for increased organizational recognition of HIV support work as a form of emotional labor that places complex demands on PHA service providers. Increased access to employer-provided mental health services, supportive workplace policies, and adequate job-specific training will contribute to reduced work-related stress. Community level strategies that support expansion of social networks amongst PHA service providers would reduce isolation. Systemic policies to increase access to insurance

  4. Factors Shaping Mathematics Lecturers' Service Teaching in Different Departments

    ERIC Educational Resources Information Center

    Bingolbali, E.; Ozmantar, M. F.

    2009-01-01

    In this article we focus on university lecturers' approaches to the service teaching and factors that influence their approaches. We present data obtained from the interviews with 19 mathematics and three physics lecturers along with the observations of two mathematics lecturers' calculus courses. The findings show that lecturers' approaches to…

  5. SPDF Data and Orbit Services Supporting Open Access, Use and Archiving of MMS Data

    NASA Astrophysics Data System (ADS)

    McGuire, R. E.; Bilitza, D.; Candey, R. M.; Chimiak, R.; Cooper, J. F.; Garcia, L. N.; Harris, B. T.; Johnson, R. C.; Kovalick, T. J.; Lal, N.; Leckner, H. A.; Liu, M. H.; Papitashvili, N. E.; Roberts, D. A.; Yurow, R. E.

    2015-12-01

    NASA's Space Physics Data Facility (SPDF) project is now serving MMS definitive and predictive interactive orbit plots, listings and conjunction calculations through our SSCWeb and 4D Orbit Viewer services. In March 2016 and in parallel with the MMS Science Data Center (SDC) at LASP, SPDF will begin publicly serving a complete set of MMS Level-2 and higher, survey and burst-mode science data products from all four spacecraft and all instruments. The initial Level-2 data available will be from September 2015 to early February 2016, with Level-2 products subsequently validated and publicly available with an approximate one month lag. All MMS Level-2 and higher data products are produced in standard CDF format with standard ISTP/SPDF metadata and will be served by SPDF through our CDAWeb data service, including our web services and associated APIs for IDL and Matlab users, and through direct FTP/HTTP directory browse and file downloads. SPDF's ingest, archival preservation and active serving of current MMS science data is part of our role as an active heliophysics final archive. SPDF's ingest of complete and current science data products from other active heliophysics missions with SPDF services will help enable coordinated and correlative MMS science analysis by the open international science community with current data from THEMIS, the Van Allen Probes and other missions including TWINS, Cluster, ACE, Wind, >120 ground magnetometer stations as well as instruments on the NOAA GOES and POES spacecraft. Please see the related Candey et.al. paper on "SPDF Ancillary Services and Technologies Supporting Open Access, Use and Archiving of MMS Data" for other aspects of what SPDF is doing. All SPDF data and services are available from the SPDF home page at http://spdf.gsfc.nasa.gov .

  6. The impact of health service variables on healthcare access in a low resourced urban setting in the Western Cape, South Africa

    PubMed Central

    Visagie, Surona; Schneider, Marguerite

    2015-01-01

    Background Health care access is complex and multi-faceted and, as a basic right, equitable access and services should be available to all user groups. Objectives The aim of this article is to explore how service delivery impacts on access to healthcare for vulnerable groups in an urban primary health care setting in South Africa. Methods A descriptive qualitative study design was used. Data were collected through semi-structured interviews with purposively sampled participants and analysed through thematic content analysis. Results Service delivery factors are presented against five dimensions of access according to the ACCESS Framework. From a supplier perspective, the organisation of care in the study setting resulted in available, accessible, affordable and adequate services as measured against the District Health System policies and guidelines. However, service providers experienced significant barriers in provision of services, which impacted on the quality of care, resulting in poor client and provider satisfaction and ultimately compromising acceptability of service delivery. Although users found services to be accessible, the organisation of services presented them with challenges in the domains of availability, affordability and adequacy, resulting in unmet needs, low levels of satisfaction and loss of trust. These challenges fuelled perceptions of unacceptable services. Conclusion Well developed systems and organisation of services can create accessible, affordable and available primary healthcare services, but do not automatically translate into adequate and acceptable services. Focussing attention on how services are delivered might restore the balance between supply (services) and demand (user needs) and promote universal and equitable access. PMID:26245611

  7. The Architecture of Access: A Grounded Theory on the Nature of Access to Early Childhood Services within a Children's Centre, Derived from Nine Parent Voices

    ERIC Educational Resources Information Center

    Hayward, Kate; Fletcher, Colin; Whalley, Margy; McKinnon, Eddie; Gallagher, Tracy; Prodger, Angela; Donoyou, Heather; Potts, Judy; Young, Elaine

    2013-01-01

    This was a collaborative action research study by lead staff, researchers and parents at the Pen Green Centre for Children and their Families in England. The study focuses on the factors enabling access to children's services by nine parents from challenging family contexts. The critical questions were: What enabled some parents to overcome…

  8. Support networks and people with physical disabilities: social inclusion and access to health services.

    PubMed

    Holanda, Cristina Marques de Almeida; De Andrade, Fabienne Louise Juvêncio Paes; Bezerra, Maria Aparecida; Nascimento, João Paulo da Silva; Neves, Robson da Fonseca; Alves, Simone Bezerra; Ribeiro, Kátia Suely Queiroz Silva

    2015-01-01

    This study seeks to identify the formation of social support networks of people with physical disabilities, and how these networks can help facilitate access to health services and promote social inclusion. It is a cross-sectional study, with data collected via a form applied to physically disabled persons over eighteen years of age registered with the Family Health Teams of the municipal district of João Pessoa in the state of Paraíba. It was observed that the support networks of these individuals predominantly consist of family members (parents, siblings, children, spouses) and people outside the family (friends and neighbors). However, 50% of the interviewees declared that they could not count on any support from outside the family. It was observed that the support network contributes to access to the services and participation in social groups. However, reduced social inclusion was detected, due to locomotion difficulties, this being the main barrier to social interaction. Among those individuals who began to interact in society, the part played by social support was fundamental. PMID:25650611

  9. Study of spread spectrum multiple access systems for satellite communications with overlay on current services

    NASA Technical Reports Server (NTRS)

    Ha, Tri T.; Pratt, Timothy

    1989-01-01

    The feasibility of using spread spectrum techniques to provide a low-cost multiple access system for a very large number of low data terminals was investigated. Two applications of spread spectrum technology to very small aperture terminal (VSAT) satellite communication networks are presented. Two spread spectrum multiple access systems which use a form of noncoherent M-ary FSK (MFSK) as the primary modulation are described and the throughput analyzed. The analysis considers such factors as satellite power constraints and adjacent satellite interference. Also considered is the effect of on-board processing on the multiple access efficiency and the feasibility of overlaying low data rate spread spectrum signals on existing satellite traffic as a form of frequency reuse is investigated. The use of chirp is examined for spread spectrum communications. In a chirp communication system, each data bit is converted into one or more up or down sweeps of frequency, which spread the RF energy across a broad range of frequencies. Several different forms of chirp communication systems are considered, and a multiple-chirp coded system is proposed for overlay service. The mutual interference problem is examined in detail and a performance analysis undertaken for the case of a chirp data channel overlaid on a video channel.

  10. [The social value of teeth and access to dental health services].

    PubMed

    Fonseca, Luciara Leão Viana; Nehmy, Rosa Maria Quadros; Mota, Joaquim Antônio César

    2015-10-01

    Oral healthcare provided by the Unified Health System (SUS) faces the challenge of attending the epidemiological profile of Brazil's adult population. Qualitative research using semi-structured interviews was conducted to understand the experiences, expectations and perception of SUS users to services in Diamantina, State of Minas Gerais, and content analysis was used to assess the data. Discussion of the results was based on dialogue between the symbolic interactionism of Goffman and Bourdieu's concept of habitus. The results show that the users did not give importance to dental care during childhood and adolescence because care was unknown to them. There was no offer of treatment besides dental extraction. Today, they value teeth and suffer the embarrassment caused by rotten teeth. However, access to dental restoration via SUS is not possible. For their children, they perceive better access to information and care, but for specialized procedures there are barriers. They express resignation both in relation to the poor state of the teeth and the difficulties of access to dental care, which can be understood by the constant exclusion experienced by them in the past, shaping their actions in the present. It was concluded that oral health in SUS should incorporate the social value and the aesthetic dimension of teeth as a social right. PMID:26465855

  11. Factors associated with establishment-based female sex workers accessing health care services in Shanghai.

    PubMed

    Pan, Rong; Mao, Limin; He, Na; Zhang, Jing; Chen, Kun; Liao, Cuiqin; Tang, Xian; Gong, Xiangzhen; Blaxland, Megan; de Wit, John

    2015-01-01

    Female sex workers are a priority population for HIV prevention and health promotion in China. This paper examines the patterns of and factors associated with the utilisation of HIV-related and general health services by establishment-based sex workers in Hongkou District, Shanghai. Participants were recruited through a three-stage sampling strategy and invited to self-complete a brief survey in 2012. The median age of the 400 participants included in the analyses was 33 years (range = 18-52 years old), with over three-quarters being married at the time of the survey. Participants were mostly internal migrants, more than half had lived in Shanghai for six months or longer and nearly two-thirds were working in an establishment with a total of less than five female sex workers. Routine physical examination and HIV testing were the most commonly accessed health services in the previous 12 months. Altogether, 347 women (86.8%) had actively sought, including 157 women had obtained, free health services mainly from local Community Health Service Centres (CHSCs) in the previous 12 months. The active seeking of free, largely CHSC-provided health services was associated with a longer duration of residence in Shanghai (adjusted odds ratio [AOR] = 2.55, 95% CI = 1.32-4.93; p < 0.01) and having tested for HIV in the previous 12 months (AOR = 3.68, 95% CI = 1.84-7.38; p < 0.001). Conversely, a higher annual income (AOR = 0.41, 95% CI = 0.21-0.80; p < 0.01), working in a larger establishment (AOR = 0.40, 95% CI = 0.20-0.79; p < 0.01) and knowing that HIV can be transmitted through blood transfusion with unscreened blood (AOR = 0.21, 95% CI = 0.05-0.91; p < 0.05) were associated with not actively seeking such services. Free, community-based health services are highly demanded by establishment-based female sex workers in Shanghai. Scaling-up of free and integrated health services provided by community-based health service providers in metropolitan areas in China and beyond holds

  12. Access and preservation of digital research content: Linked open data services - A research library perspective

    NASA Astrophysics Data System (ADS)

