Sample records for act final primary

  1. 77 FR 47079 - Notice of Availability of Draft Policy Document for Comment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-07

    ... Public Health Service Act (PHS Act) to support the delivery of preventive and primary care services to... section 1861(aa)(4) and section 1905(l)(2)(B) of the Social Security Act, FQHC Look-Alikes do not receive... support the fee and discount schedules based on an individual's ability to pay. When finalized, this PIN...

  2. 78 FR 71903 - 2013 Revisions to the Greenhouse Gas Reporting Rule and Final Confidentiality Determinations for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-29

    ... companies, sinter plants, blast furnaces, basic oxygen process furnace shops. Lead Production 331419 Primary... Act (APA), 5 U.S.C. Chapter 5, generally provides that rules may not take effect earlier than 30 days... adjust their behavior and prepare before the final rule takes effect. To employ the 5 U.S.C. 553(d)(3...

  3. 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…

  4. Challenges and Opportunities for Integrating Preventive Substance-Use-Care Services in Primary Care through the Affordable Care Act

    PubMed Central

    Ghitza, Udi E.; Tai, Betty

    2014-01-01

    Undertreated or untreated substance use disorders (SUD) remain a pervasive, medically-harmful public health problem in the United States, particularly in medically underserved and low-income populations lacking access to appropriate treatment. The need for greater access to SUD treatment was expressed as policy in the Final Rule on standards related to essential health benefits, required to be covered through the 2010 Affordable Care Act (ACA) health insurance exchanges. SUD treatment services have been included as an essential health benefit, in a manner that complies with the Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008. Consequently, with the ACA, a vast expansion of SUD-care services in primary care is looming. This commentary discusses challenges and opportunities under the ACA for equipping health care professionals with appropriate workforce training, infrastructure, and resources to support and guide science-based Screening, Brief Intervention, and Referral to Treatment (SBIRT) for SUD in primary care. PMID:24583486

  5. Medicaid program; state plan home and community-based services, 5-year period for waivers, provider payment reassignment, and home and community-based setting requirements for Community First Choice and home and community-based services (HCBS) waivers. Final rule.

    PubMed

    2014-01-16

    This final rule amends the Medicaid regulations to define and describe state plan section 1915(i) home and community-based services (HCBS) under the Social Security Act (the Act) amended by the Affordable Care Act. This rule offers states new flexibilities in providing necessary and appropriate services to elderly and disabled populations. This rule describes Medicaid coverage of the optional state plan benefit to furnish home and community based-services and draw federal matching funds. This rule also provides for a 5-year duration for certain demonstration projects or waivers at the discretion of the Secretary, when they provide medical assistance for individuals dually eligible for Medicaid and Medicare benefits, includes payment reassignment provisions because state Medicaid programs often operate as the primary or only payer for the class of practitioners that includes HCBS providers, and amends Medicaid regulations to provide home and community-based setting requirements related to the Affordable Care Act for Community First Choice State plan option. This final rule also makes several important changes to the regulations implementing Medicaid 1915(c) HCBS waivers.

  6. Design, implementation and evaluation of a training programme for school teachers in the use of malaria rapid diagnostic tests as part of a basic first aid kit in southern Malawi.

    PubMed

    Witek-McManus, Stefan; Mathanga, Don P; Verney, Allison; Mtali, Austin; Ali, Doreen; Sande, John; Mwenda, Reuben; Ndau, Saidi; Mazinga, Charles; Phondiwa, Emmanuel; Chimuna, Tiyese; Melody, David; Roschnik, Natalie; Brooker, Simon J; Halliday, Katherine E

    2015-09-17

    With increasing levels of enrolment, primary schools present a pragmatic opportunity to improve the access of school children to timely diagnosis and treatment of malaria, increasingly recognised as a major health problem within this age group. The expanded use of malaria rapid diagnostic tests (RDTs) and artemisinin combination therapy (ACT) by community health workers (CHWs) has raised the prospect of whether teachers can provide similar services for school children. We describe and evaluate the training of primary school teachers to use a first aid kit containing malaria RDTs and ACT for the diagnosis and treament of uncomplicated malaria in school children in southern Malawi. We outline the development of the intervention as: (1) conception and design, (2) pilot training, (3) final training, and (4) 7-month follow up. The training materials were piloted at a four-day workshop in July 2013 following their design at national stakeholders meetings. The evaluation of the pilot training and materials were assessed in relation to increased knowledge and skill sets using checklist evaluations and questionnaires, the results of which informed the design of a final seven-day training programme held in December 2013. A follow up of trained teachers was carried out in July 2014 following 7 months of routine implementation. A total of 15 teachers were evaluated at four stages: pilot training, two weeks following pilot, final training and seven months following final training. A total of 15 and 92 teachers were trained at the pilot and final training respectively. An average of 93 % of the total steps required to use RDTs were completed correctly at the final training, declining to 87 % after 7 months. All teachers were observed correctly undertaking safe blood collection and handling, accurate RDT interpretation, and correct dispensing of ACT. The most commonly observed errors were a failure to wait 20 minutes before reading the test result, and adding an incorrect volume of buffer to the test cassette. Following training, teachers are able to competently use RDTs and ACTs test and treat children at school for uncomplicated malaria safely and accurately. Teachers demonstrate a comparable level of RDT use relative to non-health professional users of RDTs, and sustain this competency over a period of seven months during routine implementation.

  7. 75 FR 73095 - Privacy Act of 1974; Report of New System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-29

    ... Repository'' System No. 09-70-0587. The final rule for the Medicare and Medicaid EHR Incentive Program... primary purpose of this system, called the National Level Repository or NLR, is to collect, maintain, and... Maintenance of Data in the System The National Level Repository (NLR) contains information on eligible...

  8. 76 FR 76259 - National Emissions Standards for Hazardous Air Pollutants: Primary Aluminum Reduction Plants

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-06

    ... Clean Air Act. If finalized, these proposed amendments would address previously unregulated emissions (i... instructions for submitting comments. Email: a-and-r[email protected] , Attention Docket ID Number EPA-HQ-OAR...://www.regulations.gov Web site is an ``anonymous access'' system, which means the EPA will not know your...

  9. Final Environmental Assessment: Demolition of Barracks (Building T-2) at Ipswich Antenna Test Facility

    DTIC Science & Technology

    2011-12-01

    EIAP), managed the preparation and was the primary author of this environmental assessment. QAULITY ASSURANCE LEADER Cravedi, Gregory. 66 ABG/CE...BMP Best Management Practice CEQ Council on Environmental Quality CERCLA Comprehensive Environmental Response, Compensation, and Liability Act...Assessment EMCS Energy Management Control System ESC Electronic Systems Center FEMA Federal Emergency Management Agency FIRM Federal

  10. 78 FR 39325 - Agency Information Collection Activities: Proposed Collection; Comments Requested Claims of U.S...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-01

    ... Pursuant to Section 4(A)(1)(C) of the International Claims Settlement Act of 1949, as Amended, 22 U.S.C... asked or required to respond, as well as a brief abstract: Primary: Individuals. Other: Corporations. Information will be used as a basis for the Commission to receive, examine, adjudicate and render final...

  11. 78 FR 4725 - Escrow Requirements Under the Truth in Lending Act (Regulation Z)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-22

    ...The Bureau of Consumer Financial Protection (Bureau) is publishing a final rule that amends Regulation Z (Truth in Lending) to implement certain amendments to the Truth in Lending Act made by the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act). Regulation Z currently requires creditors to establish escrow accounts for higher-priced mortgage loans secured by a first lien on a principal dwelling. The rule implements statutory changes made by the Dodd-Frank Act that lengthen the time for which a mandatory escrow account established for a higher-priced mortgage loan must be maintained. The rule also exempts certain transactions from the statute's escrow requirement. The primary exemption applies to mortgage transactions extended by creditors that operate predominantly in rural or underserved areas, originate a limited number of first-lien covered transactions, have assets below a certain threshold, and do not maintain escrow accounts on mortgage obligations they currently service.

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

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

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

    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 themore » 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.« less

  13. 76 FR 45689 - Financial Crimes Enforcement Network; Repeal of the Final Rule and Withdrawal of the Finding of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-01

    ... Money Laundering Concern Against VEF Banka AGENCY: Financial Crimes Enforcement Network (``FinCEN... Institution of Primary Money Laundering Concern of April 26, 2005, issued pursuant to 31 U.S.C. 5318A of the... PATRIOT Act amends the anti-money laundering provisions of the BSA, codified at 12 U.S.C. 1829b, 12 U.S.C...

  14. 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. © 2014 Society for Public Health Education.

  15. Final Evaluation Report of the 1970-1971 Group C-Kindergarten Education Programs, Districts Number 4, 5, 9, 27. ESEA Title I.

    ERIC Educational Resources Information Center

    Bertoldi, Arthur; Duphiney, Lorna

    A differentiated staffing model involving the use of adult educational assistants to work with the kindergarten teacher and children within the classroom was utilized as the experimental concept for an Early Childhood project funded under Title I of the 1965 Elementary Secondary Education Act in the 1970-71 school year. The primary purpose of the…

  16. Grants for nurse practitioner traineeship programs--PHS. Interim final regulations.

    PubMed

    1984-08-01

    These regulations set forth requirements for grants to schools of nursing, medicine, and public health, to public or nonprofit private hospitals, and to other public or nonprofit private entities to meet the costs of traineeships for training nurse practitioners. A trainee must sign a commitment with the Secretary to practice full-time as a nurse practitioner in a primary medical care health manpower shortage area, designated under section 332 of the Public Health Service Act (the Act), for a period equal to 1 month for each month of traineeship support, after completion of the training. If this obligation is not fulfilled, a trainee must pay back traineeship support. The purpose of these regulations is to respond to the comments on the 1980 interim final regulations and to conform 42 CFR Part 57, Subpart AA, with the Paperwork Reduction Act of 1980, Pub. L. 96-511, and with the Omnibus Budget Reconciliation Act of 1981, Pub. L. 97-35, which requires, among other provisions, that the Secretary provide, by regulation, for the waiver or suspension of the repayment obligation under certain conditions. In addition, other minor changes have been made and Office of Management and Budget (OMB) numbers are cited in those sections which have approved reporting and recordkeeping requirements.

  17. Expansion of Coverage under the Patient Protection and Affordable Care Act and Primary Care Utilization

    PubMed Central

    Hofer, Adam N; Abraham, Jean Marie; Moscovice, Ira

    2011-01-01

    Context: Provisions of the Patient Protection and Affordable Care Act of 2010 (PPACA) expand Medicaid to all individuals in families earning less than 133 percent of the federal poverty level (FPL) and make available subsidies to uninsured lower-income Americans (133 to 400 percent of FPL) without access to employer-based coverage to purchase insurance in new exchanges. Since primary care physicians typically serve as the point of entry into the health care delivery system, an adequate supply of them is critical to meeting the anticipated increase in demand for medical care resulting from the expansion of coverage. This article provides state-level estimates of the anticipated increases in primary care utilization given the PPACA's provisions for expanded coverage. Methods: Using the Medical Expenditure Panel Survey, this article estimates a multivariate regression model of annual primary care utilization. Using the model estimates and state-level information regarding the number of uninsured, it predicts, by state, the change in primary care visits expected from the expanded coverage. Finally, the article predicts the number of primary care physicians needed to accommodate this change in utilization. Findings: This expanded coverage is predicted to increase by 2019 the number of annual primary care visits between 15.07 million and 24.26 million. Assuming stable levels of physicians’ productivity, between 4,307 and 6,940 additional primary care physicians would be needed to accommodate this increase. Conclusions: The PPACA's health insurance expansion parameters are expected to significantly increase the use of primary care. Two strategies that policymakers may consider are creating stronger financial incentives to attract medical school students to primary care and changing the delivery of care in ways that lead to operational improvements, higher throughput, and better quality of care. PMID:21418313

  18. The Atacama Cosmology Telescope: Development and preliminary results of point source observations

    NASA Astrophysics Data System (ADS)

    Fisher, Ryan P.

    2009-06-01

    The Atacama Cosmology Telescope (ACT) is a six meter diameter telescope designed to measure the millimeter sky with arcminute angular resolution. The instrument is currently conducting its third season of observations from Cerro Toco in the Chilean Andes. The primary science goal of the experiment is to expand our understanding of cosmology by mapping the temperature fluctuations of the Cosmic Microwave Background (CMB) at angular scales corresponding to multipoles up to [cursive l] ~ 10000. The primary receiver for current ACT observations is the Millimeter Bolometer Array Camera (MBAC). The instrument is specially designed to observe simultaneously at 148 GHz, 218 GHz and 277 GHz. To accomplish this, the camera has three separate detector arrays, each containing approximately 1000 detectors. After discussing the ACT experiment in detail, a discussion of the development and testing of the cold readout electronics for the MBAC is presented. Currently, the ACT collaboration is in the process of generating maps of the microwave sky using our first and second season observations. The analysis used to generate these maps requires careful data calibration to produce maps of the arcminute scale CMB temperature fluctuations. Tests and applications of several elements of the ACT calibrations are presented in the context of the second season observations. Scientific exploration has already begun on preliminary maps made using these calibrations. The final portion of this thesis is dedicated to discussing the point sources observed by the ACT. A discussion of the techniques used for point source detection and photometry is followed by a presentation of our current measurements of point source spectral indices.

  19. Design and construction of a prototype ACTS propagation terminal

    NASA Technical Reports Server (NTRS)

    Stutzman, Warren; Pratt, Tim; Nunnally, Charles; Nealy, Randall; Remaklus, Will; Sylvester, Bill; Predoehl, Andrew; Gaff, Doug

    1993-01-01

    The launch schedule for the Advanced Communication Technology Satellite (ACTS) spacecraft did not leave sufficient time for completion of the prototype ACTS Propagation Terminals (APT) prior to initiation of the APT production phase. In fact, the approach used was to construct and test all subassemblies of the terminal with special emphasis on the technically challenging portions. These include the RF front end that uses a state-of-the-art down converter which integrates a low noise amplifier, mixer, post amplifier, filter, and local oscillator port frequency doubler into a single small package. In addition, a new digital receiver that uses the latest DSP technology was developed. Both of these subassemblies were thoroughly tested. The highest risk technology in the APT program was the digital receiver. Several candidate algorithms and DSP chips were investigated early on, primarily under JPL sponsorship. A receiver was constructed based on Texas Instruments chip. The final prototype digital receiver was one based on an Analog Devices chip. The design and test results are documented in a report prepared for this grant. A Primary Design Review (PDR) was conducted 30 May 1991, and a Critical Design Review was held 7 Jul. 1992. Final complete documentation of the APT's will appear in the form of three reports: a hardware description report, a report on the data collection code (ACTS VIEW), and a report on the preprocessing code.

  20. The Strength Model of Self-Control in Sport and Exercise Psychology

    PubMed Central

    Englert, Chris

    2016-01-01

    The strength model of self-control assumes that all acts of self-control (e.g., emotion regulation, persistence) are empowered by a single global metaphorical strength that has limited capacity. This strength can become temporarily depleted after a primary self-control act, which, in turn, can impair performance in subsequent acts of self-control. Recently, the assumptions of the strength model of self-control also have been adopted and tested in the field of sport and exercise psychology. The present review paper aims to give an overview of recent developments in self-control research based on the strength model of self-control. Furthermore, recent research on interventions on how to improve and revitalize self-control strength will be presented. Finally, the strength model of self-control has been criticized lately, as well as expanded in scope, so the present paper will also discuss alternative explanations of why previous acts of self-control can lead to impaired performance in sport and exercise. PMID:26973590

  1. Solutions to microplastic pollution - Removal of microplastics from wastewater effluent with advanced wastewater treatment technologies.

    PubMed

    Talvitie, Julia; Mikola, Anna; Koistinen, Arto; Setälä, Outi

    2017-10-15

    Conventional wastewater treatment with primary and secondary treatment processes efficiently remove microplastics (MPs) from the wastewater. Despite the efficient removal, final effluents can act as entrance route of MPs, given the large volumes constantly discharged into the aquatic environments. This study investigated the removal of MPs from effluent in four different municipal wastewater treatment plants utilizing different advanced final-stage treatment technologies. The study included membrane bioreactor treating primary effluent and different tertiary treatment technologies (discfilter, rapid sand filtration and dissolved air flotation) treating secondary effluent. The MBR removed 99.9% of MPs during the treatment (from 6.9 to 0.005 MP L -1 ), rapid sand filter 97% (from 0.7 to 0.02 MP L -1 ), dissolved air flotation 95% (from 2.0 to 0.1 MP L -1 ) and discfilter 40-98.5% (from 0.5 - 2.0 to 0.03-0.3 MP L -1 ) of the MPs during the treatment. Our study shows that with advanced final-stage wastewater treatment technologies WWTPs can substantially reduce the MP pollution discharged from wastewater treatment plants into the aquatic environments. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Effect of the Family and Medical Leave Act on the operation of cafeteria plans. Final regulations.

    PubMed

    2001-10-17

    This document contains final regulations relating to cafeteria plans that reflect changes made by the Family and Medical Leave Act of 1993 (Act). The final regulations provide the public with guidance needed to comply with the Act and affect employees who participate in cafeteria plans.

  3. 78 FR 32547 - Loan Originator Compensation Requirements Under the Truth in Lending Act (Regulation Z...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-31

    ... Loan Originator Compensation Requirements Under the Truth in Lending Act (Regulation Z); Prohibition on... Lending Act (Regulation Z) Final Rule, issued on January 20, 2013, and published in the Federal Register... Originator Compensation Requirements Under the Truth in Lending Act (Regulation Z) (Final Rule).\\2\\ The Final...

  4. Genome-wide screen identifies novel machineries required for both ciliogenesis and cell cycle arrest upon serum starvation

    PubMed Central

    Kim, Ji Hyun; Ki, Soo Mi; Joung, Je-Gun; Scott, Eric; Heynen-Genel, Susanne; Aza-Blanc, Pedro; Kwon, Chang Hyuk; Kim, Joon; Gleeson, Joseph G.; Lee, Ji Eun

    2016-01-01

    Biogenesis of the primary cilium, a cellular organelle mediating various signaling pathways, is generally coordinated with cell cycle exit/re-entry. Although the dynamic cell cycle-associated profile of the primary cilium has been largely accepted, the mechanism governing the link between ciliogenesis and cell cycle progression has been poorly understood. Using a human genome-wide RNAi screen, we identify genes encoding subunits of the spliceosome and proteasome as novel regulators of ciliogenesis. We demonstrate that 1) the mRNA processing-related hits are essential for RNA expression of molecules acting in cilia disassembly, such as AURKA and PLK1, and 2) the ubiquitin-proteasome systems (UPS)-involved hits are necessary for proteolysis of molecules acting in cilia assembly, such as IFT88 and CPAP. In particular, we show that these screen hit-associated mechanisms are crucial for both cilia assembly and cell cycle arrest in response to serum withdrawal. Finally, our data suggest that the mRNA processing mechanism may modulate the UPS-dependent decay of cilia assembly regulators to control ciliary resorption-coupled cell cycle re-entry. PMID:27033521

  5. Cellular basis for neonatally induced T-suppressor activity. Primary B cell maturation is blocked by suppressor-helper interactions restricted by loci on chromosome 12

    PubMed Central

    1985-01-01

    The cellular mechanism and genetic restriction of neonatally induced HA- specific suppressor T (Ts) cells have been examined. The in vivo effect of these Ts cells on antibody production, primary B cell proliferation, B cell surface marker changes, and helper T (Th) cell priming during primary responses to HA have been determined. The results indicate that, although antigen-induced B cell proliferative responses and surface marker changes occur in the presence of Ts cells, differentiation to Ig secretion, and long-lived memory B cell production are prevented. Further, antigen-specific Th cell priming is completely ablated by Ts cells, suggesting that Ts act by preventing the delivery of Th signals required for both the later stages of primary B cell maturation, and the formation of memory B cell populations. Finally, in vivo cell mixing experiments using congenic mice indicate that this Ts-Th interaction is restricted by loci on mouse chromosome 12. PMID:2580040

  6. Patient Protection and Affordable Care Act; program integrity: Exchange, SHOP, and eligibility appeals. Final rule.

    PubMed

    2013-08-30

    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 Exchange standards with respect to eligibility appeals, agents and brokers, privacy and security, issuer direct enrollment, and the handling of consumer cases. It also sets forth standards with respect to a State's operation of the Exchange and Small Business Health Options Program (SHOP). It generally is finalizing previously proposed policies without change.

  7. Test Area B-75 Final Range Environmental Assessment (REA), Revision 1

    DTIC Science & Technology

    2010-08-01

    Committee on Hearing, Bioacoustics, and Biomechanics CO Carbon Monoxide CS/CSS Combat Support/Combat Service Support CWA Clean Water Act CZMA Coastal...Explosives 88 0 0 0 MK-82, AFX-644-3 HE FILL 12 0 0 0 Lasers LASER GUIDED TRAINING RD 0 4 0 16 LASER OPS, 1 HR 0 14 0 56 Mines MINE AT HEAVY M15 0 462 0...Primary) 40,000 µg/m³ = Micrograms per Cubic Meter; Avg = Average; CO = Carbon Monoxide ; hr = Hour; NOx = Nitrogen Oxides; PM = Particulate

  8. Final Environmental Assessment for Temporary Aircraft Relocation to Maxwell Air Force Base 187th Fighter Wing Montgomery Regional Airport Montgomery, Alabama

    DTIC Science & Technology

    2012-06-01

    Compatible Use Zone AIRFA American Indian Religious Freedom Act ALANG Alabama Air National Guard ANG Air National Guard ALNHP Alabama Natural Heritage...2012 1-3 1.3 LOCATION AND MISSION OF THE 187 FW AT MONTGOMERY REGIONAL AIRPORT The 187 FW of the Alabama Air National Guard ( ALANG ) is collocated...Army National Guard west of the primary parcel. South of Runway 10/28 is another 7-acre parcel for the Munitions Storage Area. ALANG also possesses

  9. East Bay Marina Olympia, Thurston County, Washington. Final Detailed Project Report, Section 107, 1960 River and Harbor Act and Environmental Impact Statement

    DTIC Science & Technology

    1980-12-01

    Int. Revue ges. Hydrobiology . Vol. 56, No. 6, pp. 947-956. 17. Pomeroy, L. R. 1959. Primary productivity of Boca Ciega Bay, Florida. Bull. Mar. Sci...4.7 feet to +18.2 feet mean lower low water (MLLW). AFFECTED ENVIRONMENT 2-6. Water Quality. Budd Inlet is a very productive area having about the...same salinity, nutrients, and turbidity as the other bays of south- ern Puget Sound. Phytoplankton production and standing crops in Budd Inlet increase

  10. 76 FR 63151 - Small Business Jobs Act: 504 Loan Program Debt Refinancing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-12

    ... SMALL BUSINESS ADMINISTRATION 13 CFR Part 120 RIN 3245-AG17 Small Business Jobs Act: 504 Loan Program Debt Refinancing AGENCY: U.S. Small Business Administration. ACTION: Final rule. SUMMARY: This rule finalizes the interim final rule that implemented section 1122 of the Small Business Jobs Act of...

  11. Consenting to counter-normative sexual acts: differential effects of consent on anger and disgust as a function of transgressor or consenter.

