Science.gov

Sample records for act final primary

  1. Exploring primary care activities in ACT teams.

    PubMed

    Vanderlip, Erik R; Williams, Nancy A; Fiedorowicz, Jess G; Katon, Wayne

    2014-05-01

    People with serious mental illness often receive inadequate primary and preventive care services. Federal healthcare reform endorses team-based care that provides high quality primary and preventive care to at risk populations. Assertive community treatment (ACT) teams offer a proven, standardized treatment approach effective in improving mental health outcomes for the seriously mentally ill. Much is known about the effectiveness of ACT teams in improving mental health outcomes, but the degree to which medical care needs are addressed is not established. The purpose of this study was to explore the extent to which ACT teams address the physical health of the population they serve. ACT team leaders were invited to complete an anonymous, web-based survey to explore attitudes and activities involving the primary care needs of their clients. Information was collected regarding the use of health screening tools, physical health assessments, provision of medical care and collaboration with primary care systems. Data was analyzed from 127 team leaders across the country, of which 55 completed the entire survey. Nearly every ACT team leader believed ACT teams have a role in identifying and managing the medical co-morbidities of their clientele. ACT teams report participation in many primary care activities. ACT teams are providing a substantial amount of primary and preventive services to their population. The survey suggests standardization of physical health identification, management or referral processes within ACT teams may result in improved quality of medical care. ACT teams are in a unique position to improve physical health care by virtue of having medically trained staff and frequent, close contact with their clients.

  2. Indian Child Welfare Act Proceedings. Final rule.

    PubMed

    2016-06-14

    This final rule adds a new subpart to the Department of the Interior's (Department) regulations implementing the Indian Child Welfare Act (ICWA), to improve ICWA implementation. The final rule addresses requirements for State courts in ensuring implementation of ICWA in Indian child-welfare proceedings and requirements for States to maintain records under ICWA.

  3. Genetic Information Nondiscrimination Act. Final rule.

    PubMed

    2016-05-17

    The Equal Employment Opportunity Commission (EEOC or Commission) is issuing a final rule to amend the regulations implementing Title II of the Genetic Information Nondiscrimination Act of 2008 as they relate to employer-sponsored wellness programs. This rule addresses the extent to which an employer may offer an inducement to an employee for the employee's spouse to provide information about the spouse's manifestation of disease or disorder as part of a health risk assessment (HRA) administered in connection with an employer-sponsored wellness program. Several technical changes to the existing regulations are included. Published elsewhere in this issue of the Federal Register, the EEOC also issued a final rule to amend the regulations and interpretive guidance implementing Title I of the Americans with Disabilities Act (ADA) that addresses the extent to which employers may use incentives to encourage employees to participate in wellness programs that ask them to respond to disability-related inquiries and/or undergo medical examinations.

  4. Genetic Information Nondiscrimination Act. Final rule.

    PubMed

    2016-05-17

    The Equal Employment Opportunity Commission (EEOC or Commission) is issuing a final rule to amend the regulations implementing Title II of the Genetic Information Nondiscrimination Act of 2008 as they relate to employer-sponsored wellness programs. This rule addresses the extent to which an employer may offer an inducement to an employee for the employee's spouse to provide information about the spouse's manifestation of disease or disorder as part of a health risk assessment (HRA) administered in connection with an employer-sponsored wellness program. Several technical changes to the existing regulations are included. Published elsewhere in this issue of the Federal Register, the EEOC also issued a final rule to amend the regulations and interpretive guidance implementing Title I of the Americans with Disabilities Act (ADA) that addresses the extent to which employers may use incentives to encourage employees to participate in wellness programs that ask them to respond to disability-related inquiries and/or undergo medical examinations. PMID:27192741

  5. 22 CFR 96.44 - Acting as primary provider.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Acting as primary provider. 96.44 Section 96.44... Approval Service Planning and Delivery § 96.44 Acting as primary provider. (a) When required by § 96.14(a), the agency or person acts as primary provider and adheres to the provisions in § 96.14(b) through...

  6. 22 CFR 96.44 - Acting as primary provider.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Acting as primary provider. 96.44 Section 96.44... Approval Service Planning and Delivery § 96.44 Acting as primary provider. (a) When required by § 96.14(a), the agency or person acts as primary provider and adheres to the provisions in § 96.14(b) through...

  7. 22 CFR 96.44 - Acting as primary provider.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Acting as primary provider. 96.44 Section 96.44... Approval Service Planning and Delivery § 96.44 Acting as primary provider. (a) When required by § 96.14(a), the agency or person acts as primary provider and adheres to the provisions in § 96.14(b) through...

  8. Leading Curriculum Innovation in Primary Schools Project: A Final Report

    ERIC Educational Resources Information Center

    Brundrett, Mark; Duncan, Diane

    2015-01-01

    This article provides the final report on a research project that investigated the ways in which curriculum innovation can be led successfully in primary schools. Data gathering included 40 semi-structured interviews in 10 successful primary schools in England of varying sizes and types and in a range of geographical and social locations. Findings…

  9. ReACT Methodology Proof of Concept Final Report

    SciTech Connect

    Bri Rolston; Sarah Freeman

    2014-03-01

    The Department of Energy’s Office of Electricity Delivery and Energy Reliability (DOE-OE) funded INL Researchers to evaluate a novel process for assessing and mitigating cyber security risks. The proof of concept level of the method was tested in an industry environment. This case study, plus additional case studies will support the further development of the method into a tool to assist industry in securing their critical networks. This report provides an understanding of the process developed in the Response Analysis and Characterization Tool (ReACT) project. This report concludes with lessons learned and a roadmap for final development of these tools for use by industry.

  10. Regulations Under the Americans With Disabilities Act; Genetic Information Nondiscrimination Act. Final rule.

    PubMed

    2016-05-17

    The Equal Employment Opportunity Commission (EEOC or Commission) is issuing its final rule to amend the regulations and interpretive guidance implementing Title I of the Americans with Disabilities Act (ADA) to provide guidance on the extent to which employers may use incentives to encourage employees to participate in wellness programs that ask them to respond to disability-related inquiries and/or undergo medical examinations. This rule applies to all wellness programs that include disability-related inquiries and/or medical examinations whether they are offered only to employees enrolled in an employer-sponsored group health plan, offered to all employees regardless of whether they are enrolled in such a plan, or offered as a benefit of employment by employers that do not sponsor a group health plan or group health insurance. Published elsewhere in this issue of the Federal Register, the EEOC also issued a final rule to amend the regulations implementing Title II of the Genetic Information Nondiscrimination Act (GINA) that addresses the extent to which employers may offer incentives for an employee's spouse to participate in a wellness program. PMID:27192736

  11. Regulations Under the Americans With Disabilities Act; Genetic Information Nondiscrimination Act. Final rule.

    PubMed

    2016-05-17

    The Equal Employment Opportunity Commission (EEOC or Commission) is issuing its final rule to amend the regulations and interpretive guidance implementing Title I of the Americans with Disabilities Act (ADA) to provide guidance on the extent to which employers may use incentives to encourage employees to participate in wellness programs that ask them to respond to disability-related inquiries and/or undergo medical examinations. This rule applies to all wellness programs that include disability-related inquiries and/or medical examinations whether they are offered only to employees enrolled in an employer-sponsored group health plan, offered to all employees regardless of whether they are enrolled in such a plan, or offered as a benefit of employment by employers that do not sponsor a group health plan or group health insurance. Published elsewhere in this issue of the Federal Register, the EEOC also issued a final rule to amend the regulations implementing Title II of the Genetic Information Nondiscrimination Act (GINA) that addresses the extent to which employers may offer incentives for an employee's spouse to participate in a wellness program.

  12. 22 CFR 134.8 - Official authorized to take final action under the Act.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... the Act. 134.8 Section 134.8 Foreign Relations DEPARTMENT OF STATE MISCELLANEOUS EQUAL ACCESS TO... Act. The Department of State official who renders the final agency decision in a covered proceeding is authorized to take final action on matters pertaining to the Equal Access to Justice Act as applied to...

  13. 22 CFR 134.8 - Official authorized to take final action under the Act.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... the Act. 134.8 Section 134.8 Foreign Relations DEPARTMENT OF STATE MISCELLANEOUS EQUAL ACCESS TO... Act. The Department of State official who renders the final agency decision in a covered proceeding is authorized to take final action on matters pertaining to the Equal Access to Justice Act as applied to...

  14. Guide to the Regulatory Flexibility Act. Final report

    SciTech Connect

    1996-05-01

    On March 29, 1996, the Small Business Regulatory Enforcement Fairness Act (P.L. 104-121) was signed into law. Among other things, the new law amended the Regulatory Flexibility Act of 1980 (5 U.S.C. 601-12) to allow judicial review of a federal agency`s compliance with the provisions of this law when promulgating new regulations. This publication contains an overview and legislative history of the act, as well as a clear description of the oversight process designed to implement it.

  15. Family and Medical Leave Act; Definition of Spouse. Final rule.

    PubMed

    2016-04-01

    The U.S. Office of Personnel Management (OPM) is revising the definition of spouse in its regulations on the Family and Medical Leave Act (FMLA) as a result of the decision by the United States Supreme Court holding section 3 of the Defense of Marriage Act (DOMA) unconstitutional. The new definition replaces the existing definition, which contains language from DOMA that refers to "a legal union between one man and one woman.'' The new definition permits Federal employees with same-sex spouses to use FMLA leave in the same manner as Federal employees with opposite-sex spouses. PMID:27066615

  16. Family and Medical Leave Act; Definition of Spouse. Final rule.

    PubMed

    2016-04-01

    The U.S. Office of Personnel Management (OPM) is revising the definition of spouse in its regulations on the Family and Medical Leave Act (FMLA) as a result of the decision by the United States Supreme Court holding section 3 of the Defense of Marriage Act (DOMA) unconstitutional. The new definition replaces the existing definition, which contains language from DOMA that refers to "a legal union between one man and one woman.'' The new definition permits Federal employees with same-sex spouses to use FMLA leave in the same manner as Federal employees with opposite-sex spouses.

  17. LBT primary mirrors: the final design of the supporting system

    NASA Astrophysics Data System (ADS)

    Parodi, Giancarlo; Cerra, G. C.; Hill, John M.; Davison, Warren B.; Salinari, Piero

    1997-03-01

    The main final results in terms of stresses and optical performances are reported for the large binocular telescope (LBT) primary mirrors. The two borosilicate LBT primary mirrors f/1.14 have 8.4 diameter and are produced at the Steward Observatory Mirror Lab (SOML). They are honeycomb shaped in order to achieve light weight, short thermal constant and high stiffness. The back plate is flat and the upper is paraboloid shaped. Each elementary cell has, in the lower plate, one circular hole permitting the ventilation of cell itself. The material used is the borosilicate Ohara E6. Different supporting systems have been analyzed from the mirror casting to the operative conditions, i.e.: supporting system during the cooling of the casting phase; supporting system for the handling after the casting phase and before the optical surface grinding and polishing; supporting system for the handling after the optical surface polishing and for maintenance; passive support system in non-operative condition; supporting system in operative condition. The stress checks carried out show that the values of the maximum principal tensile stresses are below 0.7 MPa for long times and/or stresses affecting large volumes, and are below 1.05 MPa for short times and small volumes. Optical performances in operative condition respect the specification.

  18. Coverage of Certain Preventive Services Under the Affordable Care Act. Final rules.

    PubMed

    2015-07-14

    This document contains final regulations regarding coverage of certain preventive services under section 2713 of the Public Health Service Act (PHS Act), added by the Patient Protection and Affordable Care Act, as amended, and incorporated into the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code. Section 2713 of the PHS Act requires coverage without cost sharing of certain preventive health services by non-grandfathered group health plans and health insurance coverage. These regulations finalize provisions from three rulemaking actions: Interim final regulations issued in July 2010 related to coverage of preventive services, interim final regulations issued in August 2014 related to the process an eligible organization uses to provide notice of its religious objection to the coverage of contraceptive services, and proposed regulations issued in August 2014 related to the definition of "eligible organization,'' which would expand the set of entities that may avail themselves of an accommodation with respect to the coverage of contraceptive services.

  19. Global Warming Responses at the Primary Secondary Interface: 1. Students' Beliefs and Willingness to Act

    ERIC Educational Resources Information Center

    Skamp, Keith; Boyes, Eddie; Stannistreet, Martin

    2009-01-01

    Using survey methodology, students' beliefs, and willingness to act, about 16 specific actions related to global warming are compared across the primary secondary interface. More primary students believed in the effectiveness of most actions to reduce global warming and were willing to take those actions. In general there was a disparity between…

  20. How do plants enlarge? A balancing act; Final report

    SciTech Connect

    Boyer, J.S.

    1996-12-31

    Cells of plants are surrounded by strong walls that prevent rupture from internal pressures that can be two or three times that of an automobile tire. In this way, the walls protect the cytoplasm. However, at the same time, the cells can enlarge as they grow. How this balancing act works and how it enlarges the plant were the subject of a recent conference at the University of Delaware in Lewes. The aim was to identify areas for future research that could explain the enlargement of whole plants. There is a large practical need to predict and modify plant enlargement but the additional processes that overlie the molecular ones need to be integrated with the molecular information before a picture will emerge. How best to accomplish this involved input from cross-disciplinary areas in biomechanics, physics and engineering as well as molecular biology, biochemistry and ultrastructure.

  1. Fulfilling Our Promises: The United States and the Helsinki Final Act. A Status Report.

    ERIC Educational Resources Information Center

    Commission on Security and Cooperation in Europe, Washington, DC.

    This report examines compliance by the United States with agreements made in the Helsinki Final Act. The Act was signed in 1975 by leaders of 33 East and West European nations, Canada, and the U.S. It contains numerous cooperative measures aimed at improving East-West relations. This report was prepared by the Commission on Security and…

  2. The Final Regulations to the Carl D. Perkins Vocational and Applied Technology Education Act of 1990.

    ERIC Educational Resources Information Center

    American Vocational Association, Alexandria, VA.

    This publication presents the final regulations to the Carl D. Perkins Vocational and Applied Technology Education Act of 1990. The first section is an analysis of the regulations. This analysis compares the proposed regulations to the final version and explains the differences between the two and the potential impact on program administration.…

  3. Initial Northwest Power Act Power Sales Contracts : Final Environmental Impact Statement. Volume 4, Comments and Responses.

    SciTech Connect

    United States. Bonneville Power Administration.

    1992-01-01

    This volume of the Initial Northwest Power Act Power Sales Contracts Final Environmental Impact Statement (Final EIS) contains public comments addressing the Initial Northwest Power Act Power Sales Contracts Draft EIS, August 1990 and Bonneville Power Administration`s (BPA) responses. The Introduction provides information about the process BPA follows in addressing these comments. Part I contains a listing of the Alternative Actions evaluated in the Final EIS; Part II is organized by Alternatives and includes summaries of the comments and BPA responses; Part III provides copies of the original comments letters, and, for ease of identification, are coded in the margins according to the alternative(s) addressed.

  4. Coverage of certain preventive services under the Affordable Care Act. Final rules.

    PubMed

    2013-07-01

    This document contains final regulations regarding coverage of certain preventive services under section 2713 of the Public Health Service Act (PHS Act), added by the Patient Protection and Affordable Care Act, as amended, and incorporated into the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code. Section 2713 of the PHS Act requires coverage without cost sharing of certain preventive health services by non-grandfathered group health plans and health insurance coverage. Among these services are women's preventive health services, as specified in guidelines supported by the Health Resources and Services Administration (HRSA). As authorized by the current regulations, and consistent with the HRSA guidelines, group health plans established or maintained by certain religious employers (and group health insurance coverage provided in connection with such plans) are exempt from the otherwise applicable requirement to cover certain contraceptive services. These final regulations simplify and clarify the religious employer exemption. These final regulations also establish accommodations with respect to the contraceptive coverage requirement for group health plans established or maintained by eligible organizations (and group health insurance coverage provided in connection with such plans), as well as student health insurance coverage arranged by eligible organizations that are institutions of higher education. These regulations also finalize related amendments to regulations concerning Affordable Insurance Exchanges.

  5. TEACHING STANDARD ENGLISH TO URBAN PRIMARY CHILDREN. FINAL REPORT.

    ERIC Educational Resources Information Center

    GOLDEN, RUTH I.; MARTELLOCK, HELEN A.

    THE PURPOSE OF THIS STUDY WAS TO TEST THE EFFECTIVENESS OF A PROGRAM UTILIZING TAPE RECORDED RESPONSIVE LESSONS TO HELP URBAN PRIMARY CHILDREN DEVELOP A STANDARD ENGLISH DIALECT. AN EXPERIMENTAL GROUP OF 36 CHILDREN HEARD AND RECITED 8- TO 10-MINUTE TAPES OF POEMS, SONGS, AND SPEECH GAMES, WHILE 36 CHILDREN IN A CONTROL GROUP WERE INSTRUCTED IN…

  6. Staff Training Program. Final Report. Title IV, Civil Rights Act of 1964.

    ERIC Educational Resources Information Center

    Clark County School District, Las Vegas, NV.

    Contents of this final progress report of staff training programs funded under Title IV, Civil Rights Act of 1964 include: guidelines for progress report; the integration effort brought up-to-date; project proposal activities for the period being reported; evaluation; dissemination; program changes; personnel; and problem areas and…

  7. An Independent Sector Assessment of the Job Training Partnership Act. Final Report: Program Year 1985.

    ERIC Educational Resources Information Center

    Walker, Gary; And Others

    This is the third and final report of a 2-year study analyzing implementation of Title II-A of the Job Training Partnership Act (JTPA) of 1982. Title II-A, which accounts for about 50 percent of the funds appropriated under JTPA, provides job training for the economically disadvantaged. The report is based on management information and direct…

  8. Energy Policy Act Transportation Rate Study: Final Report on Coal Transportation

    EIA Publications

    2000-01-01

    This is the final in a series of reports prepared for the U.S. Congress by the Secretary of Energy on coal distribution and transportation rates as mandated by Title XIII, Section 1340, Establishment of Data Base and Study of Transportation Rates, of the Energy Policy Act of 1992 (P.L. 102-486).

  9. Assessment of the magnesium primary production technology. Final report

    SciTech Connect

    Flemings, M.C.; Kenney, G.B.; Sadoway, D.R.; Clark, J.P.; Szekely, J.

    1981-02-01

    At current production levels, direct energy savings achievable in primary magnesium production are 1.2 milliquads of energy per annum. Were magnesium to penetrate the automotive market to an average level of 50 pounds per vehicle, the resultant energy savings at the production stage would be somewhat larger, but the resulting savings in gasoline would conserve an estimated 325 milliquads of energy per year. The principal barrier to more widespread use of magnesium in the immediate future is its price. A price reduction of magnesium of 10% would lead to widespread conversion of aluminum die and permanent mold castings to magnesium. This report addresses the technology of electrolytic and thermic magnesium production and the economics of expanded magnesium production and use.

  10. Organizational integrity of entities that are implementing programs and activities under the Leadership Act. Final rule.

    PubMed

    2010-04-13

    The Department is issuing a final rule establishing the organizational integrity requirements for Federal funding recipients under the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (Leadership Act). This rule requires that funding announcements and agreements with funding recipients include a clause that states that the recipient is opposed to prostitution and sex trafficking because of the psychological and physical risks they pose for women, men and children. This rule also modifies the requirements for recipient-affiliate separation and eliminates the requirement for an additional certification by funding recipients.

  11. Organizational integrity of entities that are implementing programs and activities under the Leadership Act. Final rule.

    PubMed

    2010-04-13

    The Department is issuing a final rule establishing the organizational integrity requirements for Federal funding recipients under the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (Leadership Act). This rule requires that funding announcements and agreements with funding recipients include a clause that states that the recipient is opposed to prostitution and sex trafficking because of the psychological and physical risks they pose for women, men and children. This rule also modifies the requirements for recipient-affiliate separation and eliminates the requirement for an additional certification by funding recipients. PMID:20387319

  12. 24 CFR 180.700 - Action upon issuance of a final decision in Fair Housing Act cases.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... decision in Fair Housing Act cases. 180.700 Section 180.700 Housing and Urban Development Regulations... PROCEDURES FOR CIVIL RIGHTS MATTERS Post-Final Decision in Fair Housing Cases § 180.700 Action upon issuance of a final decision in Fair Housing Act cases. (a) Licensed or regulated businesses. (1) If a...

  13. Photosynthesis: The Path of Carbon in Photosynthesis and the Primary Quantum Conversion Act of Photosynthesis

    DOE R&D Accomplishments Database

    Calvin, Melvin

    1952-11-22

    This constitutes a review of the path of carbon in photosynthesis as it has been elaborated through the summer of 1952, with particular attention focused on those aspects of carbon metabolism and its variation which have led to some direct information regarding the primary quantum conversion act. An introduction to the arguments which have been adduced in support of the idea that chlorophyll is a physical sensitizer handing its excitation on to thioctic acid, a compound containing a strained 1, 2 -dithiolcyclopentane ring, is given.

  14. Bee guide to complying with the Safe Drinking Water Act. Final report

    SciTech Connect

    Garland, J.G.; Acker, A.M.

    1991-08-01

    This report provides current information on the Safe Drinking Water Act and recent amendments. The report describes the evolution of the Safe Drinking Water Act and the responsibilities of base personnel involved in compliance with the Act. It also describes the monitoring requirements, analytical requirements, best available technology for controlling contaminants, and public notification requirements for regulated contaminants. The appendixes include proposed contaminants and state water quality agencies. Each Air Force public water distribution system (PWDS) must comply with the SDWA, and the National Primary Drinking Water Regulations (NPDWRs). In the United States and its territories, the provisions of the SDWA and the NPDWRs are enforced by the states except in the few instances in which the state has not been delegated primary enforcement responsibility (primacy) by the EPA. States that have primacy may establish drinking water regulations, monitoring schedules, and reporting requirements more stringent than, or in addition to, those in the NPDWRs. Air Force public water systems in these states are required to comply with these additional requirements as well as federal enforcement actions as carried out by the EPA Regional Office.

  15. Final Rules for Grandfathered Plans, Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, Dependent Coverage, Appeals, and Patient Protections Under the Affordable Care Act. Final rules.

    PubMed

    2015-11-18

    This document contains final regulations regarding grandfathered health plans, preexisting condition exclusions, lifetime and annual dollar limits on benefits, rescissions, coverage of dependent children to age 26, internal claims and appeal and external review processes, and patient protections under the Affordable Care Act. It finalizes changes to the proposed and interim final rules based on comments and incorporates subregulatory guidance issued since publication of the proposed and interim final rules.

  16. Community Environmental Response Facilitation Act (CERFA) report, Sacramento Army Depot, Sacramento, California. Final report

    SciTech Connect

    Not Available

    1994-04-01

    This report presents the results of the Community Environmental Response Facilitation Act (CERFA) investigation conducted at the Sacramento Army Depot (SAAD), a U.S. Government property selected for closure by the Base Realignment and Closure Commission. The primary objective of this investigation, as required under CERFA is for federal agencies to expeditiously identify real property offering the greatest opportunity for immediate reuse and redevelopment. Satisfying this objective requires the identification of real property where no CERCLE-regulated hazardous substances or petroleum or their derivatives were stored for one year or more, known to have been released, or disposed of.

  17. Coverage of certain preventive services under the Affordable Care Act. Interim final rules.

    PubMed

    2014-08-27

    This document contains interim final regulations regarding coverage of certain preventive services under section 2713 of the Public Health Service Act (PHS Act), added by the Patient Protection and Affordable Care Act, as amended, and incorporated into the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code. Section 2713 of the PHS Act requires coverage without cost sharing of certain preventive health services by non-grandfathered group health plans and health insurance coverage. Among these services are women's preventive health services, as specified in guidelines supported by the Health Resources and Services Administration (HRSA). As authorized by the current regulations, and consistent with the HRSA Guidelines, group health plans established or maintained by certain religious employers (and group health insurance coverage provided in connection with such plans) are exempt from the otherwise applicable requirement to cover certain contraceptive services. Additionally, under current regulations, accommodations are available with respect to the contraceptive coverage requirement for group health plans established or maintained by eligible organizations (and group health insurance coverage provided in connection with such plans), and student health insurance coverage arranged by eligible organizations that are institutions of higher education, that effectively exempt them from this requirement. The regulations establish a mechanism for separately furnishing payments for contraceptive services on behalf of participants and beneficiaries of the group health plans of eligible organizations that avail themselves of an accommodation, and enrollees and dependents of student health coverage arranged by eligible organizations that are institutions of higher education that avail themselves of an accommodation. These interim final regulations augment current regulations in light of the Supreme Court's interim order in connection with an

  18. Organ procurement and transplantation: implementation of the HIV Organ Policy Equity Act. Final rule.

    PubMed

    2015-05-01

    This final rule amends the regulations implementing the National Organ Transplant Act of 1984, as amended, (NOTA) pursuant to statutory requirements of the HIV Organ Policy Equity Act (HOPE Act), enacted in 2013. In accordance with the mandates of the HOPE Act, this regulation removes the current regulatory provision that requires the Organ Procurement Transplantation Network (OPTN) to adopt and use standards for preventing the acquisition of organs from individuals known to be infected with human immunodeficiency virus (HIV). In its place, this regulation includes new requirements that organs from individuals infected with HIV may be transplanted only into individuals who are infected with HIV before receiving such organs and who are participating in clinical research approved by an institutional review board, as provided by regulation. The only exception to this requirement of participation in such clinical research is if the Secretary publishes a determination in the future that participation in such clinical research, as a requirement for transplants of organs from individuals infected with HIV, is no longer warranted. In addition, this regulatory change establishes that OPTN standards must ensure that any HIV-infected transplant recipients are participating in clinical research in accordance with the research criteria to be published by the Secretary. Alternately, if and when the Secretary determines that participation in such clinical research should no longer be a requirement for transplants with organs from donors infected with HIV to individuals infected with HIV, the regulation mandates that the OPTN adopt and use standards of quality, as directed by the Secretary, consistent with the law and in a way that ensures the changes will not reduce the safety of organ transplantation.

  19. 75 FR 43160 - Clean Water Act Section 303(d): Final Agency Action on One Arkansas Total Maximum Daily Load (TMDL)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-23

    ... AGENCY Clean Water Act Section 303(d): Final Agency Action on One Arkansas Total Maximum Daily Load (TMDL... Arkansas, under section 303(d) of the Clean Water Act (CWA). This TMDL was completed in response to the.../region6/water/npdes/tmdl/index.htm . FOR FURTHER INFORMATION CONTACT: Diane Smith at (214) 665-2145....

  20. 78 FR 23171 - Amendments to the 2013 Escrows Final Rule Under the Truth in Lending Act (Regulation Z)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-18

    ... loans made in ``rural'' or ``underserved'' areas. \\1\\ 78 FR 4726 (Jan. 22, 2013). \\2\\ The other rules...) (2013 ATR Final Rule), 78 FR 6407; High-Cost Mortgages and Homeownership Counseling Amendments to the... Settlement Procedures Act (Regulation X) (2013 HOEPA Final Rule), 78 FR 6855; Disclosure and...

  1. Health insurance reform; modifications to the Health Insurance Portability and Accountability Act (HIPAA) electronic transaction standards. Final rule.

    PubMed

    2009-01-16

    This final rule adopts updated versions of the standards for electronic transactions originally adopted under the Administrative Simplification subtitle of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This final rule also adopts a transaction standard for Medicaid pharmacy subrogation. In addition, this final rule adopts two standards for billing retail pharmacy supplies and professional services, and clarifies who the "senders" and "receivers" are in the descriptions of certain transactions. PMID:19385110

  2. Changes in Young Adult Primary Care Under the Affordable Care Act

    PubMed Central

    Ford, Carol A.; French, Benjamin; Rubin, David M.

    2015-01-01

    Objectives. We sought to describe changes in young adults’ routine care and usual sources of care (USCs), according to provider specialty, after implementation of extended dependent coverage under the Affordable Care Act (ACA) in 2010. Methods. We used Medical Expenditure Panel Survey data from 2006 to 2012 to examine young adults’ receipt of routine care in the preceding year, identification of a USC, and USC provider specialties (pediatrics, family medicine, internal medicine, and obstetrics and gynecology). Results. The percentage of young adults who sought routine care increased from 42.4% in 2006 to 49.5% in 2012 (P < .001). The percentage identifying a USC remained stable at approximately 60%. Among young adults with a USC, there was a trend between 2006 and 2012 toward increasing percentages with pediatric (7.6% vs 9.1%) and family medicine (75.9% vs 80.9%) providers and declining percentages with internal medicine (11.5% vs 7.6%) and obstetrics and gynecology (5.0% vs 2.5%) providers. Conclusions. Efforts under the ACA to increase health insurance coverage had favorable effects on young adults’ use of routine care. Monitoring routine care use and USC choices in this group can inform primary care workforce needs and graduate medical education priorities across specialties. PMID:26447914

  3. Patient Protection and Affordable Care Act; establishment of exchanges and qualified health plans; exchange standards for employers. Final rule, Interim final rule.

    PubMed

    2012-03-27

    This final rule will implement the new Affordable Insurance Exchanges ("Exchanges"), consistent with title I of the Patient Protection and Affordable Care Act of 2010 as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. The Exchanges will provide competitive marketplaces for individuals and small employers to directly compare available private health insurance options on the basis of price, quality, and other factors. The Exchanges, which will become operational by January 1, 2014, will help enhance competition in the health insurance market, improve choice of affordable health insurance, and give small businesses the same purchasing clout as large businesses.

  4. Patient Protection and Affordable Care Act; establishment of exchanges and qualified health plans; exchange standards for employers. Final rule, Interim final rule.

    PubMed

    2012-03-27

    This final rule will implement the new Affordable Insurance Exchanges ("Exchanges"), consistent with title I of the Patient Protection and Affordable Care Act of 2010 as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. The Exchanges will provide competitive marketplaces for individuals and small employers to directly compare available private health insurance options on the basis of price, quality, and other factors. The Exchanges, which will become operational by January 1, 2014, will help enhance competition in the health insurance market, improve choice of affordable health insurance, and give small businesses the same purchasing clout as large businesses. PMID:22479737

  5. Investigating Fresh Water--Some Ideas That Have Been Used Successfully in Primary Schools in the ACT.

    ERIC Educational Resources Information Center

    Shoring, Nola

    2003-01-01

    Outlines some strategies used in primary schools in the Australian Capital Territory (ACT) to teach science. Teachers wanting to investigate freshwater conducted experiments and drew concepts for reuse, recycling, and conservation. Presents two case studies using these activities to show how this theme can be used to introduce and consolidate a…

  6. Initial Northwest Power Act Power Sales Contracts : Final Environmental Impact Statement. Volume 2, Appendices A--L.

    SciTech Connect

    United States. Bonneville Power Administration.

    1992-01-01

    This report consists of appendices A-L of the final environmental impact statement for the Bonneville Power Administration. The appendices provide information on the following: Ninth circuit Court opinion in Forelaws on Board v. Johnson; guide to Northwest Power act contracts; guide to hydro operations; glossary; affected environment supporting documentation; environmental impacts of generic resource types; information on models used; technical information on analysis; public involvement activities; bibliography; Pacific Northwest Electric Power Planning and Conservation Act; and biological assessment. (CBS)

  7. Procedures for the Handling of Retaliation Complaints Under Section 1558 of the Affordable Care Act. Final rule.

    PubMed

    2016-10-13

    This document provides the final text of regulations governing employee protection (retaliation or whistleblower) claims under section 1558 of the Affordable Care Act, which added section 18C to the Fair Labor Standards Act to provide protections to employees who may have been subject to retaliation for seeking assistance under certain affordability assistance provisions (for example, health insurance premium tax credits) or for reporting potential violations of the Affordable Care Act's consumer protections (for example, the prohibition on rescissions). An interim final rule (IFR) governing these provisions and request for comments was published in the Federal Register on February 27, 2013. Thirteen comments were received; eleven were responsive to the IFR. This rule responds to those comments and establishes the final procedures and time frames for the handling of retaliation complaints under section 18C, including procedures and time frames for employee complaints to the Occupational Safety and Health Administration (OSHA), investigations by OSHA, appeals of OSHA determinations to an administrative law judge (ALJ) for a hearing de novo, hearings by ALJs, review of ALJ decisions by the Administrative Review Board (ARB) (acting on behalf of the Secretary of Labor), and judicial review of the Secretary of Labor's (Secretary's) final decision. It also sets forth the Secretary's interpretations of the Affordable Care Act whistleblower provision on certain matters.

  8. Integrated Application of Active Controls (IAAC) technology to an advanced subsonic transport project: Final ACT configuration evaluation

    NASA Technical Reports Server (NTRS)

    1982-01-01

    The Final ACT Configuration Evaluation Task of the Integrated Application of Active Controls (IAAC) technology project within the energy efficient transport program is summarized. The Final ACT Configuration, through application of Active Controls Technology (ACT) in combination with increased wing span, exhibits significant performance improvements over the conventional baseline configuration. At the design range for these configurations, 3590 km, the block fuel used is 10% less for the Final ACT Configuration, with significant reductions in fuel usage at all operational ranges. Results of this improved fuel usage and additional system and airframe costs and the complexity required to achieve it were analyzed to determine its economic effects. For a 926 km mission, the incremental return on investment is nearly 25% at 1980 fuel prices. For longer range missions or increased fuel prices, the return is greater. The technical risks encountered in the Final ACT Configuration design and the research and development effort required to reduce these risks to levels acceptable for commercial airplane design are identified.

  9. Fisheries management under the Fishery Conservation and Management Act, the Marine Mammal Protection Act, and the Endangered Species Act. Final report

    SciTech Connect

    Hammond, K.A.G.

    1980-05-01

    The purpose of this report is to determine what steps might be taken to ensure that fishery management plans (FMPs) developed under the Fishery Conservation and Management Act (FCMA) are ecologically sound and fully consistent with the FCMA and with the Marine Mammal Protection Act (MMPA) and the Endangered Species Act (ESA). The relevant provisions of the three Acts were examined and four FMPs were reviewed in detail. Persons involved in developing, reviewing and implementing FMPs were interviewed. It appears that FMPs are based primarily on single species rather than ecosystem oriented management concepts, so are not fully consistent with the FCMA, and that FMPs do not effectively incorporate potential impacts on non-target species into determining optimum fishery yields, so are not fully consistent with the FCMA or the ESA. In many cases data are sufficient for developing ecosystem oriented management plans. This report recommends that experts on marine mammals, birds, etc. become involved in FMP drafting, that guidelines for FMP preparation be amended to emphasize impacts on nontarget ecosystem components.

  10. 75 FR 22829 - National Environmental Policy Act; Final Environmental Impact Statement on U.S. Coast Guard...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-30

    .... The Coast Guard published a notice of intent to prepare an EIS in the Federal ] Register (71 FR 14233... SECURITY Coast Guard National Environmental Policy Act; Final Environmental Impact Statement on U.S. Coast Guard Pacific Area Operations: Districts 11 and 13 AGENCY: Coast Guard, DHS. ACTION: Notice...

  11. Temporary alien workers seeking classification under the Immigration and Nationality Act--Immigration and Naturalization Service. Final rule.

    PubMed

    1991-12-01

    This final rule implements provisions of the Immigration Act of 1990 (IMMACT). Public Law No. 101-649, November 29, 1990, and the Armed Forces Immigration Adjustment Act of 1991. Public Law No. 102-110, October 1, 1991, as they relate to temporary alien workers seeking nonimmigrant classification and admission to the United States under sections 101(a)(15) (H), (L), (O), and (P) of the Immigration and Nationality Act (Act), 8 U.S.C. 1101. This rule also contains technical amendments which reflect the Service's operating experience under the H and L classifications. This rule will conform Service policy to the intent of Congress as it relates to these classifications, implement new nonimmigrant classifications and requirements established by Public Law 101-649 and Public Law No. 102-110, and clarify for businesses and the general public requirements for classification, admission, and maintenance of status.

  12. Final acceptance testing of the LSST monolithic primary/tertiary mirror

    NASA Astrophysics Data System (ADS)

    Tuell, Michael T.; Burge, James H.; Cuerden, Brian; Gressler, William; Martin, Hubert M.; West, Steven C.; Zhao, Chunyu

    2014-07-01

    The Large Synoptic Survey Telescope (LSST) is a three-mirror wide-field survey telescope with the primary and tertiary mirrors on one monolithic substrate1. This substrate is made of Ohara E6 borosilicate glass in a honeycomb sandwich, spin cast at the Steward Observatory Mirror Lab at The University of Arizona2. Each surface is aspheric, with the specification in terms of conic constant error, maximum active bending forces and finally a structure function specification on the residual errors3. There are high-order deformation terms, but with no tolerance, any error is considered as a surface error and is included in the structure function. The radii of curvature are very different, requiring two independent test stations, each with instantaneous phase-shifting interferometers with null correctors. The primary null corrector is a standard two-element Offner null lens. The tertiary null corrector is a phase-etched computer-generated hologram (CGH). This paper details the two optical systems and their tolerances, showing that the uncertainty in measuring the figure is a small fraction of the structure function specification. Additional metrology includes the radii of curvature, optical axis locations, and relative surface tilts. The methods for measuring these will also be described along with their tolerances.

  13. Data processing for fabrication of GMT primary segments: raw data to final surface maps

    NASA Astrophysics Data System (ADS)

    Tuell, Michael T.; Hubler, William; Martin, Hubert M.; West, Steven C.; Zhou, Ping

    2014-07-01

    The Giant Magellan Telescope (GMT) primary mirror is a 25 meter f/0.7 surface composed of seven 8.4 meter circular segments, six of which are identical off-axis segments. The fabrication and testing challenges with these severely aspheric segments (about 14 mm of aspheric departure, mostly astigmatism) are well documented. Converting the raw phase data to useful surface maps involves many steps and compensations. They include large corrections for: image distortion from the off-axis null test; misalignment of the null test; departure from the ideal support forces; and temperature gradients in the mirror. The final correction simulates the active-optics correction that will be made at the telescope. Data are collected and phase maps are computed in 4D Technology's 4SightTM software. The data are saved to a .h5 (HDF5) file and imported into MATLAB® for further analysis. A semi-automated data pipeline has been developed to reduce the analysis time as well as reducing the potential for error. As each operation is performed, results and analysis parameters are appended to a data file, so in the end, the history of data processing is embedded in the file. A report and a spreadsheet are automatically generated to display the final statistics as well as how each compensation term varied during the data acquisition. This gives us valuable statistics and provides a quick starting point for investigating atypical results.

  14. Final notice regarding section 602 of the Veterans Health Care Act of 1992 duplicate discounts and rebates on drug purchases--HRSA. Final notice.

    PubMed

    1993-06-23

    Section 602 of Public Law 102-585, the "Veterans Health Care Act of 1992," enacted section 340B of the Public Health Service Act, "Limitation on Prices of Drugs Purchased by Covered Entities." Section 340B provides discounts on covered outpatient drugs to eligible entities. Section 340B(a)(5)(A) provides that a drug purchase shall not be subject to both a discount under section 340B and a Medicaid rebate under section 1927 of the Social Security Act. The Department is directed to establish a mechanism to assure that covered entities comply with this prohibition. The purpose of this notice is to announce the final mechanism to prevent duplicate discounts and rebates. The proposed mechanism was announced in the Federal Register at 58 FR 27293 on May 7, 1993. A comment period of 30 days was established to allow public comment on the proposed mechanism. Two comments were received. Both comments concerned issues involving implementation of the mechanism and did not raise substantive issues concerning the mechanism itself; therefore, we will address both comments in the Effective Date section. The mechanism, in its final form, is adopted as proposed.

  15. Classification of two steroids, prostanozol and methasterone, as Schedule III anabolic steroids under the Controlled Substance Act. Final rule.

    PubMed

    2012-07-30

    With the issuance of this Final Rule, the Administrator of the DEA classifies the following two steroids as "anabolic steroids'' under the Controlled Substances Act (CSA): prostanozol (17[beta]-hydroxy-5[alpha]-androstano[3,2-c]pyrazole) and methasterone (2[alpha],17[alpha]-dimethyl-5[alpha]-androstan-17[beta]-ol-3-one). These steroids and their salts, esters, and ethers are Schedule III controlled substances subject to the regulatory control provisions of the CSA.

  16. 76 FR 18548 - Clean Water Act Section 303(d): Final Agency Action on Three Total Maximum Daily Loads (TMDLs) in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-04

    ...This notice announces final agency action on three TMDLs prepared by EPA Region 6 for waters listed in Louisiana's Mississippi River Basin, under Section 303(d) of the Clean Water Act (CWA). Documents from the administrative record file for the three TMDLs, including TMDL calculations and responses to comments, may be viewed at http://www.epa.gov/region6/water/npdes/tmdl/index.htm. The......