    Kraft, Angelina; Sens, Irina; Löwe, Peter; Dreyer, Britta

    2016-04-01

    Globally resolvable, persistent digital identifiers have become an essential tool to enable unambiguous links between published research results and their underlying digital resources. In addition, this unambiguous identification allows citation. In an ideal research world, any scientific content should be citable and the coherent content, as well as the citation itself, should be persistent. However, today's scientists do not just produce traditional research papers - they produce comprehensive digital collections of objects which, alongside digital texts, include digital resources such as research data, audiovisual media, digital lab journals, images, statistics and software code. Researchers start to look for services which allow management of these digital resources with minimum time investment. In light of this, we show how the German National Library of Science and Technology (TIB) develops supportive frameworks to accompany the life cycle of scientific knowledge generation and transfer. This includes technical infrastructures for • indexing, cataloguing, digital preservation, DOI names and licencing for text and digital objects (the TIB DOI registration, active since 2004) and • a digital repository for the deposition and provision of accessible, traceable and citeable research data (RADAR). One particular problem for the management of data originating from (collaborating) research infrastructures is their dynamic nature in terms of growth, access rights and quality. On a global scale, systems for access and preservation are in place for the big data domains (e.g. environmental sciences, space, climate). However, the stewardship for disciplines without a tradition of data sharing, including the fields of the so-called long tail, remains uncertain. The RADAR - Research Data Repository - project establishes a generic end-point data repository, which can be used in a collaborative way. RADAR enables clients to upload, edit, structure and describe their

  13. Demand and access to mental health services: a qualitative formative study in Nepal

    PubMed Central

    2014-01-01

    Background Nepal is experiencing a significant ‘treatment gap’ in mental health care. People with mental disorders do not always receive appropriate treatment due to a range of structural and individual issues, including stigma and poverty. The PRIME (Programme for Improving Mental Health Care) programme has developed a mental health care plan to address this issue in Nepal and four other low and middle income countries. This study aims to inform the development of this comprehensive care plan by investigating the perceptions of stakeholders at different levels of the care system in the district of Chitwan in southern Nepal: health professionals, lay workers and community members. It focuses specifically on issues of demand and access to care, and aims to identify barriers and potential solutions for reaching people with priority mental disorders. Methods This qualitative study consisted of key informant interviews (33) and focus group discussions (83 participants in 9 groups) at community and health facility levels. Data were analysed using a framework analysis approach. Results As well as pragmatic barriers at the health facility level, mental health stigma and certain cultural norms were found to reduce access and demand for services. Respondents perceived the lack of awareness about mental health problems to be a major problem underlying this, even among those with high levels of education or status. They proposed strategies to improve awareness, such as channelling education through trusted and respected community figures, and responding to the need for openness or privacy in educational programmes, depending on the issue at hand. Adapting to local perceptions of stigmatised treatments emerged as another key strategy to improve demand. Conclusions This study identifies barriers to accessing care in Nepal that reach beyond the health facility and into the social fabric of the community. Stakeholders in PRIME’s integrated care plan advocate strategic

  14. Unravelling Barriers to Accessing HIV Prevention Services Experienced by African and Caribbean Communities in Canada: Lessons from Toronto

    PubMed Central

    Amibor, Paulson; Ogunrotifa, Ayodeji Bayo

    2012-01-01

    Barriers to accessing HIV-prevention services, experienced by African and Caribbean communities in Canada, is an issue warranting sustained research. This study seeks to achieve a better understanding of the nature of HIV-prevention services in Canada, and to explore the dynamics, which underpin barriers to accessing these services confronting African and Caribbean populations in Toronto (Canada). This study also endeavours to assess what is being done to reduce these barriers. Semi-structured qualitative interviews with 7 professionals and community workers who were involved in organizing, researching and delivering HIV-prevention services were conducted for this study. Four themes pertaining to barriers to accessing HIV-prevention services, including, levels of cultural competence and sensitivity among service providers; cultural and social stigma directed at persons living with HIV/AIDS; various social determinants of health, including gender, race and precarious immigration status’; as well as constrained funding resources that are available for service providers; were uncovered in the findings of the study. The paper concludes that several health promotion and health education initiatives exist, which can help reduce these barriers to HIV-prevention service access for these populations. However, in order to ensure their effectiveness there will be much needed involvement from community and other relevant government agencies, which will need to work separately and in conjunction with one another, in order to tackle some of the broader issues that affect these populations. PMID:22980228

  15. Indicators of Access to Early Childhood Services in the Mississippi Delta. Rural Early Childhood Report No. 5

    ERIC Educational Resources Information Center

    Shores, Elizabeth F.; Barbaro, Erin; Barbaro, Michael C.; Flenner, Michelle; Bell, Lynn

    2007-01-01

    The Early Childhood Atlas facilitates spatial analysis in early childhood services research for the promotion of greater quality and accessibility of early care and education. The Atlas team collects and geocodes federal, state and nongovernmental datasets about early childhood services, integrating selected data elements into its online mapmaking…

  16. Understanding the Voice of the Customer: Practical, Data-Driven Planning and Decision Making for Access Services

    ERIC Educational Resources Information Center

    Huff-Eibl, Robyn; Miller-Wells, John; Begay, Wendy

    2014-01-01

    This article describes the process and role frontline access and public service staff play in needs assessment and evaluation of user services, specifically in understanding the voice of the customer. Information includes how the University of Arizona Libraries have incorporated daily data collection into the strategic planning process, resources…

  17. The Genesis, Implementation and Impact of the Better Access Mental Health Initiative Introducing Medicare-Funded Psychology Services

    ERIC Educational Resources Information Center

    Littlefield, Lyn; Giese, Jill

    2008-01-01

    The Australian Government's Better Access to Mental Health Care initiative introduced mental health reforms that included the availability of Medicare-funded psychology services. The mental health initiative has resulted in a huge uptake of these services, demonstrating the strong community demand for psychological treatment. The initiative has…

  18. 28 CFR 802.28 - Exemption of the Court Services and Offender Supervision Agency System-limited access.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Exemption of the Court Services and Offender Supervision Agency System-limited access. 802.28 Section 802.28 Judicial Administration COURT SERVICES AND OFFENDER SUPERVISION AGENCY FOR THE DISTRICT OF COLUMBIA DISCLOSURE OF RECORDS Exemption of Records Systems Under the Privacy Act §...

  19. The Veterans Access, Choice, and Accountability Act of 2014: Examining Graduate Medical Education Enhancement in the Department of Veterans Affairs.

    PubMed

    Chang, Barbara K; Brannen, Judy L

    2015-09-01

    From 2006 to 2011, the Department of Veterans Affairs (VA) introduced the Graduate Medical Education (GME) Enhancement initiative to increase residency positions at VA training sites. VA once again has an opportunity to fund new residency positions through the Veterans Access, Choice, and Accountability Act of 2014 (VACAA). Congressional requirements under VACAA give priority to positions in primary care, mental health, and other specialties that the Secretary of Veterans Affairs deems appropriate. Moreover, facilities meeting the following criteria will be awarded priority for expansion: no prior GME activities, a shortage of physicians, rural locations, areas with a "high concentration of veterans," or located in Health Professional Shortage Areas as defined by the Health Resources and Services Administration. The authors of this Commentary discuss the implications of the new legislation, reviewing the past VA GME Enhancement efforts to examine the potential impact of further expansion of VA GME positions. Understanding the intent of the legislation and its provisions will allow qualified existing and potentially new affiliates to successfully pursue new residency positions during the five-year period of VA GME expansion under VACAA. PMID:26107878

  20. Limited accessibility to HIV services for persons with disabilities living with HIV in Ghana, Uganda and Zambia

    PubMed Central

    Tun, Waimar; Okal, Jerry; Schenk, Katie; Esantsi, Selina; Mutale, Felix; Kyeremaa, Rita Kusi; Ngirabakunzi, Edson; Asiah, Hilary; McClain-Nhlapo, Charlotte; Moono, Grimond

    2016-01-01

    Introduction Knowledge about experiences in accessing HIV services among persons with disabilities who are living with HIV in sub-Saharan Africa is limited. Although HIV transmission among persons with disabilities in Africa is increasingly acknowledged, there is a need to bring to life the experiences and voices from persons with disabilities living with HIV to raise awareness of programme implementers and policy makers about their barriers in accessing HIV services. This paper explores how the barriers faced by persons with disabilities living with HIV impede their ability to access HIV-related services and manage their disease. Methods We conducted focus group discussions with 76 persons (41 females; 35 males) with physical, visual and/or hearing impairments who were living with HIV in Ghana, Uganda and Zambia (2012–2013). We explored challenges and facilitators at different levels (individual, psychosocial and structural) of access to HIV services. Transcripts were analyzed using a framework analysis approach. Results Persons with disabilities living with HIV encountered a wide variety of challenges in accessing HIV services. Delays in testing for HIV were common, with most waiting until they were sick to be tested. Reasons for delayed testing included challenges in getting to the health facilities, lack of information about HIV and testing, and HIV- and disability-related stigma. Barriers to HIV-related services, including care and treatment, at health facilities included lack of disability-friendly educational materials and sign interpreters, stigmatizing treatment by providers and other patients, lack of skills to provide tailored services to persons with disabilities living with HIV and physically inaccessible infrastructure, all of which make it extremely difficult for persons with disabilities to initiate and adhere to HIV treatment. Accessibility challenges were greater for women than men due to gender-related roles. Challenges were similar across the

  1. Improving Access to Mental Health Services for Racialized Immigrants, Refugees, and Non-Status People Living with HIV/AIDS.

    PubMed

    Chen, Y Y Brandon; Li, Alan Tai; Fung, Kenneth Po; Wong, Josephine Pui

    2015-05-01

    The demographic characteristics of people living with HIV/AIDS (PHAs) in Canada are increasingly diverse. Despite literature suggesting a potentially heightened mental health burden borne by racialized immigrant, refugee, and non-status PHAs (IRN-PHAs), researchers have hitherto paid insufficient attention to whether existing services adequately address this need and how services might be improved. Employing community-based research methodology involving PHAs from five ethnoracial groups in Toronto, Ontario, this study explored IRN-PHAs' mental health service-seeking behaviors, service utilization experiences, and suggestions for service improvements. Results showed that while most IRN-PHAs were proactive in improving their mental health, their attempts to obtain support were commonly undermined by service provider mistreatment, unavailability of appropriate services, and multiple access barriers. A three-pronged approach involving IRN-PHA empowerment, anti-stigma and cultural competence promotion, and greater service integration is proposed for improving IRN-PHAs' mental health service experience. PMID:25913347

  2. Data Access Services that Make Remote Sensing Data Easier to Use

    NASA Technical Reports Server (NTRS)

    Lynnes, Christopher

    2010-01-01

    This slide presentation reviews some of the processes that NASA uses to make the remote sensing data easy to use over the World Wide Web. This work involves much research into data formats, geolocation structures and quality indicators, often to be followed by coding a preprocessing program. Only then are the data usable within the analysis tool of choice. The Goddard Earth Sciences Data and Information Services Center is deploying a variety of data access services that are designed to dramatically shorten the time consumed in the data preparation step. On-the-fly conversion to the standard network Common Data Form (netCDF) format with Climate-Forecast (CF) conventions imposes a standard coordinate system framework that makes data instantly readable through several tools, such as the Integrated Data Viewer, Gridded Analysis and Display System, Panoply and Ferret. A similar benefit is achieved by serving data through the Open Source Project for a Network Data Access Protocol (OPeNDAP), which also provides subsetting. The Data Quality Screening Service goes a step further in filtering out data points based on quality control flags, based on science team recommendations or user-specified criteria. Further still is the Giovanni online analysis system which goes beyond handling formatting and quality to provide visualization and basic statistics of the data. This general approach of automating the preparation steps has the important added benefit of enabling use of the data by non-human users (i.e., computer programs), which often make sub-optimal use of the available data due to the need to hard-code data preparation on the client side.