    PubMed

    Russell, Pascale Sophie; Piazza, Jared

    2015-01-01

    Anger and disgust may have distinct roles in sexual morality; here, we tested hypotheses regarding the distinct foci, appraisals, and motivations of anger and disgust within the context of sexual offenses. We conducted four experiments in which we manipulated whether mutual consent (Studies 1-3) or desire (Study 4) was present or absent within a counter-normative sexual act. We found that anger is focused on the injustice of non-consensual sexual acts, and the transgressor of the injustice (Studies 1 and 3). Furthermore, the sexual nature of the act was not critical for the elicitation of anger--as anger also responded to unjust acts of violence (Study 3). By contrast, we hypothesised and found that disgust is focused on whether or not a person voluntarily engaged in, desired or consented to a counter-normative sexual act (Studies 2-4). Appraisals of abnormality and degradation were the primary appraisals of disgust, and the sexual nature of the act was a critical elicitor of disgust (Study 3). A final study ruled out victimisation as the mechanism of the effect of consent on disgust and indicated that the consenter's sexual desire was the mechanism (Study 4). Our results reveal that anger and disgust have differential roles in consent-related sexual offenses due to the distinct appraisals and foci of these emotions.

  12. 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.

  13. 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.

  14. Federal enforcement in group and individual health insurance markets. Final rule.

    PubMed

    2005-11-25

    This rule makes final an interim final rule that details procedures we use for enforcing title XXVII of the Public Health Service Act as added by the Health Insurance Portability and Accountability Act of 1996, and as amended by the Mental Health Parity Act of 1996, the Newborns' and Mothers' Health Protection Act of 1996, and the Women's Health and Cancer Rights Act of 1998. Specifically, we are responsible for enforcing title XXVII requirements in States that do not enact the legislation necessary to enforce those requirements, or otherwise fail to substantially enforce the requirements. We are also responsible for taking enforcement actions against non-Federal governmental plans. The regulation describes the process we use in both enforcement contexts. This final rule deletes an appendix to the interim rule that listed examples of violations of title XXVII and corrects the description of a cross-reference, but makes no substantive changes to the interim final rule.

  15. 75 FR 45563 - Terrorism Risk Insurance Program; Final Netting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-03

    ... DEPARTMENT OF THE TREASURY 31 CFR Part 50 RIN 1505-AC24 Terrorism Risk Insurance Program; Final... Title I of the Terrorism Risk Insurance Act of 2002 (``TRIA'' or ``the Act''), as amended by the Terrorism Risk Insurance Extension Act of 2005 (``Extension Act'') and the Terrorism Risk Insurance Program...

  16. Medicare program; participation in CHAMPUS and CHAMPVA, hospital admissions for veterans, discharge rights notice, and hospital responsibility for emergency care--HCFA and OIG. Interim final rule with comment period.

    PubMed

    1994-06-22

    We are revising requirements for Medicare participating hospitals by adding the following: A hospital must provide inpatient hospital services to individuals who have health coverage provided by either the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) or the Civilian Health and Medical Program of the Veterans Administration (CHAMPVA), subject to limitations provided by regulations that require the hospital to collect the beneficiary's cost-share and accept payment from the CHAMPUS/CHAMPVA programs as payment in full. A hospital must provide inpatient hospital services to military veterans (subject to the limitations provided in 38 CFR 17.50 ff.) and accept payment from the Department of Veterans Affairs as payment in full. A hospital must give each Medicare beneficiary (or his or her representative) at or about the time of admission, a written statement of his or her rights concerning discharge from the hospital. A hospital (including a rural primary care hospital) with an emergency department must provide, upon request and within the capabilities of the hospital or rural primary care hospital, an appropriate medical screening examination, stabilizing treatment and/or an appropriate transfer to another medical facility to any individual with an emergency medical condition, regardless of the individual's eligibility for Medicare. The statute provides for the termination of a provider's agreement for violation of any of these provisions. These revisions implement sections 9121 and 9122 of the Consolidated Omnibus Budget Reconciliation Act of 1985 (as amended by section 4009 of the Omnibus Budget Reconciliation Act of 1987), section 233 of the Veteran's Benefit Improvement and Health Care Authorization Act of 1986, sections 9305(b)(1) and 9307 of the Omnibus Budget Reconciliation Act of 1986, sections 6003(g)(3)(D)(xiv), 6018 and 6211 of the Omnibus Budget Reconciliation Act of 1989, and sections 4008(b), 4027(a), and 4027(k)(3) of the Omnibus Budget Reconciliation Act of 1990.

  17. Influence of Li₂Sb Additions on Microstructure and Mechanical Properties of Al-20Mg₂Si Alloy.

    PubMed

    Yu, Hong-Chen; Wang, Hui-Yuan; Chen, Lei; Zha, Min; Wang, Cheng; Li, Chao; Jiang, Qi-Chuan

    2016-03-29

    It is found that Li₂Sb compound can act as the nucleus of primary Mg₂Si during solidification, by which the particle size of primary Mg₂Si decreased from ~300 to ~15-25 μm. Owing to the synergistic effect of the Li₂Sb nucleus and adsorption-poisoning of Li atoms, the effect of complex modification of Li-Sb on primary Mg₂Si was better than that of single modification of Li or Sb. When Li-Sb content increased from 0 to 0.2 and further to 0.5 wt.%, coarse dendrite changed to defective truncated octahedron and finally to perfect truncated octahedral shape. With the addition of Li and Sb, ultimate compression strength (UCS) of Al-20Mg₂Si alloys increased from ~283 to ~341 MPa and the yield strength (YS) at 0.2% offset increased from ~112 to ~179 MPa while almost no change was seen in the uniform elongation. Our study offers a simple method to control the morphology and size of primary Mg₂Si, which will inspire developing new Al-Mg-Si alloys with improved mechanical properties.

  18. Patient Protection and Affordable Care Act; standards related to essential health benefits, actuarial value and accreditation. Final rule.

    PubMed

    2013-02-25

    This final rule sets forth standards for health insurance issuers consistent with title I of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. Specifically, this final rule outlines Exchange and issuer standards related to coverage of essential health benefits and actuarial value. This rule also finalizes a timeline for qualified health plans to be accredited in Federally-facilitated Exchanges and amends regulations providing an application process for the recognition of additional accrediting entities for purposes of certification of qualified health plans.

  19. Health insurance issuers implementing medical loss ratio (MLR) requirements under the Patient Protection and Affordable Care Act. Interim final rule with request for comments.

    PubMed

    2010-12-01

    This document contains the interim final regulation implementing medical loss ratio (MLR) requirements for health insurance issuers under the Public Health Service Act, as added by the Patient Protection and Affordable Care Act (Affordable Care Act).

  20. Coupled flow and deformations in granular systems beyond the pendular regime

    NASA Astrophysics Data System (ADS)

    Yuan, Chao; Chareyre, Bruno; Darve, Felix

    2017-06-01

    A pore-scale numerical model is proposed for simulating the quasi-static primary drainage and the hydro-mechanical couplings in multiphase granular systems. The solid skeleton is idealized to a dense random packing of polydisperse spheres by DEM. The fluids (nonwetting and wetting phases) space is decomposed to a network of tetrahedral pores based on the Regular Triangulation method. The local drainage rules and invasion logic are defined. The fluid forces acting on solid grains are formulated. The model can simulate the hydraulic evolution from a fully saturated state to a low level of saturation but beyond the pendular regime. The features of wetting phase entrapments and capillary fingering can also be reproduced. Finally, a primary drainage test is performed on a 40,000 spheres of sample. The water retention curve is obtained. The solid skeleton first shrinks then swells.

  1. 77 FR 57017 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: Defense Intelligence Agency (DIA) is proposing to update the DIA Privacy Act... Records. This direct final rule makes nonsubstantive changes to the Defense Intelligence Agency Program...

  2. Patient Protection and Affordable Care Act; establishment of exchanges and qualified health plans; Small Business Health Options Program. Final rule.

    PubMed

    2013-06-04

    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) related to the Small Business Health Options Program (SHOP). Specifically, this final rule amends existing regulations regarding triggering events and special enrollment periods for qualified employees and their dependents and implements a transitional policy regarding employees' choice of qualified health plans (QHPs) in the SHOP.

  3. Minimum essential coverage and other rules regarding the shared responsibility payment for individuals. Final regulations.

    PubMed

    2014-11-26

    This document contains final regulations relating to the requirement to maintain minimum essential coverage enacted by the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, as amended by the TRICARE Affirmation Act and Public Law 111-173 (collectively, the Affordable Care Act). These final regulations provide individual taxpayers with guidance under section 5000A of the Internal Revenue Code on the requirement to maintain minimum essential coverage and rules governing certain types of exemptions from that requirement.

  4. Patient Protection and Affordable Care Act; health insurance market rules. Final rule.

    PubMed

    2013-02-27

    This final rule implements provisions related to fair health insurance premiums, guaranteed availability, guaranteed renewability, single risk pools, and catastrophic plans, consistent with title I of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. The final rule clarifies the approach used to enforce the applicable requirements of the Affordable Care Act with respect to health insurance issuers and group health plans that are non-federal governmental plans. This final rule also amends the standards for health insurance issuers and states regarding reporting, utilization, and collection of data under the federal rate review program, and revises the timeline for states to propose state-specific thresholds for review and approval by the Centers for Medicare & Medicaid Services (CMS).

  5. 77 FR 57016 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: Defense Intelligence Agency (DIA) is updating the DIA Privacy Act Program by... final rule makes non-substantive changes to the Defense Intelligence Agency Program rules. These changes...

  6. Emotional labour strategies as mediators of the relationship between public service motivation and job satisfaction in Chinese teachers.

    PubMed

    Li, Mingjun; Wang, Zhenhong

    2016-06-01

    The purpose of this study was to examine the relationship between teachers' public service motivation (PSM) and their job satisfaction levels and to investigate the mediating effects of surface acting (SA) and deep acting (DA) on that relationship. The teacher PSM scale, as well as emotional labour strategies and intrinsic satisfaction (IS) and extrinsic satisfaction (ES) scales, were administered to 317 primary and middle school teachers. Results indicated that PSM among Chinese teachers was significantly and positively related to both IS and ES. Furthermore, structural equation modelling analysis showed that SA and DA played mediating roles in the PSM-IS and PSM-ES relationships, respectively. These findings provide a new perspective that explains the mechanism underlying the association between PSM among teachers and their job satisfaction levels. Finally, the possible explanations and implications are discussed. © 2014 International Union of Psychological Science.

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-18

    ... 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... instruction in our final rule entitled ``Freedom of Information Act'' published February 28, 2013 (78 FR 13472...

  8. Primary care training and the evolving healthcare system.

    PubMed

    Peccoralo, Lauren A; Callahan, Kathryn; Stark, Rachel; DeCherrie, Linda V

    2012-01-01

    With growing numbers of patient-centered medical homes and accountable care organizations, and the potential implementation of the Patient Protection and Affordable Care Act, the provision of primary care in the United States is expanding and changing. Therefore, there is an urgent need to create more primary-care physicians and to train physicians to practice in this environment. In this article, we review the impact that the changing US healthcare system has on trainees, strategies to recruit and retain medical students and residents into primary-care internal medicine, and the preparation of trainees to work in the changing healthcare system. Recruitment methods for medical students include early preclinical exposure to patients in the primary-care setting, enhanced longitudinal patient experiences in clinical clerkships, and primary-care tracks. Recruitment methods for residents include enhanced ambulatory-care training and primary-care programs. Financial-incentive programs such as loan forgiveness may encourage trainees to enter primary care. Retaining residents in primary-care careers may be encouraged via focused postgraduate fellowships or continuing medical education to prepare primary-care physicians as both teachers and practitioners in the changing environment. Finally, to prepare primary-care trainees to effectively and efficiently practice within the changing system, educators should consider shifting ambulatory training to community-based practices, encouraging resident participation in team-based care, providing interprofessional educational experiences, and involving trainees in quality-improvement initiatives. Medical educators in primary care must think innovatively and collaboratively to effectively recruit and train the future generation of primary-care physicians. © 2012 Mount Sinai School of Medicine.

  9. Reference News Release: EPA Finalizes Rule to Modernize Clean Water Act Reporting

    EPA Pesticide Factsheets

    Today, the U.S. Environmental Protection Agency (EPA) finalized a rule to modernize Clean Water Act reporting for municipalities, industries, and other facilities. The final rule will require regulated entities and state and federal regulators to use exist

  10. Minimum Value of Eligible Employer-Sponsored Plans and Other Rules Regarding the Health Insurance Premium Tax Credit. Final regulations.

    PubMed

    2015-12-18

    This document contains final regulations on 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, as amended by the Medicare and Medicaid Extenders Act of 2010, the Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011, and the Department of Defense and Full-Year Continuing Appropriations Act, 2011. These final regulations affect individuals who enroll in qualified health plans through Affordable Insurance Exchanges (Exchanges, sometimes called Marketplaces) and claim the health insurance premium tax credit, and Exchanges that make qualified health plans available to individuals and employers.

  11. United States Chiropractic Practice Acts and Institute of Medicine defined primary care practice

    PubMed Central

    Duenas, Richard

    2002-01-01

    Abstract Objective This review was conducted to analyze the law for the practice of chiropractic throughout the United States, including the District of Columbia, Puerto Rico and the U.S. Virgin Islands, to determine the legal ability of the Doctor of Chiropractic in each jurisdiction to provide primary care service as described by the 1996 Institute of Medicine Definition of Primary Care. Method The practice acts for each State, the District of Columbia, Puerto Rico and the U.S. Virgin Islands were reviewed for language that would permit the chiropractic doctor to meet the 9 criteria of primary care practice described by the Institute of Medicine. Forty-four practice acts were cross referenced with the results of a scope of practice survey of State Boards of Chiropractic in 1999. Results The review of the practice acts and the survey on chiropractic scope of practice revealed a varied degree of chiropractic scope of practice with 23 of 53 of the jurisdictions limiting the ability of the chiropractic doctor to fully provide IOM defined primary care. Conclusion The varied practice act definitions for chiropractic practice throughout the United States the District of Columbia, Puerto Rico and the U.S. Virgin Islands reveal an inability of the chiropractic profession to respond to a call for a standard nationally-based primary-care policy that could be readily achieved by all chiropractic practitioners throughout the Union. This void of primary-care qualification in many State and Commonwealth practice acts will need to be addressed by the leaders of the profession if government entities and national third party organizations are to utilize chiropractic health care services to the standard of chiropractic education and clinical experience. The need for a broad range chiropractic scope of practice model practice act is suggested. PMID:19674578

  12. 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.

  13. Patient protection and Affordable Care Act; data collection to support standards related to essential health benefits; recognition of entities for the accreditation of qualified health plans. Final rule.

    PubMed

    2012-07-20

    This final rule establishes data collection standards necessary to implement aspects of section 1302 of the Patient Protection and Affordable Care Act (Affordable Care Act), which directs the Secretary of Health and Human Services to define essential health benefits. This final rule outlines the data on applicable plans to be collected from certain issuers to support the definition of essential health benefits. This final rule also establishes a process for the recognition of accrediting entities for purposes of certification of qualified health plans.

  14. Shared responsibility payment for not maintaining minimum essential coverage. Final regulations.

    PubMed

    2013-08-30

    This document contains final regulations on the requirement to maintain minimum essential coverage enacted by the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, as amended by the TRICARE Affirmation Act and Public Law 111-173. These final regulations provide guidance to individual taxpayers on the liability under section 5000A of the Internal Revenue Code for the shared responsibility payment for not maintaining minimum essential coverage and largely finalize the rules in the notice of proposed rulemaking published in the Federal Register on February 1, 2013.

  15. Path suppression of strongly collapsing bubbles at finite and low Reynolds numbers.

    PubMed

    Rechiman, Ludmila M; Dellavale, Damián; Bonetto, Fabián J

    2013-06-01

    We study, numerically and experimentally, three different methods to suppress the trajectories of strongly collapsing and sonoluminescent bubbles in a highly viscous sulfuric acid solution. A new numerical scheme based on the window method is proposed to account for the history force acting on a spherical bubble with variable radius. We could quantify the history force, which is not negligible in comparison with the primary Bjerknes force in this type of problem, and results are in agreement with the classical primary Bjerknes force trapping threshold analysis. Moreover, the present numerical implementation reproduces the spatial behavior associated with the positional and path instability of sonoluminescent argon bubbles in strongly gassed and highly degassed sulfuric acid solutions. Finally, the model allows us to demonstrate that spatially stationary bubbles driven by biharmonic excitation could be obtained with a different mode from the one used in previous reported experiments.

  16. Heat treated 9 Cr-1 Mo steel material for high temperature application

    DOEpatents

    Jablonski, Paul D.; Alman, David; Dogan, Omer; Holcomb, Gordon; Cowen, Christopher

    2012-08-21

    The invention relates to a composition and heat treatment for a high-temperature, titanium alloyed, 9 Cr-1 Mo steel exhibiting improved creep strength and oxidation resistance at service temperatures up to 650.degree. C. The novel combination of composition and heat treatment produces a heat treated material containing both large primary titanium carbides and small secondary titanium carbides. The primary titanium carbides contribute to creep strength while the secondary titanium carbides act to maintain a higher level of chromium in the finished steel for increased oxidation resistance, and strengthen the steel by impeding the movement of dislocations through the crystal structure. The heat treated material provides improved performance at comparable cost to commonly used high-temperature steels such as ASTM P91 and ASTM P92, and requires heat treatment consisting solely of austenization, rapid cooling, tempering, and final cooling, avoiding the need for any hot-working in the austenite temperature range.

  17. 16 CFR 316.3 - Primary purpose.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... relationship content of email messages under the CAN-SPAM Act is content: (1) To facilitate, complete, or... Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC ACTS OF CONGRESS CAN-SPAM RULE § 316...-SPAM Act, 15 U.S.C. 7702(2), the “primary purpose” of an electronic mail message shall be deemed to be...

  18. 16 CFR 316.3 - Primary purpose.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... relationship content of email messages under the CAN-SPAM Act is content: (1) To facilitate, complete, or... Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC ACTS OF CONGRESS CAN-SPAM RULE § 316...-SPAM Act, 15 U.S.C. 7702(2), the “primary purpose” of an electronic mail message shall be deemed to be...

  19. Australian National University Science Extension Day

    ERIC Educational Resources Information Center

    Fletcher, Sarah

    2016-01-01

    The first Australian National University (ANU) Science Extension Day was held on September 8, 2015. The ANU Science Extension Day is a project that was initiated by Theodore Primary School (ACT) and developed by Theodore Primary, Calwell High School, Science Educators Association of the ACT (SEA*ACT), and the ANU. The project was developed with a…

  20. Sir Patrick Dun and the Complete School of Physic in eighteenth-century Dublin.

    PubMed

    Mullaney, S

    2015-03-01

    2013 is the tercentenary of the death of Sir Patrick Dun. When Dun died in 1713, he left the proceeds of his estate to enhance medical education in Dublin by funding chairs in medicine. He showed remarkable innovation, but it took 95 years, five Acts of Parliament, two House of Commons enquiries and a House of Lords enquiry before Dun's wishes were brought to fruition and systematic clinical education was available for Dublin medical students. The passage of the final School of Physic Act in 1800 insured that a hospital would open in his name and regular clinical education was provided. The physician, Richard Steevens, who died 3 years earlier in 1710, left the proceeds of his estate to found a hospital, which opened, in his name, in 1733. The contemporary primary sources have been analysed and material from relevant secondary sources has been included where appropriate. Dublin was the beneficiary of these bequests and if circumstances had been more favourable, and the proceeds had been used more efficiently at the start of the eighteenth-century, Dublin could well have rivalled Edinburgh as the seat of medical education in the eighteenth century. In the early nineteenth century, it would fulfil that role and equal Edinburgh as one of the primary centres of medical education in Europe.

  1. 78 FR 13443 - Child Nutrition Programs: Nondiscretionary Amendments Related to the Healthy, Hunger-Free Kids...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-28

    ...-Free Kids Act of 2010 AGENCY: Food and Nutrition Service, USDA. ACTION: Final rule. SUMMARY: This final rule implements several nondiscretionary provisions of the Healthy, Hunger-Free Kids Act of 2010..., Hunger-Free Kids Act of 2010 (HHFKA), Public Law 111- 296, makes important improvements to the Child...

  2. 76 FR 23876 - Clarifications to Indian Tribes' Clean Air Act Regulatory Requirements; Direct Final Amendments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-29

    ... Clarifications to Indian Tribes' Clean Air Act Regulatory Requirements; Direct Final Amendments AGENCY... to amend certain Clean Air Act regulations pertaining to Indian tribes. This action changes the title... Subpart L, which includes provisions specific to implementation plans for tribes located in EPA Region IX...

  3. Processing umami and other tastes in mammalian taste buds.

    PubMed

    Roper, Stephen D; Chaudhari, Nirupa

    2009-07-01

    Neuroscientists are now coming to appreciate that a significant degree of information processing occurs in the peripheral sensory organs of taste prior to signals propagating to the brain. Gustatory stimulation causes taste bud cells to secrete neurotransmitters that act on adjacent taste bud cells (paracrine transmitters) as well as on primary sensory afferent fibers (neurocrine transmitters). Paracrine transmission, representing cell-cell communication within the taste bud, has the potential to shape the final signal output that taste buds transmit to the brain. The following paragraphs summarize current thinking about how taste signals generally, and umami taste in particular, are processed in taste buds.

  4. 76 FR 72878 - Financial Crimes Enforcement Network; Amendment to the Bank Secrecy Act Regulations-Imposition of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-28

    ... Iran as a Jurisdiction of Primary Money Laundering Concern AGENCY: Financial Crimes Enforcement Network... Republic of Iran (``Iran'') is a jurisdiction of primary money laundering concern pursuant to 31 U.S.C... Act amends the anti- money laundering provisions of the Bank Secrecy Act (``BSA''), codified at 12 U.S...

  5. Representing the healthcare organization in a post-Sarbanes-Oxley world: new rules, new paradigms, new perils.

    PubMed

    Horton, William W

    2004-01-01

    The Sarbanes-Oxley Act (Act) significantly changed the expected corporate behavior of public companies. The Act governs the relationship between corporate organizations and their in-house or outside counsel. Under Section 307 of the Act, the Securities and Exchange Commission initially proposed expansive rules regarding counsel's duties. After comments and criticism from much of the bar, a final, narrower, version of rules under Section 307 (Final Rule) was adopted. The Final Rule contains alternative reporting procedures, attorney responsibilities, and sanctions for violations. In addition to the Act, the American Bar Association's (ABA) Task Force on Corporate Responsibility(Task Force), which was itself a reaction to Enron, reported on the importance of counsel's role in a corporate setting (Cheek Report). The ABA adopted amendments to its Model Rules of Professional Conduct (Model Rules) 1.6 and 1.13 as proposed in the Cheek Report. The Final Rule and amended Model Rules together suggest that attorneys may owe duties beyond those owed to their clients.

  6. 78 FR 6407 - Ability-to-Repay and Qualified Mortgage Standards Under the Truth in Lending Act (Regulation Z)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-30

    ...The Bureau of Consumer Financial Protection (Bureau) is amending Regulation Z, which implements the Truth in Lending Act (TILA). Regulation Z currently prohibits a creditor from making a higher-priced mortgage loan without regard to the consumer's ability to repay the loan. The final rule implements sections 1411 and 1412 of the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act), which generally require creditors to make a reasonable, good faith determination of a consumer's ability to repay any consumer credit transaction secured by a dwelling (excluding an open-end credit plan, timeshare plan, reverse mortgage, or temporary loan) and establishes certain protections from liability under this requirement for ``qualified mortgages.'' The final rule also implements section 1414 of the Dodd-Frank Act, which limits prepayment penalties. Finally, the final rule requires creditors to retain evidence of compliance with the rule for three years after a covered loan is consummated.