  17. Prior notice of imported food under the Public Health Security and Bioterrorism Preparedness and Response Act of 2002. Final rule.

    PubMed

    2008-11-01

    The Food and Drug Administration (FDA) is issuing a final regulation that requires the submission to FDA of prior notice of food, including animal feed, that is imported or offered for import into the United States. The final rule implements the Public Health Security and Bioterrorism Preparedness and Response Act of 2002 (the Bioterrorism Act), which required prior notification of imported food to begin on December 12, 2003. The final rule requires that the prior notice be submitted to FDA electronically via either the U.S. Customs and Border Protection (CBP or Customs) Automated Broker Interface (ABI) of the Automated Commercial System (ACS) or the FDA Prior Notice System Interface (FDA PNSI). The information must be submitted and confirmed electronically as facially complete by FDA for review no less than 8 hours (for food arriving by water), 4 hours (for food arriving by air or land/rail), and 2 hours (for food arriving by land/road) before the food arrives at the port of arrival. Food imported or offered for import without adequate prior notice is subject to refusal and, if refused, must be held. Elsewhere in this issue of the Federal Register, FDA is announcing the availability of a draft compliance policy guide (CPG) entitled "Sec. 110.310 Prior Notice of Imported Food Under the Public Health Security and Bioterrorism Preparedness and Response Act of 2002."

  18. Community Environmental Response Facilitation Act (CERFA) report, Pueblo Depot Activity, Colorado. Final report

    SciTech Connect

    Not Available

    1994-04-11

    This report presents the results of the Community Environmental Response Facilitation Act (CERFA) investigation conducted by Environmental Resources Management (ERM) at Pueblo Depot Activity (PUDA), a U.S. Government property selected for closure by the Base Realignment and Closure (BRAC) Commission. Under CERFA, Federal agencies are required to identify expeditiously real property that can be immediately reused and redeveloped. Satisfying this objective requires the identification of real property where no hazardous substances or petroleum products, regulated by the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA), were stored for one year or more, known to have been released, or disposed. Pueblo depot activity, CERFA, Base closure, BRAC.

  19. Initial Northwest Power Act Power Sales Contracts : Final Environmental Impact Statement. Volume 1, Environmental Analysis.

    SciTech Connect

    United States. Bonneville Power Administration.

    1992-01-01

    This is volume 1 of the final environmental impact statement of the Bonneville Power Administration Information is included on the following: Purpose of and need for action; alternatives including the proposed action; affected environment; and environmental consequences.

  20. 77 FR 59747 - Repeal of the Final Rule Imposing Special Measures and Withdrawal of the Findings of Primary...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-01

    ... finding that the jurisdiction of Burma is of primary money laundering concern (68 FR 66298). Further... regulations. See 75 FR 65806 (October 26, 2010) (Transfer and Reorganization of Bank Secrecy Act Regulations.... 5318A(b)(1)-(5). For a complete discussion of the range of possible countermeasures, see 68 FR...

  1. Primary cilia act as mechanosensors during bone healing around an implant

    PubMed Central

    Leucht, P.; Monica, S.D.; Temiyasathit, S.; Lenton, K.; Manu, A.; Longaker, M.T.; Jacobs, C.R.; Spilker, R.L.; Guo, H.; Brunski, J.B.; Helms, J.A.

    2012-01-01

    The primary cilium is an organelle that senses cues in a cell’s local environment. Some of these cues constitute molecular signals; here, we investigate the extent to which primary cilia can also sense mechanical stimuli. We used a conditional approach to delete Kif3a in pre-osteoblasts and then employed a motion device that generated a spatial distribution of strain around an intra-osseous implant positioned in the mouse tibia. We correlated interfacial strain fields with cell behaviors ranging from proliferation through all stages of osteogenic differentiation. We found that peri-implant cells in the Col1Cre;Kif3afl/fl mice were unable to proliferate in response to a mechanical stimulus, failed to deposit and then orient collagen fibers to the strain fields caused by implant displacement, and failed to differentiate into bone-forming osteoblasts. Collectively, these data demonstrate that the lack of a functioning primary cilium blunts the normal response of a cell to a defined mechanical stimulus. The ability to manipulate the genetic background of peri-implant cells within the context of a whole, living tissue provides a rare opportunity to explore mechanotransduction from a multi-scale perspective. PMID:22784673

  2. Patient Protection and Affordable Care Act; exchange and insurance market standards for 2015 and beyond. Final rule.

    PubMed

    2014-05-27

    This final rule addresses various requirements applicable to health insurance issuers, Affordable Insurance Exchanges (``Exchanges''), Navigators, non-Navigator assistance personnel, and other entities under the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). Specifically, the rule establishes standards related to product discontinuation and renewal, quality reporting, non-discrimination standards, minimum certification standards and responsibilities of qualified health plan (QHP) issuers, the Small Business Health Options Program, and enforcement remedies in Federally-facilitated Exchanges. It also finalizes: A modification of HHS's allocation of reinsurance collections if those collections do not meet our projections; certain changes to allowable administrative expenses in the risk corridors calculation; modifications to the way we calculate the annual limit on cost sharing so that we round this parameter down to the nearest $50 increment; an approach to index the required contribution used to determine eligibility for an exemption from the shared responsibility payment under section 5000A of the Internal Revenue Code; grounds for imposing civil money penalties on persons who provide false or fraudulent information to the Exchange and on persons who improperly use or disclose information; updated standards for the consumer assistance programs; standards related to the opt-out provisions for self-funded, non-Federal governmental plans and related to the individual market provisions under the Health Insurance Portability and Accountability Act of 1996 including excepted benefits; standards regarding how enrollees may request access to non-formulary drugs under exigent circumstances; amendments to Exchange appeals standards and coverage enrollment and termination standards; and time-limited adjustments to the standards relating to the medical loss ratio

  3. Final Report: Comparison of the primary (national) standards of low-pressure gas flow

    NASA Astrophysics Data System (ADS)

    Benková, Miroslava; Makovnik, Stefan; Mickan, Bodo

    2015-01-01

    The EURAMET.M.FF-K6 comparison was organized for the purpose of determination of the degree of equivalence of the primary (national) standards for low-pressure gas flow measurement over the range (2 to 100) m3/h and was performed simultaneously with CCM.FF-K6.2011 with the same transfer standard. A rotary gas meter G65 was used as a transfer standard. The measurements were provided by prescribed reference conditions. Fifteen laboratories from EURAMET participated in this key comparison - SMU, Slovakia; PTB, Germany; CEM, Spain; LNE-LADG, France; VSL, Netherlands; CMI, Czech Republic; BEV, Austria; MKEH, Hungary; GUM Poland; SP, Sweden; METAS, Switzerland; DMDM, Serbia; TUBITAK-UME, Turkey; EIM, Greece; IMBiH, Bosnia-Herzegovina. The EURAMET.M.FF-K6 is linked to the CCM.FF-K6.2011 by correcting the results of three linking laboratories (Slovakia SMU, Germany PTB and France LNE LADG). This correction provides an estimate of what would have been the result from the EURAMET.M-FF-K6 participants, if they had actually participated in CCM.FF-K6.2011. According to the evaluation 93.7 % of the results were consistent with KCRV, 3.4 % of the results were in the warning level and 2.9 % of the results were inconsistent. The results of this comparison can be used for review of the CMC tables. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by CCM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  4. Mound-ACT*DE*CON{sup SM} feasibility study. Phase 2: Final report

    SciTech Connect

    1994-12-01

    A portion of the abandoned Miami-Erie Canal paralleling the Greater Miami River receives the runoff and storm-water discharge from Mound Laboratory. In 1969, a low-level plutonium leak contaminated sediment as far away as 1.5 mi from the Mound site along the old canal system. An estimated one million cubic feet of sediment requires remediation. The technology being evaluated for the remediation of the low-level plutonium-238 contamination of the sediment involves two processes: washing the sediments with ACT*DE*CON{sup SM} solution to dissolve the contaminant, followed by extraction of the solution and processing with the MAG*SEP{sup SM} process to concentrate the contaminant and allow reuse of the ACT*DE*CON{sup SM} solution. The processes are being optimized for pilot-scale and field demonstration. Phase 2 of the project primarily involved identification at the laboratory scale of the optimal ACT*DE*CON{sup SM} formulation, identification of the ion-exchanger and MAG*SEP{sup SM} particles, verification of the plutonium mobility in the treated soil, and evaluation of other process parameters according to a series of tasks.

  5. Schedules of Controlled Substances: Removal of [123I]Ioflupane From Schedule II of the Controlled Substances Act. Final rule.

    PubMed

    2015-09-11

    With the issuance of this final rule, the Administrator of the Drug Enforcement Administration removes [123I]ioflupane from the schedules of the Controlled Substances Act. This action is pursuant to the Controlled Substances Act which requires that such actions be made on the record after an opportunity for a hearing through formal rulemaking. Prior to the effective date of this rule, [123I]ioflupane was, by definition, a schedule II controlled substance because it is derived from cocaine via ecgonine, both of which are schedule II controlled substances. This action removes the regulatory controls and administrative, civil, and criminal sanctions applicable to controlled substances, including those specific to schedule II controlled substances, on persons who handle (manufacture, distribute, reverse distribute, dispense, conduct research, import, export, or conduct chemical analysis) or propose to handle [123I]ioflupane. PMID:26364325

  6. Schedules of Controlled Substances: Removal of [123I]Ioflupane From Schedule II of the Controlled Substances Act. Final rule.

    PubMed

    2015-09-11

    With the issuance of this final rule, the Administrator of the Drug Enforcement Administration removes [123I]ioflupane from the schedules of the Controlled Substances Act. This action is pursuant to the Controlled Substances Act which requires that such actions be made on the record after an opportunity for a hearing through formal rulemaking. Prior to the effective date of this rule, [123I]ioflupane was, by definition, a schedule II controlled substance because it is derived from cocaine via ecgonine, both of which are schedule II controlled substances. This action removes the regulatory controls and administrative, civil, and criminal sanctions applicable to controlled substances, including those specific to schedule II controlled substances, on persons who handle (manufacture, distribute, reverse distribute, dispense, conduct research, import, export, or conduct chemical analysis) or propose to handle [123I]ioflupane.

  7. Final Scientific/Technical Report [Recovery Act: Districtwide Geothermal Heating Conversion

    SciTech Connect

    Chatterton, Mike

    2014-02-12

    The Recovery Act: Districtwide Geothermal Heating Conversion project performed by the Blaine County School District was part of a larger effort by the District to reduce operating costs, address deferred maintenance items, and to improve the learning environment of the students. This project evaluated three options for the ground source which were Open-Loop Extraction/Re-injection wells, Closed-Loop Vertical Boreholes, and Closed-Loop Horizontal Slinky approaches. In the end the Closed-Loop Horizontal Slinky approach had the lowest total cost of ownership but the majority of the sites associated with this project did not have enough available ground area to install the system so the second lowest option was used (Open-Loop). In addition to the ground source, this project looked at ways to retrofit existing HVAC systems with new high efficiency systems. The end result was the installation of distributed waterto- air heat pumps with water-to-water heat pumps installed to act as boilers/chillers for areas with a high ventilation demand such as they gymnasiums. A number of options were evaluated and the lowest total cost of ownership approach was implemented in the majority of the facilities. The facilities where the lowest total cost of ownership approaches was not selected were done to maintain consistency of the systems from facility to facility. This project had a number of other benefits to the Blaine County public. The project utilizes guaranteed energy savings to justify the levy funds expended. The project also developed an educational dashboard that can be used in the classrooms and to educate the community on the project and its performance. In addition, the majority of the installation work was performed by contractors local to Blaine County which acted as an economic stimulus to the area during a period of recession.

  8. Ninety-day waiting period limitation and technical amendments to certain health coverage requirements under the Affordable Care Act. Final rule.

    PubMed

    2014-02-24

    These final regulations implement the 90-day waiting period limitation under section 2708 of the Public Health Service Act, as added by the Patient Protection and Affordable Care Act (Affordable Care Act), as amended, and incorporated into the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code. These regulations also finalize amendments to existing regulations to conform to Affordable Care Act provisions. Specifically, these rules amend regulations implementing existing provisions such as some of the portability provisions added by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) because those provisions of the HIPAA regulations have become superseded or require amendment as a result of the market reform protections added by the Affordable Care Act.

  9. Community Environmental Response Facilitation Act (CERFA) report, Former Army Reserve Center, Gaithersburg, Maryland. Final report

    SciTech Connect

    Hacker, G.; Walters, G.; Ward, L.

    1994-04-01

    This report presents the results of the Community Environmental Response Facilitation Act (CERFA) conducted by Environmental Resources Management (ERM) at the former Army Reserve Center, Gaithersburg (ARC), a U.S. Government property selected for closure by the Base Realignment and Closure (BRAC) Commission. Under CERFA, Federal agencies are required to identity expeditiously real property that can be immediately reused and redeveloped. Satisfying this objective requires the identification of real property where no hazardous substances or petroleum products, regulated by the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA), were stored for one year or more, known to have been released, or disposed. ARC is an 18-acre site located in Gaithersburg, Maryland. ARC was used for a variety of activities from 1955-1986. has served as a Nike Missile Control Site, as a communications and electronics research facility, and as an Army Reserve Center. Activities of environmental concern were mainly associated with construction, testing, and maintenance of electronic systems. The site has been vacant since 1986. Former Army Reserve Center, Gaithersburg, CERFA, Base closure, BRAC.

  10. Local School Wellness Policy Implementation Under the Healthy, Hunger-Free Kids Act of 2010. Final rule.

    PubMed

    2016-07-29

    This final rule requires all local educational agencies that participate in the National School Lunch and School Breakfast Programs to meet expanded local school wellness policy requirements consistent with the requirements set forth in section 204 of the Healthy, Hunger-Free Kids Act of 2010. The final rule requires each local educational agency to establish minimum content requirements for the local school wellness policies, ensure stakeholder participation in the development and updates of such policies, and periodically assess and disclose to the public schools' compliance with the local school wellness policies. These regulations are expected to result in local school wellness policies that strengthen the ability of a local educational agency to create a school nutrition environment that promotes students' health, well-being, and ability to learn. In addition, these regulations will increase transparency for the public with regard to school wellness policies and contribute to integrity in the school nutrition program.

  11. Local School Wellness Policy Implementation Under the Healthy, Hunger-Free Kids Act of 2010. Final rule.

    PubMed

    2016-07-29

    This final rule requires all local educational agencies that participate in the National School Lunch and School Breakfast Programs to meet expanded local school wellness policy requirements consistent with the requirements set forth in section 204 of the Healthy, Hunger-Free Kids Act of 2010. The final rule requires each local educational agency to establish minimum content requirements for the local school wellness policies, ensure stakeholder participation in the development and updates of such policies, and periodically assess and disclose to the public schools' compliance with the local school wellness policies. These regulations are expected to result in local school wellness policies that strengthen the ability of a local educational agency to create a school nutrition environment that promotes students' health, well-being, and ability to learn. In addition, these regulations will increase transparency for the public with regard to school wellness policies and contribute to integrity in the school nutrition program. PMID:27476196

  12. More Family Physicians or More Primary Care? An Analysis of the Family Practice Act (S. 3418). Health Manpower Policy Discussion Paper Series No. D.1.

    ERIC Educational Resources Information Center

    Wright, George E., Jr.

    The crisis in primary care has long been discussed and the dismal litany of statistics is now familiar. The G.P. is vanishing from the medical scene. Over one-third of the active general practitioners are now over 60. In 1970 the U.S. Congress responded to the declining availability of primary health care by passing the Family Practice Act. The…

  13. Naked into the World: IT Teaching Experiences on a Final Primary School Teaching Practice--A Second Survey.

    ERIC Educational Resources Information Center

    Dunn, S.; Ridgway, J.

    1991-01-01

    Describes results of a survey of student teachers in the United Kingdom who described their experiences with information technology (IT) during their final primary teaching practice. Data are related to an earlier survey of the same students during their first teaching practice to explore changes in their practices and beliefs about IT. (14…

  14. Recovery Act: A Low Cost Spray Deposited Solar PV Anti-Reflection Coating Final Technical Report

    SciTech Connect

    Harvey, Michael D.

    2010-08-30

    PV module glass is typically low iron glass which exhibits extremely low absorption of light at solar wavelengths. However, reflection losses from typical high quality solar glass are about 4.5% of the input solar energy. By applying an antireflection coating to the cover glass of their modules, a PV module maker will gain at least a 3% increase in the light passing through the glass and being converted to electricity. Thus achieving an increase of >3% in electricity output from the modules. This Project focussed on developing a process that deposits a layer of porous silica (SiO2) on glass or plastic components, and testing the necessary subcomponents and subsystems required to demonstrate the commercial technology. This porous layer acts as a broadband single layer AR coating for glass and plastics, with the added benefit of being a hydrophilic surface for low surface soiling.

  15. Establishment and maintenance of records under the Public Health Security and Bioterrorism Preparedness and Response Act of 2002. Final rule.

    PubMed

    2004-12-01

    The Food and Drug Administration (FDA) is issuing a final regulation that requires the establishment and maintenance of records by persons who manufacture, process, pack, transport, distribute, receive, hold, or import food in the United States. Such records are to allow for the identification of the immediate previous sources and immediate subsequent recipients of food. The final rule implements the Public Health Security and Bioterrorism Preparedness and Response Act of 2002 (the Bioterrorism Act), and is necessary to help address credible threats of serious adverse health consequences or death to humans or animals. The requirement to establish and maintain records is one of several tools that will help improve FDA's ability to respond to, and further contain, threats of serious adverse health consequences or death to humans or animals from accidental or deliberate contamination of food. In the event of an outbreak of foodborne illness, such information will help FDA and other authorities determine the source and cause of the event. In addition, the information will improve FDA's ability to quickly notify the consumers and/or facilities that might be affected by the outbreak.

  16. Enforcement actions under the Resource Conservation and Recovery Act. Final report

    SciTech Connect

    Brown, D.M.; Baxter, R.J.

    1994-09-01

    The Army continues to receive enforcement actions (EAS) that detract from its image as a conscientious adherent to environmental laws. In some cases, receipt of violations may indicate the persistent presence of systemic problems. In the past 2 years, the Army has been investigating its EAs to determine whether some problems are more prevalent than others and what can be done to resolve them. This report addresses EAs issued to the Army pursuant to the Resource Conservation and Recovery Act (RCRA) and similar state laws and their implementing regulations. RCRA is similar to other regulatory programs reviewed by the Logistics Management Institute, in that the root causes were in procedural and oversight failures. Thus, action taken to address the systemic problems in any of the environmental program areas should relieve compliance problems in all areas. The systemic problems occur in four general areas: maintaining knowledgeable staff; spreading awareness of requirements to operators and supervisors who are not part of the environmental staff; improving oversight of environmentally sensitive operations conducted by both government and contractor personnel; and, once people have the appropriate knowledge, holding them responsible for applying it. We recommend that the Army hold individuals having responsibility for the operation and oversight of environmentally sensitive facilities accountable for proper performance, devise means to make RCRA training more effective, and require certifications and continuing professional development of environmental professionals.

  17. How do plants enlarge? A balancing act. Workship on plant growth: Final report

    SciTech Connect

    Boyer, J.S.

    1996-12-31

    There are signals that coordinate the development of various plant parts and thus the rates of enlargement of various plant parts and these were explored during the workshop. The participants tried to systematize their knowledge and identify over-arching concepts that need more investigation. It was generally agreed that the cell wall cannot be viewed as a passive plastic material. Synthesis and deposition take place and cause changes in the molecular architecture of the wall. Questions arise from the fact that the wall is not a constant or uniform structure but undergoes highly organized changes during enlargement while bearing a considerable load. Recent advances in signaling, biochemical analysis and ultrastructure visualization are beginning to relate to the molecular load-bearing and enzymatic activities in the wall. The participants agreed that there probably is enough information to begin developing a comprehensive model that would balance wall effects with the limitation of growth by transport, especially for water, and this could help clarify events occurring at different time scales and places. Beyond that, there seems to be a need to resolve problems of solute transport and wall behavior that are poorly understood in growing regions, leaving many promising areas for future experiments. Understanding each balancing act seems to be just the beginning.

  18. ACTS 118x Final Report High-Speed TCP Interoperability Testing

    NASA Technical Reports Server (NTRS)

    Ivancic, William D.; Zernic, Mike; Hoder, Douglas J.; Brooks, David E.; Beering, Dave R.; Welch, Arun

    1999-01-01

    With the recent explosion of the Internet and the enormous business opportunities available to communication system providers, great interest has developed in improving the efficiency of data transfer using the Transmission Control Protocol (TCP) of the Internet Protocol (IP) suite. The satellite system providers are interested in solving TCP efficiency problems associated with long delays and error-prone links. Similarly, the terrestrial community is interested in solving TCP problems over high-bandwidth links. Whereas the wireless community is interested in improving TCP performance over bandwidth constrained, error-prone links. NASA realized that solutions had already been proposed for most of the problems associated with efficient data transfer over large bandwidth-delay links (which include satellite links). The solutions are detailed in various Internet Engineering Task Force (IETF) Request for Comments (RFCs). Unfortunately, most of these solutions had not been tested at high-speed (155+ Mbps). Therefore, the NASA's ACTS experiments program initiated a series of TCP experiments to demonstrate scalability of TCP/IP and determine how far the protocol can be optimized over a 622 Mbps satellite link. These experiments were known as the 118i and 118j experiments. During the 118i and 118j experiments, NASA worked closely with SUN Microsystems and FORE Systems to improve the operating system, TCP stacks. and network interface cards and drivers. We were able to obtain instantaneous data throughput rates of greater than 520 Mbps and average throughput rates of 470 Mbps using TCP over Asynchronous Transfer Mode (ATM) over a 622 Mbps Synchronous Optical Network (SONET) OC12 link. Following the success of these experiments and the successful government/industry collaboration, a new series of experiments. the 118x experiments. were developed.

  19. 75 FR 52860 - Final Airworthiness Design Standards for Acceptance Under the Primary Category Rule; Orlando...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-30

    ... Register on June 21, 2010, 75 FR 34953. No comments were received, and the airworthiness design standards... Under the Primary Category Rule; Orlando Helicopter Airways (OHA), Inc., Models Cessna 172I, 172K, 172L... under primary category regulations of modified Cessna 172I, 172K, 172L, and 172M airplanes. DATES:...

  20. Group health plans and health insurance issuers relating to coverage of preventive services under the Patient Protection and Affordable Care Act. Final rules.

    PubMed

    2012-02-15

    These regulations finalize, without change, interim final regulations authorizing the exemption of group health plans and group health insurance coverage sponsored by certain religious employers from having to cover certain preventive health services under provisions of the Patient Protection and Affordable Care Act.

  1. Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule and the National Instant Criminal Background Check System (NICS). Final rule.

    PubMed

    2016-01-01

    The Department of Health and Human Services (HHS or "the Department'') is issuing this final rule to modify the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to expressly permit certain HIPAA covered entities to disclose to the National Instant Criminal Background Check System (NICS) the identities of individuals who are subject to a Federal "mental health prohibitor'' that disqualifies them from shipping, transporting, possessing, or receiving a firearm. The NICS is a national system maintained by the Federal Bureau of Investigation (FBI) to conduct background checks on persons who may be disqualified from receiving firearms based on Federally prohibited categories or State law. Among the persons subject to the Federal mental health prohibitor established under the Gun Control Act of 1968 and implementing regulations issued by the Department of Justice (DOJ) are individuals who have been involuntarily committed to a mental institution; found incompetent to stand trial or not guilty by reason of insanity; or otherwise have been determined by a court, board, commission, or other lawful authority to be a danger to themselves or others or to lack the mental capacity to contract or manage their own affairs, as a result of marked subnormal intelligence or mental illness, incompetency, condition, or disease. Under this final rule, only covered entities with lawful authority to make the adjudications or commitment decisions that make individuals subject to the Federal mental health prohibitor, or that serve as repositories of information for NICS reporting purposes, are permitted to disclose the information needed for these purposes. The disclosure is restricted to limited demographic and certain other information needed for NICS purposes. The rule specifically prohibits the disclosure of diagnostic or clinical information, from medical records or other sources, and any mental health information beyond the indication that the individual

  2. Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule and the National Instant Criminal Background Check System (NICS). Final rule.

    PubMed

    2016-01-01

    The Department of Health and Human Services (HHS or "the Department'') is issuing this final rule to modify the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to expressly permit certain HIPAA covered entities to disclose to the National Instant Criminal Background Check System (NICS) the identities of individuals who are subject to a Federal "mental health prohibitor'' that disqualifies them from shipping, transporting, possessing, or receiving a firearm. The NICS is a national system maintained by the Federal Bureau of Investigation (FBI) to conduct background checks on persons who may be disqualified from receiving firearms based on Federally prohibited categories or State law. Among the persons subject to the Federal mental health prohibitor established under the Gun Control Act of 1968 and implementing regulations issued by the Department of Justice (DOJ) are individuals who have been involuntarily committed to a mental institution; found incompetent to stand trial or not guilty by reason of insanity; or otherwise have been determined by a court, board, commission, or other lawful authority to be a danger to themselves or others or to lack the mental capacity to contract or manage their own affairs, as a result of marked subnormal intelligence or mental illness, incompetency, condition, or disease. Under this final rule, only covered entities with lawful authority to make the adjudications or commitment decisions that make individuals subject to the Federal mental health prohibitor, or that serve as repositories of information for NICS reporting purposes, are permitted to disclose the information needed for these purposes. The disclosure is restricted to limited demographic and certain other information needed for NICS purposes. The rule specifically prohibits the disclosure of diagnostic or clinical information, from medical records or other sources, and any mental health information beyond the indication that the individual

  3. Final Requirements--School Improvement Grants--Title I of the Elementary and Secondary Education Act of 1965. Final Rule. Federal Register, Part IV, Department of Education, 34 CFR Chapter II

    ERIC Educational Resources Information Center

    National Archives and Records Administration, 2015

    2015-01-01

    The Assistant Secretary for Elementary and Secondary Education adopts final requirements for the School Improvement Grants (SIG) program, authorized under section 1003(g) of title I of the Elementary and Secondary Education Act of 1965, as amended (ESEA). These final requirements make changes to the current SIG program requirements and implement…

  4. Beginning Science Curriculum for English Speaking Tropical Africa (African Primary Science Program). Final Report.

    ERIC Educational Resources Information Center

    Education Development Center, Inc., Newton, MA.

    The African Primary Science Program, which was established in 1960 as part of the African Education Program, has operated widely in English-speaking African countries. Science centers have been established with program assistance in seven of these: Ghana, Kenya, Malawi, Nigeria, Sierra Leone, Tanzania, and Uganda. Its goals have been centered on…

  5. Final report spent nuclear fuel retrieval system primary cleaning development testing

    SciTech Connect

    Ketner, G.L.; Meeuwsen, P.V.

    1997-09-01

    Developmental testing of the primary cleaning station for spent nuclear fuel (SNF) and canisters is reported. A primary clean machine will be used to remove the gross sludge from canisters and fuel while maintaining water quality in the downstream process area. To facilitate SNF separation from canisters and minimize the impact to water quality, all canisters will be subjected to mechanical agitation and flushing with the Primary Clean Station. The Primary Clean Station consists of an outer containment box with an internally mounted, perforated wash basket. A single canister containing up to 14 fuel assemblies will be loaded into the wash basket, the confinement box lid closed, and the wash basket rotated for a fixed cycle time. During this cycle, basin water will be flushed through the wash basket and containment box to remove and entrain the sludge and carry it out of the box. Primary cleaning tests were performed to provide information concerning the removal of sludge from the fuel assemblies while in the basin canisters. The testing was also used to determine if additional fuel cleaning is required outside of the fuel canisters. Hydraulic performance and water demand requirements of the cleaning station were also evaluated. Thirty tests are reported in this document. Tests demonstrated that sludge can be dislodged and suspended sufficiently to remove it from the canister. Examination of fuel elements after cleaning suggested that more than 95% of the exposed fuel surfaces were cleaned so that no visual evidence of remained. As a result of testing, recommendations are made for the cleaning cycle. 3 refs., 16 figs., 4 tabs.

  6. Effect of 95% Ethanol as a Final Irrigant before Root Canal Obturation in Primary Teeth: An in vitro Study

    PubMed Central

    Thiruvenkadam, G; John, Baby; Priya, PR Geetha

    2016-01-01

    ABSTRACT Background: Successful obturation in the primary teeth demands complete dryness of the root canal system. Aim: The purpose of this study was to determine the effect of 95% ethanol as the final irrigant before root canal obturation in primary teeth. Materials and methods: A total of 20 extracted primary mandibular canines were biomechanically prepared and pre-obturated volume of each tooth was assessed using spiral computed tomography (CT). The specimens were divided into two groups (n = 10): group 1, Metapex group; group 2, zinc oxide eugenol group. Each group was further divided randomly into two subgroups (n = 5): subgroup 1, canals were dried with 95% ethanol; subgroup 2, canals were blot dried with paper points with the last one appearing dry. All canals were obturated and the postobturated volume of each tooth was measured. The percentage of obturated volume (POV) was calculated using the formula: (postobturated volume/preobturated volume) × 100. The POV between the groups was statistically analyzed using Mann-Whitney test and Wilcoxon Signed rank test appropriately. Results: Root canals that were dried with ethanol showed better obturation than using paper points alone and the difference was statistically significant in both group 1 (p < 0.001) and group 2 (p < 0.002). Conclusion: Drying of the root canal system with 95% ethanol can result in better obturation in the primary teeth. How to cite this article: Thiruvenkadam G, Asokan S, John B, Geetha Priya PR. Effect of 95% Ethanol as a Final Irrigant before Root Canal Obturation in Primary Teeth: An in vitro Study. Int J Clin Pediatr Dent 2016;9(1):21-24. PMID:27274150

  7. Community-oriented primary care (COPC) and the affordable care act: an opportunity to meet the demands of an evolving health care system.

    PubMed

    Gofin, Jaime; Gofin, Rosa; Stimpson, Jim P

    2015-04-01

    Community-oriented primary care (COPC) is a model of health care delivery that tightly integrates primary care and public health. This model of care, applied around the globe, could be more widely adopted in the United States as clinical delivery systems respond to the growing demand for population health management, which has been driven largely by various provisions of the Affordable Care Act (ACA). For that purpose, there is need for changes in capacitating health professionals and changes in organizational structures that will address the needs and health priorities of the population, considering individual care management in the context of population health for a defined population. This article presents how the Affordable Care Act is an appropriate framework for COPC to succeed and the way forward to develop COPC through practical alternatives for the delivery of primary care within a population context.

  8. Knowledge of primary health care and career choice at primary health care settings among final year medical students - challenges to human resources for health in Vietnam.

    PubMed

    Giang, Kim Bao; Minh, Hoang Van; Hien, Nguyen Van; Ngoc, Nguyen Minh; Hinh, Nguyen Duc

    2015-01-01

    There is a shortage of medical doctors in primary health care (PHC) settings in Vietnam. Evidence about the knowledge medical students have about PHC and their career decision-making is important for making policy in human resources for health. The objective of this study was to analyse knowledge and attitudes about PHC among medical students in their final year and their choice to work in PHC after graduation. A cross-sectional study was conducted among 400 final year general medical students from Hanoi Medical University. Self-administered interviews were conducted. Key variables were knowledge, awareness of the importance of PHC and PHC career choices. Descriptive and analytic statistics were performed. Students had essential knowledge of the concept and elements of PHC and were well aware of its importance. However, only one-third to one half of them valued PHC with regard to their professional development or management opportunities. Less than 1% of students would work at commune or district health facilities after graduation. This study evidences challenges related to increasing the number of medical doctors working in PHC settings. Immediate and effective interventions are needed to make PHC settings more attractive and to encourage medical graduates to start and continue a career in PHC.

  9. How Do Primary Pre-Service Teachers in a Regional Australian University Plan for Teaching, Learning and Acting in Environmentally Responsible Ways?

    ERIC Educational Resources Information Center

    Gooch, Margaret; Rigano, Donna; Hickey, Ruth; Fien, John

    2008-01-01

    Integrated unit plans with an environmental focus can provide opportunities for school students to develop critical thinking skills, and to act in responsible ways--that is, to develop "action competence". In this study, environmentally focused integrated unit plans, developed and implemented by final year pre-service teachers at an Australian…

  10. National School Lunch Program and School Breakfast Program: Nutrition Standards for All Foods Sold in School as Required by the Healthy, Hunger-Free Kids Act of 2010. Final rule and interim final rule.

    PubMed

    2016-07-29

    This rule adopts as final, with some modifications, the National School Lunch Program and School Breakfast Program regulations set forth in the interim final rule published in the Federal Register on June 28, 2013. The requirements addressed in this rule conform to the provisions in the Healthy, Hunger-Free Kids Act of 2010 regarding nutrition standards for all foods sold in schools, other than food sold under the lunch and breakfast programs. Most provisions of this final rule were implemented on July 1, 2014, a full year subsequent to publication of the interim final rule. This was in compliance with section 208 of the Healthy, Hunger-Free Kids Act of 2010, which required that State and local educational agencies have at least one full school year from the date of publication of the interim final rule to implement the competitive food provisions. Based on comments received on the interim final rule and implementation experience, this final rule makes a few modifications to the nutrition standards for all foods sold in schools implemented on July 1, 2014. In addition, this final rule codifies specific policy guidance issued after publication of the interim rule. Finally, this rule retains the provision related to the standard for total fat as interim and requests further comment on this single standard.

  11. National School Lunch Program and School Breakfast Program: Nutrition Standards for All Foods Sold in School as Required by the Healthy, Hunger-Free Kids Act of 2010. Final rule and interim final rule.

    PubMed

    2016-07-29

    This rule adopts as final, with some modifications, the National School Lunch Program and School Breakfast Program regulations set forth in the interim final rule published in the Federal Register on June 28, 2013. The requirements addressed in this rule conform to the provisions in the Healthy, Hunger-Free Kids Act of 2010 regarding nutrition standards for all foods sold in schools, other than food sold under the lunch and breakfast programs. Most provisions of this final rule were implemented on July 1, 2014, a full year subsequent to publication of the interim final rule. This was in compliance with section 208 of the Healthy, Hunger-Free Kids Act of 2010, which required that State and local educational agencies have at least one full school year from the date of publication of the interim final rule to implement the competitive food provisions. Based on comments received on the interim final rule and implementation experience, this final rule makes a few modifications to the nutrition standards for all foods sold in schools implemented on July 1, 2014. In addition, this final rule codifies specific policy guidance issued after publication of the interim rule. Finally, this rule retains the provision related to the standard for total fat as interim and requests further comment on this single standard. PMID:27476195

  12. Developing Policy and Practice for Implementation of the Individuals with Disabilities Education Act--Innovative Approaches to State and National Issues: Invasive Procedures. Final Report.

    ERIC Educational Resources Information Center

    Krajicek, Marilyn J.

    This final report discusses the activities and outcomes of a federally funded project designed to address the safe and legal implementation of the Individuals with Disabilities Education Act for young children who required invasive health care procedures. To accomplish the project objectives three annual, interdisciplinary conferences were held to…

  13. The Ramsar Conference, Final Act of the International Conference on the Conservation of Wetlands and Waterfowl (Ramsar, Iran, 30 January to 3 February 1971).

    ERIC Educational Resources Information Center

    IUCN Bulletin, 1971

    1971-01-01

    The text of the Final Act of the International Conference on the Conservation of Wetlands and Waterfowl is presented in this pamphlet. The conference was convened by the Government of Iran at Ramsar, Iran, January 30 to February 3, 1971, to promote international collaboration in this field. It was sponsored by the International Wildfowl Research…

  14. BWR primary coolant pressure boundary license renewal industry report; revision 1. Final report

    SciTech Connect

    Braden, D.; Stancavage, P.

    1994-07-01

    The U.S. nuclear power industry, through coordination by the Nuclear Management and Resources Council (NUMARC), and sponsorship by the U.S. Department of Energy (DOE) and the Electric Power Research Institute (EPRI), has evaluated age-related degradation effects for a number of major plant systems, structures and components in the license renewal technical Industry Reports (IRs). License renewal applicants may choose to reference these IRs in support of their plant-specific license renewal applications as an equivalent to the integrated plant assessment provisions of the license renewal rule (10 CFR Part 54). This IR provides the technical basis for license renewal for U.S. boiling water reactor (BWR) primary coolant pressure boundaries (PCPB). The report includes requirements on: carbon and stainless steel pipes and fittings; reactor circulation pumps; internal heat exchangers; pressure relief and in line valves; and component supports. These components are in the main steam, recirculation, feedwater, residual heat removal, reactor core isolation cooling, low and high pressure coolant injection, and low and high pressure core spray systems.

  15. Primary structure of nicotinic acetylcholine receptor. Final report, 9 April 1989-6 April 1992

    SciTech Connect

    Patrick, J.W.

    1992-05-06

    Signals are transmitted between cells in the brain using neurotransmitters and neurotransmitter receptors. Poisons that interfere with this process stop normal brain function and often kill nerve cells. One of the neurotransmitters used in the mammalian brain is acetylcholine. We discovered that there is a large number of different nicotinic receptors for the neurotransmitter acetylcholine, each with its different properties. We used recombinant DNA technology to clone and sequence the gene transcripts that encode the subunits of these receptors. From these sequences we deduced the primary structures of the nicotinic receptor subunits. We also used the cDNA clones to determine which brain loci express the respective genes. We have expressed the clones in the Xenopus oocyte and have demonstrated that each functional combination of subunits has a unique pharmacology Unlike their homologs at the neuromuscular junction, the nicotinic acetylcholine receptors in the brain are exceptionally permeable to calcium. This property suggests that these receptors may play an important role in regulating calcium-dependent cytoplasmic processes and that they may be important contributors to use-dependent cell death.

  16. Final Technical Report Microwave Assisted Electrolyte Cell for Primary Aluminum Production

    SciTech Connect

    Xiaodi Huang; J.Y. Hwang

    2007-04-18

    This research addresses the high priority research need for developing inert anode and wetted cathode technology, as defined in the Aluminum Industry Technology Roadmap and Inert Anode Roadmap, with the performance targets: a) significantly reducing the energy intensity of aluminum production, b) ultimately eliminating anode-related CO2 emissions, and c) reducing aluminum production costs. This research intended to develop a new electrometallurgical extraction technology by introducing microwave irradiation into the current electrolytic cells for primary aluminum production. This technology aimed at accelerating the alumina electrolysis reduction rate and lowering the aluminum production temperature, coupled with the uses of nickel based superalloy inert anode, nickel based superalloy wetted cathode, and modified salt electrolyte. Michigan Technological University, collaborating with Cober Electronic and Century Aluminum, conducted bench-scale research for evaluation of this technology. This research included three sub-topics: a) fluoride microwave absorption; b) microwave assisted electrolytic cell design and fabrication; and c) aluminum electrowinning tests using the microwave assisted electrolytic cell. This research concludes that the typically used fluoride compound for aluminum electrowinning is not a good microwave absorbing material at room temperature. However, it becomes an excellent microwave absorbing material above 550°C. The electrowinning tests did not show benefit to introduce microwave irradiation into the electrolytic cell. The experiments revealed that the nickel-based superalloy is not suitable for use as a cathode material; although it wets with molten aluminum, it causes severe reaction with molten aluminum. In the anode experiments, the chosen superalloy did not meet corrosion resistance requirements. A nicked based alloy without iron content could be further investigated.

  17. The impact of the UK ‘Act FAST’ stroke awareness campaign: content analysis of patients, witness and primary care clinicians’ perceptions

    PubMed Central

    2013-01-01

    Background The English mass media campaign ‘Act FAST’ aimed to raise stroke awareness and the need to call emergency services at the onset of suspected stroke. We examined the perceived impact and views of the campaign in target populations to identify potential ways to optimise mass-media interventions for stroke. Methods Analysis of semi-structured interviews conducted as part of two qualitative studies, which examined factors influencing patient/witness response to acute stroke symptoms (n = 19 stroke patients, n = 26 stroke witnesses) and perceptions about raising stroke awareness in primary care (n = 30 clinicians). Both studies included questions about the ‘Act FAST’ campaign. Interviews were content analysed to determine campaign awareness, perceived impact on decisions and response to stroke, and views of the campaign. Results Most participants were aware of the Act FAST campaign. Some patients and witnesses reported that the campaign impacted upon their stroke recognition and response, but the majority reported no impact. Clinicians often perceived campaign success in raising stroke awareness, but few thought it would change response behaviours. Some patients and witnesses, and most primary care clinicians expressed positive views towards the campaign. Some more critical participant comments included perceptions of dramatic, irrelevant, and potentially confusing content, such as a prominent ‘fire in the brain’ analogy. Conclusions Act FAST has had some perceived impact on stroke recognition and response in some stroke patients and witnesses, but the majority reported no campaign impact. Primary care clinicians were positive about the campaign, and believed it had impacted on stroke awareness and recognition but doubted impact on response behaviour. Potential avenues for optimising and complementing mass media campaigns such as ‘Act FAST’ were identified. PMID:24088381

  18. Designating Additions to the Current List of Tropical Diseases in the Federal Food, Drug, and Cosmetic Act. Final order.

