Science.gov

Sample records for act accessibility guidelines

  1. 76 FR 77738 - Telecommunications Act Accessibility Guidelines; Electronic and Information Technology...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-14

    ... Accessibility Guidelines; Electronic and Information Technology Accessibility Standards AGENCY: Architectural... Guidelines and its Electronic and Information Technology Accessibility Standards. DATES: The hearings will be... information technology covered by Section 508 of the Rehabilitation Act Amendments of 1998. 76 FR...

  2. 78 FR 67303 - Americans With Disabilities Act (ADA) Accessibility Guidelines for Buildings and Facilities...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-12

    ... From the Federal Register Online via the Government Publishing Office ARCHITECTURAL AND TRANSPORTATION BARRIERS COMPLIANCE BOARD 36 CFR Part 1191 RIN 3014-AA22 Americans With Disabilities Act (ADA) Accessibility Guidelines for Buildings and Facilities; Architectural Barriers Act (ABA) Accessibility...

  3. 77 FR 50068 - Americans With Disabilities Act (ADA) Accessibility Guidelines for Transportation Vehicles

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-20

    ... TRANSPORTATION BARRIERS COMPLIANCE BOARD 36 CFR Part 1192 RIN 3014-AA38 Americans With Disabilities Act (ADA) Accessibility Guidelines for Transportation Vehicles AGENCY: Architectural and Transportation Barriers... Architectural and Transportation Barriers Compliance Board (Access Board) is holding a public...

  4. 78 FR 59475 - Architectural Barriers Act Accessibility Guidelines; Outdoor Developed Areas

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-26

    ...We, the Architectural and Transportation Barriers Compliance Board (Access Board), are issuing a final rule that amends the Architectural Barriers Act Accessibility Guidelines by adding scoping and technical requirements for camping facilities, picnic facilities, viewing areas, trails, and beach access routes constructed or altered by or on behalf of federal agencies. The final rule ensures......

  5. Americans With Disabilities Act (ADA) Accessibility Guidelines for Transportation Vehicles. Final rule.

    PubMed

    2016-12-14

    The Architectural and Transportation Barriers Compliance Board (Access Board or Board) is issuing a final rule that revises its existing accessibility guidelines for non-rail vehicles--namely, buses, over-the-road buses, and vans--acquired or remanufactured by entities covered by the Americans with Disabilities Act. The revised guidelines ensure that such vehicles are readily accessible to, and usable by, individuals with disabilities. The U.S. Department of Transportation (DOT) is required to revise its accessibility standards for transportation vehicles acquired or remanufactured by entities covered by the Americans with Disabilities Act (ADA) to be consistent with the final rule.

  6. Americans with Disabilities Act: Accessibility Guidelines for Buildings and Facilities, Transportation Facilities, Transportation Vehicles.

    ERIC Educational Resources Information Center

    Architectural and Transportation Barriers Compliance Board, Washington, DC.

    Guidelines are presented regarding accessibility to buildings and facilities, transportation facilities, and transportation vehicles by individuals with disabilities, under the Americans with Disabilities Act of 1990. These guidelines are to be applied during building design, construction, and alteration. Part 1 offers detailed facility…

  7. 75 FR 43747 - Americans With Disabilities Act (ADA) Accessibility Guidelines for Transportation Vehicles

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-26

    ...The Architectural and Transportation Barriers Compliance Board (Access Board) is proposing to revise and update its accessibility guidelines for buses, over-the-road buses, and vans. The guidelines ensure that transportation vehicles are readily accessible to and usable by individuals with disabilities. The guidelines apply to the acquisition of new, used, and remanufactured transportation......

  8. 75 FR 54543 - Americans With Disabilities Act (ADA) Accessibility Guidelines for Transportation Vehicles

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-08

    ... accessibility guidelines for buses, over-the-road buses, and vans. DATES: The first public hearing will be held...) in the Federal Register to revise and update its accessibility guidelines for buses, over-the-road buses, and vans. 75 FR 43748 (July 26, 2010). The comment period on the proposed rule ends on...

  9. 75 FR 13457 - Americans With Disabilities Act (ADA) Accessibility Guidelines for Buildings and Facilities...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-22

    ... Accessibility Guidelines; Electronic and Information Technology Accessibility Standards AGENCY: Architectural... Notice of Proposed Rulemaking (ANPRM) to begin the process of updating its standards for electronic and... (voice); 202- 272-0082 (TTY). Electronic mail address: board.gov ">creagan@access-...

  10. 77 FR 56590 - Americans With Disabilities Act (ADA) Accessibility Guidelines for Transportation Vehicles

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-13

    ... 56590-56591] [FR Doc No: 2012-22554] ARCHITECTURAL AND TRANSPORTATION BARRIERS COMPLIANCE BOARD 36 CFR...) Accessibility Guidelines for Transportation Vehicles AGENCY: Architectural and Transportation Barriers... Barriers Compliance Board (Access Board) is holding an information meeting in Seattle, WA on October...

  11. Web Accessibility and Guidelines

    NASA Astrophysics Data System (ADS)

    Harper, Simon; Yesilada, Yeliz

    Access to, and movement around, complex online environments, of which the World Wide Web (Web) is the most popular example, has long been considered an important and major issue in the Web design and usability field. The commonly used slang phrase ‘surfing the Web’ implies rapid and free access, pointing to its importance among designers and users alike. It has also been long established that this potentially complex and difficult access is further complicated, and becomes neither rapid nor free, if the user is disabled. There are millions of people who have disabilities that affect their use of the Web. Web accessibility aims to help these people to perceive, understand, navigate, and interact with, as well as contribute to, the Web, and thereby the society in general. This accessibility is, in part, facilitated by the Web Content Accessibility Guidelines (WCAG) currently moving from version one to two. These guidelines are intended to encourage designers to make sure their sites conform to specifications, and in that conformance enable the assistive technologies of disabled users to better interact with the page content. In this way, it was hoped that accessibility could be supported. While this is in part true, guidelines do not solve all problems and the new WCAG version two guidelines are surrounded by controversy and intrigue. This chapter aims to establish the published literature related to Web accessibility and Web accessibility guidelines, and discuss limitations of the current guidelines and future directions.

  12. 36 CFR 1191.1 - Accessibility guidelines.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    .... 1191.1 Section 1191.1 Parks, Forests, and Public Property ARCHITECTURAL AND TRANSPORTATION BARRIERS...; ARCHITECTURAL BARRIERS ACT (ABA) ACCESSIBILITY GUIDELINES § 1191.1 Accessibility guidelines. (a) The... facilities covered by the Architectural Barriers Act are set forth in Appendices C and D to this part....

  13. 78 FR 38101 - Passenger Vessels Accessibility Guidelines

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-25

    ...We, the Architectural and Transportation Barriers Compliance Board (Access Board), are proposing accessibility guidelines for the construction and alteration of passenger vessels covered by the Americans with Disabilities Act (ADA) to ensure that the vessels are readily accessible to and usable by passengers with disabilities. The guidelines would apply to passenger vessels, other than ferries......

  14. 75 FR 18781 - Americans With Disabilities Act (ADA) Accessibility Guidelines for Buildings and Facilities...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-13

    ... TRANSPORTATION BARRIERS COMPLIANCE BOARD 36 CFR Parts 1191, 1193, and 1194 RIN 3014-AA37 Americans With... and Transportation Barriers Compliance Board. ACTION: Notice of hearing. SUMMARY: The Architectural and Transportation Barriers Compliance Board (Access Board) will hold a public hearing on its...

  15. Removing the Barriers: Accessibility Guidelines and Specifications.

    ERIC Educational Resources Information Center

    Cotler, Stephen R.

    This guide provides guidelines for meeting the accessibility requirements of the Americans with Disabilities (ADA) Act in college and university buildings. The publication is divided into 10 chapters, the first 7 of which present construction drawings, evaluation criteria, and specifications for: (1) site accessibility (external path of travel,…

  16. The Equal Access Act.

    ERIC Educational Resources Information Center

    Catron, J. Gregory

    1987-01-01

    Reviews past history of access of religious activities in public schools in relation to the establishment clause of the First Amendment and sets forth the prerequisites in the Equal Access Act of 1984 for creating a well-defined forum for student-initiated free speech including religious groups in public high schools. (MD)

  17. [Vascular access guidelines for hemodialysis].

    PubMed

    Rodríguez Hernández, J A; González Parra, E; Julián Gutiérrez, J M; Segarra Medrano, A; Almirante, B; Martínez, M T; Arrieta, J; Fernández Rivera, C; Galera, A; Gallego Beuter, J; Górriz, J L; Herrero, J A; López Menchero, R; Ochando, A; Pérez Bañasco, V; Polo, J R; Pueyo, J; Ruiz, Camps I; Segura Iglesias, R

    2005-01-01

    Quality of vascular access (VA) has a remarkable influence in hemodialysis patients outcomes. Dysfunction of VA represents a capital cause of morbi-mortality of these patients as well an increase in economical. Spanish Society of Neprhology, aware of the problem, has decided to carry out a revision of the issue with the aim of providing help in comprehensión and treatment related with VA problems, and achieving an homogenization of practices in three mayor aspects: to increase arteriovenous fistula utilization as first vascular access, to increment vascular access monitoring practice and rationalise central catheters use. We present a consensus document elaborated by a multidisciplinar group composed by nephrologists, vascular surgeons, interventional radiologysts, infectious diseases specialists and nephrological nurses. Along six chapters that cover patient education, creation of VA, care, monitoring, complications and central catheters, we present the state of the art and propose guidelines for the best practice, according different evidence based degrees, with the intention to provide help at the professionals in order to make aproppiate decissions. Several quality standars are also included.

  18. The EEOC's New Equal Pay Act Guidelines.

    ERIC Educational Resources Information Center

    Greenlaw, Paul S.; Kohl, John P.

    1982-01-01

    Analyzes the new guidelines for enforcement of the Equal Pay Act and their implications for personnel management. Argues that there are key problem areas in the new regulations arising from considerable ambiguity and uncertainty about their interpretation. (SK)

  19. 78 FR 49248 - Passenger Vessels Accessibility Guidelines

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-13

    ... TRANSPORTATION BARRIERS COMPLIANCE BOARD 36 CFR Part 1196 RIN 3014-AA11 Passenger Vessels Accessibility Guidelines AGENCY: Architectural and Transportation Barriers Compliance Board. ACTION: Notice of proposed rulemaking; extension of comment period. SUMMARY: The Architectural and Transportation Barriers...

  20. Guidelines for Outsourcing Remote Access.

    ERIC Educational Resources Information Center

    Hassler, Ardoth; Neuman, Michael

    1996-01-01

    Discusses the advantages and disadvantages of outsourcing remote access to campus computer networks and the Internet, focusing on improved service, cost-sharing, partnerships with vendors, supported protocols, bandwidth, scope of access, implementation, support, network security, and pricing. Includes a checklist for a request for proposals on…

  1. 78 FR 39649 - Passenger Vessels Accessibility Guidelines

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-02

    ... From the Federal Register Online via the Government Publishing Office ARCHITECTURAL AND TRANSPORTATION BARRIERS COMPLIANCE BOARD 36 CFR Part 1196 RIN 3014-AA11 Passenger Vessels Accessibility Guidelines Correction In proposed rule document 2013-14367, appearing on pages 38102- 38159 in the issue...

  2. Guidelines for Making Web Content Accessible to All Users

    ERIC Educational Resources Information Center

    Thompson, Terrill; Primlani, Saroj; Fiedor, Lisa

    2009-01-01

    The main goal of accessibility standards and guidelines is to design websites everyone can use. The "IT Accessibility Constituent Group" developed this set of draft guidelines to help EQ authors, reviewers, and staff and the larger EDUCAUSE community ensure that web content is accessible to all users, including those with disabilities. This…

  3. Open access is almost here: navigating through copyright, fair use, and the TEACH Act.

    PubMed

    Lyons, Margaret G

    2010-02-01

    Dealing with the complexities of copyright, fair use, the TEACH Act, and the concept of open access can confuse even the most experienced educator. Online education has added to the dilemma. This article discusses the latest information on copyright issues, current guidelines for interpreting fair use and incorporating the TEACH Act, and recent developments in open access publishing.

  4. 76 FR 17064 - Shared Use Path Accessibility Guidelines

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-28

    ... pedestrians, bicyclists, skaters, equestrians, and other users. The guidelines will include technical... Urban Development, and United States Postal Service are authorized to issue enforceable accessibility... Facilities'' (July 2004) and the ``Guide for the Development of Bicycle Facilities'' (1999)....

  5. Access, Consider, Teach: ACT in Your Classroom

    ERIC Educational Resources Information Center

    Stanford, Pokey; Reeves, Stacy

    2007-01-01

    University teachers who are teacher educators cannot connect to "The Millennial Generation" of today's preservice learners by using chalk and dull outdated textbooks. When university professionals access the technology available, consider the curriculum, and teach with technology (ACT) undergraduate teacher candidates acquire the vision of…

  6. 34 CFR 21.1 - Equal Access to Justice Act.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Equal Access to Justice Act. 21.1 Section 21.1 Education Office of the Secretary, Department of Education EQUAL ACCESS TO JUSTICE General § 21.1 Equal Access to Justice Act. (a) The Equal Access to Justice Act (the Act) provides for the award of fees...

  7. 36 CFR 1191.1 - Accessibility guidelines.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Department of Justice adopted the 2010 ADA Standards for Accessible Design (2010 Standards) as the regulatory.... Complete copies of the 2010 Standards can be obtained from the Department of Justice's ADA Web site...

  8. 24 CFR 200.929a - Fair Housing Accessibility Guidelines.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 2 2012-04-01 2012-04-01 false Fair Housing Accessibility Guidelines. 200.929a Section 200.929a Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR HOUSING-FEDERAL HOUSING COMMISSIONER, DEPARTMENT...

  9. 24 CFR 200.929a - Fair Housing Accessibility Guidelines.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 2 2011-04-01 2011-04-01 false Fair Housing Accessibility Guidelines. 200.929a Section 200.929a Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR HOUSING-FEDERAL HOUSING COMMISSIONER, DEPARTMENT...

  10. 24 CFR 200.929a - Fair Housing Accessibility Guidelines.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 2 2014-04-01 2014-04-01 false Fair Housing Accessibility Guidelines. 200.929a Section 200.929a Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR HOUSING-FEDERAL HOUSING COMMISSIONER, DEPARTMENT...

  11. 24 CFR 200.929a - Fair Housing Accessibility Guidelines.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Fair Housing Accessibility Guidelines. 200.929a Section 200.929a Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) OFFICE OF ASSISTANT SECRETARY FOR HOUSING-FEDERAL HOUSING COMMISSIONER, DEPARTMENT...

  12. 29 CFR 530.414 - Equal Access to Justice Act.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Equal Access to Justice Act. 530.414 Section 530.414 Labor... OF HOMEWORKERS IN CERTAIN INDUSTRIES Administrative Procedures § 530.414 Equal Access to Justice Act. Proceedings under this part are not subject to the provisions of the Equal Access to Justice Act. In...

  13. 29 CFR 8.19 - Equal Access to Justice Act.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Equal Access to Justice Act. 8.19 Section 8.19 Labor Office... SERVICE CONTRACTS General Procedural Matters § 8.19 Equal Access to Justice Act. Proceedings under the... Access to Justice Act (Pub. L. 96-481). Accordingly, in any proceeding conducted pursuant to...

  14. The Equal Access Act: Implications for Secondary School Policies. Public Law No. 98-377, Effective: August 11, 1984.

    ERIC Educational Resources Information Center

    Christian Legal Society, Oak Park, IL.

    These guidelines are intended to inform school administrators about the scope and limitations of the Equal Access Act (Title VIII of Public Law 98-377), which provides equal access to school facilities for students who wish to meet for religious, political, philosophical, or other discourse. First, an overview of the act describes its various…

  15. Access to Public Educational Facilities under the Equal Access Act.

    ERIC Educational Resources Information Center

    Wood, R. Craig; Goldblatt, Steven M.

    1988-01-01

    Discussion centers on the legal bases by which school administrators permit access to public educational facilities by religiously and politically oriented student organizations. It concludes that access should be granted to students whose purposes do not disrupt teaching and learning. (JAM)

  16. Nondiscrimination on the basis of disability by public accommodations and in commercial facilities; Americans With Disabilities Act accessibility guidelines for buildings and facilities--Department of Justice. Final rule: technical amendment.

    PubMed

    1993-04-05

    This document contains technical amendments to the regulations on nondiscrimination on the basis of disability by public accommodations and in commercial facilities, which implement title III of the Americans with Disabilities Act (ADA) and to appendix A to those regulations. This final rule makes some technical corrections to the regulations and amends the regulations to reference an Office and Management and Budget control number in compliance with the Paperwork Reduction Act of 1980, as amended.

  17. Web Content Accessibility Guidelines 2.0: A Further Step towards Accessible Digital Information

    ERIC Educational Resources Information Center

    Ribera, Mireia; Porras, Merce; Boldu, Marc; Termens, Miquel; Sule, Andreu; Paris, Pilar

    2009-01-01

    Purpose: The purpose of this paper is to explain the changes in the Web Content Accessibility Guidelines (WCAG) 2.0 compared with WCAG 1.0 within the context of its historical development. Design/methodology/approach: In order to compare WCAG 2.0 with WCAG 1.0 a diachronic analysis of the evolution of these standards is done. Known authors and…

  18. 48 CFR 47.403 - Guidelines for implementation of the Fly America Act.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... implementation of the Fly America Act. 47.403 Section 47.403 Federal Acquisition Regulations System FEDERAL... Guidelines for implementation of the Fly America Act. This section 47.403 is based on the Guidelines for Implementation of the Fly America Act (case number B-138942), issued by the Comptroller General of the...

  19. 48 CFR 47.403 - Guidelines for implementation of the Fly America Act.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... implementation of the Fly America Act. 47.403 Section 47.403 Federal Acquisition Regulations System FEDERAL... Guidelines for implementation of the Fly America Act. This section 47.403 is based on the Guidelines for Implementation of the Fly America Act (case number B-138942), issued by the Comptroller General of the...

  20. 48 CFR 47.403 - Guidelines for implementation of the Fly America Act.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... implementation of the Fly America Act. 47.403 Section 47.403 Federal Acquisition Regulations System FEDERAL... Guidelines for implementation of the Fly America Act. This section 47.403 is based on the Guidelines for Implementation of the Fly America Act (case number B-138942), issued by the Comptroller General of the...

  1. 48 CFR 47.403 - Guidelines for implementation of the Fly America Act.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... implementation of the Fly America Act. 47.403 Section 47.403 Federal Acquisition Regulations System FEDERAL... Guidelines for implementation of the Fly America Act. This section 47.403 is based on the Guidelines for Implementation of the Fly America Act (case number B-138942), issued by the Comptroller General of the...

  2. 48 CFR 47.403 - Guidelines for implementation of the Fly America Act.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... implementation of the Fly America Act. 47.403 Section 47.403 Federal Acquisition Regulations System FEDERAL... Guidelines for implementation of the Fly America Act. This section 47.403 is based on the Guidelines for Implementation of the Fly America Act (case number B-138942), issued by the Comptroller General of the...

  3. 76 FR 709 - Guidelines for Awarding Clean Water Act Section 319 Base Grants to Indian Tribes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-06

    ... AGENCY 40 CFR Part 35 Guidelines for Awarding Clean Water Act Section 319 Base Grants to Indian Tribes... national guidelines for the award of base grants under the Clean Water Act (CWA) section 319(h) nonpoint... Contents I. General Information II. Background III. Overview of Clean Water Act Section 319 Base Grants...

  4. The Americans with Disabilities Act and Information Technology Access.

    ERIC Educational Resources Information Center

    Mondak, Phyllis

    2000-01-01

    This article reviews legal requirements concerning reasonable accommodation, especially the Americans with Disabilities Act of 1990, and describes various ways in which assistive technology can be used as a reasonable accommodation in employment settings. It offers a case study from the Microsoft corporation and discusses guidelines for the…

  5. Guidelines for Inclusion: Ensuring Access to Education for All

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization (UNESCO), 2005

    2005-01-01

    These guidelines were created by UNESCO to assist countries in making National Plans for Education more inclusive, recognizing that there was a lack of guidelines to assist in this important process. This document thus provides guidelines and concepts for rendering National Education Plans / Education for All (EFA) more inclusive, with the…

  6. How to Develop State Guidelines for Access Assistants: Scribes, Readers, and Sign Language Interpreters

    ERIC Educational Resources Information Center

    Clapper, Ann T.; Morse, Amanda B.; Thurlow, Martha L.; Thompson, Sandra J.

    2006-01-01

    This manual offers states a tool to assist in the development or enhancement of guidelines for access assistants. Whether a state already has guidelines or is just in the process of establishing them, this manual will provide structure to the process and many examples of criteria already included by states. This manual was developed to accompany…

  7. 75 FR 21571 - Marine Mammal Protection Act; Deterrence Guidelines

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-26

    ... proposed rule, we authorize other, more aggressive deterrence activities through separate provisions of the... injury or death of the animals. These guidelines also do not include more aggressive hazing activities... intrinsic to both sound management of the species and human safety, some more aggressive hazing...

  8. Audit Guidelines for 1989-90: Single Audit Act of 1984.

    ERIC Educational Resources Information Center

    South Carolina State Dept. of Education, Columbia.

    Single Audit Act of 1984 was passed to provide guidelines for organizationwide audits of federally funded programs. Explanatory notes for Educational Improvement Act (EIA) summer school accounting are given. Section 1 outlines audit requirements established for state and local governments that receive and administer federal assistance. An…

  9. 12 CFR Appendix B to Part 749 - Catastrophic Act Preparedness Guidelines

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 7 2014-01-01 2014-01-01 false Catastrophic Act Preparedness Guidelines B... program address the following five elements: 1 See 12 CFR 748.1(b) concerning a FICU's reporting of any... addressed in 12 CFR 748.1(b); vi. Training and documentation of training to ensure all employees...

  10. 12 CFR Appendix B to Part 749 - Catastrophic Act Preparedness Guidelines

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 6 2011-01-01 2011-01-01 false Catastrophic Act Preparedness Guidelines B... program address the following five elements: 1 See 12 CFR 748.1(b) concerning a FICU's reporting of any... addressed in 12 CFR 748.1(b); vi. Training and documentation of training to ensure all employees...

  11. 12 CFR Appendix B to Part 749 - Catastrophic Act Preparedness Guidelines

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 7 2013-01-01 2013-01-01 false Catastrophic Act Preparedness Guidelines B... program address the following five elements: 1 See 12 CFR 748.1(b) concerning a FICU's reporting of any... addressed in 12 CFR 748.1(b); vi. Training and documentation of training to ensure all employees...

  12. 12 CFR Appendix B to Part 749 - Catastrophic Act Preparedness Guidelines

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 7 2012-01-01 2012-01-01 false Catastrophic Act Preparedness Guidelines B... program address the following five elements: 1 See 12 CFR 748.1(b) concerning a FICU's reporting of any... addressed in 12 CFR 748.1(b); vi. Training and documentation of training to ensure all employees...

  13. 12 CFR Appendix B to Part 749 - Catastrophic Act Preparedness Guidelines

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Catastrophic Act Preparedness Guidelines B... program address the following five elements: 1 See 12 CFR 748.1(b) concerning a FICU's reporting of any... addressed in 12 CFR 748.1(b); vi. Training and documentation of training to ensure all employees...

  14. Cutting Off Access to Government Information: Loopholes in the Access to Information Act Generated by the Information Highway.

    ERIC Educational Resources Information Center

    Macaulay, Tyson

    1997-01-01

    In Canada, public access to federal government information is ruled by the Access to Information Act. This article explores loopholes in the Act, issues of data format and "tradeable" data (government information with substantial value), that could cause a conflict between its intent and effect. Tradeable data is troublesome because of…

  15. [Guidelines on long-acting injectable atypical antipsychotics for first-episode schizophrenia].

    PubMed

    Azorin, J-M

    2013-09-01

    The current review raises the question of the place of long-acting injectable (LAI) atypical antipsychotics for the treatment of first-episode schizophrenia in current and future guidelines. After exposing the different points of view adopted in the former, the author presents the clinical trials conducted with LAI atypicals in this indication, as well as the surveys related to psychiatrists'opinion regarding the use of these drugs in early schizophrenia. Pros and cons of this therapeutic option are discussed and suggestions are made for further guidelines.

  16. 20 CFR 655.1260 - Can Equal Access to Justice Act attorney fees be awarded?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 3 2014-04-01 2014-04-01 false Can Equal Access to Justice Act attorney fees... enforcement obligations with respect to H-1C Attestations? § 655.1260 Can Equal Access to Justice Act attorney... Justice Act, as amended, 5 U.S.C. 504. In such a proceeding, the administrative law judge shall have...

  17. 20 CFR 655.1260 - Can Equal Access to Justice Act attorney fees be awarded?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Can Equal Access to Justice Act attorney fees... enforcement obligations with respect to H-1C Attestations? § 655.1260 Can Equal Access to Justice Act attorney... Justice Act, as amended, 5 U.S.C. 504. In such a proceeding, the administrative law judge shall have...

  18. Guidelines for compliance with the National Environmental Policy Act and the California Environmental Quality Act

    SciTech Connect

    Kielusiak, C.

    1993-02-01

    The National Environmental Policy Act of 1969 (NEPA) sets forth national policy for the protection of the environment. The NEPA process is intended to help officials of the federal government make decisions that are based on an understanding of environmental consequences, and take actions that protect, restore, and enhance the environment. The California Environmental Quality Act of 1970 (CEQA) is similar to NEPA. The California legislature established CEQA to inform both state and local governmental decision-makers and the public about potential significant environmental effects of proposed activities, to identify ways to avoid or reduce environmental impacts, and to disclose to the public the reasons why a project is approved if significant environmental effects are involved. Lawrence Berkeley Laboratory (LBL), complies with the provisions of both NEPA and CEQA. This document defines the responsibilities and authorities for NEPA/CEQA compliance at LBL.

  19. Inequity in Access to Guideline-Recommended Colorectal Cancer Treatment in Nova Scotia, Canada

    PubMed Central

    Maddison, André R.; Asada, Yukiko; Urquhart, Robin; Johnston, Grace; Burge, Frederick; Porter, Geoff

    2012-01-01

    Cancer continues to be one of the heaviest burdens of disease in Canada, and assessing potential inequities in access to cancer care may serve as a barometer of the health of Canadian health systems. This study tackled three limitations of the current literature by clearly differentiating between inequality and inequity, by assessing inequity in receipt of care and wait times for care, and by taking advantage of inequity indices to enhance comparability of inequities between studies and populations. We measured income-, age-, sex- and distance-related inequities among colorectal cancer (CRC) patients in Nova Scotia by accounting for clinical guidelines and patient need. Results reveal statistically significant inequity in access to chemotherapy and radiotherapy for CRC by age, sex and distance, but not income. This study demonstrates the importance of carefully examining inequity in access to cancer care and highlights one method to report and compare inequities with conceptual clarity. PMID:23968617

  20. 77 FR 36231 - Americans With Disabilities Act (ADA) and Architectural Barriers Act (ABA) Accessibility...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-18

    ... standards for residential facilities are the Uniform Federal Accessibility Standards (UFAS). When HUD... residential facilities covered by the ABA are the Uniform Federal Accessibility Standards (UFAS).\\5\\ HUD...

  1. Improving accessibility of trust guidelines and protocols at the Great Western Hospital, Swindon.

    PubMed

    Robertson, Ian; Smith, Abigail; Tucker, Jennifer; Cilia, Erica; Chen, Kangni; Marion, Rose; Nesbitt, Julian; Ramcharitar, Steve; Cathiavadi Greamspet, Mala

    2014-01-01

    Trust guidelines and policies outline recommendations for the management of common clinical and non-clinical situations, serving to standardise best practice. Prior to this project, there was no consolidated location for these documents. Lack of organisational structure and inadequate search functionality within the trust intranet led to time wasted locating information, acting outside of recognised best practice, and ultimately potentially compromising patient safety. We surveyed 55 junior doctors, 95% of respondents were dependent on guidelines on a daily basis. 20% spending greater than 5 minutes to locate protocols and 38% unable to locate some relevant documents at all. We analysed the time taken for junior doctors to locate six randomly selected protocols. Pre-intervention mean time was 133 seconds (on six occasions doctors were unable to locate the guideline). All trust guidelines and protocols currently available on the intranet were collated, consolidated, and renamed according to content. These were then re-alphabetised and new search terms linked to each document. Existing links were then uploaded and a single web page made available via the trust intranet homepage. The new page was publicised by email, posters and interdepartmental presentations. In our post intervention survey, 97% of respondents were aware of the project and had made use of the page. All protocols were located during re-testing with 90% of those resurveyed stating it was easier to locate protocols. Overall, a reduction in the time and number of clicks required to locate protocols was demonstrated: mean time 16 seconds vs 133 seconds pre-intervention (n=60). 53% of guidelines located in <30s and 86% <2 minutes.

  2. 76 FR 75844 - Accessibility Guidelines for Pedestrian Facilities in the Public Right-of-Way; Reopening of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-05

    ... TRANSPORTATION BARRIERS COMPLIANCE BOARD 36 CFR Part 1190 RIN 3014-AA26 Accessibility Guidelines for Pedestrian... Barriers Compliance Board. ACTION: Notice of proposed rulemaking; reopening of comment period. SUMMARY: The Architectural and Transportation Barriers Compliance Board (Access Board) is reopening until February 2,...

  3. Equal Employment in Postsecondary HPERD. Administrative Guidelines for Compliance with Title VII and the Equal Pay Act.

    ERIC Educational Resources Information Center

    Nursall, John G.

    1989-01-01

    Outlined are key provisions, relevant to education, of Title VII of the Civil Rights Act of 1964 and the Equal Pay Act of 1963. Administrative guidelines to insure compliance are presented, as well as preventive measures that reduce vulnerability to charges of discrimination in hiring, promotion, and compensation. (IAH)

  4. Hepatitis C Virus: A Review of Treatment Guidelines, Cost-effectiveness, and Access to Therapy

    PubMed Central

    Lynch, Shaina M.; Wu, George Y.

    2016-01-01

    Abstract Hepatitis C virus (HCV) infection remains a significant medical concern in the United States and around the world. It is still one of the leading causes of chronic liver disease, and, for more than 20 years, there has been little progress in the treatment of HCV infection. The advent of direct-acting antivirals (DAAs) initiated the era of high efficacy and well-tolerated medications with high cure rates. The efficacy of these medications has prompted many professional societies around the world to update their treatment guidelines to include DAAs as first-line treatment. Guidelines by the American Association for the Study of Liver Disease/Infectious Disease Society of America, World Health Organization, Asian-Pacific Association for the Study of Liver and the European Association for the Study of Liver have all incorporated DAAs into their treatment guidelines. Despite the promising data supporting these medications, however, their cost represents a limiting factor to their use, even though studies have shown DAAs to be cost-effective. In addition to the expense of these medications and limited resources, there are many barriers preventing patients from receiving this potentially life-saving treatment. In order to overcome these barriers, these issues need to be recognized and addressed. PMID:28097100

  5. Accessibility

    EPA Pesticide Factsheets

    Federal laws, including Section 508 of the Rehabilitation Act, mandate that people with disabilities have access to the same information that someone without a disability would have. 508 standards cover electronic and information technology (EIT) products.

  6. 75 FR 60452 - Clean Water Act; Contractor Access to Confidential Business Information

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-30

    ... AGENCY Clean Water Act; Contractor Access to Confidential Business Information AGENCY: Environmental... plans to transfer CBI collected from the steam electric industry to a new subcontractor of a contractor... CWA. Transfer of the information will allow the contractors and subcontractors to access...

  7. Equal Access to All.

    ERIC Educational Resources Information Center

    Schettler, Joel

    2002-01-01

    Discusses the Section 508 amendment to the Rehabilitation Act of 1973 that directs the use of technology. Describes guidelines for online training accessibility with which vendors hoping for government business must fully comply. (JOW)

  8. 28 CFR 50.3 - Guidelines for the enforcement of title VI, Civil Rights Act of 1964.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Guidelines for the enforcement of title... that needed Federal assistance may commence or continue. (b) Primary responsibility for prompt and... letter and spirit of section 602 of the Act and to the implementing regulations promulgated thereunder....

  9. 28 CFR 50.3 - Guidelines for the enforcement of title VI, Civil Rights Act of 1964.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Guidelines for the enforcement of title... that needed Federal assistance may commence or continue. (b) Primary responsibility for prompt and... letter and spirit of section 602 of the Act and to the implementing regulations promulgated thereunder....

  10. 28 CFR 50.3 - Guidelines for the enforcement of title VI, Civil Rights Act of 1964.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Guidelines for the enforcement of title... that needed Federal assistance may commence or continue. (b) Primary responsibility for prompt and... letter and spirit of section 602 of the Act and to the implementing regulations promulgated thereunder....

  11. 28 CFR 50.3 - Guidelines for the enforcement of title VI, Civil Rights Act of 1964.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Guidelines for the enforcement of title... that needed Federal assistance may commence or continue. (b) Primary responsibility for prompt and... letter and spirit of section 602 of the Act and to the implementing regulations promulgated thereunder....

  12. 28 CFR 50.3 - Guidelines for the enforcement of title VI, Civil Rights Act of 1964.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Guidelines for the enforcement of title... that needed Federal assistance may commence or continue. (b) Primary responsibility for prompt and... letter and spirit of section 602 of the Act and to the implementing regulations promulgated thereunder....

  13. 75 FR 70664 - Guidelines Establishing Test Procedures for the Analysis of Pollutants Under the Clean Water Act...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-18

    ... AGENCY 40 CFR Parts 136, 260, 423, 430, and 435 Guidelines Establishing Test Procedures for the Analysis of Pollutants Under the Clean Water Act; Analysis and Sampling Procedures; Extension of Comment... community and laboratories in their selection of analytical methods (test procedures) for use in Clean...

  14. Design Guidelines: Study of Handicapped Accessibility in South Carolina State Parks.

    ERIC Educational Resources Information Center

    South Carolina State Dept. of Parks, Recreation, and Tourism, Columbia. Div. of Engineering and Planning.