  3. Data Access Services that Make Remote Sensing Data Easier to Use (Invited)

    NASA Astrophysics Data System (ADS)

    Lynnes, C.

    2010-12-01

    The tall pole for exploiting remote sensing data is often preparing data for use. Typically, this involves much research into data formats, geolocation structures and quality indicators, often to be followed by coding a preprocessing program. Only then are the data usable within the analysis tool of choice. The Goddard Earth Sciences Data and Information Services Center is deploying a variety of data access services that are designed to dramatically shorten the time consumed in the data preparation step. On-the-fly conversion to the standard network Common Data Form (netCDF) format with Climate-Forecast (CF) conventions imposes a standard coordinate system framework that makes data instantly readable through several tools, such as the Integrated Data Viewer, Gridded Analysis and Display System, Panoply and Ferret. A similar benefit is achieved by serving data through the Open Source Project for a Network Data Access Protocol (OPeNDAP), which also provides subsetting. The Data Quality Screening Service goes a step further in filtering out data points based on quality control flags, based on science team recommendations or user-specified criteria. Further still is the Giovanni online analysis system which goes beyond handling formatting and quality to provide visualization and basic statistics of the data. This general approach of automating the preparation steps has the important added benefit of enabling use of the data by non-human users (i.e., computer programs), which often make sub-optimal use of the available data due to the need to hard-code data preparation on the client side.

  4. Improving access to essential health care services: the case of Israel.

    PubMed

    van de Ven, Wynand P M M

    2016-01-01

    In a recent article in this journal Simon-Tuval, Horev and Kaplan argue that in order to improve the protection of consumers there might be a need to impose a threshold on the medical loss ratio (MLR) for voluntary health insurance (VHI) in Israel [1]. Their argument is that VHI in Israel covers several essential services that are not covered by the mandatory benefits package due to budget constraints, while there are market failures in the VHI market that justify regulation to assure consumer protection such as high accessibility to high quality coverage. In this commentary it will be argued that in addition to market failures there are also government failures. It is doubtful whether imposing a threshold on MLR is effective because of government failures. It can be even counter-productive. Therefore, alternative regulatory measures are discussed to promote the protection of the beneficiaries. If essential services covered by VHI are unaffordable for some low-income people, government can extend the current mandatory basic health insurance so that it covers all essential services. If there is a budget restriction, the amount of government funds could be increased, or the health plans could be allowed to request an additional flat rate premium, set by them and to be paid by the consumer directly to their health plan. Also, effective out-of-pocket payments could be introduced. Subsidies could be given to low-income people to compensate for their additional expenses under the mandatory health insurance. If these changes are adopted, then the government would no longer be held responsible for access to benefits outside the mandatory health insurance. Accordingly, all VHI could be sold on the normal free insurance market, just as other types of indemnity insurance. In addition, the Israeli health insurance and healthcare markets could be made more competitive by introducing procompetitive regulation. This would increase the efficiency and affordability of healthcare

  5. 28 CFR 16.101 - Exemption of U.S. Marshals Service Systems-limited access, as indicated.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) Because this system contains Department of Justice civil and criminal law enforcement, investigatory... Systems-limited access, as indicated. 16.101 Section 16.101 Judicial Administration DEPARTMENT OF JUSTICE... (H), (e)(5), (e)(8), (f) and (g): (1) Warrant Information System (JUSTICE/USM-007). These...

  6. 28 CFR 16.101 - Exemption of U.S. Marshals Service Systems-limited access, as indicated.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...) Because this system contains Department of Justice civil and criminal law enforcement, investigatory... Systems-limited access, as indicated. 16.101 Section 16.101 Judicial Administration DEPARTMENT OF JUSTICE... (H), (e)(5), (e)(8), (f) and (g): (1) Warrant Information System (JUSTICE/USM-007). These...

  7. 28 CFR 16.101 - Exemption of U.S. Marshals Service Systems-limited access, as indicated.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) Because this system contains Department of Justice civil and criminal law enforcement, investigatory... Systems-limited access, as indicated. 16.101 Section 16.101 Judicial Administration DEPARTMENT OF JUSTICE... (H), (e)(5), (e)(8), (f) and (g): (1) Warrant Information System (JUSTICE/USM-007). These...

  8. 28 CFR 16.101 - Exemption of U.S. Marshals Service Systems-limited access, as indicated.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) Because this system contains Department of Justice civil and criminal law enforcement, investigatory... Systems-limited access, as indicated. 16.101 Section 16.101 Judicial Administration DEPARTMENT OF JUSTICE... (H), (e)(5), (e)(8), (f) and (g): (1) Warrant Information System (JUSTICE/USM-007). These...

  9. 28 CFR 16.101 - Exemption of U.S. Marshals Service Systems-limited access, as indicated.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...) Because this system contains Department of Justice civil and criminal law enforcement, investigatory... Systems-limited access, as indicated. 16.101 Section 16.101 Judicial Administration DEPARTMENT OF JUSTICE... (H), (e)(5), (e)(8), (f) and (g): (1) Warrant Information System (JUSTICE/USM-007). These...

  10. 42 CFR 59.7 - What criteria will the Department of Health and Human Services use to decide which family...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Human Services use to decide which family planning services projects to fund and in what amount? 59.7... FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.7 What criteria will the Department of Health and Human Services use to decide which family planning services projects to fund and...

  11. 42 CFR 59.7 - What criteria will the Department of Health and Human Services use to decide which family...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Human Services use to decide which family planning services projects to fund and in what amount? 59.7... FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.7 What criteria will the Department of Health and Human Services use to decide which family planning services projects to fund and...

  12. 42 CFR 59.7 - What criteria will the Department of Health and Human Services use to decide which family...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Human Services use to decide which family planning services projects to fund and in what amount? 59.7... FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.7 What criteria will the Department of Health and Human Services use to decide which family planning services projects to fund and...

  13. 42 CFR 59.7 - What criteria will the Department of Health and Human Services use to decide which family...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Human Services use to decide which family planning services projects to fund and in what amount? 59.7... FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.7 What criteria will the Department of Health and Human Services use to decide which family planning services projects to fund and...

  14. 38 CFR 17.50 - Use of Department of Defense, Public Health Service or other Federal hospitals with beds...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Defense, Public Health Service or other Federal hospitals with beds allocated to the Department of... AFFAIRS MEDICAL Use of Department of Defense, Public Health Service Or Other Federal Hospitals § 17.50 Use of Department of Defense, Public Health Service or other Federal hospitals with beds allocated to...

  15. 38 CFR 17.50 - Use of Department of Defense, Public Health Service or other Federal hospitals with beds...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Defense, Public Health Service or other Federal hospitals with beds allocated to the Department of... AFFAIRS MEDICAL Use of Department of Defense, Public Health Service Or Other Federal Hospitals § 17.50 Use of Department of Defense, Public Health Service or other Federal hospitals with beds allocated to...

  16. 38 CFR 17.50 - Use of Department of Defense, Public Health Service or other Federal hospitals with beds...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Defense, Public Health Service or other Federal hospitals with beds allocated to the Department of... AFFAIRS MEDICAL Use of Department of Defense, Public Health Service Or Other Federal Hospitals § 17.50 Use of Department of Defense, Public Health Service or other Federal hospitals with beds allocated to...

  17. 38 CFR 17.50 - Use of Department of Defense, Public Health Service or other Federal hospitals with beds...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Defense, Public Health Service or other Federal hospitals with beds allocated to the Department of... AFFAIRS MEDICAL Use of Department of Defense, Public Health Service Or Other Federal Hospitals § 17.50 Use of Department of Defense, Public Health Service or other Federal hospitals with beds allocated to...

  18. 38 CFR 17.50 - Use of Department of Defense, Public Health Service or other Federal hospitals with beds...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Defense, Public Health Service or other Federal hospitals with beds allocated to the Department of... AFFAIRS MEDICAL Use of Department of Defense, Public Health Service Or Other Federal Hospitals § 17.50 Use of Department of Defense, Public Health Service or other Federal hospitals with beds allocated to...

  19. 77 FR 68819 - Notice of Inventory Completion: U.S. Department of Agriculture, Forest Service, Ozark-St. Francis...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-16

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR National Park Service Notice of Inventory Completion: U.S. Department of Agriculture, Forest Service, Ozark...: Notice. SUMMARY: The U.S. Department of Agriculture (USDA), Forest Service, Ozark-St. Francis...

  20. 75 FR 45656 - Notice of Inventory Completion: U.S. Department of Agriculture, Forest Service, Siuslaw National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-03

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR National Park Service Notice of Inventory Completion: U.S. Department of Agriculture, Forest Service.... Department of Agriculture, Forest Service, Siuslaw National Forest, Waldport, OR. The human remains...

  1. 78 FR 59953 - Notice of Inventory Completion: U.S. Department of Agriculture, Forest Service, Coconino National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-30

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR National Park Service Notice of Inventory Completion: U.S. Department of Agriculture, Forest Service... Service, Interior. ACTION: Notice. SUMMARY: The U.S. Department of Agriculture (USDA), Forest...

  2. 77 FR 68821 - Notice of Inventory Completion: U.S. Department of Agriculture, Forest Service, Ozark-St. Francis...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-16

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR National Park Service Notice of Inventory Completion: U.S. Department of Agriculture, Forest Service, Ozark...: Notice. SUMMARY: The U.S. Department of Agriculture (USDA), Forest Service, Ozark-St. Francis...

  3. 77 FR 68822 - Notice of Inventory Completion: U.S. Department of Agriculture, Forest Service, Ozark-St. Francis...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-16

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR National Park Service Notice of Inventory Completion: U.S. Department of Agriculture, Forest Service, Ozark...: Notice. SUMMARY: The U.S. Department of Agriculture (USDA), Forest Service, Ozark-St. Francis...