    PubMed

    2015-08-20

    The Federal Food, Drug, and Cosmetic Act (the FD&C Act) authorizes the Food and Drug Administration (FDA or Agency) to award priority review vouchers (PRVs) to tropical disease product applicants when the applications meet certain criteria. The FD&C Act lists the diseases that are considered to be tropical diseases for purposes of obtaining PRVs, and also provides for Agency expansion of that list to include other diseases that satisfy the definition of ``tropical diseases'' as set forth in the FD&C Act. FDA has determined that Chagas disease and neurocysticercosis satisfy this definition, and therefore is adding them to the list of designated tropical diseases whose product applications may result in the award of PRVs. Sponsors submitting certain applications for the treatment of Chagas disease and neurocysticercosis may be eligible to receive a PRV if such applications are approved by FDA.

  19. Designating Additions to the Current List of Tropical Diseases in the Federal Food, Drug, and Cosmetic Act. Final order.

    PubMed

    2015-08-20

    The Federal Food, Drug, and Cosmetic Act (the FD&C Act) authorizes the Food and Drug Administration (FDA or Agency) to award priority review vouchers (PRVs) to tropical disease product applicants when the applications meet certain criteria. The FD&C Act lists the diseases that are considered to be tropical diseases for purposes of obtaining PRVs, and also provides for Agency expansion of that list to include other diseases that satisfy the definition of ``tropical diseases'' as set forth in the FD&C Act. FDA has determined that Chagas disease and neurocysticercosis satisfy this definition, and therefore is adding them to the list of designated tropical diseases whose product applications may result in the award of PRVs. Sponsors submitting certain applications for the treatment of Chagas disease and neurocysticercosis may be eligible to receive a PRV if such applications are approved by FDA. PMID:26292373

  20. Final rules under the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008; technical amendment to external review for multi-state plan program. Final rules.

    PubMed

    2013-11-13

    This document contains final rule implementing the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, which requires parity between mental health or substance use disorder benefits and medical/surgical benefits with respect to financial requirements and treatment limitations under group health plans and group and individual health insurance coverage. This document also contains a technical amendment relating to external review with respect to the multi-state plan program administered by the Office of Personnel Management.

  1. Summer Academic Skills Enhancement Program 1991. Private Industry Council of Franklin County Job Training Partnership Act. Final Evaluation Report.

    ERIC Educational Resources Information Center

    Donaldson, William S.

    The Summer Academic Skills Enhancement Program was funded by the Private Industry Council (PIC) of Franklin County (Ohio) through the Job Training Partnership Act (JTPA) to provide JTPA clients with the reading comprehension and language mechanics skills required for employment in entry-level positions. The program was coordinated by the…

  2. Understanding Temporary Assistance for Needy Families Caseloads after Passage of the Deficit Reduction Act of 2005. Final Report

    ERIC Educational Resources Information Center

    Pavetti, LaDonna; Rosenberg, Linda; Derr, Michelle K.

    2009-01-01

    In this paper, the authors examine how policy and structural changes states made in response to the Deficit Reduction Act of 2005 (DRA) may influence the level and composition of the Temporary Assistance for Needy Families (TANF) caseload. This paper grew out of a 50-state survey Mathematica Policy Research conducted on diversion programs which…

  3. An Evaluation of Vocational Exemplary Projects; Part D Vocational Education Act Amendments of 1968. Executive Summary and Final Report.

    ERIC Educational Resources Information Center

    Development Associates, Inc., Washington, DC.

    The study evaluates the effectiveness of 50 projects administered under Part D of the 1968 amendments to the Vocational Education Act of 1963 (one for each State, except Hawaii, and for the District of Columbia), designed to assist students in obtaining satisfying employment. In all, 4,632 participating and 4,403 nonparticipating students in…

  4. A Synthesis of Activities Leading to the Enactment of the Vocational Education Act of 1963. Final Report.

    ERIC Educational Resources Information Center

    Ellis, Mary Louise

    The Vocational Education Act of 1963 was an apparent outgrowth of economic conditions and societal needs which existed in the United States in the late 1950's and early 1960's. The nation's most urgent domestic problem was unemployment while paradoxically millions of jobs which required skilled workers continued unfilled. This study was concerned…

  5. Remainder Gifts Under the Tax Reform Act of 1969: A Post-Final Regulation Outline, With Forms

    ERIC Educational Resources Information Center

    Myers, John Holt

    1973-01-01

    Reviews the Tax Reform Act of 1969 with regard to income, estate, or gift tax deductions available for the gift or bequest of a remainder interest. Compares the various types of deductible charitable remainder gifts. Legal forms are included for pooled income fund trusts and for charitable remainder annuity trust gifts and unitrust gifts. (JT)

  6. Challenges and opportunities in building a sustainable rural primary care workforce in alignment with the Affordable Care Act: the WWAMI program as a case study.

    PubMed

    Allen, Suzanne M; Ballweg, Ruth A; Cosgrove, Ellen M; Engle, Kellie A; Robinson, Lawrence R; Rosenblatt, Roger A; Skillman, Susan M; Wenrich, Marjorie D

    2013-12-01

    The authors examine the potential impact of the Patient Protection and Affordable Care Act (ACA) on a large medical education program in the Northwest United States that builds the primary care workforce for its largely rural region. The 42-year-old Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI) program, hosted by the University of Washington School of Medicine, is one of the nation's most successful models for rural health training. The program has expanded training and retention of primary care health professionals for the region through medical school education, graduate medical education, a physician assistant training program, and support for practicing health professionals.The ACA and resulting accountable care organizations (ACOs) present potential challenges for rural settings and health training programs like WWAMI that focus on building the health workforce for rural and underserved populations. As more Americans acquire health coverage, more health professionals will be needed, especially in primary care. Rural locations may face increased competition for these professionals. Medical schools are expanding their positions to meet the need, but limits on graduate medical education expansion may result in a bottleneck, with insufficient residency positions for graduating students. The development of ACOs may further challenge building a rural workforce by limiting training opportunities for health professionals because of competing demands and concerns about cost, efficiency, and safety associated with training. Medical education programs like WWAMI will need to increase efforts to train primary care physicians and increase their advocacy for student programs and additional graduate medical education for rural constituents.

  7. Procedures for the handling of retaliation complaints under section 1558 of the Affordable Care Act. Interim final rule; request for comments.

    PubMed

    2013-02-27

    This document provides the interim final regulations governing the employee protection (whistleblower) provision of section 1558 of the Affordable Care Act, which added section 18C of the Fair Labor Standards Act, to provide protections to employees of health insurance issuers or other employers who may have been subject to retaliation for reporting potential violations of the law's consumer protections (e.g., the prohibition on denials of insurance due to pre-existing conditions) or affordability assistance provisions (e.g., access to health insurance premium tax credits). This interim rule establishes procedures and time frames for the handling of retaliation complaints under section 18C, including procedures and time frames for employee complaints to the Occupational Safety and Health Administration (OSHA), investigations by OSHA, appeals of OSHA determinations to an administrative law judge (ALJ) for a hearing de novo, hearings by ALJs, review of ALJ decisions by the Administrative Review Board (ARB) (acting on behalf of the Secretary of Labor), and judicial review of the Secretary's final decision.

  8. Procedures for the handling of retaliation complaints under section 1558 of the Affordable Care Act. Interim final rule; request for comments.

    PubMed

    2013-02-27

    This document provides the interim final regulations governing the employee protection (whistleblower) provision of section 1558 of the Affordable Care Act, which added section 18C of the Fair Labor Standards Act, to provide protections to employees of health insurance issuers or other employers who may have been subject to retaliation for reporting potential violations of the law's consumer protections (e.g., the prohibition on denials of insurance due to pre-existing conditions) or affordability assistance provisions (e.g., access to health insurance premium tax credits). This interim rule establishes procedures and time frames for the handling of retaliation complaints under section 18C, including procedures and time frames for employee complaints to the Occupational Safety and Health Administration (OSHA), investigations by OSHA, appeals of OSHA determinations to an administrative law judge (ALJ) for a hearing de novo, hearings by ALJs, review of ALJ decisions by the Administrative Review Board (ARB) (acting on behalf of the Secretary of Labor), and judicial review of the Secretary's final decision. PMID:23476992

  9. Patient Protection and Affordable Care Act; HHS notice of benefit and payment parameters for 2016. Final rule.

    PubMed

    2015-02-27

    This final rule sets forth payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It also finalizes additional standards for the individual market annual open enrollment period for the 2016 benefit year, essential health benefits, qualified health plans, network adequacy, quality improvement strategies, the Small Business Health Options Program, guaranteed availability, guaranteed renewability, minimum essential coverage, the rate review program, the medical loss ratio program, and other related topics.

  10. Patient Protection and Affordable Care Act; HHS notice of benefit and payment parameters for 2016. Final rule.

    PubMed

    2015-02-27

    This final rule sets forth payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It also finalizes additional standards for the individual market annual open enrollment period for the 2016 benefit year, essential health benefits, qualified health plans, network adequacy, quality improvement strategies, the Small Business Health Options Program, guaranteed availability, guaranteed renewability, minimum essential coverage, the rate review program, the medical loss ratio program, and other related topics. PMID:25898427

  11. Jackson District Library, Final Performance Report for Library Services and Construction Act (LSCA) Title VI, Library Literacy Program.

    ERIC Educational Resources Information Center

    Rosynek, Joy

    This final performance report provides project outcome information and data to the U.S. Department of Education for the federally-funded Library Literacy Program. The Jackson District Library (Michigan) conducted a project that involved recruitment, retention, public awareness, training, basic literacy, collection development, tutoring, employment…

  12. Santa Clara County Library, Final Performance Report for Library Services and Construction Act (LSCA) Title VI, Library Literacy Program.

    ERIC Educational Resources Information Center

    Willingham, Taylor; Trajico, Charity A.; Levy, Michael

    This final performance report provides project outcome information and data to the U.S. Department of Education for the federally-funded Library Literacy Program. The Santa Clara County (California) Library Reading Program Computer Aided Literacy (CAL) Project involved recruitment, public awareness, training, basic literacy, collection…

  13. Evangeline Parish Library, Final Performance Report for Library Services and Construction Act (LSCA) Title VI, Library Literacy Program, FY 1992.

    ERIC Educational Resources Information Center

    Fontenot, Jerry

    This final performance report provides project outcome information and data to the U.S. Department of Education for the federally-funded Library Literacy Program. The Evangeline Parish Library (Louisiana) conducted a project that involved recruitment, retention, public awareness, training, rural oriented, basic literacy, collection development,…

  14. Bayard Taylor Memorial Library, Final Performance Report for Library Services and Construction Act (LSCA) Title VI, Library Literacy Program.

    ERIC Educational Resources Information Center

    Peters, Alice L.; Calio, Susan

    This final performance report provides project outcome information and data to the U.S. Department of Education for the federally-funded Library Literacy Program. The Bayard Taylor Memorial Library (Kennett Square, Pennsylvania) conducted the Outreach Project, a project that involved public awareness, training, rural oriented programs, basic…

  15. 78 FR 30739 - Amendments to the 2013 Escrows Final Rule under the Truth in Lending Act (Regulation Z)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-23

    ... Appraisals Final Rule), 78 FR 7215 (Jan. 31, 2013); Mortgage Servicing Rules Under the Real Estate Settlement...). \\13\\ 73 FR 44522 (July 30, 2008). IV. Section-by-Section Analysis Section 1026.35 Requirements for... forth the Bureau's analyses and determinations under the RFA with respect to those rules. See 78 FR...

  16. Loudoun County Public Library, Final Performance Report for Library Services and Construction Act (LSCA) Title VI, Library Literacy Program.

    ERIC Educational Resources Information Center

    Holtslander, Linda

    This final performance report for the Loudoun County Public Library literacy project begins with a section that provides quantitative data. The next section compares actual accomplishments to the major project objective: to create a non-threatening learning environment at the Transitional Housing Center (THC), a residential homeless shelter.…

  17. Reaching Individuals with Disabilities Early (RIDE) Project: Individuals with Disabilities Act, Non-Directed Model Demonstration Project. Final Report.

    ERIC Educational Resources Information Center

    Ohio Valley Educational Cooperative, Shelbyville, KY.

    This final report discusses the components and outcomes of the RIDE (Reaching Individuals with Disabilities Early) Project, a program that supports the inclusion of young children with disabilities in their school environments, homes, and communities. The core component of the RIDE Model, Students' Success and Inclusion in the Regular Education…

  18. Libraries of Middlesex, Final Performance Report for Library Services and Construction Act (LSCA) Title VI, Library Literacy Program.

    ERIC Educational Resources Information Center

    Director, Elissa

    This final performance report for the Libraries of Middlesex literacy project begins with a section that compares actual accomplishments to the following objectives for 1992-93: (1) recruit and enroll at least 150 new volunteers in Basic Reading of English as a Second Language (ESL) tutor training; (2) have at least 125 volunteers successfully…

  19. Pikes Peak Library District, Final Performance Report for Library Services and Construction Act (LSCA) Title VI, Library Literacy Program.

    ERIC Educational Resources Information Center

    Hammond, Susan; Maio, Jean

    This final performance report for the Pikes Peak Library District literacy project begins with a section that provides quantitative data. The next section compares actual accomplishments to the project goal and related objectives for 1993: to reduce obstacles to success of students enrolled in the Right To Read program through student…

  20. Elizabeth Jones Library, Final Performance Report for Library Services and Construction Act (LSCA) Title VI, Library Literacy Program.

    ERIC Educational Resources Information Center

    Smith, Valinda C.

    This final performance report for the Elizabeth Jones Library literacy project begins with a section that provides quantitative data. The next section compares actual accomplishments to the following project goals and related objectives for fiscal year 1992: (1) to provide a versatile workplace literacy program useful to any business in the…

  1. Stratford Library Association, Final Performance Report for Library Services and Construction Act (LSCA) Title VI, Library Literacy Program.

    ERIC Educational Resources Information Center

    Moren, Barbara

    This final performance report provides project outcome information and data to the U.S. Department of Education for the federally-funded Library Literacy Program. The Stratford Library Association (Connecticut) conducted a project that involved recruitment, retention, training, basic literacy, collection development, tutoring,…

  2. Fitchburg Public Library, Final Performance Report for Library Services and Construction Act (LSCA) Title VI, Library Literacy Program.

    ERIC Educational Resources Information Center

    Apfel, Cathy

    This final performance report describes Project FLASH (Family Learning Action Starts Here), a literacy project of the Fitchburg (Massachusetts) Public Library designed to provide opportunities for parents to improve their own basic skills while at the same time enhancing their ability to provide literacy-based activities to their children. The…

  3. Prescription Drug Marketing Act of 1987; Prescription Drug Amendments of 1992; policies, requirements, and administrative procedures; delay of effective date. Final rule; delay of effective date.

    PubMed

    2004-02-23

    The Food and Drug Administration (FDA) is further delaying, until December 1, 2006, the effective date of certain requirements of a final rule published in the Federal Register of December 3, 1999 (64 FR 67720). In the Federal Register of May 3, 2000 (65 FR 25639), the agency delayed until October 1, 2001, the effective date of certain requirements in the final rule relating to wholesale distribution of prescription drugs by distributors that are not authorized distributors of record, and distribution of blood derivatives by entities that meet the definition of a "health care entity" in the final rule. The agency further delayed the effective date of these requirements in three subsequent Federal Register notices. Most recently, in the Federal Register of January 31, 2003 (68 FR 4912), FDA delayed the effective date until April 1, 2004. This action further delays the effective date of these requirements until December 1, 2006. The final rule implements the Prescription Drug Marketing Act of 1987 (PDMA), as modified by the Prescription Drug Amendments of 1992 (PDA), and the Food and Drug Administration Modernization Act of 1997 (the Modernization Act). The agency is taking this action to address concerns about the requirements in the final rule raised by affected parties. As explained in the SUPPLEMENTARY INFORMATION section, FDA is working with stakeholders through its counterfeit drug initiative to facilitate widespread, voluntary adoption of track and trace technologies that will generate a de facto electronic pedigree, including prior transaction history back to the original manufacturer, as a routine course of business. If this technology is widely adopted, it is expected to help fulfill the pedigree requirements of the PDMA and obviate or resolve many of the concerns that have been raised with respect to the final rule by ensuring that an electronic pedigree travels with a drug product at all times. Therefore, it is necessary to delay the effective date of Sec

  4. Prescription Drug Marketing Act of 1987; Prescription Drug Amendments of 1992; policies, requirements, and administrative procedures; delay of effective date. Final rule; delay of effective date.

    PubMed

    2004-02-23

    The Food and Drug Administration (FDA) is further delaying, until December 1, 2006, the effective date of certain requirements of a final rule published in the Federal Register of December 3, 1999 (64 FR 67720). In the Federal Register of May 3, 2000 (65 FR 25639), the agency delayed until October 1, 2001, the effective date of certain requirements in the final rule relating to wholesale distribution of prescription drugs by distributors that are not authorized distributors of record, and distribution of blood derivatives by entities that meet the definition of a "health care entity" in the final rule. The agency further delayed the effective date of these requirements in three subsequent Federal Register notices. Most recently, in the Federal Register of January 31, 2003 (68 FR 4912), FDA delayed the effective date until April 1, 2004. This action further delays the effective date of these requirements until December 1, 2006. The final rule implements the Prescription Drug Marketing Act of 1987 (PDMA), as modified by the Prescription Drug Amendments of 1992 (PDA), and the Food and Drug Administration Modernization Act of 1997 (the Modernization Act). The agency is taking this action to address concerns about the requirements in the final rule raised by affected parties. As explained in the SUPPLEMENTARY INFORMATION section, FDA is working with stakeholders through its counterfeit drug initiative to facilitate widespread, voluntary adoption of track and trace technologies that will generate a de facto electronic pedigree, including prior transaction history back to the original manufacturer, as a routine course of business. If this technology is widely adopted, it is expected to help fulfill the pedigree requirements of the PDMA and obviate or resolve many of the concerns that have been raised with respect to the final rule by ensuring that an electronic pedigree travels with a drug product at all times. Therefore, it is necessary to delay the effective date of Sec

  5. Employee Retirement Income Security Act of 1974: rules and regulations for administration and enforcement; claims procedure. Pension and Welfare Benefits Administration, Labor. Final regulation.

    PubMed

    2000-11-21

    This document contains a final regulation revising the minimum requirements for benefit claims procedures of employee benefit plans covered by Title I of the Employee Retirement Income Security Act of 1974 (ERISA or the Act). The regulation establishes new standards for the processing of claims under group health plans and plans providing disability benefits and further clarifies existing standards for all other employee benefit plans. The new standards are intended to ensure more timely benefit determinations, to improve access to information on which a benefit determination is made, and to assure that participants and beneficiaries will be afforded a full and fair review of denied claims. When effective, the regulation will affect participants and beneficiaries of employee benefit plans, employers who sponsor employee benefit plans, plan fiduciaries, and others who assist in the provision of plan benefits, such as third-party benefits administrators and health service providers or health maintenance organizations that provide benefits to participants and beneficiaries of employee benefit plans.

  6. Effects of School Quality, School Citizenship Policy, and Student Body Composition on the Acquisition of Citizenship Competences in the Final Year of Primary Education

    ERIC Educational Resources Information Center

    Dijkstra, Anne Bert; Geijsel, Femke; Ledoux, Guuske; van der Veen, Ineke; ten Dam, Geert

    2015-01-01

    This study examines the effects of general educational quality of schools, school citizenship policy, and ethnic homogeneity of the student body on the acquisition of citizenship competences in the final year of primary education. The theoretical framework is based on developmental, psychological, and sociological studies into effects of social…

  7. Initial Northwest Power Act Power Sales Contracts : Final Environmental Impact Statement. Volume 3, Appendix M, Contract Copies.

    SciTech Connect

    United States. Bonneville Power Administration.

    1992-01-01

    This report, is part of the final environmental impact statement of the Bonneville Power Administration, consists of an appendix of contract copies related to the following: Detailed Index to Generic Utility Power Sales Contracts, Text of Generic Utility Contract, Detailed Index to Generic DSI Power Sales Contracts, Text of Generic DSI Contract, Text of Residential Purchase and Sale Agreement (Residential Exchange), and Detailed Index to General Contract Provisions -- GCP Form PSC-2 (Incorporated into all three types of contracts as an Exhibit).

  8. 76 FR 4779 - Denial of the Petitions To Reconsider the Final Rule Promulgating the Primary National Ambient...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-26

    ... under Section 109 of the Clean Air Act (CAA, or Act) (75 FR 35520, June 22, 2010). EPA has considered... ambient air. See 40 CFR 50.17(b) at 75 FR 35592. Modeling can very accurately identify areas of potential daily maximum 1-hour concentrations above the NAAQS. See 75 FR at 35559. Accurate prediction of...

  9. The potential of apolipoprotein E4 to act as a substrate for primary cultures of hippocampal neurons.

    PubMed

    Kim, Kwang-Min; Vicenty, Janice; Palmore, G Tayhas R

    2013-04-01

    The E4 isoform of apolipoprotein (apoE4) is known to be a major risk factor for Alzheimer's Disease (AD). Previous in vitro studies have shown apoE4 to have a negative effect on neuronal outgrowth when incubated with lipids. The effect of apoE4 itself on the development of neurons from the central nervous system (CNS), however, has not been well characterized. Consequently, apoE4 alone has not been pursued as a substrate for neuronal cultures. In this study, the effect of surface-bound apoE4 on developmental features of rat hippocampal neurons was examined. We show that apoE4 substrates elicit significantly enhanced values in all developmental features at day 2 of culture when compared to laminin (LN) substrates, which is the current substrate-of-choice for neuronal cultures. Interestingly, the adhesion of hippocampal neurons was found to be significantly lower on LN substrates than on glass substrates, but the axon lengths on both substrates were similar. In addition, this study demonstrates that the adhesion- and growth-enhancing effects of apoE4 substrates are not mediated by heparan sulfate proteoglycans (HSPGs), proteins that have been indicated to function as receptors or co-receptors for apoE4. In the absence of lipids, apoE4 appears to use an unknown pathway for up-regulating neuronal adhesion and neurite outgrowth. Our results indicate that apoE4 is better than LN as a substrate for primary cultures of CNS neurons and should be considered in the design of tissue engineered CNS.

  10. RECOVERY ACT: DYNAMIC ENERGY CONSUMPTION MANAGEMENT OF ROUTING TELECOM AND DATA CENTERS THROUGH REAL-TIME OPTIMAL CONTROL (RTOC): Final Scientific/Technical Report

    SciTech Connect

    Ron Moon

    2011-06-30

    This final scientific report documents the Industrial Technology Program (ITP) Stage 2 Concept Development effort on Data Center Energy Reduction and Management Through Real-Time Optimal Control (RTOC). Society is becoming increasingly dependent on information technology systems, driving exponential growth in demand for data center processing and an insatiable appetite for energy. David Raths noted, 'A 50,000-square-foot data center uses approximately 4 megawatts of power, or the equivalent of 57 barrels of oil a day1.' The problem has become so severe that in some cases, users are giving up raw performance for a better balance between performance and energy efficiency. Historically, power systems for data centers were crudely sized to meet maximum demand. Since many servers operate at 60%-90% of maximum power while only utilizing an average of 5% to 15% of their capability, there are huge inefficiencies in the consumption and delivery of power in these data centers. The goal of the 'Recovery Act: Decreasing Data Center Energy Use through Network and Infrastructure Control' is to develop a state of the art approach for autonomously and intelligently reducing and managing data center power through real-time optimal control. Advances in microelectronics and software are enabling the opportunity to realize significant data center power savings through the implementation of autonomous power management control algorithms. The first step to realizing these savings was addressed in this study through the successful creation of a flexible and scalable mathematical model (equation) for data center behavior and the formulation of an acceptable low technical risk market introduction strategy leveraging commercial hardware and software familiar to the data center market. Follow-on Stage 3 Concept Development efforts include predictive modeling and simulation of algorithm performance, prototype demonstrations with representative data center equipment to verify requisite

  11. Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017. Final rule.

    PubMed

    2016-03-01

    This final rule sets forth payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost-sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It also provides additional amendments regarding the annual open enrollment period for the individual market for the 2017 and 2018 benefit years; essential health benefits; cost sharing; qualified health plans; Exchange consumer assistance programs; network adequacy; patient safety; the Small Business Health Options Program; stand-alone dental plans; third-party payments to qualified health plans; the definitions of large employer and small employer; fair health insurance premiums; student health insurance coverage; the rate review program; the medical loss ratio program; eligibility and enrollment; exemptions and appeals; and other related topics.

  12. Vascular action as the primary mechanism of cognitive effects of cholinergic, CNS-acting drugs, a rat phMRI BOLD study

    PubMed Central

    Kocsis, Pál; Gyertyán, István; Éles, János; Laszy, Judit; Hegedűs, Nikolett; Gajári, Dávid; Deli, Levente; Pozsgay, Zsófia; Dávid, Szabolcs; Tihanyi, Károly

    2014-01-01

    Concordant results of functional magnetic resonance imaging (fMRI) and behavioral tests prove that some non-blood–brain barrier-penetrating drugs produce robust central nervous system (CNS) effects. The anticholinergic scopolamine interferes with learning when tested in rats, which coincides with a negative blood-oxygen-level-dependent (BOLD) change in the prefrontal cortex (PFC) as demonstrated by fMRI. The peripherally acting butylscopolamine also evokes a learning deficit in a water-labyrinth test and provokes a negative BOLD signal in the PFC. Donepezil—a highly CNS-penetrating cholinesterase inhibitor—prevents the negative BOLD and cognitive deficits regardless whether the provoking agent is scopolamine or butylscopolamine. Interestingly, the non-BBB-penetrating cholinesterase inhibitor neostigmine also prevents or substantially inhibits those cognitive and fMRI changes. Intact cerebral blood flow and optimal metabolism are crucial for the normal functioning of neurons and other cells in the brain. Drugs that are not BBB penetrating yet act on the CNS highlight the importance of unimpaired circulation, and point to the cerebral vasculature as a primary target for drug action in diseases where impaired circulation and consequently suboptimal energy metabolism are followed by upstream pathologic events. PMID:24643080

  13. Medicaid program; payments for services furnished by certain primary care physicians and charges for vaccine administration under the Vaccines for Children program. Final rule.

    PubMed

    2012-11-01

    This final rule implements Medicaid payment for primary care services furnished by certain physicians in calendar years (CYs) 2013 and 2014 at rates not less than the Medicare rates in effect in those CYs or, if greater, the payment rates that would be applicable in those CYs using the CY 2009 Medicare physician fee schedule conversion factor. This minimum payment level applies to specified primary care services furnished by a physician with a specialty designation of family medicine, general internal medicine, or pediatric medicine, and also applies to services rendered by these provider types paid by Medicaid managed care plans contracted by states to provide the primary care services. It also provides for 100 percent federal financial participation (FFP) for any increase in payment above the amounts that would be due for these services under the provisions of the approved Medicaid state plan, as of July 1, 2009. In other words, there will not be any additional cost to states for payments above the amount required by the 2009 rate methodology. In this final rule, we specify which services and types of physicians qualify for the minimum payment level in CYs 2013 and 2014, and the method for calculating the payment amount and any increase for which increased federal funding is due. In addition, this final rule will update the interim regional maximum fees that providers may charge for the administration of pediatric vaccines to federally vaccine-eligible children under the Pediatric Immunization Distribution Program, more commonly known as the Vaccines for Children (VFC) program.

  14. National School Lunch Program and School Breakfast Program: Eliminating Applications Through Community Eligibility as Required by the Healthy, Hunger-Free Kids Act of 2010. Final rule.

    PubMed

    2016-07-29

    This final rule establishes requirements for State agencies, local educational agencies, and schools operating the Community Eligibility Provision, a reimbursement option that allows the service of school meals to all children at no-cost in high poverty schools without collecting household applications. By eliminating the household application process and streamlining meal counting and claiming procedures through the Community Eligibility Provision, local educational agencies may substantially reduce administrative burden related to operating the National School Lunch and School Breakfast Programs. This rule codifies many requirements that were implemented through policy guidance following enactment of the Healthy, Hunger-Free Kids Act of 2010, as well as provisions of the proposed rule. These requirements will result in consistent, national implementation of the Community Eligibility Provision.

  15. National School Lunch Program and School Breakfast Program: Eliminating Applications Through Community Eligibility as Required by the Healthy, Hunger-Free Kids Act of 2010. Final rule.

    PubMed

    2016-07-29

    This final rule establishes requirements for State agencies, local educational agencies, and schools operating the Community Eligibility Provision, a reimbursement option that allows the service of school meals to all children at no-cost in high poverty schools without collecting household applications. By eliminating the household application process and streamlining meal counting and claiming procedures through the Community Eligibility Provision, local educational agencies may substantially reduce administrative burden related to operating the National School Lunch and School Breakfast Programs. This rule codifies many requirements that were implemented through policy guidance following enactment of the Healthy, Hunger-Free Kids Act of 2010, as well as provisions of the proposed rule. These requirements will result in consistent, national implementation of the Community Eligibility Provision. PMID:27476197

  16. Estimates of the total benefits and total costs associated with implementation of the 1986 amendments to the Safe Drinking Water Act. Interim report, 1985-1989 (Final)

    SciTech Connect

    Tam, E.L.; Schnare, D.W.; McFarland, J.P.; Cromwell, J.E.

    1990-03-15

    The 1986 Amendments to the Safe Drinking Water Act (SDWA) require EPA to develop regulations for 83 specific contaminants as well as regulations specifying filtration and disinfection treatment requirements. All of the regulations will be promulgated by the early 1990's. Under Executive order 12291, EPA is required to perform a Regulatory Impact Analysis of all proposed regulations. The results of the individual analyses of each major rule package have been summed to provide a perspective on the cumulative cost impacts of the entire SDWA program. In addition, projections of where actual cost impacts will be incurred have been developed for each rule package, permitting an aggregate projection of SDWA compliance expenditures through the year 2010. The EPA intends to update the analysis on an annual basis to incorporate revised impact results for regulations that had not been promulgated at the time the interim final report was completed.

  17. Comparison of marine productivity among Outer Continental Shelf planning areas. Supplement: An evaluation of benthic habitat primary productivity. Final report

    SciTech Connect

    Balcom, B.J.; Foster, M.A.; Fourqurean, J.J.; Heine, J.N.; Leonard, G.H.

    1991-01-01

    Literature on current primary productivity was reviewed and evaluated for each of nine benthic communities or habitats, estimates of daily and annual benthic primary productivity were derived within each community, the benthic primary estimates were related to an estimate of areal extent of each community within or adjacent to each OCS planning area. Direct comparisons between habitats was difficult because of the varying measures and methodologies used. Coastal marshes were the most prevalent habitat type evaluated. Mangrove and coral reef habitats were highly productive but occur within few planning areas. Benthic diatoms and blue-green algae are less productive in terms of estimated annual productivity on a per square meter basis; these habitats have the potential to occur across wide areas of the OCS and should not be overlooked.

  18. A Review of the Availability of Primary Scientific and Technical Documents within the United States, Volume II. Final Report.

    ERIC Educational Resources Information Center

    Wood, James L.

    Volume II of a three-volume report on the availability of primary scientific and technical documents within the U.S. presents the detailed methodology and findings of the study. The design is presented under nine headings: (1) literature survey, (2) data-base design, (3) establishing data collection points, (4) review of objectives and statement…

  19. Education and Primary Development in Malaya 1900-1940; A Study of the Malay Community. Final Report.

    ERIC Educational Resources Information Center

    Radcliffe, David J.

    This study investigated low-level primary education of rural village schools in Malaya to determine the influence of education in the development of the Malaysian community during the period from the 1890's to 1941. In addition, the concept that the "mass" can develop into an "audience" with specific interests and demands was considered. The four…

  20. Child and Adult Care Food Program: Meal Pattern Revisions Related to the Healthy, Hunger-Free Kids Act of 2010. Final rule.

    PubMed

    2016-04-25

    This final rule updates the meal pattern requirements for the Child and Adult Care Food Program to better align them with the Dietary Guidelines for Americans, as required by the Healthy, Hunger-Free Kids Act of 2010. This rule requires centers and day care homes participating in the Child and Adult Care Food Program to serve more whole grains and a greater variety of vegetables and fruit, and reduces the amount of added sugars and solid fats in meals. In addition, this final rule supports mothers who breastfeed and improves consistency with the Special Supplemental Nutrition Program for Women, Infants, and Children and with other Child Nutrition Programs. Several of the changes are extended to the National School Lunch Program, School Breakfast Program, and Special Milk Program. These changes are based on the Dietary Guidelines for Americans, science-based recommendations made by the National Academy of Medicine (formerly the Institute of Medicine of the National Academies), cost and practical considerations, and stakeholder's input. This is the first major revision of the Child and Adult Care Food Program meal patterns since the Program's inception in 1968. These improvements to the meals served in the Child and Adult Care Food Program are expected to safeguard the health of young children by ensuring healthy eating habits are developed early, and improve the wellness of adult participants. PMID:27116762

  1. Child and Adult Care Food Program: Meal Pattern Revisions Related to the Healthy, Hunger-Free Kids Act of 2010. Final rule.

    PubMed

    2016-04-25

    This final rule updates the meal pattern requirements for the Child and Adult Care Food Program to better align them with the Dietary Guidelines for Americans, as required by the Healthy, Hunger-Free Kids Act of 2010. This rule requires centers and day care homes participating in the Child and Adult Care Food Program to serve more whole grains and a greater variety of vegetables and fruit, and reduces the amount of added sugars and solid fats in meals. In addition, this final rule supports mothers who breastfeed and improves consistency with the Special Supplemental Nutrition Program for Women, Infants, and Children and with other Child Nutrition Programs. Several of the changes are extended to the National School Lunch Program, School Breakfast Program, and Special Milk Program. These changes are based on the Dietary Guidelines for Americans, science-based recommendations made by the National Academy of Medicine (formerly the Institute of Medicine of the National Academies), cost and practical considerations, and stakeholder's input. This is the first major revision of the Child and Adult Care Food Program meal patterns since the Program's inception in 1968. These improvements to the meals served in the Child and Adult Care Food Program are expected to safeguard the health of young children by ensuring healthy eating habits are developed early, and improve the wellness of adult participants.

  2. Regional Seminar on Alternative Approaches to School Education at Primary Level (Manila, 6-14 December, 1976). Final Report.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Bangkok (Thailand). Regional Office for Education in Asia and Oceania.

    This paper represents the final report of a regional seminar (Asian countries) on educational alternatives held under the auspices of UNESCO in December 1976. The seminar focused on educational services for children from 5 to 14 years of age and emphasized the needs of children in poverty areas. Limitations and inequities in the current…

  3. Assessment of primary production and optical variability in shelf and slope waters near Cape Hatteras, North Carolina. Final project report

    SciTech Connect

    Redalje, Donald G.; Lohrenz, Stevern E.

    2001-02-12

    In this project we determined primary production and optical variability in the shelf and slope waters off of Cape Hatteras, N.C. These processes were addressed in conjunction with other Ocean Margins Program investigators, during the Spring Transition period and during Summer. We found that there were significant differences in measured parameters between Spring and Summer, enabling us to develop seasonally specific carbon production and ecosystem models as well as seasonal and regional algorithm improvements for use in remote sensing applications.

  4. Deeming Tobacco Products To Be Subject to the Federal Food, Drug, and Cosmetic Act, as Amended by the Family Smoking Prevention and Tobacco Control Act; Restrictions on the Sale and Distribution of Tobacco Products and Required Warning Statements for Tobacco Products. Final rule.

    PubMed

    2016-05-10

    The Food and Drug Administration (FDA) is issuing this final rule to deem products meeting the statutory definition of "tobacco product,'' except accessories of the newly deemed tobacco products, to be subject to the Federal Food, Drug, and Cosmetic Act (the FD&C Act), as amended by the Family Smoking Prevention and Tobacco Control Act (Tobacco Control Act). The Tobacco Control Act provides FDA authority to regulate cigarettes, cigarette tobacco, roll-your-own tobacco, smokeless tobacco, and any other tobacco products that the Agency by regulation deems to be subject to the law. With this final rule, FDA is extending the Agency's "tobacco product'' authorities in the FD&C Act to all other categories of products that meet the statutory definition of "tobacco product" in the FD&C Act, except accessories of such newly deemed tobacco products. This final rule also prohibits the sale of "covered tobacco products" to individuals under the age of 18 and requires the display of health warnings on cigarette tobacco, roll-your own tobacco, and covered tobacco product packages and in advertisements. FDA is taking this action to reduce the death and disease from tobacco products. In accordance with the Tobacco Control Act, we consider and intend the extension of our authorities over tobacco products and the various requirements and prohibitions established by this rule to be severable. PMID:27192730

  5. Deeming Tobacco Products To Be Subject to the Federal Food, Drug, and Cosmetic Act, as Amended by the Family Smoking Prevention and Tobacco Control Act; Restrictions on the Sale and Distribution of Tobacco Products and Required Warning Statements for Tobacco Products. Final rule.

    PubMed

    2016-05-10

    The Food and Drug Administration (FDA) is issuing this final rule to deem products meeting the statutory definition of "tobacco product,'' except accessories of the newly deemed tobacco products, to be subject to the Federal Food, Drug, and Cosmetic Act (the FD&C Act), as amended by the Family Smoking Prevention and Tobacco Control Act (Tobacco Control Act). The Tobacco Control Act provides FDA authority to regulate cigarettes, cigarette tobacco, roll-your-own tobacco, smokeless tobacco, and any other tobacco products that the Agency by regulation deems to be subject to the law. With this final rule, FDA is extending the Agency's "tobacco product'' authorities in the FD&C Act to all other categories of products that meet the statutory definition of "tobacco product" in the FD&C Act, except accessories of such newly deemed tobacco products. This final rule also prohibits the sale of "covered tobacco products" to individuals under the age of 18 and requires the display of health warnings on cigarette tobacco, roll-your own tobacco, and covered tobacco product packages and in advertisements. FDA is taking this action to reduce the death and disease from tobacco products. In accordance with the Tobacco Control Act, we consider and intend the extension of our authorities over tobacco products and the various requirements and prohibitions established by this rule to be severable.

  6. Indian Child Welfare: A Status Report. Final Report of the Survey of Indian Child Welfare and Implementation of the Indian Child Welfare Act and Section 428 of the Adoption Assistance and Child Welfare Act of 1980.

    ERIC Educational Resources Information Center

    Plantz, Margaret C.; And Others

    This is a report on the first national examination of the effects of the Indian Child Welfare Act (Public Law 95-608), enacted in 1978. The study examines the prevalence of Native American children in substitute care and the implementation of the act and portions of the Adoption Assistance and Child Welfare Act of 1980 as they affect Indian…

  7. Final Report For The Erosion And Corrosion Analysis Of Waste Transfer Primary Pipeline Sections From 241-SY Tank Farm

    SciTech Connect

    Page, J. S.; Wyrwas, R. B.; Cooke, G. A.

    2012-10-04

    Three sections of primary transfer pipeline removed from the 241-SY Tank Farm in Hanford's 200 West area, labeled as SN-285, SN-286, and SN-278, were analyzed for the presence and amount of corrosion and erosion on the inside surface of the transfer pipe. All three sections of pipe, ranging in length between 6 and 8 in., were received at the 222-S Laboratory still in the pipe-in-pipe assembly. The annular spaces were filled with urethane foam injected into the pipes for as low as reasonably achievable (ALARA) purposes. The 3-in. primary transfer pipes were first separated from the outer encasement, 6-in. pipes. The pipes were cut into small sections, or coupons, based upon the results of a non-destructive pipe wall thickness measurement which used an ultrasonic transducer. Following removal of the foam, the coupons were subjected to a series of analytical methods utilizing both optical microscopy and scanning electron microscopy to obtain erosion and corrosion information. The ultrasonic transducer analysis of the SN-285 primary pipe did not show any thinned locations in the pipe wall which were outside the expected range for the 3-in. schedule 40 pipe of 216 mils. A coupon was cut from the thinnest area on the pipe, and analysis of the inside surface, which was in contact with the tank waste, revealed a continuous layer of corrosion ~ 100 11m (4 mils) thick under a semi-continuous layer of tank waste residue ~ 20 11m (1 mil) thick. This residue layer was composed of an amorphous phase rich in chromium, magnesium, calcium, and chlorine. Small pits were detected throughout the inside pipe surface with depths up to ~ 50 11m (2 mils). Similarly, the SN-286 primary pipe did not show, by the ultrasonic transducer measurements, any thinned locations in the pipe wall which were outside the expected range for this pipe. Analysis of the coupon cut from the pipe section showed the presence of a tank waste layer containing sodium aluminate and phases rich in iron, calcium

  8. Patient Protection and Affordable Care Act; program integrity: exchange, premium stabilization programs, and market standards; amendments to the HHS notice of benefit and payment parameters for 2014. Final rule.