    The publication provides guidelines for the design of new facilities or rehabilitation of existing facilities to accommodate physically handicapped persons in the South Carolina State Parks system. The guidelines are also recommended for use in regional, special district, county, and municipal parks within the state. The guidelines were developed…

  15. Guidelines for the use and management of long-acting injectable antipsychotics in serious mental illness

    PubMed Central

    2013-01-01

    Background Long-acting injectable (LAI) formulations are not widely used in routine practice even though they offer advantages in terms of relapse prevention. As part of a process to improve the quality of care, the French Association for Biological Psychiatry and Neuropsychopharmacology (AFPBN) elaborated guidelines for the use and management of antipsychotic depots in clinical practice. Methods Based on a literature review, a written survey was prepared that asked about 539 options in 32 specific clinical situations concerning 3 fields: target-population, prescription and use, and specific populations. We contacted 53 national experts, 42 of whom (79%) completed the survey. The options were scored using a 9-point scale derived from the Rand Corporation and the University of California in the USA. According to the answers, a categorical rank (first-line/preferred choice, second-line/alternate choice, third-line/usually inappropriate) was assigned to each option. The first-line option was defined as a strategy rated as 7–9 (extremely appropriate) by at least 50% of the experts. The following results summarize the key recommendations from the guidelines after data analysis and interpretation of the results of the survey by the scientific committee. Results LAI antipsychotics are indicated in patients with schizophrenia, schizoaffective disorder, delusional disorder and bipolar disorder. LAI second-generation antipsychotics are recommended as maintenance treatment after the first episode of schizophrenia. LAI first-generation antipsychotics are not recommended in the early course of schizophrenia and are not usually appropriate in bipolar disorder. LAI antipsychotics have long been viewed as a treatment that should only be used for a small subgroup of patients with non-compliance, frequent relapses or who pose a risk to others. The panel considers that LAI antipsychotics should be considered and systematically proposed to any patients for whom maintenance

  16. Access To Care And Affordability Have Improved Following Affordable Care Act Implementation; Problems Remain.

    PubMed

    Shartzer, Adele; Long, Sharon K; Anderson, Nathaniel

    2016-01-01

    There is growing evidence that millions of adults have gained insurance coverage under the Affordable Care Act, but less is known about how access to and affordability of care may be changing. This study used data from the Health Reform Monitoring Survey to describe changes in access and affordability for nonelderly adults from September 2013, just prior to the first open enrollment period in the Marketplace, to March 2015, after the end of the second open enrollment period. Overall, we found strong improvements in access to care for all nonelderly adults and across income and state Medicaid expansion groups. We also found improvements in the affordability of care for all adults and for low- and moderate-income adults. Despite this progress, there were still large gaps in access and affordability in March 2015, particularly for low-income adults.

  17. Assessing the impact of the U.S. Endangered Species Act recovery planning guidelines on managing threats for listed species.

    PubMed

    Troyer, Caitlin M; Gerber, Leah R

    2015-10-01

    The Endangered Species Act (ESA) of the United States was enacted in 1973 to prevent the extinction of species. Recovery plans, required by 1988 amendments to the ESA, play an important role in organizing these efforts to protect and recover species. To improve the use of science in the recovery planning process, the Society for Conservation Biology (SCB) commissioned an independent review of endangered species recovery planning in 1999. From these findings, the SCB made key recommendations for how management agencies could improve the recovery planning process, after which the U.S. Fish and Wildlife Service and the National Marine Fisheries Service redrafted their recovery planning guidelines. One important recommendation called for recovery plans to make threats a primary focus, including organizing and prioritizing recovery tasks for threat abatement. We sought to determine the extent to which results from the SCB study were incorporated into these new guidelines and whether the SCB recommendations regarding threats manifested in recovery plans written under the new guidelines. Recovery planning guidelines generally incorporated the SCB recommendations, including those for managing threats. However, although recent recovery plans have improved in their treatment of threats, many fail to adequately incorporate threat monitoring. This failure suggests that developing clear guidelines for monitoring should be an important priority in improving ESA recovery planning.

  18. Facilitating access to laboratory guidelines by modeling their contents and designing a computerized user interface.

    PubMed

    Yasini, Mobin; Duclos, Catherine; Lamy, Jean-Baptiste; Venot, Alain

    2011-01-01

    Laboratory tests are not always prescribed appropriately. Guidelines for some important laboratory tests have been developed by expert panels in the Parisian region to maximize the appropriateness of laboratory medicine. However; these recommendations are not frequently consulted by physicians and nurses. We developed a system facilitating consultation of these guidelines, to increase their usability. Elements of information contained in these documents were identified and included in recommendations of different categories. UML modeling was used to represent these categories and their relationships to each other in the guidelines. We used the generated model to implement a computerized interface. The prototype interface, based on web-based technology was found to be rapid and easy to use. By clicking on provided keywords, information about the subject sought is highlighted whilst retaining the entire text of the guideline on-screen.

  19. Access to fracture risk assessment by FRAX and linked National Osteoporosis Guideline Group (NOGG) guidance in the UK-an analysis of anonymous website activity.

    PubMed

    McCloskey, E V; Johansson, H; Harvey, N C; Compston, J; Kanis, J A

    2017-01-01

    In the UK, fracture risk guidance is provided by the National Osteoporosis Guideline Group (NOGG). NOGG usage showed widespread access through direct web-based linkage to FRAX. The facilitated interaction between fracture risk assessment and clinical guidelines could usefully be adopted in other countries.

  20. 76 FR 76640 - Telecommunications Act Accessibility Guidelines; Electronic and Information Technology...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-08

    ...'' (ICT), recommended by TEITAC to describe electronic and information technology covered by Section 508..., and CPE. The term ICT is widely used in the public sector and by most other countries. The functional performance criteria and technical requirements set forth in the 2010 ANPRM were intended to apply to...

  1. Section 504/ADA: Guidelines for Educators in Kansas. Revised.

    ERIC Educational Resources Information Center

    Miller, Joan; Bieker, Rod; Copenhaver, John

    This document presents the Kansas State Department of Education's guidelines to Section 504 of the Rehabilitation Act and the Americans with Disabilities Act (ADA). The guidelines specifically address Subparts A, B, C, and D of the regulations for Section 504 which deal with general provisions, employment practices, accessibility and education. An…

  2. 76 FR 54110 - Attorney General's Guidelines on Implementation of the Provisions of the Voting Rights Act...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-31

    ... elections in the language of certain ``language minority groups'' in addition to English. The rule reflects... English in the electoral process, was added to the Voting Rights Act in 1975, and was amended and extended... provisions of the Act to use languages in addition to English in the electoral process, was added to...

  3. Developing Guidelines for Evaluating the Adaptation of Accessible Web-Based Learning Materials

    ERIC Educational Resources Information Center

    Radovan, Marko; Perdih, Mojca

    2016-01-01

    E-learning is a rapidly developing form of education. One of the key characteristics of e-learning is flexibility, which enables easier access to knowledge for everyone. Information and communications technology (ICT), which is e-learning's main component, enables alternative means of accessing the web-based learning materials that comprise the…

  4. The politics of universal access: the Massachusetts Health Security Act of 1988.

    PubMed

    Goldberger, S A

    1990-01-01

    This article analyzes the passage of an unprecedented state law, promising every resident access to affordable health insurance. The Massachusetts Health Security Act of 1988 was the product of a set of political and financial pressures that had been developing for nearly a decade. Hospital, insurance, and business interests were unable to reach a new accommodation on hospital payment. This logjam created the opportunity for a policy breakthrough, but did not inherently lend itself to progressive reform. It was consumer activism that forced the traditional powers in health policy to address the interests of the uninsured. By imposing a more public-interest agenda on the process, consumers were able to change the configuration of the stalemate, but could not resolve it. The particular terms of the stalemate, however, made possible a new, more aggressive role for state government in health policy. Unable to satisfy their competing interests within a policy framework that had universal access as a goal, traditionally powerful interest groups found themselves increasingly dependent on the state to broker a new agreement. While the many concessions made to these groups are likely to prove to be the bill's undoing, the unraveling of the agreement will not end the story. The same pressures which led to passage of the Massachusetts law and which are now causing other states to act will continue to exert their effect until a more durable solution is found.

  5. 48 CFR 1552.235-73 - Access to Federal Insecticide, Fungicide, and Rodenticide Act Confidential Business Information...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Insecticide, Fungicide, and Rodenticide Act Confidential Business Information (APR 1996). 1552.235-73 Section... Insecticide, Fungicide, and Rodenticide Act Confidential Business Information (APR 1996). As prescribed in 1535.007(a), insert the following provision: Access to Federal Insecticide, Fungicide, and...

  6. 48 CFR 1552.235-73 - Access to Federal Insecticide, Fungicide, and Rodenticide Act Confidential Business Information...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Insecticide, Fungicide, and Rodenticide Act Confidential Business Information (APR 1996). 1552.235-73 Section... Insecticide, Fungicide, and Rodenticide Act Confidential Business Information (APR 1996). As prescribed in 1535.007(a), insert the following provision: Access to Federal Insecticide, Fungicide, and...

  7. 48 CFR 1552.235-73 - Access to Federal Insecticide, Fungicide, and Rodenticide Act Confidential Business Information...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Insecticide, Fungicide, and Rodenticide Act Confidential Business Information (APR 1996). 1552.235-73 Section... Insecticide, Fungicide, and Rodenticide Act Confidential Business Information (APR 1996). As prescribed in 1535.007(a), insert the following provision: Access to Federal Insecticide, Fungicide, and...

  8. 48 CFR 1552.235-73 - Access to Federal Insecticide, Fungicide, and Rodenticide Act Confidential Business Information...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Insecticide, Fungicide, and Rodenticide Act Confidential Business Information (APR 1996). 1552.235-73 Section... Insecticide, Fungicide, and Rodenticide Act Confidential Business Information (APR 1996). As prescribed in 1535.007(a), insert the following provision: Access to Federal Insecticide, Fungicide, and...

  9. 48 CFR 1552.235-73 - Access to Federal Insecticide, Fungicide, and Rodenticide Act Confidential Business Information...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Insecticide, Fungicide, and Rodenticide Act Confidential Business Information (APR 1996). 1552.235-73 Section... Insecticide, Fungicide, and Rodenticide Act Confidential Business Information (APR 1996). As prescribed in 1535.007(a), insert the following provision: Access to Federal Insecticide, Fungicide, and...

  10. A Working Model for Complying with Accessibility Guidelines for Online Learning

    ERIC Educational Resources Information Center

    Cifuentes, Lauren; Janney, Alexandra; Guerra, Lauran; Weir, Jennifer

    2016-01-01

    We describe our activities that emerged in the context of an Office of Distance Education and Learning Technologies' efforts to systematically and systemically address accessibility for online learning in order to comply with ethical principles, best practices, and laws. The activities include three overarching continuous tasks: strategically…

  11. Access technique and its problems in parenteral nutrition – Guidelines on Parenteral Nutrition, Chapter 9

    PubMed Central

    Jauch, K. W.; Schregel, W.; Stanga, Z.; Bischoff, S. C.; Braß, P.; Hartl, W.; Muehlebach, S.; Pscheidl, E.; Thul, P.; Volk, O.

    2009-01-01

    Catheter type, access technique, and the catheter position should be selected considering to the anticipated duration of PN aiming at the lowest complication risks (infectious and non-infectious). Long-term (>7–10 days) parenteral nutrition (PN) requires central venous access whereas for PN <3 weeks percutaneously inserted catheters and for PN >3 weeks subcutaneous tunnelled catheters or port systems are appropriate. CVC (central venous catheter) should be flushed with isotonic NaCl solution before and after PN application and during CVC occlusions. Strict indications are required for central venous access placement and the catheter should be removed as soon as possible if not required any more. Blood samples should not to be taken from the CVC. If catheter infection is suspected, peripheral blood-culture samples and culture samples from each catheter lumen should be taken simultaneously. Removal of the CVC should be carried out immediately if there are pronounced signs of local infection at the insertion site and/or clinical suspicion of catheter-induced sepsis. In case PN is indicated for a short period (max. 7–10 days), a peripheral venous access can be used if no hyperosmolar solutions (>800 mosm/L) or solutions with a high titration acidity or alkalinity are used. A peripheral venous catheter (PVC) can remain in situ for as long as it is clinically required unless there are signs of inflammation at the insertion site. PMID:20049083

  12. Construction Guidelines and Specifications. Modifying the Existing Campus Building for Accessibility.

    ERIC Educational Resources Information Center

    Cotler, Stephen Richard

    To address problems that the campus faces when attempting to make facility modifications that meet federal handicap accessibility requirements, this guidebook gives guidance on requirements and methods of "retrofitting" that meet the mobility needs of the disabled. Seven chapters discuss modifications to site, entrance, doors, interior…

  13. ESPEN Guidelines on Parenteral Nutrition: central venous catheters (access, care, diagnosis and therapy of complications).

    PubMed

    Pittiruti, Mauro; Hamilton, Helen; Biffi, Roberto; MacFie, John; Pertkiewicz, Marek

    2009-08-01

    When planning parenteral nutrition (PN), the proper choice, insertion, and nursing of the venous access are of paramount importance. In hospitalized patients, PN can be delivered through short-term, non-tunneled central venous catheters, through peripherally inserted central catheters (PICC), or - for limited period of time and with limitation in the osmolarity and composition of the solution - through peripheral venous access devices (short cannulas and midline catheters). Home PN usually requires PICCs or - if planned for an extended or unlimited time - long-term venous access devices (tunneled catheters and totally implantable ports). The most appropriate site for central venous access will take into account many factors, including the patient's conditions and the relative risk of infective and non-infective complications associated with each site. Ultrasound-guided venepuncture is strongly recommended for access to all central veins. For parenteral nutrition, the ideal position of the catheter tip is between the lower third of the superior cava vein and the upper third of the right atrium; this should preferably be checked during the procedure. Catheter-related bloodstream infection is an important and still too common complication of parenteral nutrition. The risk of infection can be reduced by adopting cost-effective, evidence-based interventions such as proper education and specific training of the staff, an adequate hand washing policy, proper choices of the type of device and the site of insertion, use of maximal barrier protection during insertion, use of chlorhexidine as antiseptic prior to insertion and for disinfecting the exit site thereafter, appropriate policies for the dressing of the exit site, routine changes of administration sets, and removal of central lines as soon as they are no longer necessary. Most non-infective complications of central venous access devices can also be prevented by appropriate, standardized protocols for line insertion

  14. Dilated eye examination screening guideline compliance among patients with diabetes without a diabetic retinopathy diagnosis: the role of geographic access

    PubMed Central

    Lee, David J; Kumar, Naresh; Feuer, William J; Chou, Chiu-Fang; Rosa, Potyra R; Schiffman, Joyce C; Morante, Alexis; Aldahan, Adam; Staropoli, Patrick; Fernandez, Cristina A; Tannenbaum, Stacey L; Lam, Byron L

    2014-01-01

    Objective To estimate the prevalence of, and factors associated with, dilated eye examination guideline compliance among patients with diabetes mellitus (DM), but without diabetic retinopathy. Research design and methods Utilizing the computerized billing records database, we identified patients with International Classification of Diseases (ICD)-9 diagnoses of DM, but without any ocular diagnoses. The available medical records of patients in 2007–2008 were reviewed for demographic and ocular information, including visits through 2010 (n=200). Patients were considered guideline compliant if they returned at least every 15 months for screening. Participant street addresses were assigned latitude and longitude coordinates to assess their neighborhood socioeconomic status (using the 2000 US census data), distance to the screening facility, and public transportation access. Patients not compliant, based on the medical record review, were contacted by phone or mail and asked to complete a follow-up survey to determine if screening took place at other locations. Results The overall screening compliance rate was 31%. Patient sociodemographic characteristics, insurance status, and neighborhood socioeconomic measures were not significantly associated with compliance. However, in separate multivariable logistic regression models, those living eight or more miles from the screening facility were significantly less likely to be compliant relative to those living within eight miles (OR=0.36 (95% CI 0.14 to 0.86)), while public transit access quality was positively associated with screening compliance (1.34 (1.07 to 1.68)). Conclusions Less than one-third of patients returned for diabetic retinopathy screening at least every 15 months, with transportation challenges associated with noncompliance. Our results suggest that reducing transportation barriers or utilizing community-based screening strategies may improve compliance. PMID:25452871

  15. Improving Web Accessibility in a University Setting

    ERIC Educational Resources Information Center

    Olive, Geoffrey C.

    2010-01-01

    Improving Web accessibility for disabled users visiting a university's Web site is explored following the World Wide Web Consortium (W3C) guidelines and Section 508 of the Rehabilitation Act rules for Web page designers to ensure accessibility. The literature supports the view that accessibility is sorely lacking, not only in the USA, but also…

  16. Guidelines for Hanford Site implementation of the National Environmental Policy Act

    SciTech Connect

    King, S.E.

    1989-03-01

    The National Environmental Policy Act (NEPA) environmental review process is mandatory for federal agencies. Understanding and complying with NEPA is extremely important to successfully planning and implementing programs at the Hanford Site. This report is intended to help planners and decision makers understand NEPA by describing the NEPA process as it is outlined in NEPA, in regulations, and in guidance information. The requirements and guidance documents that set forth the NEPA process are discussed. Some of the major NEPA concepts and issues are also addressed. This report is intended to be used as a general road map through the maze of NEPA requirements and guidance to ensure that Hanford Site activities are conducted in compliance with NEPA. Enhanced knowledge of the NEPA process is expected to increase the ability of the Hanford Site to work with regulators, interested parties and the public to ensure that the potential environmental impacts of DOE activities are fully considered at the Hanford Site. In addition, an enhanced understanding of NEPA will help project and program managers to integrate NEPA compliance requirements with program planning. 43 refs., 6 figs., 3 tabs.

  17. International Guidelines for Bioequivalence of Locally Acting Orally Inhaled Drug Products: Similarities and Differences.

    PubMed

    Lu, Dongmei; Lee, Sau L; Lionberger, Robert A; Choi, Stephanie; Adams, Wallace; Caramenico, Hoainhon N; Chowdhury, Badrul A; Conner, Dale P; Katial, Rohit; Limb, Susan; Peters, John R; Yu, Lawrence; Seymour, Sally; Li, Bing V

    2015-05-01

    International regulatory agencies have developed recommendations and guidances for bioequivalence approaches of orally inhaled drug products (OIDPs) for local action. The objective of this article is to discuss the similarities and differences among these approaches used by international regulatory authorities when applications of generic and/or subsequent entry locally acting OIDPs are evaluated. We focused on four jurisdictions that currently have published related guidances for generic and/or subsequent entry OIDPs. They are Therapeutic Goods Administration (TGA) in Australia, Health Canada (HC) in Canada, European Medicines Association (EMA) of European Union (EU), and the Food and Drug Administration (FDA) in the United States of America (USA). The comparisons of these bioequivalence (BE) recommendations are based on selection of reference products, formulation and inhaler device comparisons, and in vitro tests and in vivo studies, including pharmacokinetic (PK), pharmacodynamics (PD), and clinical studies. For the in vivo studies, the study design, choices of dose, subject inclusion/ exclusion criteria, study period, study endpoint, and equivalence criteria are elaborated in details. The bioequivalence on multiple-strength products and waiver options are also discussed.

  18. 36 CFR 1193.31 - Accessibility and usability.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 36 Parks, Forests, and Public Property 3 2014-07-01 2014-07-01 false Accessibility and usability... COMPLIANCE BOARD TELECOMMUNICATIONS ACT ACCESSIBILITY GUIDELINES Requirements for Accessibility and Usability § 1193.31 Accessibility and usability. When required by § 1193.21, telecommunications equipment...

  19. 36 CFR 1193.31 - Accessibility and usability.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 36 Parks, Forests, and Public Property 3 2012-07-01 2012-07-01 false Accessibility and usability... COMPLIANCE BOARD TELECOMMUNICATIONS ACT ACCESSIBILITY GUIDELINES Requirements for Accessibility and Usability § 1193.31 Accessibility and usability. When required by § 1193.21, telecommunications equipment...

  20. 36 CFR 1193.31 - Accessibility and usability.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 36 Parks, Forests, and Public Property 3 2013-07-01 2012-07-01 true Accessibility and usability... COMPLIANCE BOARD TELECOMMUNICATIONS ACT ACCESSIBILITY GUIDELINES Requirements for Accessibility and Usability § 1193.31 Accessibility and usability. When required by § 1193.21, telecommunications equipment...

  1. 36 CFR 1193.31 - Accessibility and usability.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 36 Parks, Forests, and Public Property 3 2011-07-01 2011-07-01 false Accessibility and usability... COMPLIANCE BOARD TELECOMMUNICATIONS ACT ACCESSIBILITY GUIDELINES Requirements for Accessibility and Usability § 1193.31 Accessibility and usability. When required by § 1193.21, telecommunications equipment...

  2. 36 CFR 1193.31 - Accessibility and usability.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Accessibility and usability... COMPLIANCE BOARD TELECOMMUNICATIONS ACT ACCESSIBILITY GUIDELINES Requirements for Accessibility and Usability § 1193.31 Accessibility and usability. When required by § 1193.21, telecommunications equipment...

  3. 50 CFR Table 2a to Part 660... - 2014, and Beyond, Specifications of OFL, ABC, ACL, ACT and Fishery Harvest guidelines (weights in...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 50 Wildlife and Fisheries 13 2014-10-01 2014-10-01 false 2014, and Beyond, Specifications of OFL, ABC, ACL, ACT and Fishery Harvest guidelines (weights in metric tons) 2a Table 2a to Part 660, Subpart C Wildlife and Fisheries FISHERY CONSERVATION AND MANAGEMENT, NATIONAL OCEANIC AND...

  4. 50 CFR Table 1a to Part 660... - 2013, Specifications of OFL, ABC, ACL, ACT and Fishery Harvest guidelines (weights in metric tons)

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 50 Wildlife and Fisheries 13 2014-10-01 2014-10-01 false 2013, Specifications of OFL, ABC, ACL, ACT and Fishery Harvest guidelines (weights in metric tons) 1a Table 1a to Part 660, Subpart C Wildlife and Fisheries FISHERY CONSERVATION AND MANAGEMENT, NATIONAL OCEANIC AND ATMOSPHERIC...

  5. Voluntary reporting of greenhouse gases under Section 1605(b) of the Energy Policy Act of 1992: General Guidelines

    SciTech Connect

    Not Available

    1994-10-01

    Because of concerns with the growing threat of global climate change from increasing emissions of greenhouse gases, Congress authorized a voluntary program for the public to report achievements in reducing those gases. This document offers guidance on recording historic and current greenhouse gas emissions, emissions reductions, and carbon sequestration. Under the Energy Policy Act (EPAct) reporters will have the opportunity to highlight specific achievements. If you have taken actions to lessen the greenhouse gas effect, either by decreasing greenhouse gas emissions or by sequestering carbon, the Department of Energy (DOE) encourages you to report your achievements under this program. The program has two related, but distinct parts. First, the program offers you an opportunity to report your annual emissions of greenhouse gases. Second, the program records your specific projects to reduce greenhouse gas emissions and increase carbon sequestration. Although participants in the program are strongly encouraged to submit reports on both, reports on either annual emissions or emissions reductions and carbon sequestration projects will be accepted. These guidelines and the supporting technical documents outline the rationale for the program and approaches to analyzing emissions and emissions reduction projects. Your annual emissions and emissions reductions achievements will be reported.

  6. The use of automated external defibrillators and public access defibrillators in the mountains: official guidelines of the international commission for mountain emergency medicine ICAR-MEDCOM.

    PubMed

    Elsensohn, Fidel; Agazzi, Giancelso; Syme, David; Swangard, Michael; Facchetti, Gianluca; Brugger, Hermann

    2006-01-01

    In this article we propose guidelines for rational use of automated external defibrillators and public access defibrillators in the mountains. In cases of ventricular fibrillation and pulseless ventricular tachycardia, early defibrillation is the most effective therapy. Easy access to mountainous areas permits visitation by persons with high risks for sudden cardiac death, and medical trials show the benefit of exercising in moderate altitude. The introduction of public access defibrillators in popular areas in the mountains may lead to a reduction of fatal outcome of cardiac arrest. Public access defibrillators should be placed with priority in popular ski areas, in busy mountain huts and restaurants, at mass-participation events, and in remote but often-visited locations that do not have medical coverage. Automated external defibrillators should be available to first-responder groups and mountain-rescue teams. It is important that people know how to perform cardiopulmonary resuscitation and how to use public access defibrillators and automated external defibrillators.

  7. Improving Access to Long-Acting Contraceptive Methods and Reducing Unplanned Pregnancy Among Women with Substance Use Disorders

    PubMed Central

    Black, Kirsten I.; Day, Carolyn A.

    2016-01-01

    Much has been written about the consequences of substance use in pregnancy, but there has been far less focus on the prevention of unintended pregnancies in women with substance use disorders (SUDs). We examine the literature on pregnancy incidence for women with SUDs, the clinical and economic benefits of increasing access to long-acting reversible contraceptive (LARC) methods in this population, and the current hurdles to increased access and uptake. High rates of unintended pregnancies and poor physical and psychosocial outcomes among women with SUDs underscore the need for increased access to, and uptake of, LARC methods among these women. A small number of studies that focused on improving access to contraception, especially LARC, via integrated contraception services predominantly provided in drug treatment programs were identified. However, a number of barriers remain, highlighting that much more research is needed in this area. PMID:27199563

  8. Tasmania's Reproductive Health (Access to Terminations) Act 2013: An analysis of conscientious objection to abortion and the "obligation to refer".

    PubMed

    Sifris, Ronli

    2015-06-01

    This article focuses on Tasmania's Reproductive Health (Access to Terminations) Act 2013, which decriminalises abortion in that State. The article first provides an overview of the Tasmanian legislation, comparing it with Victoria's Abortion Law Reform Act 2008. It then provides a more in-depth analysis of a doctor's right to "conscientious objection" and the requirement in both Acts of an "obligation to refer". The article concludes that ultimately, as a democratic society, it is important that both a woman's right to terminate a pregnancy and a doctor's right to freedom of conscience is respected. Where these rights conflict, as is the case when a doctor with a conscientious objection to abortion is confronted with a patient who seeks information about abortion, they must be balanced. The Victorian and Tasmanian Acts represent a considered and reasonable approach to balancing the rights at issue.

  9. The Myth of Free and Barrier-Free Access: India's Right to Education Act--Private Schooling Costs and Household Experiences

    ERIC Educational Resources Information Center

    Srivastava, Prachi; Noronha, Claire

    2016-01-01

    We examine relative household costs and experiences of accessing private and government schooling under India's "Right of Children to Free and Compulsory Education Act, 2009" in the early implementation phase. The Act deems that no child should incur any fee, charges, or expenses in accessing schooling. Private schools are mandated to…

  10. 77 FR 48199 - Privacy Act; System of Records: State-35, Information Access Programs Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-13

    ... user must first be granted access to the Department of State computer system. All employees of the... trails of access from the computer media, thereby permitting regular and ad hoc monitoring of computer usage. RETENTION AND DISPOSAL: Records are retired and destroyed in accordance with published...

  11. The Affordable Care Act's Impacts on Access to Insurance and Health Care for Low-Income Populations.

    PubMed

    Kominski, Gerald F; Nonzee, Narissa J; Sorensen, Andrea

    2017-03-20

    The Patient Protection and Affordable Care Act (ACA) expands access to health insurance in the United States, and, to date, an estimated 20 million previously uninsured individuals have gained coverage. Understanding the law's impact on coverage, access, utilization, and health outcomes, especially among low-income populations, is critical to informing ongoing debates about its effectiveness and implementation. Early findings indicate that there have been significant reductions in the rate of uninsurance among the poor and among those who live in Medicaid expansion states. In addition, the law has been associated with increased health care access, affordability, and use of preventive and outpatient services among low-income populations, though impacts on inpatient utilization and health outcomes have been less conclusive. Although these early findings are generally consistent with past coverage expansions, continued monitoring of these domains is essential to understand the long-term impact of the law for underserved populations.

  12. Student Access: A Resource Guide for Educators. Section 504 of the Rehabilitation Act of 1973.

    ERIC Educational Resources Information Center

    Council of Administrators of Special Education, Inc.

    This collection of information pieces is intended to help school personnel make better decisions regarding compliance with, first, Section 504 of the Rehabilitation Act of 1973 which prohibits discrimination against persons with disabilities and, second, with the Individuals with Disabilities Education Act (IDEA). It is stressed that some students…

  13. The Australasian Hepatology Association consensus guidelines for the provision of adherence support to patients with hepatitis C on direct acting antivirals

    PubMed Central

    Richmond, Jacqueline A; Sheppard-Law, Suzanne; Mason, Susan; Warner, Sherryne L

    2016-01-01

    Background Hepatitis C is a blood-borne virus primarily spread through sharing of drug-injecting equipment. Approximately 150 million people worldwide and 230,000 Australians are living with chronic hepatitis C infection. In March 2016, the Australian government began subsidizing direct acting antivirals (DAAs) for the treatment of hepatitis C, which are highly effective (95% cure rate) and have few side effects. However, there is limited evidence to inform the provision of adherence support to people with hepatitis C on DAAs including the level of medication adherence required to achieve a cure. Methodology In February 2016, a steering committee comprising four authors convened an expert panel consisting of six hepatology nurses, a hepatologist, a pharmacist, a consumer with hepatitis C and treatment experience, and a consumer advocate. The expert panel focused on the following criteria: barriers and enablers to DAA adherence; assessment and monitoring of DAA adherence; components of a patient-centered approach to DAA adherence; patients that may require additional adherence support; and interventions to support DAA adherence. The resultant guidelines underwent three rounds of consultation with the expert panel, Australasian Hepatology Association (AHA) members (n=12), and key stakeholders (n=7) in June 2016. Feedback was considered by the steering committee and incorporated if consensus was achieved. Results Twenty-four guidelines emerged from the evidence synthesis and expert panel discussion. The guidelines focus on the pretreatment assessment and education, assessment of treatment readiness, and monitoring of medication adherence. The guidelines are embedded in a patient-centered approach which highlights that all patients are at risk of nonadherence. The guidelines recommend implementing interventions focused on identifying patients’ memory triggers and hooks; use of nonconfrontational and nonjudgmental language by health professionals; and objectively

  14. 76 FR 21741 - Twenty-First Century Communications and Video Programming Accessibility Act; Announcement of Town...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-18

    ... distribution program, and TRS contributions by VoIP providers, were deemed oral ex parte presentations in the... that the Commission has taken to obtain public feedback as it implements the Act. The Town Hall...

  15. Disappearing Act: Persistence and Attrition of Uniform Resource Locators (URLs) in an Open Access Medical Journal

    ERIC Educational Resources Information Center

    Nagaraja, Aragudige; Joseph, Shine A.; Polen, Hyla H.; Clauson, Kevin A.

    2011-01-01

    Purpose: The aim of this paper is to assess and catalogue the magnitude of URL attrition in a high-impact, open access (OA) general medical journal. Design/methodology/approach: All "Public Library of Science Medicine (PLoS Medicine)" articles for 2005-2007 were evaluated and the following items were assessed: number of entries per issue; type of…

  16. 77 FR 60962 - Clean Water Act; Contractor Access to Confidential Business Information

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-05

    ... EPA and in EPA's confidentiality regulations found at 40 CFR part 2, Subpart B. ERG will adhere to EPA... and dressing; organic chemicals, plastics, and synthetic fibers; pesticide chemicals; petroleum..., 2012. Jeffrey L. Lape, Acting Director, Office of Science and Technology. BILLING CODE 6560-50-P...

  17. A Post-September 11th Balancing Act: Public Access to U.S. Government Information versus Protection of Sensitive Data

    ERIC Educational Resources Information Center

    Herman, E.

    2004-01-01

    The purpose of this paper is to suggest realistic guidelines that balance public access to government information and the need to protect sensitive data. Emphasis is on lessons learned from a 1979 case where the government attempted to prohibit the Progressive Magazine from publishing an article about making a hydrogen bomb and government…

  18. Criminal Provisions of the Clean Air Act Amendments of 1990 and their Interface with the United States Sentencing Guidelines

    DTIC Science & Technology

    1991-09-30

    it appears no other thing to me than a foul and pestilent congregation of vapors." Hamlet , Act II, Scene 229 "We will not turn our backs or look the... Shakespeare Selected Plays 210 (1981). (30) Remarks on Signing the Bill Amending the Clean Air Act, 26 Weekly Comp. Pres. Doc. 1823 (Nov. 15, 1990). (31

  19. 77 FR 29757 - Guidelines Establishing Test Procedures for the Analysis of Pollutants Under the Clean Water Act...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-18

    ... Discharge Elimination System (NPDES) program, issue permits with conditions designed to ensure compliance... Standards and Technology NPDES: National Pollutant Discharge Elimination System QA: Quality Assurance QC... Elimination System (NPDES) permit issued under section 402 of the Act. Section 304(h) of the Act requires...

  20. Information and Communication Technology (ICT) Standards and Guidelines. Final rule.

    PubMed

    2017-01-18

    We, the Architectural and Transportation Barriers Compliance Board (Access Board or Board), are revising and updating, in a single rulemaking, our standards for electronic and information technology developed, procured, maintained, or used by Federal agencies covered by section 508 of the Rehabilitation Act of 1973, as well as our guidelines for telecommunications equipment and customer premises equipment covered by Section 255 of the Communications Act of 1934. The revisions and updates to the section 508-based standards and section 255-based guidelines are intended to ensure that information and communication technology covered by the respective statutes is accessible to and usable by individuals with disabilities.

  1. Levelling the Road Ahead: Guidelines for the Creation of WWW Pages Accessible to Blind and Visually Handicapped Users.

    ERIC Educational Resources Information Center

    Dixon, Judith M.

    1996-01-01

    Suggests guidelines for creating World Wide Web sites that accommodate those using speech or braille aids. Hypertext Markup Language coding should provide (1) one-column format rather than side-by-side columns; (2) stand-alone hyperlinks; (3) "ALT=" attributes for image displays; (4) text alternatives to images or image maps as links or…

  2. Right to health encompasses right to access essential generic medicines: challenging the 2008 Anti-Counterfeit Act in Kenya.

    PubMed

    Maleche, Allan; Day, Emma

    2014-12-11

    To what extent has the right to access generic HIV medication been implemented in Kenya for the 1.6 million people living with HIV? How does this relate to the right to health under international and national law? This paper examines a constitutional challenge brought to the High Court of Kenya in 2009 (the "Anti-Counterfeit Case") against the Anti-Counterfeit Act of 2008, which the petitioners, all of whom were living with HIV, argued would affect their ability to access affordable and generic antiretroviral medication. They argued that this would amount to a violation of their right to life, dignity, and health. This case is particularly interesting because the new Kenyan Constitution came into force in 2010, after the case had been filed, and specifically provided for the right to health for all of Kenya's citizens, as well as giving direct effect to all international laws ratified by the Kenyan government. This paper follows the Anti-Counterfeit Case, which includes amendments filed by the petitioners following the new constitutional changes, the arguments by the different parties in the case, and the inappropriateness of counterfeit laws as measures to control substandard and falsified medicine. The case has resulted in the suspension of significant parts of the Anti-Counterfeit Act that would pose a challenge to parallel importation, and to the court issuing a directive that the sections be amended. The judgment is examined in detail, as are the broader implications of this case for other countries in Eastern Africa.

  3. Web Accessibility of the Higher Education Institute Websites Based on the World Wide Web Consortium and Section 508 of the Rehabilitation Act

    ERIC Educational Resources Information Center

    Alam, Najma H.