  4. Challenges Women with Disability Face in Accessing and Using Maternal Healthcare Services in Ghana: A Qualitative Study

    PubMed Central

    Ganle, John Kuumuori; Otupiri, Easmon; Obeng, Bernard; Edusie, Anthony Kwaku; Ankomah, Augustine; Adanu, Richard

    2016-01-01

    Background While a number of studies have examined the factors affecting accessibility to and utilisation of healthcare services by persons with disability in general, there is little evidence about disabled women's access to maternal health services in low-income countries and few studies consult disabled women themselves to understand their experience of care and the challenges they face in accessing skilled maternal health services. The objective of this paper is to explore the challenges women with disabilities encounter in accessing and using institutional maternal healthcare services in Ghana. Methods and Findings A qualitative study was conducted in 27 rural and urban communities in the Bosomtwe and Central Gonja districts of Ghana with a total of 72 purposively sampled women with different physical, visual, and hearing impairments who were either lactating or pregnant at the time of this research. Semi-structured in-depth interviews were used to gather data. Attride-Stirling’s thematic network framework was used to analyse the data. Findings suggest that although women with disability do want to receive institutional maternal healthcare, their disability often made it difficult for such women to travel to access skilled care, as well as gain access to unfriendly physical health infrastructure. Other related access challenges include: healthcare providers’ insensitivity and lack of knowledge about the maternity care needs of women with disability, negative attitudes of service providers, the perception from able-bodied persons that women with disability should be asexual, and health information that lacks specificity in terms of addressing the special maternity care needs of women with disability. Conclusions Maternal healthcare services that are designed to address the needs of able-bodied women might lack the flexibility and responsiveness to meet the special maternity care needs of women with disability. More disability-related cultural competence and

  5. GSL: An Open Source Framework for the Rapid Development of Data Archive Access Services

    NASA Astrophysics Data System (ADS)

    McWhirter, J.; Boler, F. M.; Bock, Y.; Squibb, M. B.; Ratzesberger, L.

    2011-12-01

    The Geodetic Seamless Archive Center (GSAC) project is a NASA ROSES ACCESS funded effort with the goal to define and implement a web service API for uniform querying across multiple geodetic data repositories. The project information technology partners include two International GNSS Service (IGS) Data Centers, CDDIS and SOPAC, and a third global NSF and NASA-funded Data Center, UNAVCO. A science partner, the University of Nevada, Reno Geodetic Laboratory is utilizing the services and contributing new quality assessment products. Each of the participant data centers has its own internal database schema and various web-based access mechanisms to suit the needs of their individual user communities. The software engineering challenge that we faced was to unify these access mechanisms into a common web service API. To facilitate the development of the GSAC interfaces within these disparate repositories we have developed a Java-based open source middleware framework called the GSAC Service Layer (GSL). It was recognized early on in the project that much of the required functionality within each repository could be provided by a common software layer, thus achieving a substantial reduction in the development effort required by each partner institution. The GSL provides a range of common services for repository configuration, initialization, database management, web interface generation, and data model and metadata creation. Each repository implementation then simply focuses on the core task of responding to query requests and delivering to the GSL layer the internal results. The GSL layer is then responsible for encoding the results in the desired format. A fundamental challenge in developing a framework such as the GSL is balancing the trade-off between the agnosticism needed within the GSL so that it is applicable to a wide range of problem domains and the specific needs required for a particular repository implementations. The GSL addresses this challenge through an

  6. 39 CFR 254.1 - Adoption of U.S. Access Board Standards as Postal Service Standards of Facility Accessibility.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Barriers Act (ABA) “Standards for Facility Accessibility,” the following sections of 36 CFR part 1191: Appendix A to Part 1191, Table of Contents for apps. C, D, and E. Appendix C to Part 1191,...

  7. The Suffolk County Department of Social Services Performance Study. An Executive Summary.

    ERIC Educational Resources Information Center

    Spottheim, David; Wilson, George R.

    The logic and methodology applied in a management science approach to performance and staff utilization in the Client Benefits (CBA) and Community Service (CSA) divisions of the Suffolk County (New York) Department of Social Services (SCDSS) are described. Using a blend of classical organization theory and management science techniques, the CBA…

  8. 44 CFR 351.23 - The Department of Health and Human Services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Human Services. 351.23 Section 351.23 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT... Interagency Assignments § 351.23 The Department of Health and Human Services. (a) Develop and specify protective actions and associated guidance to State and local governments for human food and animal feed...

  9. Availability of information to the public--Department of Health and Human Services. Proposed rule.

    PubMed

    1982-04-12

    The Department of Health and Human Services is proposing to amend its regulations implementing the Freedom of Information Act (FOIA). This proposal would increase fees for FOIA searches and copying, to reflect increased costs to the Department. It also proposes guidelines for the waiver or reduction of fees. PMID:10255874

  10. 31 CFR 223.22 - Fees for services of the Treasury Department.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Department. 223.22 Section 223.22 Money and Finance: Treasury Regulations Relating to Money and Finance... BUSINESS WITH THE UNITED STATES § 223.22 Fees for services of the Treasury Department. (a) Fees shall be... or for a certificate of authority as an acceptable reinsuring company on such bonds (see § 223.2);...

  11. Denver Public Schools, Department of Health Services. Forty-Eighth Annual Report, 1972-1973.

    ERIC Educational Resources Information Center

    Denver Public Schools, CO.

    This report details the programs and activities of the Department of Health Services of the Denver Public Schools, 1972-73. The first section, New Projects and Special Activities of the Department, presents health programs initiated in elementary and secondary schools and among adult employees. The development of a joint plan to give community…

  12. Advancing Migrant Access to Health Services in Europe (AMASE): Protocol for a Cross-sectional Study

    PubMed Central

    Álvarez-del Arco, Débora; Monge, Susana; Copas, Andrew J; Gennotte, Anne-Francoise; Volny-Anne, Alain; Göpel, Siri; Touloumi, Giota; Prins, Maria; Barros, Henrique; Staehelin, Cornelia; del Amo, Julia; Burns, Fiona M

    2016-01-01

    Background Migrants form a substantial proportion of the population affected by the human immunodeficiency virus (HIV) epidemic in Europe, yet HIV prevention for this population is hindered by poor understanding of access to care and of postmigration transmission dynamics. Objective We present the design and methods of the advancing Migrant Access to health Services in Europe (aMASE) study, the first European cross-cultural study focused on multiple migrant populations. It aims to identify the structural, cultural, and financial barriers to HIV prevention, diagnosis, and treatment and to determine the likely country of HIV acquisition in HIV-positive migrant populations. Methods We delivered 2 cross-sectional electronic surveys across 10 countries (Belgium, France, Germany, Greece, Italy, the Netherlands, Portugal, Spain, Switzerland, and United Kingdom). A clinic survey aimed to recruit up to 2000 HIV-positive patients from 57 HIV clinics in 9 countries. A unique study number linked anonymized questionnaire data to clinical records data (viral loads, CD4 cell counts, viral clades, etc). This questionnaire was developed by expert panel consensus and cognitively tested, and a pilot study was carried out in 2 countries. A Web-based community survey (n=1000) reached those living with HIV but not currently accessing HIV clinics, as well as HIV-negative migrants. It was developed in close collaboration with a community advisory group (CAG) made up of representatives from community organizations in 9 of the participating countries. The CAG played a key role in data collection by promoting the survey to higher-risk migrant groups (sub-Saharan Africans, Latin Americans, men who have sex with men, and people who inject drugs). The questionnaires have considerable content overlap, allowing for comparison. Questions cover ethnicity, migration, immigration status, HIV testing and treatment, health-seeking behavior, sexual risk, and drug use. The electronic questionnaires

  13. 77 FR 47415 - Privacy Act of 1974; Department of Homeland Security U.S. Citizenship and Immigration Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-08

    ... Immigration Services (USCIS)--004--Systematic Alien Verification for Entitlements (SAVE) Program System of..., ``Department of Homeland Security/United States Citizenship and Immigration Services--004-- Systematic Alien... Services, Systematic Alien Verification for Entitlements (SAVE) program is a fee- based...

  14. 78 FR 21404 - Notice of Inventory Completion: U.S. Department of the Interior, National Park Service, Grand...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-10

    ... National Park Service Notice of Inventory Completion: U.S. Department of the Interior, National Park Service, Grand Canyon National Park, Grand Canyon, AZ AGENCY: National Park Service, Interior. ACTION: Notice. SUMMARY: The U.S. Department of the Interior, National Park Service, Grand Canyon National...

  15. 75 FR 30428 - Notice of Inventory Completion: U.S. Department of the Interior, National Park Service, Grand...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-01

    ... National Park Service Notice of Inventory Completion: U.S. Department of the Interior, National Park Service, Grand Canyon National Park, Grand Canyon, AZ AGENCY: National Park Service, Interior. ACTION... the U.S. Department of the Interior, National Park Service, Grand Canyon National Park, Grand...

  16. A GeoServices Infrastructure for Near-Real-Time Access to Suomi NPP Satellite Data

    NASA Astrophysics Data System (ADS)

    Evans, J. D.; Valente, E. G.; Hao, W.; Chettri, S.

    2012-12-01

    The new Suomi National Polar-orbiting Partnership (NPP) satellite extends NASA's moderate-resolution, multispectral observations with a suite of powerful imagers and sounders to support a broad array of research and applications. However, NPP data products consist of a complex set of data and metadata files in highly specialized formats; which NPP's operational ground segment delivers to users only with several hours' delay. This severely limits their use in critical applications such as weather forecasting, emergency / disaster response, search and rescue, and other activities that require near-real-time access to satellite observations. Alternative approaches, based on distributed Direct Broadcast facilities, can reduce the delay in NPP data delivery from hours to minutes, and can make products more directly usable by practitioners in the field. To assess and fulfill this potential, we are developing a suite of software that couples Direct Broadcast data feeds with a streamlined, scalable processing chain and geospatial Web services, so as to permit many more time-sensitive applications to use NPP data. The resulting geoservices infrastructure links a variety of end-user tools and applications to NPP data from different sources, and to other rapidly-changing geospatial data. By using well-known, standard software interfaces (such as OGC Web Services or OPeNDAP), this infrastructure serves a variety of end-user analysis and visualization tools, giving them access into datasets of arbitrary size and resolution and allowing them to request and receive tailored products on demand. The standards-based approach may also streamline data sharing among independent satellite receiving facilities, thus helping them to interoperate in providing frequent, composite views of continent-scale or global regions. To enable others to build similar or derived systems, the service components we are developing (based in part on the Community Satellite Processing Package (CSPP) from

  17. Improving Access to Earth Observation Data through the CWIC Brokering Service

    NASA Astrophysics Data System (ADS)

    Enloe, Y.; McDonald, K.; Mitchell, A. E.; Yapur, M.