    PubMed

    2013-10-30

    This final rule implements provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). Specifically, this final rule outlines financial integrity and oversight standards with respect to Affordable Insurance Exchanges, qualified health plan (QHP) issuers in Federally-facilitated Exchanges (FFEs), and States with regard to the operation of risk adjustment and reinsurance programs. It also establishes additional standards for special enrollment periods, survey vendors that may conduct enrollee satisfaction surveys on behalf of QHP issuers, and issuer participation in an FFE, and makes certain amendments to definitions and standards related to the market reform rules. These standards, which include financial integrity provisions and protections against fraud and abuse, are consistent with Title I of the Affordable Care Act. This final rule also amends and adopts as final interim provisions set forth in the Amendments to the HHS Notice of Benefit and Payment Parameters for 2014 interim final rule, published in the Federal Register on March 11, 2013, related to risk corridors and cost-sharing reduction reconciliation.

  9. Advanced fracture modeling in the Uinta Basin (Utah) for optimized primary and secondary recovery. Final report, September 1998

    SciTech Connect

    1998-12-01

    The completed study focused on an area fracture-controlled highly unpredictable, fracture-controlled production near the Duchesne Fault Zone, Uinta Basin, in northeastern Utah. Production is seriously influenced by numerous high-angle faults and associated fractures--represented at the surface by a set of parallel, N80{degree}W-trending lineaments, and intricate fracture patterns in outcrop. Specific production is erratic and secondary recovery design is difficult because well-specific structural characterization and local fracture patterns are poorly understood. Furthermore, numerical models to simulate fluid flow in fractured reservoirs were either overly simplistic (did not adequately account for mechanical contrasts between matrix and fractures) or were extremely complex, requiring volumes of data typically not available to the operator. The contractors proposed implementing advanced geological, geomechanical and reservoir engineering methods to recognize and model the complex fracture networks exhibited at the surface and suggested in the shallow subsurface in the Duchesne Fault Zone. The intended methodology was to be developed in a data-limited environment, recognizing that operators in the basin will not have the financial resources or motivation to perform sophisticated and expensive reservoir engineering programs. User-friendly models for permeability, stress, and production using key geological and geophysical data, developed in this study can then be used to determine: economic placement of future operations, assessment of recoverable hydrocarbons, and forecasting of primary and secondary recovery.

  10. Multiple primary malignancies of the liver and the colon: a complex diagnostic and decisional process with a final unanswered question.

    PubMed

    Portolani, Nazario; Baiocchi, Gianluca; Baronchelli, Carla; Gheza, Federico; Giulini, Stefano Maria

    2014-01-01

    We herein present the case of a 78-year-old man with an incidental finding of a solid hepatic mass without symptoms and only a laparotomic cholecystectomy for acute cholecystitis in the past surgical history. A colonoscopy, a magnetic resonance imaging scan, a positron emission tomography scan, and a computed tomography scan completed the preoperative workup: a neoplastic lesion 4.3×3 cm in size was diagnosed at segments IV and V, associated with a neoplastic involvement of the splenic flexure without signs of colonic occlusion. After colonic resection, a frozen section on a granulomatous-like tissue at gastric border suggested a diagnosis of an adenocarcinoma of bilio-pancreatic type, changing the surgical strategy to include gastric resection and hepatic pedicle node dissection. The discussion turns around the idea that a final diagnosis of colon cancer with regional nodal involvement (pT3N1) and metastatic gallbladder cancer with multiple peritoneal seedings cannot be excluded. PMID:24678952

  11. School Improvement Grants: Selected States Generally Awarded Funds Only to Eligible Schools. American Recovery and Reinvestment Act of 2009. Final Audit Report. ED-OIG/A05L0002

    ERIC Educational Resources Information Center

    US Department of Education, 2012

    2012-01-01

    This final audit report covers the results of the review of five State educational agencies' monitoring plans and awarding processes for American Recovery and Reinvestment Act of 2009 and regular School Improvement Grants funds that the State educational agencies awarded for fiscal year 2009 (for use during school year 2010-2011). The objectives…

  12. Cooperation in USDA studies and evaluations, and full use of federal funds in nutrition assistance programs nondiscretionary provisions of the Healthy, Hunger-Free Kids Act of 2010, Public Law 111-296. Final Rule.

    PubMed

    2011-06-29

    This final rule incorporates into the regulations governing the Programs authorized under the Richard B. Russell National School Lunch Act (NSLA) and the Child Nutrition Act of 1966 (CNA) two nondiscretionary provisions of the Healthy, Hunger-Free Kids Act of 2010 (HHFK Act). The HHFK Act requires State and local cooperation in Department of Agriculture studies and evaluations related to Programs authorized under the NSLA and the CNA. The HHFK Act also amends the NSLA to stipulate that Federal funds must not be subject to State budget restrictions or limitations, including hiring freezes, work furloughs, and travel restrictions. This final rule amends regulations for the National School Lunch Program; the Special Milk Program for Children; the School Breakfast Program; the Summer Food Service Program; the Child and Adult Care Food Program; State Administrative Expense Funds ; the Special Supplemental Nutrition Program for Women, Infants and Children; and the WIC Farmers' Market Nutrition Program. These provisions will strengthen program integrity by ensuring that sufficient data is made available for studies and evaluations. Additionally, exempting Federal funds from State budgetary restrictions or limitations is intended to increase the ability of State agencies to administer USDA's nutrition assistance programs effectively.

  13. Cooperation in USDA studies and evaluations, and full use of federal funds in nutrition assistance programs nondiscretionary provisions of the Healthy, Hunger-Free Kids Act of 2010, Public Law 111-296. Final Rule.

    PubMed

    2011-06-29

    This final rule incorporates into the regulations governing the Programs authorized under the Richard B. Russell National School Lunch Act (NSLA) and the Child Nutrition Act of 1966 (CNA) two nondiscretionary provisions of the Healthy, Hunger-Free Kids Act of 2010 (HHFK Act). The HHFK Act requires State and local cooperation in Department of Agriculture studies and evaluations related to Programs authorized under the NSLA and the CNA. The HHFK Act also amends the NSLA to stipulate that Federal funds must not be subject to State budget restrictions or limitations, including hiring freezes, work furloughs, and travel restrictions. This final rule amends regulations for the National School Lunch Program; the Special Milk Program for Children; the School Breakfast Program; the Summer Food Service Program; the Child and Adult Care Food Program; State Administrative Expense Funds ; the Special Supplemental Nutrition Program for Women, Infants and Children; and the WIC Farmers' Market Nutrition Program. These provisions will strengthen program integrity by ensuring that sufficient data is made available for studies and evaluations. Additionally, exempting Federal funds from State budgetary restrictions or limitations is intended to increase the ability of State agencies to administer USDA's nutrition assistance programs effectively. PMID:21721318

  14. Report on the Implementation of the Gun-Free Schools Act in the States and Outlying Areas: School Year 2001-2002. Final Report

    ERIC Educational Resources Information Center

    Gray-Adams, Karen; Sinclair, Beth

    2004-01-01

    The Gun-Free Schools Act (GFSA) requires that each state or outlying area receiving federal funds under the Elementary and Secondary Education Act (ESEA) have a law that requires all local educational agencies (LEAs) in the state or outlying area to expel from school for at least one year any student found bringing a firearm to school. Their…

  15. Report on the State/Territory Implementation of the Gun-Free Schools Act, School Year 1999-2000. Final Report.

    ERIC Educational Resources Information Center

    Gray, Karen; Sinclair, Beth

    The Gun-Free Schools Act (GFSA) requires that each state or territory receiving federal funds under the Elementary and Secondary Education Act (ESEA) have a state law that requires all local educational agencies (LEAs) in the state or territory to expel from school for at least one year any student found bringing a firearm to school. (See Appendix…

  16. Final-Year Students' and Clinical instructors' Experience of Workplace-Based Assessments Used in a Small-Animal Primary-Veterinary-Care Clinical Rotation.

    PubMed

    Weijs, Cynthia A; Coe, Jason B; Hecker, Kent G

    2015-01-01

    Final-year veterinary students must meet baseline clinical competency upon completion of their training for entry to practice. Workplace-based assessments (WBAs), widely used in human medical training to assess post-graduate students' professionalism and clinical performance, have recently been adopted in undergraduate veterinary clinical teaching environments. WBAs should support veterinary trainees' learning in a clinical teaching environment, though utility of WBAs within veterinary education may differ from that in medical training due to differences in context and in learners' stage of clinical development. We conducted focus groups with final-year veterinary students and clinical instructors following the implementation of three WBAs (Direct Observation of Procedural Skills [DOPS], the Mini-Clinical evaluation exercise [Mini-CEX], and the In-Training Evaluation Report [ITER]) during a small-animal primary-veterinary-care rotation. Students and clinical instructors viewed the DOPS and Mini-CEX as feasible and valuable learning and assessment tools that offered an overall opportunity for timely in-the-moment feedback. Instructors viewed the ITER as less feasible in the context of a service-oriented veterinary clinical teaching environment. Students believed the ITER had potential to be informative, although in its existing application the ITER had limited utility due to time constraints on instructors that prevented them from providing students with individualized and specific feedback. In service-oriented veterinary clinical teaching environments, successful implementation of WBAs requires balancing provision of feedback to students, time demands on clinical instructors, and flexibility of assessment tools.

  17. State, District, and School Implementation of Reforms Promoted under the Recovery Act: 2009-10 through 2011-12. The Final Report from Charting the Progress of Education Reform: An Evaluation of the Recovery Act's Role. NCEE 2015-4016

    ERIC Educational Resources Information Center

    Troppe, Patricia; Milanowski, Anthony; Garrison-Mogren, Roberta; Webber, Ann; Gutmann, Babette; Reisner, Elizabeth; Goertz, Margaret

    2015-01-01

    This report, based on surveys completed by all 50 State Education Agencies (SEAs) and the District of Columbia (DC) and nationally representative samples of districts and schools during spring 2011 and 2012, examines implementation of the key education reform strategies promoted by the Recovery Act in 2011-12, the extent to which implementation…

  18. Final Technical Report

    SciTech Connect

    Maxwell, Mike, J., P.E.

    2012-08-30

    The STI product is the Final Technical Report from ReliOn, Inc. for contract award DE-EE0000487: Recovery Act PEM Fuel Cell Systems Providing Emergency Reserve and Backup Power. The program covered the turnkey deployment of 431 ReliOn fuel cell systems at 189 individual sites for AT&T and PG&E with ReliOn functioning as the primary equipment supplier and the project manager. The Final Technical Report provides an executive level summary, a comparison of the actual accomplishments vs. the goals and objectives of the project, as well as a summary of the project activity from the contract award date of August 1, 2009 through the contract expiration date of December 31, 2011. Two photos are included in the body of the report which show hydrogen storage and bulk hydrogen refueling technologies developed as a result of this program.

  19. Distribution of blood derivatives by registered blood establishments that qualify as health care entities; Prescription Drug Marketing Act of 1987; Prescription Drug Amendments of 1992; delay of applicability date. Final rule; delay of applicability date.

    PubMed

    2006-11-13

    The Food and Drug Administration (FDA) is further delaying, until December 1, 2008, the applicability date of a certain requirement of a final rule published in the Federal Register of December 3, 1999 (64 FR 67720) (the final rule). The final rule implements the Prescription Drug Marketing Act of 1987 (PDMA), as modified by the Prescription Drug Amendments of 1992 (PDA), and the Food and Drug Administration Modernization Act of 1997 (the Modernization Act). The provisions of the final rule became effective on December 4, 2000, except for certain provisions whose effective or applicability dates were delayed in five subsequent Federal Register notices, until December 1, 2006. The provision with the delayed applicability date would prohibit wholesale distribution of blood derivatives by registered blood establishments that meet the definition of a "health care entity." In the Federal Register of February 1, 2006 (71 FR 5200), FDA published a proposed rule specific to the distribution of blood derivatives by registered blood establishments that qualify as health care entities (the proposed rule). The proposed rule would amend certain limited provisions of the final rule to allow certain registered blood establishments that qualify as health care entities to distribute blood derivatives. In response to the proposed rule, FDA received substantive comments. As explained in the SUPPLEMENTARY INFORMATION section of this document, further delaying the applicability of Sec. 203.3(q) (21 CFR 203.3(q)) to the wholesale distribution of blood derivatives by health care entities is necessary to give the agency additional time to address comments on the proposed rule, consider whether regulatory changes are appropriate, and, if so, to initiate such changes.

  20. Local implementation by New England municipalities of the Emergency Planning and Community Right-To-Know Act of 1986 (Title 3 of SARA) (Superfund Amendments and Reauthorization Act). Technical report (Final)

    SciTech Connect

    Church, Z.

    1988-01-01

    This report, based on 16 interviews with 16 Local Emergency Planning Committee (LEPC) Chairs and other officials in New England communities, assesses the implementation of Title III of the Superfund Amendments and Reauthorization Act (SARA) at the local level. The local emergency planning districts surveyed for the report, selected primarily from the EPA's 'Priority Planning Districts,' represent every major type of community. Topics covered by the report include the scope of emergency planning, public and industrial participation, and the role of the EPA.

  1. A Study of the Education Professions Development Act Training Programs for Higher Education Personnel, Volume IV: Case Studies of Higher Education in Transition. Final Report.

    ERIC Educational Resources Information Center

    Harwell, M.; And Others

    Volume IV of a study of the Education Professions Development Act (EPDA) training programs for higher education personnel presents the third of a three-faceted approach to assess current training needs. This document presents case studies of six diverse situations in American higher education in the early 1970s with particular emphasis on the…

  2. A Follow-Up Study of Participants in Illinois Projects Funded with Education Professions Development Act (553) Grants for Fiscal Years 1969-1973. Final Report.

    ERIC Educational Resources Information Center

    Ellis, Joseph R.

    Fifteen Illinois Education Professions Development Act (553) funded projects, mainly directed toward professional development in vocational-career education, provided the basis for the followup study. The projects, which varied in scope, activity, and duration were: More Effective Staff Utilization, In-Service Education for Teachers of…

  3. Adult Radio: A Community Service and Continuing Education Project through Broadcast Utilization (Title 1 of the Higher Education Act of 1965). Final Report.

    ERIC Educational Resources Information Center

    Morehead State Univ., KY.

    During the period July 1, 1968-July 15, 1969, WMKY-FM, the student radio station at Morehead State University, undertook a research project under the financing of Title I of the Higher Education Act of 1965 to provide special programming for the senior citizens within their listening area and evaluate the response to their programs. First, the…

  4. Review of emergency systems: Report to congress, section 305(b) title III Superfund Amendments and Reauthorization Act of 1986. Final report

    SciTech Connect

    Not Available

    1988-06-01

    The report presents the findings and recommendations of the US Environmental Protection Agency's (EPA) review of emergency systems for monitoring, detecting, and preventing accidental releases of extremely hazardous substances to the environmental, and of systems for alerting the public to such releases. EPA is submitting the report to Congress in fulfillment of Section 305(b) of Title III of the Superfund Amendments and Reauthorization Act of 1986 (SARA).

  5. Community Leaders' Training in Environmental Studies: A Cooperative Community Project Funded under Title I of the Higher Education Act of 1965. Warp to Environmental Education. Final Report.

    ERIC Educational Resources Information Center

    Allen, Rodney F.; LaHart, David

    This document is the final report of the Community Leaders' Training in Environmental Studies Project conducted at Florida State University. The project sought to increase community environmental awareness and to expand the educational uses of the Tallahassee Junior Museum through the cooperation of museum staff, a variety of community groups, and…

  6. Implementation of the Methamphetamine Anti-Proliferation Act; thresholds for retailers and for distributors required to submit mail order reports; changes to mail order reporting requirements. Final rule.

    PubMed

    2003-10-01

    This regulation implements the new threshold requirements and mail order reporting requirements of the Methamphetamine Anti-Proliferation Act of 2000 (MAPA), which was enacted on October 17, 2000. DEA is amending its regulations to reduce the thresholds for pseudoephedrine and phenylpropanolamine for retail distributors and for distributors required to submit mail order reports. Also, DEA is amending its regulations to require mail order reports for certain export transactions. DEA is codifying exemptions from the mail order reporting requirements for certain distributions to nonregulated persons and certain export transactions. This rule is consistent with the intent of MAPA to prevent the diversion of drug products to the clandestine manufacture of methamphetamine and amphetamine, and simultaneously reduce the industry reporting burden. PMID:14535265

  7. Tanker navigation safety standards: Tanker navigation safety research baseline: A study required by section 4111(b)(9) of the Oil Pollution Act of 1990. Final report

    SciTech Connect

    1996-12-31

    The Oil Pollution Act of 1990 directed the Secretary of Transportation to review and incorporate the results of past studies, including studies by the Coast Guard and Office of Technology Assessment (OTA). This literature search and review focuses on materials pertinent to determining or evaluating current and/or `best` practices, and not on the adequacy of current statutes or regulations. In addition, it is not the intention of the report to assess best practices (e.g., suggest the appropriate crew sizes or what navigation equipment should be required on tankers), but to establish the baseline for future study of best practices. The report does not provide answers to new analytical quations, but presents the status of research so that questions addressed previoulsy will not be duplicated by future studies.

  8. Characterization of MGP (manufactured gas plant) residues using proposed RCRA (Resource Conservation Recovery Act) tests. Topical report, May 1987-February 1989. Final report

    SciTech Connect

    Lew, L.R.; Gould, J.E.

    1989-03-01

    The U.S. Environment Protection Agency (EPA) has proposed two tests that may affect the regulation of residues associated with manufactured gas plant (MGP) sites which are not currently regulated by the Resource Conservation Recovery Act (RCRA): the Toxicity Characteristic Leaching Procedure (TCLP) and a revised reactivity test which includes interim guidance levels for reactive cyanide and sulfide as well as methods for determining reactive levels. Atlantic Environmental Services, Inc, carried out a research project under the Gas Research Institute program for the management of MGP sites. Several samples were tested using the proposed TCLP to determine the likelihood that MGP residues would be characterized as RCRA wastes under the new procedures. The reactivity tests for cyanide and sulfide also were run on samples collected from MGP sites to determine whether these specific residues would fall based on the revised technique. The results of the study are presented.

  9. A CLAS act? Community-based organizations, health service decentralization and primary care development in Peru. Local Committees for Health Administration.

    PubMed

    Iwami, Michiyo; Petchey, Roland

    2002-12-01

    In 1994 Peru embarked on a programme of health service reform, which combined primary care development and community participation through Local Committees for Health Administration (CLAS). They are responsible for carrying out local health needs assessments and identifying unmet health needs through regular household surveys. These enable them to determine local health provision and tailor services to local requirements. CLAS build on grassroots self-help circles that developed during the economic and political crises of the 1980s, and in which women have been prominent. However, they function under a 3 year contract with the Ministry of Health and within a framework of centrally determined guidelines and regulations. These reforms were implemented in the context of neo-liberal economic policies, which stressed financial deregulation and fiscal and monetary restraint, and were aimed at reducing foreign indebtedness and inflation. We evaluate the achievements of the CLAS and analyse the relationship between health and economic policy in Peru, with the aid of two contrasting models of the role of the state - 'agency' and 'stewardship'. We argue that Peru's experience holds valuable lessons for other countries seeking to foster community involvement. These include the need for community capacity building and partnership between community organizations and state (and other civil) agencies. PMID:12546199

  10. Employee Retirement Income Security Act of 1974; rules and regulations for administration and enforcement; claims procedure. Final regulation; delay of applicability date.

    PubMed

    2001-07-01

    This action delays for at least six months and not more than one year the applicability date for the regulation governing minimum requirements for benefit claims procedures of group health plans covered by Title I of the Employee Retirement Income Security Act. As published on November 21, 2000, the benefit claims procedure would be applicable to claims filed on or after January 1, 2002. The current action amends the regulation so that it will apply to group health claims filed on or after the first day of the first plan year beginning on or after July 1, 2002, but in no event later than January 1, 2003. This action provides a limited additional period within which group health plan sponsors, administrators, and service providers can bring their claims processing systems into compliance with the new requirements. A postponement of the applicability date with respect to group health claims will allow a more orderly transition to the new standards and will avoid the confusion and additional expense that would be caused if certain pending Congressional bills are enacted before or soon after the original applicability date. This action does not apply to pension plans or plans providing disability or welfare benefits (other than group health). For these plans, the regulation will continue to be applicable to claims filed on or after January 1, 2002.

  11. Vet Centers. Final rule.

    PubMed

    2016-03-01

    The Department of Veterans Affairs (VA) adopts as final an interim final rule that amends its medical regulation that governs Vet Center services. The National Defense Authorization Act for Fiscal Year 2013 (the 2013 Act) requires Vet Centers to provide readjustment counseling services to broader groups of veterans, members of the Armed Forces, including a member of a reserve component of the Armed Forces, and family members of such veterans and members. This final rule adopts as final the regulatory criteria to conform to the 2013 Act, to include new and revised definitions. PMID:26934755

  12. Medicaid and Children's Health Insurance Programs; Mental Health Parity and Addiction Equity Act of 2008; the Application of Mental Health Parity Requirements to Coverage Offered by Medicaid Managed Care Organizations, the Children's Health Insurance Program (CHIP), and Alternative Benefit Plans. Final rule.

    PubMed

    2016-03-30

    This final rule will address the application of certain requirements set forth in the Public Health Service Act, as amended by the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, to coverage offered by Medicaid managed care organizations, Medicaid Alternative Benefit Plans, and Children’s Health Insurance Programs.

  13. Multi-centre cluster randomised trial comparing a community group exercise programme with home based exercise with usual care for people aged 65 and over in primary care: protocol of the ProAct 65+ trial

    PubMed Central

    2010-01-01

    Background Regular physical activity reduces the risk of mortality from all causes, with a powerful beneficial effect on risk of falls and hip fractures. However, physical activity levels are low in the older population and previous studies have demonstrated only modest, short-term improvements in activity levels with intervention. Design/Methods Pragmatic 3 arm parallel design cluster controlled trial of class-based exercise (FAME), home-based exercise (OEP) and usual care amongst older people (aged 65 years and over) in primary care. The primary outcome is the achievement of recommended physical activity targets 12 months after cessation of intervention. Secondary outcomes include functional assessments, predictors of exercise adherence, the incidence of falls, fear of falling, quality of life and continuation of physical activity after intervention, over a two-year follow up. An economic evaluation including participant and NHS costs will be embedded in the clinical trial. Discussion The ProAct65 trial will explore and evaluate the potential for increasing physical activity among older people recruited through general practice. The trial will be conducted in a relatively unselected population, and will address problems of selective recruitment, potentially low retention rates, variable quality of interventions and falls risk. Trial Registration Trial Registration: ISRCTN43453770 PMID:20082696

  14. National School Lunch Program and School Breakfast Program: nutrition standards for all foods sold in school as required by the Healthy, Hunger-Free Kids Act of 2010. Interim final rule.

    PubMed

    2013-06-28

    This interim final rule amends the National School Lunch Program and School Breakfast Program regulations to establish nutrition standards for all foods sold in schools, other than food sold under the lunch and breakfast programs. Amendments made by Section 208 of the Healthy, Hunger-Free Kids Act of 2010 (HHFKA) require the Secretary to establish nutrition standards for such foods, consistent with the most recent Dietary Guidelines for Americans, and directs the Secretary to consider authoritative scientific recommendations for nutrition standards; existing school nutrition standards, including voluntary standards for beverages and snack foods; current State and local standards; the practical application of the nutrition standards; and special exemptions for infrequent school-sponsored fundraisers (other than fundraising through vending machines, school stores, snack bars, à la carte sales and any other exclusions determined by the Secretary). In addition, this interim final rule requires schools participating in the National School Lunch Program and School Breakfast Program to make potable water available to children at no charge in the place where lunches are served during the meal service, consistent with amendments made by section 203 of the HHFKA, and in the cafeteria during breakfast meal service. This interim final rule is expected to improve the health and well-being of the Nation's children, increase consumption of healthful foods during the school day, and create an environment that reinforces the development of healthy eating habits.

  15. Patient Protection and Affordable Care Act; Exchange functions: standards for Navigators and non-Navigator assistance personnel; consumer assistance tools and programs of an Exchange and certified application counselors. Final rule.

    PubMed

    2013-07-17

    This final rule addresses various requirements applicable to Navigators and non-Navigator assistance personnel in Federally-facilitated Exchanges, including State Partnership Exchanges, and to non-Navigator assistance personnel in State Exchanges that are funded through federal Exchange Establishment grants. It finalizes the requirement that Exchanges must have a certified application counselor program. It creates conflict-of-interest, training and certification, and meaningful access standards; clarifies that any licensing, certification, or other standards prescribed by a state or Exchange must not prevent application of the provisions of title I of the Affordable Care Act; adds entities with relationships to issuers of stop loss insurance to the list of entities that are ineligible to become Navigators; and clarifies that the same ineligibility criteria that apply to Navigators apply to certain non-Navigator assistance personnel. The final rule also directs that each Exchange designate organizations which will then certify their staff members and volunteers to be application counselors that assist consumers and facilitate enrollment in qualified health plans and insurance affordability programs, and provides standards for that designation.

  16. Schedules of Controlled Substances: Extension of Temporary Placement of PB-22, 5F-PB-22, AB-FUBINACA and ADB-PINACA in Schedule I of the Controlled Substances Act. Final order.

    PubMed

    2016-02-01

    The Administrator of the Drug Enforcement Administration is issuing this final order to extend the temporary schedule I status of four synthetic cannabinoids pursuant to the temporary scheduling provisions of the Controlled Substances Act. The substances are: quinolin-8-yl 1-pentyl-1H-indole-3-carboxylate (PB-22; QUPIC); quinolin-8-yl 1-(5-fluoropentyl)-1H-indole-3-carboxylate (5-fluoro-PB-22; 5F-PB-22); N-(1-amino-3-methyl-1-oxobutan-2-yl)-1-(4-fluorobenzyl)-1H-indazole-3-carboxamide (AB-FUBINACA); and N-(1-amino-3,3-dimethyl-1-oxobutan-2-yl)-1-pentyl-1H-indazole-3-carboxamide (ADB-PINACA), including their optical, positional and geometric isomers, salts, and salts of isomers. The current final order temporarily placing PB-22, 5F-PB-22, AB-FUBINACA, and ADB-PINACA into schedule I is in effect through February 9, 2016. This final order will extend the temporary scheduling of PB-22, 5F-PB-22, AB-FUBINACA, and ADB-PINACA for one year, or until the permanent scheduling action for these four substances is completed, whichever occurs first. PMID:26859904

  17. National School Lunch Program and School Breakfast Program: nutrition standards for all foods sold in school as required by the Healthy, Hunger-Free Kids Act of 2010. Interim final rule.

    PubMed

    2013-06-28

    This interim final rule amends the National School Lunch Program and School Breakfast Program regulations to establish nutrition standards for all foods sold in schools, other than food sold under the lunch and breakfast programs. Amendments made by Section 208 of the Healthy, Hunger-Free Kids Act of 2010 (HHFKA) require the Secretary to establish nutrition standards for such foods, consistent with the most recent Dietary Guidelines for Americans, and directs the Secretary to consider authoritative scientific recommendations for nutrition standards; existing school nutrition standards, including voluntary standards for beverages and snack foods; current State and local standards; the practical application of the nutrition standards; and special exemptions for infrequent school-sponsored fundraisers (other than fundraising through vending machines, school stores, snack bars, à la carte sales and any other exclusions determined by the Secretary). In addition, this interim final rule requires schools participating in the National School Lunch Program and School Breakfast Program to make potable water available to children at no charge in the place where lunches are served during the meal service, consistent with amendments made by section 203 of the HHFKA, and in the cafeteria during breakfast meal service. This interim final rule is expected to improve the health and well-being of the Nation's children, increase consumption of healthful foods during the school day, and create an environment that reinforces the development of healthy eating habits. PMID:23833807

  18. Primary stent implantation is superior to balloon angioplasty in acute myocardial infarction: final results of the primary angioplasty versus stent implantation in acute myocardial infarction (PASTA) trial. PASTA Trial Investigators.

    PubMed

    Saito, S; Hosokawa, G; Tanaka, S; Nakamura, S

    1999-11-01

    Several studies have shown that stent implantations in acute myocardial infarction (AMI) result in better short- and long-term outcomes than primary balloon angioplasty. These results, however, have not been ascertained in randomized trials. We randomized 136 patients out of 208 patients with AMI within 12 hr from onset into two groups: 69 patients with primary balloon angioplasty (POBA group) and 67 patients with primary stent implantation (STENT group). We compared the incidences of major cardiac events (repeat MI, target lesion revascularization, and cardiac death) and angiographic parameters during hospitalization and follow-up periods up to 12 months in these two groups. There was no significant difference in the reperfusion success rates. The incidences of major cardiac events were lower in the STENT group than in the POBA group during hospitalization, the first 6 months and 12 months (6% vs. 19%, P = 0.023; 21% vs. 46%, P < 0.0001; 22% vs. 49%, P = 0.0011). Minimum lumen diameters were significantly bigger in the STENT group than the POBA group at predischarge angiogram and 6-month follow-up (2.85 +/- 0.62 vs. 2.08 +/- 0.82 mm, P < 0.0001; 2.24 +/- 0.64 vs. 1.72 +/- 0.76, P = 0.002). Restenosis rates at 6-month follow-up were significantly lower in the STENT group than in the POBA group (17% vs. 37.5%, P = 0.02). In selected patients with AMI, primary stent implantation results in a lower incidence of major cardiac events during the first 12 months, postprocedure, and less frequent 6-month restenosis than primary balloon angioplasty.

  19. ACT: Acting Out Central Theme.

    ERIC Educational Resources Information Center

    Kise, Joan Duff

    1982-01-01

    The author describes ACT (Acting Out Central Theme), a method for dealing with psychomotor, cognitive, and affective domains in slow readers. The ACT approach involves three sessions which focus on discussion of a theme such as friendship, presentaton of the theme as a skit, and assignment of topics to individual students. (SW)

  20. Section 506 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003--limitation on charges for services furnished by Medicare participating inpatient hospitals to individuals eligible for care purchased by Indian health programs. Final rule.

    PubMed

    2007-06-01

    The Secretary of the Department of Health and Human Services (HHS) hereby issues this final rule establishing regulations required by section 506 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), (Pub. L. 108-173). Section 506 of the MMA amended section 1866 (a)(1) of the Social Security Act to add subparagraph (U) which requires hospitals that furnish inpatient hospital services payable under Medicare to participate in the contract health services program (CHS) of the Indian Health Service (IHS) operated by the IHS, Tribes, and Tribal organizations, and to participate in programs operated by urban Indian organizations that are funded by IHS (collectively referred to as I/T/Us) for any medical care purchased by those programs. Section 506 also requires such participation to be in accordance with the admission practices, payment methodology, and payment rates set forth in regulations established by the Secretary, including acceptance of no more than such payment rates as payment in full. PMID:17577967

  1. CSMP Mathematics for the Upper Primary Grades Part I, Teacher's Guide. The Languages of Strings and Arrows. Geometry and Measurement. Workbooks. Final Experimental Version.

    ERIC Educational Resources Information Center

    CEMREL, Inc., St. Ann, MO.

    This guide represents the final experimental version of a pilot project conducted in the Unites States between 1973 and 1976. The ideas and manner of presentation are based on the works of Georges and Frederique Papy. They are recognized as having introduced colored arrow drawings ("papygrams") and models of our numeration system (the Papy…

  2. Juggling Act

    ERIC Educational Resources Information Center

    Rudalevige, Andrew

    2009-01-01

    Two education bills from George W. Bush's first term are long overdue for reauthorization. One, of course, is the No Child Left Behind Act (NCLB), passed in late 2001. The other is the Education Sciences Reform Act (ESRA), which in November 2002 replaced the Office of Educational Research and Improvement (OERI) with a new Institute of Education…

  3. A Time to Act. Final Report.

    ERIC Educational Resources Information Center

    Joint Commission on Correctional Manpower and Training, Washington, DC.

    To determine the manpower, education, and training resources required to increase the effectiveness of correctional employees, a Joint Commission surveyed every adult and juvenile federal and state correctional institution and all state-level probation and parole agencies in the country. Three national opinion surveys were also conducted. The…

  4. Recovery Act Final Project Report -- Transportation Electrification

    SciTech Connect

    Gogineni, Kumar

    2013-12-31

    ChargePoint America demonstrated the viability, economic and environmental benefits of an electric vehicle-charging infrastructure. Electric vehicles (EVs) and plug-in electric vehicles (PHEVs) arrived in late 2010, there was a substantial lack of infrastructure to support these vehicles. ChargePoint America deployed charging infrastructure in ten (10) metropolitan regions in coordination with vehicle deliveries targeting those same regions by our OEM partners: General Motors, Nissan, Fisker Automotive, Ford, smart USA, and BMW. The metropolitan regions include Central Texas (Austin/San Antonio), Bellevue/Redmond (WA), Southern Michigan, Los Angeles area (CA), New York Metro (NY), Central Florida (Orlando/Tampa), Sacramento (CA), San Francisco/San Jose (CA), Washington DC and Boston (MA). ChargePoint America installed more than 4,600 Level 2 (220v) SAE J1772™ UL listed networked charging ports in home, public and commercial locations to support approximately 2000 program vehicles. ChargePoint collected data to analyze how individuals, businesses and local governments used their vehicles. Understanding driver charging behavior patterns will provide the DoE with critical information as EV adoption increases in the United States.

  5. Cassini's Grand Finale

    NASA Astrophysics Data System (ADS)

    Edgington, Scott G.; Spilker, Linda J.

    2016-07-01

    After more than a decade exploring Saturn and its moons, the Cassini mission is in its closing act. Cassini's last year is an encore performance stuffed with science, including a final plunge into Saturn's atmosphere.

  6. ACT Test

    MedlinePlus

    ... this page helpful? Also known as: ACT; Activated Coagulation Time Formal name: Activated Clotting Time Related tests: ... in the blood called platelets and proteins called coagulation factors are activated in a sequence of steps ...

  7. 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)

  8. Final Assessment of Manual Ultrasonic Examinations Applied to Detect Flaws in Primary System Dissimilar Metal Welds at North Anna Power Station

    SciTech Connect

    Anderson, Michael T.; Diaz, Aaron A.; Cinson, Anthony D.; Crawford, Susan L.; Prowant, Matthew S.; Doctor, Steven R.

    2014-03-24

    PNNL conducted a technical assessment of the NDE issues and protocols that led to missed detections of several axially oriented flaws in a steam generator primary inlet dissimilar metal weld at North Anna Power Station, Unit 1 (NAPS-1). This particular component design exhibits a significant outside-diameter (OD) taper that is not included as a blind performance demonstration mock-up within the industry’s Performance Demonstration Initiative, administered by EPRI. For this reason, the licensee engaged EPRI to assist in the development of a technical justification to support the basis for a site-specific qualification. The service-induced flaws at NAPS-1 were eventually detected as a result of OD surface machining in preparation for a full structural weld overlay. The machining operation uncovered the existence of two through-wall flaws, based on the observance of primary water leaking from the dissimilar metal weld. A total of five axially oriented flaws were detected in varied locations around the weld circumference. The field volumetric examination that was conducted at NAPS-1 was a non-encoded, real-time manual ultrasonic examination. PNNL conducted both an initial assessment, and subsequently, a more rigorous technical evaluation (reported here), which has identified an array of NDE issues that may have led to the subject missed detections. These evaluations were performed through technical reviews and discussions with NRC staff, EPRI NDE Center personnel, industry and ISI vendor personnel, and ultrasonic transducer manufacturers, and laboratory tests, to better understand the underlying issues at North Anna.

  9. 77 FR 64116 - Advisory Committee on Training in Primary Care Medicine and Dentistry; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-18

    ... Care Medicine and Dentistry; Notice of Meeting In accordance with section 10(a)(2) of the Federal... Committee on Training in Primary Care Medicine and Dentistry (ACTPCMD). Date and Time: November 1, 2012, 10... Affordable Care Act of 2010. At this meeting, the Advisory Committee will finalize its report on the...

  10. Evaluation of primary air vitiation for nitric oxide reduction in a rotary cement kiln. Volume 1. Technical report. Final report, June 1983-September 1985

    SciTech Connect

    Benson, R.C.; Hunter, S.C.

    1986-10-01

    The report gives results of tests to evaluate combustion modifications for nitric oxide (NO) reduction and cement-product quality in a pilot-scale long-dry-process cement kiln firing pulverized coal. The kiln is rated at 11.35 kg/s (1080 tons/day) of cement with a thermal input rate of 70.3 MW (240 million Btu/hr). Of the combustion modifications evaluated in previous studies, vitiation of the primary air with inert gas (nitrogen) was considered the best alternative for NO reduction on a pilot-scale kiln. The percent reduction was established from a reference baseline of 1050 ppm (corrected to 3% O/sub 2/) and a kiln exit oxygen of 1.82%. The NO volumetric emissions were lowered to 880 ppm (corrected to 3% O/sub 2/) with a kiln exit oxygen of 0.7%. NOx reductions during the short-term nitrogen injection tests were about 25-30% with no adverse effects on product quality. Because of the interacting feed chemistry/kiln operations, it was not possible to clearly isolate the effect of nitrogen injection.

  11. Evaluation of primary air vitiation for nitric oxide reduction in a rotary cement kiln. Volume 2. Data supplement A. Final report, June 1983-September 1985

    SciTech Connect

    Benson, R.C.; Frohoff, R.A.; Parker, N.R.

    1986-10-01

    The report gives results of tests to evaluate combustion modifications for nitric oxide (NO) reduction and cement-product quality in a pilot-scale long-dry-process cement kiln firing pulverized coal. The kiln is rated at 11.35 kg/s (1080 tons/day) of cement with a thermal input rate of 70.3 MW (240 million Btu/hr). Of the combustion modifications evaluated in previous studies, vitiation of the primary air with inert gas (nitrogen) was considered the best alternative for NO reduction on a pilot-scale kiln. The percent reduction was established from a reference baseline of 1050 ppm (corrected to 3% O/sub 2/) and a kiln exit oxygen of 1.82%. The NO volumetric emissions were lowered to 880 ppm (corrected to 3% O/sub 2/) with a kiln exit oxygen of 0.7%. NOx reductions during the short-term nitrogen injection tests were about 25-30% with no adverse effects on product quality. Because of the interacting feed chemistry/kiln operations, it was not possible to clearly isolate the effect of nitrogen injection.

  12. Probability of pipe fracture in the primary coolant loop of a PWR plant. Volume 9. PRAISE computer code user's manual. Load Combination Program Project I final report

    SciTech Connect

    Lim, E.Y.

    1981-06-01

    The PRAISE (Piping Reliability Analysis Including Seismic Events) computer code estimates the influence of earthquakes on the probability of failure at a weld joint in the primary coolant system of a pressurized water reactor. Failure, either a through-wall defect (leak) or a complete pipe severance (a large-LOCA), is assumed to be caused by fatigue crack growth of an as-fabricated interior surface circumferential defect. These defects are assumed to be two-dimensional and semi-elliptical in shape. The distribution of initial crack sizes is a function of crack depth and aspect ratio. PRAISE treats the inter-arrival times of operating transients either as a constant or exponentially distributed according to observed or postulated rates. Leak rate and leak detection models are also included. The criterion for complete pipe severance is exceedance of a net section critical stress. Earthquakes of various intensity and arbitrary occurrence times can be modeled. PRAISE presently assumes that exactly one initial defect exists in the weld and that the earthquake of interest is the first earthquake experienced at the reactor. PRAISE has a very modular structure and can be tailored to a variety of crack growth and piping reliability problems. Although PRAISE was developed on a CDC-7600 computer, it was, however, coded in standard FORTRAN IV and is readily transportable to other machines.