    2014-01-01

    The problem observed in this study is the low level of compliance of higher education website accessibility with Section 508 of the Rehabilitation Act of 1973. The literature supports the non-compliance of websites with the federal policy in general. Studies were performed to analyze the accessibility of fifty-four sample web pages using automated…

  4. The Palliative Care Information Act and Access to Palliative Care in Terminally ill Patients: A Retrospective Study

    PubMed Central

    Victoria, Kitty; Patel, Sarita

    2016-01-01

    Background: Studies have shown that over 50% of end-of-life discussions take place for the first time in the hospital and that terminally ill patients often have unrealistic views regarding the possible scope of treatment. The Palliative Care information Act (PCIA) was passed in an attempt to address the lack of access for terminally ill patients to palliative care services. A multi-database systematic review was performed on published studies from 2010 to present, and there were none found measuring the effectiveness of the PCIA. Objectives: We aimed to study the effect of the PCIA on access to palliative care services. Methods: We conducted a retrospective chart review of all terminally ill patients who died at Kingsbrook Jewish Medical Center from January 2010 to August 2013 in relation to passing of the PCIA. Results: Prelaw (prior to the law passing), 12.3% of the terminal patients received palliative care consults, 25% during the transition period (time between passing of law and when it came into effect) and 37.7% postlaw (after coming into effect) (P < 0.001). Conclusions: Legislation can have a significant effect on terminally ill patient's access to palliative care services and can change the culture of a hospital to be more pro-palliative for the appropriate populations. PMID:27803564

  5. Attitudes toward Post-Trial Access to Medical Interventions: A Review of Academic Literature, Legislation, and International Guidelines.

    PubMed

    Cook, Kori; Snyder, Jeremy; Calvert, John

    2016-08-01

    There is currently no international consensus around post-trial obligations toward research participants, community members, and host countries. This literature review investigates arguments and attitudes toward post-trial access. The literature review found that academic discussions focused on the rights of research participants, but offered few practical recommendations for addressing or improving current practices. Similarly, there are few regulations or legislation pertaining to post-trial access. If regulatory changes are necessary, we need to understand the current arguments, legislation, and attitudes towards post-trial access and participants and community members. Given that clinical trials conducted in low-income countries will likely continue, there is an urgent need for consideration of post-trial benefits for participants, communities, and citizens of host countries. While this issue may not be as pressing in countries where participants have access to healthcare and medicines through public schemes, it is particularly important in regions where this may not be available.

  6. United States Access Board

    MedlinePlus

    ... disabilities through leadership in accessible design and the development of accessibility guidelines and standards for the built environment, transportation, communication, medical diagnostic equipment, and information technology. ...

  7. The Health Protection Act, national guidelines for indoor air quality and development of the national indoor air programs in Finland.

    PubMed

    Husman, T M

    1999-06-01

    This article presents the current handling of disease related to moldy buildings in Finland as an example of an integrated health strategy. It describes the role of the Finnish Health Protection Act for indoor environments and how cases of indoor air problems are dealt with by local, regional, and national authorities.

  8. The Health Protection Act, national guidelines for indoor air quality and development of the national indoor air programs in Finland.

    PubMed Central

    Husman, T M

    1999-01-01

    This article presents the current handling of disease related to moldy buildings in Finland as an example of an integrated health strategy. It describes the role of the Finnish Health Protection Act for indoor environments and how cases of indoor air problems are dealt with by local, regional, and national authorities. PMID:10347001

  9. The State of New Mexico Guidelines for Educators and Administrators for Implementing Section 504 of the Rehabilitation Act of 1973

    ERIC Educational Resources Information Center

    New Mexico Public Education Department, 2007

    2007-01-01

    Section 504 is federal civil rights law under the Rehabilitation Act of 1973. It provides protection against discrimination for individuals with disabilities. Students in school settings fall under the protection of Section 504 and prohibits discrimination on the basis of disability from all school programs and activities in both public and…

  10. 75 FR 58023 - Guidelines Establishing Test Procedures for the Analysis of Pollutants Under the Clean Water Act...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-23

    ... certification pursuant to or permit application pursuant to .'' Section 501(a) of the Act authorizes the... 136 identify test procedures that must be used for the analysis of pollutants in all applications and...) permit application requirements. Although this method is directed toward the coal mining industry...

  11. 78 FR 10110 - Accessibility Guidelines for Pedestrian Facilities in the Public Right-of-Way; Shared Use Paths

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-13

    .... Regulatory Analyses In this preamble, ``we,'' ``us,'' and ``our'' refer to the Architectural and...-way or on an exclusive right-of-way with minimal cross flow by motor vehicles. The Washington State... surfaces of 5.2.9 Surface Structure pedestrian access routes and Hard, all-weather pavement...

  12. 78 FR 30828 - Rail Vehicles Access Advisory Committee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-23

    ... TRANSPORTATION BARRIERS COMPLIANCE BOARD 36 CFR Part 1192 RIN 3014-AA40 Rail Vehicles Access Advisory Committee... accessibility guidelines for transportation vehicles that operate on fixed guideway systems (e.g., rapid rail... the Americans with Disabilities Act for transportation vehicles that operate on fixed guideway...

  13. 36 CFR 404.4 - Access to information.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... GUIDELINES FOR COMPLIANCE WITH THE FREEDOM OF INFORMATION ACT § 404.4 Access to information. (a) The American... file a request under the Freedom of Information Act (FOIA) should address their request in writing to..., certified to be true and correct to the best of that person's knowledge and belief, explaining in detail...

  14. 36 CFR 404.4 - Access to information.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... GUIDELINES FOR COMPLIANCE WITH THE FREEDOM OF INFORMATION ACT § 404.4 Access to information. (a) The American... file a request under the Freedom of Information Act (FOIA) should address their request in writing to..., certified to be true and correct to the best of that person's knowledge and belief, explaining in detail...

  15. 36 CFR Appendix B to Part 1191 - Americans With Disabilities Act: Scoping

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Act: Scoping B Appendix B to Part 1191 Parks, Forests, and Public Property ARCHITECTURAL AND... BUILDINGS AND FACILITIES; ARCHITECTURAL BARRIERS ACT (ABA) ACCESSIBILITY GUIDELINES Pt. 1191, App. B Appendix B to Part 1191—Americans With Disabilities Act: Scoping ER23JY04.004 ER23JY04.005...

  16. Medicare IVIG Access Act

    THOMAS, 112th Congress

    Sen. Kerry, John F. [D-MA

    2011-05-12

    05/12/2011 Read twice and referred to the Committee on Finance. (All Actions) Notes: For further action, see H.R.1845, which became Public Law 112-242 on 1/10/2013. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  17. Access to Justice Act

    THOMAS, 111th Congress

    Rep. Moran, James P. [D-VA-8

    2009-03-19

    04/27/2009 Referred to the Subcommittee on Immigration, Citizenship, Refugees, Border Security, and International Law. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  18. ACCESS ADAP Act

    THOMAS, 111th Congress

    Sen. Burr, Richard [R-NC

    2010-12-03

    12/04/2010 Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 672. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  19. Medicare Access and CHIP Reauthorization Act: What do Geriatrics Healthcare Professionals Need to Know About the Quality Payment Program?

    PubMed

    Unroe, Kathleen T; Hollmann, Peter A; Goldstein, Alanna C; Malone, Michael L

    2017-03-17

    Commencing in 2017, the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 will change how Medicare pays health professionals. By enacting MACRA, Congress brought an end to the (un)sustainable growth rate formula while also setting forth a vision for how to transform the U.S. healthcare system so that clinicians deliver higher-quality care with smarter spending by the Centers for Medicare and Medicaid Services (CMS). In October 2016, CMS released the first of what stakeholders anticipate will be a number of (annual) rules related to implementation of MACRA. CMS received extensive input from stakeholders including the American Geriatrics Society. Under the Quality Payment Program, CMS streamlined multiple Medicare value-based payment programs into a new Merit-based Incentive Payment System (MIPS). CMS also outlined how it will provide incentives for participation in Advanced Alternative Payment Models (called APMs). Although Medicare payments to geriatrics health professionals will not be based on the new MIPS formula until 2019, those payments will be based upon performance during a 90-day period in 2017. This article defines geriatrics health professionals as clinicians who care for a predominantly older adult population and who are eligible to bill under the Medicare Physician Fee Schedule. Given the current paucity of eligible APMs, this article will focus on MIPS while providing a brief overview of APMs.

  20. Gaining ground: Americans' health insurance coverage and access to care after the Affordable Care Act's first open enrollment period.

    PubMed

    Collins, Sara R; Rasmussen, Petra W; Doty, Michelle M

    2014-07-01

    A new Commonwealth Fund survey finds that in the wake of the Affordable Care Act's first open enrollment period, significantly fewer working-age adults are uninsured than just before the sign-up period began, and many have used their new coverage to obtain needed care. The uninsured rate for people ages 19 to 64 declined from 20 percent in the July-to-September 2013 period to 15 percent in the April-to-June 2014 period. An estimated 9.5 million fewer adults were uninsured. Young men and women drove a large part of the decline: the uninsured rate for 19-to-34-year-olds declined from 28 percent to 18 percent, with an estimated 5.7 million fewer young adults uninsured. By June, 60 percent of adults with new coverage through the marketplaces or Medicaid reported they had visited a doctor or hospital or filled a prescription; of these, 62 percent said they could not have accessed or afforded this care previously.

  1. Book review: Inside the Equal Access to Justice Act: Environmental litigation and the crippling battle over America's lands, endangered species, and critical habitats

    USGS Publications Warehouse

    Organ, John F.

    2016-01-01

    Review info:  Inside the equal access to justice act: Environmental litigation and the crippling battle over America's lands, endangered species, and critical habitats. By Lowell E. Baier, 2016. ISBN: 978-1442257443, 678 pp.

  2. Direct and Equitable Access: Collaborative Opportunities under the National Literacy Act. Report of a Workshop (Washington, D.C., March 1992).

    ERIC Educational Resources Information Center

    Alamprese, Judy; Koloski, Judy

    This report summarizes the findings of a workshop convened to examine the implications of the "direct and equitable access" provision of the National Literacy Act (1991). For its successful implementation, this provision requires a willingness by state adult education offices, national and state literacy organizations, and other…

  3. Guidelines for OPAC Displays.

    ERIC Educational Resources Information Center

    Yee, Martha M.

    This paper describes the IFLA (International Federation of Library Associations and Institutions) guidelines for librarians charged with customizing OPAC (online public access catalog) software and vendors and producers of this software. The guidelines are intended to apply to all types of catalog, including World Wide Web-based catalogs, GUI…

  4. 76 FR 4838 - Implementation of the Twenty-First Century Communications and Video Accessibility Act of 2010...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-27

    ... goal of this NDBEDP is to make telecommunications service, Internet access service, and advanced... appropriate for the NDBEDP, such as access to telecommunications or Internet service. The Commission has... specialized CPE needed to make telecommunications services, Internet access service or advanced...

  5. 47 CFR 51.321 - Methods of obtaining interconnection and access to unbundled elements under section 251 of the Act.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... of Incumbent Local Exchange Carriers § 51.321 Methods of obtaining interconnection and access to... or access to unbundled network elements at a particular point upon a request by a telecommunications carrier. (b) Technically feasible methods of obtaining interconnection or access to unbundled...

  6. Strengthening Postabortion Family Planning Services in Ethiopia: Expanding Contraceptive Choice and Improving Access to Long-Acting Reversible Contraception.

    PubMed

    Samuel, Melaku; Fetters, Tamara; Desta, Demeke

    2016-08-11

    Where unmet need for the safest, most effective, and long-acting reversible contraceptives (LARCs) is very high, the health system and partners need to implement problem-solving, locally feasible, and comprehensive family planning delivery strategies. Because young and unmarried women are most at risk for unintended pregnancy and repeat abortion due to poor access to contraceptive services, postabortion family planning (PAFP) is a key component in such strategies. In Southern Nations, Nationalities, and People's Region, Ethiopia, Ipas implemented health system strengthening efforts from fiscal year (FY) 2010 (July 2009 to June 2010) to FY 2014 (July 2013 to June 2014) to improve the quality of PAFP services and expand method choice in 101 public facilities. The intervention significantly improved PAFP uptake at the project sites. Specifically, the proportion of abortion clients receiving LARCs progressively improved during the intervention period. The proportion of abortion clients who left the facilities with a contraceptive method increased from 58% in FY 2010 to 83% in FY 2014. The share of method mix for LARCs rose from 2% in FY 2010 to 55% in FY 2014, while the share for condoms, injectables, and oral contraceptives declined from 98% to 45%. Implant use rose from 2% in FY 2010 to 43% in FY 2014, while the use of intrauterine devices increased from 0.1% in FY 2010 to 12% in FY 2014. A larger proportion of PAFP users received LARCs at health centers, where midwives and nurses are the primary providers, than at hospitals (59% versus 37%, respectively). A broader method mix can satisfy clients with a variety of needs, a key factor for higher uptake of more effective methods and program success. Further evidence-based interventions need to be implemented to improve the quality of PAFP in a feasible and replicable strategy that addresses unmet need for modern contraceptive methods.

  7. Strengthening Postabortion Family Planning Services in Ethiopia: Expanding Contraceptive Choice and Improving Access to Long-Acting Reversible Contraception

    PubMed Central

    Samuel, Melaku; Fetters, Tamara; Desta, Demeke

    2016-01-01

    ABSTRACT Where unmet need for the safest, most effective, and long-acting reversible contraceptives (LARCs) is very high, the health system and partners need to implement problem-solving, locally feasible, and comprehensive family planning delivery strategies. Because young and unmarried women are most at risk for unintended pregnancy and repeat abortion due to poor access to contraceptive services, postabortion family planning (PAFP) is a key component in such strategies. In Southern Nations, Nationalities, and People’s Region, Ethiopia, Ipas implemented health system strengthening efforts from fiscal year (FY) 2010 (July 2009 to June 2010) to FY 2014 (July 2013 to June 2014) to improve the quality of PAFP services and expand method choice in 101 public facilities. The intervention significantly improved PAFP uptake at the project sites. Specifically, the proportion of abortion clients receiving LARCs progressively improved during the intervention period. The proportion of abortion clients who left the facilities with a contraceptive method increased from 58% in FY 2010 to 83% in FY 2014. The share of method mix for LARCs rose from 2% in FY 2010 to 55% in FY 2014, while the share for condoms, injectables, and oral contraceptives declined from 98% to 45%. Implant use rose from 2% in FY 2010 to 43% in FY 2014, while the use of intrauterine devices increased from 0.1% in FY 2010 to 12% in FY 2014. A larger proportion of PAFP users received LARCs at health centers, where midwives and nurses are the primary providers, than at hospitals (59% versus 37%, respectively). A broader method mix can satisfy clients with a variety of needs, a key factor for higher uptake of more effective methods and program success. Further evidence-based interventions need to be implemented to improve the quality of PAFP in a feasible and replicable strategy that addresses unmet need for modern contraceptive methods. PMID:27540126

  8. Guidelines for prevention in psychology.

    PubMed

    2014-04-01

    The effectiveness of prevention to enhance human functioning and reduce psychological distress has been demonstrated. From infancy through adulthood, access to preventive services and interventions is important to improve the quality of life and human functioning and reduce illness and premature death. The importance of prevention is consistent with the Patient Protection and Affordable Care Act of 2010. Even with the increased focus on prevention, psychology training programs rarely require specific courses on prevention. In particular, conceptualizations about best practices in prevention, particularly at the environmental level, are lacking. Therefore, psychologists engaged in prevention can benefit from a set of guidelines that address and inform prevention practices. Accordingly, the Guidelines for Prevention in Psychology are intended to "inform psychologists, the public, and other interested parties regarding desirable professional practices" in prevention. The Prevention Guidelines are recommended based on their potential benefits to the public and the professional practice of psychology. They support prevention as an important area of practice, research, and training for psychologists. The Guidelines give increased attention to prevention within APA, encouraging psychologists to become involved with preventive activities relevant to their area of practice. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

  9. 36 CFR Appendix C to Part 1191 - Architectural Barriers Act: Scoping

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Architectural Barriers Act: Scoping C Appendix C to Part 1191 Parks, Forests, and Public Property ARCHITECTURAL AND TRANSPORTATION... FACILITIES; ARCHITECTURAL BARRIERS ACT (ABA) ACCESSIBILITY GUIDELINES Pt. 1191, App. C Appendix C to...

  10. 36 CFR Appendix B to Part 1191 - Americans With Disabilities Act: Scoping

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 36 Parks, Forests, and Public Property 3 2011-07-01 2011-07-01 false Americans With Disabilities... TRANSPORTATION BARRIERS COMPLIANCE BOARD AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY GUIDELINES FOR... Appendix B to Part 1191—Americans With Disabilities Act: Scoping ER23JY04.004 ER23JY04.005...

  11. 36 CFR Appendix B to Part 1191 - Americans With Disabilities Act: Scoping

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 36 Parks, Forests, and Public Property 3 2013-07-01 2012-07-01 true Americans With Disabilities... TRANSPORTATION BARRIERS COMPLIANCE BOARD AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY GUIDELINES FOR... Appendix B to Part 1191—Americans With Disabilities Act: Scoping ER23JY04.004 ER23JY04.005...

  12. 36 CFR Appendix B to Part 1191 - Americans With Disabilities Act: Scoping

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 36 Parks, Forests, and Public Property 3 2012-07-01 2012-07-01 false Americans With Disabilities... TRANSPORTATION BARRIERS COMPLIANCE BOARD AMERICANS WITH DISABILITIES ACT (ADA) ACCESSIBILITY GUIDELINES FOR... Appendix B to Part 1191—Americans With Disabilities Act: Scoping ER23JY04.004 ER23JY04.005...

  13. 36 CFR Appendix C to Part 1191 - Architectural Barriers Act: Scoping

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 36 Parks, Forests, and Public Property 3 2012-07-01 2012-07-01 false Architectural Barriers Act: Scoping C Appendix C to Part 1191 Parks, Forests, and Public Property ARCHITECTURAL AND TRANSPORTATION... FACILITIES; ARCHITECTURAL BARRIERS ACT (ABA) ACCESSIBILITY GUIDELINES Pt. 1191, App. C Appendix C to...

  14. World Wide Access: Accessible Web Design.

    ERIC Educational Resources Information Center

    Washington Univ., Seattle.

    This brief paper considers the application of "universal design" principles to Web page design in order to increase accessibility for people with disabilities. Suggestions are based on the World Wide Web Consortium's accessibility initiative, which has proposed guidelines for all Web authors and federal government standards. Seven guidelines for…

  15. Web Accessibility and Accessibility Instruction

    ERIC Educational Resources Information Center

    Green, Ravonne A.; Huprich, Julia

    2009-01-01

    Section 508 of the Americans with Disabilities Act (ADA) mandates that programs and services be accessible to people with disabilities. While schools of library and information science (SLIS*) and university libraries should model accessible Web sites, this may not be the case. This article examines previous studies about the Web accessibility of…

  16. Americans' Experiences with ACA Marketplace and Medicaid Coverage: Access to Care and Satisfaction: Findings from the Commonwealth Fund Affordable Care Act Tracking Survey, February–April 2016.

    PubMed

    Collins, Sara R; Gunja, Munira; Doty, Michelle M; Beutel, Sophie

    2016-05-01

    The fourth wave of the Commonwealth Fund Affordable Care Act Tracking Survey, February--April 2016, finds at the close of the third open enrollment period that the working-age adult uninsured rate stands at 12.7 percent, statistically unchanged from 2015 but significantly lower than 2014 and 2013. Uninsured rates in the past three years have fallen most steeply for low-income adults though remain higher compared to wealthier adults. ACA marketplace and Medicaid coverage is helping to end long bouts without insurance, bridge gaps when employer insurance is lost, and improve access to health care. Sixty-one percent of enrollees who had used their insurance to get care said they would not have been able to afford or access it prior to enrolling. Doctor availability and appointment wait times are similar to those reported by insured Americans overall. Majorities with marketplace or Medicaid coverage continue to be satisfied with their insurance.

  17. Privacy Impact Assessment for the Confidential Business Information Records Access System for the Toxic Control Substances Act

    EPA Pesticide Factsheets

    This system collects submission data from the Toxic Substances Control Act (TSCA) and contact information for EPA contractors and employees who are CBI cleared. Learn how this data is collected, how it will be used, and the purpose of data collection.

  18. American Psychiatric Association: Position Statement on Firearm Access, Acts of Violence and the Relationship to Mental Illness and Mental Health Services.

    PubMed

    Pinals, Debra A; Appelbaum, Paul S; Bonnie, Richard; Fisher, Carl E; Gold, Liza H; Lee, Li-Wen

    2015-06-01

    The American Psychiatric Association, ("APA"), with more than 36,000 members at present, is the Nation's leading organization of physicians who specialize in psychiatry. APA provides for education and advocacy and develops policy through Position Statements. It promotes enhanced knowledge of particular topics relevant to psychiatric practice and patient care through Resource Documents. Since 1993, the APA has developed various positions and resource materials related to firearms and mental illness, incorporating evolving themes as new issues emerge. This paper reflects the APA's 2014 Position Statement on Firearm Access, Acts of Violence and the Relationship to Mental Illness and Mental Health Services.

  19. Equal Access.

    ERIC Educational Resources Information Center

    De Patta, Joe

    2003-01-01

    Presents an interview with Stephen McCarthy, co-partner and president of Equal Access ADA Consulting Architects of San Diego, California, about designing schools to naturally integrate compliance with the Americans with Disabilities Act (ADA). (EV)

  20. Public Access to Federally Funded Research Data: How New Freedom of Information Act Requirements Affect Academic Researchers

    NASA Astrophysics Data System (ADS)

    Sheridan, Mary Ellen

    2000-03-01

    In October, 1999, the U.S. Office of Management & Budget (OMB) published the final rules governing public access to certain research data. While many scientists and university administrators continue to believe that FOIA is not the right vehicle for public accountability of the scientific process, the final administrative rules are significantly more focused than the broad statutory language passed by Congress in 1998. The evolutionary process of this critical refinement will be reviewed as an excellent model for balancing the public’s interest with the protection of premature, confidential and other vulnerable research data. Scientists should be familiar with key parameters of the public’s new FOIA rights, including the specific definition of “research data”, the circumstances under which such data must be “used by the Federal government” for the new regulations to pertain, and the exemptions that protect certain data from public release.

  1. Improving financial access to health care in the Kisantu district in the Democratic Republic of Congo: acting upon complexity.

    PubMed

    Stasse, Stéphanie; Vita, Dany; Kimfuta, Jacques; da Silveira, Valèria Campos; Bossyns, Paul; Criel, Bart

    2015-01-01

    Background Comzmercialization of health care has contributed to widen inequities between the rich and the poor, especially in settings with suboptimal regulatory frameworks of the health sector. Poorly regulated fee-for-service payment systems generate inequity and initiate a vicious circle in which access to quality health care gradually deteriorates. Although the abolition of user fees is high on the international health policy agenda, the sudden removal of user fees may have disrupting effects on the health system and may not be affordable or sustainable in resource-constrained countries, such as the Democratic Republic of Congo. Methods and Results Between 2008 and 2011, the Belgian development aid agency (BTC) launched a set of reforms in the Kisantu district, in the province of Bas Congo, through an action-research process deemed appropriate for the implementation of change within open complex systems such as the Kisantu local health system. Moreover, the entire process contributed to strengthen the stewardship capacity of the Kisantu district management team. The reforms mainly comprised the rationalization of resources and the regulation of health services financing. Flat fees per episode of disease were introduced as an alternative to fee-for-service payments by patients. A financial subsidy from BTC allowed to reduce the height of the flat fees. The provision of the subsidy was made conditional upon a range of measures to rationalize the use of resources. Conclusions The results in terms of enhancing people access to quality health care were immediate and substantial. The Kisantu experience demonstrates that a systems approach is essential in addressing complex problems. It provides useful lessons for other districts in the country.

  2. The Affordable Care Act's preventive services mandate: breaking down the barriers to nationwide access to preventive services.

    PubMed

    Cogan, John Aloysius

    2011-01-01

    The Affordable Care Act (ACA) transforms the U.S.'s public and private health care financing systems into vehicles for promoting public health by making evidence-based preventive services available nationwide through individual and group health plans, Medicare, and Medicaid. The ACA accomplishes this transformation by breaking down two barriers: (1) the public health-health care divide, which led to a dominance of curative medicine over preventive health measures and (2) ERISA preemption, which created an obstacle to the provision of a uniform set of evidence-based preventive services that could be made available to the U.S. population through individual and group health plans. As a result, prevention measures with proven effectiveness will now be provided on a national and uniform basis to a majority of Americans, with the potential to improve health outcomes and reduce costs.

  3. Access to Artemisinin-Combination Therapy (ACT) and other Anti-Malarials: National Policy and Markets in Sierra Leone

    PubMed Central

    Amuasi, John H.; Diap, Graciela; Nguah, Samuel Blay; Karikari, Patrick; Boakye, Isaac; Jambai, Amara; Lahai, Wani Kumba; Louie, Karly S.; Kiechel, Jean-Rene

    2012-01-01

    Malaria remains the leading burden of disease in post-conflict Sierra Leone. To overcome the challenge of anti-malarial drug resistance and improve effective treatment, Sierra Leone adopted artemisinin-combination therapy artesunate-amodiaquine (AS+AQ) as first-line treatment for uncomplicated P. falciparum malaria. Other national policy anti-malarials include artemether-lumefantrine (AL) as an alternative to AS+AQ, quinine and artemether for treatment of complicated malaria; and sulphadoxine-pyrimethamine (SP) for intermittent preventive treatment (IPTp). This study was conducted to evaluate access to national policy recommended anti-malarials. A cross-sectional survey of 127 medicine outlets (public, private and NGO) was conducted in urban and rural areas. The availability on the day of the survey, median prices, and affordability policy and available non-policy anti-malarials were calculated. Anti-malarials were stocked in 79% of all outlets surveyed. AS+AQ was widely available in public medicine outlets; AL was only available in the private and NGO sectors. Quinine was available in nearly two-thirds of public and NGO outlets and over one-third of private outlets. SP was widely available in all outlets. Non-policy anti-malarials were predominantly available in the private outlets. AS+AQ in the public sector was widely offered for free. Among the anti-malarials sold at a cost, the same median price of a course of AS+AQ (US$1.56), quinine tablets (US$0.63), were found in both the public and private sectors. Quinine injection had a median cost of US$0.31 in the public sector and US$0.47 in the private sector, while SP had a median cost of US$0.31 in the public sector compared to US$ 0.63 in the private sector. Non-policy anti-malarials were more affordable than first-line AS+AQ in all sectors. A course of AS+AQ was affordable at nearly two days’ worth of wages in both the public and private sectors. PMID:23133522

  4. The Affordable Care Act and the Burden of High Cost Sharing and Utilization Management Restrictions on Access to HIV Medications for People Living with HIV/AIDS.

    PubMed

    Zamani-Hank, Yasamean

    2016-08-01

    The HIV/AIDS epidemic continues to be a critical public health issue in the United States, where an estimated 1.2 million individuals live with HIV infection. Viral suppression is one of the primary public health goals for People Living with HIV/AIDS (PLWHA). A crucial component of this goal involves adequate access to health care, specifically anti-retroviral HIV medications. The enactment of the Affordable Care Act (ACA) in 2010 raised hopes for millions of PLWHA without access to health care coverage. High cost-sharing requirements enacted by health plans place a financial burden on PLWHA who need ongoing access to these life-saving medications. Plighted with poverty, Detroit, Michigan, is a center of attention for examining the financial burden of HIV medications on PLWHA under the new health plans. From November 2014 to January 2015, monthly out-of-pocket costs and medication utilization requirements for 31 HIV medications were examined for the top 12 insurance carriers offering Qualified Health Plans on Michigan's Health Insurance Marketplace Exchange. The percentage of medications requiring quantity limits and prior authorization were calculated. The average monthly out-of-pocket cost per person ranged from $12 to $667 per medication. Three insurance carriers placed all 31 HIV medications on the highest cost-sharing tier, charging 50% coinsurance. High out-of-pocket costs and medication utilization restrictions discourage PLWHA from enrolling in health plans and threaten interrupted medication adherence, drug resistance, and increased risk of viral transmission. Health plans inflicting high costs and medication restrictions violate provisions of the ACA and undermine health care quality for PLWHA. (Population Health Management 2016;19:272-278).

  5. 50 CFR Table 1a to Part 660... - 2011, Specifications of OFL, ABC, ACL, ACT and Fishery Harvest guidelines (weights in metric tons)

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... for the Pacific Coast treaty Indian Tribes, projected research catch, deductions for fishing mortality...) and research catch (5 mt), resulting in a fishery HG of 2,059 mt. c/ Lingcod south (California). A new... deducted for the incidental open access fishery and research catch, resulting in a fishery HG of 220,995...

  6. 50 CFR Table 1a to Part 660... - 2011, Specifications of OFL, ABC, ACL, ACT and Fishery Harvest guidelines (weights in metric tons)

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... for the Pacific Coast treaty Indian Tribes, projected research catch, deductions for fishing mortality...) and research catch (5 mt), resulting in a fishery HG of 2,059 mt. c/ Lingcod south (California). A new... deducted for the incidental open access fishery and research catch, resulting in a fishery HG of 220,995...

  7. [Guideline to prevent claims due to medical malpractice, on how to act when they do occur and how to defend oneself through the courts].

    PubMed

    Bruguera, M; Arimany, J; Bruguera, R; Barberia, E; Ferrer, F; Sala, J; Pujol Robinat, A; Medallo Muñiz, J

    2012-04-01

    Claims due to presumed medical malpractice are increasing in all developed countries and many of them have no basis. To prevent legal complaints, the physicians should know the reasons why complaints are made by their patients and adopt the adequate preventive measures. In the case of a complaint, it is essential to follow the guidelines that allow for adequate legal defense and the action of the physician before the judge that inspires confidence and credibility. The risk of the claims can be reduced with adequate information to the patient, the following of the clinical guidelines, control of the risk factors and adoption of verification lists in each invasive procedure. In case of complication or serious adverse effect, explanations should be given to the patient and family and it should be reported to the facility where one works and to the insurance company. If the physician received a claim, he/she should report it to the insurance compare so that it can name a lawyer responsible for the legal defense who will advise the physician regarding the appearance in court before the judge.

  8. Standard Compliance: Guidelines to Help State and Alternative Fuel Provider Fleets Meet Their Energy Policy Act Requirements, 10 CFR Part 490 (Book)

    SciTech Connect

    Not Available

    2012-04-01

    This guidebook addresses the primary requirements of the Alternative Fuel Transportation Program to help state and alternative fuel provider fleets comply with the Energy Policy Act via the Standard Compliance option. It also addresses the topics that covered fleets ask about most frequently.

  9. Standard Compliance: Guidelines to Help State and Alternative Fuel Provider Fleets Meet Their Energy Policy Act Requirements, 10 CFR Part 490 (Book)

    SciTech Connect

    Not Available

    2014-03-01

    This guidebook addresses the primary requirements of the Alternative Fuel Transportation Program to help state and alternative fuel provider fleets comply with the Energy Policy Act via the Standard Compliance option. It also addresses the topics that covered fleets ask about most frequently.

  10. 50 CFR Table 2a to Part 660... - 2012, and beyond, Specifications of OFL, ABC, ACL, ACT and Fishery Harvest guidelines (weights in...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... ACL of ACT any allocation for the Pacific Coast treaty Indian Tribes, projected research catch... fishery (16 mt) and research catch (5 mt), resulting in a fishery HG of 1,880 mt. c/ Lingcod south...) and research catch (2 mt), resulting in a fishery HG of 1,224 mt. h/ Cabezon (Oregon). A new...

  11. Impact of genetic drift on developing access and benefit sharing guidelines under the Nagoya Protocol: The case of Meishan pigs imported into the US

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The Convention on Biological Diversity developed the Nagoya Protocol (NP) on access and benefit sharing (ABS) for international exchange of genetic resources across life forms. Concerns are NP will be cumbersome, stifle research, and not accommodate diverse life forms, such as livestock. NP was deve...

  12. 32 CFR 231.11 - Guidelines.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... for Application of the Privacy Act to Financial Institution Operations § 231.11 Guidelines. (a) The... et seq. (i) These financial institutions do not fit the definition of “agency” to which the Privacy... agency function. According to the Office of Management and Budget Privacy Act Guidelines, the...

  13. Protecting Access to Healthcare Act

    THOMAS, 112th Congress

    Rep. Gingrey, Phil [R-GA-11

    2011-01-24

    04/16/2012 Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 353. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

  14. Maple Tapping Access Program Act

    THOMAS, 111th Congress

    Rep. McHugh, John M. [R-NY-23

    2009-03-09

    04/23/2009 Referred to the Subcommittee on Department Operations, Oversight, Nutrition and Forestry. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  15. Maple Tapping Access Program Act

    THOMAS, 113th Congress

    Rep. Welch, Peter [D-VT-At Large

    2013-03-19

    04/02/2013 Referred to the Subcommittee on Horticulture, Research, Biotechnology, and Foreign Agriculture. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  16. Access to Postal Services Act

    THOMAS, 111th Congress

    Rep. Sires, Albio [D-NJ-13

    2009-01-22

    02/24/2009 Referred to the Subcommittee on Federal Workforce, Post Office, and the District of Columbia. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  17. Rural Early Education Access Act

    THOMAS, 111th Congress

    Rep. Hare, Phil [D-IL-17

    2009-03-26

    05/14/2009 Referred to the Subcommittee on Early Childhood, Elementary, and Secondary Education. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  18. Backcountry Landing Strip Access Act

    THOMAS, 111th Congress

    Rep. Minnick, Walter [D-ID-1

    2009-04-22

    06/22/2010 Referred to the Subcommittee on Department Operations, Oversight, Nutrition and Forestry. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  19. Community College Technology Access Act

    THOMAS, 111th Congress

    Rep. Larson, John B. [D-CT-1

    2009-04-23

    05/21/2009 Referred to the Subcommittee on Higher Education, Lifelong Learning, and Competitiveness. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  20. Accessible Transportation for All Act

    THOMAS, 113th Congress

    Sen. Harkin, Tom [D-IA

    2014-09-18

    09/18/2014 Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S5790-5792) (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  1. Access to Complete Education Act

    THOMAS, 112th Congress

    Rep. Woolsey, Lynn C. [D-CA-6

    2011-04-13

    05/20/2011 Referred to the Subcommittee on Early Childhood, Elementary, and Secondary Education. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  2. Access to Complete Education Act

    THOMAS, 113th Congress

    Rep. Takano, Mark [D-CA-41

    2013-07-31

    09/13/2013 Referred to the Subcommittee on Early Childhood, Elementary, and Secondary Education. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  3. Rattlesnake Mountain Public Access Act

    THOMAS, 113th Congress

    Rep. Hastings, Doc [R-WA-4

    2013-03-14

    06/12/2013 Received in the Senate and Read twice and referred to the Committee on Energy and Natural Resources. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

  4. Y Mountain Access Enhancement Act

    THOMAS, 112th Congress

    Rep. Chaffetz, Jason [R-UT-3

    2012-04-24

    07/24/2012 Received in the Senate and Read twice and referred to the Committee on Energy and Natural Resources. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

  5. Y Mountain Access Enhancement Act

    THOMAS, 113th Congress

    Rep. Chaffetz, Jason [R-UT-3

    2013-01-15

    06/18/2013 Received in the Senate and Read twice and referred to the Committee on Energy and Natural Resources. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

  6. Entrepreneur Access to Capital Act

    THOMAS, 112th Congress

    Rep. McHenry, Patrick T. [R-NC-10

    2011-09-14

    12/01/2011 Committee on Banking, Housing, and Urban Affairs. Hearings held. Hearings printed: S.Hrg. 112-444. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

  7. Value-Based Payment Reform and the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015: A Primer for Plastic Surgeons.