  7. 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.

  8. Claudin-2 Promotes Breast Cancer Liver Metastasis by Facilitating Tumor Cell Interactions with Hepatocytes

    PubMed Central

    Tabariès, Sébastien; Dupuy, Fanny; Dong, Zhifeng; Monast, Anie; Annis, Matthew G.; Spicer, Jonathan; Ferri, Lorenzo E.; Omeroglu, Atilla; Basik, Mark; Amir, Eitan; Clemons, Mark

    2012-01-01

    We previously identified claudin-2 as a functional mediator of breast cancer liver metastasis. We now confirm that claudin-2 levels are elevated in liver metastases, but not in skin metastases, compared to levels in their matched primary tumors in patients with breast cancer. Moreover, claudin-2 is specifically expressed in liver-metastatic breast cancer cells compared to populations derived from bone or lung metastases. The increased liver tropism exhibited by claudin-2-expressing breast cancer cells requires claudin-2-mediated interactions between breast cancer cells and primary hepatocytes. Furthermore, the reduction of the claudin-2 expression level, either in cancer cells or in primary hepatocytes, diminishes these heterotypic cell-cell interactions. Finally, we demonstrate that the first claudin-2 extracellular loop is essential for mediating tumor cell-hepatocyte interactions and the ability of breast cancer cells to form liver metastases in vivo. Thus, during breast cancer liver metastasis, claudin-2 shifts from acting within tight-junctional complexes to functioning as an adhesion molecule between breast cancer cells and hepatocytes. PMID:22645303

  9. 12 CFR 268.503 - Enforcement of final EEOC decisions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... the decision pursuant to title VII, the ADEA, the Equal Pay Act or the Rehabilitation Act and to seek... RESERVE SYSTEM RULES REGARDING EQUAL OPPORTUNITY Remedies and Enforcement § 268.503 Enforcement of final... Procedures Act, 5 U.S.C. 701 et seq., and the mandamus statute, 28 U.S.C. 1361, or to commence de novo...

  10. 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

    ... Amendments to the Real Estate Settlement Procedures Act (Regulation X) (2013 HOEPA Final Rule), 78 FR 6855... 7215 (Jan. 31, 2013); Mortgage Servicing Rules Under the Real Estate Settlement Procedures Act...\\ 73 FR 44522 (July 30, 2008). IV. Section-by-Section Analysis Section 1026.35 Requirements for Higher...

  11. 75 FR 17917 - Clean Water Act Section 303(d): Final Agency Action on Seven Total Maximum Daily Loads (TMDLs) in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-08

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9135-1] Clean Water Act Section 303(d): Final Agency Action... the Clean Water Act (CWA). Documents from the administrative record file for the seven TMDLs... Oxygen. 010401 East Atchafalaya Mercury. Basin and Morganza Floodway South to Interstate 10 Canal. 010501...

  12. KEY COMPARISON: Final report of EUROMET Project 696: pH determination of a phthalate buffer

    NASA Astrophysics Data System (ADS)

    Spitzer, Petra; Charlet, Philippe; Eberhard, Ralf; Karpov, Oleg V.; Philippe, Rachel; Rivier, Cedric; Maximov, Igor; Sudmeier, Uwe

    2005-01-01

    The EUROMET project 696, a trilateral comparison between PTB, Germany, LNE, France and VNIIFTRI, Russia was performed in order to demonstrate and document the capability of the participants to measure the pH of a phthalate buffer by the primary measurement procedure for pH. Good agreement of the reported results was observed. The sample was very similar to the one used in the comparison CCQM-K17. PTB acts as pilot laboratory in CCQM-K17 and in EUROMET 696. This comparison allows one to link the results obtained by LNE to the CCQM-K17 key comparison through the degree of equivalence of PTB. On the other hand, the discrepancy between measured pH values at the VNIIFTRI and PTB for the same type of buffer solution decreased, as compared with a bilateral comparison in 1997. Main text. To reach the main text of this paper, click on Final Report. The final report has been peer-reviewed and approved for publication by the CCQM, according to the provisions of the Mutual Recognition Arrangement (MRA).

  13. Generation and performance assessment of the global TanDEM-X digital elevation model

    NASA Astrophysics Data System (ADS)

    Rizzoli, Paola; Martone, Michele; Gonzalez, Carolina; Wecklich, Christopher; Borla Tridon, Daniela; Bräutigam, Benjamin; Bachmann, Markus; Schulze, Daniel; Fritz, Thomas; Huber, Martin; Wessel, Birgit; Krieger, Gerhard; Zink, Manfred; Moreira, Alberto

    2017-10-01

    The primary objective of the TanDEM-X mission is the generation of a global, consistent, and high-resolution digital elevation model (DEM) with unprecedented global accuracy. The goal is achieved by exploiting the interferometric capabilities of the two twin SAR satellites TerraSAR-X and TanDEM-X, which fly in a close orbit formation, acting as an X-band single-pass interferometer. Between December 2010 and early 2015 all land surfaces have been acquired at least twice, difficult terrain up to seven or eight times. The acquisition strategy, data processing, and DEM calibration and mosaicking have been systematically monitored and optimized throughout the entire mission duration, in order to fulfill the specification. The processing of all data has finally been completed in September 2016 and this paper reports on the final performance of the TanDEM-X global DEM and presents the acquisition and processing strategy which allowed to obtain the final DEM quality. The results confirm the outstanding global accuracy of the delivered product, which can be now utilized for both scientific and commercial applications.

  14. 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…

  15. Final Report of the Advanced Coal Technology Work Group

    EPA Pesticide Factsheets

    The Advanced Coal Technology workgroup reported to the Clean Air Act Advisory Committee. This page includes the final report of the Advanced Coal Technology Work Group to the Clean Air Act Advisory Committee.

  16. 75 FR 31609 - Conservation Stewardship Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-03

    ...Section 2301 of the Food, Conservation, and Energy Act of 2008 (2008 Act) amended the Food Security Act of 1985 to establish the Conservation Stewardship Program (CSP). On July 29, 2009, the Natural Resources Conservation Service (NRCS) published an interim final rule for CSP with a 60-day public comment period. On September 21, 2009, the public comment period was extended 30 days. NRCS is publishing a final rule that addresses the comments received on the interim final rule and makes other minor adjustments to improve clarity of the rule.

  17. 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.

  18. 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

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9179-3 ] Clean Water Act Section 303(d): Final Agency Action on One Arkansas Total Maximum Daily Load (TMDL) AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of availability. SUMMARY: This notice announces the final agency action on one TMDL established by...

  19. 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.

  20. 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…

  1. Medicare program; changes to the Medicare claims appeal procedures; continuation of effectiveness and extension of timeline for publication of final rule. Interim final rule with comment period; continuation of effectiveness and extension of timeline for publication of final rule.

    PubMed

    2009-02-27

    This notice announces the continuation of effectiveness of a Medicare interim final rule with comment period and the extension of the timeline for publication of the final rule. This notice 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 (the "regular timeline") or, if applicable, at the end of each succeeding 1-year extension to the regular timeline, if prior to the expiration of the timeline, the Secretary publishes in the Federal Register a notice of continuation and explains why the regular timeline or any subsequent extension was not complied with.

  2. 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…

  3. 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

    ... implement changes to the operation of the National Service Trust under the Serve America Act. This proposed... Corporation issued an interim final rule to implement time-sensitive changes to the Corporation's AmeriCorps... changes resulting from the interim final rule were required as a result of amendments to the NCSA and DVSA...

  4. 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.

  5. 78 FR 13405 - Patient Protection and Affordable Care Act; Health Insurance Market Rules; Rate Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-27

    ...This final rule implements provisions related to fair health insurance premiums, guaranteed availability, guaranteed renewability, single risk pools, and catastrophic plans, consistent with title I of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. The final rule clarifies the approach used to enforce the applicable requirements of the Affordable Care Act with respect to health insurance issuers and group health plans that are non-federal governmental plans. This final rule also amends the standards for health insurance issuers and states regarding reporting, utilization, and collection of data under the federal rate review program, and revises the timeline for states to propose state- specific thresholds for review and approval by the Centers for Medicare & Medicaid Services (CMS).

  6. Final Rule: Community Right-To-Know Reporting Requirements Federal Register Notice

    EPA Pesticide Factsheets

    Final reporting thresholds and threshold planning quantity (TPQ) for extremely hazardous substances (EHS) and non-EHS hazardous chemicals, required under Emergency Planning and Community Right-to-Know Act, Superfund Amendments and Reauthorization Act.

  7. Community Environmental Response Facilitation Act (CERFA) report, Alabama Army Ammunition Plant, Talladega County, Alabama. Final report

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

    Young, B.; Frye, C.

    1994-04-01

    This report presents the results of the Community Environmental Response Facilitation Act (CERFA) investigation conducted by The Earth Technology Corporation (TETC) at Alabama Army Ammunition Plant, a U.S. Government property selected for closure by the Base Realignment and Closure (BRAC) Commission. Under CERFA, Federal agencies are required to identify 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. Themore » Alabama Army Ammunition Plant is a 2,187-acre site (more or less) located in Talladega County, Alabama, approximately 5 miles north of Childersburg, Alabama. The installation's primary mission was to manufacture explosives. Activities associated with the property that have environmental significance are the former manufacturing of explosives, the recycling of spent acids, and the disposal of wastes resulting from these operations. The facility is on U.S. Environmental Protection Agency's National Priorities List. Alabama Army Ammunition Plant, CERFA, Base closure, BRAC.« less

  8. Knowledge-Based Parallel Performance Technology for Scientific Application Competitiveness Final Report

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

    Malony, Allen D; Shende, Sameer

    The primary goal of the University of Oregon's DOE "œcompetitiveness" project was to create performance technology that embodies and supports knowledge of performance data, analysis, and diagnosis in parallel performance problem solving. The target of our development activities was the TAU Performance System and the technology accomplishments reported in this and prior reports have all been incorporated in the TAU open software distribution. In addition, the project has been committed to maintaining strong interactions with the DOE SciDAC Performance Engineering Research Institute (PERI) and Center for Technology for Advanced Scientific Component Software (TASCS). This collaboration has proved valuable for translationmore » of our knowledge-based performance techniques to parallel application development and performance engineering practice. Our outreach has also extended to the DOE Advanced CompuTational Software (ACTS) collection and project. Throughout the project we have participated in the PERI and TASCS meetings, as well as the ACTS annual workshops.« less

  9. The genetic makeup of the Drosophila piRNA pathway.

    PubMed

    Handler, Dominik; Meixner, Katharina; Pizka, Manfred; Lauss, Kathrin; Schmied, Christopher; Gruber, Franz Sebastian; Brennecke, Julius

    2013-06-06

    The piRNA (PIWI-interacting RNA) pathway is a small RNA silencing system that acts in animal gonads and protects the genome against the deleterious influence of transposons. A major bottleneck in the field is the lack of comprehensive knowledge of the factors and molecular processes that constitute this pathway. We conducted an RNAi screen in Drosophila and identified ~50 genes that strongly impact the ovarian somatic piRNA pathway. Many identified genes fall into functional categories that indicate essential roles for mitochondrial metabolism, RNA export, the nuclear pore, transcription elongation, and chromatin regulation in the pathway. Follow-up studies on two factors demonstrate that components acting at distinct hierarchical levels of the pathway were identified. Finally, we define CG2183/Gasz as an essential primary piRNA biogenesis factor in somatic and germline cells. Based on the similarities between insect and vertebrate piRNA pathways, our results have far-reaching implications for the understanding of this conserved genome defense system. Copyright © 2013 Elsevier Inc. All rights reserved.

  10. 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.

  11. 75 FR 36535 - Freedom of Information Act, Privacy Act of 1974; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-28

    ... Freedom of Information Act (FOIA) and its regulations concerning the Privacy Act of 1974 (Privacy Act). It..., Privacy Act of 1974; Implementation AGENCY: Department of the Treasury. ACTION: Final rule; correcting... the Privacy Act. In addition, that document revised the list of Treasury offices and bureaus found...

  12. Telephone Flat Geothermal Development Project Environmental Impact Statement Environmental Impact Report. Final: Comments and Responses to Comments

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

    None

    This document is the Comments and Responses to Comments volume of the Final Environmental Impact Statement and Environmental Impact Report prepared for the proposed Telephone Flat Geothermal Development Project (Final EIS/EIR). This volume of the Final EIS/EIR provides copies of the written comments received on the Draft EIS/EIR and the leady agency responses to those comments in conformance with the requirements of the National Environmental Policy Act (NEPA) and the California Environmental Quality Act (CEQA).

  13. 76 FR 42012 - Beef Promotion and Research; Reapportionment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-18

    ... Promotion and Research; Reapportionment AGENCY: Agricultural Marketing Service, USDA. ACTION: Final rule. SUMMARY: This final rule adjusts representation on the Cattlemen's Beef Promotion and Research Board (Board), established under the Beef Promotion and Research Act of 1985 (Act), to reflect changes in...

  14. Revisions to the Clean Water Act Regulatory Definition of Discharge of Dredged Material; Final Rule

    EPA Pesticide Factsheets

    The U.S. Army Corps of Engineers (Corps) and the Environmental Protection Agency (EPA) promulgated a final rule Amending a Clean Water Act (CWA) section 404 regulation that defines the term discharge of dredged material.

  15. The Family and Medical Leave Act. Final rule.

    PubMed

    2013-02-06

    This Final Rule amends certain regulations of the Family and Medical Leave Act of 1993 (the FMLA or the Act) to implement amendments to the military leave provisions of the Act made by the National Defense Authorization Act for Fiscal Year 2010, which extends the availability of FMLA leave to family members of members of the Regular Armed Forces for qualifying exigencies arising out of the servicemember's deployment; defines those deployments covered under these provisions; extends FMLA military caregiver leave for family members of current servicemembers to include an injury or illness that existed prior to service and was aggravated in the line of duty on active duty; and extends FMLA military caregiver leave to family members of certain veterans with serious injuries or illnesses. This Final Rule also amends the regulations to implement the Airline Flight Crew Technical Corrections Act, which establishes eligibility requirements specifically for airline flight crewmembers and flight attendants for FMLA leave and authorizes the Department to issue regulations regarding the calculation of leave for such employees as well as special recordkeeping requirements for their employers. In addition, the Final Rule includes clarifying changes concerning the calculation of intermittent or reduced schedule FMLA leave; reorganization of certain sections to enhance clarity; the removal of the forms from the regulations; and technical corrections to the current regulations.

  16. 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.

  17. 77 FR 44121 - Procedures for the Handling of Retaliation Complaints Under the Employee Protection Provision of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-27

    ...This document provides the final text of regulations governing employee protection (or ``whistleblower'') claims under the Surface Transportation Assistance Act of 1982 (STAA), as amended, implementing statutory changes to STAA enacted into law on August 3, 2007, as part of the Implementing Recommendations of the 9/11 Commission Act of 2007. On August 31, 2010, the Occupational Safety and Health Administration (OSHA) published an interim final rule (IFR) for STAA whistleblower complaints in the Federal Register and requested public comment on the IFR. This final rule implements changes to the IFR in response to comments received, where appropriate. This final rule also finalizes changes to the procedures for handling whistleblower complaints under STAA that were designed to make them more consistent with OSHA's procedures for handling retaliation complaints under Section 211 of the Energy Reorganization Act of 1974, and other whistleblower provisions. It also sets forth interpretations of STAA.

  18. Payment Reform to Enhance Collaboration of Primary Care and Cardiology: A Review.

    PubMed

    Farmer, Steven A; Casale, Paul N; Gillam, Linda D; Rumsfeld, John S; Erickson, Shari; Kirschner, Neil M; de Regnier, Kevin; Williams, Bruce R; Martin, R Shawn; McClellan, Mark B

    2018-01-01

    The US health care system faces an unsustainable trajectory of high costs and inconsistent outcomes. The fee-for-service payment model has contributed to inefficiency, and new payment methods are a promising approach to improving value. Health reforms are needed to increase patient access, reduce costs, and improve health care quality, and the landmark Medicare Access and CHIP Reauthorization Act presents a roadmap for reform. The product of a collaboration between primary care and cardiology clinicians, this review describes a conceptual approach to delivery and payment reforms that aim to better support primary care-cardiology comanagement of chronic cardiovascular disease (CVD). Few existing alternative payment models specifically address long-term management of CVD. Primary care medical homes and accountable care organizations come closest, but both emphasize primary care, and cardiologists have often not been well engaged. A collaborative care framework should articulate distinct roles and responsibilities for primary care and cardiology in CVD comanagement. Finally, a series of payment models aim to better support clinicians in providing accountable, seamless, and patient-centered cardiac care. Clinical leadership is essential during this time of change in the health care system. Patients often struggle to navigate a fragmented and expensive system, whereas clinicians often practice with incomplete information about tests, treatments, and recommendations by their colleagues. The payment models described in this review offer an opportunity to create more satisfying approaches to patient care while improving value. These models have potential to support more effective coordination and to facilitate broader health care system transformation.

  19. 75 FR 743 - Freedom of Information Act, Privacy Act of 1974; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-06

    ... of Information Act (FOIA) and its regulations concerning the Privacy Act of 1974 (Privacy Act). It..., Privacy Act of 1974; Implementation AGENCY: Department of the Treasury. ACTION: Final rule. SUMMARY: This... implement the Privacy Act. In addition, the document revises the list of Treasury offices and bureaus found...

  20. 29 CFR 1614.503 - Enforcement of final Commission decisions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... ADEA, the Equal Pay Act or the Rehabilitation Act and to seek judicial review of the agency's refusal... 1614.503 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION FEDERAL SECTOR EQUAL EMPLOYMENT OPPORTUNITY Remedies and Enforcement § 1614.503 Enforcement of final...

  1. Development and validation of spray models for investigating diesel engine combustion and emissions

    NASA Astrophysics Data System (ADS)

    Som, Sibendu

    Diesel engines intrinsically generate NOx and particulate matter which need to be reduced significantly in order to comply with the increasingly stringent regulations worldwide. This motivates the diesel engine manufacturers to gain fundamental understanding of the spray and combustion processes so as to optimize these processes and reduce engine emissions. Strategies being investigated to reduce engine's raw emissions include advancements in fuel injection systems, efficient nozzle orifice design, injection and combustion control strategies, exhaust gas recirculation, use of alternative fuels such as biodiesel etc. This thesis explores several of these approaches (such as nozzle orifice design, injection control strategy, and biodiesel use) by performing computer modeling of diesel engine processes. Fuel atomization characteristics are known to have a significant effect on the combustion and emission processes in diesel engines. Primary fuel atomization is induced by aerodynamics in the near nozzle region as well as cavitation and turbulence from the injector nozzle. The breakup models that are currently used in diesel engine simulations generally consider aerodynamically induced breakup using the Kelvin-Helmholtz (KH) instability model, but do not account for inner nozzle flow effects. An improved primary breakup (KH-ACT) model incorporating cavitation and turbulence effects along with aerodynamically induced breakup is developed and incorporated in the computational fluid dynamics code CONVERGE. The spray simulations using KH-ACT model are "quasi-dynamically" coupled with inner nozzle flow (using FLUENT) computations. This presents a novel tool to capture the influence of inner nozzle flow effects such as cavitation and turbulence on spray, combustion, and emission processes. Extensive validation is performed against the non-evaporating spray data from Argonne National Laboratory. Performance of the KH and KH-ACT models is compared against the evaporating and combusting data from Sandia National Laboratory. The KH-ACT model is observed to provide better predictions for spray dispersion, axial velocity decay, sauter mean diameter, and liquid and lift-off length interplay which is attributed to the enhanced primary breakup predicted by this model. In addition, experimentally observed trends with changing nozzle conicity could only be captured by the KH-ACT model. Results further indicate that the combustion under diesel engine conditions is characterized by a double-flame structure with a rich premixed reaction zone near the flame stabilization region and a non-premixed reaction zone further downstream. Finally, the differences in inner nozzle flow and spray characteristics of petrodiesel and biodiesel are quantified. The improved modeling capability developed in this work can be used for extensive diesel engine simulations to further optimize injection, spray, combustion, and emission processes.

  2. Vacillation, indecision and hesitation in moment-by-moment decoding of monkey motor cortex

    PubMed Central

    Kaufman, Matthew T; Churchland, Mark M; Ryu, Stephen I; Shenoy, Krishna V

    2015-01-01

    When choosing actions, we can act decisively, vacillate, or suffer momentary indecision. Studying how individual decisions unfold requires moment-by-moment readouts of brain state. Here we provide such a view from dorsal premotor and primary motor cortex. Two monkeys performed a novel decision task while we recorded from many neurons simultaneously. We found that a decoder trained using ‘forced choices’ (one target viable) was highly reliable when applied to ‘free choices’. However, during free choices internal events formed three categories. Typically, neural activity was consistent with rapid, unwavering choices. Sometimes, though, we observed presumed ‘changes of mind’: the neural state initially reflected one choice before changing to reflect the final choice. Finally, we observed momentary ‘indecision’: delay forming any clear motor plan. Further, moments of neural indecision accompanied moments of behavioral indecision. Together, these results reveal the rich and diverse set of internal events long suspected to occur during free choice. DOI: http://dx.doi.org/10.7554/eLife.04677.001 PMID:25942352

  3. National Institute on Disability and Rehabilitation Research--Notice of Final Long-Range Plan for Fiscal Years 2005-2009. Federal Register, Part III: Department of Education

    ERIC Educational Resources Information Center

    National Archives and Records Administration, 2006

    2006-01-01

    The Assistant Secretary for Special Education and Rehabilitative Services (OSERS) publishes the Final Long-Range Plan (Final Plan) for the National Institute on Disability and Rehabilitation Research (NIDRR) for FY 2005 through 2009. As required by the Rehabilitation Act of 1973, as amended (Act), the Assistant Secretary takes this action to…

  4. 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.

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

    PubMed

    2016-12-14

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

  6. 76 FR 67599 - Privacy Act of 1974: Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-02

    ... OFFICE OF THE DIRECTOR OF NATIONAL INTELLIGENCE 32 CFR Part 1701 Privacy Act of 1974: Implementation AGENCY: Office of the Director of National Intelligence. ACTION: Final rule. SUMMARY: The Office of the Director of National Intelligence (ODNI) is issuing a final rule exempting six new systems of...

  7. 77 FR 75939 - Control of Communicable Diseases: Foreign; Scope and Definitions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-26

    ... primary authority supporting this rulemaking is section 361 of the Public Health Service Act (42 U.S.C... ``animal products'' in subpart F. This revision more adequately reflects modern science and current... does not change the baseline costs for any of the primary stakeholders. B. Regulatory Flexibility Act...

  8. 78 FR 10249 - Notice of Final Federal Agency Actions on Proposed Highway in California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-13

    .... Clean Water Act of 1977 and 1987. 7. Federal Water Pollution Control Act of 1972 (see Clean Water Act of 1977 & 1987). 8. Noise Control Act of 1972. 9. Safe Drinking Water Act of 1944, as amended. 10...