    2013-12-01

    The Committee on Earth Observation Satellites (CEOS) agencies, established in 1984 to coordinate civil space-borne observations of the Earth, have vast quantities of data and information. The intergovernmental Group on Earth Observations (GEO) was launched to provide international collaboration for exploiting the growing potential of Earth observations to provide benefits to human society. GEO is harmonizing access to all environmental data by adopting and using a common set of data system standards in its Global Earth Observation System of Systems (GEOSS). In 2010, realizing that the CEOS agencies data systems were lacking interoperability with GEOSS, the CEOS Working Group on Information Systems and Services (WGISS) initiated a community brokering project, the CEOS WGISS Integrated Catalog (CWIC), to connect the CEOS agency data systems to GEOSS. CWIC interfaces with GEOSS using the GEO supported standards and provides translation to the underlying CEOS agency data systems, thus leveraging the underlying agency data systems with minimal impact. Currently, CWIC supports the OGC Catalog Services for the Web (CSW) Version 2.0.2. WGISS has just undertaken an effort to converge on a proposed OGC version of the OpenSearch standard to improve interoperability. CWIC will continue to support the CSW standard but also provide support for the future version of the OpenSearch standard. The CWIC project is also looking at the potential for harmonized approaches and conventions for search and results metadata and for user registration and authorization. Current CWIC data partners offering access to their Earth Observation data include NASA, NOAA, USGS, National Institute for Space Research (Brazil), Canadian Center for Remote Sensing, Academy for Opto-Electronics (China), the Indian Space Research Organization, the Global High Resolution Sea Surface Temperature Virtual Constellation, and the Land Surface Imaging Virtual Constellation. Several different client partners are also

  18. Future Supply and Demand for Oncologists : Challenges to Assuring Access to Oncology Services

    PubMed Central

    Erikson, Clese; Salsberg, Edward; Forte, Gaetano; Bruinooge, Suanna; Goldstein, Michael

    2007-01-01

    include any alterations based on changes in practice patterns, service use, or cancer treatments. Various alternate scenarios were also developed to show how supply and demand might change under different assumptions. Conclusions ASCO, policy makers, and the public have major challenges ahead of them to forestall likely shortages in the capacity to meet future demand for oncology services. A multifaceted strategy will be needed to ensure that Americans have access to oncology services in 2020, as no single action will fill the likely gap between supply and demand. Among the options to consider are increasing the number of oncology fellowship positions, increasing use of nonphysician clinicians, increasing the role of primary care physicians in the care of patients in remission, and redesigning service delivery. PMID:20859376

  19. Service mix in the hospital outpatient department: implications for Medicare payment reform.

    PubMed Central

    Miller, M E; Sulvetta, M B; Englert, E

    1995-01-01

    OBJECTIVE. To determine if implementation of a PPS for Medicare hospital outpatient department (HOPD) services will have distributional consequences across hospital types and regions, this analysis assesses variation in service mix and the provision of high-technology services in the HOPD. DATA. HCFA's 1990 claims file for a 5 percent random sample of Medicare beneficiaries using the HOPD was merged, by hospital provider number, with various HCFA hospital characteristic files. STUDY DESIGN. Hospital characteristics examined are urban/rural location, teaching status, disproportionate-share status, and bed size. Two analyses of HOPD services are presented: mix of services provided and the provision of high-technology services. The mix of services is measured by the percentage of services in each of 14 type-of-service categories (e.g., medical visits, advanced imaging services, diagnostic testing services). Technology provision is measured by the percentage of hospitals providing selected high-technology services. FINDINGS/CONCLUSIONS. The findings suggest that the role hospital types play in providing HOPD services warrants consideration in establishing a PPS. HOPDs in major teaching hospitals and hospitals serving a disproportionate share of the poor play an important role in providing routine visits. HOPDs in both major and minor teaching hospitals are important providers of high-technology services. Other findings have implications for the structure of an HOPD PPS as well. First, over half of the services provided in the HOPD are laboratory tests and HOPDs may have limited control over these services since they are often for patients referred from local physician offices. Second, service mix and technology provision vary markedly among regions, suggesting the need for a transition to prospective payment. Third, the organization of service supply in a region may affect service provision in the HOPD suggesting that an HOPD PPS needs to be coordinated with payment

  20. Data Access Tools And Services At The Goddard Distributed Active Archive Center (GDAAC)

    NASA Technical Reports Server (NTRS)

    Pham, Long; Eng, Eunice; Sweatman, Paul

    2003-01-01

    As one of the largest providers of Earth Science data from the Earth Observing System, GDAAC provides the latest data from the Moderate Resolution Imaging Spectroradiometer (MODIS), Atmospheric Infrared Sounder (AIRS), Solar Radiation and Climate Experiment (SORCE) data products via GDAAC's data pool (50TB of disk cache). In order to make this huge volume of data more accessible to the public and science communities, the GDAAC offers multiple data access tools and services: Open Source Project for Network Data Access Protocol (OPeNDAP), Grid Analysis and Display System (GrADS/DODS) (GDS), Live Access Server (LAS), OpenGlS Web Map Server (WMS) and Near Archive Data Mining (NADM). The objective is to assist users in retrieving electronically a smaller, usable portion of data for further analysis. The OPeNDAP server, formerly known as the Distributed Oceanographic Data System (DODS), allows the user to retrieve data without worrying about the data format. OPeNDAP is capable of server-side subsetting of HDF, HDF-EOS, netCDF, JGOFS, ASCII, DSP, FITS and binary data formats. The GrADS/DODS server is capable of serving the same data formats as OPeNDAP. GDS has an additional feature of server-side analysis. Users can analyze the data on the server there by decreasing the computational load on their client's system. The LAS is a flexible server that allows user to graphically visualize data on the fly, to request different file formats and to compare variables from distributed locations. Users of LAS have options to use other available graphics viewers such as IDL, Matlab or GrADS. WMS is based on the OPeNDAP for serving geospatial information. WMS supports OpenGlS protocol to provide data in GIs-friendly formats for analysis and visualization. NADM is another access to the GDAAC's data pool. NADM gives users the capability to use a browser to upload their C, FORTRAN or IDL algorithms, test the algorithms, and mine data in the data pool. With NADM, the GDAAC provides an

  1. Long-Term Impacts of Precolonial Institutions, Geography and Ecological Diversity on Access to Public Infrastructure Services in Nigeria

    NASA Astrophysics Data System (ADS)

    Archibong, B.

    2014-12-01

    Do precolonial institutions, geography and ecological diversity affect population access to public infrastructure services over a century later? Can local leaders from historically centralized or 'conqueror' groups still influence access to public goods today? Do precolonial states located in ecologically diverse environments have better access to water, power and sanitation resources today? A growing body of literature examining the sources of the current state of African economic development has cited the enduring impacts of precolonial institutions and geography on contemporary African economic development using large sample cross-sectional analysis. In this paper, I focus on within country effects of local ethnic and political state institutions on access to public infrastructure services in present day Nigeria. Specifically, I combine information on the spatial distribution of ethnic states and ecological diversity in Nigeria circa mid 19th century and political states in Nigeria circa 1785 and 1850 with information, from a novel geocoded survey dataset, on access to public infrastructure at the local government level in present day Nigeria to examine the impact of precolonial state centralization on the current unequal access to public infrastructure services in Nigeria, accounting for the effects of ecological diversity and other geographic covariates. Some preliminary results show evidence for the long-term impacts of institutions, geography and ecological diversity on access to public infrastructure in Nigeria.

  2. Access to mental health services for active duty and National Guard TRICARE enrollees in Indiana.

    PubMed

    Avery, George H; Wadsworth, Shelley M MacDermid

    2011-03-01

    Mental health problems are a well-known consequence of combat exposure, and the problem of barriers to receiving mental health care for veterans is well known. The current heavy reliance on reserve component soldiers may aggravate this problem. This study tries to characterize problems with access to mental health care for activated members of the National Guard reserve component, active duty service members, and their families in the state of Indiana. Data from a telephone survey of Indiana mental health providers listed in the TRICARE provider revealed that only 25% were accepting new TRICARE patients, although regression analyses revealed that acceptance of patients was positively related to market population and negatively related to the number of deployed soldiers in the market. The primary barrier to obtain care appears to be the accuracy of the TRICARE provider list. PMID:21456350

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

    PubMed Central

    Carrasco, Christine; Gastaldo, Denise

    2011-01-01

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

  4. EarthScope: Cyberinfrastructure to access Plate Boundary Observatory data products and services

    NASA Astrophysics Data System (ADS)

    Meertens, C. M.; Mattioli, G. S.; Miller, M.; Boler, F. M.; Crosby, C. J.; Mencin, D.; Phillips, D. A.; Snett, L.

    2013-12-01

    The wealth of data from geodetic observing systems, especially the Plate Boundary Observatory (PBO), presents major data management challenges. The challenges are driven by ingenious new uses of Global Positioning System (GPS) data, demands for higher-rate, lower latency data, the need for continued access and long term preservation of archival data, the expansion of data users into other science, engineering and commercial arenas, and the growth of enhanced products that expand the utility of the data. To meet these challenges, UNAVCO has established a comprehensive suite of data services encompassing sensor network data operations, data product generation (through the activities of partners at Massachusetts Institute of Technology, Central Washington University, New Mexico Institute of Mining and Technology, and the University of California, San Diego - UCSD), data management, access and archiving, and advanced cyberinfrastructure. PBO sensor systems include 1,100 continuously operating GPS stations, 79 borehole geophysical sites (with a combination of strainmeters, tiltmeters, seismometers, pore pressure gauges, and meteorological sensors), and 6 long baseline strainmeters. Imaging data acquired for EarthScope include large volumes of satellite synthetic aperture radar (SAR) and airborne LiDAR data. Core data products such as daily GPS position time series and derived crustal motion velocities have been augmented with real-time data streams and positions calculated every second from 367 PBO stations. Higher rate (5 Hz) data files are available for applications such as GPS seismology. Efforts are underway with UCSD to integrate GPS and accelerometers at a subset of PBO sites to increase the reliability and capability of the observations. These observations have utility for research and hazards mitigation. Ingenious methods of GPS data analysis, developed by the University of Colorado and the University Corporation for Atmospheric Research, measure snow depth

  5. Accessing substance abuse treatment: issues for parents involved with child welfare services.

    PubMed

    Rockhill, Anna; Green, Beth L; Newton-Curtis, Linda

    2008-01-01

    The complex issues associated with barriers to treatment entry for parents who are involved with child welfare has not been well explored. Accessing timely treatment is now critical for these parents since the introduction of the Adoption and Safe Families Act of 1997, limiting the time until a permanency decision is made. Using a longitudinal, qualitative approach, substance-abusing parents from 15 families, their relevant family members, and service providers were interviewed approximately every 3 months over an 18-month period. The experiences of these parents add to our knowledge of the unique barriers this population faces, and expands our understanding of the mechanisms by which certain barriers may delay treatment. PMID:19189805

  6. 7 CFR 54.13 - Accessibility and refrigeration of products; access to establishments.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 3 2012-01-01 2012-01-01 false Accessibility and refrigeration of products; access to establishments. 54.13 Section 54.13 Agriculture Regulations of the Department of Agriculture (Continued...) Regulations Service § 54.13 Accessibility and refrigeration of products; access to establishments. (a)...

  7. 7 CFR 54.13 - Accessibility and refrigeration of products; access to establishments.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 3 2011-01-01 2011-01-01 false Accessibility and refrigeration of products; access to establishments. 54.13 Section 54.13 Agriculture Regulations of the Department of Agriculture (Continued...) Regulations Service § 54.13 Accessibility and refrigeration of products; access to establishments. (a)...

  8. 7 CFR 54.13 - Accessibility and refrigeration of products; access to establishments.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Accessibility and refrigeration of products; access to establishments. 54.13 Section 54.13 Agriculture Regulations of the Department of Agriculture (Continued...) Regulations Service § 54.13 Accessibility and refrigeration of products; access to establishments. (a)...