    PubMed

    Squitieri, Lee; Chung, Kevin C

    2017-03-06

    In 2015, the U.S. Congress passed the Medicare Access and CHIP (Children's Health Insurance Program) Reauthorization Act (MACRA), which effectively repealed the Centers for Medicare and Medicaid Services (CMS) sustainable growth rate (SGR) formula and established the CMS Quality Payment Program (QPP). MACRA represents an unparalleled acceleration toward value-based payment models and a departure from traditional volume-driven fee-for-service reimbursement. The QPP includes two paths for provider participation: the merit-based incentive payment system (MIPS) and advanced alternative payment models (APMs). The MIPS pathway replaces existing quality reporting programs and adds several new measures to create a composite performance score for each provider (or provider group) that will be used to adjust reimbursed payment. The advanced APM pathway is available to providers who participate in qualifying APMs and is associated with an initial 5% payment incentive. The first performance period for MIPS opens January 1, 2017 and closes December 31, 2017 and is associated with payment adjustments in January 2019. CMS estimates that the majority of providers will begin participation in 2017 through the MIPS pathway, but aims to have 50% of payments tied to quality or value through APMs by 2018. In this article, we describe key components of MACRA to providers navigating through the QPP and discuss how plastic surgeons may optimize their performance in this new value-based payment program.

  8. What School Boards Should Know Before Attempting to Circumvent the Rights of High School Students to Organize Gay-Straight Alliances Under the Auspices of the Equal Access Act

    ERIC Educational Resources Information Center

    Crossley, Danielle S.

    2010-01-01

    School Boards desiring to avoid the requirements of the Equal Access Act (EAA) to prevent students from organizing Gay-Straight Alliance (GSA) clubs within their schools may have difficulty doing so. However, legal experts have recently purported ways to accomplish this task in order to avoid the problems that may arise when students attempt to…

  9. Criminal provisions of the Clean Air Act Amendments of 1990 and their interface with the United States sentencing guidelines. Master's thesis

    SciTech Connect

    Bowen, W.P.

    1991-09-30

    The growing severity of our societal response to environmental misconduct is reflected, in part, by the criminalization of environmental wrongs by both state and Federal governments. Indeed, the recently enacted Clean Air Act Amendments of 1990 continue this trend, giving the Environmental Protection Agency, via the Department of Justice, significant new criminal enforcement tools. The importance attached to law enforcement of environmental laws is a relatively recent phenomenon and took a significant upswing in 1982 when the department of Justice created what is today the Environmental Crimes Section in what is now the Environment and Natural Resources Division, which section has grown steadily and now has over 25 attorneys who prosecute or assist in the prosecution of environmental crimes in the U.S.

  10. Effluent Guidelines

    EPA Pesticide Factsheets

    Effluent guidelines are national standards for wastewater discharges to surface waters and municipal sewage treatment plants. We issue the regulations for industrial categories based on the performance of treatment and control technologies.

  11. Interconnection Guidelines

    EPA Pesticide Factsheets

    The Interconnection Guidelines provide general guidance on the steps involved with connecting biogas recovery systems to the utility electrical power grid. Interconnection best practices including time and cost estimates are discussed.

  12. Current state of web accessibility of Malaysian ministries websites

    NASA Astrophysics Data System (ADS)

    Ahmi, Aidi; Mohamad, Rosli

    2016-08-01

    Despite the fact that Malaysian public institutions have progressed considerably on website and portal usage, web accessibility has been reported as one of the issues deserves special attention. Consistent with the government moves to promote an effective use of web and portal, it is essential for the government institutions to ensure compliance with established standards and guidelines on web accessibility. This paper evaluates accessibility of 25 Malaysian ministries websites using automated tools i.e. WAVE and Achecker. Both tools are designed to objectively evaluate web accessibility in conformance with Web Content Accessibility Guidelines 2.0 (WCAG 2.0) and United States Rehabilitation Act 1973 (Section 508). The findings reported somewhat low compliance to web accessibility standard amongst the ministries. Further enhancement is needed in the aspect of input elements such as label and checkbox to be associated with text as well as image-related elements. This findings could be used as a mechanism for webmasters to locate and rectify errors pertaining to the web accessibility and to ensure equal access of the web information and services to all citizen.

  13. Design for Accessibility.

    ERIC Educational Resources Information Center

    Conn, David R.; McCallum, Barry

    1982-01-01

    Discusses the facets of building design which affect the accessibility of libraries for the physically disabled and presents some basic guidelines for designing accessible libraries. Types of disabilities, questions relating to site design, and specific architectural and physical features of libraries (entranceways, lighting, stairways, and…

  14. Implementation of Section 255 of the Telecommunications Act of 1996: access to telecommunications services, telecommunications equipment, and customer premises equipment by persons with disabilities--FCC. Notice of proposed rulemaking.

    PubMed

    1998-05-22

    This Notice of Proposed Rulemaking (NPRM) is an important step in the Commission's effort to increase the accessibility of telecommunications services and equipment to Americans with disabilities. The NPRM proposes a framework for implementing section 255 of the Communications Act of 1934 (Act), which requires telecommunications equipment manufacturers and service providers to ensure that their equipment and services are accessible to persons with disabilities, to the extent it is readily achievable to do so. In addition, if accessibility is not readily achievable, section 255 requires manufacturers and service providers to ensure compatibility with existing peripheral devices or specialized customer premises equipment commonly used by individuals with disabilities to achieve access, to the extent it is readily achievable to do so. The NPRM first explores the Commission's legal authority to establish rules implementing section 255. The NPRM then seeks comment on the interpretation of specific statutory terms that are relevant to the proceeding. Finally, the NPRM seeks comment on proposals to implement and enforce the requirement that telecommunications equipment and services be made accessible to the extent readily achievable. The actions proposed in the NPRM are needed to ensure that people with disabilities are not left behind in the telecommunications revolution and consequently isolated from contemporary life.

  15. Scoring Guidelines.

    ERIC Educational Resources Information Center

    Tamir, Pinchas; Doran, Rodney L.

    1992-01-01

    Scoring guidelines are given for four forms of the practical skills tests of the Second International Association for the Evaluation of Educational Improvement Science Study conducted in the following countries in the 1980s: (1) Hungary; (2) Japan; (3) Korea; (4) Singapore; (5) Israel; and (6) the United States. (SLD)

  16. Copyright Guidelines.

    ERIC Educational Resources Information Center

    National Center for Educational Communication (DHEW/OE), Washington, DC.

    The U.S. Office of Education has prepared Guidelines on authorizing copyright protection for materials developed under project grants or contracts as effective June 8, 1970. A supplement is available as LI 002 915. This booklet supersedes OE-11018 entitled "Limited Copyright Protection for Materials Developed Under Project Grants and…

  17. 20 CFR 652.207 - How does a State meet the requirement for universal access to services provided under the Act?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR ESTABLISHMENT AND FUNCTIONING OF STATE EMPLOYMENT... physical center, staff funded under the Act must provide core and applicable intensive services...

  18. 20 CFR 652.207 - How does a State meet the requirement for universal access to services provided under the Act?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR ESTABLISHMENT AND FUNCTIONING OF STATE EMPLOYMENT... physical center, staff funded under the Act must provide core and applicable intensive services...

  19. 78 FR 18562 - Economic and Environmental Principles and Guidelines for Water and Related Land Resources...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-27

    ... Act. The revised Principles and Guidelines consist of three key components: (1) The Principles and... QUALITY Economic and Environmental Principles and Guidelines for Water and Related Land Resources... Environmental Principles and Guidelines for Water and Related Land Resources Implementation...

  20. Future considerations for clinical dermatology in the setting of 21st century American policy reform: The Medicare Access and Children's Health Insurance Program Reauthorization Act and Alternative Payment Models in dermatology.

    PubMed

    Barbieri, John S; Miller, Jeffrey J; Nguyen, Harrison P; Forman, Howard P; Bolognia, Jean L; VanBeek, Marta J

    2017-03-30

    With the introduction of the Medicare Access and Children's Health Insurance Program Reauthorization Act, clinicians who are not eligible for an exemption must choose to participate in 1 of 2 new reimbursement models: the Merit-based Incentive Payment System or Alternative Payment Models (APMs). Although most dermatologists are expected to default into the Merit-based Incentive Payment System, some may have an interest in exploring APMs, which have associated financial incentives. However, for dermatologists interested in the APM pathway, there are currently no options other than joining a qualifying Accountable Care Organization, which make up only a small subset of Accountable Care Organizations overall. As a result, additional APMs relevant to dermatologists are needed to allow those interested in the APMs to explore this pathway. Fortunately, the Medicare Access and Children's Health Insurance Program Reauthorization Act establishes a process for new APMs to be approved and the creation of bundled payments for skin diseases may represent an opportunity to increase the number of APMs available to dermatologists. In this article, we will provide a detailed review of APMs under the Medicare Access and Children's Health Insurance Program Reauthorization Act and discuss the development and introduction of APMs as they pertain to dermatology.

  1. Osteoporosis guidelines.

    PubMed

    Barlow, D H

    2007-10-01

    The Position Statement from the International Menopause Society (IMS) in 2004 recommends the use of hormone therapy for the 'avoidance of bone-wasting and fractures'. It also states that 'prevention, not treatment, is the most feasible goal'. In updating the Statement, this paper considers the relevance of Osteoporosis Guidelines. Relevant documents will be of two broad types. These may be consensus statements/position statements that summarize the 'state of the art' for practitioners, based on the work of expert groups, or they may be formal Guidelines generated through formal 'evidence-based' methodology. The former approach is generally used by Societies and can be generated through relatively efficient consensus processes. The latter approach will normally involve extensive work and cost, necessarily becomes very detailed, involving systematic review and technology appraisal and can lead to highly specific recommendations on intervention thresholds. For the revision of the general IMS Position Statement, the specific IMS Paper on Postmenopausal Osteoporosis (2005) must be a key reference document. This provides a description of the international consensus on the management of osteoporosis up to late 2004 and which remains relevant today. Additionally, other consensus statements and systematic guidelines need to be considered. Across these documents providing guidance, the substantial influence of the International Osteoporosis Foundation/National Osteoporosis Foundation Position Paper, defining a 'New approach to the development of assessment guidelines for osteoporosis', can be seen. This flagged the importance of a shift from guidance, tying the diagnostic threshold to the intervention threshold, and instead advised linking the intervention threshold to estimated fracture risk probability. This moves the intervention decision away from a simple bone density threshold to a more complex, but more realistic, threshold estimate, taking into account a range of

  2. Guidelines for Protection in Evaluation.

    ERIC Educational Resources Information Center

    Mainzer, Richard W.; And Others

    The report examines due process protections and requirements in evaluation as mandated by P.O. 94-142 (The Education for All Handicapped Children Act) and Maryland special education Bylaw. A checklist guide for Admission, Review, and Dismissal (ARD) personnel to ensure protection in evaluation is provided. Self check guidelines touch on 16…

  3. Bilingual News: The Federal Guideline Maze.

    ERIC Educational Resources Information Center

    Chambers, Joanna Fountain

    1981-01-01

    Describes the proposed new Lau regulations for the education of Limited English Speaking (LES) students, and compares them to the separate but sometimes overlapping ESEA Title VII Bilingual Education Act guidelines. (Author/SJL)

  4. Sector-specific issues and reporting methodologies supporting the General Guidelines for the voluntary reporting of greenhouse gases under Section 1605(b) of the Energy Policy Act of 1992. Volume 2: Part 4, Transportation sector; Part 5, Forestry sector; Part 6, Agricultural sector

    SciTech Connect

    Not Available

    1994-10-01

    This volume, the second of two such volumes, contains sector-specific guidance in support of the General Guidelines for the voluntary reporting of greenhouse gas emissions and carbon sequestration. This voluntary reporting program was authorized by Congress in Section 1605(b) of the Energy Policy Act of 1992. The General Guidelines, bound separately from this volume, provide the overall rationale for the program, discuss in general how to analyze emissions and emission reduction/carbon sequestration projects, and address programmatic issues such as minimum reporting requirements, time parameters, international projects, confidentiality, and certification. Together, the General Guidelines and the guidance in these supporting documents will provide concepts and approaches needed to prepare the reporting forms. This second volume of sector-specific guidance covers the transportation sector, the forestry sector, and the agricultural sector.

  5. An evaluation of the Essential Medicines List, Standard Treatment Guidelines and prescribing restrictions, as an integrated strategy to enhance quality, efficacy and safety of and improve access to essential medicines in Papua New Guinea.

    PubMed

    Joshua, Isaac B; Passmore, Phillip R; Sunderland, Bruce V

    2016-05-01

    The World Health Organization (WHO) has advocated the development and use of country specific Standard Treatment Guidelines (STGs) and Essential Medicines Lists (EML) as strategies to promote the rational use of medicines. When implemented effectively STGs offer many health advantages. Papua New Guinea (PNG) has official STGs and a Medical and Dental Catalogue (MDC) which serves as a national EML for use at different levels of health facilities. This study evaluated consistency between the PNG Adult STGs (2003 and 2012) and those for children (2005 and 2011) with respect to the MDCs (2002, 2012) for six chronic and/or acute diseases: asthma, arthritis, diabetes, hypertension, pneumonia and psychosis. Additionally, the potential impact of prescriber level restrictions on rational medicines use for patient's living in rural areas, where no medical officer is present, was evaluated. Almost all drugs included in the STGs for each disease state evaluated were listed in the MDCs. However, significant discrepancies occurred between the recommended treatments in the STGs with the range of related medicines listed in the MDCs. Many medicines recommended in the STGs for chronic diseases had prescriber level restrictions hindering access for most of the PNG population who live in rural and remote areas. In addition many more medicines were listed in the MDCs which are commonly used to treat arthritis, high blood pressure and psychosis than were recommended in the STGs contributing to inappropriate prescribing. We recommend the public health and rational use of medicines deficiencies associated with these findings are addressed requiring: reviewing prescriber level restrictions; updating the STGs; aligning the MDC to reflect recommendations in the STGs; establishing the process where the MDC would automatically be updated based on any changes made to the STGs; and developing STGs for higher levels of care.

  6. Wilderness Accessibility for People with Disabilities. A Report to the President and the Congress of the United States on Section 507 (a) of the Americans with Disabilities Act.

    ERIC Educational Resources Information Center

    Wilderness Inquiry Inc.

    This federally mandated study summarizes federal policies and regulations and identifies issues relevant to wilderness accessibility for people with disabilities. The report is based on review of existing federal policies and regulations; a survey of federal unit managers of the National Wilderness Preservation System (NWPS); a survey of programs…

  7. No Child Left Behind Act: Improved Accessibility to Education's Information Could Help States Further Implement Teacher Qualification Requirements. Report to Congressional Requesters. GAO-06-25

    ERIC Educational Resources Information Center

    Shaul, Marnie S.

    2005-01-01

    This GAO report examines response of 47 states to the No Child Left Behind Act (NCLBA) of 2001 that established qualification requirements for teachers of core academic subjects that must meet by the end of the 2005-2006 school year. With the deadline approaching for all teachers to meet the requirements, GAO was asked to examine the following:…

  8. Access to Pre-K Education under the McKinney-Vento Homeless Assistance Act. Pre-K Policy Brief Series

    ERIC Educational Resources Information Center

    Boylan, Ellen; Splansky, Deborah

    2010-01-01

    The federal McKinney-Vento Homeless Assistance Act ("McKinney-Vento") provides federal funding to states to address the problems that homeless children and youth encounter in enrolling, attending, and succeeding in the nation's public schools. McKinney-Vento requires states to develop plans that ensure homeless children and youth the…

  9. Taking care of your vascular access for hemodialysis

    MedlinePlus

    ... blood through the access. This is called stenosis. Day-to-day Care of Your Vascular Access Following these guidelines ... pulse (also called thrill) in your access every day. Your health care provider will show you how. ...

  10. Training Requirements in OSHA Standards and Training Guidelines. Revised.

    ERIC Educational Resources Information Center

    Occupational Safety and Health Administration, Washington, DC.

    This guide provides an overview of Occupational Safety and Health Act (OSHA) standards and training guidelines for various industries. The first section introduces the concept of voluntary training guidelines, explaining that the guidelines are designed to help employers determine whether a worksite problem can be solved by training, what training…

  11. Federal Employees’ Compensation Act: DOD Access to DOL Data is Generally Sufficient, but Monitoring Timelines Could Help Return-to-Work Efforts

    DTIC Science & Technology

    2016-09-01

    data and information, and any related challenges; and (3) any challenges associated with managing DOD FECA claims and return-to-work efforts. In...compensation specialists—the DOD counterparts that coordinate with DOL claims examiners—the ability to perform case management and data analysis...three of the four program offices, reported that they generally have sufficient access to FECA claims data and information necessary for managing

  12. EPA Accessibility Statement

    EPA Pesticide Factsheets

    EPA is committed to making its websites and other electronic and information technology (EIT) accessible to the widest possible audience, including people with disabilities, in accordance with Section 508 of the Rehabilitation Act.

  13. Future considerations for clinical dermatology in the setting of 21st century American policy reform: The Medicare Access and Children's Health Insurance Program Reauthorization Act and the Merit-based Incentive Payment System.

    PubMed

    Barbieri, John S; Miller, Jeffrey J; Nguyen, Harrison P; Forman, Howard P; Bolognia, Jean L; VanBeek, Marta J

    2017-03-30

    As the implementation of the Medicare Access and Children's Health Insurance Program Reauthorization Act begins, many dermatologists who provide Medicare Part B services will be subject to the reporting requirements of the Merit-based Incentive Payment System (MIPS). Clinicians subject to MIPS will receive a composite score based on performance across 4 categories: quality, advancing care information, improvement activities, and cost. Depending on their overall MIPS score, clinicians will be eligible for a positive or negative payment adjustment. Quality will replace the Physician Quality Reporting System and clinicians will report on 6 measures from a list of over 250 options. Advancing care information will replace meaningful use and will assess clinicians on activities related to integration of electronic health record technology into their practice. Improvement activities will require clinicians to attest to completion of activities focused on improvements in care coordination, beneficiary engagement, and patient safety. Finally, cost will be determined automatically from Medicare claims data. In this article, we will provide a detailed review of the Medicare Access and Children's Health Insurance Program Reauthorization Act with a focus on MIPS and briefly discuss the potential implications for dermatologists.

  14. Web Accessibility for Older Adults: A Comparative Analysis of Disability Laws.

    PubMed

    Yang, Y Tony; Chen, Brian

    2015-10-01

    Access to the Internet is increasingly critical for health information retrieval, access to certain government benefits and services, connectivity to friends and family members, and an array of commercial and social services that directly affect health. Yet older adults, particularly those with disabilities, are at risk of being left behind in this growing age- and disability-based digital divide. The Americans with Disabilities Act (ADA) was designed to guarantee older adults and persons with disabilities equal access to employment, retail, and other places of public accommodation. Yet older Internet users sometimes face challenges when they try to access the Internet because of disabilities associated with age. Current legal interpretations of the ADA, however, do not consider the Internet to be an entity covered by law. In this article, we examine the current state of Internet accessibility protection in the United States through the lens of the ADA, sections 504 and 508 of the Rehabilitation Act, state laws and industry guidelines. We then compare U.S. rules to those of OECD (Organisation for Economic Co-Operation and Development) countries, notably in the European Union, Canada, Japan, Australia, and the Nordic countries. Our policy recommendations follow from our analyses of these laws and guidelines, and we conclude that the biggest challenge in bridging the age- and disability-based digital divide is the need to extend accessibility requirements to private, not just governmental, entities and organizations.

  15. Public Record About Underground Storage Tanks - 2005 Energy Policy Act

    EPA Pesticide Factsheets

    These grant guidelines implement the public record provision in Section 9002(d) of the Solid Waste Disposal Act, enacted by the Underground Storage Tank Compliance Act, part of the Energy Policy Act of 2005.

  16. Financial Responsibility and Installer Certification - 2005 Energy Policy Act

    EPA Pesticide Factsheets

    Grant guidelines to implement the financial responsibility and installer certification provision in Section 9003(i) of the Solid Waste Disposal Act, enacted by the Underground Storage Tank Compliance Act, part of the Energy Policy Act of 2005.

  17. The Americans with Disabilities Act: prescription for tax relief.

    PubMed

    Cook, E D; Judice, A K; Hazelwood, A C

    1996-01-01

    As employers, healthcare organizations must comply with Title I of the Americans with Disabilities Act of 1990-Employment Discrimination by Private Entities-which covers virtually all aspects of employment and prohibits employers from discriminating against otherwise qualified job applicants and workers who have disabilities or who become disabled. Further, healthcare organizations must comply with the provisions of Title III of the act-Nondiscrimination on the Basis of Disability by Public Accommodations and in Commercial Facilities-which requires places of public accommodations and commercial facilities to be designed, constructed, and altered in compliance with the accessibility standards of the act. While compliance with the ADA can be costly, four specific sections of the Internal Revenue Code offer tax relief to organizations that meet the guidelines of Titles I and III.

  18. Pesticides, Neurodevelopmental Disagreement, and Bradford Hill's Guidelines.

    PubMed

    Shrader-Frechette, Kristin; ChoGlueck, Christopher

    2016-06-27

    Neurodevelopmental disorders such as autism affect one-eighth of all U.S. newborns. Yet scientists, accessing the same data and using Bradford-Hill guidelines, draw different conclusions about the causes of these disorders. They disagree about the pesticide-harm hypothesis, that typical United States prenatal pesticide exposure can cause neurodevelopmental damage. This article aims to discover whether apparent scientific disagreement about this hypothesis might be partly attributable to questionable interpretations of the Bradford-Hill causal guidelines. Key scientists, who claim to employ Bradford-Hill causal guidelines, yet fail to accept the pesticide-harm hypothesis, fall into errors of trimming the guidelines, requiring statistically-significant data, and ignoring semi-experimental evidence. However, the main scientists who accept the hypothesis appear to commit none of these errors. Although settling disagreement over the pesticide-harm hypothesis requires extensive analysis, this article suggests that at least some conflicts may arise because of questionable interpretations of the guidelines.

  19. Betaglycan can act as a dual modulator of TGF-beta access to signaling receptors: mapping of ligand binding and GAG attachment sites

    PubMed Central

    1994-01-01

    Betaglycan, also known as the TGF-beta type III receptor, is a membrane- anchored proteoglycan that presents TGF-beta to the type II signaling receptor, a transmembrane serine/threonine kinase. The betaglycan extracellular region, which can be shed by cells into the medium, contains a NH2-terminal domain related to endoglin and a COOH-terminal domain related to uromodulin, sperm receptors Zp2 and 3, and pancreatic secretory granule GP-2 protein. We identified residues Ser535 and Ser546 in the uromodulin-related region as the glycosaminoglycan (GAG) attachment sites. Their mutation to alanine prevents GAG attachment but does not interfere with betaglycan stability or ability to bind and present TGF-beta to receptor II. Using a panel of deletion mutants, we found that TGF-beta binds to the NH2-terminal endoglin-related region of betaglycan. The remainder of the extracellular domain and the cytoplasmic domain are not required for presentation of TGF-beta to receptor II; however, membrane anchorage is required. Soluble betaglycan can bind TGF-beta but does not enhance binding to membrane receptors. In fact, recombinant soluble betaglycan acts as potent inhibitor of TGF-beta binding to membrane receptors and blocks TGF-beta action, this effect being particularly pronounced with the TGF-beta 2 isoform. The results suggest that release of betaglycan into the medium converts this enhancer of TGF-beta action into a TGF-beta antagonist. PMID:8106553

  20. 36 CFR 910.51 - Access.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... AREA Glossary of Terms § 910.51 Access. Access, when used in reference to parking or loading, means... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Access. 910.51 Section 910.51 Parks, Forests, and Public Property PENNSYLVANIA AVENUE DEVELOPMENT CORPORATION GENERAL GUIDELINES...

  1. 36 CFR 910.51 - Access.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... AREA Glossary of Terms § 910.51 Access. Access, when used in reference to parking or loading, means... 36 Parks, Forests, and Public Property 3 2014-07-01 2014-07-01 false Access. 910.51 Section 910.51 Parks, Forests, and Public Property PENNSYLVANIA AVENUE DEVELOPMENT CORPORATION GENERAL GUIDELINES...

  2. Five Steps to an Accessible Classroom Website

    ERIC Educational Resources Information Center

    Amundson, Linda

    2009-01-01

    When teachers or technology coordinators publish a website, they are providing a product for a diverse group of people. That's why website design should follow accessibility guidelines. Websites should be accessible to those with visual, hearing, movement, cognitive, and speech disabilities. Good design means greater accessibility for all. This…

  3. [Epilepsy guidelines: Japanese and international guidelines].

    PubMed

    Akamatsu, Naoki; Tsuji, Sadatoshi

    2011-04-01

    Many guidelines for the management of epilepsy have been published since the introduction of evidence-based medicine. In Japan, the first clinical guideline for epilepsy management was published by the Japanese Society of Neurology (JSN) in 2002. The Japan Epilepsy Society (JES) has been publishing guidelines for several topics since 2005. However, owing to recent advances in epileptology and the accumulation of related knowledge, it has become necessary to revise these guidelines. Four medical societies-JSN, JES, the Japanese Society of Neurological Therapeutics, and the Japanese Society of Child Neurology-have together published new epilepsy-related clinical guidelines for practitioners. The guideline committee consists of 23 specialists representing the 4 societies. The guidelines primary target general practitioners treating epilepsy patients and are designed to be user friendly-in the form of 81 "clinical questions" (CQs). The CQs comprehensively cover various aspects of epilepsy management including those related to diagnosis, treatment, surgery, pregnancy, and social issues. Recommendations are concisely described with levels from A to D. The evidence level (I to IV) of the references is based on the literature review conducted by the committee. These guidelines were published in October 2010.

  4. The Process Guidelines for High-Performance Buildings

    SciTech Connect

    Grondzik, W.

    1999-07-01

    The Process Guidelines for High-Performance Buildings are a set of recommendations for the design and operation of efficient and effective commercial/institutional buildings. The Process Guidelines have been developed in a searchable database format and are intended to replace print documents that provide guidance for new building designs for the State of Florida and for the operation of existing State buildings. The Process Guidelines for High-Performance buildings reside on the World Wide Web and are publicly accessible. Contents may be accessed in a variety of ways to best suit the needs of the user. The Process Guidelines address the interests of a range of facilities professionals; are organized around the primary phases of building design, construction, and operation; and include content dealing with all major building systems. The Process Guidelines for High-Performance Buildings may be accessed through the ``Resources'' area of the edesign Web site: http://fcn.state.fl.us/fdi/edesign/resource/index.html.

  5. Central venous access.

    PubMed

    Ganeshan, Arul; Warakaulle, Dinuke R; Uberoi, Raman

    2007-01-01

    Central venous access plays an important role in the management of an ever-increasing population of patients ranging from those that are critically ill to patients with difficult clinical access. Interventional radiologists are key in delivering this service and should be familiar with the wide range of techniques and catheters now available to them. A comprehensive description of these catheters with regard to indications, technical aspects of catheterization, success rates, and associated early and late complications, as well as a review of various published guidelines on central venous catheter insertion are given in this article.

  6. 78 FR 17471 - Privacy Act of 1974

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-21

    ... Internal Revenue Service Privacy Act of 1974 AGENCY: Internal Revenue Service, Treasury. ACTION: IRS notice...) and the Congressional committees responsible for oversight of the Privacy Act in accordance with the Privacy Act of 1974, OMB Guidelines on the Conduct of Matching Programs (54 FR 25818, June 19, 1989),...

  7. National Bookmobile Guidelines, 1988.

    ERIC Educational Resources Information Center

    Ohio State Library, Columbus.

    These guidelines were developed by the bookmobile community that has met in Columbus, Ohio, since 1985 for their annual conference. The guidelines comprise the collaborative effort of hundreds of conference participants and representatives from 79 libraries throughout the United States and Canada, who discussed the guidelines in regional and state…

  8. National Bookmobile Guidelines, 1992.

    ERIC Educational Resources Information Center

    Ohio State Library, Columbus.

    This publication is based on the work of The State Library of Ohio, the National Bookmobile Guidelines Committee, and staff of local Ohio bookmobile programs. Draft guidelines were approved by the 7th National Bookmobile Conference (May 31-June 2, 1992). The Guidelines provide brief statements of standards followed by specifics which indicate…

  9. Hindi Proficiency Guidelines.

    ERIC Educational Resources Information Center

    Gambhir, Vijay; And Others

    The Hindi language proficiency guidelines are based on the 1986 generic ACTFL (American Council on the Teaching of Foreign Languages) proficiency guidelines. They represent a hierarchy of global characterizations of integrated performance in four skill areas (speaking, listening, reading, and writing) in Hindi. The guidelines for each skill area…

  10. Prekindergarten Curriculum Guidelines.

    ERIC Educational Resources Information Center

    Fowler, Marilyn; Meyers, Margaret E.; Morris, Pam Bell; Gonzales, Peggy Freedson; Uphaus, Anita

    Following adoption of the Texas Essential Knowledge and Skills (TEKS) in 1998, new prekindergarten curriculum guidelines were developed. These voluntary guidelines articulate what 3- and 4-year-olds should know and be able to do and provide a means to align prekindergarten programs with the TEKS curriculum. The guidelines are intended to assist…

  11. Implementation of study results in guidelines and adherence to guidelines in clinical practice

    PubMed Central

    Waldfahrer, Frank

    2016-01-01

    Guidelines were introduced in hospital- and practice-based otorhinolaryngology in the 1990ies, and have been undergoing further development ever since. There are currently 20 guidelines on file at the German Society of Oto-Rhino-Laryngology, Head & Neck Surgery. The society has cooperated in further 34 guidelines. The quality of the guidelines has been continuously improved by concrete specifications put forward by the Association of the Scientific Medical Societies in Germany (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.V., AWMF). Since increasing digitalization has made access to scientific publications quicker and simpler, relevant study results can be incorporated in guidelines more easily today than in the analog world. S2e and S3 guidelines must be based on a formal literature search with subsequent evaluation of the evidence. The consensus procedure for S2k guidelines is also regulated. However, the implementation of guidelines in routine medical practice must still be considered inadequate, and there is still a considerable need for improvement in adherence to these guidelines. PMID:28025601

  12. Privacy Act

    EPA Pesticide Factsheets

    Learn about the Privacy Act of 1974, the Electronic Government Act of 2002, the Federal Information Security Management Act, and other information about the Environmental Protection Agency maintains its records.

  13. Guidelines from the MLA Committee on Information Technology.

    ERIC Educational Resources Information Center

    ADFL Bulletin, 2001

    2001-01-01

    Provides the guidelines for the Modern Language Association's committee on information technology. These include guidelines for institutional support of and access to IT for faculty members and students, for evaluating work with digital media in the modern languages, and for authors of Web pages. (Author/VWL)

  14. Long-acting glucagon-like peptide-1 receptor agonists have direct access to and effects on pro-opiomelanocortin/cocaine- and amphetamine-stimulated transcript neurons in the mouse hypothalamus.

    PubMed

    Knudsen, Lotte Bjerre; Secher, Anna; Hecksher-Sørensen, Jacob; Pyke, Charles

    2016-04-01

    Liraglutide is a glucagon-like peptide-1 receptor (GLP-1R) agonist marketed for the treatment of type 2 diabetes. Besides lowering blood glucose, liraglutide reduces bodyweight, and has recently also been approved for the obesity indication. Acutely, GLP-1 markedly reduces gastric emptying, and this effect was previously believed to at least partly explain the effect on bodyweight loss. However, recent studies in both humans and animals have shown that GLP-1R agonists, such as liraglutide, that lead to pharmacological concentrations for 24 h/day only have a minor effect on gastric emptying; such an effect is unlikely to have lasting effects on appetite reduction. Liraglutide has been shown to have direct effects in the arcuate nucleus of the rodent brain, activating pro-opiomelanocortin neurons and increasing levels of the cocaine- and amphetamine-stimulated transcript neuropeptide messenger ribonucleic acid, which correlate nicely to clinical studies where liraglutide was shown to increase feelings of satiety. However, despite the lack of a GLP-1R on agouti-related peptide/neuropeptide Y neurons, liraglutide also was able to prevent a hunger associated increase in agouti-related peptide and neuropeptide Y neuropeptide messenger ribonucleic acid, again with a strong correlation to clinical studies that document reduced hunger feelings in patients while taking liraglutide. Studies using fluorescent labeled liraglutide, as well as other GLP-1R agonists, and analysis using single-plane illumination microscopy show that such medium-sized peptide-based compounds can directly access not only circumventricular organs of the brain, but also directly access discrete regions in the hypothalamus. The direct effects of long-acting GLP-1R agonists in the hypothalamus are likely to be an important new pathway in understanding GLP-1R agonist mediated weight loss.

  15. A Work in Progress: Accessible Trails, Campsites, and Other Outdoor Recreation Areas.

    ERIC Educational Resources Information Center

    McGovern, John N.

    2001-01-01

    Appointed by the U.S. Access Board, the Recreation Access Advisory Committee developed guidelines for making outdoor recreation facilities and areas accessible to persons with disabilities. Following negative public comment, a regulatory negotiation committee conducted public meetings and devised accessibility guidelines for trails that allowed…

  16. Guidelines for Posting Soil Contamination Areas

    SciTech Connect

    Mcnaughton, Michael; Eisele, William

    2016-02-01

    All soil guidelines were determined using RESRAD, version 6.1. All offsite guidelines are based on 15 mrem/year. This dose rate is sufficiently low to protect human health and is in accordance with DOE guidance and the proposed EPA 40-CFR-196 regulations for members of the public (never promulgated). For those onsite areas where general employees (non-radiological workers) could have routine access, soil concentrations should be based on a dose rate of 30 mrem/year (approximately one-third of the onsite LANL non-radiological worker dose of 100 mrem/year). In this case, soil concentration guidelines may be obtained by doubling the 15 mrem/year guidelines. Several scenarios were developed to provide maximum flexibility for application of the guidelines. The offsite guidelines were developed using: residential scenarios for both adults and children; a construction worker scenario; a resource user (e.g., a hunter) scenario; a child playing within canyon reaches scenario, a trail using jogger within canyon reaches scenario, and a trail using hiker within canyon reaches scenario. The residential guidelines represent the lowest values from both the adult residential scenario and the child residential scenario.

  17. Vermont Nutrition and Fitness Policy Guidelines

    ERIC Educational Resources Information Center

    Vermont Department of Education, 2005

    2005-01-01

    This guide is the result of the collaboration between the Agency of Agriculture, Food and Markets; Vermont Department of Education; and Vermont Department of Health, as required by Act 161 of the 2003 session of the Vermont Legislature. The goal in publishing these guidelines is to provide schools with the most recent information on best practices…

  18. Federal Guidelines - Operation and Maintenance of Wastewater Treatment Facilities.

    ERIC Educational Resources Information Center

    Environmental Protection Agency, Washington, DC. Office of Water Programs.