  13. Staff Helping Attain Relevant Education (Project SHARE): Final Evaluation Report, 1992-93. OREA Report.

    ERIC Educational Resources Information Center

    Ranadive, Jyoti

    Project SHARE (Staff Helping Attain Relevant Education), a project funded by Title VII of the Elementary and Secondary Education Act, was in its third and final year of operation in 1992-93, in eight primary schools in the Bronx, Brooklyn, and Manhattan (New York). The project served 141 limited English proficient students from low-income families…

  14. DOE FG02-03ER63557: Final Technical Report: Reactivity of Primary Soil Minerals and Secondary Precipitates Beneath Leaking Hanford Waste Tanks

    SciTech Connect

    Kathryn L. Nagy

    2009-05-04

    The purpose of the project was to investigate rates and mechanisms of reactions between primary sediment minerals and key components of waste tank solutions that leaked into the subsurface at the Hanford Site. Results were expected to enhance understanding of processes that cause (1) changes in porosity and permeability of the sediment and resultant changes in flow paths of the contaminant plumes, (2) formation of secondary precipitates that can take up contaminants in their structures, and (3) release of mineral components that can drive redox reactions affecting dissolved contaminant mobility. Measured rates can also be used directly in reactive transport models. Project tasks included (1) measurement of the dissolution rates of biotite mica from low to high pH and over a range of temperature relevant to the Hanford subsurface, (2) measurement of dissolution rates of quartz at high pH and in the presence of dissolved alumina, (3) measurement of the dissolution rates of plagioclase feldspar in high pH, high nitrate, high Al-bearing solutions characteristic of the BX tank farms, (4) incorporation of perrhenate in iron-oxide minerals as a function of pH, and (5) initiation of experiments to measure the formation of uranium(VI)-silicate phases under ambient conditions. Task 2 was started under a previous grant from the Environmental Management Science Program and Task 4 was partially supported by a grant to the PI from the Geosciences Program, Office of Basic Energy Sciences. Task 5 was continued under a subsequent grant from the Environmental Remediation Sciences Program, Office of Biological and Environmental Research.

  15. The CEO's second act.

    PubMed

    Nadler, David A

    2007-01-01

    When a CEO leaves because of performance problems, the company typically recruits someone thought to be better equipped to fix what the departing executive couldn't--or wouldn't. The board places its confidence in the new person because of the present dilemma's similarity to some previous challenge that he or she dealt with successfully. But familiar problems are inevitably succeeded by less familiar ones, for which the specially selected CEO is not quite so qualified. More often than not, the experiences, skills, and temperament that yielded triumph in Act I turn out to be unequal to Act II's difficulties. In fact, the approaches that worked so brilliantly in Act I may be the very opposite of what is needed in Act II. The CEO has four choices: refuse to change, in which case he or she will be replaced; realize that the next act requires new skills and learn them; downsize or circumscribe his or her role to compensate for deficiencies; or line up a successor who is qualified to fill a role to which the incumbent's skills and interests are no longer suited. Hewlett-Packard's Carly Fiorina exemplifies the first alternative; Merrill Lynch's Stanley O'Neal the second; Google's Sergey Brin and Larry Page the third; and Quest Diagnostics' Ken Freeman the fourth. All but the first option are reasonable responses to the challenges presented in the second acts of most CEOs' tenures. And all but the first require a power of observation, a propensity for introspection, and a strain of humility that are rare in the ranks of the very people who need those qualities most. There are four essential steps executives can take to discern that they have entered new territory and to respond accordingly: recognition that their leadership style and approach are no longer working; acceptance of others' advice on why performance is faltering; analysis and understanding of the nature of the Act II shift; and, finally, decision and action.

  16. The CEO's second act.

    PubMed

    Nadler, David A

    2007-01-01

    When a CEO leaves because of performance problems, the company typically recruits someone thought to be better equipped to fix what the departing executive couldn't--or wouldn't. The board places its confidence in the new person because of the present dilemma's similarity to some previous challenge that he or she dealt with successfully. But familiar problems are inevitably succeeded by less familiar ones, for which the specially selected CEO is not quite so qualified. More often than not, the experiences, skills, and temperament that yielded triumph in Act I turn out to be unequal to Act II's difficulties. In fact, the approaches that worked so brilliantly in Act I may be the very opposite of what is needed in Act II. The CEO has four choices: refuse to change, in which case he or she will be replaced; realize that the next act requires new skills and learn them; downsize or circumscribe his or her role to compensate for deficiencies; or line up a successor who is qualified to fill a role to which the incumbent's skills and interests are no longer suited. Hewlett-Packard's Carly Fiorina exemplifies the first alternative; Merrill Lynch's Stanley O'Neal the second; Google's Sergey Brin and Larry Page the third; and Quest Diagnostics' Ken Freeman the fourth. All but the first option are reasonable responses to the challenges presented in the second acts of most CEOs' tenures. And all but the first require a power of observation, a propensity for introspection, and a strain of humility that are rare in the ranks of the very people who need those qualities most. There are four essential steps executives can take to discern that they have entered new territory and to respond accordingly: recognition that their leadership style and approach are no longer working; acceptance of others' advice on why performance is faltering; analysis and understanding of the nature of the Act II shift; and, finally, decision and action. PMID:17286076

  17. 77 FR 19095 - Privacy Act; Implementation; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-30

    ... (77 FR 15595-15596), Department of Defense published a direct final rule titled Privacy Act... In the direct final rule (FR Doc. 2012-6170) published on March 16, 2012 (77 FR 15595-15596), make... of the Secretary 32 CFR Part 322 Privacy Act; Implementation; Correction AGENCY: Office of...

  18. Primary photochemical processes of acrolein. Final report

    SciTech Connect

    Gardner, E.P.; Sperry, P.D.; Calvert, J.G.

    1986-01-01

    Pollutants are removed from the atmosphere in a number of ways: they can react with OH and O/sub 3/, they can be dry and wet deposited, photodissociate through solar radiation, or they can be biodegraded. The report presents the photodissociation processes of acrolein. Quantum yields of acrolein loss are given. The dominant reactions in the lower troposphere are the formation of C/sub 2/H/sub 4/ and CO. Also produced are CH/sub 2/-CHCHO, H, CH/sub 2/CH, and HCO radicals but at lower quantum yields. Since the OH attack on acrolein is quite large (1.9 x 10/sup 11/ cu cm/molec s), ambient levels of OH (about 10/sup 6/ molecules/cu cm) will remove acrolein very rapidly (usually, about 15 hours). Thus, the major loss mechanism of acrolein in the troposphere is through OH attack, and the photodissociation process is of negligible importance.

  19. Final-year veterinary students' perceptions of their communication competencies and a communication skills training program delivered in a primary care setting and based on Kolb's Experiential Learning Theory.

    PubMed

    Meehan, Michael P; Menniti, Marie F

    2014-01-01

    Veterinary graduates require effective communication skills training to successfully transition from university into practice. Although the literature has supported the need for veterinary student communication skills training programs, there is minimal research using learning theory to design programs and explore students' perceptions of such programs. This study investigated veterinary students' perceptions of (1) their communication skills and (2) the usefulness of a communication skills training program designed with Kolb's Experiential Learning Theory (ELT) as a framework and implemented in a primary care setting. Twenty-nine final-year veterinary students from the Ontario Veterinary College attended a 3-week communication skills training rotation. Pre- and post-training surveys explored their communication objectives, confidence in their communication skills, and the usefulness of specific communication training strategies. The results indicated that both before and after training, students were most confident in building rapport, displaying empathy, recognizing how bonded a client is with his or her pet, and listening. They were least confident in managing clients who were angry or not happy with the charges and who monopolized the appointment. Emotionally laden topics, such as breaking bad news and managing euthanasia discussions, were also identified as challenging and in need of improvement. Interactive small-group discussions and review of video-recorded authentic client appointments were most valuable for their learning and informed students' self-awareness of their non-verbal communication. These findings support the use of Kolb's ELT as a theoretical framework and of video review and reflection to guide veterinary students' learning of communication skills in a primary care setting. PMID:25148880

  20. Final-year veterinary students' perceptions of their communication competencies and a communication skills training program delivered in a primary care setting and based on Kolb's Experiential Learning Theory.

    PubMed

    Meehan, Michael P; Menniti, Marie F

    2014-01-01

    Veterinary graduates require effective communication skills training to successfully transition from university into practice. Although the literature has supported the need for veterinary student communication skills training programs, there is minimal research using learning theory to design programs and explore students' perceptions of such programs. This study investigated veterinary students' perceptions of (1) their communication skills and (2) the usefulness of a communication skills training program designed with Kolb's Experiential Learning Theory (ELT) as a framework and implemented in a primary care setting. Twenty-nine final-year veterinary students from the Ontario Veterinary College attended a 3-week communication skills training rotation. Pre- and post-training surveys explored their communication objectives, confidence in their communication skills, and the usefulness of specific communication training strategies. The results indicated that both before and after training, students were most confident in building rapport, displaying empathy, recognizing how bonded a client is with his or her pet, and listening. They were least confident in managing clients who were angry or not happy with the charges and who monopolized the appointment. Emotionally laden topics, such as breaking bad news and managing euthanasia discussions, were also identified as challenging and in need of improvement. Interactive small-group discussions and review of video-recorded authentic client appointments were most valuable for their learning and informed students' self-awareness of their non-verbal communication. These findings support the use of Kolb's ELT as a theoretical framework and of video review and reflection to guide veterinary students' learning of communication skills in a primary care setting.

  1. Design and analysis of large spaceborne light-weighted primary mirror and its support system

    NASA Astrophysics Data System (ADS)

    Yan, Yong; Jin, Guang; Yang, Hong-bo

    2007-12-01

    With the development of the resolution of spaceborne remote sensor, the diameter of the primary mirror of spaceborne telescope becomes larger and larger. The distortion of primary mirror which is influenced by the mirror material, structure, self-weight, support system and temperature environment affects optical image quality finally. In this paper, an on-axis TMA high-resolution Cassegrain optical payload with a primary mirror whose diameter is φ 650mm was designed and the effects of the influence factors of the distortion acts on the on-axis TMA optical system primary mirror had been analyzed by means of Finite Element Analysis. During work, the technology of the primary mirror design had been summarized and general consideration of the primary mirror design technology also had been described at the same time. Considering the telescope manufacture and work station, a reasonable and optimal structure of the primary mirror sub-assembly is taken finally. In the end, the distortion of the primary mirror during its fabrication station and work station had been analyzed by integrated Finite Element Analysis Method. The results implicated the synthesis profile error (P-V value) for the primary mirror is less than λ/10 and all the indexes of the primary mirror satisfy the requirements of the optical system.

  2. 78 FR 18473 - Army Privacy Act Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-27

    ... Register (71 FR 46052), the Department of the Army issued a final rule. This final rule corrects the... Department of the Army 32 CFR Part 505 Army Privacy Act Program AGENCY: Department of the Army, DoD. ACTION: Final rule. SUMMARY: The Department of the Army is amending its rule on notification of the...

  3. Act resilient.

    PubMed

    Joseph, Genie; Bice-Stephens, Wynona

    2014-01-01

    Attendees have reported changing from being fearful to serene, from listless to energized, from disengaged to connected, and becoming markedly less anxious in a few weeks. Anecdotally, self-reported stress levels have been reduced by over 50% after just one class. Attendees learn not to be afraid of their feelings by working with emotions in a playful manner. When a person can act angry, but separate himself from his personal story, the emotional energy exists in a separate form that is not attached to specific events, and can be more easily dealt with and neutralized. Attendees are taught to "take out the emotional trash" through expressive comedy. They become less intimated by their own emotional intensity and triggers as they learn how even metaphorical buckets of anger, shame, guilt and hurt can be emotionally emptied. The added benefit is that this is accomplished without the disclosure of personal information of the requirement to reexperience past pain which can trigger its own cascade of stress. PMID:24706248

  4. Penalty Inflation Adjustments for Civil Money Penalties. Interim Final Rule.

    PubMed

    2016-06-27

    In accordance with the Federal Civil Penalties Inflation Adjustment Act of 1990, as amended by the Debt Collection Improvement Act of 1996, and further amended by the Bipartisan Budget Act of 2015, section 701: Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015, this interim final rule incorporates the penalty inflation adjustments for the civil money penalties contained in the Social Security Act

  5. Americans with Disabilities Act (ADA) Accessibility Guidelines for Buildings and Facilities; Play Areas; Final Rule. Federal Register, Part IV: Architectural and Transportation Barriers Compliance Board, 36 CFR Part 1191.

    ERIC Educational Resources Information Center

    Federal Register, 2000

    2000-01-01

    The Architectural and Transportation Barriers Compliance Board has issued guidelines to serve as the basis for enforceable standards to be adopted by the Department of Justice for new construction and alterations of play areas covered by the Americans with Disabilities Act. The guidelines include scoping and technical provisions for ground level…

  6. Update on the Americans with Disabilities Act

    ERIC Educational Resources Information Center

    Russo, Charles J.; Osborne, Allan G.

    2009-01-01

    In 1990, Congress enacted the Americans with Disabilities Act as a comprehensive mandate to eliminate discrimination against individuals with disabilities. The ADA's primary intent was to extend the protection of Section 504 of the Rehabilitation Act of 1973. The major difference between the two laws is that Section 504 applies to programs that…

  7. Handbook for the ACT Career Planning Program.

    ERIC Educational Resources Information Center

    American Coll. Testing Program, Iowa City, IA. Research and Development Div.

    Prepared by the Research and Development Division of the American College Testing (ACT) Program, this handbook contains information pertaining to the ACT Career Planning Program, a guidance program for students considering and entering post-high school career education programs. The primary instrument of the Career Planning Program is a Career…

  8. Syphilis - primary

    MedlinePlus

    Primary syphilis; Secondary syphilis; Late syphilis; Tertiary syphilis ... Syphilis is a sexually transmitted, infectious disease caused by the spirochete bacterium Treponema pallidum . This bacterium causes ...

  9. Self-acting shaft seals

    NASA Technical Reports Server (NTRS)

    Ludwig, L. P.

    1978-01-01

    Self-acting seals are described in detail. The mathematical models for obtaining a seal force balance and the equilibrium operating film thickness are outlined. Particular attention is given to primary ring response (seal vibration) to rotating seat face runout. This response analysis reveals three different vibration models with secondary seal friction being an important parameter. Leakage flow inlet pressure drop and affects of axisymmetric sealing face deformations are discussed. Experimental data on self-acting face seals operating under simulated gas turbine conditions are given. Also a spiral groove seal design operated to 244 m/sec (800 ft/sec) is described.

  10. 76 FR 34230 - Sunshine Act Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-13

    ... Protection Act of 2010. Discussion Agenda: Memorandum and resolution re: Final Rule on Risk-Based Capital Standards: Advanced Capital Adequacy Framework--Basel II; Establishment of a Risk-Based Capital Floor....

  11. 76 FR 51869 - Privacy Act Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-19

    ... regulation on the Privacy Act at 12 CFR part 1204 (74 FR 33907 (July 14, 2009)). The final regulation... America or an alien lawfully admitted for permanent residence. Maintain includes collect, use, disseminate... Act) about a record or to retrieve a record shipped offsite for storage. If you submit your...

  12. 77 FR 57013 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... of the Secretary 32 CFR Part 319 Privacy Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: The Defense Intelligence Agency is updating the Defense Intelligence Agency Privacy Act Program, by adding the (k)(2) exemption to...

  13. ACT-R Electronic Bookshelf: An Adaptive System To Support Learning ACT-R on the Web.

    ERIC Educational Resources Information Center

    Brusilovsky, Peter; Anderson, John

    This paper describes the electronic ACT-R Bookshelf, a system which supports learning ACT-R, a well-known theory in the field of cognitive psychology, over the World Wide Web. ACT-R Bookshelf is a collection of electronic books on various aspects of ACT-R. The primary role of ACT-R Bookshelf is to serve as a 24-hour information resource for…

  14. [Primary hyperparathyroidism].

    PubMed

    Maruani, G; Cornière, N; Nicolet, L; Baron, S; Courbebaisse, M; Renaud, S; Houillier, P

    2013-10-01

    For the past 40 years, primary hyperparathyroidism has been recognized as a common endocrine disease which is, most often, "non-symptomatic", without the occurrence of nephrolithiasis or osteitis fibrosa cystica. Our knowledge in the pathophysiology has increased largely and diagnosis of primary hyperparathyroidism is usually easy. The only radical treatment is surgery and the surgical indications have been codified by several consensus conferences. For patients who do not undergo surgery, prolonged medical monitoring is needed.

  15. 77 FR 59548 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-28

    ... 14, 2010, beginning at 75 FR 2086. The final rule exempting Treasury/DO .220--SIGTARP Hotline Database was published on June 28, 2010, at 75 FR 36536. This regulation is being published as a final rule... Office of the Secretary 31 CFR Part 1 RIN 1505-AC32 Privacy Act; Implementation AGENCY: Office of...

  16. 77 FR 4645 - Privacy Act Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-31

    ... regulation. See 76 FR 51869 (Aug. 19, 2011). The revised Privacy Act regulation (12 CFR part 1204) provided...-day public comment period for the interim final regulation closed on October 18, 2011. See 76 FR 51869... interim final regulation amending 12 CFR part 1204 that was published in the Federal Register at 76...

  17. 78 FR 69551 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-20

    ... of the Secretary 32 CFR Part 319 Privacy Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: Defense Intelligence Agency (DIA) is..., Safety, Health, and Environmental Management Records. This direct final rule makes...

  18. 77 FR 15590 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-16

    ... of the Secretary 32 CFR Part 319 Privacy Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: Defense Intelligence Agency (DIA) is.... This direct final rule makes nonsubstantive changes to the Defense Intelligence Agency (DIA)...

  19. Clean Energy Works Oregon Final Technical Report

    SciTech Connect

    Jacob, Andria; Cyr, Shirley

    2013-12-31

    In April 2010, the City of Portland received a $20 million award from the U.S. Department of Energy, as part of the Energy Efficiency and Conservation Block Grant program. This award was appropriated under the American Recovery and Reinvestment Act (ARRA), passed by President Obama in 2009. DOE’s program became known as the Better Buildings Neighborhood Program (BBNP). The BBNP grant objectives directed the City of Portland Bureau of Planning and Sustainability (BPS) as the primary grantee to expand the BPS-led pilot program, Clean Energy Works Portland, into Clean Energy Works Oregon (CEWO), with the mission to deliver thousands of home energy retrofits, create jobs, save energy and reduce carbon dioxide emissions.The Final Technical Report explores the successes and lessons learned from the first 3 years of program implementation.

  20. Primary hyperparathyroidism

    PubMed Central

    Madkhali, Tarıq; Alhefdhi, Amal; Chen, Herbert; Elfenbein, Dawn

    2016-01-01

    Primary hyperparathyroidism is a common endocrine disorder caused by overactivation of parathyroid glands resulting in excessive release of parathyroid hormone. The resultant hypercalcemia leads to a myriad of symptoms. Primary hyperparathyroidism may increase a patient’s morbidity and even mortality if left untreated. During the last few decades, disease presentation has shifted from the classic presentation of severe bone and kidney manifestations to most patients now being diagnosed on routine labs. Although surgery is the only curative therapy, many advances have been made over the past decades in the diagnosis and the surgical management of primary hyperparathyroidism. The aim of this review is to summarize the characteristics of the disease, the work up, and the treatment options. PMID:26985167

  1. 76 FR 68690 - Rules and Regulations Under the Textile Fiber Products Identification Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-07

    ... Wool Products Labeling Act, and the Fur Products Labeling Act: Final Rule, 63 FR 7508 (Feb. 13, 1998). \\2\\ Federal Trade Commission: Miscellaneous Rules: Final Rule, 63 FR 71582 (Dec. 29, 1998). \\3... and Regulations Under the Wool Products Labeling Act of 1939, Final Rule, 65 FR 75154 (Dec. 1,...

  2. Final Scientific/Technical Report – DE-EE0002960 Recovery Act. Detachment faulting and Geothermal Resources - An Innovative Integrated Geological and Geophysical Investigation of Pearl Hot Spring, Nevada

    SciTech Connect

    Stockli, Daniel F.

    2015-11-30

    The Pearl Host Spring Geothermal Project funded by the DoE Geothermal Program was a joint academic (KU/UT & OU) and industry collaboration (Sierra and Ram Power) to investigate structural controls and the importance of low-angle normal faults on geothermal fluid flow through a multifaceted geological, geophysical, and geochemical investigation in west-central Nevada. The study clearly showed that the geothermal resources in Clayton Valley are controlled by the interplay between low-angle normal faults and active deformation related to the Walker Lane. The study not only identified potentially feasible blind geothermal resource plays in eastern Clayton Valley, but also provide a transportable template for exploration in the area of west-central Nevada and other regional and actively-deforming releasing fault bends. The study showed that deep-seated low-angle normal faults likely act as crustal scale permeability boundaries and could play an important role in geothermal circulation and funneling geothermal fluid into active fault zones. Not unique to this study, active deformation is viewed as an important gradient to rejuvenated fracture permeability aiding the long-term viability of blind geothermal resources. The technical approach for Phase I included the following components, (1) Structural and geological analysis of Pearl Hot Spring Resource, (2) (U-Th)/He thermochronometry and geothermometry, (3) detailed gravity data and modeling (plus some magnetic and resistivity), (4) Reflection and Refraction Seismic (Active Source), (5) Integration with existing and new geological/geophysical data, and (6) 3-D Earth Model, combining all data in an innovative approach combining classic work with new geochemical and geophysical methodology to detect blind geothermal resources in a cost-effective fashion.

  3. Primary structure -- An important concept to distinguish primary stresses

    SciTech Connect

    Lu Mingwan |; Li Jianguo

    1996-12-01

    A new Chinese design code JB 4732-95, Steel Pressure Vessels -- Design by Analysis, was issued in March 1995. In this paper the authors discuss some concepts and ideas which formed in the introduction and application of the design by analysis approach in China. They are: multi-possibility of stress decomposition, self-limiting stress, classification of constraints, and finally an important concept to distinguish primary stress -- primary structures.

  4. 16 CFR 1.12 - Final notice.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 16 Commercial Practices 1 2012-01-01 2012-01-01 false Final notice. 1.12 Section 1.12 Commercial Practices FEDERAL TRADE COMMISSION ORGANIZATION, PROCEDURES AND RULES OF PRACTICE GENERAL PROCEDURES Rules and Rulemaking Under Section 18(a)(1)(B) of the FTC Act § 1.12 Final notice. A final notice...

  5. Final report of supplementary comparison AFRIMETS.AUV.A-S1: primary pressure calibration of LS2aP microphones according to IEC 61094-2, over the frequency range 1 Hz to 31.5 kHz.

    NASA Astrophysics Data System (ADS)

    Nel, R.; Barrera-Figueroa, S.; Dobrowolska, D.; Defilippo Soares, Z. M.; Maina, A. K.; Hof, C.

    2016-01-01

    This is the final report of the AFRIMETS.AUV-S1 comparison of the pressure sensitivity, modulus and phase, of LS2aP microphones in the frequency range 1 Hz to 31.5 kHz in accordance with IEC 61094-2. Six national metrology institutes from three different regional metrology organisations participated in the comparison for which two LS2aP microphones were circulated simultaneously to all the participants in a hybrid-star configuration. The comparison reference values were calculated as the weighted mean for modulus and phase for each individual microphone. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCAUV, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  6. Self-acting shaft seals

    NASA Technical Reports Server (NTRS)

    Ludwig, L. P.

    1978-01-01

    Self-acting seals are described in detail. The mathematical models for obtaining a seal force balance and the equilibrium operating film thickness are outlined. Particular attention is given to primary ring response (seal vibration) to rotating seat face runout. This response analysis reveals three different vibration modes, with secondary seal friction being an important parameter. Leakage flow inlet pressure drop and effects of axisymmetric and nonaxisymmetric sealing face deformations are discussed. Experimental data on self-acting face seals operating under simulated gas turbine conditions are given; these data show the feasibility of operating the seal at conditions of 345 N/sq cm and 152 m/sec sliding speed. Also a spiral groove seal design operated to 244 m/sec is described.

  7. 45 CFR 12.10 - Compliance with the National Environmental Policy Act of 1969 and other related Acts...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Act of 1969 and other related Acts (environmental impact). 12.10 Section 12.10 Public Welfare... and other related Acts (environmental impact). (a) The Department will, prior to making a final... necessary to make an assessment of the impact of the proposed Federal action on the human...

  8. Final Report

    SciTech Connect

    DeTar, Carleton

    2012-12-10

    This document constitutes the Final Report for award DE-FC02-06ER41446 as required by the Office of Science. It summarizes accomplishments and provides copies of scientific publications with significant contribution from this award.

  9. Final Report

    SciTech Connect

    Gurney, Kevin R.

    2015-01-12

    This document constitutes the final report under DOE grant DE-FG-08ER64649. The organization of this document is as follows: first, I will review the original scope of the proposed research. Second, I will present the current draft of a paper nearing submission to Nature Climate Change on the initial results of this funded effort. Finally, I will present the last phase of the research under this grant which has supported a Ph.D. student. To that end, I will present the graduate student’s proposed research, a portion of which is completed and reflected in the paper nearing submission. This final work phase will be completed in the next 12 months. This final workphase will likely result in 1-2 additional publications and we consider the results (as exemplified by the current paper) high quality. The continuing results will acknowledge the funding provided by DOE grant DE-FG-08ER64649.

  10. Penalty Inflation Adjustments for Civil Money Penalties. Interim Final Rule.

    PubMed

    2016-06-27

    In accordance with the Federal Civil Penalties Inflation Adjustment Act of 1990, as amended by the Debt Collection Improvement Act of 1996, and further amended by the Bipartisan Budget Act of 2015, section 701: Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015, this interim final rule incorporates the penalty inflation adjustments for the civil money penalties contained in the Social Security Act PMID:27373014

  11. Field practice internship final report

    SciTech Connect

    Foster, T.

    1994-05-01

    This field practice internship final report gives an overview of the field practice, which was completed at the Oak Ridge Y-12 Plant, Martin Marietta Energy Systems, Inc., Environmental Management Department, Oak Ridge, Tennessee. The field practice focused on the completion of the Superfund Amendments and Reauthorization Act (SARA) Title III, Emergency Planning and Community Right-to-Know Act Section 312, Tier II Report. The field practice internship was conducted on a full-time basis between December 13, 1993 through February 18, 1994. Sheila Poligone, Emergency Planning and Community Right-to-Know Act (EPCRA) Coordinator served as the field practice preceptor.

  12. 77 FR 38171 - Freedom of Information Act and Privacy Act Procedures

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-27

    ... 11, 2012 (77 FR 34179) the Special Inspector General for Afghanistan Reconstruction published a final... regulations under the FOIA and the Privacy Act. On June 11, 2012 (77 FR 34179) SIGAR published a final rule...; Pub. L. 110-175, 121 Stat. 2524 (2007); 5 U.S.C. 301 and 552; Exec. Order 12600, 52 FR 23781, 3...

  13. Medicare Program; Final Waivers in Connection With the Shared Savings Program. Final rule.

    PubMed

    2015-10-29

    This final rule finalizes waivers of the application of the physician self-referral law, the Federal anti-kickback statute, and the civil monetary penalties (CMP) law provision relating to beneficiary inducements to specified arrangements involving accountable care organizations (ACOs) under section 1899 of the Social Security Act (the Act) (the "Shared Savings Program''), as set forth in the Interim Final Rule with comment period (IFC) dated November 2, 2011. As explained in greater detail below, in light of legislative changes that occurred after publication of the IFC, this final rule does not finalize waivers of the application of the CMP law provision relating to "gainsharing'' arrangements. Section 1899(f) of the Act, as added by the Affordable Care Act, authorizes the Secretary to waive certain fraud and abuse laws as necessary to carry out the provisions of section 1899 of the Act. PMID:26524770

  14. Medicare Program; Final Waivers in Connection With the Shared Savings Program. Final rule.

    PubMed

    2015-10-29

    This final rule finalizes waivers of the application of the physician self-referral law, the Federal anti-kickback statute, and the civil monetary penalties (CMP) law provision relating to beneficiary inducements to specified arrangements involving accountable care organizations (ACOs) under section 1899 of the Social Security Act (the Act) (the "Shared Savings Program''), as set forth in the Interim Final Rule with comment period (IFC) dated November 2, 2011. As explained in greater detail below, in light of legislative changes that occurred after publication of the IFC, this final rule does not finalize waivers of the application of the CMP law provision relating to "gainsharing'' arrangements. Section 1899(f) of the Act, as added by the Affordable Care Act, authorizes the Secretary to waive certain fraud and abuse laws as necessary to carry out the provisions of section 1899 of the Act.

  15. Recovery Act Milestones

    ScienceCinema

    Rogers, Matt

    2016-07-12

    Every 100 days, the Department of Energy is held accountable for a progress report on the American Recovery and Reinvestment Act. Update at 200 days, hosted by Matt Rogers, Senior Advisor to Secretary Steven Chu for Recovery Act Implementation.

  16. Recovery Act Milestones

    SciTech Connect

    Rogers, Matt

    2009-01-01

    Every 100 days, the Department of Energy is held accountable for a progress report on the American Recovery and Reinvestment Act. Update at 200 days, hosted by Matt Rogers, Senior Advisor to Secretary Steven Chu for Recovery Act Implementation.

  17. ACTS data center

    NASA Technical Reports Server (NTRS)

    Syed, Ali; Vogel, Wolfhard J.

    1993-01-01

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

  18. The dermatology acting internship.

    PubMed

    Stephens, John B; Raimer, Sharon S; Wagner, Richard F

    2011-07-15

    Acting internships are an important component of modern day medical school curriculum. Several specialties outside of internal medicine now offer acting internship experiences to fourth year medical students. We have found that a dermatology acting internship is a valuable experience for fourth year medical students who are interested in pursuing a residency in dermatology. Our experience with the dermatology acting internship over the 2010-2011 academic year is described.

  19. Forgetting ACT UP

    ERIC Educational Resources Information Center

    Juhasz, Alexandra

    2012-01-01

    When ACT UP is remembered as the pinnacle of postmodern activism, other forms and forums of activism that were taking place during that time--practices that were linked, related, just modern, in dialogue or even opposition to ACT UP's "confrontational activism"--are forgotten. In its time, ACT UP was embedded in New York City, and a larger world,…

  20. 29 CFR 452.29 - Primary elections.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Primary elections. 452.29 Section 452.29 Labor Regulations... GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Frequency and Kinds of Elections § 452.29 Primary elections. Where a union holds...

  1. 29 CFR 452.103 - Primary elections.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 2 2014-07-01 2014-07-01 false Primary elections. 452.103 Section 452.103 Labor... STANDARDS GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Election Procedures; Rights of Members § 452.103 Primary elections. The...

  2. 29 CFR 452.29 - Primary elections.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 2 2011-07-01 2011-07-01 false Primary elections. 452.29 Section 452.29 Labor Regulations... GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Frequency and Kinds of Elections § 452.29 Primary elections. Where a union holds...

  3. 29 CFR 452.103 - Primary elections.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 2 2012-07-01 2012-07-01 false Primary elections. 452.103 Section 452.103 Labor... STANDARDS GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Election Procedures; Rights of Members § 452.103 Primary elections. The...

  4. 29 CFR 452.103 - Primary elections.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 2 2013-07-01 2013-07-01 false Primary elections. 452.103 Section 452.103 Labor... STANDARDS GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Election Procedures; Rights of Members § 452.103 Primary elections. The...

  5. 29 CFR 452.103 - Primary elections.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Primary elections. 452.103 Section 452.103 Labor... STANDARDS GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Election Procedures; Rights of Members § 452.103 Primary elections. The...

  6. 29 CFR 452.29 - Primary elections.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 2 2014-07-01 2014-07-01 false Primary elections. 452.29 Section 452.29 Labor Regulations... GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Frequency and Kinds of Elections § 452.29 Primary elections. Where a union holds...

  7. 29 CFR 452.103 - Primary elections.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 2 2011-07-01 2011-07-01 false Primary elections. 452.103 Section 452.103 Labor... STANDARDS GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Election Procedures; Rights of Members § 452.103 Primary elections. The...

  8. 29 CFR 452.29 - Primary elections.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 2 2013-07-01 2013-07-01 false Primary elections. 452.29 Section 452.29 Labor Regulations... GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Frequency and Kinds of Elections § 452.29 Primary elections. Where a union holds...

  9. 29 CFR 452.29 - Primary elections.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 2 2012-07-01 2012-07-01 false Primary elections. 452.29 Section 452.29 Labor Regulations... GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Frequency and Kinds of Elections § 452.29 Primary elections. Where a union holds...

  10. Long-acting hormonal contraception.

    PubMed

    Benagiano, Giuseppe; Gabelnick, Henry; Brosens, Ivo

    2015-11-01

    Today, a new category of fertility-regulating agents has been created: long-acting, reversible hormonal contraceptives; they minimize compliance, while maximize effectiveness. They comprise subdermal implants and intrauterine devices. Other long-acting agents exist, such as Depo Provera and Noristerat. Use of Depo Provera and Noristerat carries great effectiveness, good clinical safety and usefulness in developing countries. They cause no significant increase in breast cancer risk, but they may carry an increased risk of HIV. Subcutaneous delivery systems have two common features: prolongation of effect is obtained by a drug reservoir and for most of their duration of action they provide a continuous, sustained release of the active hormone. Finally, the intrauterine system Mirena represents both a very effective contraceptive and a specific treatment for menorrhagia.

  11. Primary production off Southern California relative to surface layer carbon budgets: A component of the California Basins Study, CaBS. Final report, [1 June 1989--14 November 1991

    SciTech Connect

    Trees, C.C.

    1994-04-22

    This study started on 1 June 1989 and ended 14 November 1991. Two moored in situ natural fluorometers were deployed in January 1990 to collect bio-optical data for one year, making ground truth measurements around the mooring during 4 cruises. This one-year time series would investigate how the short-term physical forcing aliases the long-term primary production record such that the apparent, larger interannual variability in the record is in reality ``noise`` due to short-term fluctuations in the rate of nutrient input to the euphotic zone. These continuous measurements from moored bio-optical instruments would also allow better estimates of the mean and variance in primary production in these waters than has previously been available from shipboard measurements, as well as, phytoplankton response to short-term physical events. Ancillary measurements that were made were: (1) characterization of the apparent and inherent optical properties, (2) photosynthetic pigment distributions using both HPLC and standard fluorometric methods, (3) carbon, hydrogen and nitrogen content of suspended particulate matter, (4) primary production using conventional {sup 14}C methods from simulated in situ experiments.

  12. [Primary care in Sweden].

    PubMed

    Sánchez-Sagrado, T

    2016-09-01

    Sweden was one of the first European Union countries that saw the opportunity in the free movement of professionals. First offers for jobs were managed in 2000. Since then, a large number of professionals have taken the opportunity of a decent job and have moved from Spain to Sweden. The Swedish health care model belongs to the group of national health systems. The right to health care is linked to legal citizenship. Health is financed through regional taxes, but there is a compulsory co-payment regardless of the financial situation of the patient. The provision of health care is decentralised at a regional level, and there is a mixture of private and public medical centres. Primary care is similar to that in Spain. Health professionals work as a team with a division of tasks. Like in Spain, waiting lists and coordination between primary and specialised care are a great problem. Patients may register with any public or private primary care centre and hospital provider within their region. Access to diagnostic tests and specialists are restricted to those selected by specialists. Doctors are salaried and their job and salary depend on their experience, professional abilities and regional needs. Medicine is curative. General practitioners are the gateway to the system, but they do not act as gatekeeper. Hospitals offer a number of training post, and the access is through an interview. Continuing medical education is encouraged and financed by the health centre in order to increase its revenues.

  13. Final Report

    SciTech Connect

    Normanly, J.

    1999-11-29

    The primary goal was the characterization of tryptophan (Trp)-independent biosynthesis of the auxin indole-3-acetic acid (IAA). Our work and that of others indicates that indole is a precursor to IAA in a Trp-independent pathway and the objectives of this grant have been the isolation of indole-metabolizing genes from Arabidopsis.

  14. 22 CFR 96.44 - Acting as primary provider.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... (agencies, persons, or other non-governmental entities). (b) The agency or person has an organizational structure, financial and personnel resources, and policies and procedures in place that demonstrate that...

  15. 22 CFR 96.44 - Acting as primary provider.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... (agencies, persons, or other non-governmental entities). (b) The agency or person has an organizational structure, financial and personnel resources, and policies and procedures in place that demonstrate that...

  16. Preserving Patient Access to Primary Care Act of 2009

    THOMAS, 111th Congress

    Rep. Schwartz, Allyson Y. [D-PA-13

    2009-05-12

    06/11/2009 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:

  17. Preserving Patient Access to Primary Care Act of 2009

    THOMAS, 111th Congress

    Sen. Cantwell, Maria [D-WA

    2009-06-03

    06/03/2009 Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S6036-6045) (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  18. Final Words

    ERIC Educational Resources Information Center

    Bers, Trudy

    2012-01-01

    This final chapter provides observations about institutional research in community colleges derived from the preceding chapters and the issue editors' own experiences. Taken as a whole, the chapters in this issue, as well as the editors' experiences, suggest several observations about institutional research in community colleges. These include the…

  19. LSCA Final Reports: Third Series.

    ERIC Educational Resources Information Center

    Clark, Collin, Ed.

    This document includes final summary reports from 16 recent federally funded Library Services and Construction Act (LSCA) projects in California. This volume covers generally the period 1984-85, and reports are presented in six subject areas: programs for children, information and referral projects, institutional services, literacy, local history,…

  20. Energy Impact Illinois - Final Technical Report

    SciTech Connect

    Olson, Daniel; Plagman, Emily; Silberhorn, Joey-Lin

    2014-02-18

    Energy Impact Illinois (EI2) is an alliance of government organizations, nonprofits, and regional utility companies led by the Chicago Metropolitan Agency for Planning (CMAP) that is dedicated to helping communities in the Chicago metropolitan area become more energy efficient. Originally organized as the Chicago Region Retrofit Ramp-Up (CR3), EI2 became part of the nationwide Better Buildings Neighborhood Program (BBNP) in May 2010 after receiving a $25 million award from the U.S. Department of Energy (DOE) authorized through the American Recovery and Reinvestment Act of 2009 (ARRA). The program’s primary goal was to fund initiatives that mitigate barriers to energy efficiency retrofitting activities across residential, multifamily, and commercial building sectors in the seven-county CMAP region and to help to build a sustainable energy efficiency marketplace. The EI2 Final Technical Report provides a detailed review of the strategies, implementation methods, challenges, lessons learned, and final results of the EI2 program during the initial grant period from 2010-2013. During the program period, EI2 successfully increased direct retrofit activity in the region and was able to make a broader impact on the energy efficiency market in the Chicago region. As the period of performance for the initial grant comes to an end, EI2’s legacy raises the bar for the region in terms of helping homeowners and building owners to take action on the continually complex issue of energy efficiency.

  1. Moonshot Panel Moving Toward Final Report

    Cancer.gov

    An NCI Cancer Currents blog from acting NCI Director Dr. Doug Lowy providing an update on the activities of the National Cancer Moonshot Initiative’s Blue Ribbon Panel and its work to develop a final report.

  2. Act II of the Sunshine Act.

    PubMed

    Pham-Kanter, Genevieve

    2014-11-01

    To coincide with the introduction in the United States of the Sunshine Act, Genevieve Pham-Kanter discusses what we need to look for to fight hidden bias and deliberate or unconscious corruption. Please see later in the article for the Editors' Summary.

  3. Health insurance premium tax credit. Final regulations.

    PubMed

    2013-02-01

    This document contains final regulations relating to the health insurance premium tax credit enacted by the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010.These final regulations provide guidance to individuals related to employees who may enroll in eligible employer-sponsored coverage and who wish to enroll in qualified health plans through Affordable Insurance Exchanges (Exchanges) and claim the premium tax credit. PMID:23476972

  4. Final report on COOMET.QM-S1 (COOMET project no 483/RU/09): Supplementary comparison of primary standard gas mixtures: Nitrogen monoxide in nitrogen (50 µmol/mol)

    NASA Astrophysics Data System (ADS)

    Konopelko, L. A.; Kustikov, Y. A.; Kolobova, A. V.; Shor, N. B.; Efremova, O. V.; Rozhnov, M. S.; Melnyk, D. M.; Kozia, V. G.; Shpilnyi, S. A.; Petryshyn, P. V.; Iakubov, S. E.; Kluchits, A. S.; Ananyin, V. N.; Mironchik, A. M.; Mokhnach, M. V.; Valkova, M.; Stovcik, V.; Walden, J.; Augusto, C. R.; Fioravante, A. L.; Ribeiro, C. C.; Sobrinho, D. C. G.; Oudwater, R. J.; da Cunha, V. S.