  9. 7 CFR 54.13 - Accessibility and refrigeration of products; access to establishments.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 3 2013-01-01 2013-01-01 false Accessibility and refrigeration of products; access to establishments. 54.13 Section 54.13 Agriculture Regulations of the Department of Agriculture (Continued...) Regulations Service § 54.13 Accessibility and refrigeration of products; access to establishments. (a)...

  10. 7 CFR 54.13 - Accessibility and refrigeration of products; access to establishments.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 3 2014-01-01 2014-01-01 false Accessibility and refrigeration of products; access to establishments. 54.13 Section 54.13 Agriculture Regulations of the Department of Agriculture (Continued...) Regulations Service § 54.13 Accessibility and refrigeration of products; access to establishments. (a)...

  11. Management of chronic heart failure in the community: role of a hospital based open access heart failure service

    PubMed Central

    Shah, S; Davies, M K; Cartwright, D; Nightingale, P

    2004-01-01

    Objective: To evaluate the role of an open access heart failure service based at a teaching hospital for the diagnosis and treatment optimisation of patients with heart failure in the community and to identify measures that may further enhance the effectiveness of such a service. Subjects: 963 patients with suspected heart failure seen over an eight year period referred by their general practitioners to the cardiology department at a district general hospital. Main outcome measures: Presence or absence of left ventricular systolic dysfunction (LVSD) (left ventricular ejection fraction < 50% on echocardiography), and determination of the risk factors and predictors of LVSD. Results: The majority of the patients were women (60% v 40%) and elderly (mean age 68.8 years). On echocardiography, only 30.8% were found to have LVSD. Patients were more likely to have LVSD if they were men (42.3% v 23.1%, p < 0.001, relative risk (RR) 1.8), were > 60 years of age (33.5% v 20.8%, p < 0.001, RR 1.6), or had a history of diabetes (49.4% v 29.1%, p < 0.001, RR 1.7), ischaemic heart disease (36.5% v 29.1%, p  =  0.04, RR 1.3), or atrial fibrillation (52.6% v 27.8%, p < 0.001, RR 1.9). An abnormal ECG (48.4% v 19.5%, p < 0.001, RR 2.5) and cardiothoracic ratio > 0.5 on chest radiograph (44.3% v 17.8%, p < 0.001, RR 2.5) were found to be good predictors of LVSD. A normal ECG (negative predictive value 80.5%) and a cardiothoracic ratio of < 0.5 (negative predictive value 82.2%) can be used as baseline measures to identify patients with lower risk of developing LVSD (combined negative predictive value 87.9%). Conclusions: An open access heart failure clinic is effective for the diagnosis and management of chronic heart failure in community based patients. The presence of risk factors and simple baseline tests can be used to identify patients with LVSD in the community. The introduction of a protocol based on these findings into a referral system can improve the efficiency and cost

  12. DynCorp Tricities Services, Inc. Hanford fire department FY 1998 annual work plan

    SciTech Connect

    Good, D.E.

    1997-08-19

    The mission of the Hanford Fire Department (HFD) is to support the safe and timely cleanup of the Hanford site by providing fire suppression, fire prevention, emergency rescue, emergency medical service, and hazardous materials response; and to be capable of dealing with and terminating emergency situations which could threaten the operations, employees, or interest of the U.S. Department of Energy operated Hanford site. This includes response to surrounding fire departments/districts under mutual aid and state mobilization agreements and fire fighting, hazardous materials, and ambulance support to Washington Public Power Supply System (Supply System) and various commercial entities operating on site through Requests for Service from DOE-RL. This fire department also provides site fire marshal overview authority, fire system testing and maintenance, respiratory protection services, building tours and inspections, ignitable and reactive waste site inspections, prefire planning, and employee fire prevention education. This plan provides a program overview, program baselines, and schedule baseline.

  13. Access to the US Department of Veterans Affairs health system: self-reported barriers to care among returnees of Operations Enduring Freedom and Iraqi Freedom

    PubMed Central

    2013-01-01

    Background The U.S. Department of Veterans Affairs (VA) implemented the Polytrauma System of Care to meet the health care needs of military and veterans with multiple injuries returning from combat operations in Afghanistan and Iraq. Studies are needed to systematically assess barriers to use of comprehensive and exclusive VA healthcare services from the perspective of veterans with polytrauma and with other complex health outcomes following their service in Afghanistan and Iraq. These perspectives can inform policy with regard to the optimal delivery of care to returning veterans. Methods We studied combat veterans (n = 359) from two polytrauma rehabilitation centers using structured clinical interviews and qualitative open-ended questions, augmented with data collected from electronic health records. Our outcomes included several measures of exclusive utilization of VA care with our primary exposure as reported access barriers to care. Results Nearly two thirds of the veterans reported one or more barriers to their exclusive use of VA healthcare services. These barriers predicted differences in exclusive use of VA healthcare services. Experiencing any barriers doubled the returnees’ odds of not using VA exclusively, the geographic distance to VA barrier resulted in a 7 fold increase in the returnees odds of not using VA, and reporting a wait time barrier doubled the returnee’s odds of not using VA. There were no striking differences in access barriers for veterans with polytrauma compared to other returning veterans, suggesting the barriers may be uniform barriers that predict differences in using the VA exclusively for health care. Conclusions This study provides an initial description of utilization of VA polytrauma rehabilitation and other medical care for veteran returnees from all military services who were involved in combat operations in Afghanistan or Iraq. Our findings indicate that these veterans reported important stigmatization and barriers to

  14. Disparities in access to preventive health care services among insured children in a cross sectional study

    PubMed Central

    King, Christian

    2016-01-01

    Abstract Children with insurance have better access to care and health outcomes if their parents also have insurance. However, little is known about whether the type of parental insurance matters. This study attempts to determine whether the type of parental insurance affects the access to health care services of children. I used data from the 2009–2013 Medical Expenditure Panel Survey and estimated multivariate logistic regressions (N = 26,152). I estimated how family insurance coverage affects the probability that children have a usual source of care, well-child visits in the past year, unmet medical and prescription needs, less than 1 dental visit per year, and unmet dental needs. Children in families with mixed insurance (child publicly insured and parent privately insured) were less likely to have a well-child visit than children in privately insured families (odds ratio = 0.86, 95% confidence interval 0.76–0.98). When restricting the sample to publicly insured children, children with privately insured parents were less likely to have a well-child visit (odds ratio = 0.82, 95% confidence interval 0.73–0.92), less likely to have a usual source of care (odds ratio = 0.79, 95% confidence interval 0.67–0.94), and more likely to have unmet dental needs (odds ratio = 1.68, 95% confidence interval 1.10–2.58). Children in families with mixed insurance tend to fare poorly compared to children in publicly insured families. This may indicate that children in these families may be underinsured. Expanding parental eligibility for public insurance or subsidizing private insurance for children would potentially improve their access to preventive care. PMID:27428239

  15. Remote Internet access to advanced analytical facilities: a new approach with Web-based services.

    PubMed

    Sherry, N; Qin, J; Fuller, M Suominen; Xie, Y; Mola, O; Bauer, M; McIntyre, N S; Maxwell, D; Liu, D; Matias, E; Armstrong, C

    2012-09-01

    Over the past decade, the increasing availability of the World Wide Web has held out the possibility that the efficiency of scientific measurements could be enhanced in cases where experiments were being conducted at distant facilities. Examples of early successes have included X-ray diffraction (XRD) experimental measurements of protein crystal structures at synchrotrons and access to scanning electron microscopy (SEM) and NMR facilities by users from institutions that do not possess such advanced capabilities. Experimental control, visual contact, and receipt of results has used some form of X forwarding and/or VNC (virtual network computing) software that transfers the screen image of a server at the experimental site to that of the users' home site. A more recent development is a web services platform called Science Studio that provides teams of scientists with secure links to experiments at one or more advanced research facilities. The software provides a widely distributed team with a set of controls and screens to operate, observe, and record essential parts of the experiment. As well, Science Studio provides high speed network access to computing resources to process the large data sets that are often involved in complex experiments. The simple web browser and the rapid transfer of experimental data to a processing site allow efficient use of the facility and assist decision making during the acquisition of the experimental results. The software provides users with a comprehensive overview and record of all parts of the experimental process. A prototype network is described involving X-ray beamlines at two different synchrotrons and an SEM facility. An online parallel processing facility has been developed that analyzes the data in near-real time using stream processing. Science Studio and can be expanded to include many other analytical applications, providing teams of users with rapid access to processed results along with the means for detailed

  16. Comparison of Traditional and Open-Access Appointment Scheduling for Exponentially Distributed Service Time.

    PubMed

    Yan, Chongjun; Tang, Jiafu; Jiang, Bowen; Fung, Richard Y K

    2015-01-01

    This paper compares the performance measures of traditional appointment scheduling (AS) with those of an open-access appointment scheduling (OA-AS) system with exponentially distributed service time. A queueing model is formulated for the traditional AS system with no-show probability. The OA-AS models assume that all patients who call before the session begins will show up for the appointment on time. Two types of OA-AS systems are considered: with a same-session policy and with a same-or-next-session policy. Numerical results indicate that the superiority of OA-AS systems is not as obvious as those under deterministic scenarios. The same-session system has a threshold of relative waiting cost, after which the traditional system always has higher total costs, and the same-or-next-session system is always preferable, except when the no-show probability or the weight of patients' waiting is low. It is concluded that open-access policies can be viewed as alternative approaches to mitigate the negative effects of no-show patients. PMID:26753439

  17. Hypertension Detection, Management, Control and Associated Factors Among Residents Accessing Community Health Services In Beijing

    PubMed Central

    JIANG, Bin; LIU, Hongmei; RU, Xiaojuan; ZHANG, Hui; WU, Shengping; WANG, Wenzhi

    2014-01-01

    The aim of this study was to analyse high blood pressure detection, management, control and associated factors among residents accessing community health services (CHSs) in Beijing. We screened for HBP in 9524 individuals aged 50 years or older who accessed care in four Beijing CHSs. Among the 9397 residents with questionnaire responses that qualified them for inclusion in the study, 5029 patients with HBP were identified, 1510 (i.e., 30% of the HBP patient group) of whom were newly identified cases. The rate of hypertension detection was 53.5%. Among the 5029 HBP patients, the rates of awareness, treatment and control of hypertension were 70.0%, 62.1% and 29.6%, respectively. In general, the rate of hypertension control was higher when the rates of hypertension awareness and treatment were higher in subgroups stratified by different sociodemographic and risk factors, except for the overweight and obesity subgroups. In conclusion, suboptimal HBP awareness, treatment, and control are still major problems confronting CHSs in Beijing. Control of hypertension in the population may be improved by increasing awareness and improving the treatment of hypertension in CHSs. PMID:24784167