  9. H-Area Seepage Basins groundwater monitoring report

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

    Not Available

    1993-03-01

    During fourth quarter 1992, the groundwater at the H-Area Seepage Basins (HASB) was monitored in compliance with South Carolina Hazardous Waste Management Regulations, R61-79.265, Subpart F. Samples were collected from 130 wells that monitor the three separate hydrostratigraphic units that make up the uppermost aquifer beneath the HASB. A detailed description of the uppermost aquifer is included in the Resource Conservation and Recovery Act Part B Post-Closure Care Permit Application for the H-Area Hazardous Waste Management Facility submitted to the South Carolina Department of Health and Environmental Control in December 1990. Historically, as well as currently, tritium, nitrate, total alpha-emittingmore » radium, gross alpha, and mercury have been the primary constituents observed above final Primary Drinking Water Standards (PDWS) in groundwater at the HASB. Isoconcentration/isoactivity maps included in this report indicate both the concentration/activity and extent of the primary contaminants in each of the three hydrostratigraphic units during first and fourth quarter 1992. Water-level maps indicate that the groundwater flow rates and directions at the HASB have remained relatively constant since the basins ceased to be active in 1988.« less

  10. H-Area Seepage Basins groundwater monitoring report. Fourth quarter 1992 and 1992 summary

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

    Not Available

    1993-03-01

    During fourth quarter 1992, the groundwater at the H-Area Seepage Basins (HASB) was monitored in compliance with South Carolina Hazardous Waste Management Regulations, R61-79.265, Subpart F. Samples were collected from 130 wells that monitor the three separate hydrostratigraphic units that make up the uppermost aquifer beneath the HASB. A detailed description of the uppermost aquifer is included in the Resource Conservation and Recovery Act Part B Post-Closure Care Permit Application for the H-Area Hazardous Waste Management Facility submitted to the South Carolina Department of Health and Environmental Control in December 1990. Historically, as well as currently, tritium, nitrate, total alpha-emittingmore » radium, gross alpha, and mercury have been the primary constituents observed above final Primary Drinking Water Standards (PDWS) in groundwater at the HASB. Isoconcentration/isoactivity maps included in this report indicate both the concentration/activity and extent of the primary contaminants in each of the three hydrostratigraphic units during first and fourth quarter 1992. Water-level maps indicate that the groundwater flow rates and directions at the HASB have remained relatively constant since the basins ceased to be active in 1988.« less

  11. 76 FR 13797 - Rural Broadband Access Loans and Loan Guarantees Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-14

    ... being issued prior to passage of a final appropriations act to allow potential applicants time to submit... a subsequent notice identifying the amount received in the final appropriations act, if any. At this... appropriations; however, Congress is presently reviewing budget authority across the Federal government in an...

  12. 75 FR 1704 - Federal Civil Penalties Inflation Adjustment Act-2009 Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-13

    ... DEPARTMENT OF HOMELAND SECURITY Coast Guard 33 CFR Part 27 [Docket No. USCG-2009-0891] RIN 1625-AB40 Federal Civil Penalties Inflation Adjustment Act--2009 Implementation AGENCY: Coast Guard, DHS. ACTION: Final rule; correction. SUMMARY: The Coast Guard is correcting a final rule that appeared in the...

  13. 75 FR 57163 - Privacy Act Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-20

    ... OFFICE OF THE DIRECTOR OF NATIONAL INTELLIGENCE 32 CFR Part 1701 Privacy Act Systems of Records AGENCY: Office of the Director of National Intelligence. ACTION: Final rule. SUMMARY: The Office of the Director of National Intelligence (ODNI) is issuing a final rule exempting fourteen (14) new systems of...

  14. 75 FR 63655 - Countermeasures Injury Compensation Program (CICP): Administrative Implementation, Interim Final...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-15

    ... Administration (HRSA), HHS. ACTION: Interim final rule with request for comments. SUMMARY: The Public Readiness and Emergency Preparedness Act (PREP Act) authorizes the Secretary of Health and Human Services (the Secretary) to establish the Countermeasures Injury Compensation Program (CICP or Program). The Department of...

  15. Adaptive compression therapy for venous leg ulcers: a clinically effective, patient-centred approach.

    PubMed

    Harding, Keith G; Vanscheidt, Wolfgang; Partsch, Hugo; Caprini, Joseph A; Comerota, Anthony J

    2016-06-01

    A prospective, randomised, 12-week study was performed to evaluate the efficacy and tolerability of two compression methods for venous leg ulcers (VLUs); a new adaptive compression therapy (ACT) system, combining intermittent and sustained pneumatic compression (n = 38) and a conventional four-layer bandage system (n = 52). Primary outcomes were ulcer healing and safety. Secondary outcomes were comfort, compliance, ulcer pain, patient-perceived product performance and quality of life. Ulcer healing rate was similar (31·6% versus 42·3%, respectively, P = 0·30) between the treatments. Adverse events and patient-rated comfort were also similar. Average daily usage for the dual system was 10·5 and 1·8 hours in the sustained and intermittent modes, respectively, representing its use during 71% of waking hours. Predicted final ulcer pain was also similar (P = 0·68). Performance was subjectively better for adaptive compression and significantly higher for exudate management (P = 0·04), skin protection (P < 0·001), removal ease (P = 0·0007), bathing (P < 0·0001) and sleep comfort (P = 0·0405). The adjusted final quality-of-life score was 0·1025 higher for adaptive compression (P = 0·0375). Subjects with healed ulcers attained higher final scores than unhealed subjects (P = 0·0004). This study provides evidence that ACT is comparably efficacious to successfully heal VLUs compared with four-layer bandage management but is better accepted and achieves higher patient-reported quality-of-life scores in these challenging patients. © 2014 The Authors. International Wound Journal © 2014 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

  16. 75 FR 36099 - Legislative Changes to Primary Care Loan Program Authorized Under Title VII of the Public Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-24

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Legislative Changes to Primary Care Loan Program Authorized Under Title VII of the Public Health Service Act AGENCY... changes Section 723 of the Public Health Service Act (PHSA) regarding administration of the PCL program...

  17. 24 CFR 1003.200 - General policies.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ....200 General policies. An activity may be assisted in whole or in part with ICDBG funds only if the... and if the criteria for compliance with the primary objective of the Act set forth under § 1003.208 have been met. The requirements for compliance with the primary objective of the Act do not apply to...

  18. 78 FR 46781 - Federal Acquisition Regulation; Definition of Contingency Operation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-01

    ... in 48 CFR Part 2 Government procurement. Dated: July 26, 2013. William Clark, Acting Director, Office...: Final rule. SUMMARY: DoD, GSA, and NASA have adopted as final, without change, an interim rule amending... address the statutory change to the definition made by the National Defense Authorization Act for Fiscal...

  19. 76 FR 44761 - Remittance Transfers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-27

    ...) (interim final rule); 72 FR 7927 (Feb. 22, 2007) (final rule). Section 1073 of the Dodd-Frank Act added a new Section 919 to the EFTA, entitled ``Remittance Transfers.'' Public Law 111-203, Sec. 1073, 124.... 1693o-1. Paragraph (d) of Section 1073 of Dodd-Frank amended the FCU Act to specify that a remittance...

  20. 77 FR 69765 - Colorado: Final Authorization of State Hazardous Waste Management Program Revisions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-21

    ... Protection Agency (EPA). ACTION: Final rule. SUMMARY: The Solid Waste Disposal Act, as amended, commonly... revised program application, subject to the limitations of the Hazardous and Solid Waste Amendments of... under the authority of sections 2002(a), 3006, and 7004(b) of the Solid Waste Disposal Act as amended 42...

  1. 75 FR 18091 - Final Flood Elevation Determinations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-09

    ... rule is issued in accordance with section 110 of the Flood Disaster Protection Act of 1973, 42 U.S.C... within the scope of the Regulatory Flexibility Act, 5 U.S.C. 601- 612, a regulatory flexibility analysis.... This final rule meets the applicable standards of Executive Order 12988. List of Subjects in 44 CFR...

  2. 76 FR 72823 - Voluntary Mergers of Federal Home Loan Banks

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-28

    ..., Senior Financial Analyst, Policy and Program Development, [email protected] , (202) 408-2828 (this is... Housing Enterprises Financial Safety and Soundness Act of 1992 (Safety and Soundness Act).\\6\\ \\6\\ See 12 U... final rule. A definition for the term ``Financial Statements'' has been added to the final rule to refer...

  3. 12 CFR 1204.2 - What do the terms in this part mean?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... appeals. Privacy Act Officer means the FHFA employee who has primary responsibility for privacy and data... Section 1204.2 Banks and Banking FEDERAL HOUSING FINANCE AGENCY ORGANIZATION AND OPERATIONS PRIVACY ACT... Enterprise Oversight. Privacy Act means the Privacy Act of 1974, as amended (5 U.S.C. 552a). Privacy Act...

  4. Toxoplasma Actin Is Required for Efficient Host Cell Invasion.

    PubMed

    Drewry, Lisa L; Sibley, L David

    2015-06-16

    Apicomplexan parasites actively invade host cells using a mechanism predicted to be powered by a parasite actin-dependent myosin motor. In the model apicomplexan Toxoplasma gondii, inducible knockout of the actin gene, ACT1, was recently demonstrated to limit but not completely abolish invasion. This observation has led to the provocative suggestion that T. gondii possesses alternative, ACT1-independent invasion pathways. Here, we dissected the residual invasive ability of Δact1 parasites. Surprisingly, we were able to detect residual ACT1 protein in inducible Δact1 parasites as long as 5 days after ACT1 deletion. We further found that the longer Δact1 parasites were propagated after ACT1 deletion, the more severe an invasion defect was observed. Both findings are consistent with the quantity of residual ACT1 retained in Δact1 parasites being responsible for their invasive ability. Furthermore, invasion by the Δact1 parasites was also sensitive to the actin polymerization inhibitor cytochalasin D. Finally, there was no clear defect in attachment to host cells or moving junction formation by Δact1 parasites. However, Δact1 parasites often exhibited delayed entry into host cells, suggesting a defect specific to the penetration stage of invasion. Overall, our results support a model where residual ACT1 protein retained in inducible Δact1 parasites facilitates their limited invasive ability and confirm that parasite actin is essential for efficient penetration into host cells during invasion. The prevailing model for apicomplexan invasion has recently been suggested to require major revision, based on studies where core components of the invasion machinery were genetically disrupted using a Cre-Lox-based inducible knockout system. For the myosin component of the motor thought to power invasion, an alternative parasite myosin was recently demonstrated to functionally compensate for loss of the primary myosin involved in invasion. Here, we highlight a second mechanism that can account for the surprising ability of parasites to invade after genetic disruption of core invasion machinery. Specifically, residual actin protein present in inducible knockout parasites appears able to support their limited invasion of host cells. Our results have important implications for the interpretation of the apicomplexan invasion model and also highlight significant considerations when analyzing the phenotypes of inducible knockout parasites generated using Cre-Lox technology. Copyright © 2015 Drewry and Sibley.

  5. Integrated Application of Active Controls (IAAC) technology to an advanced subsonic transport project: Wing planform study and final configuration selection

    NASA Technical Reports Server (NTRS)

    1981-01-01

    This report summarizes the Wing Planform Study Task and Final Configuration Selection of the Integrated Application of Active Controls (IAAC) Technology Project within the Energy Efficient Transport Program. Application of Active Controls Technology (ACT) in combination with increased wing span resulted in significant improvements over the Conventional Baseline Configuration (Baseline) and the Initial ACT Configuration previously established. The configurations use the same levels of technology (except for ACT), takeoff gross weight, and payload as the Baseline. The Final ACT Configuration (Model 768-107) incorporates pitch-augmented stability (which enabled an approximately 10% aft shift in cruise center of gravity and a 45% reduction in horizontal tail sizes), lateral/directional-augmented stability, an angle-of-attack limiter, and wing-load alleviation. Flutter-mode control was not beneficial for this configuration. This resulted in an 890 kg (1960 lb) reduction in airplane takeoff gross weight and a 9.8% improvement in cruise lift/drag. At the Baseline mission range (3590 km) (1938 nmi), this amounts to 10% block fuel reduction. Good takeoff performance at high-altitude airports on a hot day was also achieved. Results of this task strongly indicate that the IAAC Project should proceed with the Final ACT evaluation and begin the required control system development and testing.

  6. Tribal child welfare. Interim final rule.

    PubMed

    2012-01-06

    The Administration for Children and Families (ACF) is issuing this interim final rule to implement statutory provisions related to the Tribal title IV-E program. Effective October 1, 2009, section 479B(b) of the Social Security Act (the Act) authorizes direct Federal funding of Indian Tribes, Tribal organizations, and Tribal consortia that choose to operate a foster care, adoption assistance and, at Tribal option, a kinship guardianship assistance program under title IV-E of the Act. The Fostering Connections to Success and Increasing Adoptions Act of 2008 requires that ACF issue interim final regulations which address procedures to ensure that a transfer of responsibility for the placement and care of a child under a State title IV-E plan to a Tribal title IV-E plan occurs in a manner that does not affect the child's eligibility for title IV-E benefits or medical assistance under title XIX of the Act (Medicaid) and such services or payments; in-kind expenditures from third-party sources for the Tribal share of administration and training expenditures under title IV-E; and other provisions to carry out the Tribal-related amendments to title IV-E. This interim final rule includes these provisions and technical amendments necessary to implement a Tribal title IV-E program.

  7. Required warnings for cigarette packages and advertisements. Final rule.

    PubMed

    2011-06-22

    The Food and Drug Administration (FDA) is amending its regulations to add a new requirement for the display of health warnings on cigarette packages and in cigarette advertisements. This rule implements a provision of the Family Smoking Prevention and Tobacco Control Act (Tobacco Control Act) that requires FDA to issue regulations requiring color graphics, depicting the negative health consequences of smoking, to accompany the nine new textual warning statements required under the Tobacco Control Act. The Tobacco Control Act amends the Federal Cigarette Labeling and Advertising Act (FCLAA) to require each cigarette package and advertisement to bear one of nine new textual warning statements. This final rule specifies the color graphic images that must accompany each of the nine new textual warning statements.

  8. Patient Protection and Affordable Care Act; establishment of the Multi-State Plan Program for the Affordable Insurance Exchanges. Final rule.

    PubMed

    2014-02-24

    The U.S. Office of Personnel Management (OPM) is issuing a final rule implementing modifications to the Multi-State Plan (MSP) Program based on the experience of the Program to date. OPM established the MSP Program pursuant to the Affordable Care Act. This rule clarifies the approach used to enforce the applicable standards of the Affordable Care Act with respect to health insurance issuers that contract with OPM to offer MSP options; amends MSP standards related to coverage area, benefits, and certain contracting provisions under section 1334 of the Affordable Care Act; and makes non-substantive technical changes.

  9. Exemption of certain systems of records under the Privacy Act. Final rule.

    PubMed

    2008-09-26

    This final rule exempts four systems of records (SORs) from subsections (c)(3), (d)(1) through (d)(4), (e)(4)(G) and (H), and (f) of the Privacy Act pursuant to 5 U.S.C. 552a(k)(2): The Automated Survey Processing Environment (ASPEN) Complaint/ Incidents Tracking System (ACTS), HHS/CMS, System No. 09-70-0565; the Health Insurance Portability and Accountability Act (HIPAA) Information Tracking System (HITS), HHS/CMS, System No. 09-70-0544; the Organ Procurement Organizations System (OPOS), HHS/CMS, System No. 09-70- 0575; and the Fraud Investigation Database (FID), HHS/CMS, System No. 09-70-0527.

  10. 26 CFR 53.4946-1 - Definitions and special rules.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... foundation), and (ii) With respect to any act or failure to act, any employee of the foundation having final authority or responsibility (either officially or effectively) with respect to such act or failure to act... failure to act, any person described in subdivision (ii) of this subparagraph who has authority merely to...

  11. 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…

  12. 78 FR 34008 - Imposition of Special Measure Against Liberty Reserve S.A. as a Financial Institution of Primary...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-06

    ... PATRIOT Act amends the anti- money laundering provisions of the Bank Secrecy Act (BSA), codified at 12 U.S..., detection, and prosecution of international money laundering and the financing of terrorism. Regulations... jurisdiction, institution, class of transaction, or type of account is of ``primary money laundering concern...

  13. Medicaid and Children's Health Insurance Programs: essential health benefits in alternative benefit plans, eligibility notices, fair hearing and appeal processes, and premiums and cost sharing; exchanges: eligibility and enrollment. Final rule.

    PubMed

    2013-07-15

    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. This final rule finalizes new Medicaid eligibility provisions; finalizes changes related to electronic Medicaid and the Children's Health Insurance Program (CHIP) eligibility notices and delegation of appeals; modernizes and streamlines existing Medicaid eligibility rules; revises CHIP rules relating to the substitution of coverage to improve the coordination of CHIP coverage with other coverage; and amends requirements for benchmark and benchmark-equivalent benefit packages consistent with sections 1937 of the Social Security Act (which we refer to as ``alternative benefit plans'') to ensure that these benefit packages include essential health benefits and meet certain other minimum standards. This rule also implements specific provisions including those related to authorized representatives, notices, and verification of eligibility for qualifying coverage in an eligible employer-sponsored plan for Affordable Insurance Exchanges. This rule also updates and simplifies the complex Medicaid premium and cost sharing requirements, to promote the most effective use of services, and to assist states in identifying cost sharing flexibilities. It includes transition policies for 2014 as applicable.

  14. The Mental Health Parity and Addiction Equity Act evaluation study: Impact on specialty behavioral health utilization and expenditures among "carve-out" enrollees.

    PubMed

    Ettner, Susan L; M Harwood, Jessica; Thalmayer, Amber; Ong, Michael K; Xu, Haiyong; Bresolin, Michael J; Wells, Kenneth B; Tseng, Chi-Hong; Azocar, Francisca

    2016-12-01

    Interrupted time series with and without controls was used to evaluate whether the federal Mental Health Parity and Addiction Equity Act (MHPAEA) and its Interim Final Rule increased the probability of specialty behavioral health treatment and levels of utilization and expenditures among patients receiving treatment. Linked insurance claims, eligibility, plan and employer data from 2008 to 2013 were used to estimate segmented regression analyses, allowing for level and slope changes during the transition (2010) and post-MHPAEA (2011-2013) periods. The sample included 1,812,541 individuals ages 27-64 (49,968,367 person-months) in 10,010 Optum "carve-out" plans. Two-part regression models with Generalized Estimating Equations were used to estimate expenditures by payer and outpatient, intermediate and inpatient service use. We found little evidence that MHPAEA increased utilization significantly, but somewhat more robust evidence that costs shifted from patients to plans. Thus the primary impact of MHPAEA among carve-out enrollees may have been a reduction in patient financial burden. Copyright © 2016 Elsevier B.V. All rights reserved.

  15. Neuronal correlates of decisions to speak and act: Spontaneous emergence and dynamic topographies in a computational model of frontal and temporal areas

    PubMed Central

    Garagnani, Max; Pulvermüller, Friedemann

    2013-01-01

    The neural mechanisms underlying the spontaneous, stimulus-independent emergence of intentions and decisions to act are poorly understood. Using a neurobiologically realistic model of frontal and temporal areas of the brain, we simulated the learning of perception–action circuits for speech and hand-related actions and subsequently observed their spontaneous behaviour. Noise-driven accumulation of reverberant activity in these circuits leads to their spontaneous ignition and partial-to-full activation, which we interpret, respectively, as model correlates of action intention emergence and action decision-and-execution. Importantly, activity emerged first in higher-association prefrontal and temporal cortices, subsequently spreading to secondary and finally primary sensorimotor model-areas, hence reproducing the dynamics of cortical correlates of voluntary action revealed by readiness-potential and verb-generation experiments. This model for the first time explains the cortical origins and topography of endogenous action decisions, and the natural emergence of functional specialisation in the cortex, as mechanistic consequences of neurobiological principles, anatomical structure and sensorimotor experience. PMID:23489583

  16. 77 FR 76740 - Endangered and Threatened Species; Threatened Status for the Beringia and Okhotsk Distinct...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-28

    ...We, NMFS, issue a final determination to list the Beringia and Okhotsk distinct populations segments (DPSs) of the Erignathus barbatus nauticus subspecies of the bearded seal (Erignathus barbatus) as threatened under the Endangered Species Act (ESA). We will propose to designate critical habitat for the Beringia DPS in a future rulemaking. To assist us with this effort, we solicit information that may be relevant to the designation of critical habitat for the Beringia DPS. In light of public comments and upon further review, we are withdrawing the proposed ESA section 4(d) protective regulations for the Beringia and Okhotsk DPSs because we have determined that such regulations are not necessary or advisable for the conservation of the Beringia and Okhotsk DPSs at this time. Given their current population sizes, the long-term nature of the primary threat to these DPSs (habitat alteration stemming from climate change), and the existing protections under the Marine Mammal Protection Act, it is unlikely that the proposed protective regulations would provide appreciable conservation benefits.

  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. 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.

  18. 77 FR 35199 - Swap Data Recordkeeping and Reporting Requirements: Pre-Enactment and Transition Swaps

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-12

    ...The Commodity Futures Trading Commission (``Commission'' or ``CFTC'') is adopting rules to further implement the Commodity Exchange Act (``CEA'' or ``Act'') with respect to the new statutory framework regarding swap data recordkeeping and reporting established by the Dodd-Frank Wall Street Reform and Consumer Protection Act (``Dodd-Frank Act''). The Dodd-Frank Act, which amended the CEA, directs that rules adopted by the Commission shall provide for the reporting of data relating to swaps entered into before the date of enactment of the Dodd-Frank Act, the terms of which have not expired as of the date of enactment of the Dodd-Frank Act (``pre-enactment swaps'') and data relating to swaps entered into on or after the date of enactment of the Dodd-Frank Act and prior to the compliance date specified in the Commission's final swap data reporting rules (``transition swaps''). These final rules establish swap data recordkeeping and reporting requirements for pre-enactment swaps and transition swaps.

  19. Patient Protection and Affordable Care Act; annual eligibility redeterminations for exchange participation and insurance affordability programs; health insurance issuer standards under the Affordable Care Act, including standards related to exchanges. Final rule.

    PubMed

    2014-09-05

    This final rule specifies additional options for annual eligibility redeterminations and renewal and re-enrollment notice requirements for qualified health plans offered through the Exchange, beginning with annual redeterminations for coverage for benefit year 2015. This final rule provides additional flexibility for Exchanges, including the ability to propose unique approaches that meet the specific needs of their state, while streamlining the consumer experience.

  20. Implementing Program Integrity from an HBCU Perspective: Progress, Problems, and Prospects. An Analysis of Part H, Program Integrity - TRIAD of the Higher Education Act and the Final Rules and Related Interim Final Regulations Published in the "Federal Register" on April 29, 1994.

    ERIC Educational Resources Information Center

    Blakely, William A.

    This paper examines the impact and implications for the nation's 104 historically black colleges and universities (HBCUs) of the final regulations published in the April 29, 1994 "Federal Register" and traces both the legislative and regulatory history of Part H of the Higher Education Act provisions. The analysis addresses specific…

  1. 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…

  2. Physicians, the Affordable Care Act, and primary care: disruptive change or business as usual?

    PubMed

    Jacobson, Peter D; Jazowski, Shelley A

    2011-08-01

    The Patient Protection and Affordable Care Act 1 (ACA) presages disruptive change in primary care delivery. With expanded access to primary care for millions of new patients, physicians and policymakers face increased pressure to solve the perennial shortage of primary care practitioners. Despite the controversy surrounding its enactment, the ACA should motivate organized medicine to take the lead in shaping new strategies for meeting the nation's primary care needs. In this commentary, we argue that physicians should take the lead in developing policies to address the primary care shortage. First, physicians and medical professional organizations should abandon their long-standing opposition to non-physician practitioners (NPPs) as primary care providers. Second, physicians should re-imagine how primary care is delivered, including shifting routine care to NPPs while retaining responsibility for complex patients and oversight of the new primary care arrangements. Third, the ACA's focus on wellness and prevention creates opportunities for physicians to integrate population health into primary care practice.