    2014-01-01

    Nitrogen monoxide is one of the main contaminants present in the atmospheric air due to emissions of vehicles and power stations. Taking into account the positive experience of VNIIM in the pilot study CCQM-P73 (Nitrogen monoxide gas standards, 30 µmol/mol to 70 µmol/mol), a COOMET project (No 483/RU/09) on the subject was decided and registered in the KCDB as supplementary comparison COOMET.QM-S1. This involved six National Metrology Institutes, aiming to consolidate or support their Calibration and Measurement Capabilities in this field. It was found that most of the results were consistent with the reference (gravimetric) values, with observed differences not exceeding ±1.3% and not exceeding either the appropriate assigned expanded uncertainties. There was, however, one exception: the INMETRO difference from the reference value is slightly higher than the expended uncertainty. The mixtures prepared for this exercise were found to be stable during about one year within the uncertainty of the measurements. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by COOMET, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  5. 45 CFR 1226.10 - Hatch Act restrictions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... employee thereof. (2) Acting as an officer of a primary meeting or caucus, addressing, making motions... caucuses. (3) Organizing or conducting a political meeting or rally on any political matter. (4)...

  6. 45 CFR 1226.10 - Hatch Act restrictions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... employee thereof. (2) Acting as an officer of a primary meeting or caucus, addressing, making motions... caucuses. (3) Organizing or conducting a political meeting or rally on any political matter. (4)...

  7. 45 CFR 1226.10 - Hatch Act restrictions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... employee thereof. (2) Acting as an officer of a primary meeting or caucus, addressing, making motions... caucuses. (3) Organizing or conducting a political meeting or rally on any political matter. (4)...

  8. 45 CFR 1226.10 - Hatch Act restrictions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... employee thereof. (2) Acting as an officer of a primary meeting or caucus, addressing, making motions... caucuses. (3) Organizing or conducting a political meeting or rally on any political matter. (4)...

  9. 45 CFR 1226.10 - Hatch Act restrictions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... employee thereof. (2) Acting as an officer of a primary meeting or caucus, addressing, making motions... caucuses. (3) Organizing or conducting a political meeting or rally on any political matter. (4)...

  10. Final Report

    SciTech Connect

    Marchant, Gary E.

    2013-04-23

    This is the final report of a two year project entitled "Governing Nanotechnology Risks and Benefits in the Transition to Regulation: Innovative Public and Private Approaches." This project examined the role of new governance or "soft law" mechanisms such as codes of conduct, voluntary programs and partnership agreements to manage the risks of emerging technologies such as nanotechnology. A series of published or in publication papers and book chapters are attached.

  11. Final Report

    SciTech Connect

    R. Paul Drake

    2001-11-30

    This final report describes work involving 22 investigators from 11 institutions to explore the dynamics present in supernova explosions by means of experiments on the Omega laser. The specific experiments emphasized involved the unstable expansion of a spherical capsule and the coupling of perturbations at a first interface to a second interface by means of a strong shock. Both effects are present in supernovae. The experiments were performed at Omega and the computer simulations were undertaken at several institutions. B139

  12. 77 FR 28478 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-15

    ... on July 26, 2011, at 76 FR 44656 adopting the Privacy Act systems of records formerly maintained by...' Office of Chief Counsel as published on November 15, 2011, at 76 FR 70640, as well as, the final rule published on January 11, 2012, at 77 FR 1632 regarding records maintained by Treasury's Office of...

  13. 75 FR 75676 - Sunshine Act Notices

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-06

    ... From the Federal Register Online via the Government Publishing Office FEDERAL ELECTION COMMISSION Sunshine Act Notices AGENCY: Federal Election Commission. Date and Time: Thursday, December 2, 2010, at 10... the Tennessee Republican Party Federal Election Account. Proposed Final Audit Report on the...

  14. 78 FR 48136 - Sunshine Act Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-07

    ... From the Federal Register Online via the Government Publishing Office COMMISSION ON CIVIL RIGHTS Sunshine Act Notice AGENCY: United States Commission on Civil Rights. ACTION: Notice of Business Meeting... Final Draft of the ``Civil Rights Implications of Eminent Domain Abuse'' report Vote to Approve...

  15. 76 FR 13404 - Sunshine Act Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-11

    .... Svoboda, Esq., and Michael E. Toner, Esq. Proposed Final Audit Report on Hillary Clinton for President... From the Federal Register Online via the Government Publishing Office FEDERAL ELECTION COMMISSION Sunshine Act Notice AGENCY: Federal Election Commission. DATE AND TIME: Wednesday, March 16, 2011 at 10...

  16. 77 FR 15593 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-16

    ... of the Secretary 32 CFR Part 319 Privacy Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: The Defense Intelligence Agency (DIA) is... the Defense Intelligence Agency Program rules. These changes will allow the Department to...

  17. 77 FR 15594 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-16

    ..., ``Foreign Intelligence and Counterintelligence Operation Records'' (June 15, 2010, 75 FR 33791). This will... of the Secretary 32 CFR Part 319 Privacy Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: The Defense Intelligence Agency is...

  18. 76 FR 49658 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-11

    ..., ``Investigations and Complaints'' (July 19, 2006, 71 FR 41006). This will improve the efficiency and effectiveness... of the Secretary 32 CFR Part 319 Privacy Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: The Defense Intelligence Agency is...

  19. 76 FR 49659 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-11

    ... of the Secretary 32 CFR Part 319 Privacy Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: The Defense Intelligence Agency (DIA) is... the Defense Intelligence Agency Program rules. These changes will allow the Department to...

  20. 77 FR 15592 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-16

    ... of the Secretary 32 CFR Part 319 Privacy Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: The Defense Intelligence Agency (DIA) is... rule makes nonsubstantive changes to the Defense Intelligence Agency Program rules. This will...

  1. 77 FR 57016 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... of the Secretary 32 CFR Part 319 Privacy Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: Defense Intelligence Agency (DIA) is... Intelligence Agency Program rules. These changes will allow the Department to add exemption rules to the...

  2. 77 FR 15591 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-16

    ... of the Secretary 32 CFR Part 319 Privacy Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: The Defense Intelligence Agency is deleting... makes nonsubstantive changes to the Defense Intelligence Agency Privacy Program rules. These...

  3. Primary hyperoxaluria.

    PubMed

    Lorenzo, Víctor; Torres, Armando; Salido, Eduardo

    2014-05-21

    Primary hyperoxaluria (PH) occurs due to an autosomal recessive hereditary disorder of the metabolism of glyoxylate, which causes excessive oxalate production. The most frequent and serious disorder is due to enzyme deficit of alanine-glyoxylate aminotransferase (PH type I) specific to hepatic peroxisome. As oxalate is not metabolised in humans and is excreted through the kidneys, the kidney is the first organ affected, causing recurrent lithiasis, nephrocalcinosis and early renal failure. With advance of renal failure, particularly in patients on haemodialysis (HD), calcium oxalate is massively deposited in tissues, which is known as oxalosis. Diagnosis is based on family history, the presence of urolithiasis and/or nephrocalcinosis, hyperoxaluria, oxalate deposits in tissue forming granulomas, molecular analysis of DNA and enzyme analysis if applicable. High diagnostic suspicion is required; therefore, unfortunately, in many cases it is diagnosed after its recurrence following kidney transplantation. Conservative management of this disease (high liquid intake, pyridoxine and crystallisation inhibitors) needs to be adopted early in order to delay kidney damage. Treatment by dialysis is ineffective in treating excess oxalate. After the kidney transplant, we normally observe a rapid appearance of oxalate deposits in the graft and the results of this technique are discouraging, with very few exceptions. Pre-emptive liver transplantation, or simultaneous liver and kidney transplants when there is already irreversible damage to the kidney, is the treatment of choice to treat the underlying disease and suppress oxalate overproduction. Given its condition as a rare disease and its genetic and clinical heterogeneity, it is not possible to gain evidence through randomised clinical trials. As a result, the recommendations are established by groups of experts based on publications of renowned scientific rigour. In this regard, a group of European experts (OxalEurope) has

  4. Southeast Alaska Native Land Entitlement Finalization and Jobs Protection Act

    THOMAS, 112th Congress

    Sen. Murkowski, Lisa [R-AK

    2011-04-05

    05/25/2011 Committee on Energy and Natural Resources Subcommittee on Public Lands and Forests. Hearings held. With printed Hearing: S.Hrg. 112-131. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  5. Caregivers program. Final rule.

    PubMed

    2015-01-01

    The Department of Veterans Affairs (VA) adopts, with changes, the interim final rule concerning VA's Program of Comprehensive Assistance for Family Caregivers. VA administers this program to provide certain medical, travel, training, and financial benefits to caregivers of certain veterans and servicemembers who were seriously injured during service on or after September 11, 2001. Also addressed in this rulemaking is the Program of General Caregiver Support Services that provides support services to caregivers of veterans from all eras who are enrolled in the VA health care system. Specifically, changes in this final rule include a requirement that Veterans be notified in writing should a Family Caregiver request revocation (to no longer be a Family Caregiver), an extension of the application timeframe from 30 days to 45 days for a Family Caregiver, and a change in the stipend calculation to ensure that Primary Family Caregivers do not experience unexpected decreases in stipend amounts from year to year. PMID:25581943

  6. 25 CFR 700.33 - Act (The Act).

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 2 2013-04-01 2013-04-01 false Act (The Act). 700.33 Section 700.33 Indians THE OFFICE OF NAVAJO AND HOPI INDIAN RELOCATION COMMISSION OPERATIONS AND RELOCATION PROCEDURES General Policies and Instructions Definitions § 700.33 Act (The Act). (a) The Act. The Act is Pub. L. 93-531, (88...

  7. 25 CFR 700.33 - Act (The Act).

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false Act (The Act). 700.33 Section 700.33 Indians THE OFFICE OF NAVAJO AND HOPI INDIAN RELOCATION COMMISSION OPERATIONS AND RELOCATION PROCEDURES General Policies and Instructions Definitions § 700.33 Act (The Act). (a) The Act. The Act is Pub. L. 93-531, (88...

  8. 25 CFR 700.33 - Act (The Act).

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 2 2012-04-01 2012-04-01 false Act (The Act). 700.33 Section 700.33 Indians THE OFFICE OF NAVAJO AND HOPI INDIAN RELOCATION COMMISSION OPERATIONS AND RELOCATION PROCEDURES General Policies and Instructions Definitions § 700.33 Act (The Act). (a) The Act. The Act is Pub. L. 93-531, (88...

  9. 25 CFR 700.33 - Act (The Act).

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 2 2011-04-01 2011-04-01 false Act (The Act). 700.33 Section 700.33 Indians THE OFFICE OF NAVAJO AND HOPI INDIAN RELOCATION COMMISSION OPERATIONS AND RELOCATION PROCEDURES General Policies and Instructions Definitions § 700.33 Act (The Act). (a) The Act. The Act is Pub. L. 93-531, (88...

  10. Short and Fraught: The History of Primary Education in England

    ERIC Educational Resources Information Center

    Gillard, Derek

    2009-01-01

    Official reports on primary education are a bit like London buses. You wait ages and then three come along at once. There has been no major report on primary education since the 1967 Plowden Report "Children and their Primary Schools". Now, final reports are awaited from the Cambridge Primary Review and the government-appointed Independent Review…

  11. ACT and College Success

    ERIC Educational Resources Information Center

    Bleyaert, Barbara

    2010-01-01

    What is the relationship between ACT scores and success in college? For decades, admissions policies in colleges and universities across the country have required applicants to submit scores from a college entrance exam, most typically the ACT (American College Testing) or SAT (Scholastic Aptitude Test). This requirement suggests that high school…

  12. Americans with Disabilities Act.

    ERIC Educational Resources Information Center

    Updating School Board Policies, 1992

    1992-01-01

    Addressed to school board members, this article attempts to summarize requirements of the Americans with Disabilities Act (ADA) and its implications for school districts. It warns against hasty purchase of private compliance assistance; then provides an overview of each of the Act's five Titles which address employment practices, activities…

  13. The Clean Water Act

    SciTech Connect

    Piatt, J.

    1995-12-31

    The Federal Water Pollution Control Act, commonly called the Clean Water Act (CWA), was adopted on 18 October 1972. Since then it has been amended 18 times, the last amendments were adopted on 4 February 1987. As established, its objective is: to restore and maintain the chemical, physical, and biological integrity of the Nation`s waters. And has, as an interim goal: water quality which provides for the protection and propagation of fish, shellfish, and wildlife and provides for recreation in and on the water. It should be noted that Congress established as the Act`s ultimate goal: the discharge of pollutants into the navigable waters be eliminated. The Act set out to meet this lofty objective and goal through the development and implementation of controls on the point source discharges and the nonpoint source release of pollutants. The regulation of point and nonpoint sources as well as future requirements are discussed.

  14. Final Report

    SciTech Connect

    R Paul Drake

    2004-01-12

    OAK-B135 This is the final report from the project Hydrodynamics by High-Energy-Density Plasma Flow and Hydrodynamics and Radiation Hydrodynamics with Astrophysical Applications. This project supported a group at the University of Michigan in the invention, design, performance, and analysis of experiments using high-energy-density research facilities. The experiments explored compressible nonlinear hydrodynamics, in particular at decelerating interfaces, and the radiation hydrodynamics of strong shock waves. It has application to supernovae, astrophysical jets, shock-cloud interactions, and radiative shock waves.

  15. Final report, Feedback limitations of photosynthesis

    SciTech Connect

    Sharkey, Thomas D.

    1999-07-22

    Final report of research on carbon metabolism of photosynthesis. The feedback from carbon metabolism to primary photosynthetic processes is summarized, and a comprehensive list of published scientific papers is provided.

  16. 76 FR 37082 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-24

    ... Logistics Agency (DLA) Primary Level Field Activities. Official mailing addresses are published as an... Affairs Offices of the Defense Logistics Agency (DLA) Primary Level Field Activities. Official mailing... of the Secretary Privacy Act of 1974; Systems of Records AGENCY: Defense Logistics Agency,...

  17. Media and primary socialization theory.

    PubMed

    Kelly, K; Donohew, L

    1999-06-01

    This article discusses the role of media in the socialization process of adolescents, and supports the theory of primary socialization which identifies media as a secondary factor in the socialization process (as described in other articles in this series). Additionally, several models of information processing are presented which offer both a cognitive and affective model of processing communications. Finally, the article points to the need for future research to analyze the cases and implications of media's impact on adolescents when media serve as a primary, rather than a secondary, source of socialization. [Translations are provided in the International Abstracts Section of this issue.] PMID:10359221

  18. Final Report

    SciTech Connect

    2012-08-20

    The goal of this project was to quantify organic aerosol precursor concentrations in an urban environment and to measure suitable organic photoproduct species that can act as tracers of photochemical processing to identify the occurrence and rate of secondary organic aerosol formation. Field measurements were made as part of the ASR field program Carbonaceous Aerosols and Radiative Effects Study (CARES) in June 2010. What is new in our approach is the measurement for the total concentration of long chain alkanes (>C10) and heavier alkyl substituted aromatics associated with diesel exhaust gas phase organic compound emissions. A method to measure these so called intermediate volatility organic compounds (IVOCs) was developed by modifying a proton transfer reaction mass spectrometer instrument to perform both volatile organic compound (VOC) and IVOC analysis by thermal desorption from a Tenax adsorbent trap (TD-PTR-MS). Lab and field results show that the TD-PTR-MS technique can measure long chain alkanes associated with diesel engine emissions and thus provide a novel means to measure these compounds to better understand the impact of vehicle emissions on secondary organic aerosol formation.

  19. The munitions provisions of the Federal Facility Compliance Act

    SciTech Connect

    Kimmell, T.A.; Green, D.R.; Queen, R.

    1994-03-01

    The Federal Facility Compliance Act (FFCA) was signed by President Bush on October 6, 1992. This Act amends the Resource Conservation and Recovery Act (RCRA), the primary law governing hazardous waste management in the US The most significant provision of the FFCA was the waiver of sovereign immunity. This waiver subjects Federal facilities to the same ``incentives`` as the private sector for compliance. While the waiver has broad implications for all Federal facilities, other provisions of the FFCA impact specific sectors of the Federal complex. The focus of this paper is the FFCA Munitions Provisions, which have the potential to change some aspects of the structure of munitions management within the military. The Munitions Provisions, contained in Section 107 of the FFCA, modifies Section 3004 of RCRA by adding a new subsection (y) on Munitions. Section 107 requires the Environmental Protection Agency (EPA) to develop, after consultation with the Department of Defense (DOD) and appropriate State officials, regulations identifying when military munitions (including conventional and chemical munitions) become hazardous waste, and to provide for the safe transportation and storage of such waste. The FFCA requires EPA to promulgate the final ``Munitions Rule`` by October 6, 1994. These are the only provisions of the FFCA that require a new rulemaking. It is clear that the Munitions Rule could have a significant effect on the way in which DOD manages munitions. Demilitarization, range management, training activities, and emergency response actions may be affected. It is important for DOD, the Services, and individual installations, to be aware of potential impacts of the FFCA on munitions management operations. The purpose of this paper is to review several important munitions Rule issues, and to discuss potential impacts of these issues.

  20. Medicare Program; Temporary Exception for Certain Severe Wound Discharges From Certain Long-Term Care Hospitals Required by the Consolidated Appropriations Act, 2016; Modification of Limitations on Redesignation by the Medicare Geographic Classification Review Board. Interim final rule with comment period.

    PubMed

    2016-04-21

    This interim final rule with comment period (IFC) implements section 231 of the Consolidated Appropriations Act of 2016 (CAA), which provides for a temporary exception for certain wound care discharges from the application of the site neutral payment rate under the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) for certain long-term care hospitals. This IFC also amends our current regulations to allow hospitals nationwide to reclassify based on their acquired rural status, effective with reclassifications beginning with fiscal year (FY) 2018. Hospitals with an existing Medicare Geographic Classification Review Board (MGCRB) reclassification would also have the opportunity to seek rural reclassification for IPPS payment and other purposes and keep their existing MGCRB reclassification. We would also apply the policy in this IFC when deciding timely appeals before the Administrator under our regulations for FY 2017 that were denied by the MGCRB due to existing regulations, which do not permit simultaneous rural reclassification for IPPS payment and other purposes and MGCRB reclassification. These regulatory changes implement the decisions in Geisinger Community Medical Center v. Secretary, United States Department of Health and Human Services, 794 F.3d 383 (3d Cir. 2015) and Lawrence + Memorial Hospital v. Burwell, No. 15-164, 2016 WL 423702 (2d Cir. Feb. 4, 2015) in a nationally consistent manner.

  1. Medicare Program; Temporary Exception for Certain Severe Wound Discharges From Certain Long-Term Care Hospitals Required by the Consolidated Appropriations Act, 2016; Modification of Limitations on Redesignation by the Medicare Geographic Classification Review Board. Interim final rule with comment period.

    PubMed

    2016-04-21

    This interim final rule with comment period (IFC) implements section 231 of the Consolidated Appropriations Act of 2016 (CAA), which provides for a temporary exception for certain wound care discharges from the application of the site neutral payment rate under the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) for certain long-term care hospitals. This IFC also amends our current regulations to allow hospitals nationwide to reclassify based on their acquired rural status, effective with reclassifications beginning with fiscal year (FY) 2018. Hospitals with an existing Medicare Geographic Classification Review Board (MGCRB) reclassification would also have the opportunity to seek rural reclassification for IPPS payment and other purposes and keep their existing MGCRB reclassification. We would also apply the policy in this IFC when deciding timely appeals before the Administrator under our regulations for FY 2017 that were denied by the MGCRB due to existing regulations, which do not permit simultaneous rural reclassification for IPPS payment and other purposes and MGCRB reclassification. These regulatory changes implement the decisions in Geisinger Community Medical Center v. Secretary, United States Department of Health and Human Services, 794 F.3d 383 (3d Cir. 2015) and Lawrence + Memorial Hospital v. Burwell, No. 15-164, 2016 WL 423702 (2d Cir. Feb. 4, 2015) in a nationally consistent manner. PMID:27101642

  2. ACTS mobile SATCOM experiments

    NASA Technical Reports Server (NTRS)

    Abbe, Brian S.; Frye, Robert E.; Jedrey, Thomas C.

    1993-01-01

    Over the last decade, the demand for reliable mobile satellite communications (satcom) for voice, data, and video applications has increased dramatically. As consumer demand grows, the current spectrum allocation at L-band could become saturated. For this reason, NASA and the Jet Propulsion Laboratory are developing the Advanced Communications Technology Satellites (ACTS) mobile terminal (AMT) and are evaluating the feasibility of K/Ka-band (20/30 GHz) mobile satcom to meet these growing needs. U.S. industry and government, acting as co-partners, will evaluate K/Ka-band mobile satcom and develop new technologies by conducting a series of applications-oriented experiments. The ACTS and the AMT testbed will be used to conduct these mobile satcom experiments. The goals of the ACTS Mobile Experiments Program and the individual experiment configurations and objectives are further presented.

  3. Assertive Community Treatment (ACT)

    MedlinePlus

    ... community treatment? Assertive community treatment (ACT) is a model of psychiatric care that can be very effective ... it the most. Similar to the “treatment team” model of an inpatient psychiatric unit, which includes nurses, ...

  4. The ACTS propagation program

    NASA Technical Reports Server (NTRS)

    Chakraborty, Dayamoy; Davarian, Faramaz

    1991-01-01

    The purpose of the Advanced Communications Technology Satellite (ACTS) is to demonstrate the feasibility of the Ka-band (20 and 30 GHz) spectrum for satellite communications, as well as to help maintain U.S. leadership in satellite communications. ACTS incorporates such innovative schemes as time division multiple access (TDMA), microwave and baseband switching, onboard regeneration, and adaptive application of coding during rain-fade conditions. The success or failure of the ACTS experiment will depend on how accurately the rain-fade statistics and fade dynamics can be predicted in order to derive an appropriate algorithm that will combat weather vagaries, specifically for links with small terminals, such as very small aperture terminals (VSAT's) where the power margin is a premium. This article describes the planning process and hardware development program that will comply with the recommendations of the ACTS propagation study groups.

  5. The New Higher Education Act: Where It Comes Up Short

    ERIC Educational Resources Information Center

    Chronicle of Higher Education, 2008

    2008-01-01

    Congress has passed a bill that would reauthorize the Higher Education Act. Now five years overdue, the new act created many programs and requirements for colleges and universities. Given all the time and effort that went into it, do aspects of the final legislation fall short? What key measures have been left out? In this article, six policy…

  6. 75 FR 81454 - Privacy Act of 1974; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-28

    ... (40 FR 45113), the Joint Board published its proposed Privacy Act regulations, designating such... FR 1493), the Joint Board published its final Privacy Act regulations as 20 CFR part 903 and in the... exempt certain systems of records: On August 27, 1975 (40 FR 39387), the Joint Board published a...

  7. 76 FR 43826 - Mortgage Acts and Practices-Advertising

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-22

    ....consumerfinance.gov ). FOR FURTHER INFORMATION CONTACT: Laura Johnson or Carole Reynolds, Attorneys, Division of... mortgage assistance relief services. See Mortgage Assistance Relief Services (MARS), Final Rule, 75 FR..., 75 FR 57252, 57253 (Sept. 20, 2010); see also Dodd-Frank Act Sec. 1062. \\21\\ Dodd-Frank Act Sec....

  8. 76 FR 22808 - Privacy Act of 1974; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-25

    ...)(2), (k)(3), (k)(4), (k)(5), (k)(6), and (k)(7) for S510.30, Freedom of Information Act/Privacy Act...), (k)(2), (k)(3), (k)(4), (k)(5), (k)(6), and (k)(7). 4. Reasons: Records are only exempt from..., DoD. ACTION: Direct final rule with request for comments. SUMMARY: The Department of Defense...

  9. 76 FR 53057 - National Environmental Policy Act Procedures

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-25

    ... 775 National Environmental Policy Act Procedures AGENCY: Postal Service. ACTION: Final rule. SUMMARY: This rule amends the Postal Service's National Environmental Policy Act (NEPA) compliance procedures to... communications should be directed to: Environmental Counsel, U.S. Postal Service, 4200 Wake Forest Rd.,...

  10. 29 CFR 1952.354 - Final approval determination.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Act and implementing regulations at 29 CFR part 1902. Accordingly, the Arizona plan was granted final... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... effective as operations under the Federal program; to submit plan supplements in accordance with 29 CFR...

  11. 29 CFR 1952.354 - Final approval determination.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... Act and implementing regulations at 29 CFR part 1902. Accordingly, the Arizona plan was granted final... effective as operations under the Federal program; to submit plan supplements in accordance with 29 CFR...

  12. 29 CFR 1952.354 - Final approval determination.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... Act and implementing regulations at 29 CFR part 1902. Accordingly, the Arizona plan was granted final... effective as operations under the Federal program; to submit plan supplements in accordance with 29 CFR...

  13. 29 CFR 1952.354 - Final approval determination.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... Act and implementing regulations at 29 CFR part 1902. Accordingly, the Arizona plan was granted final... effective as operations under the Federal program; to submit plan supplements in accordance with 29 CFR...

  14. 29 CFR 1952.313 - Final approval determination.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... for final State plan approval in section 18(e) of the Act and implementing regulations at 29 CFR part... supplements in accordance with 29 CFR part 1953; to allocate sufficient safety and health enforcement staff...

  15. Final Report

    SciTech Connect

    Webb, Robert C.; Kamon, Teruki; Toback, David; Safonov, Alexei; Dutta, Bhaskar; Dimitri, Nanopoulos; Pope, Christopher; White, James

    2013-11-18

    Overview The High Energy Physics Group at Texas A&M University is submitting this final report for our grant number DE-FG02-95ER40917. This grant has supported our wide range of research activities for over a decade. The reports contained here summarize the latest work done by our research team. Task A (Collider Physics Program): CMS & CDF Profs. T. Kamon, A. Safonov, and D. Toback co-lead the Texas A&M (TAMU) collider program focusing on CDF and CMS experiments. Task D: Particle Physics Theory Our particle physics theory task is the combined effort of Profs. B. Dutta, D. Nanopoulos, and C. Pope. Task E (Underground Physics): LUX & NEXT Profs. R. Webb and J. White(deceased) lead the Xenon-based underground research program consisting of two main thrusts: the first, participation in the LUX two-phase xenon dark matter search experiment and the second, detector R&D primarily aimed at developing future detectors for underground physics (e.g. NEXT and LZ).

  16. Should nurses act legally or ethically?

    PubMed

    Newnham, H

    1998-03-01

    Should health professionals act legally or ethically in the delivery of health care presuming it is impossible to do both? There is a tendency by some to take the position that to act ethically is more important in the provision of health care and to ignore or at least minimise any legal consequences that may arise. At the same time the law may ignore ethical principles claiming the legal position is more important. This article argues that while law and ethics are both important in the delivery of health care the law as the final arbitrator takes precedence.

  17. 40 CFR 173.8 - Final order.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS PROCEDURES GOVERNING THE RESCISSION OF STATE PRIMARY ENFORCEMENT RESPONSIBILITY FOR PESTICIDE USE VIOLATIONS § 173.8 Final... the proceeding or rescind, in whole or in part, the State's primary enforcement responsibility...

  18. 40 CFR 173.8 - Final order.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS PROCEDURES GOVERNING THE RESCISSION OF STATE PRIMARY ENFORCEMENT RESPONSIBILITY FOR PESTICIDE USE VIOLATIONS § 173.8 Final... the proceeding or rescind, in whole or in part, the State's primary enforcement responsibility...

  19. 75 FR 45563 - Terrorism Risk Insurance Program; Final Netting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-03

    ... 31 CFR Part 50 RIN 1505-AC24 Terrorism Risk Insurance Program; Final Netting AGENCY: Departmental... (``Treasury'') is issuing this proposed rule as part of its implementation of Title I of the Terrorism Risk Insurance Act of 2002 (``TRIA'' or ``the Act''), as amended by the Terrorism Risk Insurance Extension Act...

  20. Final report

    SciTech Connect

    Susan S. Golden

    2005-03-31

    The originally funded project was geared to pursue research on regulation of photosystem II (PSII) in the cyanobacterium Synechococcus elongatus PCC 7942. We characterized a locus, psfR, (psbA stimulating factor) that affects expression of the psbAI gene, which encodes the PSII protein D1. Over-expression of psfR, which encodes a protein with receiver and pseudo-receiver domains, acts at the promoter region to elevate expression of psbAI and a subset of other loci. We reoriented the remainder of the funding to make a greater impact through completion of a functional genomics project that had been initiated with funding from another agency. The goal is inactivation of each gene individually in the S. elongatus genome, and completion of the entire genome sequence. At the end of the project we will have screened all loci for involvement in circadian rhythms of gene expression and assembled an archived set of clones that can be used to create the mutations to screen for any other phenotype. During the project period we: (1) prepared a functional genomics website for S. elongatus PCC 7942 that posts sequences prior to GenBank release, and presents the strategy and progress for the genomics project (http://www.bio.tamu.edu/synecho/); (2) determined the sequence of and annotated the S. elongatus 46 kb plasmid, pANL; (3) submitted assembled sequences with annotation of 8 cosmid inserts to GenBank (313 kb), with sites of transposon insertions indicated; (4) mutagenized approximately an additional 600 kb of the genome (16 cosmids) and identified sequences flanking the mutations; (5) recombined mutagenesis substrates into the S. elongatus genome to produce gene inactivations (at the sites of transposon insertions) for approximately 415 kb of mutagenized sequence (85% of these have already been screened for circadian phenotypes) (6) identified the clpPIIclpX locus as important in determining circadian period; and (7) demonstrated effectiveness of antisense RNA for decreasing

  1. The Affordable Care Act and emergency care.

    PubMed

    McClelland, Mark; Asplin, Brent; Epstein, Stephen K; Kocher, Keith Eric; Pilgrim, Randy; Pines, Jesse; Rabin, Elaine Judith; Rathlev, Niels Kumar

    2014-10-01

    The Affordable Care Act (ACA) will have far-reaching effects on the way health care is designed and delivered. Several elements of the ACA will directly affect both demand for ED care and expectations for its role in providing coordinated care. Hospitals will need to employ strategies to reduce ED crowding as the ACA expands insurance coverage. Discussions between EDs and primary care physicians about their respective roles providing acute unscheduled care would promote the goals of the ACA.

  2. ACTS Satellite Telemammography Network Experiments

    NASA Technical Reports Server (NTRS)

    Kachmar, Brian A.; Kerczewski, Robert J.

    2000-01-01

    The Satellite Networks and Architectures Branch of NASA's Glenn Research Center has developed and demonstrated several advanced satellite communications technologies through the Advanced Communications Technology Satellite (ACTS) program. One of these technologies is the implementation of a Satellite Telemammography Network (STN) encompassing NASA Glenn, the Cleveland Clinic Foundation. the University of Virginia, and the Ashtabula County Medical Center. This paper will present a look at the STN from its beginnings to the impact it may have on future telemedicine applications. Results obtained using the experimental ACTS satellite demonstrate the feasibility of Satellite Telemammography. These results have improved teleradiology processes and mammography image manipulation, and enabled advances in remote screening methodologies. Future implementation of satellite telemammography using next generation commercial satellite networks will be explored. In addition, the technical aspects of the project will be discussed, in particular how the project has evolved from using NASA developed hardware and software to commercial off the shelf (COTS) products. Development of asymmetrical link technologies was an outcome of this work. Improvements in the display of digital mammographic images, better understanding of end-to-end system requirements, and advances in radiological image compression were achieved as a result of the research. Finally, rigorous clinical medical studies are required for new technologies such as digital satellite telemammography to gain acceptance in the medical establishment. These experiments produced data that were useful in two key medical studies that addressed the diagnostic accuracy of compressed satellite transmitted digital mammography images. The results of these studies will also be discussed.

  3. Medicaid Program; Covered Outpatient Drugs. Final rule with comment period.

    PubMed

    2016-02-01

    This final rule implements provisions of the Patient Protection and Affordable Care Act of 2010, as amended by the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act) pertaining to Medicaid reimbursement for covered outpatient drugs (CODs). This final rule also revises other requirements related to CODs, including key aspects of their Medicaid coverage and payment and the Medicaid drug rebate program. PMID:26859897

  4. ACTS broadband aeronautical terminal

    NASA Technical Reports Server (NTRS)

    Agan, M. J.; Densmore, A. C.

    1995-01-01

    This paper discusses the design of, and experiments with, the ACTS Broadband Aeronautical Terminal. As part of the ongoing effort to investigate commercial applications of ACTS technologies, NASA's Jet Propulsion Laboratory and various industry/government partners are developing a broadband mobile terminal for aeronautical applications. The ACTS Broadband Aeronautical Terminal is designed to explore the use of K/Ka-band for high data rate aeronautical satellite communications. Currently available commercial aeronautical satellite communications systems are only capable of achieving data rates on the order of tens of kilobits per second. The broadband terminal used in conjunction with the ACTS mechanically steerable antenna, can achieve data rates of 384 kilobits per second, while use of an ACTS spot beam antenna with this terminal will allow up to T1 data rates (1.544 megabits per second). The aeronautical terminal will be utilized to test a variety of applications that require a high data rate communications link. The use of the K/Ka-band for wideband aeronautical communications has the advantages of spectrum availability and smaller antennas, while eliminating the one major drawback of this frequency band, rain attenuation, by flying above the clouds the majority of the time.

  5. 75 FR 8013 - Serve America Act Amendments to the National and Community Service Act of 1990

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-23

    ... of the larger Summer of Service education award as a child who is eligible for a free lunch and... eligible for a free lunch and breakfast under the Richard B. Russell National School Lunch Act (42 U.S.C... program regulations. (74 FR 46495). The changes resulting from the interim final rule were required as...

  6. 77 FR 34179 - Freedom of Information Act and Privacy Act Procedures

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... public, uses its editorial skills to turn the raw materials into a distinct work, and distributes that..., ``Transparency and Openness,'' 74 FR 4685, and the Attorney General's March 19, 2009 FOIA policy guidance... response to the Interim final rule for SIGAR's FOIA and Privacy Act Regulations (77 FR 15555, March...

  7. 78 FR 16611 - Freedom of Information Act; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-18

    ... From the Federal Register Online via the Government Publishing Office FEDERAL TRADE COMMISSION 16 CFR Part 4 Freedom of Information Act; Correction AGENCY: Federal Trade Commission. ACTION: Final rule; correction. SUMMARY: The Federal Trade Commission published a final rule on February 28, 2013 revising...

  8. Affordable Care Act.

    PubMed

    Rak, Sofija; Coffin, Janis

    2013-01-01

    The Patient Protection and Affordable Care Act of 2010 (PPACA), although a subject of much debate in the Unites States, was enacted on March 23, 2010, and upheld by the Supreme Court on June 28, 2012. This act advocates that "healthcare is a right, not a privilege." The main goals of PPACA are to minimize the number of uninsured Americans and make healthcare available to everyone at an affordable price. The Congressional Budget Office has determined that 94% of Americans will have healthcare coverage while staying under the $900 billion limit that President Barack Obama established by bending the healthcare cost curve and reducing the deficit over the next 10 years. PMID:23767130

  9. Final report

    SciTech Connect

    Dobbs, Fred C.

    2003-01-15

    species of flagellates, Spumella sp. and Bodo sp. (identifications are tentative) were isolated from South Oyster sediments by repetitive serial dilution/extinction method. Protistan cells were cultured with Cereal leaf Prescott medium and pelleted by centrifugation. Protistan DNAs were extracted with a DNA extraction kit (Sigma Co.) and the sequencing of their SSrDNA is underway. Finally, to follow up on our collaboration of Dr. Bill Johnson (Univ. of Utah), one of the co-PIs under the same NABIR umbrella, we are pleased to report we have successfully tested antibody-ferrographic capture of protists (See previous year's report for more background). Polyclonal FITC-conjugated antibody specific for a flagellate, Spumella sp., was produced by Rockland Inc., and we now are able to enumerate that species using ferrographic capture. There are, however, some issues of non-specific staining that remain to be resolved.

  10. Department of Defense Appropriations Act, 2010

    THOMAS, 111th Congress

    Rep. Murtha, John P. [D-PA-12

    2009-07-24

    12/19/2009 Became Public Law No: 111-118. (TXT | PDF) (All Actions) Notes: Because the FY2010 DOD Appropriations Act was approved by both chambers by exchanging different versions of H.R. 3326, no conference report was issued. Section 1014 of the final version provides that the explanatory statement inserted in the Congressional Record on December 16... Tracker: This bill has the status Became LawHere are the steps for Status of Legislation:

  11. FINAL REPORT

    SciTech Connect

    Lettenmaier, Dennis

    2012-05-26

    the same spatial resolution as WRF in NARCCAP, with a slightly different domain designed to cover the Colorado River basin. We also compared the sensitivity of standard WRF simulations to different spatial resolutions (50 km, 25 km and 16 km). We proposed to implement the WRF-VIC version, and to evaluate differences between the “standard” WRF version (with CLM as the land scheme) and WRF-VIC. As part of a companion project (Regional Arctic Climate Model; RACM), we have linked the macroscale hydrologic model VIC (Variable Infiltration Capacity) with WRF through the CCSM coupling architecture CPL7. We decided to defer making new model runs with VIC over the Colorado basin and rather to focus on analysis of NARCCAP results. Our preliminary results from analysis of NARCCAP current and future climate results (reported in Gao et al., 2011) indicate that CRCM has a cold bias; HRM3 has a warm bias; and ECPC and CRCM have a wet bias over the Colorado River basin. Task 3: Retrospective coupled model simulations We proposed to compare the climatology of key land surface and atmospheric variables from the retrospective RCM and GCM runs, as well as 1/8-degree as the historical North American Land Data Assimilation System dataset (Maurer et al., 2002) to evaluate the ability of each of the RCMs and GCMs to reproduce characteristics of observed climate. In addition to the NARCCAP runs analyzed under Task 2, we also evaluated an ECHAM5/WRF run performed by Eric Salathe and HadCM3/WRF run performed by Francina Dominguez (University of Arizona). Results of the retrospective RCM runs indicate that they capture the primary features of the observed land–surface water budget and surface temperature better than their host GCMs. Although the RCMs do not have significantly improved simulations of precipitation relative to the GCMs, their ability to better represent surface temperature in mountainous regions has important effects on simulations of evapotranspiration, snowpack, and runoff

  12. Ninety-day waiting period limitation. Final rules.

    PubMed

    2014-06-25

    These final regulations clarify the maximum allowed length of any reasonable and bona fide employment-based orientation period, consistent with the 90-day waiting period limitation set forth in section 2708 of the Public Health Service Act, as added by the Patient Protection and Affordable Care Act (Affordable Care Act), as amended, and incorporated into the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code.

  13. Acts of Endearment

    PubMed Central

    Stephens, G. Gayle

    1992-01-01

    Legitimate and clinically useful affection between physicians and patients can be nurtured by attending to duties enjoined by traditional codes of ethics. Three acts of endearment have special importance for today's family physicians: smoothing the bed of death; keeping patients' secrets; and not abandoning patients on account of incurability. PMID:20469528

  14. Acting like a Pro

    ERIC Educational Resources Information Center

    Walker, Marlon A.

    2012-01-01

    The Saturday morning acting class in the Pearson Hall auditorium at Miles College boasts the school's highest attendance all year. The teacher, actress Robin Givens, was a lure few students--and others from surrounding areas--could resist. Some came to learn about their prospective field from a professional. Others were there for pointers to…

  15. The USA PATRIOT Act.

    ERIC Educational Resources Information Center

    Minow, Mary; Coyle, Karen; Kaufman, Paula

    2002-01-01

    Explains the USA PATRIOT (Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism) Act, passed after the September 11 terrorist attacks, and its implications for libraries and patron records. Considers past dealings with the FBI; court orders; search warrants; wiretaps; and subpoenas. Includes:…

  16. ACT against Violence.

    ERIC Educational Resources Information Center

    Anderson, M. Parker

    2001-01-01

    Describes how early childhood professionals can help young children avoid getting involved with violence or being exposed to violence. Presents information on the ACT [Adults and Children Together] Against Violence campaign, a national, multimedia campaign and a community-based training program developed in partnership by the National Association…

  17. Derwent's Doors: Creative Acts

    ERIC Educational Resources Information Center

    Gillen, Julia

    2007-01-01

    Children's early word learning is not usually considered creative in the same sense as artistic productions of later life. Yet early word learning is a creative response to the intrinsic instability of word meaning. As the child acts to participate in her community, she strives for intersubjectivity, manifest in neologisms and under- and…

  18. Improving America's Schools Act

    NASA Technical Reports Server (NTRS)

    Cradler, John; Bridgforth, Elizabeth

    1995-01-01

    The Improving America's Schools ACT (IASA) emphasizes coherent systemic education reform, with Goals 2000 setting common standards for IASA and the recently authorized School-to-Work Program. IASA addresses the need to raise academic achievement, increase opportunities to learn, improve professional development, increase community involvement, utilize instructional applications of technology, and improve assessment, and allow more local flexibility in the use of funds.