  18. E-health: potential benefits and challenges in providing and accessing sexual health services

    PubMed Central

    2013-01-01

    Background E-health has become a burgeoning field in which health professionals and health consumers create and seek information. E-health refers to internet-based health care and information delivery and seeks to improve health service locally, regionally and worldwide. E-sexual health presents new opportunities to provide online sexual health services irrespective of gender, age, sexual orientation and location. Discussion The paper used the dimensions of the RE-AIM model (reach, efficacy, adoption, implementation and maintenance) as a guiding principle to discuss potentials of E-health in providing and accessing sexual health services. There are important issues in relation to utilising and providing online sexual health services. For healthcare providers, e-health can act as an opportunity to enhance their clients’ sexual health care by facilitating communication with full privacy and confidentiality, reducing administrative costs and improving efficiency and flexibility as well as market sexual health services and products. Sexual health is one of the common health topics which both younger and older people explore on the internet and they increasingly prefer sexual health education to be interactive, non-discriminate and anonymous. This commentary presents and discusses the benefits of e-sexual health and provides recommendations towards addressing some of the emerging challenges. Future directions The provision of sexual health services can be enhanced through E-health technology. Doing this can empower consumers to engage with information technology to enhance their sexual health knowledge and quality of life and address some of the stigma associated with diversity in sexualities and sexual health experiences. In addition, e-sexual health may better support and enhance the relationship between consumers and their health care providers across different locations. However, a systematic and focused approach to research and the application of findings in

  19. HIV Risk Behavior and Access to Services: What Predicts HIV Testing among Heterosexually-Active Homeless Men?

    PubMed Central

    Wenzel, Suzanne L.; Rhoades, Harmony; Tucker, Joan S.; Golinelli, Daniela; Kennedy, David P.; Zhou, Annie; Ewing, Brett

    2013-01-01

    Objectives HIV is a serious epidemic among homeless persons, where rates of infection are estimated to be three times higher than in the general population. HIV testing is an effective tool for reducing HIV transmission and for combating poor HIV/AIDS health outcomes that disproportionately affect homeless persons, however, little is known about the HIV testing behavior of homeless men. This study examined the association between individual (HIV risk) and structural (service access) factors and past year HIV testing. Methods Participants were a representative sample of 305 heterosexually active homeless men interviewed from meal programs in the Skid Row region of Los Angeles. Logistic regression examined the association between past year HIV testing and demographic characteristics, HIV risk behavior, and access to other services in the Skid Row area in the past 30 days. Results Despite high rates of past year HIV testing, study participants also reported high rates of HIV risk behavior, suggesting there is still significant unmet need for HIV prevention among homeless men. Having recently used medical/dental services in the Skid Row area (OR: 1.91; CI: 1.09, 3.35), and being a military veteran (OR: 2.10; CI: 1.01 – 4.37) were significantly associated with HIV testing service utilization. Conclusions HIV testing was not associated with HIV risk behavior, but rather with access to services and veteran status, the latter of which prior research has linked to increased service access. Therefore, we suggest that programs encouraging general medical service access may be important for disseminating HIV testing services to this high-risk, vulnerable population. PMID:22676465

  20. 77 FR 17052 - Environmental Protection Agency, Department of Health and Human Services and Department of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-23

    ... this correction do? In the SUMMARY of the notice published on February 1, 2012, (77 FR 5012) (FRL-9328... Understanding. FR Doc. 2012-2198, published in the Federal Register of February 1, 2012, at page 5012 is... Human Services' Centers for Disease Control and Prevention and the Food and Drug Administration...

  1. A comparison of Frequency Domain Multiple Access (FDMA) and Time Domain Multiple Access (TDMA) approaches to satellite service for low data rate Earth stations

    NASA Technical Reports Server (NTRS)

    Stevens, G.

    1983-01-01

    A technological and economic assessment is made of providing low data rate service to small earth stations by satellite at Ka-band. Various Frequency Domain Multiple Access (FDMA) and Time Domain Multiple Access (TDMA) scenarios are examined and compared on the basis of cost to the end user. Very small stations (1 to 2 meters in diameter) are found not to be viable alternatives to available terrestrial services. However, medium size (3 to 5 meters) earth stations appear to be very competitive if a minimum throughput of about 1.5 Mbs is maintained. This constrains the use of such terminals to large users and shared use by smaller users. No advantage was found to the use of FDMA. TDMA had a slight advantage from a total system viewpoint and a very significant advantage in the space segment (about 1/3 the required payload weight for an equivalent capacity).

  2. A Spectrum Access Based on Quality of Service (QoS) in Cognitive Radio Networks

    PubMed Central

    Zhai, Linbo; Wang, Hua; Gao, Chuangen

    2016-01-01

    The quality of service (QoS) is important issue for cognitive radio networks. In the cognitive radio system, the licensed users, also called primary users (PUs), are authorized to utilize the wireless spectrum, while unlicensed users, also called secondary users (SUs), are not authorized to use the wireless spectrum. SUs access the wireless spectrum opportunistically when the spectrum is idle. While SUs use an idle channel, the instance that PUs come back makes SUs terminate their communications and leave the current channel. Therefore, quality of service (QoS) is difficult to be ensured for SUs. In this paper, we first propose an analysis model to obtain QoS for cognitive radio networks such as blocking probability, completed traffic and termination probability of SUs. When the primary users use the channels frequently, QoS of SUs is difficult to be ensured, especially the termination probability. Then, we propose a channel reservation scheme to improve QoS of SUs. The scheme makes the terminated SUs move to the reserved channels and keep on communications. Simulation results show that our scheme can improve QoS of SUs especially the termination probability with a little cost of blocking probability in dynamic environment. PMID:27171196

  3. A Spectrum Access Based on Quality of Service (QoS) in Cognitive Radio Networks.

    PubMed

    Zhai, Linbo; Wang, Hua; Gao, Chuangen

    2016-01-01

    The quality of service (QoS) is important issue for cognitive radio networks. In the cognitive radio system, the licensed users, also called primary users (PUs), are authorized to utilize the wireless spectrum, while unlicensed users, also called secondary users (SUs), are not authorized to use the wireless spectrum. SUs access the wireless spectrum opportunistically when the spectrum is idle. While SUs use an idle channel, the instance that PUs come back makes SUs terminate their communications and leave the current channel. Therefore, quality of service (QoS) is difficult to be ensured for SUs. In this paper, we first propose an analysis model to obtain QoS for cognitive radio networks such as blocking probability, completed traffic and termination probability of SUs. When the primary users use the channels frequently, QoS of SUs is difficult to be ensured, especially the termination probability. Then, we propose a channel reservation scheme to improve QoS of SUs. The scheme makes the terminated SUs move to the reserved channels and keep on communications. Simulation results show that our scheme can improve QoS of SUs especially the termination probability with a little cost of blocking probability in dynamic environment. PMID:27171196

  4. Ten Steps to Establishing an e-Consultation Service to Improve Access to Specialist Care

    PubMed Central

    Maranger, Julie; Afkham, Amir; Keely, Erin

    2013-01-01

    Abstract There is dissatisfaction among primary care physicians, specialists, and patients with respect to the consultation process. Excessive wait times for receiving specialist services and inefficient communication between practitioners result in decreased access to care and jeopardize patient safety. We created and implemented an electronic consultation (e-consultation) system in Eastern Ontario to address these problems and improve the consultation process. The e-consultation system has passed through the proof-of-concept and pilot study stages and has effectively reduced unnecessary referrals while receiving resoundingly positive feedback from physician-users. Using our experience, we have outlined the 10 steps to developing an e-consultation service. We detail the technical, administrative, and strategic considerations with respect to (1) identifying your partners, (2) choosing your platform, (3) starting as a pilot project, (4) designing your product, (5) ensuring patient privacy, (6) thinking through the process, (7) fostering relationships with your participants, (8) being prepared to provide physician payment, (9) providing feedback, and (10) planning the transition from pilot to permanency. In following these 10 steps, we believe that the e-consultation system and its associated improvements on the consultation process can be effectively implemented in other healthcare settings. PMID:24073898

  5. Open access to information bridges science and development in Amazonia: lessons of the SIAMAZONIA service

    NASA Astrophysics Data System (ADS)

    Kalliola, Risto; Toivonen, Tuuli; Miyakawa, Victor; Mavila, Manuel

    2008-07-01

    Access to and availability of accurate information has often been stated to play an important role in sustainable environmental management. There is a growing trend of setting up internet-based information services to support the availability of relevant information. The current initiatives that aim to facilitate such information sharing through the web are still, however, often premature and unable to ensure constant flow of data from producers to users. We examine these common challenges by using as an example a network-based facility of biodiversity and environmental information about the Peruvian Amazon region called SIAMAZONIA. Launched in 2001, the service includes data provided by 13 different nodes. The experiences of this initiative have been both encouraging and confusing. A good professional level has been reached, but participation by large information holders is impeded. Participation is obviously considered an additional task rather than an attractive option for enhanced performance at the individual or institutional levels. This dilemma reflects a genuine problem in the modern scientific community, which still lacks agreed ways to reward those who share their data and results through the web. If these problems are solved, internet-based information sharing may become a vital resource for environmental management in Amazonia and also elsewhere.

  6. A Time-constrained Network Voronoi Construction and Accessibility Analysis in Location-based Service Technology

    NASA Astrophysics Data System (ADS)

    Yu, W.; Ai, T.

    2014-11-01

    Accessibility analysis usually requires special models of spatial location analysis based on some geometric constructions, such as Voronoi diagram (abbreviated to VD). There are many achievements in classic Voronoi model research, however suffering from the following limitations for location-based services (LBS) applications. (1) It is difficult to objectively reflect the actual service areas of facilities by using traditional planar VDs, because human activities in LBS are usually constrained only to the network portion of the planar space. (2) Although some researchers have adopted network distance to construct VDs, their approaches are used in a static environment, where unrealistic measures of shortest path distance based on assumptions about constant travel speeds through the network were often used. (3) Due to the computational complexity of the shortest-path distance calculating, previous researches tend to be very time consuming, especially for large datasets and if multiple runs are required. To solve the above problems, a novel algorithm is developed in this paper. We apply network-based quadrat system and 1-D sequential expansion to find the corresponding subnetwork for each focus. The idea is inspired by the natural phenomenon that water flow extends along certain linear channels until meets others or arrives at the end of route. In order to accommodate the changes in traffic conditions, the length of network-quadrat is set upon the traffic condition of the corresponding street. The method has the advantage over Dijkstra's algorithm in that the time cost is avoided, and replaced with a linear time operation.