    This document contains the federal guidelines for meeting the specific requirements of the Federal Water Pollution Control Act Amendments of 1972. These guidelines are also intended to assist in meeting the regulations for grant assisted facility construction and to provide information on the key elements to be included in the operation plans for…

  19. Library of Michigan FY 2000 LSTA Subgrant Program Guidelines.

    ERIC Educational Resources Information Center

    Michigan Library, Lansing.

    This handbook provides FY (fiscal year) 2000 guidelines developed by the Library of Michigan for applying for LSTA (Library Services and Technology Act) subgrant funding. The handbook includes the following sections: (1) overview of the LSTA subgrant program; (2) general application guidelines for all funding areas; (3) required elements of the…

  20. Library of Michigan FY 2001 LSTA Subgrant Program Guidelines.

    ERIC Educational Resources Information Center

    Michigan Library, Lansing.

    This handbook provides FY (fiscal year) 2001 guidelines developed by the Library of Michigan for applying for LSTA (Library Services and Technology Act) subgrant funding. The handbook includes the following sections: (1) overview of the LSTA subgrant program; (2) general application guidelines for all funding areas; (3) budget category definitions…

  1. 39 CFR 775.8 - Environmental evaluation guidelines.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Environmental evaluation guidelines. 775.8 Section... POLICY ACT PROCEDURES § 775.8 Environmental evaluation guidelines. (a) Approach. When dealing with proposals which may have an impact on the human environment, environmental coordinators, planners,...

  2. 39 CFR 775.8 - Environmental evaluation guidelines.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 39 Postal Service 1 2011-07-01 2011-07-01 false Environmental evaluation guidelines. 775.8 Section... POLICY ACT PROCEDURES § 775.8 Environmental evaluation guidelines. (a) Approach. When dealing with proposals which may have an impact on the human environment, environmental coordinators, planners,...

  3. School Access to Emergency Epinephrine Act

    THOMAS, 112th Congress

    Sen. Durbin, Richard [D-IL

    2011-11-17

    11/17/2011 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S7704-7705) (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  4. Satellite Television Access and Viewer Rights Act

    THOMAS, 113th Congress

    Sen. Rockefeller, John D., IV [D-WV

    2014-09-11

    12/12/2014 By Senator Rockefeller from Committee on Commerce, Science, and Transportation filed written report. Report No. 113-322. (All Actions) Notes: For further action, see H.R.5728, which became Public Law 113-200 on 12/4/2014. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  5. Democratizing Access to Capital Act of 2011

    THOMAS, 112th Congress

    Sen. Brown, Scott P. [R-MA

    2011-11-02

    12/01/2011 Committee on Banking, Housing, and Urban Affairs. Hearings held. Hearings printed: S.Hrg. 112-444. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  6. Maple-Tapping Access Program Act

    THOMAS, 111th Congress

    Rep. Owens, William L. [D-NY-23

    2010-04-13

    06/18/2010 Referred to the Subcommittee on Department Operations, Oversight, Nutrition and Forestry. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  7. Critical Access Hospital Flexibility Act of 2009

    THOMAS, 111th Congress

    Sen. Wyden, Ron [D-OR

    2009-01-22

    01/22/2009 Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S791-792) (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  8. Transportation Access for All Americans Act

    THOMAS, 111th Congress

    Sen. Bingaman, Jeff [D-NM

    2009-04-23

    04/23/2009 Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S4689) (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  9. Preserve Access to Affordable Generics Act

    THOMAS, 113th Congress

    Sen. Klobuchar, Amy [D-MN

    2013-02-04

    07/23/2013 Committee on the Judiciary Subcommittee on Antitrust, Competition Policy and Consumer Rights. Hearings held. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  10. Reciprocal Market Access Act of 2011

    THOMAS, 112th Congress

    Sen. Brown, Sherrod [D-OH

    2011-10-13

    10/13/2011 Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S6514-6515) (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  11. Renewable Energy Market Access Program Act

    THOMAS, 112th Congress

    Sen. Udall, Mark [D-CO

    2011-04-14

    04/14/2011 Read twice and referred to the Committee on Banking, Housing, and Urban Affairs. (text of measure as introduced: CR S2521-2522) (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  12. Renewable Energy Market Access Program Act

    THOMAS, 111th Congress

    Sen. Udall, Mark [D-CO

    2010-05-20

    05/20/2010 Read twice and referred to the Committee on Commerce, Science, and Transportation. (text of measure as introduced: CR S4091-4092) (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  13. Public Access and Lands Improvement Act

    THOMAS, 113th Congress

    Rep. Miller, Jeff [R-FL-1

    2013-08-01

    02/10/2014 Received in the Senate and Read twice and referred to the Committee on Energy and Natural Resources. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

  14. 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:

  15. Access to Books for Children Act

    THOMAS, 112th Congress

    Rep. Maloney, Carolyn B. [D-NY-14

    2011-03-03

    03/21/2011 Referred to the Subcommittee on Early Childhood, Elementary, and Secondary Education. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  16. Family Health Care Accessibility Act of 2010

    THOMAS, 111th Congress

    Rep. Murphy, Tim [R-PA-18

    2009-03-26

    09/24/2010 Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

  17. Access to Insurance for all Americans Act

    THOMAS, 111th Congress

    Rep. Issa, Darrell E. [R-CA-49

    2009-07-31

    10/23/2009 Referred to the Subcommittee on Federal Workforce, Post Office, and the District of Columbia. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  18. Consumer Credit Access, Innovation, and Modernization Act

    THOMAS, 113th Congress

    Rep. Luetkemeyer, Blaine [R-MO-3

    2013-04-15

    03/26/2014 Committee on Banking, Housing, and Urban Affairs Subcommittee on Financial Institutions and Consumer Protection. Hearings held. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  19. School Access to Emergency Epinephrine Act

    THOMAS, 113th Congress

    Sen. Durbin, Richard [D-IL

    2013-09-12

    09/12/2013 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S6449) (All Actions) Notes: For further action, see H.R.2094, which became Public Law 113-48 on 11/13/2013. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  20. Rural Hospital Access Act of 2013

    THOMAS, 113th Congress

    Sen. Schumer, Charles E. [D-NY

    2013-04-25

    04/25/2013 Read twice and referred to the Committee on Finance. (All Actions) Notes: For further action, see H.R.4302, which became Public Law 113-93 on 4/1/2014. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  1. Rural Hospital Access Act of 2013

    THOMAS, 113th Congress

    Rep. Reed, Tom [R-NY-23

    2013-04-26

    06/03/2013 Referred to the Subcommittee on Health. (All Actions) Notes: For further action, see H.R.4302, which became Public Law 113-93 on 4/1/2014. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  2. Satellite Television Access Reauthorization Act of 2014

    THOMAS, 113th Congress

    Rep. Coble, Howard [R-NC-6

    2014-07-09

    07/22/2014 Placed on the Union Calendar, Calendar No. 410. (All Actions) Notes: For further action, see H.R.5728, which became Public Law 113-200 on 12/4/2014. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  3. Satellite Television Access Reauthorization Act of 2014

    THOMAS, 113th Congress

    Sen. Leahy, Patrick J. [D-VT

    2014-06-10

    06/26/2014 Placed on Senate Legislative Calendar under General Orders. Calendar No. 445. (All Actions) Notes: For further action, see H.R.5728, which became Public Law 113-200 on 12/4/2014. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  4. Preserve Access to Affordable Generics Act

    THOMAS, 111th Congress

    Sen. Kohl, Herb [D-WI

    2009-02-03

    02/02/2010 By Senator Leahy from Committee on the Judiciary filed written report. Report No. 111-123. Minority views filed. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  5. Rattlesnake Mountain Public Access Act of 2011

    THOMAS, 112th Congress

    Rep. Hastings, Doc [R-WA-4

    2011-08-01

    12/15/2011 Received in the Senate and Read twice and referred to the Committee on Energy and Natural Resources. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

  6. Access to Capital for Job Creators Act

    THOMAS, 112th Congress

    Sen. Thune, John [R-SD

    2011-11-09

    12/14/2011 Committee on Banking, Housing, and Urban Affairs Subcommittee on Securities, Insurance and Investment. Hearings held. With printed Hearing: S.Hrg. 112-465. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  7. Access to Capital for Job Creators Act

    THOMAS, 112th Congress

    Rep. McCarthy, Kevin [R-CA-22

    2011-09-15

    11/08/2011 Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 225. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

  8. Solar Opportunity and Local Access Rights Act

    THOMAS, 111th Congress

    Rep. Cardoza, Dennis A. [D-CA-18

    2009-06-16

    06/17/2009 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  9. Patient Access to Critical Lab Tests Act

    THOMAS, 111th Congress

    Sen. Specter, Arlen [D-PA

    2009-06-09

    06/09/2009 Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S6383) (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  10. Historic Downtown Preservation and Access Act

    THOMAS, 113th Congress

    Sen. Leahy, Patrick J. [D-VT

    2013-08-01

    08/01/2013 Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S6215) (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  11. Veteran Access to Care Act of 2014

    THOMAS, 113th Congress

    Rep. Miller, Jeff [R-FL-1

    2014-06-09

    06/11/2014 Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

  12. Federal Research Public Access Act of 2009

    THOMAS, 111th Congress

    Sen. Lieberman, Joseph I. [ID-CT

    2009-06-25

    06/25/2009 Read twice and referred to the Committee on Homeland Security and Governmental Affairs. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  13. Federal Research Public Access Act of 2012

    THOMAS, 112th Congress

    Sen. Cornyn, John [R-TX

    2012-02-09

    02/09/2012 Read twice and referred to the Committee on Homeland Security and Governmental Affairs. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  14. Government Services Accessibility Act of 2014

    THOMAS, 113th Congress

    Rep. Ellison, Keith [D-MN-5

    2014-06-12

    06/13/2014 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  15. Preserving American Access to Information Act

    THOMAS, 113th Congress

    Sen. Shaheen, Jeanne [D-NH

    2013-08-01

    08/01/2013 Read twice and referred to the Committee on Homeland Security and Governmental Affairs. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  16. Pediatric guidelines for dyslipidemia.

    PubMed

    Daniels, Stephen R

    2015-01-01

    Clinical guidelines are developed to assist clinicians in complex clinical decision making. Modern guideline development includes a systematic review and grading of relevant literature and then using the evidence review to construct recommendations for clinical care which are also graded regarding the level of evidence supporting them. Pediatric guidelines for dyslipidemia were first published in 1992. There was then a gap during which no formal guidelines were developed. In 2011, the National Heart, Lung, and Blood Institute Integrated Guidelines for Cardiovascular Disease Risk Reduction in Children were published. This included an evidence review and clinical recommendations regarding dyslipidemia. This review process began in 2006. The evidence review ended in 2008, and they were published in 2011 because of an extensive and prolonged review process. These guidelines recommend universal screening for dyslipidemia at age 9 to 11 y with a focus on identifying young individuals with genetic dyslipidemia such as familial hypercholesterolemia. The guidelines also include lifestyle recommendations and recommendations for pharmacologic treatment for children with markedly elevated low-density lipoprotein cholesterol. The guideline process should include review of the implementation of guidelines in practice and should also include ongoing review of the guidelines with respect to a growing evidence base with new research findings.

  17. Arteriovenous Access

    PubMed Central

    MacRae, Jennifer M.; Dipchand, Christine; Oliver, Matthew; Moist, Louise; Yilmaz, Serdar; Lok, Charmaine; Leung, Kelvin; Clark, Edward; Hiremath, Swapnil; Kappel, Joanne; Kiaii, Mercedeh; Luscombe, Rick; Miller, Lisa M.

    2016-01-01

    Complications of vascular access lead to morbidity and may reduce quality of life. In this module, we review both infectious and noninfectious arteriovenous access complications including neuropathy, aneurysm, and high-output access. For the challenging patients who have developed many complications and are now nearing their last vascular access, we highlight some potentially novel approaches. PMID:28270919

  18. The Patient Protection and Affordable Care Act: what every provider of gynecologic oncology care should know.

    PubMed

    Duska, Linda R; Engelhard, Carolyn L

    2013-06-01

    The Patient Protection and Affordable Care Act (ACA) was signed into law by President Barack Obama in 2010. While initial implementation of the law began shortly thereafter, the full implementation will take place over the next few years. With respect to cancer care, the act was intended to make care more accessible, affordable, and comprehensive across different parts of the country. For our cancer patients and our practices, the ACA has implications that are both positive and negative. The Medicaid expansion and access to insurance exchanges are intended to increase the number of insured patients and thus improve access to care, but many states have decided to opt out of the Medicaid program and in these states access problems will persist. Screening programs will be put in place for insured patients but may supplant federally funded programs that are currently in place for uninsured patients and may not follow current screening guidelines. Both hospice and home health providers will be asked to provide more services with less funding, and quality measures, including readmission rates, will factor into reimbursement. Insured patients will have access to all phases of clinical trial research. There is a need for us as providers of Gynecologic Oncology care to be active in the implementation of the ACA in order to ensure that our patients and our practices can survive and benefit from the changes in health care reimbursement, with the ultimate goals of improving access to care and quality while reducing unsustainable costs.

  19. [Clinical guidelines for epilepsy].

    PubMed

    Tsuji, Sadatoshi

    2014-05-01

    Many international guidelines for epilepsy from the countries in Europe, USA and Asia have been published since the introduction of evidence-based medicine. In Japan, the clinical guidelines for epilepsy management were published by the Japanese Society of Neurology (JSN) in 2002 and 2010. The clinical guideline for epilepsy 2010 primarily targets general practitioners treating epilepsy patients. The Japan Epilepsy Society has been publishing 16 guidelines for several topics since 2005. The clinical guideline for epilepsy 2010 recommends that carbamazepine can be regarded for new onset partial epilepsy and sodium valproate is for new onset generalized epilepsy as anti-epileptic drug (AED) monotherapy. The new AEDs received approval by the Ministry of Health, Labour and Welfare, Japan, mainly in the add-on treatment of adults with partial epilepsy. The clinical guideline for epilepsy 2010 will contribute to improvement in the management of epilepsy in Japan.

  20. Public informations guidelines

    SciTech Connect

    1986-06-01

    The purpose of these Public Information Guidelines is to provide principles for the implementation of the NWPA mandate and the Mission Plan requirements for the provision of public information. These Guidelines set forth the public information policy to be followed by all Office of Civilian Radioactive Waste Management (OCRWM) performance components. The OCRWM offices should observe these Guidelines in shaping and conducting public information activities.

  1. Accessible Electronic and Information Technology

    EPA Pesticide Factsheets

    This Policy establishes EPA's responsibilities and procedures for making its Electronic and Information Technology (EIT) products accessible to all people, including people with disabilities, in accordance with Section 508 of the Rehabilitation Act.

  2. Beyond the guidelines: challenges, controversies, and unanswered questions.

    PubMed

    Radix, Anita; Silva, Manel

    2014-06-01

    Transgender and gender-nonconforming youth have unique medical and psychosocial needs that frequently go unmet. For youth who wish to have their physical appearance congruent with their gender identity, treatment guidelines are available that advocate the use of gonadotropin-releasing hormone (GnRH) analogues (puberty blockers) and cross-sex hormone regimens. Although medical transition was once considered highly controversial, there is a mounting body of evidence that providing a supportive and affirming environment, as well as appropriate medical intervention, results in improved health outcomes. Primary care pediatricians may be unaware of current guidelines and consequently the need for treatment and/or timely referrals. Transgender youth often face other hurdles to initiation of therapy, including refusal of care and harassment in medical settings, denial of coverage by insurance plans, and the high cost of puberty blockers. Because transgender youth younger than 18 years depend on their families for medical decision making, they may be unable to access necessary medical treatment when parents do not support their transition plan. Medical transition impacts many aspects of the medical system, such as insurance coverage, billing, electronic health records, and preventive health care maintenance. These issues may become more apparent with the implementation of the Affordable Care Act (ACA) and increased use of electronic records and clinical decision support. The implementation of the ACA may also present new opportunities and protections for transgender individuals. Primary pediatricians are often the first providers families and youth reach out to for advice, and they can assist families with negotiating these complex medical, legal, social, and economic challenges and optimizing access to safe and appropriate health care services.

  3. Clery Act: Road to Compliance

    ERIC Educational Resources Information Center

    McNeal, Laura R.

    2007-01-01

    The purpose of this study was to explore what factors served as impediments to institutional efforts to comply with Clery Act guidelines through the perceptions of campus law administrators. Statistical analyses were performed on data collected from an online survey, which was distributed to members of the International Association of Campus Law…

  4. The Affordable Care Act and the future of clinical medicine: the opportunities and challenges.

    PubMed

    Kocher, Robert; Emanuel, Ezekiel J; DeParle, Nancy-Ann M

    2010-10-19

    The Affordable Care Act is a once-in-a-generation change to the U.S. health system. It guarantees access to health care for all Americans, creates new incentives to change clinical practice to foster better coordination and quality, gives physicians more information to make them better clinicians and patients more information to make them more value-conscious consumers, and changes the payment system to reward value. The Act and the health information technology provisions in the American Recovery and Reinvestment Act remove many barriers to delivering high-quality care, such as unnecessary administrative complexity, inaccessible clinical data, and insufficient access to primary care and allied health providers. We hope that physicians will embrace the opportunities created by the Affordable Care Act that will enable them to provide better care for their patients and lead the U.S. health system in a more positive direction. To fully realize the benefits of the Affordable Care Act for their practices and their patients, physicians will design their offices for seamless care, employing new practice models and using technology to integrate patient information with professional society guidelines to keep patients with chronic conditions healthy and out of the hospital. Under the Affordable Care Act, physicians who effectively collaborate with other providers to improve patient outcomes, the value of medical services, and patient experiences will thrive and be the leaders of the health care system.

  5. Hybrid specification, storage, retrieval and runtime application of clinical guidelines.

    PubMed

    Shahar, Y

    2006-06-01

    Clinical guidelines are a major tool in improving the quality of medical care. However, most guidelines are in free text, are not machine-comprehensible and are not easily accessible to clinicians at the point of care. We have designed and implemented a web-based, modular, distributed architecture, the Digital Electronic Guideline Library (DeGeL), which facilitates gradual conversion of clinical guidelines from text to a formal representation in the chosen target guideline ontology. The architecture supports guideline classification, semantic markup, context-sensitive search, browsing, run-time application and retrospective quality assessment. The DeGeL hybrid meta-ontology includes elements common to all guideline ontologies, such as semantic classification and domain knowledge; it also includes four content-representation formats: free text, semi-structured text, semi-formal representation and a formal representation. These formats support increasingly sophisticated computational tasks. Guidelines can thus be in a hybrid representation in which guidelines, and even parts of the same guideline, might exist at different formalisation levels. We have also developed and rigorously evaluated a methodology and an associated web-based tool, Uruz, for gradually structuring and semi-formalising free-text clinical guidelines. Finally, we have designed, implemented and evaluated a new approach, the hybrid runtime application model, for supporting runtime application of clinical guidelines that are not necessarily in a machine-comprehensible format; in particular, when the guideline is in a semi-formal representation and the patient's data are either in an electronic medical record or in a paper format. The tool implementing this new approach, the Spock module, is customised at this point to the Asbru guideline specification language and exploits the hybrid structure of guidelines in DeGeL. The Spock module also exploits our temporal-abstraction mediator to the patient

  6. 75 FR 4380 - Draft Test Guidelines; Notice of Availability and Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-27

    ... AGENCY Draft Test Guidelines; Notice of Availability and Request for Comments AGENCY: Environmental Protection Agency (EPA). ACTION: Notice. SUMMARY: EPA is announcing the availability of four draft test... (703) 305-5805. Electronic access to the OPPTS Test Guidelines: To access the OPPTS harmonized...

  7. 43 CFR 2.62 - Requests for access to records.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Requests for access to records. 2.62... OF INFORMATION ACT Privacy Act § 2.62 Requests for access to records. The Privacy Act permits individuals, upon request, to gain access to their records or to any information pertaining to them which...

  8. Secondary Containment for Underground Storage Tank Systems - 2005 Energy Policy Act

    EPA Pesticide Factsheets

    These grant guidelines implement the secondary containment provision in Section 9003(i)(1) of the Solid Waste Disposal Act, enacted by the Underground Storage Tank Compliance Act, part of the Energy Policy Act of 2005.

  9. Macroscopic characterisations of Web accessibility

    NASA Astrophysics Data System (ADS)

    Lopes, Rui; Carriço, Luis

    2010-12-01

    The Web Science framework poses fundamental questions on the analysis of the Web, by focusing on how microscopic properties (e.g. at the level of a Web page or Web site) emerge into macroscopic properties and phenomena. One research topic on the analysis of the Web is Web accessibility evaluation, which centres on understanding how accessible a Web page is for people with disabilities. However, when framing Web accessibility evaluation on Web Science, we have found that existing research stays at the microscopic level. This article presents an experimental study on framing Web accessibility evaluation into Web Science's goals. This study resulted in novel accessibility properties of the Web not found at microscopic levels, as well as of Web accessibility evaluation processes themselves. We observed at large scale some of the empirical knowledge on how accessibility is perceived by designers and developers, such as the disparity of interpretations of accessibility evaluation tools warnings. We also found a direct relation between accessibility quality and Web page complexity. We provide a set of guidelines for designing Web pages, education on Web accessibility, as well as on the computational limits of large-scale Web accessibility evaluations.

  10. Measure Guideline: Ventilation Cooling

    SciTech Connect

    Springer, D.; Dakin, B.; German, A.

    2012-04-01

    The purpose of this measure guideline is to provide information on a cost-effective solution for reducing cooling system energy and demand in homes located in hot-dry and cold-dry climates. This guideline provides a prescriptive approach that outlines qualification criteria, selection considerations, and design and installation procedures.

  11. Measure Guideline: Ventilation Cooling

    SciTech Connect

    Springer, D.; Dakin, B.; German, A.

    2012-04-01

    The purpose of this measure guideline on ventilation cooling is to provide information on a cost-effective solution for reducing cooling system energy and demand in homes located in hot-dry and cold-dry climates. This guideline provides a prescriptive approach that outlines qualification criteria, selection considerations, and design and installation procedures.

  12. Drug Education Guidelines.

    ERIC Educational Resources Information Center

    Michigan State Dept. of Education, Lansing.

    In order to supply drug education guidelines for its schools, the Michigan State Board of Education created an advisory council of professionals from the fields of drugs and education, parents, and high school and college students. The council developed the present set of guidelines designed to define the role of the school in drug education and…

  13. Nonstructural seismic restraint guidelines

    SciTech Connect

    Butler, D.M.; Czapinski, R.H.; Firneno, M.J.; Feemster, H.C.; Fornaciari, N.R.; Hillaire, R.G.; Kinzel, R.L.; Kirk, D.; McMahon, T.T.

    1993-08-01

    The Nonstructural Seismic Restraint Guidelines provide general information about how to secure or restrain items (such as material, equipment, furniture, and tools) in order to prevent injury and property, environmental, or programmatic damage during or following an earthquake. All SNL sites may experience earthquakes of magnitude 6.0 or higher on the Richter scale. Therefore, these guidelines are written for all SNL sites.

  14. Guideline 3: Psychosocial Treatment.

    ERIC Educational Resources Information Center

    American Journal on Mental Retardation, 2000

    2000-01-01

    The third in seven sets of guidelines based on the consensus of experts in the treatment of psychiatric and behavioral problems in mental retardation (MR) focuses on psychosocial treatment. Guidelines cover general principles, choosing among psychosocial treatments, severity of MR and psychiatric/behavior symptoms, diagnosable disorders, target…

  15. Communication Disorders Guidelines.

    ERIC Educational Resources Information Center

    Utah State Office of Education, Salt Lake City. Special Education Services Unit.

    These guidelines outline procedures for the communication disorders specialist/speech-language pathologist employed in the Utah public schools. The guidelines are designed to ensure that all students with communication disorders, ages 3-21, will be provided with appropriate speech-language services in the public schools, that the criteria for…

  16. Guidelines for Career Awareness.

    ERIC Educational Resources Information Center

    Mead, Rosemary; And Others

    These extensive guidelines for integrated career education programs at the elementary level were developed by a regional coordinator, an elementary teacher, and an intermediate teacher at a 2-week regional workshop in western Kentucky. The ten chapters include: (1) a rationale for developing career awareness, (2) self-evaluation guidelines for the…

  17. Engineering Technology Curriculum Guidelines

    ERIC Educational Resources Information Center

    Gershon, J. J.

    1977-01-01

    Summarizes curriculum guidelines for the following engineering technologies: chemical, industrial, mining, petroleum, nuclear, civil, mechanical, electrical, automotive, and manufacturing. In a few years, these Engineering Council for Professional Development committee guidelines are intended to become the criteria by which programs will be judged…

  18. Dietary guidelines in singapore.

    PubMed

    Lee, Benjamin Lc

    2011-01-01

    The 2011 Dietary Guidelines were developed with the aim of providing guidance on what dietary strategies can best address increasing rates of obesity and non-communicable chronic disease in Singapore. This set of dietary guidelines was developed with a local expert committee based on a review of scientific literature and data on current dietary patterns from the 2010 National Nutrition Survey. Projected nutrient intakes from a diet adhering to the 2011 Dietary Guidelines were calculated using a local food composition database (FOCOS) and validated against nutrient recommendations. Acknowledging that dietary requirements differ between age groups, different sets of dietary guidelines have been developed and customised for different segments of the population. To date, Singapore has produced dietary guidelines for children and adolescents (focusing on establishing healthy lifelong eating patterns), adults (focusing on preventing obesity and reinforcing healthy eating patterns), and most recently, guidelines for older adults (>50 years of age) that address the issue of potential dietary insufficiency caused by age-related increases in nutrient requirements combined with a reduction in energy requirements. In Singapore, dietary guidelines have been used to inform and direct public policy and promote dietary patterns that meet nutrient requirements while reducing the risk of non-communicable chronic diseases. Examples of public policy include: national guidelines on food advertising and standards for food served in nursing homes; examples of public health promotion programmes include: the Healthier Choice Symbol Programme for packaged food products and programmes encouraging provision of healthier meals in hawker centres, restaurants, and school or workplace canteens.

  19. Maintenance Trades Guidelines

    ERIC Educational Resources Information Center

    Weidner, Theodore J.

    2008-01-01

    In 2002, APPA published "Maintenance Staffing Guidelines for Educational Facilities," the first building maintenance trades staffing guideline designed to assist educational facilities professionals with their staffing needs. addresses how facilities professionals can determine the appropriate size and mix of their organization. Contents…

  20. Advanced control room design review guidelines: Integration of the NUREG-0700 guidelines and development of new human-system interface guidelines

    SciTech Connect

    Carter, R.J.

    1997-07-01

    This report documents the work conducted in four tasks of the Nuclear Regulatory Commission (NRC) project entitled Review Criteria for Human Factors Aspects of Advanced Controls and Instrumentation. The purpose of the first task was to integrate the applicable sections of NUREG-0700 into the advanced control room design review (ACRDR) guidelines to ensure that all applicable guidelines are together in one document and conveniently accessible to users. The primary objective of the second task was to formulate a strategy for the development of new ACRDR guidelines that have not otherwise been identified. The main focus of the third task was to modify the individual ACRDR guidelines generated to date to ensure that they are suitable for the intended nuclear power plant (NPP) control station system application. The goal of the fourth task was to develop human factors guidelines for two human-system interface categories that are missing from the current ACRDR guidelines document. During the first task those areas in NUREG-0700 that are not addressed by the ACRDR guidelines document were identified, the areas were subsequently reviewed against six recent industry human factors engineering review guidelines, and the NUREG-0700 guidelines were updated as necessary. In the second task 13 general categories of human-system interface guidelines that are either missing from or not adequately addressed by the ACRDR document were discovered. An approach was derived for the development of new ACRDR guidelines, a preliminary assessment of the available sources that may be useful in the creation of new guidelines and their applicability to the identified human-system interface categories was performed, and an estimate was made of the amount of time and level of effort required to complete the development of needed new ACRDR guidelines. During the third task those NPP control station systems to which the NUREG-0700 and ACRDR guidelines apply were identified, matrices of such

  1. Guidelines for Better Heart Health

    MedlinePlus

    ... Home Current Issue Past Issues Guidelines for Better Heart Health Past Issues / Winter 2007 Table of Contents For ... Heart Association (AHA) released new guidelines for preventing heart disease and stroke ... health. Those guidelines, still in effect today, adopted the ...

  2. [Guidelines for clinical practice].

    PubMed

    Vleugels, A M

    1997-01-01

    Clinical practice guidelines are systematically developed statements that are intended to support medical decision making in well-defined clinical situations. Essentially, their object is to reduce the variability in medical practice, to improve quality, and to make appropriated control of the financial resources possible. Internationally, ever more organisations, associations, and institutions are concerned with the development of guidelines in many different areas of care. Making implicit knowledge explicit is one of the associated advantages of guidelines: they have a potential utility in training, in process evaluation, and in the reevaluation of outcome studies. In liability issues, their existence has a double effect: they can be used to justify medical behaviour, and they constitute a generally accepted reference point. A derivative problem is the legal liability of the compilers of the guidelines. The principle of the guideline approach can be challenged academically: science cannot give a definition of optimal care with absolute certainty. What is called objectivity often rests on methodologically disputable analyses; also the opinion of opinion leaders is not always a guarantee for scientific soundness. Moreover, patients are not all identical: biological variability, situational factors, patient expectations, and other elements play a role in this differentiation. Clinicians are often hesitant with respect to clinical guidelines: they are afraid of cookbook medicine and curtailment of their professional autonomy. Patients fear reduction of individualization of care and the use of guidelines as a rationing instrument. The effects of the introduction of clinical practice guidelines on medical practice, on the results and on the cost of care vary but are generally considered to be favourable. The choice of appropriate strategies in development, dissemination, and implementation turns out to be of critical importance. The article ends with concrete

  3. Guideline Implementation: Preventing Hypothermia.

    PubMed

    Bashaw, Marie A

    2016-03-01

    The updated AORN "Guideline for prevention of unplanned patient hypothermia" provides guidance for identifying factors associated with intraoperative hypothermia, preventing hypothermia, educating perioperative personnel on this topic, and developing relevant policies and procedures. This article focuses on key points of the guideline, which addresses performing a preoperative assessment for factors that may contribute to hypothermia, measuring and monitoring the patient's temperature in all phases of perioperative care, and implementing interventions to prevent hypothermia. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.

  4. A framework for a distributed, hybrid, multiple-ontology clinical-guideline library, and automated guideline-support tools.

    PubMed

    Shahar, Yuval; Young, Ohad; Shalom, Erez; Galperin, Maya; Mayaffit, Alon; Moskovitch, Robert; Hessing, Alon

    2004-10-01

    Clinical guidelines are a major tool in improving the quality of medical care. However, most guidelines are in free text, not in a formal, executable format, and are not easily accessible to clinicians at the point of care. We introduce a Web-based, modular, distributed architecture, the Digital Electronic Guideline Library (DeGeL), which facilitates gradual conversion of clinical guidelines from text to a formal representation in chosen target guideline ontology. The architecture supports guideline classification, semantic markup, context-sensitive search, browsing, run-time application, and retrospective quality assessment. The DeGeL hybrid meta-ontology includes elements common to all guideline ontologies, such as semantic classification and domain knowledge; it also includes four content-representation formats: free text, semi-structured text, semi-formal representation, and a formal representation. These formats support increasingly sophisticated computational tasks. The DeGeL tools for support of guideline-based care operate, at some level, on all guideline ontologies. We have demonstrated the feasibility of the architecture and the tools for several guideline ontologies, including Asbru and GEM.

  5. Research and improving web accessibility in Japan

    NASA Astrophysics Data System (ADS)

    Uchida, Hitoshi; Ando, Masaya; Ohta, Kenji; Shimizu, Hirokazu; Hayashi, Yoshio; Ichihara, Yasuyo G.; Yamazaki, Ryoji

    2001-12-01

    Internet use by the people with disabilities and the elderly in Japan is still low, but growing. However, the majority of web contents written in Japanese, even government sites, have very low accessibility. This paper introduces the active measures being taken in Japan to improve such conditions; consideration of a web contents accessibility guideline tailored to the unique characteristics of the Japanese language, development of a system to evaluate accessibility and implementation of actual trials.

  6. Freedom of Information Act

    USGS Publications Warehouse

    Newman, D.J.

    2012-01-01

    The Freedom of Information Act( FOIA), 5 U.S.C.§ 552, as amended, generally provides that any person has a right to request access to Federal agency records. The USGS proactively promotes information disclosure as inherent to its mission of providing objective science to inform decisionmakers and the general public. USGS scientists disseminate up-to-date and historical scientific data that are critical to addressing national and global priorities.

  7. Accessibility | Smokefree 60+

    Cancer.gov

    60plus.smokefree.gov is committed to making its websites accessible to all individuals—disabled or not—who are seeking information. To provide this information, the Smokefree 60+ website has been designed to comply with Section 508 of the Rehabilitation Act (as amended). Section 508 requires that all individuals with disabilities (whether they are federal government employees or members of the general public) have access to and use of information and data comparable to that provided to individuals without disabilities, unless an undue burden would be imposed.

  8. 32 CFR 701.107 - Record access.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... for their representative to act on their behalf. (See § 701.107(e) regarding access by custodial... individual may have access. (2) Individuals may be accompanied by anyone they choose when seeking to review... constituent granting authorization to act on their behalf. (2) In those instances where the DON...

  9. 32 CFR 701.107 - Record access.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... for their representative to act on their behalf. (See § 701.107(e) regarding access by custodial... individual may have access. (2) Individuals may be accompanied by anyone they choose when seeking to review... constituent granting authorization to act on their behalf. (2) In those instances where the DON...

  10. 32 CFR 701.107 - Record access.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... for their representative to act on their behalf. (See § 701.107(e) regarding access by custodial... individual may have access. (2) Individuals may be accompanied by anyone they choose when seeking to review... constituent granting authorization to act on their behalf. (2) In those instances where the DON...

  11. Survey of preferred guideline attributes: what helps to make guidelines more useful for emergency health practitioners?

    PubMed Central

    2012-01-01

    Background Enhancing CPG acceptance and implementation can play a major role in the development and establishment of emergency medicine as a specialty in many parts of the world. A Guideline International Network special interest group established to support collaboration to improve uptake of clinical practice guidelines (CPGs) across the emergency care sector conducted an international survey to identify attributes of guideline likely to enhance their use. Methods A Web-based survey was undertaken to determine how CPGs were accessed, the preferred formats and attributes of guidelines, and familiarity with GRADE. The criteria used to identify preferred attributes of guidelines were adapted from the AGREE II Tool. Results Two hundred six responses were received from 31 countries, 74/206 (36%) from the US, 28/206 (16%) from Canada, 17/206 (8%) from Australia and 15/206 (7%) from the UK. The majority of responses were from physicians (176/206, 85%) with 15/206 (7%) of responses from nurses and 9/206 (4%) from pre-hospital emergency services personnel. The preferred format for guidelines was clinical protocols that incorporated recommendations into workflow, and the most preferred attribute of guidelines was the clear identification of key recommendations. The results also identified that within the group that responded to the question related to GRADE, 66% were unfamiliar with this system for summarizing evidence in relationship to recommendations. Conclusions The findings provide the basis for further research to explore the most appropriate formats for guidelines or guidelines resources tailored to the needs of the emergency care providers. PMID:23140222

  12. Use of clinical guidelines: perspectives from clinicians in paediatric and maternity hospitals in Kabul, Afghanistan.