  19. Turkish Primary School Pupils' Views on Punishment

    ERIC Educational Resources Information Center

    Aydin, Bahri

    2010-01-01

    Teachers meet with unwanted behavior when they are acting as facilitators of the learning process and they resort to certain tactics to deal with them. One of these tactics is punishment. This study aimed to identify the views held by Turkish primary school pupils on punishment. According to the results of the study, pupils were punished for…

  20. Generation of reactive oxygen species in the anterior eye segment. Synergistic codrugs of N-acetylcarnosine lubricant eye drops and mitochondria-targeted antioxidant act as a powerful therapeutic platform for the treatment of cataracts and primary open-angle glaucoma.

    PubMed

    Babizhayev, Mark A

    2016-12-01

    -targeted antioxidants might be used to effectively prevent ROS-induced oxidation of lipids and proteins in the inner mitochondrial membrane in vivo. The authors developed and patented the new ophthalmic compositions including N-acetylcarnosine acting as a prodrug of naturally targeted to mitochondria l-carnosine endowed with pluripotent antioxidant activities, combined with mitochondria-targeted rechargeable antioxidant (either MitoVit E, Mito Q or SkQs) as a potent medicine to treat ocular diseases. Such specificity is explained by the fact that developed compositions might be used to effectively prevent ROS-induced oxidation of lipids and proteins in the inner mitochondrial membrane in vivo and outside mitochondria in the cellular and tissue structures of the lens and eye compartments. Mitochondrial targeting of compounds with universal types of antioxidant activity represents a promising approach for treating a number of ROS-related ocular diseases of the aging eye and can be implicated in the management of cataracts and primary open-angle glaucoma. PMID:27413694

  1. Generation of reactive oxygen species in the anterior eye segment. Synergistic codrugs of N-acetylcarnosine lubricant eye drops and mitochondria-targeted antioxidant act as a powerful therapeutic platform for the treatment of cataracts and primary open-angle glaucoma.

    PubMed

    Babizhayev, Mark A

    2016-12-01

    -targeted antioxidants might be used to effectively prevent ROS-induced oxidation of lipids and proteins in the inner mitochondrial membrane in vivo. The authors developed and patented the new ophthalmic compositions including N-acetylcarnosine acting as a prodrug of naturally targeted to mitochondria l-carnosine endowed with pluripotent antioxidant activities, combined with mitochondria-targeted rechargeable antioxidant (either MitoVit E, Mito Q or SkQs) as a potent medicine to treat ocular diseases. Such specificity is explained by the fact that developed compositions might be used to effectively prevent ROS-induced oxidation of lipids and proteins in the inner mitochondrial membrane in vivo and outside mitochondria in the cellular and tissue structures of the lens and eye compartments. Mitochondrial targeting of compounds with universal types of antioxidant activity represents a promising approach for treating a number of ROS-related ocular diseases of the aging eye and can be implicated in the management of cataracts and primary open-angle glaucoma.

  2. Amendments to excepted benefits. Final rules.

    PubMed

    2014-10-01

    This document contains final regulations that amend the regulations regarding excepted benefits under the Employee Retirement Income Security Act of 1974, the Internal Revenue Code (the Code), and the Public Health Service Act. Excepted benefits are generally exempt from the health reform requirements that were added to those laws by the Health Insurance Portability and Accountability Act and the Patient Protection and Affordable Care Act. In addition, eligibility for excepted benefits does not preclude an individual from eligibility for a premium tax credit under section 36B of the Code if an individual chooses to enroll in coverage under a Qualified Health Plan through an Affordable Insurance Exchange. These regulations finalize some but not all of the proposed rules with minor modifications; additional guidance on limited wraparound coverage is forthcoming.

  3. Amendments to excepted benefits. Final rules.

    PubMed

    2014-10-01

    This document contains final regulations that amend the regulations regarding excepted benefits under the Employee Retirement Income Security Act of 1974, the Internal Revenue Code (the Code), and the Public Health Service Act. Excepted benefits are generally exempt from the health reform requirements that were added to those laws by the Health Insurance Portability and Accountability Act and the Patient Protection and Affordable Care Act. In addition, eligibility for excepted benefits does not preclude an individual from eligibility for a premium tax credit under section 36B of the Code if an individual chooses to enroll in coverage under a Qualified Health Plan through an Affordable Insurance Exchange. These regulations finalize some but not all of the proposed rules with minor modifications; additional guidance on limited wraparound coverage is forthcoming. PMID:25341261

  4. The Assistive Technology Act of 2004: What Does It Say and What Does It Mean?

    ERIC Educational Resources Information Center

    Bausch, Margaret E.; Mittler, Joel E.; Hasselbring, Ted S.; Cross, Donald P.

    2005-01-01

    On October 25, 2004, President Bush signed into law the reauthorization of the Assistive Technology Act (AT Act). The new law provides a far more optimistic future for assistive technology (AT) and modifies the primary purpose of the previous law. The new AT Act provides "birth to death" legislation and is fundamentally different from other…

  5. Abrams Primary School passive solar design. Phase 1. Final report

    SciTech Connect

    1980-01-01

    The general project documentation and the design process documentation for the project are presented. The following are appended: analysis of thermal transfer and internal heat contributions to the heating and cooling loads for a typical four-classroom teaching module using bin-chart temperature data, trace simulation for the original building design, Teanet simulation of original building design for the month of January 1959, Teanet simulation of Solar 2 for the month of January 1959, incremental solar cost assessment, and diffuse radiation incident on the monitor glass. (MHR)

  6. CAI: Overcoming Attitude Barriers of Prospective Primary Teachers. Final Report.

    ERIC Educational Resources Information Center

    Kockler, Lois H.

    During each of two school quarters, approximately 60 college students enrolled in a mathematics course were randomly assigned to an experimental group or a control group. The control group received instruction by the lecture method only; the experimental group received the same instruction, except that six computer-assisted instruction (CAI) units…

  7. Attitudes About and Practices of Health Promotion and Prevention Among Primary Care Providers.

    PubMed

    Luquis, Raffy R; Paz, Harold L

    2015-09-01

    The Patient Protection and Affordable Care Act's emphasis on health promotion and prevention activities required an examination of the current practices of primary care providers in these areas. A total of 196 primary care providers completed a survey to assess current health promotion and prevention attitudes, practices, and barriers. Results of this study showed that family physicians in Pennsylvania recognize the importance of and their role in providing health promotion and prevention and offer advice in key behavioral and disease prevention areas. Results from the study suggest that their ability to provide these services is hindered by a lack of time and the heavy workload. Although most family physicians provided advice to patients in several health promotion and prevention areas, few participants reported that they referred patients to other health professionals. Finally, when it comes to preventive services, participants ranked blood pressure screening, tobacco use screening, and tobacco use cessation interventions as the most important services. Effective implementation of the Patient Protection and Affordable Care Act will require necessary resources and support of primary care providers to help patients achieve healthier lives.

  8. 40 CFR 791.85 - Availability of final Agency order.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 33 2012-07-01 2012-07-01 false Availability of final Agency order. 791.85 Section 791.85 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT (CONTINUED) DATA REIMBURSEMENT Final Order § 791.85 Availability of final Agency...

  9. 40 CFR 791.85 - Availablity of final Agency order.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 31 2010-07-01 2010-07-01 true Availablity of final Agency order. 791.85 Section 791.85 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT (CONTINUED) DATA REIMBURSEMENT Final Order § 791.85 Availablity of final Agency...

  10. 40 CFR 791.85 - Availability of final Agency order.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 33 2013-07-01 2013-07-01 false Availability of final Agency order. 791.85 Section 791.85 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT (CONTINUED) DATA REIMBURSEMENT Final Order § 791.85 Availability of final Agency...

  11. 40 CFR 791.85 - Availablity of final Agency order.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 32 2011-07-01 2011-07-01 false Availablity of final Agency order. 791.85 Section 791.85 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT (CONTINUED) DATA REIMBURSEMENT Final Order § 791.85 Availablity of final Agency...

  12. 40 CFR 791.85 - Availability of final Agency order.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 32 2014-07-01 2014-07-01 false Availability of final Agency order. 791.85 Section 791.85 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT (CONTINUED) DATA REIMBURSEMENT Final Order § 791.85 Availability of final Agency...

  13. ACTS of Education

    NASA Technical Reports Server (NTRS)

    Bauer, Robert; Krawczyk, Richard; Gargione, Frank; Kruse, Hans; Vrotsos, Pete (Technical Monitor)

    2002-01-01

    Now in its ninth year of operations, the Advanced Communications Technology Satellite (ACTS) program has continued, although since May 2000 in a new operations arrangement involving a university based consortium, the Ohio Consortium for Advanced Communications Technology (OCACT), While NASA has concluded its experimental intentions of ACTS, the spacecraft's ongoing viability has permitted its further operations to provide educational opportunities to engineering and communications students interested in satellite operations, as well as a Ka-band test bed for commercial interests in utilizing Kaband space communications. The consortium has reached its first year of operations. This generous opportunity by NASA has already resulted in unique educational opportunities for students in obtaining "hands-on" experience, such as, in satellite attitude control. An update is presented on the spacecraft and consortium operations.

  14. 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.

  15. Toxic Substances Control Act

    SciTech Connect

    Not Available

    1992-05-15

    This Reference Book contains a current copy of the Toxic Substances Control Act and those regulations that implement the statute and appear to be most relevant to DOE activities. The document is provided to DOE and contractor staff for informational purposes only and should not be interpreted as legal guidance. Questions concerning this Reference Book may be directed to Mark Petts, EH-231 (202/586-2609).

  16. [Patients' Rights Act].

    PubMed

    Haier, A J

    2016-09-01

    The new Patients' Rights Act does not reflect rights of patients as professional obligations of physicians for the first time. It adopted common longtime jurisdiction, but in some respects it is going beyond. This law clearly extended the documentation requirements of physicians, especially concerning the extent of documentation. In surgical fields the requirements for enlightening physicians were more strongly worded than in previous jurisdiction. In medical facilities it is now mandatory to establish an internal quality management system. PMID:27626814

  17. ACTE Wing Loads Analysis

    NASA Technical Reports Server (NTRS)

    Horn, Nicholas R.

    2015-01-01

    The Adaptive Compliant Trailing Edge (ACTE) project modified a Gulfstream III (GIII) aircraft with a new flexible flap that creates a seamless transition between the flap and the wing. As with any new modification, it is crucial to ensure that the aircraft will not become overstressed in flight. To test this, Star CCM a computational fluid dynamics (CFD) software program was used to calculate aerodynamic data for the aircraft at given flight conditions.

  18. The ACTS multibeam antenna

    NASA Technical Reports Server (NTRS)

    Regier, Frank A.

    1992-01-01

    The Advanced Communications Technology Satellite (ACTS) to be launched in 1993 introduces several new technologies including a multibeam antenna (MBA) operating at Ka-band. The satellite is introduced briefly, and then the MBA, consisting of electrically similar 30 GHz received and 20 GHz transmit offset Cassegrain systems utilizing orthogonal linear polarizations, is described. Dual polarization is achieved by using one feed assembly for each polarization in conjunction with nested front and back subreflectors, the gridded front subreflector acting as a window for one polarization and a reflector for the other. The antennas produce spot beams with approximately 0.3 deg beamwidth and gains of approximately 50 dbi. High surface accuracy and high edge taper produce low sidelobe levels and high cross-polarization isolation. A brief description is given of several Ka-band components fabricated for ACTS. These include multiflare antenna feedhorns, beam-forming networks utilizing latching ferrite waveguide switches, a 30 GHz high mobility electron transmitter (HEMT) low-noise amplifier and a 20 GHz TWT power amplifier.

  19. Evaluation of the Administrative Flexibility Legislation Affecting the Department of Education and the University of Hawaii, Acts 320 and 321, SLH 1986: Final Report, No. 89-18. A Report to the Governor and the Legislature of the State of Hawaii.

    ERIC Educational Resources Information Center

    Hawaii State Office of the Legislative Auditor, Honolulu.

    Acts 320 and 321, SLH 1986, temporarily granted broadened administrative flexibility to Hawaii's two educational agencies--the Department of Education (DOE) and the University of Hawaii (UH). Under these two acts, the Office of the Legislative Auditor was directed to assess and evaluate the impact of the flexibility legislation--especially its…

  20. 77 FR 40080 - Final Programmatic Environmental Impact Statement (PEIS) for the Proposed Final Five-Year Outer...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-06

    ... Proposed Final Five-Year Outer Continental Shelf (OCS) Oil and Gas Leasing Program for 2012-2017 AGENCY... National Environmental Policy Act, BOEM announces the availability of the OCS Oil and Gas Leasing Program 2012- 2017 Final PEIS prepared by BOEM to support the Proposed Final 5-Year OCS Oil and Gas...

  1. 77 FR 34402 - Notice of Availability of the Final Land Use Analysis and Final Environmental Impact Statement...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... Bureau of Land Management Notice of Availability of the Final Land Use Analysis and Final Environmental... and Management Act of 1976 (FLPMA), the Bureau of Land Management (BLM) has prepared a Final Land Use... conditions as described in the regulations may protest the BLM's Proposed Land Use Analysis. A person...

  2. [Application of paragraph 16a of the Animal Protection Act].

    PubMed

    Kluge, H G

    2001-03-01

    section 16 a of the Animal Protection Act presents difficulties from a number of points of view. What applies here in particular also applies to the Animal Protection Act in general. A look at the rulings of the Federal Administrative Court, which has only issued about twelve judgements regarding the Animal Protection Act, shows that a large number of elements of this act are still in need of final interpretation. One of the principal reasons for this seems to be that disputes involving this act only relatively rarely come up before the administrative courts. Furthermore, this legal provision has shortcomings and it not entirely easy to implement. section 16 a of the Animal Protection Act should at least be improved from the legal technical point of view. There is scope for this to be done. Legislators must use this scope within the meaning of animal protection defined in the law--an issue which is of great concern to us all.

  3. Continuing Appropriations Act, 2014

    THOMAS, 113th Congress

    Rep. Black, Diane [R-TN-6

    2013-07-22

    10/17/2013 Became Public Law No: 113-46. (TXT | PDF) (All Actions) Notes: The final version of the bill makes continuing appropriations through January 15, 2014, thus ending the government shutdown, and increases the debt limit through February 7, 2014. Tracker: This bill has the status Became LawHere are the steps for Status of Legislation:

  4. Medicare program; final waivers in connection with the shared savings program; continuation of effectiveness and extension of timeline for publication of final rule. Interim final rule; continuation of effectiveness and extension of timeline for publication of final rule.

    PubMed

    2014-10-17

    This document announces the continuation of effectiveness of an interim final rule and the extension of the timeline for publication of the final rule. This document is issued in accordance with section 1871(a)(3)(C) of the Social Security Act (the Act), which allows an interim final rule to remain in effect after the expiration of the timeline specified in section 1871(a)(3)(B) of the Act if the Secretary publishes a notice of continuation prior to the expiration of the timeline.

  5. 77 FR 75211 - Order Granting Conditional Exemptions Under the Securities Exchange Act of 1934 in Connection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-19

    ..., Exchange Act Release No. 67453 (Jul. 18, 2012), 77 FR 48207 (Aug. 13, 2012) (Joint Final Rule with the CFTC... FR 25224 (Nov. 29, 1972). \\27\\ In addition to the Exchange Act provisions specific to security-based... Requirements Adopting Release''), Exchange Act Release No. 68071 (Oct. 18, 2012), 77 FR 70213 (Nov. 23,...

  6. Primary immunodeficiencies underlying fungal infections

    PubMed Central

    Lanternier, Fanny; Cypowyj, Sophie; Picard, Capucine; Bustamante, Jacinta; Lortholary, Olivier; Casanova, Jean-Laurent; Puel, Anne

    2014-01-01

    Purpose of review We review the primary immunodeficiencies underlying an increasing variety of superficial and invasive fungal infections. We also stress that the occurrence of such fungal infections should lead physicians to search for the corresponding single-gene inborn errors of immunity. Finally, we suggest that other fungal infections may also result from hitherto unknown inborn errors of immunity, at least in some patients with no known risk factors. Recent findings An increasing number of primary immunodeficiencies are being shown to underlie fungal infectious diseases in children and young adults. Inborn errors of the phagocyte NADPH oxidase complex (chronic granulomatous disease), severe congenital neutropenia and leukocyte adhesion deficiency type I confer a predisposition to invasive aspergillosis and candidiasis. More rarely, inborn errors of IFN-γ immunity underlie endemic mycoses. Inborn errors of IL-17 immunity have recently been shown to underlie chronic mucocutaneous candidiasis, whereas inborn errors of CARD9 immunity underlie deep dermatophytosis and invasive candidiasis. Summary Chronic mucocutaneous candidiasis, invasive candidiasis, invasive aspergillosis, deep dermatophytosis, pneumocystosis, and endemic mycoses can all be caused by primary immunodeficiencies. Each type of infection is highly suggestive of a specific type of primary immunodeficiency. In the absence of overt risk factors, single-gene inborn errors of immunity should be sought in children and young adults with these and other fungal diseases. PMID:24240293

  7. 40 CFR 125.60 - Primary or equivalent treatment requirements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Modifying the Secondary Treatment Requirements Under Section 301(h) of the Clean Water Act § 125.60 Primary... will be based on the definition of excessive I&I in 40 CFR 35.2005(b)(16) plus the additional criterion... 40 Protection of Environment 23 2012-07-01 2012-07-01 false Primary or equivalent...

  8. 29 CFR 793.10 - Primary employment in named occupation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 3 2011-07-01 2011-07-01 false Primary employment in named occupation. 793.10 Section 793.10 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR... LABOR STANDARDS ACT Requirements for Exemption § 793.10 Primary employment in named occupation....

  9. 29 CFR 793.10 - Primary employment in named occupation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Primary employment in named occupation. 793.10 Section 793.10 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR... LABOR STANDARDS ACT Requirements for Exemption § 793.10 Primary employment in named occupation....

  10. ACTS broadband aeronautical experiment

    NASA Technical Reports Server (NTRS)

    Abbe, Brian S.; Jedrey, Thomas C.; Estabrook, Polly; Agan, Martin J.

    1993-01-01

    In the last decade, the demand for reliable data, voice, and video satellite communication links between aircraft and ground to improve air traffic control, airline management, and to meet the growing demand for passenger communications has increased significantly. It is expected that in the near future, the spectrum required for aeronautical communication services will grow significantly beyond that currently available at L-band. In anticipation of this, JPL is developing an experimental broadband aeronautical satellite communications system that will utilize NASA's Advanced Communications Technology Satellite (ACTS) as a satellite of opportunity and the technology developed under JPL's ACTS Mobile Terminal (AMT) Task to evaluate the feasibility of using K/Ka-band for these applications. The application of K/Ka-band for aeronautical satellite communications at cruise altitudes is particularly promising for several reasons: (1) the minimal amount of signal attenuation due to rain; (2) the reduced drag due to the smaller K/Ka-band antennas (as compared to the current L-band systems); and (3) the large amount of available bandwidth. The increased bandwidth available at these frequencies is expected to lead to significantly improved passenger communications - including full-duplex compressed video and multiple channel voice. A description of the proposed broadband experimental system will be presented including: (1) applications of K/Ka-band aeronautical satellite technology to U.S. industry; (2) the experiment objectives; (3) the experiment set-up; (4) experimental equipment description; and (5) industrial participation in the experiment and the benefits.

  11. Primary enzyme quantitation

    DOEpatents

    Saunders, G.C.

    1982-03-04

    The disclosure relates to the quantitation of a primary enzyme concentration by utilizing a substrate for the primary enzyme labeled with a second enzyme which is an indicator enzyme. Enzyme catalysis of the substrate occurs and results in release of the indicator enzyme in an amount directly proportional to the amount of primary enzyme present. By quantifying the free indicator enzyme one determines the amount of primary enzyme present.

  12. Affordable Care Act and Women

    MedlinePlus

    ... Privacy Policy FOIA Plain Writing Act No Fear Act Disclaimers Viewers & Players Assistant Secretary for Planning and Evaluation, Room 415F U.S. Department of Health and Human Services 200 Independence Avenue, SW Washington, D.C. ...

  13. Primary Care's Dim Prognosis

    ERIC Educational Resources Information Center

    Alper, Philip R.

    2010-01-01

    Given the chorus of approval for primary care emanating from every party to the health reform debate, one might suppose that the future for primary physicians is bright. Yet this is far from certain. And when one looks to history and recognizes that primary care medicine has failed virtually every conceivable market test in recent years, its…

  14. Investigating Primary Source Literacy

    ERIC Educational Resources Information Center

    Archer, Joanne; Hanlon, Ann M.; Levine, Jennie A.

    2009-01-01

    Primary source research requires students to acquire specialized research skills. This paper presents results from a user study testing the effectiveness of a Web guide designed to convey the concepts behind "primary source literacy". The study also evaluated students' strengths and weaknesses when conducting primary source research. (Contains 3…

  15. ACT/ICAPS: Thermoplastic composite activities

    NASA Technical Reports Server (NTRS)

    Renieri, M. P.; Burpo, S. J.; Roundy, L. M.; Todd, S. M.

    1992-01-01

    McDonnell Aircraft Company (MCAIR) is teamed with Douglas Aircraft Company (DAC) under NASA's Advanced Composite Technology (ACT) initiative in a program entitled Innovative Composite Aircraft Primary Structures (ICAPS). Efforts at MCAIR have focused on the use of thermoplastic composite materials in the development of structural details associated with an advanced fighter fuselage section with applicability to transport design. Based on innovative design/manufacturing concepts for the fuselage section primary structure, elements were designed, fabricated, and structurally tested. These elements focused on key issues such as thick composite lugs and low cost forming of fastenerless, stiffener/moldline concepts. Manufacturing techniques included autoclave consideration, single diaphragm co-consolidation (SDCC), and roll-forming.

  16. Advanced Communications Technology Satellite (ACTS)

    NASA Technical Reports Server (NTRS)

    Schertler, Ronald J.; Gedney, Richard T.

    1992-01-01

    An overview of the NASA ACTS program is presented. The key technologies of ACTS include spot beams, on-board baseband processing and routing, wide bandwidth (900 MHz), and Ka-band transponders. The discussion covers system description, current status of the spacecraft development, ACTS earth stations, NGS traffic terminal, USAT, land and aeronautical mobiles, high data rate and propagation receive only terminals, and ACTS experiments program.

  17. The Nurse Reinvestment Act revisited.

    PubMed

    Luther, Ann P

    2007-01-01

    The United States is in the midst of a widely recognized critical nursing shortage. In 2002 the "Nurse Reinvestment Act" was passed with overwhelming bipartisan support in an effort to address this serious public health threat. The Act is due for reauthorization of funding in 2007. This paper provides a brief overview of the programs contained within the Act and describes practical ways in which members of the nursing community can take action to insure renewed support for the Act. PMID:17691598

  18. Did Franz Boas witness an act of cannibalism?

    PubMed

    Maud, R

    1986-01-01

    Franz Boas has been used as an authority for the existence of cannibalism among the Kwakiutl of British Columbia, as cited in Patterns of Culture. There is reason to think, however, that all his evidence is hearsay, and that he himself never witnessed an act of cannibalism. One indication is that he eliminated all references to such acts in his final overview, published posthumously as Kwakiutl Ethnology. PMID:3511138

  19. Did Franz Boas witness an act of cannibalism?

    PubMed

    Maud, R

    1986-01-01

    Franz Boas has been used as an authority for the existence of cannibalism among the Kwakiutl of British Columbia, as cited in Patterns of Culture. There is reason to think, however, that all his evidence is hearsay, and that he himself never witnessed an act of cannibalism. One indication is that he eliminated all references to such acts in his final overview, published posthumously as Kwakiutl Ethnology.

  20. FCC and the Sunshine Act.

    ERIC Educational Resources Information Center

    Weiss, Kenneth

    The Sunshine Act, designed to encourage open meetings to increase public understanding of the governmental decision-making process, went into effect in March 1977. A total of 50 agencies, including the Federal Communications Commission (FCC), are subject to the provisions of the Sunshine Act. The act lists 10 exemptions, any of which can result in…

  1. ACT/SAT College Survey.

    ERIC Educational Resources Information Center

    Stafford, John E.

    1998-01-01

    Reports on findings of a survey designed to discover whether higher education institutions' admission standards accept SAT I or ACT and if there is preference for either, and whether ACT could be submitted in lieu of SAT II subject tests. Eighty-six percent of the reporting schools indicated no preference; 28 schools indicated that the ACT was an…

  2. State Health Insurance Assistance Program (SHIP). Final rule.

    PubMed

    2016-06-01

    The Department of Health and Human Services is issuing a final regulation that adopts, without change, the interim final rule (IFR) entitled ``State Health Insurance Assistance Program (SHIP).'' This final rule implements a provision enacted by the Consolidated Appropriations Act of 2014 and reflects the transfer of the State Health Insurance Assistance Program (SHIP) from the Centers for Medicare & Medicaid Services (CMS), in the Department of Health and Human Services (HHS) to the Administration for Community Living (ACL) in HHS. Prior to the interim final rule, prior regulations were issued by CMS under the authority granted by the Omnibus Budget Reconciliation Act of 1990 (OBRA), Section 4360.

  3. State Health Insurance Assistance Program (SHIP). Final rule.

    PubMed

    2016-06-01

    The Department of Health and Human Services is issuing a final regulation that adopts, without change, the interim final rule (IFR) entitled ``State Health Insurance Assistance Program (SHIP).'' This final rule implements a provision enacted by the Consolidated Appropriations Act of 2014 and reflects the transfer of the State Health Insurance Assistance Program (SHIP) from the Centers for Medicare & Medicaid Services (CMS), in the Department of Health and Human Services (HHS) to the Administration for Community Living (ACL) in HHS. Prior to the interim final rule, prior regulations were issued by CMS under the authority granted by the Omnibus Budget Reconciliation Act of 1990 (OBRA), Section 4360. PMID:27295733

  4. Integrating NEPA (National Environmental Policy Act) and CERCLA (Comprehensive Environmental Response, Compensation, and Liability Act) requirements during remedial responses at DOE facilities

    SciTech Connect

    Levine, M.B.; Smith, E.D.; Sharples, F.E.; Eddlemon, G.K.

    1990-07-01

    US Department of Energy (DOE) Order 5400.4, issued October 6, 1989, calls for integrating the requirements of the National Environmental Policy Act (NEPA) with those of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) for DOE remedial actions under CERCLA. CERCLA requires that decisions on site remediation be made through a formal process called a Remedial Investigation/Feasibility Study (RI/FS). According to the DOE order, integration is to be accomplished by conducting the NEPA and CERCLA environmental planning and review procedures concurrently. The primary instrument for integrating the processes is to be the RI/FS process, which will be supplemented as needed to meet the procedural and documentational requirements of NEPA. The final product of the integrated process will be a single, integrated set of documents; namely, an RI report and an FS-EIS that satisfy the requirements of both NEPA and CERCLA. The contents of the report include (1) an overview and comparison of the requirements of the two processes; (2) descriptions of the major tasks included in the integrated RI/FS-EIS process; (3) recommended contents for integrated RI/FS-EIS documents; and (4)a discussion of some potential problems in integrating NEPA and CERCLA that fall outisde the scope of the RI/FS-EIS process, with suggestions for resolving some of these problems. 15 refs.

  5. Triple acting radial seal

    DOEpatents

    Ebert, Todd A; Carella, John A

    2012-03-13

    A triple acting radial seal used as an interstage seal assembly in a gas turbine engine, where the seal assembly includes an interstage seal support extending from a stationary inner shroud of a vane ring, the interstage seal support includes a larger annular radial inward facing groove in which an outer annular floating seal assembly is secured for radial displacement, and the outer annular floating seal assembly includes a smaller annular radial inward facing groove in which an inner annular floating seal assembly is secured also for radial displacement. A compliant seal is secured to the inner annular floating seal assembly. The outer annular floating seal assembly encapsulates the inner annular floating seal assembly which is made from a very low alpha material in order to reduce thermal stress.

  6. FAST ACTING CURRENT SWITCH

    DOEpatents

    Batzer, T.H.; Cummings, D.B.; Ryan, J.F.

    1962-05-22

    A high-current, fast-acting switch is designed for utilization as a crowbar switch in a high-current circuit such as used to generate the magnetic confinement field of a plasma-confining and heat device, e.g., Pyrotron. The device particularly comprises a cylindrical housing containing two stationary, cylindrical contacts between which a movable contact is bridged to close the switch. The movable contact is actuated by a differential-pressure, airdriven piston assembly also within the housing. To absorb the acceleration (and the shock imparted to the device by the rapidly driven, movable contact), an adjustable air buffer assembly is provided, integrally connected to the movable contact and piston assembly. Various safety locks and circuit-synchronizing means are also provided to permit proper cooperation of the invention and the high-current circuit in which it is installed. (AEC)

  7. Revisions to direct fee payment rules. Final rules.

    PubMed

    2015-01-01

    We are adopting, with two revisions, our interim final rules that implemented amendments to the Social Security Act (Act) made by the Social Security Disability Applicants' Access to Professional Representation Act of 2010 (PRA). The interim final rules made permanent the direct fee payment rules for eligible non-attorney representatives under titles II and XVI of the Act and for attorney representatives under title XVI of the Act. They also revised some of our eligibility policies for non-attorney representatives under titles II and XVI of the Act. Based on public comment and subsequent inquiries, we are revising our rules to clarify that an eligible non-attorney representative's liability insurance policy must include malpractice coverage. We are also reaffirming that a business entity legally permitted to provide the required insurance in the States in which the non-attorney representative conducts business must underwrite the policies.

  8. Assemblage of a semi-arid annual plant community: abiotic and biotic filters act hierarchically.

    PubMed

    Luzuriaga, Arantzazu L; Sánchez, Ana M; Maestre, Fernando T; Escudero, Adrián

    2012-01-01

    The study of species coexistence and community assembly has been a hot topic in ecology for decades. Disentangling the hierarchical role of abiotic and biotic filters is crucial to understand community assembly processes. The most critical environmental factor in semi-arid environments is known to be water availability, and perennials are usually described as nurses that create milder local conditions and expand the niche range of several species. We aimed to broaden this view by jointly evaluating how biological soil crusts (BSCs), water availability, perennial species (presence/absence of Stipa tenacissima) and plant-plant interactions shape a semi-arid annual plant community. The presence and cover of annual species was monitored during three years of contrasting climate. Water stress acted as the primary filter determining the species pool available for plant community assembly. Stipa and BSCs acted as secondary filters by modulating the effects of water availability. At extremely harsh environmental conditions, Stipa exerted a negative effect on the annual plant community, while at more benign conditions it increased annual community richness. Biological soil crusts exerted a contradictory effect depending on climate and on the presence of Stipa, favoring annuals in the most adverse conditions but showing repulsion at higher water availability conditions. Finally, interactions among co-occurring annuals shaped species richness and diversity of the final annual plant assembly. This study sheds light on the processes determining the assembly of annual communities and highlights the importance of Biological Soil Crusts and of interactions among annual plants on the final outcome of the species assembly.

  9. Biotic acts of antibiotics

    PubMed Central

    Aminov, Rustam I.

    2013-01-01

    Biological functions of antibiotics are not limited to killing. The most likely function of antibiotics in natural microbial ecosystems is signaling. Does this signaling function of antibiotics also extend to the eukaryotic – in particular mammalian – cells? In this review, the host modulating properties of three classes of antibiotics (macrolides, tetracyclines, and β-lactams) will be briefly discussed. Antibiotics can be effective in treatment of a broad spectrum of diseases and pathological conditions other than those of infectious etiology and, in this capacity, may find widespread applications beyond the intended antimicrobial use. This use, however, should not compromise the primary function antibiotics are used for. The biological background for this inter-kingdom signaling is also discussed. PMID:23966991

  10. 77 FR 27863 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... forth in 75 FR 72873. VA is amending the system of records by revising the System Number, Categories of... Management and Budget (OMB) as required by 5 U.S.C. 552a(r) (Privacy Act) and guidelines issued by OMB (65 FR..., VA may disclose to the general public via an Internet Web site, Primary Care Management Module...

  11. 29 CFR 1952.104 - Final approval determination.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Final approval determination. (a) In accordance with Section 18(e) of the Act and procedures in 29 CFR... regulations at 29 CFR part 1902. Accordingly, under Section 18(e) of the Act, the Oregon State Plan was... accordance with 29 CFR part 1953; to allocate sufficient safety and health enforcement staff to meet...

  12. 29 CFR 1952.104 - Final approval determination.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Final approval determination. (a) In accordance with Section 18(e) of the Act and procedures in 29 CFR... regulations at 29 CFR part 1902. Accordingly, under Section 18(e) of the Act, the Oregon State Plan was... accordance with 29 CFR part 1953; to allocate sufficient safety and health enforcement staff to meet...

  13. 29 CFR 1952.104 - Final approval determination.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Final approval determination. (a) In accordance with Section 18(e) of the Act and procedures in 29 CFR... regulations at 29 CFR part 1902. Accordingly, under Section 18(e) of the Act, the Oregon State Plan was... accordance with 29 CFR part 1953; to allocate sufficient safety and health enforcement staff to meet...

  14. 76 FR 61379 - Final Recovery Plan, Bexar County Karst Invertebrates

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-04

    ... Bexar County karst invertebrates were listed as endangered species on December 26, 2000 (65 FR 81419... Fish and Wildlife Service Final Recovery Plan, Bexar County Karst Invertebrates AGENCY: Fish and... Invertebrates under the Endangered Species Act of 1973, as amended (Act). These species occur in Bexar...

  15. 29 CFR 1952.204 - Final approval determination.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Minnesota plan... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... Indian reservation in the State; the enforcement of the field sanitation standard, 29 CFR 1928.110,...

  16. 29 CFR 1952.204 - Final approval determination.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Minnesota plan... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... Indian reservation in the State; the enforcement of the field sanitation standard, 29 CFR 1928.110,...

  17. 29 CFR 1952.204 - Final approval determination.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Minnesota plan... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... Indian reservation in the State; the enforcement of the field sanitation standard, 29 CFR 1928.110,...

  18. 29 CFR 1952.374 - Final approval determination.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... under the Federal program; to submit plan supplements in accordance with 29 CFR part 1953; to allocate... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Virginia...

  19. 29 CFR 1952.114 - Final approval determination.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR part 1902... Act and implementing regulations at 29 CFR part 1902. Accordingly, the Utah plan was granted final... Energy's Naval Petroleum and Oil Shale Reserve, to the extent that it remains a U.S. DOE...

  20. 29 CFR 1952.104 - Final approval determination.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Final approval determination. (a) In accordance with Section 18(e) of the Act and procedures in 29 CFR... regulations at 29 CFR part 1902. Accordingly, under Section 18(e) of the Act, the Oregon State Plan was.... Department of Energy's Albany Research Center (ARC); Federal agencies; the U.S. Postal Service and...

  1. 29 CFR 1952.344 - Final approval determination.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... under the Federal program; to submit plan supplements in accordance with 29 CFR part 1953; to allocate... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Wyoming...

  2. 29 CFR 1952.294 - Final approval determination.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Integrated Management Information System, the Assistant Secretary evaluated actual operations under the... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... State plan approval in section 18(e) of the Act and implementing regulations at 29 CFR Part...

  3. 29 CFR 1952.294 - Final approval determination.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Integrated Management Information System, the Assistant Secretary evaluated actual operations under the... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... State plan approval in section 18(e) of the Act and implementing regulations at 29 CFR Part...

  4. 29 CFR 1952.104 - Final approval determination.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... OSHA through participation in the Federal-state Integrated Management Information System, the Assistant... Final approval determination. (a) In accordance with Section 18(e) of the Act and procedures in 29 CFR... regulations at 29 CFR part 1902. Accordingly, under Section 18(e) of the Act, the Oregon State Plan...

  5. 29 CFR 1952.374 - Final approval determination.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Virginia plan... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... under the Federal program; to submit plan supplements in accordance with 29 CFR part 1953; to...

  6. 29 CFR 1952.344 - Final approval determination.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Wyoming plan... not cover private sector maritime employment; employment on the Warren Air Force Base; employment...

  7. 29 CFR 1952.344 - Final approval determination.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Wyoming plan... not cover private sector maritime employment; employment on the Warren Air Force Base; employment...

  8. 16 CFR 700.8 - Warrantor's decision as final.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 16 Commercial Practices 1 2013-01-01 2013-01-01 false Warrantor's decision as final. 700.8 Section 700.8 Commercial Practices FEDERAL TRADE COMMISSION RULES, REGULATIONS, STATEMENTS AND INTERPRETATIONS UNDER THE MAGNUSON-MOSS WARRANTY ACT INTERPRETATIONS OF MAGNUSON-MOSS WARRANTY ACT § 700.8...

  9. 16 CFR 700.8 - Warrantor's decision as final.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Warrantor's decision as final. 700.8 Section 700.8 Commercial Practices FEDERAL TRADE COMMISSION RULES, REGULATIONS, STATEMENTS AND INTERPRETATIONS UNDER THE MAGNUSON-MOSS WARRANTY ACT INTERPRETATIONS OF MAGNUSON-MOSS WARRANTY ACT § 700.8...

  10. 16 CFR 700.8 - Warrantor's decision as final.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 16 Commercial Practices 1 2014-01-01 2014-01-01 false Warrantor's decision as final. 700.8 Section 700.8 Commercial Practices FEDERAL TRADE COMMISSION RULES, REGULATIONS, STATEMENTS AND INTERPRETATIONS UNDER THE MAGNUSON-MOSS WARRANTY ACT INTERPRETATIONS OF MAGNUSON-MOSS WARRANTY ACT § 700.8...

  11. 16 CFR 700.8 - Warrantor's decision as final.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 16 Commercial Practices 1 2012-01-01 2012-01-01 false Warrantor's decision as final. 700.8 Section 700.8 Commercial Practices FEDERAL TRADE COMMISSION RULES, REGULATIONS, STATEMENTS AND INTERPRETATIONS UNDER THE MAGNUSON-MOSS WARRANTY ACT INTERPRETATIONS OF MAGNUSON-MOSS WARRANTY ACT § 700.8...

  12. 16 CFR 700.8 - Warrantor's decision as final.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 16 Commercial Practices 1 2011-01-01 2011-01-01 false Warrantor's decision as final. 700.8 Section 700.8 Commercial Practices FEDERAL TRADE COMMISSION RULES, REGULATIONS, STATEMENTS AND INTERPRETATIONS UNDER THE MAGNUSON-MOSS WARRANTY ACT INTERPRETATIONS OF MAGNUSON-MOSS WARRANTY ACT § 700.8...

  13. 29 CFR 1952.224 - Final approval determination.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Tennessee plan... Federal program; to submit plan supplements in accordance with 29 CFR part 1953; to allocate...

  14. 29 CFR 1952.234 - Final approval determination.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Kentucky plan... facilities engaged in USPS mail operations; the enforcement of the field sanitation standard, 29 CFR...

  15. 29 CFR 1952.324 - Final approval determination.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Indiana plan... CFR 1928.110, and the enforcement of the temporary labor camps standard, 29 CFR 1910.142, with...

  16. 29 CFR 1952.214 - Final approval determination.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Maryland plan... plan supplements in accordance with 29 CFR part 1953; to allocate sufficient safety and...

  17. 29 CFR 1952.294 - Final approval determination.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... State plan approval in section 18(e) of the Act and implementing regulations at 29 CFR Part 1902... under the Federal program; to submit plan supplements in accordance with 29 CFR Part 1953; to...

  18. 29 CFR 1952.224 - Final approval determination.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Tennessee plan... Federal program; to submit plan supplements in accordance with 29 CFR part 1953; to allocate...

  19. 29 CFR 1952.234 - Final approval determination.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Kentucky plan... facilities engaged in USPS mail operations; the enforcement of the field sanitation standard, 29 CFR...

  20. 29 CFR 1952.214 - Final approval determination.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Maryland plan... plan supplements in accordance with 29 CFR part 1953; to allocate sufficient safety and...

  1. 29 CFR 1952.374 - Final approval determination.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Virginia plan... under the Federal program; to submit plan supplements in accordance with 29 CFR part 1953; to...

  2. 29 CFR 1952.324 - Final approval determination.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Indiana plan... CFR 1928.110, and the enforcement of the temporary labor camps standard, 29 CFR 1910.142, with...

  3. 29 CFR 1952.374 - Final approval determination.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Virginia plan... under the Federal program; to submit plan supplements in accordance with 29 CFR part 1953; to...