  3. 78 FR 57835 - Endangered and Threatened Wildlife and Plants; Notice of 6-Month Extension of the Final...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-20

    ...-Month Extension of the Final Rulemaking To List 66 Species of Coral as Threatened or Endangered Under the Endangered Species Act and Reclassify Acropora cervicornis and Acropora palmata From Threatened to... Caribbean) and to re- classify two species already listed under the Endangered Species Act (ESA) from...

  4. 77 FR 66966 - Fiscal Year (FY) 2014-2015 Proposed Power and Transmission Rate Adjustments; Public Hearing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-08

    ... and Procedural Background Section 7(i) of the Northwest Power Act, 16 U.S.C. 839e(i), requires that... and constituents before the final program levels are incorporated into the final rates. C. Rate Case... 5(c) of the Northwest Power Act established the Residential Exchange Program, which provides...

  5. 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).

  6. 75 FR 18113 - Magnuson-Stevens Act Provisions; Fisheries of the Northeastern United States; Northeast...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-09

    ... final operations plan, contract, and environmental assessment (EA), and the Final Regulatory Flexibility... fish in a given FY, it must submit an operations plan, sector contract, and EA to NMFS by September 1... National Environmental Policy Act (NEPA), an EA was prepared for each operations plan. All sector EAs are...

  7. 75 FR 17313 - Temporary Assistance for Needy Families (TANF) Carry-Over Funds

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-06

    .... SUMMARY: This final rule implements the statutory change to section 404(e) of the Social Security Act as enacted by the American Recovery and Reinvestment Act of 2009. This change allows States, Tribes and... published at 74 FR 25161 on May 27, 2009, is adopted as a final rule without change. FOR FURTHER INFORMATION...

  8. 77 FR 47862 - National Environmental Policy Act: Implementing Procedures; Addition to Categorical Exclusions...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-10

    ... DEPARTMENT OF THE INTERIOR Office of the Secretary National Environmental Policy Act: Implementing... Interior. ACTION: Notice of Final National Environmental Policy Act Implementing Procedures. SUMMARY: This notice announces the addition of a new categorical exclusion under the National Environmental Policy Act...

  9. 77 FR 34179 - Freedom of Information Act and Privacy Act Procedures

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... disclosure in FOIA decision making. This Final Rule parallels the procedures currently used by other agencies... Freedom of Information Act and Privacy Act Procedures AGENCY: Special Inspector General for Afghanistan... information from the Special Inspector General for Afghanistan Reconstruction under the Freedom of Information...

  10. 77 FR 40250 - Tart Cherries Grown in the States of Michigan, et al.; Increasing the Primary Reserve Capacity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-09

    ... Administrative Board (Board). This action increases the volume of tart cherries that can be placed in the primary....'' The order is effective under the Agricultural Marketing Agreement Act of 1937, as amended (7 U.S.C. 601-674), hereinafter referred to as the ``Act.'' The Department of Agriculture (USDA) is issuing this...

  11. Teacher Supply and Demand in the ACT Schools Authority: Implications of Enrollment Projections 1981-1986. Research Report.

    ERIC Educational Resources Information Center

    Burkhardt, Geoffrey

    An analysis of policy options concerning teacher supply and demand in the A.C.T. [Australian Capital Territory] Schools Authority from 1981 to 1986 is presented. Projections have indicated declining demand for primary school teachers, fewer promotions in primary schools, and the necessity of relocating teachers to areas of expansion. However,…

  12. Categories, Standards and Instrumentalism: Theorising the Changing Discourse of Assessment Policy in English Primary Education.

    ERIC Educational Resources Information Center

    Broadfoot, Patricia; Pollard, Andrew; Osborn, Marilyn; McNess, Elizabeth; Triggs, Pat

    The effects of the significant changes in English education that have followed the 1988 Education Reform Act are explored in this study that considers the impact of the Reform Act on elementary schools and the changes in primary (elementary) schooling as an illustration of wider social developments. The work of B. Bernstein provides a framework…

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

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

    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)

  14. 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.

  15. Alternative Fuel Transportation Program

    DOT National Transportation Integrated Search

    1996-03-14

    This notice of final rulemaking concludes a regulatory action that is mandated : under the Energy Policy Act of 1992 (the Act), Pub. L. 102-486. That Act : provides for a comprehensive national energy policy for strengthening U.S. : energy security b...

  16. 76 FR 78977 - Real Estate Settlement Procedures Act (Regulation X)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-20

    ...Title X of the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act) transferred rulemaking authority for a number of consumer financial protection laws from seven Federal agencies to the Bureau of Consumer Financial Protection (Bureau) as of July 21, 2011. The Bureau is in the process of republishing the regulations implementing those laws with technical and conforming changes to reflect the transfer of authority and certain other changes made by the Dodd-Frank Act. In light of the transfer of the Department of Housing and Urban Development's (HUD's) rulemaking authority for the Real Estate Settlement Procedures Act (RESPA) to the Bureau, the Bureau is publishing for public comment an interim final rule establishing a new Regulation X (Real Estate Settlement Procedures Act). This interim final rule does not impose any new substantive obligations on persons subject to the existing Regulation X, previously published by HUD.

  17. Rules regarding the health insurance premium tax credit. Final and temporary regulations.

    PubMed

    2014-07-28

    This document contains final and temporary 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, as amended by the Medicare and Medicaid Extenders Act of 2010, the Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy Overpayments Act of 2011, and the Department of Defense and Full-Year Continuing Appropriations Act of 2011 and the 3% Withholding Repeal and Job Creation Act. These regulations affect individuals who enroll in qualified health plans through Affordable Insurance Exchanges (Exchanges) and claim the premium tax credit, and Exchanges that make qualified health plans available to individuals. The text of the temporary regulations in this document also serves as the text of proposed regulations set forth in a notice of proposed rulemaking (REG-104579-13) on this subject in the Proposed Rules section in this issue of the Federal Register.

  18. 22 CFR 96.46 - Using providers in Convention countries.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... provide the primary provider on a timely basis any data that is necessary to comply with the primary...) The agency or person, when acting as the primary provider and using foreign supervised providers to... agreement with the primary provider for the provision of adoption services, discloses to the primary...

  19. 77 FR 36569 - Endangered and Threatened Wildlife and Plants; Thick-Billed Parrot Draft Recovery Plan Addendum

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-19

    ... Addendum for the Thick-billed Parrot under the Endangered Species Act of 1973, as amended (Act). We have... ecosystems is a primary goal of our endangered species program and the Act (16 U.S.C. 1531 et seq.). Recovery... Species Conservation Act (ESCA), the precursor of the Endangered Species Act. Based on the different...

  20. 20 CFR 636.11 - Final action.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Final action. 636.11 Section 636.11 Employees... HEARINGS § 636.11 Final action. The final decision of the Secretary pursuant to section 166(b) of the Act... Officer's final determination where there has been no such hearing, constitutes final agency action within...

  1. 20 CFR 636.11 - Final action.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Final action. 636.11 Section 636.11 Employees... HEARINGS § 636.11 Final action. The final decision of the Secretary pursuant to section 166(b) of the Act... Officer's final determination where there has been no such hearing, constitutes final agency action within...

  2. 78 FR 37794 - Polyvinyl Alcohol from Taiwan: Final Results of Antidumping Duty Administrative Review; 2010-2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-24

    ... duty order on polyvinyl alcohol (PVA) from Taiwan. For these final results, we continue to find that... Department published the preliminary results of the administrative review of the antidumping duty order on... review in accordance with section 751 of the Tariff Act of 1930, as amended (the Act). Scope of the Order...

  3. 76 FR 3126 - Final Determination of the Assistant Administrator for Water Pursuant to Section 404(c) of the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-19

    ... area will have an unacceptable adverse effect on municipal water supplies, shellfish beds and fishery... Assistant Administrator for Water Pursuant to Section 404(c) of the Clean Water Act Concerning the Spruce No...: This is a notice of EPA's Final Determination pursuant to section 404(c) of the Clean Water Act to...

  4. Language Problems and the Final Act. Esperanto Documents, New Series No. 11A.

    ERIC Educational Resources Information Center

    Universal Esperanto Association, Rotterdam (Netherlands).

    The Final Act of the Conference on Security and Co-operation in Europe, linguistic problems in the way of cooperation, language differences and the potential for discriminatory practice, and the need for a new linguistic order are discussed. It is suggested that misunderstandings arising from differences of language reduce the ability of the 35…

  5. 76 FR 70411 - Fresh and Chilled Atlantic Salmon From Norway: Final Results of Full Third Sunset Review of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-14

    ... Salmon From Norway: Final Results of Full Third Sunset Review of Countervailing Duty Order AGENCY: Import... fresh and chilled Atlantic salmon from Norway pursuant to section 751(c) of the Tariff Act of 1930, as... on fresh and chilled Atlantic salmon from Norway pursuant to section 751(c) of the Act. See Sunset...

  6. 78 FR 42159 - Medicaid and Children's Health Insurance Programs: Essential Health Benefits in Alternative...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-15

    ...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. This final rule finalizes new Medicaid eligibility provisions; finalizes changes related to electronic Medicaid and the Children's Health Insurance Program (CHIP) eligibility notices and delegation of appeals; modernizes and streamlines existing Medicaid eligibility rules; revises CHIP rules relating to the substitution of coverage to improve the coordination of CHIP coverage with other coverage; and amends requirements for benchmark and benchmark- equivalent benefit packages consistent with sections 1937 of the Social Security Act (which we refer to as ``alternative benefit plans'') to ensure that these benefit packages include essential health benefits and meet certain other minimum standards. This rule also implements specific provisions including those related to authorized representatives, notices, and verification of eligibility for qualifying coverage in an eligible employer-sponsored plan for Affordable Insurance Exchanges. This rule also updates and simplifies the complex Medicaid premium and cost sharing requirements, to promote the most effective use of services, and to assist states in identifying cost sharing flexibilities. It includes transition policies for 2014 as applicable.

  7. Integrated Application of Active Controls (IAAC) technology to an advanced subsonic transport project: Wing planform study and final configuration selection

    NASA Technical Reports Server (NTRS)

    1981-01-01

    The Wing Planform Study and Final Configuration Selection Task of the Integrated Application of Active Controls (IAAC) Technology Project within the Energy Efficient Transport Program is documented. Application of Active Controls Technology (ACT) in combination with increased wing span resulted in significant improvements over the Conventional Baseline Configuration (Baseline) and the Initial ACT Configuration previously established. The configurations use the same levels of technology, takeoff gross weight, and payload as the Baseline. The Final ACT Configuration (Model 768-107) incorporates pitch-augmented stability (which enabled an approximately 10% aft shift in cruise center of gravity and a 44% reduction in horizontal tail size), lateral/directional-augmented stability, an angle-of-attack limiter, and wing-load alleviation. Flutter-mode control was not beneficial for this configuration. This resulted in an 890 kg (1960 lb) reduction in airplane takeoff gross weight and a 9.8% improvement in cruise lift/drag. At the Baseline mission range (3589 km 1938 nmi), this amounts to 10% block-fuel reduction. Results of this task strongly indicate that the IAAC Project should proceed with the Final ACT evaluation, and begin the required control system development and test.

  8. 75 FR 25323 - Light-Duty Vehicle Greenhouse Gas Emission Standards and Corporate Average Fuel Economy Standards...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ...EPA and NHTSA are issuing this joint Final Rule to establish a National Program consisting of new standards for light-duty vehicles that will reduce greenhouse gas emissions and improve fuel economy. This joint Final Rule is consistent with the National Fuel Efficiency Policy announced by President Obama on May 19, 2009, responding to the country's critical need to address global climate change and to reduce oil consumption. EPA is finalizing greenhouse gas emissions standards under the Clean Air Act, and NHTSA is finalizing Corporate Average Fuel Economy standards under the Energy Policy and Conservation Act, as amended. These standards apply to passenger cars, light-duty trucks, and medium-duty passenger vehicles, covering model years 2012 through 2016, and represent a harmonized and consistent National Program. Under the National Program, automobile manufacturers will be able to build a single light-duty national fleet that satisfies all requirements under both programs while ensuring that consumers still have a full range of vehicle choices. NHTSA's final rule also constitutes the agency's Record of Decision for purposes of its National Environmental Policy Act (NEPA) analysis.

  9. 12 CFR 1204.2 - What do the terms in this part mean?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... who has primary responsibility for privacy and data protection policy and is authorized to process... Section 1204.2 Banks and Banking FEDERAL HOUSING FINANCE AGENCY ORGANIZATION AND OPERATIONS PRIVACY ACT..., or control. Privacy Act means the Privacy Act of 1974, as amended (5 U.S.C. 552a). Privacy Act...

  10. 75 FR 53153 - Federal Acquisition Regulation; American Recovery and Reinvestment Act of 2009 (the Recovery Act...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-30

    ...The Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (the Councils) have adopted as final, with changes, an interim rule amending the Federal Acquisition Regulation (FAR) to implement the American Recovery and Reinvestment Act of 2009 (Recovery Act) with respect to the ``Buy American--Recovery Act'' provision, section 1605 in Division A.

  11. 77 FR 59793 - Prioritization and Allocation Authority Exercised by the Secretary of Transportation Under the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-01

    ...This final rule clarifies the priorities and allocation authorities exercised by the Secretary of Transportation (Secretary) under title I of the Defense Production Act of 1950 (Defense Production Act), and establishes the administrative procedures by which the Secretary will exercise this authority. In addition, in this final rule the Department is seeking comments on certain revised definitions found in section 33.20. This rule complies with the requirement in the Defense Production Act Reauthorization of 2009 (Pub. L. 111-67) to issue final rules establishing standards and procedures by which the priorities and allocations authority is used to promote the national defense, under both emergency and nonemergency conditions, and is part of a multi-agency effort that forms the Federal Priorities and Allocations System.

  12. Administrative review process for adjudicating initial disability claims. Final rule.

    PubMed

    2006-03-31

    The Social Security Administration is committed to providing the high quality of service the American people expect and deserve. In light of the significant growth in the number of disability claims and the increased complexity of those claims, the need to make substantial changes in our disability determination process has become urgent. We are publishing a final rule that amends our administrative review process for applications for benefits that are based on whether you are disabled under title II of the Social Security Act (the Act), or applications for supplemental security income (SSI) payments that are based on whether you are disabled or blind under title XVI of the Act. We expect that this final rule will improve the accuracy, consistency, and timeliness of decision-making throughout the disability determination process.

  13. 75 FR 41278 - Notice of Final Federal Agency Actions on Proposed Highway in Idaho

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-15

    ...]; Fish and Wildlife Coordination Act [16 U.S.C. 661-667(d)]; Migratory Bird Treaty Act [16 U.S.C. 703-712... Preservation Act of 1974 [16 U.S.C. 469-469(c)]. Land: Section 4(f) of The Department of Transportation Act: [23 CFR 774]; Farmland Protection Policy Act (FPPA) [7 U.S.C. 4201-4209]; Solid Waste Disposal Act, as...

  14. Amendment to the interim final rules for group health plans and health insurance coverage relating to status as a grandfathered health plan under the Patient Protection and Affordable Care Act. Amendment to interim final rules with request for comments.

    PubMed

    2010-11-17

    This document contains an amendment to interim final regulations implementing the rules for group health plans and health insurance coverage in the group and individual markets under provisions of the Patient Protection and Affordable Care Act regarding status as a grandfathered health plan; the amendment permits certain changes in policies, certificates, or contracts of insurance without loss of grandfathered status.

  15. Superfund Record of Decision (EPA Region 2): Kin-Buc Landfill, Edison Township, Middlesex County, NJ. (Second remedial action), September 1992. Final report

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

    Not Available

    1992-09-28

    The 200-acre Kin-Buc Landfill consists of several inactive disposal areas and is located in Edison Township, Middlesex County, New Jersey. Land use in the area is predominantly industrial and commercial, with some residences within 2 miles north of the site. No drinking water supply wells are located within a 2-mile radius of the site. As a result of an oil spill in 1976, EPA conducted an investigation of the property. In 1980, clean-up activities were initiated under the Clean Water Act and included removal, treatment, and disposal of leachate and drummed waste. The ROD addresses a final remedy for OU2more » consisting of the sediment and groundwater in the Edmonds Creek wetlands area, Mill Brook/Martins Creek, Mound B, and the low-lying area. The primary contaminants of concern affecting the sediment and ground water are VOCs, including benzene and xylenes; other organics, including PAHs, PCBs, and pesticides; and metals, including arsenic and lead. The selected remedy for the site are included.« less

  16. Seeing Through Smoke: Sorting through the Science and Politics in the Making of the 1956 British Clean Air Act (Invited)

    NASA Astrophysics Data System (ADS)

    Kenny, D. A.

    2010-12-01

    The 1952 “Killer Smog” left over 4000 citizens of Greater London dead in a single week. It was a highly visible environmental disaster, which pinned the British government with responsibility over factory and domestic coal smoke pollution. Within four years of the Smog, the British parliament passed the 1956 Clean Air Act, which was designed primarily to prevent the release of dark smoke from the chimneys of private dwellings and factories. This act is considered a significant turning point in the history of environmental regulation. Through the analysis of confidential documents from government ministries and Members of Parliament, my research has focused on how decisions were made following this man-made environmental catastrophe. The primary focus of this presentation will be to explore why the British government appeared lethargic in the face of its long-standing coal pollution problem and why it finally passed the first clean air act in the world. In this case, establishing responsibility and organizing research were the major time constraints on policy action. In the months following the 1952 Smog, government departments passed off responsibility and quarreled over jurisdiction in the smog matter. Ministries held responsible for air pollution jointly established the Committee on Air Pollution to find a solution to urban smog. In the years following, the Committee on Air Pollution compiled research on the health effects and economic impact of air pollution, deriving its information from a variety of sources. In its 1954 final report, the committee named smoke and sulfur dioxide the most likely culprits of the 1952 deaths, and it recommended the elimination of smoke-producing coal from the British market, a major change to how the British fueled their homes and factories. The resulting 1956 Clean Air Act was the product of numerous compromises over the economic, political, and social issues present in Great Britain at the time. The British government’s policy response to the 1952 Killer Smog provides an important backdrop to some of the issues and dilemmas experienced in the regulation of air pollution today. This presentation will provide an interdisciplinary perspective on the complexity of Great Britain’s air pollution problem and the difficulties in delineating its solution.

  17. KEY COMPARISON: Final report of the SIM 60Co absorbed-dose-to-water comparison SIM.RI(I)-K4

    NASA Astrophysics Data System (ADS)

    Ross, C. K.; Shortt, K. R.; Saravi, M.; Meghzifene, A.; Tovar, V. M.; Barbosa, R. A.; da Silva, C. N.; Carrizales, L.; Seltzer, S. M.

    2008-01-01

    Transfer chambers were used to compare the standards for 60Co absorbed dose to water maintained by seven laboratories. Six of the laboratories were members of the Sistema Interamericano de Metrología (SIM) regional metrology organization while the seventh was the International Atomic Energy Agency (IAEA) laboratory in Vienna. The National Research Council (NRC) acted as the pilot laboratory for the comparison. Because of the participation of laboratories holding primary standards, the comparison results could be linked to the key comparison reference value maintained by the Bureau International des Poids et Mesures (BIPM). The results for all laboratories were within the expanded uncertainty (two standard deviations) of the reference value. The estimated relative standard uncertainty on the comparison between any pair of laboratories ranged from 0.6% to 1.4%. The largest discrepancy between any two laboratories was 1.3%. 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 CCRI Section I, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  18. KEY COMPARISON: Final report of the SIM 60Co air-kerma comparison SIM.RI(I)-K1

    NASA Astrophysics Data System (ADS)

    Ross, C. K.; Shortt, K. R.; Saravi, M.; Meghzifene, A.; Tovar, V. M.; Barbosa, R. A.; da Silva, C. N.; Carrizales, L.; Seltzer, S. M.

    2008-01-01

    Transfer chambers were used to compare the standards for 60Co air kerma maintained by seven laboratories. Six of the laboratories are members of the Sistema Interamericano de Metrología (SIM) regional metrology organization while the seventh is the International Atomic Energy Agency (IAEA) laboratory in Vienna. The National Research Council (NRC) acted as the pilot laboratory for the comparison. Because of the participation of laboratories holding primary standards, the comparison results could be linked to the key comparison reference value maintained by the Bureau International des Poids et Mesures (BIPM). The results for all laboratories were within the expanded uncertainty (two standard deviations) of the reference value. The estimated relative standard uncertainty of the comparison between any pair of laboratories ranged from 0.5% to 1.0%. The largest discrepancy between any two laboratories was 1.0%. 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 CCRI Section I, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

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

    Jacob, Andria; Cyr, Shirley

    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 ofmore » 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.« less

  20. Impact of a Pay-for-Performance Program on Care for Black Patients with Hypertension: Important Answers in the Era of the Affordable Care Act.

    PubMed

    Petersen, Laura A; Ramos, Kate Simpson; Pietz, Kenneth; Woodard, LeChauncy D

    2017-06-01

    Evaluate the effect of a pay-for-performance intervention on the quality of hypertension care provided to black patients and determine whether it produced risk selection. Primary data collected between 2007 and 2009 from Veterans Affairs physicians and their primary care panels. Nested study within a cluster randomized controlled trial of three types of financial incentives and no incentives (control). We compared the proportion of physicians' black patients meeting hypertension performance measures for baseline and final performance periods. We measured risk selection by comparing the proportion of patients who switched providers, patient visit frequency, and panel turnover. Due to limited power, we prespecified in the analysis plan combining the three incentive groups and oversampling black patients. Data collected electronically and by chart review. The proportion of black patients who achieved blood pressure control or received an appropriate response to uncontrolled blood pressure in the final period was 6.3 percent (95 percent confidence interval, 0.8-11.7 percent) greater for physicians who received an incentive than for controls. There was no difference between intervention and controls in the proportion of patients who switched providers, visit frequency, or panel turnover. A pay-for-performance intervention improved blood pressure control or appropriate response to uncontrolled blood pressure in black patients and did not produce risk selection. © Published 2016. This article is a U.S. Government work and is in the public domain in the USA.

  1. 75 FR 53598 - Endangered and Threatened Wildlife and Plants; Threatened Status for Shovelnose Sturgeon Under...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-01

    ...) under the similarity of appearance provisions of the Endangered Species Act of 1973, as amended. The... sturgeon (Scaphirhynchus albus) as endangered under the Endangered Species Act of 1973, as amended (Act... Species Act AGENCY: Fish and Wildlife Service, Interior. ACTION: Final rule. SUMMARY: We, the U.S. Fish...

  2. 75 FR 66245 - HUD Programs: Violence Against Women Act Conforming Amendments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-27

    ...: Violence Against Women Act Conforming Amendments; Final Rule #0;#0;Federal Register / Vol. 75 , No. 207...-F-02] RIN 2577-AC65 HUD Programs: Violence Against Women Act Conforming Amendments AGENCY: Office of... rule that conformed HUD's regulations to those provisions of the Violence Against Women Act (VAWA), as...

  3. 76 FR 45174 - State Official Notification Rules

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-28

    ... granted in section 1042(a) to enforce the Act or regulations prescribed thereunder. This interim final... actions or proceedings undertaken under section 1042(a) of the Act, 12 U.S.C. 5552(a), to enforce the Act... than 10 days prior to initiating an action to enforce the Act or any regulation prescribed thereunder...