    PubMed

    Graham, H; Tokhi, M; Edward, A; Salehi, A S; Turkmani, S; Duke, T; Bartlett, L

    2015-04-02

    This study explored the perceived value, role and reported use of clinical guidelines by clinicians in urban paediatric and maternity hospital settings, and the effect of current implementation strategies on clinician attitudes, knowledge and behaviour. A total of 63 clinicians from 7 paediatric and maternity hospitals in Kabul, Afghanistan participated in structured focus groups; content analysis methodology was used for identification and analysis of key themes. Seven sets of guidelines, protocols or standards were identified (including 5 WHO-endorsed guidelines). However, most are failing to achieve high levels of use. Factors associated with guideline use included: clinician involvement in guideline development; multidisciplinary training; demonstrable results; and positive clinician perceptions regarding guideline quality and contextual appropriateness. Implementation activities should fulfil 3 major objectives: promote guideline awareness and access; stimulate motivation among clinical guideline users; and actively facilitate adherence to guidelines.

  13. Curriculum Guidelines for Periodontics.

    ERIC Educational Resources Information Center

    Journal of Dental Education, 1985

    1985-01-01

    Guidelines describe the interrelationships of this and other dental fields, give an overview of the curriculum and its primary educational objectives, and outline the suggested prerequisites, core content, specific behavioral objectives, sequencing, and faculty requirements. (MSE)

  14. LIFE CYCLE ENGINEERING GUIDELINES

    EPA Science Inventory

    This document provides guidelines for the implementation of LCE concepts, information, and techniques in engineering products, systems, processes, and facilities. To make this document as practical and useable as possible, a unifying LCE framework is presented. Subsequent topics ...

  15. Electrical safety guidelines

    SciTech Connect

    Not Available

    1993-09-01

    The Electrical Safety Guidelines prescribes the DOE safety standards for DOE field offices or facilities involved in the use of electrical energy. It has been prepared to provide a uniform set of electrical safety standards and guidance for DOE installations in order to affect a reduction or elimination of risks associated with the use of electrical energy. The objectives of these guidelines are to enhance electrical safety awareness and mitigate electrical hazards to employees, the public, and the environment.

  16. Multilayer Insulation Material Guidelines

    NASA Technical Reports Server (NTRS)

    Finckenor, M. M.; Dooling, D.

    1999-01-01

    Multilayer Insulation Material Guidelines provides data on multilayer insulation materials used by previous spacecraft such as Spacelab and the Long-Duration Exposure Facility and outlines other concerns. The data presented in the document are presented for information only. They can be used as guidelines for multilayer insulation design for future spacecraft provided the thermal requirements of each new design and the environmental effects on these materials are taken into account.

  17. [Neonatal conventional ventilation guidelines].

    PubMed

    2001-09-01

    Respiratory pathology is a frequent problem in Neonatal Intensive Care Units; the last few years, our knowledge about its management has improved enormously. Conventional Ventilatory support is a high-specialized technique that maintains a correct alveolar gas exchange while the primary aetiology is to present some clinical guidelines for every professional working with newborns who have respiratory failure improves. The aim of this document is to present some clinical guidelines for every professional working with newborns who have respiratory pathology

  18. Achieving reuse of computable guideline systems.

    PubMed

    Johnson, P; Tu, S; Jones, N

    2001-01-01

    We describe an architecture for reusing computable guidelines and the programs used to interpret them across varied legacy clinical systems. Developed for the PRODIGY 3 project, our architecture aims to support interactive, point of care use of guidelines in primary care. Legacy medical record systems in UK primary care are diverse, using different terminologies, different data models, and varying user-interface philosophies. However, our goal is to provide common guideline knowledge bases and system components, while achieving full integration with the host medical record system, and a user interface tailored to that system. In conjunction with system suppliers, we identified areas of standardization required to achieve this goal. Firstly, standardized interfaces were created for mediation with the legacy system medical record and for act management. Secondly, a standard interface was developed for communication with the User Interface for guideline interaction. Thirdly, a terminology mapping knowledge base and system component was provided. Lastly, we developed a numeric unit conversion knowledge base and system component. The standardization of this architecture was achieved by close collaboration with existing vendors of Primary Care computing systems in the UK. The work has been verified by two suppliers successfully building and deploying systems with User Interfaces which mirror their normal look and feel, communicating fully with existing medical records, while using identical Guideline Interpreter components and knowledge bases. Encouragingly further experiments in other areas of clinical decision support have not required extension of our interfaces.

  19. Vehicle barrier with access delay

    DOEpatents

    Swahlan, David J; Wilke, Jason

    2013-09-03

    An access delay vehicle barrier for stopping unauthorized entry into secure areas by a vehicle ramming attack includes access delay features for preventing and/or delaying an adversary from defeating or compromising the barrier. A horizontally deployed barrier member can include an exterior steel casing, an interior steel reinforcing member and access delay members disposed within the casing and between the casing and the interior reinforcing member. Access delay members can include wooden structural lumber, concrete and/or polymeric members that in combination with the exterior casing and interior reinforcing member act cooperatively to impair an adversarial attach by thermal, mechanical and/or explosive tools.

  20. Fee or Free: Public Interests and the Freedom of Information Act.

    ERIC Educational Resources Information Center

    O'Hanlon, Nancyanne

    1984-01-01

    This examination of agency fee waiver guidelines for public interest groups within the context of the Freedom of Information Act found that the lack of consistent guidelines inhibited the use of the act by public interest requesters. Efforts to limit types of information available under the act are described. (CLB)

  1. Quality of clinical practice guidelines in delirium: a systematic appraisal

    PubMed Central

    Marchington, Katie L; Agar, Meera; Davis, Daniel H J; Sikora, Lindsey; Tsang, Tammy W Y

    2017-01-01

    Objective To determine the accessibility and currency of delirium guidelines, guideline summary papers and evaluation studies, and critically appraise guideline quality. Design Systematic literature search for formal guidelines (in English or French) with focus on delirium assessment and/or management in adults (≥18 years), guideline summary papers and evaluation studies. Full appraisal of delirium guidelines published between 2008 and 2013 and obtaining a ‘Rigour of Development’ domain screening score cut-off of >40% using the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument. Data sources Multiple bibliographic databases, guideline organisation databases, complemented by a grey literature search. Results 3327 database citations and 83 grey literature links were identified. A total of 118 retrieved delirium guidelines and related documents underwent full-text screening. A final 21 delirium guidelines (with 10 being >5 years old), 12 guideline summary papers and 3 evaluation studies were included. For 11 delirium guidelines published between 2008 and 2013, the screening AGREE II ‘Rigour’ scores ranged from 3% to 91%, with seven meeting the cut-off score of >40%. Overall, the highest rating AGREE II domains were ‘Scope and Purpose’ (mean 80.1%, range 64–100%) and ‘Clarity and Presentation’ (mean 76.7%, range 38–97%). The lowest rating domains were ‘Applicability’ (mean 48.7%, range 8–81%) and ‘Editorial Independence’ (mean 53%, range 2–90%). The three highest rating guidelines in the ‘Applicability’ domain incorporated monitoring criteria or audit and costing templates, and/or implementation strategies. Conclusions Delirium guidelines are best sourced by a systematic grey literature search. Delirium guideline quality varied across all six AGREE II domains, demonstrating the importance of using a formal appraisal tool prior to guideline adaptation and implementation into clinical settings. Adding more

  2. 40 CFR 35.935-7 - Access.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... provide access to the project work, sites, documents, and records. See §§ 30.605 and 30.805 of this... ASSISTANCE Grants for Construction of Treatment Works-Clean Water Act § 35.935-7 Access. The grantee must insure that EPA and State representatives will have access to the project work whenever it is...

  3. 40 CFR 35.935-7 - Access.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... provide access to the project work, sites, documents, and records. See §§ 30.605 and 30.805 of this... ASSISTANCE Grants for Construction of Treatment Works-Clean Water Act § 35.935-7 Access. The grantee must insure that EPA and State representatives will have access to the project work whenever it is...

  4. Access Denied

    ERIC Educational Resources Information Center

    Villano, Matt

    2008-01-01

    Building access control (BAC)--a catchall phrase to describe the systems that control access to facilities across campus--has traditionally been handled with remarkably low-tech solutions: (1) manual locks; (2) electronic locks; and (3) ID cards with magnetic strips. Recent improvements have included smart cards and keyless solutions that make use…

  5. Open Access

    ERIC Educational Resources Information Center

    Suber, Peter

    2012-01-01

    The Internet lets us share perfect copies of our work with a worldwide audience at virtually no cost. We take advantage of this revolutionary opportunity when we make our work "open access": digital, online, free of charge, and free of most copyright and licensing restrictions. Open access is made possible by the Internet and copyright-holder…

  6. Accessibility of U.S. Federal Government Home Pages: Section 508 Compliance and Site Accessibility Statements

    ERIC Educational Resources Information Center

    Olalere, Abiodun; Lazar, Jonathan

    2011-01-01

    U.S. federal websites are required to be accessible for people with impairments. However, despite the existing regulations and guidelines, many federal websites continue to be inaccessible, and accessibility policy statements available on federal websites often do not provide any useful information. This paper provides three contributions to the…

  7. Restaurant wheelchair accessibility.

    PubMed

    McClain, L; Beringer, D; Kuhnert, H; Priest, J; Wilkes, E; Wilkinson, S; Wyrick, L

    1993-07-01

    This study was designed to determine the compliance of restaurants to the wheelchair accessibility standards set forth in the Uniform Federal Accessibility Standards. The standards that were operationalized in this study are also found in Title III of the Americans With Disabilities Act of 1990. The data were collected at 120 sites in three midwestern states. For one who uses a wheelchair, parking the car is often an obstacle to eating out. Only 53% of the restaurants surveyed provide handicapped parking. Entering the building may also be a problem. Of the restaurants that required a ramp, only 66% provided them. Inside the restaurant, the key problems were accessible rest-rooms and the height of tables. The study provided comparisons between restaurants in rural and urban settings, as well as comparisons between conventional restaurants and fast food restaurants. No notable differences emerged for these comparisons.

  8. Acting Atoms.

    ERIC Educational Resources Information Center

    Farin, Susan Archie

    1997-01-01

    Describes a fun game in which students act as electrons, protons, and neutrons. This activity is designed to help students develop a concrete understanding of the abstract concept of atomic structure. (DKM)

  9. [Guidelines for nursing methodology implantation].

    PubMed

    Alberdi Castell, Rosamaría; Artigas Lelong, Berta; Cuxart Ainaud, Núria; Agüera Ponce, Ana

    2003-09-01

    The authors introduce three guidelines as part of the process to implant the nursing methodology based on the Virginia Henderson Conceptual Model; they propose to help nurses adopt the aforementioned method in their daily practice. These three guidelines shall be published in successive articles: Guidelines to identify attitudes and aptitudes related to the nursing profession; Guidelines to implant the nursing methodology based on the Virginia Henderson Conceptual Model; and Guidelines to plan areas for improvement.

  10. Deriving cleanup guidelines for radionuclides at Brookhaven National Laboratory

    SciTech Connect

    Meinhold, A.F.; Morris, S.C.; Dionne, B.; Moskowitz, P.D.

    1997-01-01

    Past activities at Brookhaven National Laboratory (BNL) resulted in soil and groundwater contamination. As a result, BNL was designated a Superfund site under the Comprehensive Environmental Response Compensation and Liability Act (CERCLA). BNL`s Office of Environmental Restoration (OER) is overseeing environmental restoration activities at the Laboratory. With the exception of radium, there are no regulations or guidelines to establish cleanup guidelines for radionuclides in soils at BNL. BNL must derive radionuclide soil cleanup guidelines for a number of Operable Units (OUs) and Areas of Concern (AOCs). These guidelines are required by DOE under a proposed regulation for radiation protection of public health and the environment as well as to satisfy the requirements of CERCLA. The objective of this report is to propose a standard approach to deriving risk-based cleanup guidelines for radionuclides in soil at BNL. Implementation of the approach is briefly discussed.

  11. Guidelines for Project Management

    NASA Technical Reports Server (NTRS)

    Ben-Arieh, David

    2001-01-01

    Project management is an important part of the professional activities at Kennedy Space Center (KSC). Project management is the means by which many of the operations at KSC take shape. Moreover, projects at KSC are implemented in a variety of ways in different organizations. The official guidelines for project management are provided by NASA headquarters and are quite general. The project reported herein deals with developing practical and detailed project management guidelines in support of the project managers. This report summarizes the current project management effort in the Process Management Division and presents a new modeling approach of project management developed by the author. The report also presents the Project Management Guidelines developed during the summer.

  12. Guideline Implementation: Hand Hygiene.

    PubMed

    Goldberg, Judith L

    2017-02-01

    Performing proper hand hygiene and surgical hand antisepsis is essential to reducing the rates of health care-associated infections, including surgical site infections. The updated AORN "Guideline for hand hygiene" provides guidance on hand hygiene and surgical hand antisepsis, the wearing of fingernail polish and artificial nails, proper skin care to prevent dermatitis, the wearing of jewelry, hand hygiene product selection, and quality assurance and performance improvement considerations. This article focuses on key points of the guideline to help perioperative personnel make informed decisions about hand hygiene and surgical hand antisepsis. The key points address the necessity of keeping fingernails and skin healthy, not wearing jewelry on the hands or wrists in the perioperative area, properly performing hand hygiene and surgical hand antisepsis, and involving patients and visitors in hand hygiene initiatives. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.

  13. GSFC Ada programming guidelines

    NASA Technical Reports Server (NTRS)

    Roy, Daniel M.; Nelson, Robert W.

    1986-01-01

    A significant Ada effort has been under way at Goddard for the last two years. To ease the center's transition toward Ada (notably for future space station projects), a cooperative effort of half a dozen companies and NASA personnel was started in 1985 to produce programming standards and guidelines for the Ada language. The great richness of the Ada language and the need of programmers for good style examples makes Ada programming guidelines an important tool to smooth the Ada transition. Because of the natural divergence of technical opinions, the great diversity of our government and private organizations and the novelty of the Ada technology, the creation of an Ada programming guidelines document is a difficult and time consuming task. It is also a vital one. Steps must now be taken to ensure that the guide is refined in an organized but timely manner to reflect the growing level of expertise of the Ada community.

  14. Guidelines for drug donations.

    PubMed Central

    Hogerzeil, H. V.; Couper, M. R.; Gray, R.

    1997-01-01

    Drug donations are usually given in response to acute emergencies, but they can also be part of development aid. Donations may be given directly by governments, by non-governmental organisations, as corporate donations (direct or through private voluntary organisations), or as private donations to single health facilities. Although there are legitimate differences between these donations, basic rules should apply to them all. This common core of "good donation practice" is the basis for new guidelines which have recently been issued by the World Health Organisation after consultation with all relevant United Nations agencies, the Red Cross, and other major international agencies active in humanitarian emergency relief. This article summarises the need for such guidelines, the development process, the core principles, and the guidelines themselves and gives practical advice to recipients and donor agencies. PMID:9116555

  15. Guidelines for the management of breakthrough pain in patients with cancer.

    PubMed

    Caraceni, Augusto; Davies, Andrew; Poulain, Philippe; Cortés-Funes, Hernán; Panchal, Sunil J; Fanelli, Guido

    2013-03-01

    The moral imperative to adequately manage pain is being increasingly recognized worldwide. A comprehensive pain management approach that addresses the various presentations of pain in patients with cancer is required, including appropriate management of breakthrough pain. Breakthrough pain commonly occurs in patients with advanced cancer and is disabling to the individual and burdensome to society, yet it is often inadequately managed. Because pain is heterogeneous, the best management of an individual's pain, including breakthrough pain in cancer, requires a thorough assessment to tailor the treatment strategies. Recently developed guidelines support this approach and recommend treating breakthrough pain using rapid- or short-acting opioids with pharmacodynamics that mirror the rapid onset and short duration of the presenting pain. This approach should be part of a comprehensive strategy to treat pain within the context of the primary disease trajectory, offering continuity of care and access to specialized palliative care when appropriate.

  16. Strategy Guideline: Demonstration Home

    SciTech Connect

    Savage, C.; Hunt, A.

    2012-12-01

    This guideline will provide a general overview of the different kinds of demonstration home projects, a basic understanding of the different roles and responsibilities involved in the successful completion of a demonstration home, and an introduction into some of the lessons learned from actual demonstration home projects. Also, this guideline will specifically look at the communication methods employed during demonstration home projects. And lastly, we will focus on how to best create a communication plan for including an energy efficient message in a demonstration home project and carry that message to successful completion.

  17. Strategy Guideline. Demonstration Home

    SciTech Connect

    Hunt, A.; Savage, C.

    2012-12-01

    This guideline will provide a general overview of the different kinds of demonstration home projects, a basic understanding of the different roles and responsibilities involved in the successful completion of a demonstration home, and an introduction into some of the lessons learned from actual demonstration home projects. Also, this guideline will specifically look at the communication methods employed during demonstration home projects. And lastly, we will focus on how to best create a communication plan for including an energy efficient message in a demonstration home project and carry that message to successful completion.

  18. EPRI condensate polisher guidelines

    SciTech Connect

    Larkin, B.A.; Webb, L.C.; Sawochka, S.G.; Crits, G.J.; Pocock, F.J.; Wirth, L.

    1995-01-01

    Cycle chemistry is one of the most important contributors to the loss of availability of generating units. Condensate polishing can significantly improve cycle chemistry by improving cycle water quality and minimizing the transport of contaminants in the power cycle. The EPRI-funded project described in this paper developed comprehensive guidelines for condensate polishing based upon information gathered from utility surveys, equipment vendors, and resin suppliers. Existing literature was also surveyed for pertinent input. Comprehensive guidelines which outline guidance for design, operation, maintenance, surveillance, management, and retrofitting of condensate polishing systems were developed. Economics of condensate polishing were evaluated and a roadmap for economic evaluation for utilities to follow was produced.

  19. Summary of the British Transplantation Society Guidelines for Management of the Failing Kidney Transplant.

    PubMed

    Andrews, Peter A

    2014-12-15

    The British Transplantation Society "Guideline for Transplantation Management of the Failing Kidney Transplant" was published in May 2014. This is the first national guideline in this field. In line with previous guidelines published by the British Transplantation Society, the guideline has used the GRADE system to rate the strength of evidence and recommendations.This article summarizes the Statements of Recommendation contained in the guideline, which provide a framework for the management of the failing kidney graft in the United Kingdom and may be of wide international interest. It is recommended that the full guideline document is consulted for details of the relevant references and evidence base. This may be accessed at: http://www.bts.org.uk/MBR/Clinical/Guidelines/Current/Member/Clinical/Current_Guidelines.aspx.

  20. 10 CFR 1304.108 - Appealing denials of access.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Appealing denials of access. 1304.108 Section 1304.108 Energy NUCLEAR WASTE TECHNICAL REVIEW BOARD PRIVACY ACT OF 1974 § 1304.108 Appealing denials of access. If access to records is denied by the Privacy Act Officer, the requester may file an appeal...

  1. 48 CFR 352.270-1 - Accessibility of meetings, conferences, and seminars to persons with disabilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... accessibility standards set forth in 28 CFR 36.101-36.500 and Appendix A: ADA Accessibility Guidelines (ADAAG... participation. Also, meeting rooms shall be adequately illuminated. (iii) Agenda and other conference...

  2. 40 CFR 1602.2 - Requests for access to records.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... PRIVACY AND ACCESS TO INDIVIDUAL RECORDS UNDER THE PRIVACY ACT OF 1974 § 1602.2 Requests for access to... should mark both your request letter and the envelope “Privacy Act Request.” (b) Description of records... systems of records also may be found as part of the “Privacy Act Compilation” published by the...

  3. 1 CFR 304.21 - Requests for access to records.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... INFORMATION Protection of Privacy and Access to Individual Records Under the Privacy Act of 1974 § 304.21... possible handling of a mail request, you should mark both your request letter and the envelope “Privacy Act... its systems of records. (c) Agreement to pay fees. If you make a Privacy Act request for access...

  4. Guidelines for Guidance Services.

    ERIC Educational Resources Information Center

    Manitoba Dept. of Education and Training, Winnipeg.

    The purpose of this booklet is to provide direction and assistance to school divisions as they develop responsive, effective, and accountable guidance services and programs at the school level. The guidelines presented provide a broad conceptual framework of definitions and goals and outline expectations for service standards. Models and…

  5. Measure Guideline: Evaporative Condensers

    SciTech Connect

    German, A; Dakin, B.; Hoeschele, M.

    2012-03-01

    This measure guideline on evaporative condensers provides information on properly designing, installing, and maintaining evaporative condenser systems as well as understanding the benefits, costs, and tradeoffs. This is a prescriptive approach that outlines selection criteria, design and installation procedures, and operation and maintenance best practices.

  6. Curricular Guidelines in Microbiology.

    ERIC Educational Resources Information Center

    Wilett, Norman P.; And Others

    1984-01-01

    The American Association of Dental Schools' guidelines for curriculum development in microbiology outline the scope of the subject, interrelationships with other disciplines and specialties, primary educational goals, prerequisites, core content, specific behavioral objectives in each subarea, sequencing, and faculty and facilities requirements.…

  7. Guidelines on Open Expression.

    ERIC Educational Resources Information Center

    Pennsylvania Univ., Philadelphia.

    These Guidelines on open expression at the University of Pennsylvania include: (1) a statement of principles, expressing support for freedom of thought, inquiry, speech and lawful assembly, and for the need to ensure continuing openness and effectiveness of channels of communication; (2) a description of the newly created Committee on Open…

  8. Curricular Guidelines for Endodontics.

    ERIC Educational Resources Information Center

    Journal of Dental Education, 1981

    1981-01-01

    Guidelines developed by the Section on Endodontics of the American Association of Dental Schools for use by educational institutions as curriculum development aids are provided. Endodontics is that branch of dentistry dealing with diagnosis and treatment of oral conditions that arise as a result of pathoses of dental pulp. (MLW)

  9. Noise Assessment Guidelines.

    ERIC Educational Resources Information Center

    Schultz, Theodore J.; McMahon, Nancy M.

    The Department of Housing and Urban Development (HUD), in its efforts to provide decent housing and a suitable living environment, is concerned with noise as a major source of environmental pollution. To this end, these guidelines are presented to provide site screening techniques. The procedures described have been developed so that people…

  10. Children's Advertising Guidelines.

    ERIC Educational Resources Information Center

    Council of Better Business Bureaus, Inc., New York, NY.

    These guidelines have been developed for the use of advertisers and advertising agencies and for the self-regulatory mechanism which these groups have established, the National Advertising Division, to help ensure that advertising directed to children is truthful, accurate, and fair to children's perceptions. Preliminary sections set forth basic…

  11. Curriculum Guidelines for Pharmacology.

    ERIC Educational Resources Information Center

    Shaw, David H.; And Others

    1990-01-01

    Pharmacology embraces the physical and chemical properties of drugs; the preparation of pharmaceutical agents; the absorption, fate, and excretion of drugs; and the effects of drugs on living systems. These guidelines represent a consensus on what would constitute a minimally acceptable pharmacology course for predoctoral dental students. (MLW)

  12. Training Guidelines: Bricks Operatives.

    ERIC Educational Resources Information Center

    Ceramics, Glass, and Mineral Products Industry Training Board, Harrow (England).

    This manual offers guidelines for training of personnel involved in the manufacture of bricks, including employment practices; handling and preparation of raw materials; making, drying, firing, sorting, packing, and loading of bricks. A major emphasis is placed on industrial safety. (MF)

  13. Consumer Economics Education Guidelines.

    ERIC Educational Resources Information Center

    VanPatten, Muriel; And Others

    These guidelines are designed to assist school districts in the development and implementation of new programs or in strengthening existing programs in consumer economics education at all levels. A variety of resources are included. The need for consumer economics education is discussed and a definition is provided. Goals are listed. Objectives,…

  14. Curricular Guidelines for Neuroanatomy.

    ERIC Educational Resources Information Center

    Journal of Dental Education, 1981

    1981-01-01

    Presented are the curricular guidelines for Neuroanatomy developed by the Section on Anatomical Sciences of the American Association of Dental Schools for use by individual educational institutions as curriculum development aids. Included are recommendations for primary educational goals, prerequisites, scope, content, behavioral objectives,…

  15. Field Campaign Guidelines

    SciTech Connect

    Voyles, J. W.; Chapman, L. A.

    2015-12-01

    This document establishes a common set of guidelines for the Atmospheric Radiation Measurement (ARM) Climate Research Facility for planning, executing, and closing out field campaigns. The steps that guide individual field campaigns are described in the Field Campaign Tracking System and are specifically tailored to meet the scope of each field campaign.

  16. Record Keeping Guidelines

    ERIC Educational Resources Information Center

    American Psychologist, 2007

    2007-01-01

    These guidelines are designed to educate psychologists and provide a framework for making decisions regarding professional record keeping. State and federal laws, as well as the American Psychological Association's "Ethical Principles of Psychologists and Code of Conduct," generally require maintenance of appropriate records of psychological…

  17. Camp Unit Design Guidelines.

    ERIC Educational Resources Information Center

    Hultsman, John T.; Cottrell, Richard L.

    This document provides a set of generalized guidelines for the design of units in large family campgrounds. Managers of recreational lands have two responsibilities and goals: to protect the natural resources, and to provide an enjoyable experience for users. With these goals in mind, unique variables to each unit such as shade, site aesthetics,…

  18. Children's Programming Guidelines.

    ERIC Educational Resources Information Center

    Cumberland County Public Library and Information Center, Fayetteville, NC.

    Suggestions for establishing children's library programs in the Cumberland County, North Carolina, library system include descriptions of types of audiences, types of programs, and elements of programs. Selection guidelines for topics and materials cover the following areas: (1) art projects; (2) costumes; (3) creative dramatics; (4) drawing; (5)…

  19. European Study Tour Guidelines.

    ERIC Educational Resources Information Center

    Mitchell, Vicki L.; Mitchell, Kenneth E.

    Guidelines are presented for planning and financing European study tours at the community college level. First, a rationale for incorporating study tours of Europe within the community college curriculum is presented and the benefits of such tours in providing students with experiences they could not normally have are outlined. Next, the paper…

  20. Space Guidelines for Libraries.

    ERIC Educational Resources Information Center

    Wisconsin Coordinating Committee for Higher Education, Madison.

    The following guidelines are recommended: stack space--for each 10 volumes, one square foot of space; reading room--25 square feet per station x 20% of the total undergraduate population; carrel space--25% of the graduate enrollment x 45 square feet; office and auxilliary space--135 square feet x full time equivalent staff. (NI)

  1. Instructional Guidelines. Welding.

    ERIC Educational Resources Information Center

    Fordyce, H. L.; Doshier, Dale

    Using the standards of the American Welding Society and the American Society of Mechanical Engineers, this welding instructional guidelines manual presents a course of study in accordance with the current practices in industry. Intended for use in welding programs now practiced within the Federal Prison System, the phases of the program are…

  2. NANETS Treatment Guidelines

    PubMed Central

    Kulke, Matthew H.; Anthony, Lowell B.; Bushnell, David L.; de Herder, Wouter W.; Goldsmith, Stanley J.; Klimstra, David S.; Marx, Stephen J.; Pasieka, Janice L.; Pommier, Rodney F.; Yao, James C.; Jensen, Robert T.

    2011-01-01

    Well-differentiated neuroendocrine tumors (NETs) of the stomach and pancreas represent 2 major subtypes of gastrointestinal NETs. Historically, there has been little consensus on the classification and management of patients with these tumor subtypes. We provide an overview of well-differentiated NETs of the stomach and pancreas and describe consensus guidelines for the treatment of patients with these malignancies. PMID:20664472

  3. Curricular Guidelines in Biochemistry.

    ERIC Educational Resources Information Center

    Adams, A. Birk; And Others

    1981-01-01

    Curricular guidelines for biochemistry are presented, developed by the Section on Biochemistry and Nutrition and the Section on Oral Diagnosis and Oral Medicine of the American Association of Dental Schools for use by individual educational institutions as curriculum development aids. (MLW)

  4. Price Estimation Guidelines

    NASA Technical Reports Server (NTRS)

    Chamberlain, R. G.; Aster, R. W.; Firnett, P. J.; Miller, M. A.

    1985-01-01

    Improved Price Estimation Guidelines, IPEG4, program provides comparatively simple, yet relatively accurate estimate of price of manufactured product. IPEG4 processes user supplied input data to determine estimate of price per unit of production. Input data include equipment cost, space required, labor cost, materials and supplies cost, utility expenses, and production volume on industry wide or process wide basis.

  5. Clean Air Act Guidelines and Standards for Waste Management

    EPA Pesticide Factsheets

    This page contains the stationary sources of air pollution for the waste management industries, and their corresponding air pollution regulations. To learn more about the regulations for each industry, just click on the links below.

  6. 75 FR 61631 - Marine Mammal Protection Act; Deterrence Guidelines

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-06

    ... official capacity, to take a polar bear for the protection or welfare of the animal, the protection of the... in immediate danger, and such taking is reported to the Secretary within 48 hours. Summary of... something other than an aggressive animal, such as a curious bear. In addition, aversive conditioning may...

  7. Clean Air Act Standards and Guidelines for Electric Utilities

    EPA Pesticide Factsheets

    This page contains the stationary sources of air pollution for theelectric utilitiesr industries, and their corresponding air pollution regulations. To learn more about the regulations for each industry, just click on the links below.

  8. Clean Air Act Standards and Guidelines for Sterilizers

    EPA Pesticide Factsheets

    This page contains the stationary sources of air pollution for the sterilizer industries, and their corresponding air pollution regulations. To learn more about the regulations for each industry, just click on the links below.

  9. Clean Air Act Standards and Guidelines for Mineral Processing

    EPA Pesticide Factsheets

    This page contains the stationary sources of air pollution for the mineral processing industries, and their corresponding air pollution regulations. To learn more about the regulations for each industry, just click on the links below.

  10. Guideline.gov: A Database of Clinical Specialty Guidelines.

    PubMed

    El-Khayat, Yamila M; Forbes, Carrie S; Coghill, Jeffrey G

    2017-01-01

    The National Guidelines Clearinghouse (NGC), also known as Guideline.gov, is a database of resources to assist health care providers with a central depository of guidelines for clinical specialty areas in medicine. The database is provided free of charge and is sponsored by the U.S. Department of Health and Human Services and the Agency for Healthcare Research and Quality. The guidelines for treatment are updated regularly, with new guidelines replacing older guidelines every five years. There are hundreds of current guidelines with more added each week. The purpose and goal of NGC is to provide physicians, nurses, and other health care providers, insurance companies, and others in the field of health care with a unified database of the most current, detailed, relevant, and objective clinical practice guidelines.

  11. Developing clinical practice guidelines: reviewing, reporting, and publishing guidelines; updating guidelines; and the emerging issues of enhancing guideline implementability and accounting for comorbid conditions in guideline development

    PubMed Central

    2012-01-01

    Clinical practice guidelines are one of the foundations of efforts to improve health care. In 1999, we authored a paper about methods to develop guidelines. Since it was published, the methods of guideline development have progressed both in terms of methods and necessary procedures and the context for guideline development has changed with the emergence of guideline clearing houses and large scale guideline production organisations (such as the UK National Institute for Health and Clinical Excellence). It therefore seems timely to, in a series of three articles, update and extend our earlier paper. In this third paper we discuss the issues of: reviewing, reporting, and publishing guidelines; updating guidelines; and the two emerging issues of enhancing guideline implementability and how guideline developers should approach dealing with the issue of patients who will be the subject of guidelines having co-morbid conditions. PMID:22762242

  12. Guidelines International Network: toward international standards for clinical practice guidelines.

    PubMed

    Qaseem, Amir; Forland, Frode; Macbeth, Fergus; Ollenschläger, Günter; Phillips, Sue; van der Wees, Philip

    2012-04-03

    Guideline development processes vary substantially, and many guidelines do not meet basic quality criteria. Standards for guideline development can help organizations ensure that recommendations are evidence-based and can help users identify high-quality guidelines. Such organizations as the U.S. Institute of Medicine and the United Kingdom's National Institute for Health and Clinical Excellence have developed recommendations to define trustworthy guidelines within their locales. Many groups charged with guideline development find the lengthy list of standards developed by such organizations to be aspirational but infeasible to follow in entirety. Founded in 2002, the Guidelines International Network (G-I-N) is a network of guideline developers that includes 93 organizations and 89 individual members representing 46 countries. The G-I-N board of trustees recognized the importance of guideline development processes that are both rigorous and feasible even for modestly funded groups to implement and initiated an effort toward consensus about minimum standards for high-quality guidelines. In contrast to other existing standards for guideline development at national or local levels, the key components proposed by G-I-N will represent the consensus of an international, multidisciplinary group of active guideline developers. This article presents G-I-N's proposed set of key components for guideline development. These key components address panel composition, decision-making process, conflicts of interest, guideline objective, development methods, evidence review, basis of recommendations, ratings of evidence and recommendations, guideline review, updating processes, and funding. It is hoped that this article promotes discussion and eventual agreement on a set of international standards for guideline development.

  13. Balancing Act

    ERIC Educational Resources Information Center

    Kennedy, Mike

    2007-01-01

    For some administrators and planners, designing and building education facilities may sometimes seem like a circus act--trying to project a persona of competence and confidence while juggling dozens of issues. Meanwhile, the audience--students, staff members and taxpayers--watch and wait with anticipation in hopes of getting what they paid for and…

  14. 75 FR 51750 - Accessibility Guidelines for Shared Use Paths

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-23

    ... opportunity for individuals with disabilities, designers of shared use paths, and those with expertise in this... opportunity for individuals with disabilities, designers of shared use paths, and those with expertise in...

  15. Sign Support Guidelines for Accessible Assessments: Insights from Cognitive Labs

    ERIC Educational Resources Information Center

    Shyyan, Vitaliy; Christensen, Laurene L.; Rogers, Christopher; Kincaid, Aleksis

    2014-01-01

    Students who are deaf or hard of hearing (Deaf/HH) and communicate using American Sign Language (ASL) may benefit from sign accommodations on state assessments. However, there have been challenges in standardizing assessment content including how items should be signed. Technology enhanced assessment offers the opportunity to provide standardized…

  16. Guidelines for Home Energy Professionals

    SciTech Connect

    2011-12-16

    The U.S. Department of Energy's (DOE's) Guidelines for Home Energy Professionals project (hereafter the Guidelines) fosters the growth of a high quality residential energy upgrade industry and a skilled and credentialed workforce.

  17. Current Fat Guidelines and Recommendations

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Current dietary guidelines, including those of the US government [Dietary Guidelines (USDA/DHHS, 2005), Dietary Reference Intakes [reference DRI macronutrient book], National Cholesterol Education Program (NCEP, 2001)], American Heart Association (AHA, 2206), American Diabetes Association (2006) and...