  4. 29 CFR 1952.294 - Final approval determination.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... State plan approval in section 18(e) of the Act and implementing regulations at 29 CFR Part 1902... under the Federal program; to submit plan supplements in accordance with 29 CFR Part 1953; to...

  5. 29 CFR 1952.234 - Final approval determination.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... benchmarks as revised in 1984 in response to a Court Order in AFL-CIO v. Marshall (CA 74-406), and was... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Kentucky...

  6. 29 CFR 1952.204 - Final approval determination.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... benchmarks as revised in 1984 in response to a Court Order in AFL-CIO v. Marshall (CA 74-406), and was... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Minnesota...

  7. 29 CFR 1952.324 - Final approval determination.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... benchmarks as revised in 1986 in response to a Court Order in AFL-CIO v. Marshall (CA 74-406), and was... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Indiana...

  8. 29 CFR 1952.214 - Final approval determination.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... section 18(e) of the Act and implementing regulations at 29 CFR part 1902. Accordingly, the Maryland plan... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... plan supplements in accordance with 29 CFR part 1953; to allocate sufficient safety and...

  9. Verb-Final Typology

    ERIC Educational Resources Information Center

    Ogihara, Saeko

    2010-01-01

    This dissertation is a typological study of verb-final languages, the purpose of which is to examine various grammatical phenomena in verb-final languages to discover whether there are correlations between the final position of the verb and other aspects of grammar. It examines how finality of the verb interacts with argument coding in simple…

  10. [Diagnostic difficulties in primary mesothelioma].

    PubMed

    Khalil, Leila Youssef; Szturmowicz, Monika; Wawrzyńska, Liliana; Fijałkowska, Anna; Kupis, Włodzimierz; Maszkowska-Kopij, Krystyna; Szczepulska, Ewa; Burakowska, Barbara; Tomkowski, Witold; Torbicki, Adam

    2004-01-01

    A 54-year-old woman with a history of fatigue and shortness of breath was found to have a pericardial effusion and mild mediastinal lymphadenopathy. Video-assisted pericardioscopy revealed thickened pericardium studded with multiple nodules. Histologically the tumor was diagnosed as papillary adenocarcinoma. The site of the primary tumor could not be identified. As lung cancer is one of the most frequent causes of pericardial metastases the patient was treated with cisplatin and vinblastin. Following 5 courses of chemotherapy--given over a 4 month period--the amount of pericardial effusion and pericardial thickness did not change. The material from pericardial biopsy was reexamined and positive immunostaining for calretinine was found. The final diagnosis was primary pericardial mesothelioma of epithelioid type. Palliative radiotherapy of mediastinum was planned but the patient deteriorated and died due to disease progression with venous thrombosis and superior vena cava syndrome. The case illustrates the difficulties in establishing diagnosis of primary pericardial mesothelioma which is a rare tumor with poor prognosis. PMID:15757264

  11. Double acting bit holder

    DOEpatents

    Morrell, Roger J.; Larson, David A.; Ruzzi, Peter L.

    1994-01-01

    A double acting bit holder that permits bits held in it to be resharpened during cutting action to increase energy efficiency by reducing the amount of small chips produced. The holder consist of: a stationary base portion capable of being fixed to a cutter head of an excavation machine and having an integral extension therefrom with a bore hole therethrough to accommodate a pin shaft; a movable portion coextensive with the base having a pin shaft integrally extending therefrom that is insertable in the bore hole of the base member to permit the moveable portion to rotate about the axis of the pin shaft; a recess in the movable portion of the holder to accommodate a shank of a bit; and a biased spring disposed in adjoining openings in the base and moveable portions of the holder to permit the moveable portion to pivot around the pin shaft during cutting action of a bit fixed in a turret to allow front, mid and back positions of the bit during cutting to lessen creation of small chip amounts and resharpen the bit during excavation use.

  12. Acting to gain information

    NASA Technical Reports Server (NTRS)

    Rosenchein, Stanley J.; Burns, J. Brian; Chapman, David; Kaelbling, Leslie P.; Kahn, Philip; Nishihara, H. Keith; Turk, Matthew

    1993-01-01

    This report is concerned with agents that act to gain information. In previous work, we developed agent models combining qualitative modeling with real-time control. That work, however, focused primarily on actions that affect physical states of the environment. The current study extends that work by explicitly considering problems of active information-gathering and by exploring specialized aspects of information-gathering in computational perception, learning, and language. In our theoretical investigations, we analyzed agents into their perceptual and action components and identified these with elements of a state-machine model of control. The mathematical properties of each was developed in isolation and interactions were then studied. We considered the complexity dimension and the uncertainty dimension and related these to intelligent-agent design issues. We also explored active information gathering in visual processing. Working within the active vision paradigm, we developed a concept of 'minimal meaningful measurements' suitable for demand-driven vision. We then developed and tested an architecture for ongoing recognition and interpretation of visual information. In the area of information gathering through learning, we explored techniques for coping with combinatorial complexity. We also explored information gathering through explicit linguistic action by considering the nature of conversational rules, coordination, and situated communication behavior.

  13. Optimising primary care for people with dementia

    PubMed Central

    2013-01-01

    This review considers key areas in primary care regarding the diagnosis of dementia. Issues surrounding assessment, policy and incentives are considered. In addition, the relevance of non-medication approaches for dementia in primary care, which aim to enhance or maintain quality of life by maximising psychological and social function in the context of existing disabilities, is deliberated. Finally, key issues about primary care medication management are considered, and relevant therapeutic strategies with recommendation for a collaborative approach that improve outcomes by linking primary and secondary healthcare services – including general practice and pharmacy – with social care needs are weighed up. A key aspect of such a collaborative approach is to support informal carers in optimising medication. PMID:24427181

  14. Conforming Amendments to the Regulations Governing Nondiscrimination on the Basis of Race, Color, National, Origin, Disability, Sex, and Age under the Civil Rights Restoration Act of 1987; Final Rule. Federal Register, Part IV: Department of Education, 34 CFR Parts 100, 104, 106, and 110.

    ERIC Educational Resources Information Center

    Federal Register, 2000

    2000-01-01

    The Secretary amends the regulations governing nondiscrimination on the basis of race, color, national origin, sex, handicap, and age to conform with statutory amendments made by the Civil Rights Restoration Act of 1987 (CRRA). These amendments add a definition of "program or activity" or "program" that adopts the statutory definition of "program…

  15. 40 CFR 57.813 - Final decision.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 5 2010-07-01 2010-07-01 false Final decision. 57.813 Section 57.813 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) PRIMARY NONFERROUS SMELTER ORDERS Waiver of Interim Requirement for Use of Continuous Emission Reduction...

  16. [Euthanasia and medical act].

    PubMed

    2011-05-01

    Right to life -as the prohibition of intentionally and arbitrarily taking life, even with authorization of the concerned one- is an internationally recognized right. In many countries, debate regarding euthanasia is more centered in its convenience, social acceptability and how it is regulated, than in its substantial legitimacy. Some argue that euthanasia should be included as part of clinical practice of health professionals, grounded on individual's autonomy claims-everyone having the liberty to choose how to live and how to die. Against this, others sustain that life has a higher value than autonomy, exercising autonomy without respecting the right to life would become a serious moral and social problem. Likewise, euthanasia supporters some-times claim a 'right to live with dignity', which must be understood as a personal obligation, referred more to the ethical than to the strictly legal sphere. In countries where it is already legalized, euthanasia practice has extended to cases where it is not the patient who requests this but the family or some healthcare professional, or even the legal system-when they think that the patient is living in a condition which is not worthy to live. Generalization of euthanasia possibly will end in affecting those who need more care, such as elder, chronically ill or dying people, damaging severely personal basic rights. Nature, purpose and tradition of medicine rule out the practice of euthanasia, which ought not be considered a medical act or legitimately compulsory for physicians. Today's medicine counts with effective treatments for pain and suffering, such as palliative care, including sedative therapy, which best preserves persons dignity and keeps safe the ethos of the medical profession.

  17. Mechanical Properties of Primary Cilia

    NASA Astrophysics Data System (ADS)

    Battle, Christopher; Schmidt, Christoph F.

    2013-03-01

    Recent studies have shown that the primary cilium, long thought to be a vestigial cellular appendage with no function, is involved in a multitude of sensory functions. One example, interesting from both a biophysical and medical standpoint, is the primary cilium of kidney epithelial cells, which acts as a mechanosensitive flow sensor. Genetic defects in ciliary function can cause, e.g., polycystic kidney disease (PKD). The material properties of these non-motile, microtubule-based 9 +0 cilia, and the way they are anchored to the cell cytoskeleton, are important to know if one wants to understand the mechano-electrochemical response of these cells, which is mediated by their cilia. We have probed the mechanical properties, boundary conditions, and dynamics of the cilia of MDCK cells using optical traps and DIC/fluorescence microscopy. We found evidence for both elastic relaxation of the cilia themselves after bending and for compliance in the intracellular anchoring structures. Angular and positional fluctuations of the cilia reflect both thermal excitations and cellular driving forces.

  18. 75 FR 63703 - Privacy Act of 1974; Privacy Act Regulation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-18

    ... Federal Register, 73 FR 25594, May 7, 2008. The proposed amendments: (1) Waived all copying fees in..., 73 FR 54595, September 22, 2008, certain portions of BGFRS-37 (Electronic Applications) may be exempt... CFR Part 261a Privacy Act of 1974; Privacy Act Regulation AGENCY: Board of Governors of the...

  19. The Prescription Drug Marketing Act of 1987.

    PubMed

    Greenberg, R B

    1988-10-01

    The Prescription Drug Marketing Act of 1987 is described, and its implications for hospitals and other health-care entities are discussed. The act, which became effective on July 21, 1988, is intended to reduce public health risks from adulterated, misbranded, and counterfeit drug products that enter the marketplace through drug diversion. The law provides that prescription drug products manufactured in the United States and exported can no longer be reimported, except by the product's manufacturer. It also establishes restrictions on sales of prescription drug products and samples. Samples of prescription drug products may be distributed only if a licensed prescriber requests them. Other distribution channels for samples specified in the law are permissible, provided records are maintained. Under the law, wholesale distributors must be licensed by the state and meet uniform standards. Penalties for violations of the law are also identified. According to FDA's advisory guidelines on the statute, the law will permit hospitals to return drug products, provided the return is made to the manufacturer or wholesaler and provided written notice is secured that the goods were received (for manufacturers) or the goods were destroyed or returned to the manufacturer (for wholesalers). The final chapter on drug diversion must await issuance of final FDA regulations. PMID:3228083

  20. Medics in Primary School

    ERIC Educational Resources Information Center

    Press, Colin

    2003-01-01

    Some time ago a flyer on "Medics in Primary School" came the author's way. It described a programme for making placements in primary schools available to medical students. The benefits of the program to medical students and participating schools were highlighted, including opportunities to develop communication skills and demystify medicine. It…

  1. Primary Science Focus

    ERIC Educational Resources Information Center

    Turner, Jane

    2011-01-01

    Liz Lawrence has recently finished her term as Chair of Primary Science Committee (PSC). She is one of the 41 hub leaders who have led and mentored 192 schools across England and British Forces' schools in Germany, to achieve the first ever nationally recognised awards to celebrate excellence in primary science. In this article, the author writes…

  2. Primary pulmonary leiomyoma.

    PubMed

    Wu, Peng; Venkatachalam, Jonathen; Lee, Victor Kwan Min; Tan, Sze Khen

    2016-05-01

    Leiomyoma is a smooth muscle neoplasm that commonly occurs in the genitourinary system and the gastrointestinal tract of the body. Primary pulmonary leiomyoma is rarely reported in literature. We report a rare case of primary pulmonary leiomyoma of a 55-year-old male patient presenting with symptoms of cough for six months. PMID:27516882

  3. Transforming Primary Mathematics

    ERIC Educational Resources Information Center

    Askew, Mike

    2011-01-01

    What is good mathematics teaching? What is mathematics teaching good for? Who is mathematics teaching for? These are just some of the questions addressed in "Transforming Primary Mathematics", a highly timely new resource for teachers which accessibly sets out the key theories and latest research in primary maths today. Under-pinned by findings…

  4. Using Primary Source Documents.

    ERIC Educational Resources Information Center

    Mintz, Steven

    2003-01-01

    Explores the use of primary sources when teaching about U.S. slavery. Includes primary sources from the Gilder Lehrman Documents Collection (New York Historical Society) to teach about the role of slaves in the Revolutionary War, such as a proclamation from Lord Dunmore offering freedom to slaves who joined his army. (CMK)

  5. EMR Curriculum Guide: Primary.

    ERIC Educational Resources Information Center

    Ruschmeier, Veronica M., Ed.; Rockwell, Linda, Ed.

    Presented is a curriculum guide for educable mentally retarded children in primary and intermediate grades which specifies behavioral and interim objectives in the areas of basic verbal and arithmetic skills, vocational competencies, social competencies, and physical skills. Objectives such as the following are identified at the primary level:…

  6. 78 FR 55762 - National Environmental Policy Act; Mars 2020 Mission

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-11

    ... 12, 2005, in the Federal Register (70 FR 19102), NASA published the Notice of Availability for Final... SPACE ADMINISTRATION National Environmental Policy Act; Mars 2020 Mission AGENCY: National Aeronautics... (EIS) for the Mars 2020 mission and to conduct scoping for the EIS. SUMMARY: Pursuant to the...

  7. 76 FR 22807 - Privacy Act of 1974; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-25

    ... of the Secretary 32 CFR Part 321 Privacy Act of 1974; Implementation AGENCY: Defense Security Service, DoD. ACTION: Direct final rule with request for comments. SUMMARY: The Defense Security Service is... makes nonsubstantive changes to the Defense ] Security Service Privacy Program rules. These changes...

  8. 76 FR 29633 - Freedom of Information Act Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-23

    ... / Monday, May 23, 2011 / Rules and Regulations#0;#0; ] FEDERAL HOUSING FINANCE AGENCY 12 CFR Part 1202 RIN 2590-AA44 Freedom of Information Act Implementation AGENCY: Federal Housing Finance Agency. ACTION: Interim Final Regulation with request for comments. SUMMARY: The Federal Housing Finance Agency (FHFA)...

  9. 78 FR 14669 - Privacy Act of 1974; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-07

    ... Part 16 Privacy Act of 1974; Implementation AGENCY: Drug Enforcement Administration, United States Department of Justice. ACTION: Final rule. SUMMARY: The Department of Justice (DOJ or Department), Drug... notice (SORN) for IRFS at 77 FR 21808, a DEA system of records notice originally published on August...

  10. 76 FR 22611 - Privacy Act of 1974; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-22

    ... identity of a confidential source. This direct final rule makes nonsubstantive changes to the Office of the Secretary Privacy Program rules. These changes will allow the Department to add an exemption rule to the... and/or material from certain portions of the Privacy Act. This change will allow the Department...

  11. 75 FR 41370 - Regulations Implementing the Freedom of Information Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-16

    ... amended. 75 FR 22320, Apr. 28, 2010. Interested persons were afforded an opportunity to participate in the... HEALTH REVIEW COMMISSION 29 CFR Part 2201 Regulations Implementing the Freedom of Information Act AGENCY: Occupational Safety and Health Review Commission. ACTION: Final rule. SUMMARY: The Occupational Safety...

  12. 78 FR 8833 - The Family and Medical Leave Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-06

    ... Defense Authorization Act for Fiscal Year 2008 (FY 2008 NDAA). 73 FR 67934. The FY 2008 NDAA created two... its intent to review the impact of the 2008 Final Rule on the regulated community. 77 FR 67934... on March 10, 1993. 58 FR 13394. The Department received comments from a wide variety of...

  13. 29 CFR 1952.243 - Final approval determination.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... and implementing regulations at 29 CFR part 1902. Accordingly, the Alaska plan was granted final... USPS mail operations; or (9) The enforcement of the field sanitation standard, 29 CFR 1928.110, and...

  14. 29 CFR 1952.243 - Final approval determination.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... and implementing regulations at 29 CFR part 1902. Accordingly, the Alaska plan was granted final... USPS mail operations; or (9) The enforcement of the field sanitation standard, 29 CFR 1928.110, and...

  15. 29 CFR 1952.243 - Final approval determination.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Final approval determination. (a) In accordance with section 18(e) of the Act and procedures in 29 CFR... and implementing regulations at 29 CFR part 1902. Accordingly, the Alaska plan was granted final... USPS mail operations; or (9) The enforcement of the field sanitation standard, 29 CFR 1928.110, and...

  16. Tackling Behaviour in Your Primary School: A Practical Handbook for Teachers

    ERIC Educational Resources Information Center

    Reid, Ken; Morgan, Nicola S.

    2012-01-01

    "Tackling Behaviour in the Primary School" provides ready-made advice and support for classroom professionals and can be used, read and adapted to suit the busy everyday lives of teachers working in primary schools today. This valuable text sets the scene for managing behaviour in the primary classroom in the context of the Children Act 2004…

  17. 45 CFR 156.245 - Treatment of direct primary care medical homes.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... TO HEALTH CARE ACCESS HEALTH INSURANCE ISSUER STANDARDS UNDER THE AFFORDABLE CARE ACT, INCLUDING... 45 Public Welfare 1 2012-10-01 2012-10-01 false Treatment of direct primary care medical homes... direct primary care medical homes. A QHP issuer may provide coverage through a direct primary...

  18. 42 CFR 417.528 - Payment when Medicare is not primary payer.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Payment when Medicare is not primary payer. 417.528... Medicare is not primary payer. (a) Limits on payments and charges. (1) CMS may not pay for services to the extent that Medicare is not the primary payer under section 1862(b) of the Act and part 411 of...

  19. 7 CFR 1170.2 - Act.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Orders; Milk), DEPARTMENT OF AGRICULTURE DAIRY PRODUCT MANDATORY REPORTING § 1170.2 Act. Act means the Agricultural Marketing Act of 1946, 7 U.S.C. 1621 et seq., as amended by the Dairy Market Enhancement Act...

  20. 7 CFR 1170.2 - Act.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... ORDERS; MILK), DEPARTMENT OF AGRICULTURE DAIRY PRODUCT MANDATORY REPORTING § 1170.2 Act. Act means the Agricultural Marketing Act of 1946, 7 U.S.C. 1621 et seq., as amended by the Dairy Market Enhancement Act...

  1. 7 CFR 1170.2 - Act.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Orders; Milk), DEPARTMENT OF AGRICULTURE DAIRY PRODUCT MANDATORY REPORTING § 1170.2 Act. Act means the Agricultural Marketing Act of 1946, 7 U.S.C. 1621 et seq., as amended by the Dairy Market Enhancement Act...

  2. Implementing the Amended FOI Act.

    ERIC Educational Resources Information Center

    McClain, Wallis

    The Freedom of Information Act amendments, which became effective in February 1975, have so far yielded mixed results. This report provides an account of how different federal agencies are implementing this amended statute. Among the topics discussed are modifications of the original 1966 Freedom of Information Act, which were made in the attempt…

  3. Online Challenge versus Offline ACT

    ERIC Educational Resources Information Center

    Peckham, Irvin

    2010-01-01

    This article compares essays written in response to the ACT Essay prompt and a locally developed prompt used for placement. The two writing situations differ by time and genre: the ACT Essay is timed and argumentative; the locally developed is untimed and explanatory. The article analyzes the differences in student performance and predictive…

  4. Education Leaders Applaud ATTAIN Act

    ERIC Educational Resources Information Center

    Curriculum Review, 2007

    2007-01-01

    This article talks about Achievement Through Technology and Innovation (ATTAIN) Act, a bill introduced by Senators Bingaman (D-NM), Burr (R-NC), and Murray (D-WA) and applauded by a coalition of education and industry groups. The proposed ATTAIN Act is similar to its companion in the House (HR 2449), and builds upon the Enhancing Education Through…

  5. Nurse Reinvestment Act. Public Law.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC.

    This document contains the text of the Nurse Reinvestment Act, which amends the Public Health Service Act to address the increasing shortage of registered nurses by instituting a series of policies to improve nurse recruitment and nurse retention. Title I details two initiatives to boost recruitment of nurses. The first initiative includes the…

  6. Act of 13 March 1989.

    PubMed

    1989-01-01

    This document contains the text of a 1989 Act of Utah prohibiting surrogate parenthood agreements of any type. Surrogate mothers are the legal mothers of their children, and their husbands are the legal fathers. This Act has no impact on adoption laws. PMID:12344464

  7. 76 FR 59073 - Privacy Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-23

    ... From the Federal Register Online via the Government Publishing Office CENTRAL INTELLIGENCE AGENCY 32 CFR Part 1901 Privacy Act AGENCY: Central Intelligence Agency. ACTION: Proposed rule. SUMMARY: Consistent with the Privacy Act (PA), the Central Intelligence Agency (CIA) has undertaken and completed...

  8. Biomass Program Recovery Act Factsheet

    SciTech Connect

    2010-03-01

    The Biomass Program has awarded about $718 million in American Recovery and Reinvestment Act (Recovery Act) funds. The projects the Program is supporting are intended to: Accelerate advanced biofuels research, development, and demonstration; Speed the deployment and commercialization of advanced biofuels and bioproducts; Further the U.S. bioindustry through market transformation and creating or saving a range of jobs.

  9. Visualizing renal primary cilia.

    PubMed

    Deane, James A; Verghese, Elizabeth; Martelotto, Luciano G; Cain, Jason E; Galtseva, Alya; Rosenblum, Norman D; Watkins, D Neil; Ricardo, Sharon D

    2013-03-01

    Renal primary cilia are microscopic sensory organelles found on the apical surface of epithelial cells of the nephron and collecting duct. They are based upon a microtubular cytoskeleton, bounded by a specialized membrane, and contain an array of proteins that facilitate their assembly, maintenance and function. Cilium-based signalling is important for the control of epithelial differentiation and has been implicated in the pathogenesis of various cystic kidney diseases and in renal repair. As such, visualizing renal primary cilia and understanding their composition has become an essential component of many studies of inherited kidney disease and mechanisms of epithelial regeneration. Primary cilia were initially identified in the kidney using electron microscopy and this remains a useful technique for the high resolution examination of these organelles. New reagents and techniques now also allow the structure and composition of primary cilia to be analysed in detail using fluorescence microscopy. Primary cilia can be imaged in situ in sections of kidney, and many renal-derived cell lines produce primary cilia in culture providing a simplified and accessible system in which to investigate these organelles. Here we outline microscopy-based techniques commonly used for studying renal primary cilia.

  10. Acting to let someone die.

    PubMed

    McGee, Andrew

    2015-02-01

    This paper examines the recent prominent view in medical ethics that withdrawing life-sustaining treatment (LST) is an act of killing. I trace this view to the rejection of the traditional claim that withdrawing LST is an omission rather than an act. Although that traditional claim is not as problematic as this recent prominent view suggests, my main claim is that even if we accepted that withdrawing LST should be classified as an act rather than as an omission, it could still be classified as letting die rather than killing. Even though omissions are contrasted with acts, letting die need not be, for one can let die by means of acts. The remainder of the paper is devoted to establishing this claim and addresses certain objections to it.

  11. Primary aldosteronism and malignant adrenocortical neoplasia.

    PubMed Central

    Salassa, T. M.; Weeks, R. E.; Northcutt, R. C.; Carney, J. A.

    1975-01-01

    Our experience indicates that although adrenal carcinoma is not a common cause of primary aldosteronism, 4 to 5% of patients in a single large series may have a malignant adrenocortical tumor. The magnitude of the hypokalemia and the hyperaldosteronuria tends to be greater in patients with malignant tumors, but these patients cannot be clearly separated from those with benign tumors or hyperplasia on this basis. Patients who have malignant tumors may have no chemical evidence of adrenocortical dysfunction other than excessive aldosterone secretion. Finally, a good response to spironolactone for months does not exclude adrenal carcinoma as the cause of primary aldosteronism. Images Fig. 1 PMID:1179589

  12. [The scientific entertainer in primary health care].

    PubMed

    Ortega-Calvo, Manuel; Santos, José Manuel; Lapetra, José

    2012-09-01

    The scientific method is capable of being applied in primary care. In this article we defend the role of the "scientific entertainer "as strategic and necessary in achieving this goal. The task has to include playful and light-hearted content. We explore some words in English that may help us to understand the concept of "scientific entertainer" from a semantic point of view (showman, master of ceremonies, entrepreneur, go-between) also in Spanish language (counsellor, mediator, methodologist) and finally in Latin and Greek (tripalium, negotium, chronos, kairos). We define the clinical, manager or research health-worker who is skilled in primary care as a "primarylogist". PMID:22018794

  13. [The scientific entertainer in primary health care].

    PubMed

    Ortega-Calvo, Manuel; Santos, José Manuel; Lapetra, José

    2012-09-01

    The scientific method is capable of being applied in primary care. In this article we defend the role of the "scientific entertainer "as strategic and necessary in achieving this goal. The task has to include playful and light-hearted content. We explore some words in English that may help us to understand the concept of "scientific entertainer" from a semantic point of view (showman, master of ceremonies, entrepreneur, go-between) also in Spanish language (counsellor, mediator, methodologist) and finally in Latin and Greek (tripalium, negotium, chronos, kairos). We define the clinical, manager or research health-worker who is skilled in primary care as a "primarylogist".

  14. NASA. Johnson Space Center primary battery applications

    NASA Technical Reports Server (NTRS)

    Bragg, Bob J.

    1991-01-01

    The role of the Power Branch/EP5 of JSC in primary battery applications is to support those JSC organizations having direct application responsibility with trade studies, battery selection recommendations, and with development, qualification, and provisioning of primary batteries. Battery subsystem management is provided. Payload hazard report preparation is supported, as is the review and comment of such reports for the JSC Payload Safety Panel, who approves the flight safety for all Orbiter payloads. JSC battery users are provided with safety analysis and test support to achieve safety approval. Finally, it is the responsibility of the Power Branch to define and maintain battery safety requirement documentation for JSC.

  15. Education of Individuals with Disabilities Act of 1989. Calendar No. 379.

    ERIC Educational Resources Information Center

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

    This report recommends reauthorization of the Education of the Handicapped Act (EHA) via Senate bill 1824, the Education of Individuals with Disabilities Act of 1989. The bill's primary focus is reauthorization of the discretionary programs of parts C through G of the EHA and creation of a new discretionary program addressing the special education…

  16. Ten Years of the Workforce Investment Act (WIA): Interpreting the Research on WIA and Related Programs

    ERIC Educational Resources Information Center

    Decker, Paul T.; Berk, Jillian A.

    2011-01-01

    In 1998, President Clinton signed the federal Workforce Investment Act (WIA). Implemented in 2000, WIA replaced the Job Partnership Training Act (JTPA) as the primary federal job training program. Congress viewed WIA as a way to end "business as usual" in the workforce investment system. WIA aimed to transform the employment and training system by…

  17. Effects of the ACT Raising Safe Kids Parenting Program on Children's Externalizing Problems

    ERIC Educational Resources Information Center

    Knox, Michele; Burkhart, Kimberly; Howe, Tasha

    2011-01-01

    Eighty-seven parents and primary caregivers of children aged 10 years or younger participated in a study examining the effects of the ACT Raising Safe Kids program on children's behavior. It was hypothesized that children of caregivers who complete ACT-RSK would demonstrate reduced behavior problems compared to children of caregivers in a…

  18. 77 FR 40382 - Notice of Lodging of Consent Decree Under the Safe Drinking Water Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-09

    ... of Lodging of Consent Decree Under the Safe Drinking Water Act Notice is hereby given that on June 29... the Safe Drinking Water Act (``SDWA''), 42 U.S.C. 300f through 300j-26, including violations of the National Primary Drinking Water Regulations (``NPDWRs''), at Lincoln Road RV Park, Inc.'s...

  19. 75 FR 56601 - Privacy Act of 1974: New System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-16

    ... authority to administer the program, using an arrangement under the Economy Act, 31 U.S.C. 1535. U.S. Office... Information (Name, Social Security Number, Date of Birth, Gender, Phone number etc). b. Address (Current... with OPM under the Economy Act, 31 U.S.C. 1535, to provide such services. PURPOSE: The primary...

  20. HHS Inspector General publishes final safe harbor regulations.

    PubMed

    Valiant, C

    1991-01-01

    The Department of Health and Human Services Office of Inspector General has finally published the long-awaited Medicare/Medicaid final safe harbor regulations. The regulations, implementing the Medicare and Medicaid Patient and Program Protection Act of 1987, protect from criminal and civil sanctions certain payment practices that could otherwise be proscribed under the Medicare/Medicaid antikickback statute. Unfortunately, the final safe harbors appear not to reach many common business arrangements among health care providers currently in place.

  1. HHS Inspector General publishes final safe harbor regulations.

    PubMed

    Valiant, C

    1991-01-01

    The Department of Health and Human Services Office of Inspector General has finally published the long-awaited Medicare/Medicaid final safe harbor regulations. The regulations, implementing the Medicare and Medicaid Patient and Program Protection Act of 1987, protect from criminal and civil sanctions certain payment practices that could otherwise be proscribed under the Medicare/Medicaid antikickback statute. Unfortunately, the final safe harbors appear not to reach many common business arrangements among health care providers currently in place. PMID:10114719

  2. 76 FR 14439 - No FEAR Act Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-16

    ... TRANSPARENCY BOARD No FEAR Act Notice AGENCY: Recovery Accountability and Transparency Board. ACTION: Notice... and Retaliation Act (No FEAR Act or Act), as implemented by Office of Personnel Management (OPM... No FEAR Act. See Public Law 107-174, codified at 5 U.S.C. 2301 note. One purpose of the Act is...

  3. Primary aldosteronism and pregnancy.

    PubMed

    Morton, Adam

    2015-10-01

    Primary aldosteronism is the most common cause of secondary hypertension. Less than 50 cases of pregnancy in women with primary aldosteronism have been reported, suggesting the disorder is significantly underdiagnosed in confinement. Accurate diagnosis is complicated by physiological changes in the renin-angiotensin-aldosterone axis in pregnancy, leading to a risk of false negative results on screening tests. The course of primary aldosteronism during pregnancy is highly variable, although overall it is associated with a very high risk of fetal and maternal morbidity and mortality. The optimal management of primary aldosteronism during pregnancy is unclear, with uncertainty regarding the safety of mineralocorticoid antagonists and amiloride, their relative efficacy compared with the antihypertensive medications commonly used during pregnancy, and as to whether prognosis is improved by laparoscopic adrenalectomy where an adrenal adenoma can be demonstrated.

  4. Brain tumor - primary - adults

    MedlinePlus

    ... tumor, relieve symptoms, and improve brain function or comfort. Surgery is often needed for most primary brain ... and pressure Anticonvulsants to reduce seizures Pain medicines Comfort measures, safety measures, physical therapy, and occupational therapy ...

  5. Staging Primary CNS Lymphoma

    MedlinePlus

    ... large vein near the heart. Having a weakened immune system may increase the risk of developing primary CNS ... immunodeficiency syndrome (AIDS) or other disorders of the immune system or who have had a kidney transplant . For ...

  6. Genetics of primary hyperaldosteronism.

    PubMed

    Dutta, Ravi Kumar; Söderkvist, Peter; Gimm, Oliver

    2016-10-01

    Hypertension is a common medical condition and affects approximately 20% of the population in developed countries. Primary aldosteronism is the most common form of secondary hypertension and affects 8-13% of patients with hypertension. The two most common causes of primary aldosteronism are aldosterone-producing adenoma and bilateral adrenal hyperplasia. Familial hyperaldosteronism types I, II and III are the known genetic syndromes, in which both adrenal glands produce excessive amounts of aldosterone. However, only a minority of patients with primary aldosteronism have one of these syndromes. Several novel susceptibility genes have been found to be mutated in aldosterone-producing adenomas: KCNJ5, ATP1A1, ATP2B3, CTNNB1, CACNA1D, CACNA1H and ARMC5 This review describes the genes currently known to be responsible for primary aldosteronism, discusses the origin of aldosterone-producing adenomas and considers the future clinical implications based on these novel insights. PMID:27485459

  7. Primary infertility (image)

    MedlinePlus

    Primary infertility is a term used to describe a couple that has never been able to conceive a pregnancy ... to do so through unprotected intercourse. Causes of infertility include a wide range of physical as well ...

  8. Parenthood after Primary Infertility.

    ERIC Educational Resources Information Center

    Frances-Fischer, Jana E.; Lightsey, Owen Richard, Jr.

    2003-01-01

    Reviews the literature on the experience of parenting after primary infertility and describes construction and initial testing of an instrument for assessing characteristics of this understudied population. (Contains 52 references and 4 tables.) (GCP)

  9. Thanksgiving in Primary Literature.

    ERIC Educational Resources Information Center

    Branum, Nell Carter

    1996-01-01

    Examines how the holiday of Thanksgiving is treated in primary books and offers comparisons of 28 popular titles in print. Innovative classroom and media center projects are described, including discussions, drawings, bulletin boards, problem-solving activities, and cooking. (LRW)

  10. Primary actinomycosis of hand

    PubMed Central

    Padhi, Sanghamitra; Dash, Muktikesh; Turuk, Jyotirmayee; Sahu, Rani; Panda, Pritilata

    2014-01-01

    Actinomycosis is a chronic granulomatous suppurative disease having the propensity for extension to the contagious tissue with the formation of multiple discharging sinus tracts. Primary actinomycosis of extremity is a very uncommon clinical entity and is commonly considered as a soft-tissue infection. We report here, a case of primary actinomycosis of the upper extremity in a 24-year-old male who was treated successfully with surgical excision and extended period of antimicrobial treatment. PMID:25538911

  11. Primary headache disorders.

    PubMed

    Benoliel, Rafael; Eliav, Eli

    2013-07-01

    Primary headache disorders include migraine, tension-type headaches, and the trigeminal autonomic cephalgias (TACs). "Primary" refers to a lack of clear underlying causative pathology, trauma, or systemic disease. The TACs include cluster headache, paroxysmal hemicrania, and short-lasting neuralgiform headache attacks with conjunctival injection and tearing; hemicrania continua, although classified separately by the International Headache Society, shares many features of both migraine and the TACs. This article describes the features and treatment of these disorders.

  12. Treatment of primary syphilis.

    PubMed

    Elliott, W C

    1976-12-01

    Reports in the English language of the treatment of primary syphilis are reviewed. Except for benzathine penicillin, the efficacy of the currently recommended dosage schedules are documented only by Schroeter et al. Although these investigators reported generally acceptable failure rates, further study is necessary to determine: (1) if differences in efficacy exist among regimes; (2) if the current schedules are equally effective in both primary and secondary syphilis; and (3) if increased dosages reduce failure rates. PMID:1010777

  13. 78 FR 66653 - Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-06

    ...-04902 (78 FR 15410), the final rule entitled, ``Patient Protection and Affordable Care Act; HHS Notice... Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014''. This correcting amendment... section reference to the Affordable Care Act. On page 15495, in our discussion of estimating the value...

  14. Primary biliary cirrhosis.

    PubMed

    Carey, Elizabeth J; Ali, Ahmad H; Lindor, Keith D

    2015-10-17

    Primary biliary cirrhosis is a chronic cholestatic liver disease characterised by destruction of small intrahepatic bile ducts, leading to fibrosis and potential cirrhosis through resulting complications. The serological hallmark of primary biliary cirrhosis is the antimitochondrial antibody, a highly disease-specific antibody identified in about 95% of patients with primary biliary cirrhosis. These patients usually have fatigue and pruritus, both of which occur independently of disease severity. The typical course of primary biliary cirrhosis has changed substantially with the introduöction of ursodeoxycholic acid (UDCA). Several randomised placebo-controlled studies have shown that UDCA improves transplant-free survival in primary biliary cirrhosis. However, about 40% of patients do not have a biochemical response to UDCA and would benefit from new therapies. Liver transplantation is a life-saving surgery with excellent outcomes for those with decompensated cirrhosis. Meanwhile, research on nuclear receptor hormones has led to the development of exciting new potential treatments. This Seminar will review the current understanding of the epidemiology, pathogenesis, and natural history of primary biliary cirrhosis, discuss management of the disease and its sequelae, and introduce research on new therapeutic options. PMID:26364546

  15. Medicare Program; Obtaining Final Medicare Secondary Payer Conditional Payment Amounts via Web Portal. Final rule.

    PubMed

    2016-05-17

    This final rule specifies the process and timeline for expanding CMS' existing Medicare Secondary Payer (MSP) Web portal to conform to section 201 of the Medicare IVIG and Strengthening Medicare and Repaying Taxpayers Act of 2012 (the SMART Act). The final rule specifies a timeline for developing a multifactor authentication solution to securely permit authorized users other than the beneficiary to access CMS' MSP conditional payment amounts and claims detail information via the MSP Web portal. It also requires that we add functionality to the existing MSP Web portal that permits users to: Notify us that the specified case is approaching settlement; obtain time and date stamped final conditional payment summary statements and amounts before reaching settlement; and ensure that relatedness disputes and any other discrepancies are addressed within 11 business days of receipt of dispute documentation.

  16. 76 FR 44462 - Statement of General Policy or Interpretation; Commentary on the Fair Credit Reporting Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... From the Federal Register Online via the Government Publishing Office FEDERAL TRADE COMMISSION 16... Act AGENCY: Federal Trade Commission. ACTION: Final rule; rescission of commentary. SUMMARY: The Federal Trade Commission (``FTC'' or ``Commission'') is rescinding its Statements of General Policy...

  17. 76 FR 4133 - National Environmental Policy Act; Mars Science Laboratory (MSL) Mission

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-24

    ... SPACE ADMINISTRATION National Environmental Policy Act; Mars Science Laboratory (MSL) Mission AGENCY... consideration of possible changes in the potential environmental impacts of the Mars Science Laboratory (MSL...) for MSL Final Environmental Impact Statement (EIS). SUMMARY: Pursuant to the National...

  18. Assessment & Commitment Tracking System (ACTS)

    2004-12-20

    The ACTS computer code provides a centralized tool for planning and scheduling assessments, tracking and managing actions associated with assessments or that result from an event or condition, and "mining" data for reporting and analyzing information for improving performance. The ACTS application is designed to work with the MS SQL database management system. All database interfaces are written in SQL. The following software is used to develop and support the ACTS application: Cold Fusion HTMLmore » JavaScript Quest TOAD Microsoft Visual Source Safe (VSS) HTML Mailer for sending email Microsoft SQL Microsoft Internet Information Server« less

  19. Assessment & Commitment Tracking System (ACTS)

    SciTech Connect

    Bryant, Robert A.; Childs, Teresa A.; Miller, Michael A.; Sellars, Kevin J.

    2004-12-20

    The ACTS computer code provides a centralized tool for planning and scheduling assessments, tracking and managing actions associated with assessments or that result from an event or condition, and "mining" data for reporting and analyzing information for improving performance. The ACTS application is designed to work with the MS SQL database management system. All database interfaces are written in SQL. The following software is used to develop and support the ACTS application: Cold Fusion HTML JavaScript Quest TOAD Microsoft Visual Source Safe (VSS) HTML Mailer for sending email Microsoft SQL Microsoft Internet Information Server

  20. Two routes to actorhood: lexicalized potency to act and identification of the actor role

    PubMed Central

    Frenzel, Sabine; Schlesewsky, Matthias; Bornkessel-Schlesewsky, Ina

    2015-01-01

    The inference of causality is a crucial cognitive ability and language processing is no exception: recent research suggests that, across different languages, the human language comprehension system attempts to identify the primary causer of the state of affairs described (the “actor”) quickly and unambiguously (Bornkessel-Schlesewsky and Schlesewsky, 2009). This identification can take place verb-independently based on certain prominence cues (e.g., case, word order, animacy). Here, we present two experiments demonstrating that actor potential is also encoded at the level of individual nouns (a king is a better actor than a beggar). Experiment 1 collected ratings for 180 German nouns on 12 scales defined by adjective oppositions and deemed relevant for actorhood potential. By means of structural equation modeling, an actor potential (ACT) value was calculated for each noun. Experiment 2, an event-related potential study, embedded nouns from Experiment 1 in verb-final sentences, in which they were either actors or non-actors. N400 amplitude increased with decreasing ACT values and this modulation was larger for highly frequent nouns and for actor versus non-actor nouns. We argue that potency to act is lexically encoded for individual nouns and, since it modulates the N400 even for non-actor participants, it should be viewed as a property that modulates ease of lexical access (akin, for example, to lexical frequency). We conclude that two separate dimensions of actorhood computation are crucial to language comprehension: an experience-based, lexically encoded (bottom–up) representation of actorhood potential, and a prominence-based, computational mechanism for calculating goodness-of-fit to the actor role in a particular (top–down) sentence context. PMID:25688217