  4. 75 FR 50846 - Privacy Act of 1974: Implementation of Exemptions; Department of Homeland Security/ALL-001...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-18

    ... INFORMATION CONTACT: For general questions and privacy issues please contact: Mary Ellen Callahan (703-235...] Privacy Act of 1974: Implementation of Exemptions; Department of Homeland Security/ALL--001 Freedom of Information Act and Privacy Act Records System of Records AGENCY: Privacy Office, DHS. ACTION: Final rule...

  5. 78 FR 62993 - Amendments to the 2013 Mortgage Rules Under the Real Estate Settlement Procedures Act (Regulation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-23

    ... (Regulation X) and the Truth in Lending Act (Regulation Z) AGENCY: Bureau of Consumer Financial Protection... Procedures Act (Regulation X) (2013 RESPA Servicing Final Rule); \\1\\ (2) the Mortgage Servicing Rules under... Homeownership Counseling Amendments to the Real Estate Settlement Procedures Act (Regulation X) (2013 HOEPA...

  6. Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification rules under the Health Information Technology for Economic and Clinical Health Act and the Genetic Information Nondiscrimination Act; other modifications to the HIPAA rules.

    PubMed

    2013-01-25

    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 (HIPAA) Privacy, Security, and Enforcement Rules to implement statutory amendments under the Health Information Technology for Economic and Clinical Health Act (``the HITECH Act'' or ``the Act'') to strengthen the privacy and security protection for individuals' health information; modify the rule for Breach Notification for Unsecured Protected Health Information (Breach Notification Rule) under the HITECH Act to address public comment received on the interim final rule; modify the HIPAA Privacy Rule to strengthen the privacy protections for genetic information by implementing section 105 of Title I of the Genetic Information Nondiscrimination Act of 2008 (GINA); and make certain other modifications to the HIPAA Privacy, Security, Breach Notification, and Enforcement Rules (the HIPAA Rules) to improve their workability and effectiveness and to increase flexibility for and decrease burden on the regulated entities.

  7. Procedures for Handling Retaliation Complaints Under Section 31307 of the Moving Ahead for Progress in the 21st Century Act (MAP-21). Final rule.

    PubMed

    2016-12-14

    On March 16, 2016, the Occupational Safety and Health Administration (OSHA) of the U.S. Department of Labor (Department) issued an interim final rule (IFR) that provided procedures for the Department's processing of complaints under the employee protection (retaliation or whistleblower) provisions of Section 31307 of the Moving Ahead for Progress in the 21st Century Act (MAP-21). The IFR established procedures and time frames for the handling of retaliation complaints under MAP-21, including procedures and time frames for employee complaints to 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. It also set forth the Department's interpretations of the MAP-21 whistleblower provisions on certain matters. This final rule adopts, without change, the IFR.

  8. 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…

  9. 75 FR 71799 - Medicare Program: Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-24

    ...The final rule with comment period in this document revises the Medicare hospital outpatient prospective payment system (OPPS) to implement applicable statutory requirements and changes arising from our continuing experience with this system and to implement certain provisions of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (Affordable Care Act). In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare hospital outpatient services paid under the prospective payment system. These changes are applicable to services furnished on or after January 1, 2011. In addition, this final rule with comment period updates the revised Medicare ambulatory surgical center (ASC) payment system to implement applicable statutory requirements and changes arising from our continuing experience with this system and to implement certain provisions of the Affordable Care Act. In this final rule with comment period, we set forth the applicable relative payment weights and amounts for services furnished in ASCs, specific HCPCS codes to which these changes apply, and other pertinent ratesetting information for the CY 2011 ASC payment system. These changes are applicable to services furnished on or after January 1, 2011. In this document, we also are including two final rules that implement provisions of the Affordable Care Act relating to payments to hospitals for direct graduate medical education (GME) and indirect medical education (IME) costs; and new limitations on certain physician referrals to hospitals in which they have an ownership or investment interest. In the interim final rule with comment period that is included in this document, we are changing the effective date for otherwise eligible hospitals and critical access hospitals that have been reclassified from urban to rural under section 1886(d)(8)(E) of the Social Security Act and 42 CFR 412.103 to receive reasonable cost payments for anesthesia services and related care furnished by nonphysician anesthetists from cost reporting periods beginning on or after October 1, 2010, to December 2, 2010.

  10. 78 FR 9691 - Sunshine Act Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-11

    ... Final Audit Report on McCain-Palin 2008 Inc. and McCain-Palin Compliance Fund, Inc. Proposed Final Audit Report on the Maine Republican Party (A09-09) Proposed Final Audit Report on Rightmarch.com PAC, Inc...

  11. Primary Cilia Modulate IHH Signal Transduction in Response to Hydrostatic Loading of Growth Plate Chondrocytes

    PubMed Central

    Shao, Y, Yvonne Y.; Wang, Lai; Welter, J, Jean F.; Ballock, R. Tracy

    2011-01-01

    Indian Hedgehog (Ihh) is a key component of the regulatory apparatus governing chondrocyte proliferation and differentiation in the growth plate. Recent studies have demonstrated that the primary cilium is the site of Ihh signaling within the cell, and that primary cilia are essential for bone and cartilage formation. Primary cilia are also postulated to act as mechanosensory organelles that transduce mechanical forces acting on the cell into biological signals. In this study, we used a hydrostatic compression system to examine Ihh signal transduction under the influence of mechanical load. Our results demonstrate that hydrostatic compression increased both Ihh gene expression and Ihh-responsive Gli-luciferase activity. These increases were aborted by disrupting the primary cilia structure with chloral hydrate. These results suggest that growth plate chondrocytes respond to hydrostatic loading by increasing Ihh signaling, and that the primary cilium is required for this mechano-biological signal transduction to occur. PMID:21930256

  12. A guide to the EEOC's final regulations on the Americans with Disabilities Act.

    PubMed

    Shaller, E H; Rosen, D A

    The Equal Employment Opportunity Commission (EEOC) recently issued its final regulations on the Americans with Disabilities Act (ADA). Although the regulations offer some guidance for employers on how to comply with the Act, they fail to provide specific answers to the many complicated compliance questions that will surely arise. Further, the regulations are almost totally silent on certain critical issues related to insurance, workers' compensation, and potential conflicts between ADA obligations and terms of collective bargaining agreements. The EEOC has essentially left the resolution of many important ADA questions to case-by-case determination and the litigation process.

  13. Saltcedar and Russian olive control demonstration act science assessment

    Treesearch

    Patrick B. Shafroth; Curtis A. Brown; David M. Merritt

    2010-01-01

    The primary intent of this document is to provide the science assessment called for under The Saltcedar and Russian Olive Control Demonstration Act of 2006 (Public Law 109-320; the Act). A secondary purpose is to provide a common background for applicants for prospective demonstration projects, should funds be appropriated for this second phase of the Act. This...

  14. Medicaid program; home and community-based services. Health Care Financing Administration (HCFA), HHS. Final rule with comment period.

    PubMed

    2000-10-10

    This final rule with comment period expands State flexibility in providing prevocational, educational, and supported employment services under the Medicaid home and community-based services waiver provisions currently found in section 1915(c) of the Social Security Act (the Act); and incorporates the self-implementing provisions of section 4743 of the Balanced Budget Act of 1997 that amends section 1915(c)(5) of the Act to delete the requirements that an individual have prior institutionalization in a nursing facility or intermediate care facility for the mentally retarded before becoming eligible for the expanded habilitation services. In addition, we are making a number of technical changes to update or correct the regulations.

  15. 78 FR 10367 - Appraisals for Higher-Priced Mortgage Loans

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-13

    ...The Board, Bureau, FDIC, FHFA, NCUA, and OCC (collectively, the Agencies) are issuing a final rule to amend Regulation Z, which implements the Truth in Lending Act (TILA), and the official interpretation to the regulation. The revisions to Regulation Z implement a new provision requiring appraisals for ``higher-risk mortgages'' that was added to TILA by the Dodd-Frank Wall Street Reform and Consumer Protection Act (the Dodd-Frank Act or Act). For mortgages with an annual percentage rate that exceeds the average prime offer rate by a specified percentage, the final rule requires creditors to obtain an appraisal or appraisals meeting certain specified standards, provide applicants with a notification regarding the use of the appraisals, and give applicants a copy of the written appraisals used.

  16. 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…

  17. 77 FR 15590 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-16

    ... Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: Defense Intelligence Agency (DIA) is proposing to update the DIA Privacy Act... nonsubstantive changes to the Defense Intelligence Agency (DIA) Privacy Program rules. These changes will allow...

  18. 76 FR 53057 - National Environmental Policy Act Procedures

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-25

    ... POSTAL SERVICE 39 CFR Part 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 update an obsolete statutory reference. DATES: Effective Date: August 25...

  19. 76 FR 45741 - Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Diesel-Powered Motor...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-01

    ...EPA proposes to approve the State Implementation Plan (SIP) revision submitted by the Commonwealth of Pennsylvania for the purpose of incorporating the Commonwealth's Diesel-Powered Motor Vehicle Idling Act (Act 124 of 2008, or simply Act 124) into the Pennsylvania SIP. Act 124, passed by the Pennsylvania General Assembly and signed into state law by Governor Rendell in October 2008 (and effective at the state level in February 2009), reduces the allowable time that heavy-duty, commercial highway diesel vehicles of over 10,000 pounds gross vehicle weight can idle their main propulsion engines. The law restricts idling of these commercial diesel vehicles (mostly heavy trucks and buses) to a period of 5 minutes per continuous 60 minute period (with certain allowable exemptions and exclusions). Act 124 applies statewide in the Commonwealth, and is estimated by Pennsylvania to significantly reduce emissions of nitrogen oxides (NOX), volatile organic compounds (VOCs), and fine particulate matter (PM). While idle time emissions limits are not mandatory under the Clean Air Act (CAA), incorporation of Act 124 into the SIP does strengthen the SIP, makes the state law federally enforceable by EPA, and allows the Commonwealth to take credit for emissions benefits from the rule as part of future Pennsylvania SIP revisions to demonstrate compliance with CAA National Ambient Air Quality Standards (NAAQS). This action is being taken under the CAA. In the Final Rules section of this Federal Register, EPA is approving the Commonwealth's SIP submittal as a direct final rule without prior proposal because EPA views this as a noncontroversial submittal and anticipates no adverse comments. A detailed rationale for the approval is set forth in the direct final rule. If no adverse comments are received in response to this action, no further activity is contemplated. If EPA receives adverse comments, the direct final rule will be withdrawn and all public comments received will be addressed in a subsequent final rule based on this proposed rule. EPA will not institute a second comment period. Any parties interested in commenting on this action should do so at this time.

  20. Long-Acting β-Agonist in Combination or Separate Inhaler as Step-Up Therapy for Children with Uncontrolled Asthma Receiving Inhaled Corticosteroids.

    PubMed

    Turner, Steve; Richardson, Kathryn; Murray, Clare; Thomas, Mike; Hillyer, Elizabeth V; Burden, Anne; Price, David B

    Adding a long-acting β 2 -agonist (LABA) to inhaled corticosteroids (ICS) using a fixed-dose combination (FDC) inhaler is the UK guideline recommendation for children aged more than 4 years with uncontrolled asthma. The evidence of benefit of adding an FDC inhaler over a separate LABA inhaler is limited. The objective of this study was to compare the effectiveness of a LABA added as an FDC inhaler, and as a separate inhaler, in children with uncontrolled asthma. Two UK primary care databases were used to create a matched cohort study with a 2-year follow-up period. We included children prescribed their first step-up from ICS monotherapy. Two cohorts were formed for children receiving an add-on LABA as an FDC inhaler, or a separate LABA inhaler. Matching variables and confounders were identified by comparing characteristics during a baseline year of follow-up. Outcomes were examined during the subsequent year. The primary outcome was an adjusted odds ratio for overall asthma control (defined as follows: no asthma-related hospital admission or emergency room visit, prescription for oral corticosteroids or antibiotic with evidence of respiratory consultation, and ≤2 puffs of short-acting β-agonist daily). The final study consisted of 1330 children in each cohort (mean age 9 years; 59% male). In the separate ICS+LABA cohort, the odds of achieving overall asthma control were lower (adjusted odds ratio, 0.77 [95% confidence interval, 0.66-0.91]; P = .001) compared with the FDC cohort. The study demonstrates a small but significant benefit in achieving asthma control from an add-on LABA as an FDC, compared with a separate inhaler and this supports current guideline recommendations. Copyright © 2016 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  1. Dopamine acting at D1-like, D2-like and α1-adrenergic receptors differentially modulates theta and gamma oscillatory activity in primary motor cortex.

    PubMed

    Özkan, Mazhar; Johnson, Nicholas W; Sehirli, Umit S; Woodhall, Gavin L; Stanford, Ian M

    2017-01-01

    The loss of dopamine (DA) in Parkinson's is accompanied by the emergence of exaggerated theta and beta frequency neuronal oscillatory activity in the primary motor cortex (M1) and basal ganglia. DA replacement therapy or deep brain stimulation reduces the power of these oscillations and this is coincident with an improvement in motor performance implying a causal relationship. Here we provide in vitro evidence for the differential modulation of theta and gamma activity in M1 by DA acting at receptors exhibiting conventional and non-conventional DA pharmacology. Recording local field potentials in deep layer V of rat M1, co-application of carbachol (CCh, 5 μM) and kainic acid (KA, 150 nM) elicited simultaneous oscillations at a frequency of 6.49 ± 0.18 Hz (theta, n = 84) and 34.97 ± 0.39 Hz (gamma, n = 84). Bath application of DA resulted in a decrease in gamma power with no change in theta power. However, application of either the D1-like receptor agonist SKF38393 or the D2-like agonist quinpirole increased the power of both theta and gamma suggesting that the DA-mediated inhibition of oscillatory power is by action at other sites other than classical DA receptors. Application of amphetamine, which promotes endogenous amine neurotransmitter release, or the adrenergic α1-selective agonist phenylephrine mimicked the action of DA and reduced gamma power, a result unaffected by prior co-application of D1 and D2 receptor antagonists SCH23390 and sulpiride. Finally, application of the α1-adrenergic receptor antagonist prazosin blocked the action of DA on gamma power suggestive of interaction between α1 and DA receptors. These results show that DA mediates complex actions acting at dopamine D1-like and D2-like receptors, α1 adrenergic receptors and possibly DA/α1 heteromultimeric receptors to differentially modulate theta and gamma activity in M1.

  2. Rationale and design of a pilot study examining Acceptance and Commitment Therapy for persistent pain in an integrated primary care clinic.

    PubMed

    Kanzler, Kathryn E; Robinson, Patricia J; McGeary, Donald D; Mintz, Jim; Potter, Jennifer Sharpe; Muñante, Mariana; Lopez, Eliot J; Dougherty, Donald M; Hale, Willie J; Velligan, Dawn I

    2018-03-01

    Most of the 100 million Americans with persistent pain are treated in primary care clinics, but evidence-based psychosocial approaches targeting pain-related disability are not usually provided in these settings. This manuscript describes the rationale and methods for a protocol to pilot test the feasibility and effectiveness of Acceptance and Commitment Therapy (ACT), an evidence-based psychological treatment for persistent pain, delivered by a Behavioral Health Consultant in primary care. Eligible patients are identified through electronic health record registries and invited to participate via secure messaging, letters and a follow-up phone call. Participants are also recruited with advertising and clinician referral. Patients agreeing to participate are consented and complete initial assessments, with a target of 60 participants. Randomization is stratified based on pain severity with participants assigned to either ACT or Enhanced Treatment as Usual (E-TAU). ACT participants receive one standardized Behavioral Health Consultation visit followed by three ACT-based group visits and one group booster visit. All patients attend six assessment visits, during which the E-TAU patients are provided with educational pain management handouts based on standard cognitive behavioral treatment of pain. The study aims to determine feasibility and effectiveness of brief ACT for persistent pain delivered by an integrated behavioral health clinician in primary care from pre- to post-treatment, and to examine mechanisms of change in ACT participants. This study, in a "real-world" setting, will lay groundwork for a larger trial. If effective, it could improve treatment methods and quality of life for patients with persistent pain using a scalable approach. Copyright © 2018 Elsevier Inc. All rights reserved.

  3. 77 FR 23116 - Privacy Act of 1974; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-18

    ... DEPARTMENT OF JUSTICE 28 CFR Part 16 [CPCLO Order No. 009-2012] Privacy Act of 1974... Department) is issuing a final rule for a new Department-wide Privacy Act system of records entitled, Debt...), (3), and (4); (e)(1), (2), (3), (4)(G), (H) and (I), (5) and (8); (f) and (g) of the Privacy Act for...

  4. Ebola virus RNA editing depends on the primary editing site sequence and an upstream secondary structure.

    PubMed

    Mehedi, Masfique; Hoenen, Thomas; Robertson, Shelly; Ricklefs, Stacy; Dolan, Michael A; Taylor, Travis; Falzarano, Darryl; Ebihara, Hideki; Porcella, Stephen F; Feldmann, Heinz

    2013-01-01

    Ebolavirus (EBOV), the causative agent of a severe hemorrhagic fever and a biosafety level 4 pathogen, increases its genome coding capacity by producing multiple transcripts encoding for structural and nonstructural glycoproteins from a single gene. This is achieved through RNA editing, during which non-template adenosine residues are incorporated into the EBOV mRNAs at an editing site encoding for 7 adenosine residues. However, the mechanism of EBOV RNA editing is currently not understood. In this study, we report for the first time that minigenomes containing the glycoprotein gene editing site can undergo RNA editing, thereby eliminating the requirement for a biosafety level 4 laboratory to study EBOV RNA editing. Using a newly developed dual-reporter minigenome, we have characterized the mechanism of EBOV RNA editing, and have identified cis-acting sequences that are required for editing, located between 9 nt upstream and 9 nt downstream of the editing site. Moreover, we show that a secondary structure in the upstream cis-acting sequence plays an important role in RNA editing. EBOV RNA editing is glycoprotein gene-specific, as a stretch encoding for 7 adenosine residues located in the viral polymerase gene did not serve as an editing site, most likely due to an absence of the necessary cis-acting sequences. Finally, the EBOV protein VP30 was identified as a trans-acting factor for RNA editing, constituting a novel function for this protein. Overall, our results provide novel insights into the RNA editing mechanism of EBOV, further understanding of which might result in novel intervention strategies against this viral pathogen.

  5. Fair credit reporting medical information regulations. Final rules.

    PubMed

    2005-11-22

    The OCC, Board, FDIC, OTS, and NCUA (Agencies) are publishing final rules to implement section 411 of the Fair and Accurate Credit Transactions Act of 2003 (FACT Act). The final rules create exceptions to the statute's general prohibition on creditors obtaining or using medical information pertaining to a consumer in connection with any determination of the consumer's eligibility, or continued eligibility, for credit for all creditors. The exceptions permit creditors to obtain or use medical information in connection with credit eligibility determinations where necessary and appropriate for legitimate purposes, consistent with the Congressional intent to restrict the use of medical information for inappropriate purposes. The final rules also create limited exceptions to permit affiliates to share medical information with each other without becoming consumer reporting agencies. The final rules are substantially similar to the rules adopted by the Agencies on an interim final basis in June 2005.

  6. Applying organizational behavior theory to primary care.

    PubMed

    Mullangi, Samyukta; Saint, Sanjay

    2017-03-01

    Addressing the mounting primary care shortage in the United States has been a focus of educators and policy makers, especially with the passage of the Affordable Care Act in 2010 and the Medicare Access and CHIP Reauthorization Act in 2015, placing increased pressure on the system. The Association of American Medical Colleges recently projected a shortage of as many as 65,000 primary care physicians by 2025, in part because fewer than 20% of medical students are picking primary care for a career. We examined the issue of attracting medical students to primary care through the lens of organizational behavior theory. Assuming there are reasons other than lower income potential for why students are inclined against primary care, we applied various principles of the Herzberg 2-factor theory to reimagine the operational flow and design of primary care. We conclude by proposing several solutions to enrich the job, such as decreasing documentation requirements, reducing the emphasis on specialty consultations, and elevating physicians to a supervisory role.

  7. Understanding the Family and Medical Leave Act.

    PubMed

    Zink-Pearson, E A

    1997-03-01

    In April 1995 final regulations for the Family and Medical Leave Act (FMLA) of 1993 were issued. The act is very detailed, complicated, and difficult to implement for home care agencies. Agencies need to gain a good working understanding of the FMLA to avoid inadvertent violations.

  8. 77 FR 64051 - 2017 and Later Model Year Light-Duty Vehicle Greenhouse Gas Emissions and Corporate Average Fuel...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-18

    ...This document contains corrections to the final rule regulation which was published in the Federal Register of Monday, October 15, 2012 (77 FR 62624). The final rule established fuel economy standards for light-duty vehicles under the Energy Policy and Conservation Act (EPCA), as amended by the Energy Independence and Security Act (EISA), 49 U.S.C. 32901 et seq.

  9. 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…

  10. Hawaii State Plan for Occupational Safety and Health. Final rule.

    PubMed

    2012-09-21

    This document announces the Occupational Safety and Health Administration's (OSHA) decision to modify the Hawaii State Plan's ``final approval'' determination under Section 18(e) of the Occupational Safety and Health Act (the Act) and to transition to ``initial approval'' status. OSHA is reinstating concurrent federal enforcement authority over occupational safety and health issues in the private sector, which have been solely covered by the Hawaii State Plan since 1984.

  11. Why are there gaps in our management of those with high cardiovascular risk?

    PubMed

    Doolan-Noble, Fiona; Tracey, Jocelyn; Mann, Stewart

    2012-03-01

    Multiple New Zealand and other international studies have identified gaps in the management of those identified at high risk of a future cardiovascular (CV) event. This study sought to explore the views of health professionals about the barriers and facilitators present within the current primary health care system to the optimal management of those at high CV risk. This qualitative study utilised a focus group methodology to examine the barriers and facilitators within primary health care (PHC), and employed a general inductive approach to analyse the text data. The analysis of text data resulted in the emergence of interrelated themes, underpinned by subthemes. The patient, their circumstances and their characteristics and perceptions provided the first key theme and subthemes. The next key theme was primary health care providers, with subthemes of communication and values and beliefs. The general practice was the third theme and included multiple subthemes: implementation planning and pathway development, time and workload and roles and responsibilities. The final main theme was the health system with the subthemes linking to funding and leadership. This study determined the factors that act as barriers and facilitators to the effective management of those at high CV risk within the New Zealand PHC sector. General practice has a pivotal role in preventive health care, but to succeed there needs to be a refocusing of the PHC sector, requiring support from policy makers, District Health Boards and Primary Health Organisations, as well as those working in the sector.

  12. Claims Procedure for Plans Providing Disability Benefits. Final rule.

    PubMed

    2016-12-19

    This document contains a final regulation revising the claims procedure regulations under the Employee Retirement Income Security Act of 1974 (ERISA) for employee benefit plans providing disability benefits. The final rule revises and strengthens the current rules primarily by adopting certain procedural protections and safeguards for disability benefit claims that are currently applicable to claims for group health benefits pursuant to the Affordable Care Act. This rule affects plan administrators and participants and beneficiaries of plans providing disability benefits, and others who assist in the provision of these benefits, such as third-party benefits administrators and other service providers.

  13. Compensating for the harms of family violence: statutory barriers in Australian victims of crime compensation schemes.