  18. Guidelines for metrication at Lawrence Berkeley Laboratory

    SciTech Connect

    Not Available

    1993-07-01

    This document provides a set of guidelines for the metric transition process already under way at Lawrence Berkeley Laboratory. LBL has embarked upon this course in response to Section 5164 of the Trade and Competitiveness Act of 1988, Executive Order 12770 of 1991, and DOE Order 5900.2. The core provision of DOE Order 5900.2 is Section 7b, which states: {open_quotes}Metric usage shall be required except to the extent that such use is impractical, or is likely to cause significant inefficiencies to, or loss of markets by United States firms, or an inability of the Department to fulfill its responsibilities under the laws of the Federal Government and the United States.{close_quotes} LBL`s metrication policy is meant to comply with this requirement by aggressively fostering metrication. The purpose of these guidelines is to optimize the coherence and the cost-effectiveness of the metrication process.

  19. Federal Funding Accountability and Transparency Act

    EPA Pesticide Factsheets

    Public Law 109-282, the Federal Funding Accountability and Transparency Act of 2006 as amended (FFATA), requires disclosure of all entities and organizations receiving Federal funds through a single publicly accessible website.

  20. Hearings on the Reauthorization of the Higher Education Act of 1965: Access to College and Program Simplification. Hearings before the Subcommittee on Postsecondary Education of the Committee on Education and Labor. House of Representatives, One Hundred Second Congress, First Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Education and Labor.

    The Subcommittee on Postsecondary Education of the Committee on Education and Labor, House of Representatives, met on two occasions, on the first to hear witnesses on how the reauthorization of the Higher Education Act of 1965 can help low income students overcome challenges to obtain postsecondary education; and on the second to hear how student…

  1. Homelessness: Access to McKinney Act Programs Improved but Better Oversight Needed. Report to the Chairman, Subcommittee on Housing and Urban Affairs, Committee on Banking, Housing and Urban Affairs, U.S. Senate.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC. Resources, Community, and Economic Development Div.

    The objectives of this study were to determine the following: (1) what actions Federal agencies have taken to reduce or eliminate barriers to obtaining and using funds provided by the Stewart B. McKinney Homeless Assistance Act; (2) the adequacy of Federal program oversight; and (3) the status of program expenditure rates. The programs reviewed…

  2. UROTRAUMA: AUA GUIDELINE

    PubMed Central

    Morey, Allen F.; Brandes, Steve; Dugi, Daniel David; Armstrong, John H.; Breyer, Benjamin N.; Broghammer, Joshua A.; Erickson, Bradley A.; Holzbeierlein, Jeff; Hudak, Steven J.; Mirvis, Stuart; Pruitt, Jeffrey H.; Reston, James T.; Santucci, Richard A.; Smith, Thomas G.; Wessells, Hunter

    2014-01-01

    Purpose The authors of this guideline reviewed the urologic trauma literature to guide clinicians in the appropriate methods of evaluation and management of genitourinary injuries. Methods A systematic review of the literature using the MEDLINE® and EMBASE databases (search dates 1/1/90-9/19/12) was conducted to identify peer-reviewed publications relevant to urotrauma. The review yielded an evidence base of 372 studies after application of inclusion/exclusion criteria. These publications were used to inform the statements presented in the guideline as Standards, Recommendations or Options. When sufficient evidence existed, the body of evidence for a particular treatment was assigned a strength rating of A (high), B (moderate) or C (low). In the absence of sufficient evidence, additional information is provided as Clinical Principles and Expert Opinions. PMID:24857651

  3. Guidelines for Child Custody Evaluations in Family Law Proceedings

    ERIC Educational Resources Information Center

    American Psychologist, 2010

    2010-01-01

    Family law proceedings encompass a broad range of issues, including custody, maintenance, support, valuation, visitation, relocation, and termination of parental rights. The following guidelines address what are commonly termed child custody evaluations, involving disputes over decision making, caretaking, and access in the wake of marital or…

  4. An Exposition of Current Mobile Learning Design Guidelines and Frameworks

    ERIC Educational Resources Information Center

    Teall, Ed; Wang, Minjuan; Callaghan, Vic; Ng, Jason W. P.

    2014-01-01

    As mobile devices with wireless access become more readily available, learning delivered via mobile devices of all types must be designed to ensure successful learning. This paper first examines three questions related to the design of mobile learning: 1) what mobile learning (m-learning) guidelines can be identified in the current literature, 2)…

  5. Test Analysis Guidelines

    NASA Technical Reports Server (NTRS)

    Jeng, Frank F.

    2007-01-01

    Development of analysis guidelines for Exploration Life Support (ELS) technology tests was completed. The guidelines were developed based on analysis experiences gained from supporting Environmental Control and Life Support System (ECLSS) technology development in air revitalization systems and water recovery systems. Analyses are vital during all three phases of the ELS technology test: pre-test, during test and post test. Pre-test analyses of a test system help define hardware components, predict system and component performances, required test duration, sampling frequencies of operation parameters, etc. Analyses conducted during tests could verify the consistency of all the measurements and the performance of the test system. Post test analyses are an essential part of the test task. Results of post test analyses are an important factor in judging whether the technology development is a successful one. In addition, development of a rigorous model for a test system is an important objective of any new technology development. Test data analyses, especially post test data analyses, serve to verify the model. Test analyses have supported development of many ECLSS technologies. Some test analysis tasks in ECLSS technology development are listed in the Appendix. To have effective analysis support for ECLSS technology tests, analysis guidelines would be a useful tool. These test guidelines were developed based on experiences gained through previous analysis support of various ECLSS technology tests. A comment on analysis from an experienced NASA ECLSS manager (1) follows: "Bad analysis was one that bent the test to prove that the analysis was right to begin with. Good analysis was one that directed where the testing should go and also bridged the gap between the reality of the test facility and what was expected on orbit."

  6. Measure Guideline: Evaporative Condensers

    SciTech Connect

    German, A.; Dakin, B.; Hoeschele, M.

    2012-03-01

    The purpose of this measure guideline on evaporative condensers is to provide information on a cost-effective solution for energy and demand savings in homes with cooling loads. This is a prescriptive approach that outlines selection criteria, design and installation procedures, and operation and maintenance best practices. This document has been prepared to provide a process for properly designing, installing, and maintaining evaporative condenser systems as well as understanding the benefits, costs, and tradeoffs.

  7. TORIS Data Preparation Guidelines

    SciTech Connect

    Guinn, H.; Remson, D.

    1999-03-11

    The objective of this manual is to present guidelines and procedures for the preparation of new data for the Tertiary Oil Recovery Information System (TORIS) data base. TORIS is an analytical system currently maintained by the Department of Energy's (DOE) Bartlesville Project Office. It uses an extensive field- and reservoir-level data base to evaluate the technical and economic recovery potential of specific crude oil reservoirs.

  8. Expanding Access

    ERIC Educational Resources Information Center

    Roach, Ronald

    2007-01-01

    There is no question that the United States lags behind most industrialized nations in consumer access to broadband Internet service. For many policy makers and activists, this shortfall marks the latest phase in the struggle to overcome the digital divide. To remedy this lack of broadband affordability and availability, one start-up firm--with…

  9. Easy Access

    ERIC Educational Resources Information Center

    Gettelman, Alan

    2009-01-01

    School and university restrooms, locker and shower rooms have specific ADA accessibility requirements that serve the needs of staff, students and campus visitors who are disabled as a result of injury, illness or age. Taking good care of them is good for the reputation of a sensitive community institution, and fosters positive public relations.…

  10. Access Denied

    ERIC Educational Resources Information Center

    Raths, David

    2012-01-01

    As faculty members add online and multimedia elements to their courses, colleges and universities across the country are realizing that there is a lot of work to be done to ensure that disabled students (and employees) have equal access to course material and university websites. Unfortunately, far too few schools consider the task a top priority.…

  11. Guideline implementation: Surgical attire.

    PubMed

    Cowperthwaite, Liz; Holm, Rebecca L

    2015-02-01

    Surgical attire helps protect patients from microorganisms that may be shed from the hair and skin of perioperative personnel. The updated AORN "Guideline for surgical attire" provides guidance on scrub attire, shoes, head coverings, and masks worn in the semirestricted and restricted areas of the perioperative setting, as well as how to handle personal items (eg, jewelry, backpacks, cell phones) that may be taken into the perioperative suite. This article focuses on key points of the guideline to help perioperative personnel adhere to facility policies and regulatory requirements for attire. The key points address the potential benefits of wearing scrub attire made of antimicrobial fabric, covering the arms when in the restricted area of the surgical suite, removing or confining jewelry when wearing scrub attire, disinfecting personal items that will be taken into the perioperative suite, and sending reusable attire to a health care-accredited laundry facility after use. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.

  12. FELASA Guidelines and Recommendations

    PubMed Central

    Guillen, Javier

    2012-01-01

    The Federation of European Laboratory Animal Science Associations (FELASA) has been releasing guidelines and recommendations on several laboratory animal science disciplines for more than 15 y. The Working Groups producing these documents comprise specialists in each of the addressed topics, are nominated by the FELASA constituent associations, and are elected by the FELASA Board of Management. The FELASA guidelines and recommendations are not regulatory but rather are proposals based on scientific knowledge and the state of the art of laboratory animal science activities. Because they are supported by laboratory animal science associations that represent the vast majority of European professionals, these guidelines and recommendations have influenced the development of various regulatory requirements in Europe, including those related to education and training, routine laboratory animal activities, and animal health monitoring. Some reports fill existing gaps in the European legal framework or complement it. The Working Groups occasionally collaborate with other European organizations, thus enhancing the professional input and effect of the documents produced. The recently established AALAS–FELASA Liaison Body may result in future international cooperation that benefits laboratory animal science and welfare in a global context. PMID:22776188

  13. 28 CFR 700.16 - Access to records.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Access to records. 700.16 Section 700.16... OF THE OFFICE OF INDEPENDENT COUNSEL Protection of Privacy and Access to Individual Records Under the Privacy Act of 1974 § 700.16 Access to records. (a) Manner of access. The Office, once it has made...

  14. 34 CFR 300.614 - Record of access.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Record of access. 300.614 Section 300.614 Education... § 300.614 Record of access. Each participating agency must keep a record of parties obtaining access to education records collected, maintained, or used under Part B of the Act (except access by parents...

  15. How Accessible Are Public Libraries' Web Sites? A Study of Georgia Public Libraries

    ERIC Educational Resources Information Center

    Ingle, Emma; Green, Ravonne A.; Huprich, Julia

    2009-01-01

    One issue that public librarians must consider when planning Web site design is accessibility for patrons with disabilities. This article reports a study of Web site accessibility of public libraries in Georgia. The focus of the report is whether public libraries use accessible guidelines and standards in making their Web sites accessible. An…

  16. 28 CFR 513.50 - Privacy Act requests by inmates.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Privacy Act requests by inmates. 513.50... ADMINISTRATION ACCESS TO RECORDS Release of Information Privacy Act Requests for Information § 513.50 Privacy Act requests by inmates. Because inmate records are exempt from disclosure under the Privacy Act (see 28 CFR...

  17. 28 CFR 513.50 - Privacy Act requests by inmates.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Privacy Act requests by inmates. 513.50... ADMINISTRATION ACCESS TO RECORDS Release of Information Privacy Act Requests for Information § 513.50 Privacy Act requests by inmates. Because inmate records are exempt from disclosure under the Privacy Act (see 28 CFR...

  18. 28 CFR 513.50 - Privacy Act requests by inmates.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Privacy Act requests by inmates. 513.50... ADMINISTRATION ACCESS TO RECORDS Release of Information Privacy Act Requests for Information § 513.50 Privacy Act requests by inmates. Because inmate records are exempt from disclosure under the Privacy Act (see 28 CFR...

  19. 28 CFR 513.50 - Privacy Act requests by inmates.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Privacy Act requests by inmates. 513.50... ADMINISTRATION ACCESS TO RECORDS Release of Information Privacy Act Requests for Information § 513.50 Privacy Act requests by inmates. Because inmate records are exempt from disclosure under the Privacy Act (see 28 CFR...

  20. 28 CFR 513.50 - Privacy Act requests by inmates.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Privacy Act requests by inmates. 513.50... ADMINISTRATION ACCESS TO RECORDS Release of Information Privacy Act Requests for Information § 513.50 Privacy Act requests by inmates. Because inmate records are exempt from disclosure under the Privacy Act (see 28 CFR...

  1. 32 CFR 1701.4 - Privacy Act responsibilities/policy.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Privacy Act responsibilities/policy. 1701.4... NATIONAL INTELLIGENCE ADMINISTRATION OF RECORDS UNDER THE PRIVACY ACT OF 1974 Protection of Privacy and Access to Individual Records Under the Privacy Act of 1974 § 1701.4 Privacy Act...

  2. 32 CFR 1701.4 - Privacy Act responsibilities/policy.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 6 2012-07-01 2012-07-01 false Privacy Act responsibilities/policy. 1701.4... NATIONAL INTELLIGENCE ADMINISTRATION OF RECORDS UNDER THE PRIVACY ACT OF 1974 Protection of Privacy and Access to Individual Records Under the Privacy Act of 1974 § 1701.4 Privacy Act...

  3. 32 CFR 1701.4 - Privacy Act responsibilities/policy.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 6 2013-07-01 2013-07-01 false Privacy Act responsibilities/policy. 1701.4... NATIONAL INTELLIGENCE ADMINISTRATION OF RECORDS UNDER THE PRIVACY ACT OF 1974 Protection of Privacy and Access to Individual Records Under the Privacy Act of 1974 § 1701.4 Privacy Act...

  4. 32 CFR 1701.4 - Privacy Act responsibilities/policy.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 6 2014-07-01 2014-07-01 false Privacy Act responsibilities/policy. 1701.4... NATIONAL INTELLIGENCE ADMINISTRATION OF RECORDS UNDER THE PRIVACY ACT OF 1974 Protection of Privacy and Access to Individual Records Under the Privacy Act of 1974 § 1701.4 Privacy Act...

  5. Sexually transmitted diseases treatment guidelines.

    PubMed

    Burstein, Gale R; Workowski, Kimberly A

    2003-08-01

    Sexually transmitted diseases (STDs) are a major health problem for adolescents. Health care providers for adolescents play a critical role in preventing and treating STDs. In May 2002, the Centers for Disease Control and Prevention published the Sexually Transmitted Diseases Treatment Guidelines 2002. These evidence-based guidelines are based on a systematic literature review focusing on information that had become available since the 1998 Guidelines for Treatment of STDs. This article reviews the new STD treatment guidelines for gonorrhea, chlamydia, bacterial vaginosis, trichomonas, vulvovaginal candidiasis, pelvic inflammatory disease, genital warts, herpes simplex virus infection, syphilis, and scabies. Although these guidelines emphasize treatment, prevention strategies and diagnostic recommendations also are discussed.

  6. Contextual and temporal clinical guidelines.

    PubMed Central

    Guarnero, A.; Marzuoli, M.; Molino, G.; Terenziani, P.; Torchio, M.; Vanni, K.

    1998-01-01

    In this paper, we propose an approach for managing clinical guidelines. We sketch a modular architecture, allowing us to separate conceptually distinct aspects in the management and use of clinical guidelines. In particular, we describe the clinical guidelines knowledge representation module and we sketch the acquisition module. The main focus of the paper is the definition of an expressive formalism for representing clinical guidelines, which allows one to deal with the context dependent character of clinical guidelines and takes into account different temporal aspects. PMID:9929306

  7. Accessibility: Maximum Mobility and Function.

    ERIC Educational Resources Information Center

    Smyser, Michael

    2003-01-01

    Describes how to design school and university labs to comply with Americans with Disabilities Act (ADA) standards, focusing on counter height for students in wheelchairs; appropriate knee space and sink height in sink areas; ADA-compliant fume hoods; accessible laboratory doors and entryways; and safety concerns (e.g., emergency eyewash stations…

  8. Vascular access in oncology patients.

    PubMed

    Gallieni, Maurizio; Pittiruti, Mauro; Biffi, Roberto

    2008-01-01

    Adequate vascular access is of paramount importance in oncology patients. It is important in the initial phase of surgical treatment or chemotherapy, as well as in the chronic management of advanced cancer and in the palliative care setting. We present an overview of the available vascular access devices and of the most relevant issues regarding insertion and management of vascular access. Particular emphasis is given to the use of ultrasound guidance as the preferred technique of insertion, which has dramatically decreased insertion-related complications. Vascular access management has considerably improved after the publication of effective guidelines for the appropriate nursing of the vascular device, which has reduced the risk of late complications, such as catheter-related bloodstream infection. However, many areas of clinical practice are still lacking an evidence-based background, such as the choice of the most appropriate vascular access device in each clinical situation, as well as prevention and treatment of thrombosis. We suggest an approach to the choice of the most appropriate vascular access device for the oncology patient, based on the literature available to date.

  9. Access and Costs: Recommendations for Title IV. Hearing on Examining Proposals Authorizing Funds for Title IV Student Aid Programs and Issues Relating to Access to Costs of Postsecondary Education of the Higher Education Act, Including S. 1036, To Revise Section 435 of the Higher Education Act To Allow for the Young Americans Bank and Similar Small, Nonprofit Organizations to Provide Additional Funds for Educational Programming, of the Committee on Labor and Human Resources. United States Senate, One Hundred Fifth Congress, First Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    This 10th and final hearing in a series related to the reauthorization of the Higher Education Act, focused on three specific areas: (1) the challenges posed by demographic changes in the college student population--nearly half of all students attend community colleges where the average age of students is 29; (2) the challenges and opportunities…

  10. Guidelines to PET measurements of the target occupancy in the brain for drug development.

    PubMed

    Takano, Akihiro; Varrone, Andrea; Gulyás, Balázs; Salvadori, Piero; Gee, Antony; Windhorst, Albert; Vercouillie, Johnny; Bormans, Guy; Lammertsma, Adriaan A; Halldin, Christer

    2016-11-01

    This guideline summarizes the current view of the European Association of Nuclear Medicine Drug Development Committee. The purpose of this guideline is to guarantee a high standard of PET studies that are aimed at measuring target occupancy in the brain within the framework of development programs of drugs that act within the central nervous system (CNS drugs). This guideline is intended to present information specifically adapted to European practice. The information provided should be applied within the context of local conditions and regulations.

  11. Uniform guidelines improve client care.

    PubMed

    Barnett, B

    1994-12-01

    Uniform national guidelines on the delivery of family planning methods and services improve client care, assuming these guidelines are based on current scientific information. Compliance with these guidelines yields safe and efficient delivery of family planning services. Service providers need information, training, supplies, and guidelines to deliver quality services. Guidelines contribute to consistency among family planning programs in different settings. Even though clinics may not provide the same services, the guidelines allow them to provide the same standards of care. Specifically, eligibility criteria, contraindications, and follow-up schedules are the same regardless of the service delivery point. Various international health organizations (such as World Health Organization, USAID, Program for International Training in Health, International Planned Parenthood Federation, and Association for Voluntary Surgical Contraception) have developed guidelines for family planning service delivery. Governments can use these documents to develop national family planning guidelines and policies. They should adapt the guidelines to local needs and consider program resources. After development of the national guidelines, training, workshops, and dissemination of written materials should be provided for policymakers, physicians, nurses, and other health providers. Countries that have either developed or are working to draft their own national guidelines are Cameroon, Ghana, Mexico, and Nepal.

  12. Solar industry advertising guidelines. Task III

    SciTech Connect

    Hostetler, J.S.

    1981-09-01

    The purpose of these guidelines is to acquaint SEIA members with basic principles of Federal Trade Commission (FTC) law related to advertising and sales representations in order to assist SEIA members in insuring that their advertising is fair and accurate when assessed against FTC standards, thereby avoiding potentially costly FTC action. The following are discussed: the nature of advertising, when is an advertisement deceptive, advertising of product certification and testing results, substantiation for advertising claims, advertising of tax credits, warranty advertising, potential liabilities under the FTC Act, and recommendations for avoiding FTC action. (MHR)

  13. Guidelines for appraisal and publication of PDSA quality improvement.

    PubMed

    Speroff, Theodore; James, Brent C; Nelson, Eugene C; Headrick, Linda A; Brommels, Mats

    2004-01-01

    Plan-do-study-act (PDSA) quality improvement is the application of the scientific method to implement and test the effects of change ideas on the performance of the health care system. Users of quality improvement could benefit with markers to gauge the "best" science. Four core questions can determine the value of a quality improvement study: Is the quality improvement study pertinent and relevant? Are the results valid? Are appropriate criteria used to interpret the results? Will the study help you with your practice or organization of care? A set of guidelines is provided to help answer these questions. Similar guidelines exist for randomized clinical trials and clinical-epidemiologic observational studies. Analogous to these existing research guidelines, the PDSA quality improvement guidelines will provide researchers and reviewers with succinct standards of methodological rigor to assist in critical appraisal of quality improvement protocols and publications.

  14. [Clinical practice guidelines and knowledge management in healthcare].

    PubMed

    Ollenschläger, Günter

    2013-10-01

    Clinical practice guidelines are key tools for the translation of scientific evidence into everyday patient care. Therefore guidelines can act as cornerstones of evidence based knowledge management in healthcare, if they are trustworthy, and its recommendations are not biased by authors' conflict of interests. Good medical guidelines should be disseminated by means of virtual (digital/electronic) health libraries - together with implementation tools in context, such as guideline based algorithms, check lists, patient information, a.s.f. The article presents evidence based medical knowledge management using the German experiences as an example. It discusses future steps establishing evidence based health care by means of combining patient data, evidence from medical science and patient care routine, together with feedback systems for healthcare providers.

  15. 32 CFR 147.12 - Guideline J-Criminal conduct.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... committing the act and those pressures are no longer present in that person's life; (4) The person did not....12 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND... Adjudication § 147.12 Guideline J—Criminal conduct. (a) The concern. A history or pattern of criminal...

  16. 40 CFR 799.11 - Availability of test guidelines.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 31 2010-07-01 2010-07-01 true Availability of test guidelines. 799.11 Section 799.11 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT (CONTINUED) IDENTIFICATION OF SPECIFIC CHEMICAL SUBSTANCE AND MIXTURE TESTING...

  17. 40 CFR 799.11 - Availability of test guidelines.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 32 2011-07-01 2011-07-01 false Availability of test guidelines. 799.11 Section 799.11 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT (CONTINUED) IDENTIFICATION OF SPECIFIC CHEMICAL SUBSTANCE AND MIXTURE...

  18. 40 CFR 799.11 - Availability of test guidelines.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 33 2012-07-01 2012-07-01 false Availability of test guidelines. 799.11 Section 799.11 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT (CONTINUED) IDENTIFICATION OF SPECIFIC CHEMICAL SUBSTANCE AND MIXTURE...

  19. 40 CFR 799.11 - Availability of test guidelines.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 33 2013-07-01 2013-07-01 false Availability of test guidelines. 799.11 Section 799.11 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT (CONTINUED) IDENTIFICATION OF SPECIFIC CHEMICAL SUBSTANCE AND MIXTURE...

  20. 40 CFR 799.11 - Availability of test guidelines.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 32 2014-07-01 2014-07-01 false Availability of test guidelines. 799.11 Section 799.11 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT (CONTINUED) IDENTIFICATION OF SPECIFIC CHEMICAL SUBSTANCE AND MIXTURE...

  1. 75 FR 3355 - Guidelines and Requirements for Mandatory Recall Notices

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-21

    ...The Consumer Product Safety Commission (``Commission,'' ``CPSC,'' ``we'') is issuing a final rule establishing guidelines and requirements for mandatory recall notices as required by section 214 of the Consumer Product Safety Improvement Act of 2008 (``CPSIA''). The rule contains the Commission's interpretation of information which must appear on mandatory recall notices ordered by the......

  2. Guidelines for Identifying Child Abuse & Neglect in Institutions.

    ERIC Educational Resources Information Center

    National Indian Child Abuse and Neglect Resource Center, Tulsa, OK.

    In 1978 the Indian Child Welfare Act was passed which implemented new regulations regarding the removal of Indian children from their parents and their placement in residential and foster care or adoptive families or institutions. The 7-page information sheet provides guidelines in prevention of institutional child abuse and neglect of American…

  3. Guidelines for Title I, ESEA: Educationally Deprived Children.

    ERIC Educational Resources Information Center

    Oregon State Dept. of Education, Salem.

    The amended guidelines for Title I of the Elementary and Secondary Education Act, as revised by the Oregon Department of Education, are presented in this document. It consolidates instructions for completing applications. The purpose of Title I is explained briefly. The first two steps prior to applying are to identify the project target area or…

  4. 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... Barriers Act, Scoping (which contains ABA Chapter 1, Application and Administration, and ABA Chapter...

  5. Recommendations for patient engagement in guideline development panels: A qualitative focus group study of guideline-naïve patients

    PubMed Central

    Mullins, C. Daniel; Gronseth, Gary S.; Gagliardi, Anna R.

    2017-01-01

    Background Patient and consumer engagement in clinical practice guideline development is internationally advocated, but limited research explores mechanisms for successful engagement. Objective To investigate the perspectives of potential patient/consumer guideline representatives on topics pertaining to engagement including guideline development group composition and barriers to and facilitators of engagement. Setting and participants Participants were guideline-naïve volunteers for programs designed to link community members to academic research with diverse ages, gender, race, and degrees of experience interacting with health care professionals. Methods Three focus groups and one key informant interview were conducted and analyzed using a qualitative descriptive approach. Results Participants recommended small, diverse guideline development groups engaging multiple patient/consumer stakeholders with no prior relationships with each other or professional panel members. No consensus was achieved on the ideal balance of patient/consumer and professional stakeholders. Pre-meeting reading/training and an identified contact person were described as keys to successful early engagement; skilled facilitators, understandable speech and language, and established mechanisms for soliciting patient opinions were suggested to enhance engagement at meetings. Conclusions Most suggestions for effective patient/consumer engagement in guidelines require forethought and planning but little additional expense, making these strategies easily accessible to guideline developers desiring to achieve more meaningful patient and consumer engagement. PMID:28319201

  6. A Study to Formulate Quantitative Guidelines for the Audio-Visual Communications Field. Final Report.

    ERIC Educational Resources Information Center

    Faris, Gene; Sherman, Mendel

    Quantitative guidelines for use in determining the audiovisual (AV) needs of educational institutions were developed by the Octobe r 14-16, 1965 Seminar of the NDEA (National Defense Education Act), Faris-Sherman study. The guidelines that emerged were based in part on a review of past efforts and existing standards but primarily reflected the…

  7. 76 FR 66286 - Notice of Final 2010 Effluent Guidelines Program Plan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-26

    ...This notice presents the final 2010 Effluent Guidelines Program Plan(``final 2010 Plan''), which, as required under the Clean Water Act (CWA), identifies any new or existing industrial dischargers, both those discharging directly to surface waters and those discharging to publicly owned treatment works (POTWs), selected for effluent guidelines rulemaking and provides a schedule for such......

  8. 16 CFR Appendix A to Part 681 - Interagency Guidelines on Identity Theft Detection, Prevention, and Mitigation

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 16 Commercial Practices 1 2013-01-01 2013-01-01 false Interagency Guidelines on Identity Theft... THE FAIR CREDIT REPORTING ACT IDENTITY THEFT RULES Pt. 681, App. A Appendix A to Part 681—Interagency Guidelines on Identity Theft Detection, Prevention, and Mitigation Section 681.1 of this part requires...

  9. 16 CFR Appendix A to Part 681 - Interagency Guidelines on Identity Theft Detection, Prevention, and Mitigation

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 16 Commercial Practices 1 2012-01-01 2012-01-01 false Interagency Guidelines on Identity Theft... THE FAIR CREDIT REPORTING ACT IDENTITY THEFT RULES Pt. 681, App. A Appendix A to Part 681—Interagency Guidelines on Identity Theft Detection, Prevention, and Mitigation Section 681.1 of this part requires...

  10. 16 CFR Appendix A to Part 681 - Interagency Guidelines on Identity Theft Detection, Prevention, and Mitigation

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 16 Commercial Practices 1 2011-01-01 2011-01-01 false Interagency Guidelines on Identity Theft... THE FAIR CREDIT REPORTING ACT IDENTITY THEFT RULES Pt. 681, App. A Appendix A to Part 681—Interagency Guidelines on Identity Theft Detection, Prevention, and Mitigation Section 681.1 of this part requires...

  11. 16 CFR Appendix A to Part 681 - Interagency Guidelines on Identity Theft Detection, Prevention, and Mitigation

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 16 Commercial Practices 1 2014-01-01 2014-01-01 false Interagency Guidelines on Identity Theft... THE FAIR CREDIT REPORTING ACT IDENTITY THEFT RULES Pt. 681, App. A Appendix A to Part 681—Interagency Guidelines on Identity Theft Detection, Prevention, and Mitigation Section 681.1 of this part requires...

  12. The USA PATRIOT Act: Archival Implications

    ERIC Educational Resources Information Center

    Trinkaus-Randall, Gregor

    2005-01-01

    In October 2001, Congress passed the USA PATRIOT Act to strengthen the ability of the U.S. government to combat terrorism. Unfortunately, some sections of the Act strike at core values and practices of libraries and archives, especially in the areas of record keeping, privacy, confidentiality, security, and access to the collections. This article…

  13. 76 FR 41826 - Sunshine Act Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-15

    ... DISABILITY Sunshine Act Meetings TIME AND DATES: The Members of the National Council on Disability (NCD) will... Accessibility Act, and by Judy Heumann, State Department Special Advisor for International Disability Rights, regarding the United Nations Convention on the Rights of Persons with Disabilities. A public comment...

  14. Vitamin D supplementation guidelines.

    PubMed

    Pludowski, Pawel; Holick, Michael F; Grant, William B; Konstantynowicz, Jerzy; Mascarenhas, Mario R; Haq, Afrozul; Povoroznyuk, Vladyslav; Balatska, Nataliya; Barbosa, Ana Paula; Karonova, Tatiana; Rudenka, Ema; Misiorowski, Waldemar; Zakharova, Irina; Rudenka, Alena; Łukaszkiewicz, Jacek; Marcinowska-Suchowierska, Ewa; Łaszcz, Natalia; Abramowicz, Pawel; Bhattoa, Harjit P; Wimalawansa, Sunil J

    2017-02-12

    Research carried out during the past two-decades extended the understanding of actions of vitamin D, from regulating calcium and phosphate absorption and bone metabolism to many pleiotropic actions in organs and tissues in the body. Most observational and ecological studies report association of higher serum 25-hydroxyvitamin D [25(OH)D] concentrations with improved outcomes for several chronic, communicable and non-communicable diseases. Consequently, numerous agencies and scientific organizations have developed recommendations for vitamin D supplementation and guidance on optimal serum 25(OH)D concentrations. The bone-centric guidelines recommend a target 25(OH)D concentration of 20ng/mL (50nmol/L), and age-dependent daily vitamin D doses of 400-800IU. The guidelines focused on pleiotropic effects of vitamin D recommend a target 25(OH)D concentration of 30ng/mL (75nmol/L), and age-, body weight-, disease-status, and ethnicity dependent vitamin D doses ranging between 400 and 2000IU/day. The wise and balanced choice of the recommendations to follow depends on one's individual health outcome concerns, age, body weight, latitude of residence, dietary and cultural habits, making the regional or nationwide guidelines more applicable in clinical practice. While natural sources of vitamin D can raise 25(OH)D concentrations, relative to dietary preferences and latitude of residence, in the context of general population, these sources are regarded ineffective to maintain the year-round 25(OH)D concentrations in the range of 30-50ng/mL (75-125nmol/L). Vitamin D self-administration related adverse effects, such as hypercalcemia and hypercalciuria are rare, and usually result from taking extremely high doses of vitamin D for a prolonged time.

  15. Hemodialysis access - self care

    MedlinePlus

    Kidney failure - chronic-hemodialysis access; Renal failure - chronic-hemodialysis access; Chronic renal insufficiency - hemodialysis access; Chronic kidney failure - hemodialysis access; Chronic renal failure - hemodialysis access; dialysis - hemodialysis ...

  16. Reporting guidelines for implementation and operational research.

    PubMed

    Hales, Simon; Lesher-Trevino, Ana; Ford, Nathan; Maher, Dermot; Ramsay, Andrew; Tran, Nhan

    2016-01-01

    In public health, implementation research is done to improve access to interventions that have been shown to work but have not reached many of the people who could benefit from them. Researchers identify practical problems facing public health programmes and aim to find solutions that improve health outcomes. In operational research, routinely-collected programme data are used to uncover ways of delivering more effective, efficient and equitable health care. As implementation research can address many types of questions, many research designs may be appropriate. Existing reporting guidelines partially cover the methods used in implementation and operational research, so we ran a consultation through the World Health Organization (WHO), the Alliance for Health Policy & Systems Research (AHPSR) and the Special Programme for Research and Training in Tropical Diseases (TDR) and developed guidelines to facilitate the funding, conduct, review and publishing of such studies. Our intention is to provide a practical reference for funders, researchers, policymakers, implementers, reviewers and editors working with implementation and operational research. This is an evolving field, so we plan to monitor the use of these guidelines and develop future versions as required.

  17. [Planning guidelines for prosthodontic treatment].

    PubMed

    Shiga, Hiroshi; Terada, Yoshihiro; Shinya, Akiyoshi; Ikebe, Kazunori; Tamazawa, Yoshinori; Nagadome, Hatsumi; Akagawa, Yasumasa

    2008-01-01

    In recent years "practice guidelines" based on EBM techniques have even been attracting attention at a societal level, and guidelines modeled after the procedure for preparing practice guideline (described at http://www.niph.go.jp/glgl-4.3rev.htm) have begun to be drafted and made public. With the aim of ensuring the quality and presenting the basic concepts of prosthodontic therapy, the Japan Prosthodontic Society, which bears a great obligation and responsibility toward society and the Japanese public, has decided to undertake the formulation of guidelines related to prosthodontic therapy, and decided to first undertake the formulation of "Practice guideline for denture relining and rebasing", and to prepare a guideline model. We tried to prepare the guidelines according to the "Procedure for preparing practice guidelines", but because of the scientific uniqueness of prosthodontic treatment and dentistry, research to elucidate the basis of treatment has been insufficient, and we ultimately reconfirmed the current state of affairs in which it is difficult to perform. We therefore prepared the guidelines based on the limited evidence obtained in a search of the scientific literature and on the consensus of experts. The Japan Prosthodontic Society has investigated and prepared a Society guideline "model" to the extent possible at the present time, and it has prepared "Guidelines for adhesion bridge" and "Practice guidelines for denture prosthodontics" based on it. Nevertheless, the fact of the matter is that we are faced with numerous problems, and we think that in the future new bases and clinical knowledge will be accumulated by promoting scientific clinical research, and that the guidelines should be revised regularly based on them.

  18. Open access in the critical care environment.

    PubMed

    South, Tabitha; Adair, Brigette

    2014-12-01

    Open access has become an important topic in critical care over the last 3 years. In the past, critical care had restricted access and set visitation guidelines to protect patients. This article provides a review of the literature related to open access in the critical care environment, including the impact on patients, families, and health care providers. The ultimate goal is to provide care centered on patients and families and to create a healing environment to ensure safe passage of patients through their hospital stays. This outcome could lead to increased patient/family satisfaction.