  7. Access to Interpreter Services at U.S. Dental School Clinics.

    PubMed

    Simon, Lisa; Hum, Lauren; Nalliah, Romesh

    2016-01-01

    The number of Americans with limited English proficiency (LEP) is growing, and legal protections mandate that LEP individuals have equal access to health care services. The aim of this study was to determine the availability of interpretation services in U.S. dental school clinics and the kinds of instruction dental students are given regarding treatment of LEP patients. A survey was distributed to the academic deans of all U.S. dental schools; 35 completed the survey for a response rate of 58%. Respondents were asked to report on the number of LEP patients treated in their student clinics, the resources available to students working with LEP patients, and the extent of instruction offered. Descriptive statistics were calculated. The results indicated that the proportion of LEP patients treated at U.S. dental schools was perceived to be higher than that of the general population. The availability of interpreter services and the extent of student education about LEP individuals varied widely. Among the responding schools, the most common language spoken by LEP patients was Spanish, followed by Chinese (Mandarin and Cantonese) and Russian. Most of the responding dental schools reported offering fewer than two hours of instruction to their predoctoral students on treating LEP patients. Although almost 90% of the respondents indicated believing LEP patients received care equal in quality to that of non-LEP patients in their clinics, only 61.9% indicated that their students were adequately prepared to manage LEP patients following graduation. These findings suggest that dental schools should consider curricular innovations that will prepare students to work with LEP populations and improve the ability of LEP patients to receive care in the teaching clinic setting. PMID:26729684

  8. Using Public-Private Partnerships to Mitigate Disparities in Access to Genetic Services: Lessons from Wisconsin

    PubMed Central

    Senier, Laura; Kearney, Matthew; Orne, Jason

    2016-01-01

    Purpose This mixed-methods study reports on an outreach clinics program designed to deliver genetic services to medically underserved communities in Wisconsin. Methodology We show the geographic distribution, funding patterns, and utilization trends for outreach clinics over a 20-year period. Interviews with program planners and outreach clinic staff show how external and internal constraints limited the program’s capacity. We compare clinic operations to the conceptual models guiding program design. Findings Our findings show that state health officials had to scale back financial support for outreach clinic activities while healthcare providers faced increasing pressure from administrators to reduce investments in charity care. These external and internal constraints led to a decline in the overall number of patients served. We also find that redistribution of clinics to the Milwaukee area increased utilization among Hispanics but not among African-Americans. Our interviews suggest that these patterns may be a function of shortcomings embedded in the planning models. Implications Planning models have three shortcomings. First, they do not identify the mitigation of health disparities as a specific goal. Second, they fail to acknowledge that partners face escalating profit-seeking mandates that may limit their capacity to provide charity services. Finally, they underemphasize the importance of seeking trusted partners, especially in working with communities that have been historically marginalized. Contribution There has been little discussion about equitably leveraging genetic advances that improve healthcare quality and efficacy. The role of State Health Agencies in mitigating disparities in access to genetic services has been largely ignored in the sociological literature. PMID:27279725

  9. North Carolina physician-based preventive oral health services improve access and use among young Medicaid enrollees.

    PubMed

    Kranz, Ashley M; Lee, Jessica; Divaris, Kimon; Baker, A Diane; Vann, William

    2014-12-01

    To combat disparities in oral health and access to dental care among infants and toddlers, most state Medicaid programs now reimburse physician-based preventive oral health services such as fluoride varnish applications. We used geospatial data to examine the distribution of dental and medical Medicaid providers of pediatric oral health services throughout North Carolina to determine if these services have improved access to care for Medicaid enrollees younger than age three. We then used claims data to examine the association between distance from these practices and use of dental services for a cohort of approximately 1,000 young children. Among one hundred counties, four counties had no physician-based preventive oral health services, and nine counties had no dental practice. While children who lived farther from the nearest dental practice were less likely to make dental visits, distance from physician-based preventive oral health services did not predict utilization. For young Medicaid enrollees, oral health services provided in medical offices can improve access and increase utilization. PMID:25489032

  10. North Carolina Physician-Based Preventive Oral Health Services Improve Access And Use Among Young Medicaid Enrollees

    PubMed Central

    Kranz, Ashley; Lee, Jessica; Divaris, Kimon; Baker, Diane; Vann, William Felix

    2015-01-01

    To combat disparities in oral health and access to dental care among infants and toddlers, most state Medicaid programs now reimburse physician-based preventive oral health services, such as fluoride varnish applications. We used geospatial data to examine the distribution of dental and medical Medicaid providers of pediatric oral health services throughout North Carolina to determine if these services have improved access to care for Medicaid enrollees younger than three years old. We then used claims data to examine the association between distance from these practices and use of dental services for a cohort of approximately 1,000 young children. Among 100 counties, four counties had no physician-based preventive oral health services and nine counties had no dental practice. While children who lived further from the nearest dental practice were less likely to make dental visits, distance from physician-based preventive oral health services did not predict use. For young Medicaid enrollees, oral health services provided in medical offices can improve access and increase use. PMID:25489032

  11. The Design of Passive Optical Networking+Ethernet over Coaxial Cable Access Networking and Video-on-Demand Services Carrying

    NASA Astrophysics Data System (ADS)

    Ji, Wei

    2013-07-01

    Video on demand is a very attractive service used for entertainment, education, and other purposes. The design of passive optical networking+Ethernet over coaxial cable accessing and a home gateway system is proposed. The network integrates the passive optical networking and Ethernet over coaxial cable to provide high dedicated bandwidth for the metropolitan video-on-demand services. Using digital video broadcasting, IP television protocol, unicasting, and broadcasting mechanisms maximizes the system throughput. The home gateway finishes radio frequency signal receiving and provides three kinds of interfaces for high-definition video, voice, and data, which achieves triple-play and wire/wireless access synchronously.

  12. Guidelines for timely initiation of chemotherapy: a proposed framework for access to medical oncology and haematology cancer clinics and chemotherapy services.

    PubMed

    Alexander, M; Beattie-Manning, R; Blum, R; Byrne, J; Hornby, C; Kearny, C; Love, N; McGlashan, J; McKiernan, S; Milar, J L; Murray, D; Opat, S; Parente, P; Thomas, J; Tweddle, N; Underhill, C; Whitfield, K; Kirsa, S; Rischin, D

    2016-08-01

    These guidelines, informed by the best available evidence and consensus expert opinion, provide a framework to guide the timely initiation of chemotherapy for treating cancer. They sit at the intersection of patient experience, state-of-the-art disease management and rational efficient service provision for these patients at a system level. Internationally, cancer waiting times are routinely measured and publicly reported. In Australia, there are existing policies and guidelines relating to the timeliness of cancer care for surgery and radiation therapy; however, until now, equivalent guidance for chemotherapy was lacking. Timeliness of care should be informed, where available, by evidence for improved patient outcomes. Independent of this, it should be recognised that shorter waiting periods are likely to reduce patient anxiety. While these guidelines were developed as part of a proposed framework for consideration by the Victorian Department of Health, they are clinically relevant to national and international cancer services. They are intended to be used by clinical and administrative staff within cancer services. Adoption of these guidelines, which are for the timely triage, review and treatment of cancer patients receiving systemic chemotherapy, aims to ensure that patients receive care within a timeframe that will maximise health outcomes, and that access to care is consistent and equitable across cancer services. Local monitoring of performance against this guideline will enable cancer service providers to manage proactively future service demand. PMID:27553996

  13. ‘Doing the hard yards’: carer and provider focus group perspectives of accessing Aboriginal childhood disability services

    PubMed Central

    2013-01-01

    Background Despite a high prevalence of disability, Aboriginal Australians access disability services in Australia less than non-Aboriginal Australians with a disability. The needs of Aboriginal children with disability are particularly poorly understood. They can endure long delays in treatment which can impact adversely on development. This study sought to ascertain the factors involved in accessing services and support for Aboriginal children with a disability. Methods Using the focus group method, two community forums, one for health and service providers and one for carers of Aboriginal children with a disability, were held at an Aboriginal Community Controlled Health Service (ACCHS) in the Sydney, metropolitan area of New South Wales, Australia. Framework analysis was applied to qualitative data to elucidate key issues relevant to the dimensions of access framework. Independent coding consistency checks were performed and consensus of analysis verified by the entire research team, several of whom represented the local Aboriginal community. Results Seventeen health and social service providers representing local area government and non-government-funded health and social service organisations and five carers participated in two separate forums between September and October 2011. Lack of awareness of services and inadequate availability were prominent concerns in both groups despite geographic proximity to a major metropolitan area with significant health infrastructure. Carers noted racism, insufficient or non-existent services, and the need for an enhanced role of ACCHSs and AHWs in disability support services. Providers highlighted logistical barriers and cultural and historical issues that impacted on the effectiveness of mainstream services for Aboriginal people. Conclusions Despite dedicated disability services in an urban community, geographic proximity does not mitigate lack of awareness and availability of support. This paper has enumerated a number of

  14. 20 CFR 1010.210 - In which Department job training programs do covered persons receive priority of service?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false In which Department job training programs do covered persons receive priority of service? 1010.210 Section 1010.210 Employees' Benefits OFFICE OF THE ASSISTANT SECRETARY FOR VETERANS' EMPLOYMENT AND TRAINING SERVICE, DEPARTMENT OF LABOR APPLICATION OF PRIORITY OF SERVICE FOR COVERED...

  15. 49 CFR 40.403 - Must a service agent notify its clients when the Department issues a PIE?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Must a service agent notify its clients when the... Must a service agent notify its clients when the Department issues a PIE? (a) As a service agent, if... notice to each client within three business days of receiving from the Department the notice provided...

  16. 78 FR 11677 - Notice of Inventory Completion: U.S. Department of Agriculture, Forest Service, Apache-Sitgreaves...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-19

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR National Park Service Notice of Inventory Completion: U.S. Department of Agriculture, Forest Service... Agriculture (USDA), Forest Service, Apache-Sitgreaves National Forests and the Field Museum of Natural...

  17. 7 CFR Exhibit A to Subpart F of... - National Park Service, U.S. Department of the Interior Regional Offices

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 12 2011-01-01 2011-01-01 false National Park Service, U.S. Department of the.... A Exhibit A to Subpart F of Part 1901—National Park Service, U.S. Department of the Interior... Archeological and Historic Preservation, National Park Service. The three Regional Offices are: San...

  18. 7 CFR Exhibit A to Subpart F of... - National Park Service, U.S. Department of the Interior Regional Offices

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 12 2012-01-01 2012-01-01 false National Park Service, U.S. Department of the.... A Exhibit A to Subpart F of Part 1901—National Park Service, U.S. Department of the Interior... Archeological and Historic Preservation, National Park Service. The three Regional Offices are: San...

  19. 7 CFR Exhibit A to Subpart F of... - National Park Service, U.S. Department of the Interior Regional Offices

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 12 2014-01-01 2013-01-01 true National Park Service, U.S. Department of the Interior... to Subpart F of Part 1901—National Park Service, U.S. Department of the Interior Regional Offices... Historic Preservation, National Park Service. The three Regional Offices are: San Francisco Office:...

  20. 7 CFR Exhibit A to Subpart F of... - National Park Service, U.S. Department of the Interior Regional Offices

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 12 2013-01-01 2013-01-01 false National Park Service, U.S. Department of the.... A Exhibit A to Subpart F of Part 1901—National Park Service, U.S. Department of the Interior... Archeological and Historic Preservation, National Park Service. The three Regional Offices are: San...