    PubMed

    Forster, Christine

    2014-09-01

    This article considers the compensative capacity of the victims of crime statutory schemes that are present in all eight Australian jurisdictions for primary victims of family violence. It argues that the recommendations of the Final Report on Family Violence conducted jointly by the Australian Law Reform Commission and the New South Wales Law Reform Commission in 2010, although a positive step, are insufficient to facilitate meaningful compensation to victims of family violence. In addition to the primary limitations identified by the Commissions--a requirement to report the crime to the police within a reasonable time and a requirement for multiple acts of violence to be reduced to a single act if they are related--there are other statutory barriers that disproportionately disadvantage victims of family violence. These include time limitation provisions, a requirement to report the crime to police, the restriction of compensation to prescribed categories of loss which exclude many of the social, vocational, emotional and psychological harms suffered by victims of family violence, and significant cut-backs on the non-economic component of the schemes. This article further argues that the statutory barriers cumulatively contribute to the perception of a crime as an isolated event perpetrated by a deviant individual. The article recommends that specific provisions for family violence victims should be introduced into all schemes including three categories of compensation not tied to criminal offences but rather the different forms of family violence, with a generous compensation range, and no requirement for proof of injury.

  14. 75 FR 29601 - Notice of Final Federal Agency Actions on a Proposed Highway Project in California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-26

    ... Act (RCRA) [42 U.S.C. 6901-6992(k)]. 9. Executive Orders: E.O. 11990 Protection of Wetlands; E.O... Preservation Act of 1966, as amended [16 U.S.C. 470(aa)-11]; Archeological Resources Protection Act of 1977 [16... and Economic: Civil Rights Act of 1964 [42 U.S.C. 2000(d)-2000(d)(1)]; Farmland Protection Policy Act...

  15. 75 FR 3782 - Notice of Final Federal Agency Actions on Interstate 84 Highway in Idaho

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-22

    ... Wildlife Coordination Act [16 U.S.C. 661- 667(d)]; Migratory Bird Treaty Act [16 U.S.C. 703-712]. 4...)]; Archeological and Historic Preservation Act [16 U.S.C. 469-469(c)]. 5. Land: Section 4(f) of The Department of... Protection Policy Act (FPPA) [7 U.S.C. 4201-4209]; Solid Waste Disposal Act, as amended by the Resource...

  16. 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…

  17. 20 CFR 422.210 - Judicial review.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Employees' Benefits SOCIAL SECURITY ADMINISTRATION ORGANIZATION AND PROCEDURES Procedures of the Office of... Social Security Act, or of health services to be provided by a health maintenance organization without...) of the Act). The Social Security Act does not provide for a right to judicial review of a final...

  18. The Benefits and Costs of the Clean Air Act, 1970 to 1990 (1997)

    EPA Pesticide Factsheets

    Final report to Congress prepared in response to Section 812 of the 1990 Clean Air Act Amendments addressing the question of how the overall health, welfare, ecological, and economic benefits of Clean Air Act Programs compare to the costs of these programs

  19. 40 CFR 124.20 - Computation of time.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... scheduled to begin on the occurrence of an act or event shall begin on the day after the act or event. (b) Any time period scheduled to begin before the occurrence of an act or event shall be computed so that the period ends on the day before the act or event. (c) If the final day of any time period falls on a...

  20. 40 CFR 124.20 - Computation of time.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... scheduled to begin on the occurrence of an act or event shall begin on the day after the act or event. (b) Any time period scheduled to begin before the occurrence of an act or event shall be computed so that the period ends on the day before the act or event. (c) If the final day of any time period falls on a...

  1. 40 CFR 124.20 - Computation of time.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... scheduled to begin on the occurrence of an act or event shall begin on the day after the act or event. (b) Any time period scheduled to begin before the occurrence of an act or event shall be computed so that the period ends on the day before the act or event. (c) If the final day of any time period falls on a...

  2. 40 CFR 124.20 - Computation of time.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... scheduled to begin on the occurrence of an act or event shall begin on the day after the act or event. (b) Any time period scheduled to begin before the occurrence of an act or event shall be computed so that the period ends on the day before the act or event. (c) If the final day of any time period falls on a...

  3. 40 CFR 124.20 - Computation of time.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... scheduled to begin on the occurrence of an act or event shall begin on the day after the act or event. (b) Any time period scheduled to begin before the occurrence of an act or event shall be computed so that the period ends on the day before the act or event. (c) If the final day of any time period falls on a...

  4. Definition of spouse under the Family and Medical Leave Act. Final rule.

    PubMed

    2015-02-25

    The Department of Labor's (Department) Wage and Hour Division (WHD) revises the regulation defining "spouse" under the Family and Medical Leave Act of 1993 (FMLA or the Act) in light of the United States Supreme Court's decision in United States v. Windsor, which found section 3 of the Defense of Marriage Act (DOMA) to be unconstitutional.

  5. 77 FR 48203 - Final Federal Agency Actions on Proposed Highway in North Carolina

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-13

    ... Wetlands Mitigation [23 U.S.C. 103(b)(6)(m), 133(b)(11)]; Flood Disaster Protection Act [42 U.S.C. 4001... Species Act [16 USC 1531-1544 and Section 1536], Marine Mammal Protection Act [16 U.S.C. 1361], Anadromous....]; Archeological Resources Protection Act of 1977 [16 U.S.C. 470(aa)-11]; Archeological and Historic Preservation...

  6. Family Educational Rights and Privacy: Final Rule. Federal Register, Part II: Department of Education, 34 CFR Part 99

    ERIC Educational Resources Information Center

    National Archives and Records Administration, 2008

    2008-01-01

    The Secretary amends our regulations implementing the Family Educational Rights and Privacy Act (FERPA), which is section 444 of the General Education Provisions Act. These amendments are needed to implement a provision of the USA Patriot Act and the Campus Sex Crimes Prevention Act, which added new exceptions permitting the disclosure of …

  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. 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.

  9. Hematology and pathology devices; reclassification of the automated differential cell counter. Final rule.

    PubMed

    2002-01-14

    The Food and Drug Administration (FDA) is reclassifying the automated differential cell counter (ADCC) from class III (premarket approval) into class II (special controls). FDA is also identifying the guidance document entitled "Class II Special Controls Guidance Document: Premarket Notifications for Automated Differential Cell Counters for Immature or Abnormal Blood Cells; Final Guidance for Industry and FDA" as the special control that the agency believes will reasonably ensure the safety and effectiveness of the device. This reclassification is being undertaken based on new information submitted in a reclassification petition from the International Society for Laboratory Hematology (ISLH), under the Federal Food, Drug, and Cosmetic Act (the act), as amended by the Safe Medical Devices Act of 1990 and the FDA Modernization Act of 1997.

  10. Mechanical and structural model of fractal networks of fat crystals at low deformations.

    PubMed

    Narine, S S; Marangoni, A G

    1999-12-01

    Fat-crystal networks demonstrate viscoelastic behavior at very small deformations. A structural model of these networks is described and supported by polarized light and atomic-force microscopy. A mechanical model is described which allows the shear elastic modulus (G') of the system to be correlated with forces acting within the network. The fractal arrangement of the network at certain length scales is taken into consideration. It is assumed that the forces acting are due to van der Waals forces. The final expression for G' is related to the volume fraction of solid fat (Phi) via the mass fractal dimension (D) of the network, which agrees with the experimental verification of the scaling behavior of fat-crystal networks [S. S. Narine and A. G. Marangoni, Phys. Rev. E 59, 1908 (1999)]. G' was also found to be inversely proportional to the diameter of the primary particles (sigma approximately equal to 6 microm) within the network (microstructural elements) as well as to the diameter of the microstructures (xi approximately equal to 100 microm) and inversely proportional to the cube of the intermicrostructural element distance (d(0)). This formulation of the elastic modulus agrees well with experimental observations.

  11. Chelation: A Fundamental Mechanism of Action of AGE Inhibitors, AGE Breakers, and Other Inhibitors of Diabetes Complications

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

    Nagai, Rhoji; Murray, David B.; Metz, Thomas O.

    2012-03-01

    Advanced glycation or glycoxidation end-products (AGE) increase in tissue proteins with age, and their rate of accumulation is increased in diabetes, nephropathy and inflammatory diseases. AGE inhibitors include a range of compounds that are proposed to act by trapping carbonyl and dicarbonyl intermediates in AGE formation. However, some among the newer generation of AGE inhibitors lack reactive functional groups that would trap reaction intermediates, indicating an alternative mechanism of action. We propose that AGE inhibitors function primarily as chelators, inhibiting metal-catalyzed oxidation reactions. The AGE-inhibitory activity of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers is also consistent with their chelatingmore » activity. Finally, compounds described as AGE breakers, or their hydrolysis products, also have strong chelating activity, suggesting that these compounds also act through their chelating activity. We conclude that chelation is the common, and perhaps the primary, mechanism of action of AGE inhibitors and breakers, and that chronic, mild chelation therapy should prove useful in treatment of diabetes and age-related diseases characterized by oxidative stress, inflammation and increased chemical modification of tissue proteins by advanced glycoxidation and lipoxidation end-products.« less

  12. 77 FR 76706 - Endangered and Threatened Species; Threatened Status for the Arctic, Okhotsk, and Baltic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-28

    ...We, NMFS, issue a final determination to list the Arctic (Phoca hispida hispida), Okhotsk (Phoca hispida ochotensis), and Baltic (Phoca hispida botnica) subspecies of the ringed seal (Phoca hispida) as threatened and the Ladoga (Phoca hispida ladogensis) subspecies of the ringed seal as endangered under the Endangered Species Act (ESA). We will propose to designate critical habitat for the Arctic ringed seal in a future rulemaking. To assist us in this effort, we solicit information that may be relevant to the designation of critical habitat for Arctic ringed seals. In light of public comments and upon further review, we are withdrawing the proposed ESA section 4(d) protective regulations for threatened subspecies of the ringed seal because we have determined that such regulations are not necessary or advisable for the conservation of the Arctic, Okhotsk, or Baltic subspecies of the ringed seal at this time. Given their current population sizes, the long-term nature of the primary threat to these subspecies (habitat alteration stemming from climate change), and the existing protections under the Marine Mammal Protection Act, it is unlikely that the proposed protective regulations would provide appreciable conservation benefits.

  13. 78 FR 40497 - Notice of Availability of the Final Environmental Impact Statement/Environmental Impact Report...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-05

    ...In accordance with the National Environmental Policy Act of 1969, as amended (NEPA); the Federal Land Policy and Management Act of 1976, as amended; and the California Environmental Quality Act of 1970 (CEQA), the Bureau of Land Management (BLM), the United States Forest Service (USFS), and the Great Basin Unified Air Pollution Control District (GBUAPCD), a California State agency, have prepared a Final Environmental Impact Statement (EIS)/Environmental Impact Report (EIR) for the proposed Casa Diablo IV Geothermal Development Project near the town of Mammoth Lakes in Mono County, California, and by this notice are announcing its availability.

  14. 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…

  15. Medicaid/CHIP Program; Medicaid Program and Children's Health Insurance Program (CHIP); Changes to the Medicaid Eligibility Quality Control and Payment Error Rate Measurement Programs in Response to the Affordable Care Act. Final rule.

    PubMed

    2017-07-05

    This final rule updates the Medicaid Eligibility Quality Control (MEQC) and Payment Error Rate Measurement (PERM) programs based on the changes to Medicaid and the Children's Health Insurance Program (CHIP) eligibility under the Patient Protection and Affordable Care Act. This rule also implements various other improvements to the PERM program.

  16. 76 FR 4348 - Sunshine Act Notices; Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-25

    ... of Minutes for December 16, 2010 Proposed Final Audit Report on the Tennessee Democratic Party Proposed Final Audit Report on the Tennessee Republican Party Federal Election Account Proposed Final Audit... Independent Expenditures and Electioneering Communications by Corporations and Labor Organizations Management...

  17. 76 FR 1603 - Agency Information Collection Activities: Proposed Collection, Comment Request: Reporting of Pre...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-11

    ...The Commodity Futures Trading Commission (``Commission'' or ``CFTC'') is announcing an opportunity for public comment on the proposed collection of certain information by the agency. Under the Paperwork Reduction Act (``PRA''), 44 U.S.C. 3501 et seq., Federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information and to allow 60 days for public comment. The Commission recently adopted an interim final rule, as required by the Wall Street Reform and Consumer Protection Act (``Dodd-Frank Act''), requiring counterparties to a pre-enactment unexpired swap to report such swaps according to such rules as the Commission may in the future adopt. This notice solicits comments on the record retention requirement that is embedded in the interim final rule's reporting requirement, which was recognized by the Commission in an interpretive note to the final rule.

  18. 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.

  19. 78 FR 77198 - Notice of Final Federal Agency Actions on Proposed Highway in California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-20

    ...: 23 U.S.C. 139(l)(1), as amended by the Moving Ahead for Progress in the 21st Century Act (MAP-21...: Endangered Species Act (16 U.S.C. 1531-1544 and Section 1536), Marine Mammal Protection Act [16 U.S.C. 1361], Fish and Wildlife Coordination Act (16 U.S.C. 661-667(d)), Migratory Bird Treaty Act (16 U.S.C. 703-712...

  20. 40 CFR 50.2 - Scope.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS NATIONAL PRIMARY AND SECONDARY AMBIENT AIR QUALITY STANDARDS § 50.2 Scope. (a) National primary and secondary ambient air quality standards under section 109 of the Act are set forth in this part. (b) National primary ambient air quality...

  1. 78 FR 26417 - Notice of Final Federal Agency Actions on Transportation Project in Washington State

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-06

    ... Century Act (MAP-21), Pub. L. 112-141, Sec. 1308, 126 Stat. 405 (2012). Issued on: April 29, 2013. Daniel... Act [16 U.S.C. 1531-1544]; Migratory Bird Treaty Act [16 U.S.C. 703-712]. (Catalog of Federal Domestic...

  2. 78 FR 73407 - Information Sharing Among Federal Home Loan Banks

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-06

    ... Home Loan Banks AGENCY: Federal Housing Finance Agency. ACTION: Final rule. SUMMARY: Section 1207 of the Housing and Economic Recovery Act of 2008 (HERA) amended the Federal Home Loan Bank Act (Bank Act... to each Federal Home Loan Bank (Bank) information relating to the financial condition of all other...

  3. 76 FR 42949 - Rules Implementing Amendments to the Investment Advisers Act of 1940

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-19

    ... $150 Million in Assets Under Management, and Foreign Private Advisers, Investment Advisers Act Release... investment advisers, state laws requiring registration, licensing, and qualification are preempted, but... 275 and 279 Rules Implementing Amendments to the Investment Advisers Act of 1940; Final Rule #0;#0...

  4. 77 FR 44161 - Atlantic Highly Migratory Species; 2012 Atlantic Bluefin Tuna Quota Specifications

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-27

    ... Convention Act (ATCA), and to achieve domestic management objectives under the Magnuson-Stevens Fishery Conservation and Management Act (Magnuson-Stevens Act). DATES: Effective August 27, 2012 through December 31... Review, and Final Regulatory Flexibility Analysis, as well as others, such as the Fishery Management...

  5. 76 FR 63817 - Disclosure of Information; Privacy Act Regulations; Notice and Amendments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-14

    ..., paper, reports of examination, work papers, and correspondence relating to such reports, to the.... Regulatory Flexibility Act The Regulatory Flexibility Act, 5 U.S.C. 601, et seq., (RFA) applies only to rules... and comment requirements of the APA, the requirement to prepare a final regulatory flexibility...

  6. Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and FY 2012 rates; hospitals' FTE resident caps for graduate medical education payment. Final rules.

    PubMed

    2011-08-18

    We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems and to implement certain statutory provisions contained in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act) and other legislation. We also are setting forth the update to the rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits. We are updating the payment policy and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs) and implementing certain statutory changes made by the Affordable Care Act. In addition, we are finalizing an interim final rule with comment period that implements section 203 of the Medicare and Medicaid Extenders Act of 2010 relating to the treatment of teaching hospitals that are members of the same Medicare graduate medical education affiliated groups for the purpose of determining possible full-time equivalent (FTE) resident cap reductions.

  7. High-Speed Research: 1994 Sonic Boom Workshop: Atmospheric Propagation and Acceptability Studies

    NASA Technical Reports Server (NTRS)

    Mccurdy, David A. (Editor)

    1994-01-01

    The workshop proceedings include papers on atmospheric propagation and acceptability studies. Papers discussing atmospheric effects on the sonic boom waveform addressed several issues. It has long been assumed that the effects of molecular relaxation are adequately accounted for by assuming that a steady state balance between absorption and nonlinear wave steepening exists. It was shown that the unsteadiness induced by the nonuniform atmosphere precludes attaining this steady state. Further, it was shown that the random atmosphere acts as a filter, effectively filtering out high frequency components of the distorted waveform. Several different propagation models were compared, and an analysis of the sonic boom at the edge of the primary carpet established that the levels there are bounded. Finally, a discussion of the levels of the sonic boom below the sea surface was presented.

  8. 22 CFR 304.11 - Final denial of claim.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 2 2011-04-01 2009-04-01 true Final denial of claim. 304.11 Section 304.11 Foreign Relations PEACE CORPS CLAIMS AGAINST GOVERNMENT UNDER FEDERAL TORT CLAIMS ACT Procedures § 304.11 Final denial of claim. The General Counsel will send notification of the final denial of an...

  9. 22 CFR 304.11 - Final denial of claim.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 2 2014-04-01 2014-04-01 false Final denial of claim. 304.11 Section 304.11 Foreign Relations PEACE CORPS CLAIMS AGAINST GOVERNMENT UNDER FEDERAL TORT CLAIMS ACT Procedures § 304.11 Final denial of claim. The General Counsel will send notification of the final denial of an...

  10. 24 CFR 3282.353 - Submission format.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Submission format. States and private organizations which wish to act as primary inspection agencies shall...) The capacity (DAPIA, IPIA) in which the party wishes to be approved to act; (3) A list of the key...

  11. 24 CFR 3282.353 - Submission format.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Submission format. States and private organizations which wish to act as primary inspection agencies shall...) The capacity (DAPIA, IPIA) in which the party wishes to be approved to act; (3) A list of the key...

  12. 24 CFR 3282.353 - Submission format.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Submission format. States and private organizations which wish to act as primary inspection agencies shall...) The capacity (DAPIA, IPIA) in which the party wishes to be approved to act; (3) A list of the key...

  13. Activin A amplifies dysregulated BMP signaling and induces chondro-osseous differentiation of primary connective tissue progenitor cells in patients with fibrodysplasia ossificans progressiva (FOP).

    PubMed

    Wang, Haitao; Shore, Eileen M; Pignolo, Robert J; Kaplan, Frederick S

    2018-04-01

    Fibrodysplasia ossificans progressiva (FOP), is caused by mutations in the type I BMP receptor ACVR1 that lead to increased activation of the BMP-pSmad1/5/8 signaling pathway. Recent findings suggest that Activin A (Act A) promiscuously stimulates the bone morphogenetic protein (BMP) signaling pathway in vitro and mediates heterotopic ossification (HO) in mouse models of FOP, but primary data from FOP patient cells are lacking. To examine BMP-pSmad1/5/8 pathway signaling and chondro-osseous differentiation in response to endogenous and exogenous Act A in primary connective tissue progenitor cells [CTPCs; also known as stem cells from human exfoliated deciduous teeth (SHED) cells] from patients with FOP. These cells express the common FOP mutation, ACVR1 (R206H). We found that Act A amplifies dysregulated BMP pathway signaling in human FOP primary CTPCs cells through the Smad1/5/8 pathway and induces chondro-osseous differentiation. Amplification of BMP-pSmad1/5/8 signaling was inhibited by Follistatin and by a neutralizing antibody to Activin A. The increased basal pSmad1/5/8 activity, as well as the hypoxia-induced stimulation of FOP CTPCs cells, were BMP4 and Act A independent. Importantly, either BMP4 or Act A stimulated pSmad1/5/8 pathway signaling but BMP4 signaling was not dependent on Activin A and vice versa. Circulating plasma levels of Act A or BMP4 are similar in controls compared to FOP patients, and suggest the potential for an autocrine or paracrine route for pathological signaling. The mutated FOP receptor [ACVR1 (R206H)] is hypersensitive to BMP4 and uniquely sensitive (compared to the wild type receptor) to Act A. Both canonical and non-canonical ligands have a synergistic effect on BMP-pSmad1/5/8 signaling in FOP CTPCs and may cooperate to alter the threshold for HO in FOP. Our findings in primary human FOP CTPCs have important implications for the design of clinical trials to inhibit dysregulated BMP pathway signaling in humans who have FOP. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Primary cilia modulate Ihh signal transduction in response to hydrostatic loading of growth plate chondrocytes.

    PubMed

    Shao, Yvonne Y; Wang, Lai; Welter, Jean F; Ballock, R Tracy

    2012-01-01

    Indian hedgehog (Ihh) is a key component of the regulatory apparatus governing chondrocyte proliferation and differentiation in the growth plate. Recent studies have demonstrated that the primary cilium is the site of Ihh signaling within the cell, and that primary cilia are essential for bone and cartilage formation. Primary cilia are also postulated to act as mechanosensory organelles that transduce mechanical forces acting on the cell into biological signals. In this study, we used a hydrostatic compression system to examine Ihh signal transduction under the influence of mechanical load. Our results demonstrate that hydrostatic compression increased both Ihh gene expression and Ihh-responsive Gli-luciferase activity. These increases were aborted by disrupting the primary cilia structure with chloral hydrate. These results suggest that growth plate chondrocytes respond to hydrostatic loading by increasing Ihh signaling, and that the primary cilium is required for this mechano-biological signal transduction to occur. Copyright © 2011 Elsevier Inc. All rights reserved.

  15. Absence and leave; sick leave. Final rule.

    PubMed

    2010-12-03

    The U.S. Office of Personnel Management is issuing final regulations on the use of sick leave and advanced sick leave for serious communicable diseases, including pandemic influenza when appropriate. We are also permitting employees to substitute up to 26 weeks of accrued or accumulated sick leave for unpaid Family and Medical Leave Act (FMLA) leave to care for a seriously injured or ill covered servicemember, as authorized under the National Defense Authorization Act for Fiscal Year 2008, including up to 30 days of advanced sick leave for this purpose. Finally, we are reorganizing the existing sick leave regulations to enhance reader understanding and administration of the program.

  16. 75 FR 19920 - Native American Housing Assistance and Self-Determination Reauthorization Act of 2008: Negotiated...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-16

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 24 CFR Part 1000 [Docket No. FR-5275-N-08] Native American Housing Assistance and Self-Determination Reauthorization Act of 2008: Negotiated Rulemaking... Self-Determination Reauthorization Act of 2008. The primary purpose of the committee is to discuss and...

  17. 75 FR 13243 - Native American Housing Assistance and Self-Determination Reauthorization Act of 2008: Negotiated...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-19

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 24 CFR Part 1000 [Docket No. FR-5275-N-06] Native American Housing Assistance and Self-Determination Reauthorization Act of 2008: Negotiated Rulemaking... Self-Determination Reauthorization Act of 2008. The primary purpose of the committee is to discuss and...

  18. L'indirection: Procede d'expression et de persuasion en communication publique (Indirection: Process of Expression and Persuasion in Public Communication).

    ERIC Educational Resources Information Center

    Gauthier, Gilles

    2001-01-01

    Focuses on the indirection process presented in Searle's and Vanderveken's theory of speech acts: the performance of a primary speech act by means of the accomplishment of a secondary speech act. Discusses indirection mechanisms used in advertising and in political communication. (Author/VWL)

  19. 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…

  20. 17 CFR 229.1007 - (Item 1007) Source and amount of funds or other consideration.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... SECURITIES AND EXCHANGE COMMISSION STANDARD INSTRUCTIONS FOR FILING FORMS UNDER SECURITIES ACT OF 1933, SECURITIES EXCHANGE ACT OF 1934 AND ENERGY POLICY AND CONSERVATION ACT OF 1975-REGULATION S-K Mergers and.... Disclose any alternative financing arrangements or alternative financing plans in the event the primary...