  19. 44 CFR 6.32 - Granting access.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Granting access. 6.32 Section 6.32 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY GENERAL IMPLEMENTATION OF THE PRIVACY ACT OF 1974 Individual Access to Records § 6.32...

  20. 5 CFR 1205.14 - Granting access.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Granting access. 1205.14 Section 1205.14 Administrative Personnel MERIT SYSTEMS PROTECTION BOARD ORGANIZATION AND PROCEDURES PRIVACY ACT REGULATIONS Procedures for Obtaining Records § 1205.14 Granting access. (a) The Board may allow a requester to...

  1. Teaching Accessibility Standards to Generation Y Students

    ERIC Educational Resources Information Center

    Klitzing, Sandra

    2011-01-01

    The Americans with Disabilities Act (ADA) of 1990 mandated that facilities and programs are accessible, so people with disabilities can be included in all aspects of community life including recreation (Dattilo, 2002). Understanding accessibility standards is not an easy task. Educators are faced with the challenge of teaching technical content,…

  2. 5 CFR 1205.14 - Granting access.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Granting access. 1205.14 Section 1205.14 Administrative Personnel MERIT SYSTEMS PROTECTION BOARD ORGANIZATION AND PROCEDURES PRIVACY ACT REGULATIONS Procedures for Obtaining Records § 1205.14 Granting access. (a) The Board may allow a requester to...

  3. 5 CFR 1205.14 - Granting access.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false Granting access. 1205.14 Section 1205.14 Administrative Personnel MERIT SYSTEMS PROTECTION BOARD ORGANIZATION AND PROCEDURES PRIVACY ACT REGULATIONS Procedures for Obtaining Records § 1205.14 Granting access. (a) The Board may allow a requester to...

  4. 44 CFR 6.32 - Granting access.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Granting access. 6.32 Section 6.32 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY GENERAL IMPLEMENTATION OF THE PRIVACY ACT OF 1974 Individual Access to Records § 6.32...

  5. 5 CFR 1205.14 - Granting access.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false Granting access. 1205.14 Section 1205.14 Administrative Personnel MERIT SYSTEMS PROTECTION BOARD ORGANIZATION AND PROCEDURES PRIVACY ACT REGULATIONS Procedures for Obtaining Records § 1205.14 Granting access. (a) The Board may allow a requester to...

  6. 5 CFR 1205.14 - Granting access.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Granting access. 1205.14 Section 1205.14 Administrative Personnel MERIT SYSTEMS PROTECTION BOARD ORGANIZATION AND PROCEDURES PRIVACY ACT REGULATIONS Procedures for Obtaining Records § 1205.14 Granting access. (a) The Board may allow a requester to...

  7. 44 CFR 6.32 - Granting access.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Granting access. 6.32 Section 6.32 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY GENERAL IMPLEMENTATION OF THE PRIVACY ACT OF 1974 Individual Access to Records § 6.32...

  8. 44 CFR 6.32 - Granting access.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Granting access. 6.32 Section 6.32 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY GENERAL IMPLEMENTATION OF THE PRIVACY ACT OF 1974 Individual Access to Records § 6.32...

  9. Access to F.D.A. Information.

    ERIC Educational Resources Information Center

    Sinovic, Dianna

    Prior to the enactment of the Freedom of Information Act (FOIA), little of the data collected by the Food and Drug Administration (FDA) was made public or could be obtained from the agency. Although the FDA files are now open, information is considered exempt from public disclosure when it involves regulatory procedures, program guidelines, work…

  10. Guidelines for reporting experiments involving animals: the ARRIVE guidelines.

    PubMed

    McGrath, J C; Drummond, G B; McLachlan, E M; Kilkenny, C; Wainwright, C L

    2010-08-01

    British Journal of Pharmacology (BJP) is pleased to publish a new set of guidelines for reporting research involving animals, simultaneously with several other journals; the 'ARRIVE' guidelines (Animals in Research: Reporting In Vivo Experiments). This editorial summarizes the background to the guidelines, gives our view of their significance, considers aspects of specific relevance to pharmacology, re-states BJP's guidelines for authors on animal experiments and indicates our commitment to carrying on discussion of this important topic. We also invite feedback via the British Pharmacological Society website.

  11. Guinea Pig Guidelines.

    ERIC Educational Resources Information Center

    McQuillan, Patrick; Muncey, Donna

    1991-01-01

    When researchers want to scrutinize a school, the principal should get straight answers to questions concerning research focus and purpose, data collection methods, participants needed, school personnel's research roles, confidentiality protection, data analysis assistance, feedback, and participant access to findings. (MLH)

  12. [Anemia: guidelines comparison].

    PubMed

    Del Vecchio, Lucia

    2009-01-01

    The development of recombinant human erythropoietin and its introduction into the market in the late 1980s has significantly improved the quality of life of patients with chronic kidney disease (CKD) and reduced the need for blood transfusions. Starting from a cautious target, a progressive increase in the recommended hemoglobin levels has been observed over the years, in parallel with an increase in the obtained levels. This trend has gone together with the publication of findings of observational studies showing a relationship between the increase in hemoglobin levels and a reduction in the mortality risk, with the conduction of clinical trials testing the effects of complete anemia correction, and with the compilation of guidelines on anemia control in CKD patients by scientific societies and organizations. In the last two years, evidence of a possible increase in the mortality risk in those patients who were randomized to high hemoglobin levels has resulted in a decrease in the upper limit of the recommended Hb target to be obtained with erythropoietin stimulating agents (ESA), and consequently in a narrowing of the target range. Comparison of guidelines on anemia control in CKD patients is an interesting starting point to discuss single recommendations, strengthen their importance, or suggest new topics of research to fill up important gaps in knowledge.

  13. Postdoctoral program guidelines.

    SciTech Connect

    Teich-McGoldrick, Stephanie; Miller, Andrew W.; Sava, Dorina Florentina; Liu, Yanli; Ferreira, Summer Rhodes; Biedermann, Laura Butler; Cruz-Campa, Jose Luis; Hall, Lisa Michelle; Liu, Xiaohua H.; Ekoto, Isaac

    2012-04-01

    We, the Postdoc Professional Development Program (PD2P) leadership team, wrote these postdoc guidelines to be a starting point for communication between new postdocs, their staff mentors, and their managers. These guidelines detail expectations and responsibilities of the three parties, as well as list relevant contacts. The purpose of the Postdoc Program is to bring in talented, creative people who enrich Sandia's environment by performing innovative R&D, as well as by stimulating intellectual curiosity and learning. Postdocs are temporary employees who come to Sandia for career development and advancement reasons. In general, the postdoc term is 1 year, renewable up to five times for a total of six years. However, center practices may vary; check with your manager. At term, a postdoc may apply for a staff position at Sandia or choose to move to university, industry or another lab. It is our vision that those who leave become long-term collaborators and advocates whose relationships with Sandia have a positive effect upon our national constituency.

  14. Computer Access: Selected Legal Issues Affecting Higher Education.

    ERIC Educational Resources Information Center

    Sermersheim, Michael D.

    This pamphlet analyzes some of the legal issues colleges and universities face in regard to faculty and student access to computers and the World Wide Web, evaluates current legal developments, and offers guidelines for developing policies for computer access. It examines sample acceptable-use standards, procedures for suspending or terminating a…

  15. Foods, Nutrients, and Dietary Patterns: Interconnections and Implications for Dietary Guidelines.

    PubMed

    Tapsell, Linda C; Neale, Elizabeth P; Satija, Ambika; Hu, Frank B

    2016-05-01

    Dietary guidelines provide evidence-based statements on food choices to meet nutritional requirements and reduce the risk of prevailing chronic disease. They involve a substantial amount of research translation, and their implementation has important health consequences. Foods, however, are complex combinations of nutrients and other compounds that act synergistically within the food and across food combinations. In addition, the evidence base underpinning dietary guidelines accesses research that reflects different study designs, with inherent strengths and limitations. We propose a systematic approach for the review of evidence that begins with research on dietary patterns. This research will identify the combinations of foods that best protect, or appear deleterious to, health. Next, we suggest that evidence be sought from research that focuses on the effects of individual foods. Finally, nutrient-based research should be considered to explain the mechanisms by which these foods and dietary patterns exert their effects, take into account the effects of ingredients added to the food supply, and enable assessments of dietary sufficiency. The consideration of individual nutrients and food components (e.g., upper limits for saturated fat, added sugar, and sodium) provides important benchmarks for evaluating overall diet quality. The concepts of core and discretionary foods (nutrient-rich and nutrient-poor foods, respectively) enable distinctions between foods, and this has implications for the relation between food policy and food manufacturing. In summary, evidence supporting healthy dietary patterns provides the foundation for the development of dietary guidelines. Further reference to individual foods and nutrients follows from the foundation of healthy dietary patterns.

  16. Evidence-based practice guidelines--one way to enhance clinical practice.

    PubMed

    Bailes, Barbara K

    2002-06-01

    Abdominoplasty and liposuction guidelines are just two of the guidelines that can be accessed and used to enhance patient care. Guidelines also can be used to increase your knowledge about many other health care topics. The NGC has approved guidelines for managing chronic pain, as well as guidelines on chronic diseases (e.g., diabetes mellitus, hypertension, chronic obstructive pulmonary disease). Many patients have chronic diseases, and you or your family members also may be affected by chronic disorders. These guidelines provide you with a quick overview of evidence-based treatment protocols. These guidelines are not a panacea for evidence-based practice, but using them is one way that perioperative nurses can enhance their clinical skills. Though not everyone has personal Internet access, most health care facilities do or can make access a reality. Other options include medical or public libraries. Then one simply has to access the NGC web site and join other professionals in improving the quality and timeliness of patient care.

  17. [Preoperative fasting guidelines: an update].

    PubMed

    López Muñoz, A C; Busto Aguirreurreta, N; Tomás Braulio, J

    2015-03-01

    Anesthesiology societies have issued various guidelines on preoperative fasting since 1990, not only to decrease the incidence of lung aspiration and anesthetic morbidity, but also to increase patient comfort prior to anesthesia. Some of these societies have been updating their guidelines, as such that, since 2010, we now have 2 evidence-based preoperative fasting guidelines available. In this article, an attempt is made to review these updated guidelines, as well as the current instructions for more controversial patients such as infants, the obese, and a particular type of ophthalmic surgery.

  18. Executing clinical guidelines: temporal issues.

    PubMed Central

    Terenziani, P.; Mastromonaco, F.; Molino, G.; Torchio, M.

    2000-01-01

    In our previous work, we proposed a domain-independent language to describe clinical guidelines and a graphical tool to acquire them. In this paper, we describe an approach to execute clinical guidelines. We propose a flexible execution engine that can be used in clinical decision support applications, and also for medical education, or for integrating guidelines into the clinical workflow. We also focus our attention on temporal issues in the execution of guidelines, including the treatment of composite, concurrent and/or cyclic actions. PMID:11080004

  19. Access inequalities addressed by audit.

    PubMed

    Singh, Rajiv; Pentland, Brian

    2005-08-01

    The Disability Discrimination Act (1995) protects disabled people from discrimination in access to services, facilities and goods as well as in education and employment. All hospitals have an inherent duty to enable access to services but this will now be enshrined in law. As the health sector has most contact with disability, it may be expected that most hospitals would already be in a good position to comply with the Act, especially one treating many patients with disability. However we identified many problems in a rehabilitation hospital setting by means of a simple access audit in March 2004. Recommendations were set out and by March 2005 considerable improvements had been made costing Pound 100,000. Although many necessary changes will be expensive, not all problems identified require costly correction. Many simply involve a change in staff attitudes and practices. We recommend that all hospitals start to identify the changes needed under the Act by means of a simple access audit that can be carried out by hospital staff with no specialist equipment.

  20. 77 FR 74347 - Freedom of Information Act Regulations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-14

    ... GENERAL ON INTEGRITY AND EFFICIENCY 5 CFR Chapter XCVIII Freedom of Information Act Regulations AGENCY... implement the Freedom of Information Act (FOIA). The final rule describes the policies and procedures for... provide the procedures and guidelines under which CIGIE will implement the Freedom of Information...

  1. [Clinical guideline 'Turner syndrome'].

    PubMed

    van den Akker, Erica L T; van Alfen, A A E M Janiëlle; Sas, Theo C J; Kerstens, Michiel N; Cools, Martine; Lambalk, Cornelis B

    2014-01-01

    Turner syndrome occurs in women who are missing one X chromosome. The most obvious symptoms are small stature and ovarian failure. Turner patients have an increased risk of a large number of disorders, and should therefore have lifelong medical supervision. Recent insights into patient management have been incorporated into the guidelines. Patients are increasingly involved in their own treatment. In patients with 45,X karyotype, Y-chromosomal material is actively sought in a larger number of cells and/or other tissues, using FISH. Pubertal induction therapy, if required, is initiated at an appropriate age. Egg donation or vitrification are new therapeutic options for fertility treatment. Monitoring for cardiac and vascular disease using cardiac ultrasound and MRI is performed more often, partly in connection with the risk of aortal dissection. The coordination of care of patients with Turner syndrome is concentrated in specialized centres in the Netherlands and Belgium.

  2. Comparative assessment of bioanalytical method validation guidelines for pharmaceutical industry.

    PubMed

    Kadian, Naveen; Raju, Kanumuri Siva Rama; Rashid, Mamunur; Malik, Mohd Yaseen; Taneja, Isha; Wahajuddin, Muhammad

    2016-07-15

    The concepts, importance, and application of bioanalytical method validation have been discussed for a long time and validation of bioanalytical methods is widely accepted as pivotal before they are taken into routine use. United States Food and Drug Administration (USFDA) guidelines issued in 2001 have been referred for every guideline released ever since; may it be European Medical Agency (EMA) Europe, National Health Surveillance Agency (ANVISA) Brazil, Ministry of Health and Labour Welfare (MHLW) Japan or any other guideline in reference to bioanalytical method validation. After 12 years, USFDA released its new draft guideline for comments in 2013, which covers the latest parameters or topics encountered in bioanalytical method validation and approached towards the harmonization of bioanalytical method validation across the globe. Even though the regulatory agencies have general agreement, significant variations exist in acceptance criteria and methodology. The present review highlights the variations, similarities and comparison between bioanalytical method validation guidelines issued by major regulatory authorities worldwide. Additionally, other evaluation parameters such as matrix effect, incurred sample reanalysis including other stability aspects have been discussed to provide an ease of access for designing a bioanalytical method and its validation complying with the majority of drug authority guidelines.

  3. Clinical Guideline: Management of Gastroparesis

    PubMed Central

    Camilleri, Michael; Parkman, Henry P.; Shafi, Mehnaz A.; Abell, Thomas L.; Gerson, Lauren

    2013-01-01

    This guideline presents recommendations for the evaluation and management of patients with gastroparesis. Gastroparesis is identified in clinical practice through the recognition of the clinical symptoms and documentation of delayed gastric emptying. Symptoms from gastroparesis include nausea, vomiting, early satiety, postprandial fullness, bloating, and upper abdominal pain. Management of gastroparesis should include assessment and correction of nutritional state, relief of symptoms, improvement of gastric emptying and, in diabetics, glycemic control. Patient nutritional state should be managed by oral dietary modifications. If oral intake is not adequate, then enteral nutrition via jejunostomy tube needs to be considered. Parenteral nutrition is rarely required when hydration and nutritional state cannot be maintained. Medical treatment entails use of prokinetic and antiemetic therapies. Current approved treatment options, including metoclopramide and gastric electrical stimulation (GES, approved on a humanitarian device exemption), do not adequately address clinical need. Antiemetics have not been specifically tested in gastroparesis, but they may relieve nausea and vomiting. Other medications aimed at symptom relief include unapproved medications or off-label indications, and include domperidone, erythromycin (primarily over a short term), and centrally acting antidepressants used as symptom modulators. GES may relieve symptoms, including weekly vomiting frequency, and the need for nutritional supplementation, based on open-label studies. Second-line approaches include venting gastrostomy or feeding jejunostomy; intrapyloric botulinum toxin injection was not effective in randomized controlled trials. Most of these treatments are based on open-label treatment trials and small numbers. Partial gastrectomy and pyloroplasty should be used rarely, only in carefully selected patients. Attention should be given to the development of new effective therapies for

  4. Qualitative Case Study Guidelines

    DTIC Science & Technology

    2013-11-01

    methods in public relations and marketing communications. New York, Routledge 166-185 13. Denzin , N. K. (1978) The Research Act: A Theoretical...Introduction to Sociological Methods. 2nd ed. New York, McGraw-Hill 14. Denzin , N. K. and Lincoln, Y. S. (2011) The SAGE Handbook of Qualitative...The Art of Science. In: Denzin , N. K. and Lincoln, Y. S. (eds.) Handbook of Qualitative Research. Thousand Oaks, Sage 19. GAO (1990) Case Study

  5. 7 CFR 53.15 - Accessibility to livestock.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Accessibility to livestock. 53.15 Section 53.15... AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT (CONTINUED) LIVESTOCK (GRADING, CERTIFICATION, AND STANDARDS) Regulations Service § 53.15 Accessibility to livestock. (a) The applicant...

  6. 4 CFR 200.5 - Requests for access to records.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 4 Accounts 1 2010-01-01 2010-01-01 false Requests for access to records. 200.5 Section 200.5 Accounts RECOVERY ACCOUNTABILITY AND TRANSPARENCY BOARD PRIVACY ACT OF 1974 § 200.5 Requests for access to...: Privacy Act Officer, Recovery Accountability and Transparency Board, 1717 Pennsylvania Avenue, NW.,...

  7. 28 CFR 700.11 - Request for access to records.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... OR INFORMATION OF THE OFFICE OF INDEPENDENT COUNSEL Protection of Privacy and Access to Individual Records Under the Privacy Act of 1974 § 700.11 Request for access to records. (a) Procedure for making..., DC 20004. Both the envelope and the request itself should be marked: “Privacy Act Request.”...

  8. 28 CFR 700.11 - Request for access to records.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... OR INFORMATION OF THE OFFICE OF INDEPENDENT COUNSEL Protection of Privacy and Access to Individual Records Under the Privacy Act of 1974 § 700.11 Request for access to records. (a) Procedure for making..., DC 20004. Both the envelope and the request itself should be marked: “Privacy Act Request.”...

  9. Coordinating locally 'owned' treatment guidelines.

    PubMed

    Collier, J; Picton, C; Littlejohns, P

    1994-01-01

    South West Thames Regional Health Authority established and commissioned a regional guidelines unit to coordinate the introduction of a set of treatment guidelines on the management of common medical emergencies into all the acute intaking National Health Service (NHS) hospitals throughout the region. All hospitals were offered a set of template guidelines to be used at their discretion for producing their own customised equivalent. They were also offered full typing and production facilities, together with printing costs if publication was achieved by a target deadline (1 August 1993). In 11 of the 14 NHS hospitals guidelines were available to hospital staff by the target deadline, and one set was produced for a non-NHS hospital. In two hospitals the target date was not met, and one other declined to take part. As part of the project the unit assessed the extent to which the published guidelines were adapted to meet the requirements of each individual hospital. The template offered guidelines on 34 topic titles. No hospital used all core titles of the original template; titles were omitted or replaced in some, and added in others. Where the original guideline titles were used, there was almost always some customisation--changes in sentence structure, names or contact numbers, alterations in drugs and doses or the addition or omission of entire sections. By using an established resource, sets of customised, locally determined treatment guidelines were introduced with relative ease into most of the acute hospitals in a UK health region.

  10. MANUAL: GUIDELINES FOR WATER REUSE

    EPA Science Inventory

    Water reclamation for nonpotable reuse has been adopted in the United States and elsewhere without the benefit of national or international guidelines or standards. However, in recent years, many states in the U.S. have adopted standards or guidelines, and the World Health Organi...

  11. Guidelines for Preschool Learning Experiences.

    ERIC Educational Resources Information Center

    Franklin, Sandra Putnam; Lamana, Annette; Van Thiel, Lisa

    This document presents guidelines for preschool learning experiences in Massachusetts programs for 3- and 4-year-olds and is designed to be used by teachers and program administrators in planning and evaluating curricula. The guidelines structure learning through play and meaningful activities in a developmental sequence and are based on the…

  12. Specialty Guidelines for Forensic Psychology

    ERIC Educational Resources Information Center

    American Psychologist, 2013

    2013-01-01

    In the past 50 years forensic psychological practice has expanded dramatically. Because the practice of forensic psychology differs in important ways from more traditional practice areas (Monahan, 1980) the "Specialty Guidelines for Forensic Psychologists" were developed and published in 1991 (Committee on Ethical Guidelines for Forensic…

  13. Research ethics for a globalised world: the revised CIOMS international guidelines.

    PubMed

    Ehni, Hans-Jöerg; Wiesing, Urban

    2017-03-07

    On December 6, 2016, the Council of International Organisations of Medical Sciences published a new version of its guidelines with the title "International Ethical Guidelines for Health-related Research Involving Humans." In this article we briefly describe the revision process and the structure and content of these guidelines. We outline some of its main guidelines such as the ones on social value, post-trial access, and risk-benefit ratio. In our overall evaluation we come to the conclusion that the CIOMS guidelines manage to strike a balance between the protection of human participants in health-related research and the promotion of such research activities in an exemplary way. The guidelines combine key principles with a guide to their application based on the state of the art in research ethics. Thus they represent a timely and indispensable orientation for researchers, ethics committees, and other stakeholders in health-related research.

  14. Summary of the British Transplantation Society guidelines for transplantation from donors after deceased circulatory death.

    PubMed

    Andrews, Peter A; Burnapp, Lisa; Manas, Derek

    2014-02-15

    The second edition of the British Transplantation Society Guidelines for Transplantation from Donors after Deceased Circulatory Death was published in June 2013. The guideline has been extensively revised since the previous edition in 2004 and has used the GRADE system to rate the strength of evidence and recommendations. This article summarizes the Statements of Recommendation contained in the guideline, which provide a framework for transplantation after deceased circulatory death in the U.K. and may be of wide international interest. It is recommended that the full guideline document is consulted for details of the relevant references and evidence base. This may be accessed at: http://www.bts.org.uk/MBR/Clinical/Guidelines/Current/Member/Clinical/Current_Guidelines.aspx.

  15. 10 CFR 960.5 - Preclosure guidelines.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Preclosure guidelines. 960.5 Section 960.5 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Preclosure Guidelines § 960.5 Preclosure guidelines. The guidelines in this subpart specify...

  16. 10 CFR 960.4 - Postclosure guidelines.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Postclosure guidelines. 960.4 Section 960.4 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Postclosure Guidelines § 960.4 Postclosure guidelines. The guidelines in this subpart specify...

  17. 10 CFR 960.5 - Preclosure guidelines.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Preclosure guidelines. 960.5 Section 960.5 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Preclosure Guidelines § 960.5 Preclosure guidelines. The guidelines in this subpart specify...

  18. 10 CFR 960.3 - Implementation guidelines.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Implementation guidelines. 960.3 Section 960.3 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Implementation Guidelines § 960.3 Implementation guidelines. The guidelines of this...

  19. 10 CFR 960.3 - Implementation guidelines.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Implementation guidelines. 960.3 Section 960.3 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Implementation Guidelines § 960.3 Implementation guidelines. The guidelines of this...

  20. 10 CFR 960.3 - Implementation guidelines.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Implementation guidelines. 960.3 Section 960.3 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Implementation Guidelines § 960.3 Implementation guidelines. The guidelines of this...

  1. 10 CFR 960.5 - Preclosure guidelines.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Preclosure guidelines. 960.5 Section 960.5 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Preclosure Guidelines § 960.5 Preclosure guidelines. The guidelines in this subpart specify...

  2. 10 CFR 960.3 - Implementation guidelines.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Implementation guidelines. 960.3 Section 960.3 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Implementation Guidelines § 960.3 Implementation guidelines. The guidelines of this...

  3. 10 CFR 960.4 - Postclosure guidelines.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Postclosure guidelines. 960.4 Section 960.4 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Postclosure Guidelines § 960.4 Postclosure guidelines. The guidelines in this subpart specify...

  4. 10 CFR 960.4 - Postclosure guidelines.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Postclosure guidelines. 960.4 Section 960.4 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Postclosure Guidelines § 960.4 Postclosure guidelines. The guidelines in this subpart specify...

  5. 10 CFR 960.5 - Preclosure guidelines.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Preclosure guidelines. 960.5 Section 960.5 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Preclosure Guidelines § 960.5 Preclosure guidelines. The guidelines in this subpart specify...

  6. 10 CFR 960.3 - Implementation guidelines.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Implementation guidelines. 960.3 Section 960.3 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Implementation Guidelines § 960.3 Implementation guidelines. The guidelines of this...

  7. 10 CFR 960.5 - Preclosure guidelines.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Preclosure guidelines. 960.5 Section 960.5 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Preclosure Guidelines § 960.5 Preclosure guidelines. The guidelines in this subpart specify...

  8. 10 CFR 960.4 - Postclosure guidelines.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Postclosure guidelines. 960.4 Section 960.4 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Postclosure Guidelines § 960.4 Postclosure guidelines. The guidelines in this subpart specify...

  9. 10 CFR 960.4 - Postclosure guidelines.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Postclosure guidelines. 960.4 Section 960.4 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Postclosure Guidelines § 960.4 Postclosure guidelines. The guidelines in this subpart specify...

  10. 77 FR 34357 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... the facilities themselves, access to paper and computer printouts are controlled by limited-access facilities and lockable containers. Access to electronic means is limited and controlled by computer password... of the Secretary Privacy Act of 1974; System of Records AGENCY: Defense Information Systems...

  11. Vascular access for hemodialysis: thrills and thrombosis.

    PubMed

    Gilpin, Victoria; Nichols, W Kirt

    2010-06-01

    Hemodialysis is a life saving treatment for Americans with end stage renal disease. In the last decade, liberal selection of patients treated by hemodialysis has resulted in patients who are substantially older, diabetics, who have higher co-morbidities including extensive atherosclerotic vascular disease. Many of these patients start hemodialysis treatments with a synthetic graft access rather than with their own native vessels. Grafts are appropriate for patients with inadequate vessels for construction of an arterio-venous (A-V) fistulas. The National Kidney Foundation published the Dialysis Outcome Quality Initiative (DOQI) guidelines in 1997, a set of evidenced based guidelines regarding the optimal management of vascular access. One important guideline had been to increase the number of patient dialyzing with Arterio-Venous (A-V) fistulas rather than A-V grafts which are prone to frequent stenosis, thrombosis, and thus are more costly and labor intensive. The prevalence of patient dialyzing with fistulas depends on several factors; timing of the referral, anatomy and adequacy of the patients vessels, type of fistula placed, fistula maturation, minimal accepted dialysis blood flow and patency of the fistula. The management of a vascular access for hemodialysis is a challenging area of practice for those who care for the hemodialysis patient population. The multidisciplinary approach to management of patients with hemodialysis access includes support, education, collaboration and ongoing communication with the multidisciplinary team, patients, and their family members.

  12. Developing clinical practice guidelines: target audiences, identifying topics for guidelines, guideline group composition and functioning and conflicts of interest

    PubMed Central

    2012-01-01

    Clinical practice guidelines are one of the foundations of efforts to improve health care. In 1999, we authored a paper about methods to develop guidelines. Since it was published, the methods of guideline development have progressed both in terms of methods and necessary procedures and the context for guideline development has changed with the emergence of guideline clearing houses and large scale guideline production organisations (such as the UK National Institute for Health and Clinical Excellence). It therefore seems timely to, in a series of three articles, update and extend our earlier paper. In this first paper we discuss: the target audience(s) for guidelines and their use of guidelines; identifying topics for guidelines; guideline group composition (including consumer involvement) and the processes by which guideline groups function and the important procedural issue of managing conflicts of interest in guideline development. PMID:22762776

  13. Online media reporting of suicides: analysis of adherence to existing guidelines

    PubMed Central

    Utterson, Michael; Daoud, Jason; Dutta, Rina

    2017-01-01

    Aims and method To assess the compliance of contemporary online media output with guidelines for the responsible reporting of suicidal acts. A search engine was used to identify online media reports of suicide from UK sources over the course of 1 month. Each article was assessed against guidelines for the responsible reporting of suicide produced by the Samaritans, a UK mental health charity. Results We identified 229 articles, of which 199 failed to comply with at least one of the Samaritans' guidelines. Failure to mention support sources, excessive detail about the method used and undue speculation about the trigger for suicide were the most commonly breached guidelines. Significant differences were found between the quality of local and national media sources, with local media sources being broadly more compliant with guidelines. Clinical implications This study highlights the urgent need for the implementation of responsible reporting guidelines in online media articles as a component of suicide prevention efforts.

  14. Tropical fevers: Management guidelines.

    PubMed

    Singhi, Sunit; Chaudhary, Dhruva; Varghese, George M; Bhalla, Ashish; Karthi, N; Kalantri, S; Peter, J V; Mishra, Rajesh; Bhagchandani, Rajesh; Munjal, M; Chugh, T D; Rungta, Narendra

    2014-02-01

    Tropical fevers were defined as infections that are prevalent in, or are unique to tropical and subtropical regions. Some of these occur throughout the year and some especially in rainy and post-rainy season. Concerned about high prevalence and morbidity and mortality caused by these infections, and overlapping clinical presentations, difficulties in arriving at specific diagnoses and need for early empiric treatment, Indian Society of Critical Care Medicine (ISCCM) constituted an expert committee to develop a consensus statement and guidelines for management of these diseases in the emergency and critical care. The committee decided to focus on most common infections on the basis of available epidemiologic data from India and overall experience of the group. These included dengue hemorrhagic fever, rickettsial infections/scrub typhus, malaria (usually falciparum), typhoid, and leptospira bacterial sepsis and common viral infections like influenza. The committee recommends a 'syndromic approach' to diagnosis and treatment of critical tropical infections and has identified five major clinical syndromes: undifferentiated fever, fever with rash / thrombocytopenia, fever with acute respiratory distress syndrome (ARDS), fever with encephalopathy and fever with multi organ dysfunction syndrome. Evidence based algorithms are presented to guide critical care specialists to choose reliable rapid diagnostic modalities and early empiric therapy based on clinical syndromes.

  15. Aquifer-nomenclature guidelines

    USGS Publications Warehouse

    Laney, R.L.; Davidson, C.B.

    1986-01-01

    Guidelines and recommendations for naming aquifers are presented to assist authors of geohydrological reports in the United States Geological Survey, Water Resources Division. The hierarchy of terms that is used for water- yielding rocks from largest to smallest is aquifer system, aquifer, and zone. If aquifers are named, the names should be derived from lithologic terms, rock-stratigraphic units, or geographic names. The following items are not recommended as sources of aquifer names: time-stratigraphic names, relative position, alphanumeric designations, depositional environment, depth of occurrence, acronyms, and hydrologic conditions. Confining units should not be named unless doing so clearly promotes understanding of a particular aquifer system. Sources of names for confining units are similar to those for aquifer names, i.e. lithologic terms, rock-stratigraphic units or geographic names. Examples of comparison charts and tables that are used to define the geohydrologic framework are included. Aquifers are defined in 11 hypothetical examples that characterize geohydrologic settings throughout the country. (Author 's abstract)

  16. Emergency Response Guideline Development

    SciTech Connect

    Gary D. Storrick

    2007-09-30

    Task 5 of the collaborative effort between ORNL, Brazil, and Westinghouse for the International Nuclear Energy Research Initiative entitled “Development of Advanced Instrumentation and Control for an Integrated Primary System Reactor” focuses on operator control and protection system interaction, with particular emphasis on developing emergency response guidelines (ERGs). As in the earlier tasks, we will use the IRIS plant as a specific example of an integrated primary system reactor (IPSR) design. The present state of the IRIS plant design – specifically, the lack of a detailed secondary system design – precludes establishing detailed emergency procedures at this time. However, we can create a structure for their eventual development. This report summarizes our progress to date. Section 1.2 describes the scope of this effort. Section 2 compares IPSR ERG development to the recent AP1000 effort, and identifies three key plant differences that affect the ERGs and control room designs. The next three sections investigate these differences in more detail. Section 3 reviews the IRIS Safety-by-Design™ philosophy and its impact on the ERGs. Section 4 looks at differences between the IRIS and traditional loop PWR I&C Systems, and considers their implications for both control room design and ERG development. Section 5 examines the implications of having one operating staff control multiple reactor units. Section 6 provides sample IRIS emergency operating procedures (EOPs). Section 7 summarizes our conclusions.

  17. [French guidelines on electroencephalogram].

    PubMed

    André-Obadia, N; Sauleau, P; Cheliout-Heraut, F; Convers, P; Debs, R; Eisermann, M; Gavaret, M; Isnard, J; Jung, J; Kaminska, A; Kubis, N; Lemesle, M; Maillard, L; Mazzola, L; Michel, V; Montavont, A; N'Guyen, S; Navarro, V; Parain, D; Perin, B; Rosenberg, S D; Sediri, H; Soufflet, C; Szurhaj, W; Taussig, D; Touzery-de Villepin, A; Vercueil, L; Lamblin, M D

    2014-12-01

    Electroencephalography allows the functional analysis of electrical brain cortical activity and is the gold standard for analyzing electrophysiological processes involved in epilepsy but also in several other dysfunctions of the central nervous system. Morphological imaging yields complementary data, yet it cannot replace the essential functional analysis tool that is EEG. Furthermore, EEG has the great advantage of being non-invasive, easy to perform and allows control tests when follow-up is necessary, even at the patient's bedside. Faced with the advances in knowledge, techniques and indications, the Société de Neurophysiologie Clinique de Langue Française (SNCLF) and the Ligue Française Contre l'Épilepsie (LFCE) found it necessary to provide an update on EEG recommendations. This article will review the methodology applied to this work, refine the various topics detailed in the following chapters. It will go over the summary of recommendations for each of these chapters and underline proposals for writing an EEG report. Some questions could not be answered by the review of the literature; in those cases, an expert advice was given by the working and reading groups in addition to the guidelines.

  18. 77 FR 5711 - Guidelines for Determining Probability of Causation Under the Energy Employees Occupational...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-06

    ... judgment on evidence of an association between exposure to ionizing radiation and the risk of developing... the Energy Employees Occupational Illness Compensation Program Act of 2000; Revision of Guidelines on... radiogenic cancer under the Energy Employees Occupational Illness Compensation Program Act of 2000...

  19. 77 FR 26238 - Fisheries of the United States; National Standard 1 Guidelines

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-03

    ... fishery conservation and management contained in Section 301 of the Magnuson Stevens Fishery Conservation and Management Act. Since the guidelines were last updated in 2009, a number of issues regarding the... INFORMATION: Background Section 301(a) of the Magnuson-Stevens Fishery Conservation and Management Act...

  20. 77 FR 22282 - Draft Guidelines on Biologics Quality Monitoring: Testing for the Detection of Mycoplasma...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-13

    ... Service under the Virus-Serum-Toxin Act, we are requesting comments on the scope of the guideline and its... veterinary vaccines regulated by the APHIS under the Virus-Serum-Toxin Act (VSTA), we are requesting comments... the regulations in 9 CFR chapter I, subchapter E (Viruses, Serums, Toxins, and Analogous...