  1. 17 CFR 229.1007 - (Item 1007) Source and amount of funds or other consideration.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... SECURITIES AND EXCHANGE COMMISSION STANDARD INSTRUCTIONS FOR FILING FORMS UNDER SECURITIES ACT OF 1933, SECURITIES EXCHANGE ACT OF 1934 AND ENERGY POLICY AND CONSERVATION ACT OF 1975-REGULATION S-K Mergers and.... Disclose any alternative financing arrangements or alternative financing plans in the event the primary...

  2. 17 CFR 229.1007 - (Item 1007) Source and amount of funds or other consideration.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... SECURITIES AND EXCHANGE COMMISSION STANDARD INSTRUCTIONS FOR FILING FORMS UNDER SECURITIES ACT OF 1933, SECURITIES EXCHANGE ACT OF 1934 AND ENERGY POLICY AND CONSERVATION ACT OF 1975-REGULATION S-K Mergers and.... Disclose any alternative financing arrangements or alternative financing plans in the event the primary...

  3. 17 CFR 229.1007 - (Item 1007) Source and amount of funds or other consideration.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... SECURITIES AND EXCHANGE COMMISSION STANDARD INSTRUCTIONS FOR FILING FORMS UNDER SECURITIES ACT OF 1933, SECURITIES EXCHANGE ACT OF 1934 AND ENERGY POLICY AND CONSERVATION ACT OF 1975-REGULATION S-K Mergers and.... Disclose any alternative financing arrangements or alternative financing plans in the event the primary...

  4. 24 CFR 570.901 - Review for compliance with the primary and national objectives and other program requirements.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... primary and national objectives and other program requirements. 570.901 Section 570.901 Housing and Urban... primary and national objectives and other program requirements. HUD will review each entitlement, Insular...)(3) that, consistent with the primary objective of the Act, not less than 70 percent of the aggregate...

  5. Medicare program; prospective payment system and consolidated billing for skilled nursing facilities for FY 2012. Final rule.

    PubMed

    2011-08-08

    This final rule updates the payment rates used under the prospective payment system for skilled nursing facilities (SNFs) for fiscal year 2012. In addition, it recalibrates the case-mix indexes so that they more accurately reflect parity in expenditures between RUG-IV and the previous case-mix classification system. It also includes a discussion of a Non-Therapy Ancillary component currently under development within CMS. In addition, this final rule discusses the impact of certain provisions of the Affordable Care Act, and reduces the SNF market basket percentage by the multi-factor productivity adjustment. This rule also implements certain changes relating to the payment of group therapy services and implements new resident assessment policies. Finally, this rule announces that the proposed provisions regarding the ownership disclosure requirements set forth in section 6101 of the Affordable Care Act will be finalized at a later date.

  6. Executive defensive. As the Scrushy case finally goes before an Alabama jury, the Sarbanes-Oxley Act and its impact are also on trial.

    PubMed

    Mantone, Joseph

    2005-01-31

    With the trial of Richard Scrushy, left, finally under way in Alabama, it isn't just the former HealthSouth executive being scrutinized. It's the first courtroom test for the Sarbanes-Oxley Act of 2002, which holds CEOs accountable for false financial statements. Scrushy's defense attorneys have already begun laying the groundwork to blame underlings for the 2.64 billion dollar accounting fraud.

  7. Wake-Sleep Cycle Management during SUSOPS and CONOPS in French Military Forces: Policy and Ethics

    DTIC Science & Technology

    2009-10-01

    sleepiness for 48 hours. Finally, Z- hypnotics are also allowed to promote pre- planned sleep episodes. Nevertheless, the use of these drugs acting on...Finally, Z- hypnotics are also allowed to promote pre- planned sleep episodes. Nevertheless, the use of these drugs acting on the central nervous system...why the individual test of tolerance, planned in the MD instruction, seems to be particularly important for modafinil before operational use. 3.2

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

    PubMed

    2008-11-07

    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."

  9. 75 FR 856 - Sunshine Act Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-06

    ... Matters: (a) Lead in Electronic Devices--Final Rule; (b) Mandatory Recall Notice--Final Rule. A live... recorded message containing the latest agenda information, call (301) 504-7948. FOR MORE INFORMATION...

  10. Telephone Flat Geothermal Development Project Environmental Impact Statement Environmental Impact Report. Final

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

    None

    This Final Environmental Impact Statement and Environmental Impact Report (Final EIS/EIR) has been prepared to meet the requirements of the National Environmental Policy Act (NEPA) and the California Environmental Quality Act (CEQA). The Proposed Action includes the construction, operation, and decommissioning of a 48 megawatt (gross) geothermal power plant with ancillary facilities (10-12 production well pads and 3-5 injection well pads, production and injection pipelines), access roads, and a 230-kilovolt (kV) transmission line in the Modoc National Forest in Siskiyou County, California. Alternative locations for the power plant site within a reasonable distance of the middle of the wellfield weremore » determined to be technically feasible. Three power plant site alternatives are evaluated in the Final EIS/EIR.« less

  11. 78 FR 44949 - Agency Information Collection Activities: Submission for OMB Review; Final Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-25

    ... EQUAL EMPLOYMENT OPPORTUNITY COMMISSION Agency Information Collection Activities: Submission for OMB Review; Final Comment Request AGENCY: Equal Employment Opportunity Commission. ACTION: Final... Reduction Act of 1995, the Equal Employment Opportunity Commission (Commission or EEOC) gives notice that it...

  12. 75 FR 75676 - Sunshine Act Notices

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-06

    ...). Status: This meeting will be open to the public. Items To Be Discussed: Proposed Final Audit Report on Biden for President, Inc. Proposed Final Audit Report on the Washington State Democratic Central Committee. Proposed Final Audit Report on the Tennessee Republican Party Federal Election Account. Proposed...

  13. 40 CFR 164.122 - Final order and order of suspension.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    .... 164.122 Section 164.122 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED... RODENTICIDE ACT, ARISING FROM REFUSALS TO REGISTER, CANCELLATIONS OF REGISTRATIONS, CHANGES OF CLASSIFICATIONS... Environmental Appeals Board shall issue a final decision and order. Such final order may accept or reject in...

  14. 40 CFR 164.122 - Final order and order of suspension.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    .... 164.122 Section 164.122 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED... RODENTICIDE ACT, ARISING FROM REFUSALS TO REGISTER, CANCELLATIONS OF REGISTRATIONS, CHANGES OF CLASSIFICATIONS... Environmental Appeals Board shall issue a final decision and order. Such final order may accept or reject in...

  15. 78 FR 41835 - Inflation Adjustments to the Price-Anderson Act Financial Protection Regulations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-12

    ...;Prices of new books are listed in the first FEDERAL REGISTER issue of each #0;week. #0; #0; #0; #0;#0... Price-Anderson Act Financial Protection Regulations AGENCY: Nuclear Regulatory Commission. ACTION: Final rule. SUMMARY: The Atomic Energy Act of 1954, as amended (AEA), requires the U.S. Nuclear Regulatory...

  16. 76 FR 24575 - General Working Conditions in Shipyard Employment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-02

    .... Background A. References and Exhibits B. Introduction C. Events Leading to the Final Rule D. Hazards II... standard is both technologically and economically feasible. The Regulatory Flexibility Act (5 U.S.C. 601..., 1972) pursuant to section 6(a) of the Occupational Safety and Health Act of 1970 (OSH Act) (29 U.S.C...

  17. 32 CFR 293.6 - Procedures.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... database, and initiates the record search. If a final response cannot be made to the FOIA requester within... FOIA and the Privacy Act. Not all requesters will be knowledgeable of the appropriate act to cite when requesting records or access to records. In some instances, either the FOIA or the Privacy Act may be cited...

  18. 32 CFR 293.6 - Procedures.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... database, and initiates the record search. If a final response cannot be made to the FOIA requester within... FOIA and the Privacy Act. Not all requesters will be knowledgeable of the appropriate act to cite when requesting records or access to records. In some instances, either the FOIA or the Privacy Act may be cited...

  19. 32 CFR 293.6 - Procedures.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... database, and initiates the record search. If a final response cannot be made to the FOIA requester within... FOIA and the Privacy Act. Not all requesters will be knowledgeable of the appropriate act to cite when requesting records or access to records. In some instances, either the FOIA or the Privacy Act may be cited...

  20. 78 FR 33233 - Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-04

    ... would affect the ability of employers to offer stand-alone pediatric dental coverage in the FF- SHOP... Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Small... rule. SUMMARY: This final rule implements provisions of the Patient Protection and Affordable Care Act...

  1. 18 CFR 157.22 - Schedule for final decisions on a request for a Federal authorization

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER NATURAL GAS ACT... ABANDONMENT UNDER SECTION 7 OF THE NATURAL GAS ACT Applications for Certificates of Public Convenience and Necessity and for Orders Permitting and Approving Abandonment under Section 7 of the Natural Gas Act, as...

  2. 18 CFR 157.22 - Schedule for final decisions on a request for a Federal authorization

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER NATURAL GAS ACT... ABANDONMENT UNDER SECTION 7 OF THE NATURAL GAS ACT Applications for Certificates of Public Convenience and Necessity and for Orders Permitting and Approving Abandonment under Section 7 of the Natural Gas Act, as...

  3. 18 CFR 157.22 - Schedule for final decisions on a request for a Federal authorization

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER NATURAL GAS ACT... ABANDONMENT UNDER SECTION 7 OF THE NATURAL GAS ACT Applications for Certificates of Public Convenience and Necessity and for Orders Permitting and Approving Abandonment under Section 7 of the Natural Gas Act, as...

  4. 18 CFR 157.22 - Schedule for final decisions on a request for a Federal authorization

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER NATURAL GAS ACT... ABANDONMENT UNDER SECTION 7 OF THE NATURAL GAS ACT Applications for Certificates of Public Convenience and Necessity and for Orders Permitting and Approving Abandonment under Section 7 of the Natural Gas Act, as...

  5. 18 CFR 157.22 - Schedule for final decisions on a request for a Federal authorization

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER NATURAL GAS ACT... ABANDONMENT UNDER SECTION 7 OF THE NATURAL GAS ACT Applications for Certificates of Public Convenience and Necessity and for Orders Permitting and Approving Abandonment under Section 7 of the Natural Gas Act, as...

  6. 78 FR 17102 - Setting and Adjusting Patent Fees; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-20

    ... authorized by the Leahy-Smith America Invents Act (``AIA''). The Fee Setting rule became effective on March... America Invents Act, 78 FR 11024 (Feb. 14, 2013) (``FITF final rule''); Changes to Implement Micro Entity... Implement the Inventor's Oath or Declaration Provisions of the Leahy-Smith America Invents Act, 77 FR 48776...

  7. 75 FR 67719 - Proposed Consent Decree, Clean Air Act Citizen Suit

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-03

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9220-1] Proposed Consent Decree, Clean Air Act Citizen Suit... suit to compel the Administrator to take final action under section 110(k) of the Act on Imperial... special characters and any form of encryption, and may be mailed to the mailing address above. FOR FURTHER...

  8. 78 FR 60453 - Application of the Fair Labor Standards Act to Domestic Service

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-01

    ...In 1974, Congress extended the protections of the Fair Labor Standards Act (FLSA or the Act) to ``domestic service'' employees, but it exempted from the Act's minimum wage and overtime provisions domestic service employees who provide ``companionship services'' to elderly people or people with illnesses, injuries, or disabilities who require assistance in caring for themselves, and it exempted from the Act's overtime provision domestic service employees who reside in the household in which they provide services. This Final Rule revises the Department's 1975 regulations implementing these amendments to the Act to better reflect Congressional intent given the changes to the home care industry and workforce since that time. Most significantly, the Department is revising the definition of ``companionship services'' to clarify and narrow the duties that fall within the term; in addition third party employers, such as home care agencies, will not be able to claim either of the exemptions. The major effect of this Final Rule is that more domestic service workers will be protected by the FLSA's minimum wage, overtime, and recordkeeping provisions.

  9. Standing on the Precipice: Evaluating Final-Year Physiotherapy Students' Perspectives of Their Curriculum as Preparation for Primary Health Care Practice

    PubMed Central

    O'Donoghue, Grainne; Doody, Catherine; O'Neill, Geraldine; Barrett, Terry; Cusack, Tara

    2016-01-01

    Purpose: To explore final-year physiotherapy students' perceptions of primary health care practice to determine (1) aspects of their curriculum that support their learning, (2) deficiencies in their curriculum, and (3) areas that they believe should be changed to adequately equip them to make the transition from student to primary health care professional. Methods: Framework analysis methodology was used to analyze group opinion obtained using structured group feedback sessions. Sixty-eight final-year physiotherapy students from the four higher education institutions in Ireland participated. Results: The students identified several key areas that (1) supported their learning (exposure to evidence-based practice, opportunities to practise with problem-based learning, and interdisciplinary learning experiences); (2) were deficient (primary health care placements, additional active learning sessions, and further education and practice opportunities for communication and health promotion), and (3) required change (practice placements in primary health care, better curriculum organization to accommodate primary health care throughout the programme with the suggestion of a specific primary health care module). Conclusion: This study provides important insights into physiotherapy students' perceptions of primary health care. It also provides important indicators of the curriculum changes needed to increase graduates' confidence in their ability to take up employment in primary health care. PMID:27909366

  10. 76 FR 82117 - Regulations Implementing the Longshore and Harbor Workers' Compensation Act: Recreational Vessels

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-30

    ...This final rule contains regulations implementing amendments to the Longshore and Harbor Workers' Compensation Act (LHWCA) by the American Recovery and Reinvestment Act of 2009 (ARRA), relating to the exclusion of certain recreational-vessel workers from the LHWCA's definition of ``employee.'' These regulations clarify both the definition of ``recreational vessel'' and those circumstances under which workers are excluded from LHWCA coverage when working on those vessels. The final rule also withdraws a proposed rule that would have codified current case law and the Department's longstanding view that employees are covered under the LHWCA so long as some of their work constitutes ``maritime employment'' within the meaning of the statute.

  11. Mitigation Strategies To Protect Food Against Intentional Adulteration. Final rule.

    PubMed

    2016-05-27

    The Food and Drug Administration (FDA or we) is issuing this final rule to require domestic and foreign food facilities that are required to register under the Federal Food, Drug, and Cosmetic Act (the FD&C Act) to address hazards that may be introduced with the intention to cause wide scale public health harm. These food facilities are required to conduct a vulnerability assessment to identify significant vulnerabilities and actionable process steps and implement mitigation strategies to significantly minimize or prevent significant vulnerabilities identified at actionable process steps in a food operation. FDA is issuing these requirements as part of our implementation of the FDA Food Safety Modernization Act (FSMA).

  12. 75 FR 43395 - Campaign Travel

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-26

    ... the Federal Register final rules implementing the provision of the Honest Leadership and Open... implement section 601 of the Honest Leadership and Open Government Act of 2007. See Final Rules on Campaign...

  13. Model of whooping crane energetics as foundation for development of a method to assess potential take during migration

    USGS Publications Warehouse

    Pearse, Aaron T.; Selbo, Sarena M.

    2012-01-01

    A whooping crane energetic model was developed as a component of a larger effort to ascertain potential take, as defined by the Endangered Species Act, of whooping cranes from proposed development of wind-energy infrastructure in the Great Plains of North America. The primary objectives of this energetic model were to (1) predict extra flight energy that whooping cranes may require to find suitable migration stopover sites if they are unable to use a primary site; and (2) express energy expended as additional time required to replenish lipid reserves used to fuel flight. The energetic model is based on three elements related to energy: expenditure of energy, intake of energy, and constraints to energy intake. The energetic model estimates each element and recognizes interactions among them. This framework will be most useful when integrated into a migration model that predicts incidence of avoidance of wind towers by whooping cranes and distances they might fly to find alternative stopover habitat. This report details work conducted in accordance with the U.S. Geological Survey and U.S. Fish and Wildlife Service Quick Response Program funded in fiscal year 2011 and will serve as a final report.

  14. Extended-release naltrexone for pre-release prisoners: A randomized trial of medical mobile treatment

    PubMed Central

    Gordon, Michael S.; Vocci, Frank J.; Fitzgerald, Terrence T.; O'Grady, Kevin E.; O'Brien, Charles P.

    2017-01-01

    Background Extended-release naltrexone (XR-NTX), is an effective treatment for opioid use disorder but is rarely initiated in US prisons or with criminal justice populations. Mobile treatment for chronic diseases have been implemented in a variety of settings. Mobile treatment may provide an opportunity to expand outreach to parolees to surmount barriers to traditional clinic treatment. Methods Male and female prisoners (240) with pre-incarceration histories of opioid use disorder who are within one month of release from prison will be enrolled in this randomized clinical trial. Participants are randomized to one of two study arms: 1) [XR-NTX-OTx] One injection of long-acting naltrexone in prison, followed by 6 monthly injections post-release at a community opioid treatment program; or 2) [XR-NTX+ MMTx] One injection of long-acting naltrexone in prison followed by 6 monthly injections post-release at the patient's place of residence utilizing mobile medical treatment. The primary outcomes are: treatment adherence; opioid use; criminal activity; re-arrest; reincarceration; and HIV risk-behaviors. Results We describe the background and rationale for the study, its aims, hypotheses, and study design. Conclusions The use of long-acting injectable naltrexone may be a promising form of treatment for pre-release prisoners. Finally, as many individuals in the criminal justice system drop out of treatment, this study will assess whether treatment at their place of residence will improve adherence and positively affect treatment outcomes. PMID:28011389

  15. Extended-release naltrexone for pre-release prisoners: A randomized trial of medical mobile treatment.

    PubMed

    Gordon, Michael S; Vocci, Frank J; Fitzgerald, Terrence T; O'Grady, Kevin E; O'Brien, Charles P

    2017-02-01

    Extended-release naltrexone (XR-NTX), is an effective treatment for opioid use disorder but is rarely initiated in US prisons or with criminal justice populations. Mobile treatment for chronic diseases has been implemented in a variety of settings. Mobile treatment may provide an opportunity to expand outreach to parolees to surmount barriers to traditional clinic treatment. Male and female prisoners (240) with pre-incarceration histories of opioid use disorder who are within one month of release from prison will be enrolled in this randomized clinical trial. Participants are randomized to one of two study arms: 1) [XR-NTX-OTx] One injection of long-acting naltrexone in prison, followed by 6 monthly injections post-release at a community opioid treatment program; or 2) [XR-NTX+ MMTx] One injection of long-acting naltrexone in prison followed by 6 monthly injections post-release at the patient's place of residence utilizing mobile medical treatment. The primary outcomes are: treatment adherence; opioid use; criminal activity; re-arrest; reincarceration; and HIV risk-behaviors. We describe the background and rationale for the study, its aims, hypotheses, and study design. The use of long-acting injectable naltrexone may be a promising form of treatment for pre-release prisoners. Finally, as many individuals in the criminal justice system drop out of treatment, this study will assess whether treatment at their place of residence will improve adherence and positively affect treatment outcomes. ClinicalTrials.gov: NCT02867124. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. 76 FR 46889 - Notice of Final Federal Agency Actions on Proposed Highway in Alaska

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-03

    ... trestle to Harbor Island in Portland Canal, a distance of 0.7 miles. Hyder is 75 air miles northeast of....C. 4321-4351]; Federal-Aid Highway Act [23 U.S.C. 109]. 2. Air: Clean Air Act, 42 U.S.C. 7401-7671(q... Act (FPPA) [7 U.S.C. 4201-4209]. 7. Wetlands and Water Resources: Clean Water Act, 33 U.S.C. 1251...

  17. Trial for the Prevention of Depression (TriPoD) in final-year secondary students: study protocol for a cluster randomised controlled trial.

    PubMed

    Perry, Yael; Calear, Alison L; Mackinnon, Andrew; Batterham, Philip J; Licinio, Julio; King, Catherine; Thomsen, Noel; Scott, Jan; Donker, Tara; Merry, Sally; Fleming, Theresa; Stasiak, Karolina; Werner-Seidler, Aliza; Christensen, Helen

    2015-10-12

    Evidence suggests that current treatments cannot fully alleviate the burden of disease associated with depression but that prevention approaches offer a promising opportunity to further reduce this burden. Adolescence is a critical period in the development of mental illness, and final school examinations are a significant and nearly universal stressor that may act as a trigger for mental health difficulties such as depression. The aim of the present trial is to investigate the impact of SPARX-R, an online, gamified intervention based on cognitive behavioural principles, on the prevention of depression in secondary school students before their final examinations. Government, independent and Catholic secondary schools in New South Wales, Australia, will be recruited to participate in the trial. All students enrolled in their final year of high school (year 12) in participating schools will be invited to participate. To account for possible attrition, the target sample size was set at 1600 participants across 30 schools. Participating schools will be cluster randomised at the school level to receive either SPARX-R or lifeSTYLE, an attention-controlled placebo comparator. The control intervention is an online program aimed at maintaining a healthy lifestyle. The primary outcome will be symptoms of depression, and secondary outcomes will include symptoms of anxiety, suicidal ideation and behaviours, stigma and academic performance. Additional measures of cost-effectiveness, as well as process variables (e.g., adherence, acceptability) and potential predictors of response to treatment, will be collected. Consenting parents will be invited to complete measures regarding their own mental health and expectations for their child. Assessments will be conducted pre- and post-intervention and at 6- and 18-month follow-up. Primary analyses will compare changes in levels of depressive symptomatology for the intervention group relative to the attention control condition using mixed-effects model repeated-measures analyses to account for clustering within schools. This is the first trial of a universal depression prevention intervention delivered to school students in advance of a specific, significant stressor. If found to be effective, this program may offer schools a new approach to preparing students for their final year of schooling. Australian New Zealand Clinical Trials Registry identifier: ACTRN12614000316606 . Registered 25 March 2014.

  18. The munitions provisions of the Federal Facility Compliance Act

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

    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 tomore » 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.« less

  19. Oregon's acts, cross-jurisdictional collaboration and improved transportation planning : final report : appendices.

    DOT National Transportation Integrated Search

    2009-01-01

    This appendix summarizes interviews completed as part of an Oregon Department of : Transportation (ODOT) research study titled, Oregons ACTs, Cross-Jurisdictional : Collaboration and Improved Transportation Planning. The research was conduct...

  20. 75 FR 61175 - Polyvinyl Alcohol From Taiwan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-04

    ... INTERNATIONAL TRADE COMMISSION [Investigation No. 731-TA-1088 (Final)] Polyvinyl Alcohol From Taiwan AGENCY: United States International Trade Commission. ACTION: Scheduling of the final phase of an... antidumping investigation No. 731-TA-1088 (Final) under section 735(b) of the Tariff Act of 1930 (19 U.S.C...

  1. 78 FR 29760 - Final Flood Hazard Determinations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-21

    ... accordance with section 110 of the Flood Disaster Protection Act of 1973, 42 U.S.C. 4104, and 44 CFR part 67...] Final Flood Hazard Determinations AGENCY: Federal Emergency Management Agency, DHS. ACTION: Final Notice. SUMMARY: Flood hazard determinations, which may include additions or modifications of Base Flood...

  2. 77 FR 14425 - Notice of Lodging of Consent Decree Under the Safe Drinking Water Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-09

    ... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Safe Drinking Water Act Notice... penalties under the Safe Drinking Water Act (``SDWA''), 42 U.S.C. 300f-300j-26, resulting from violations of the National Primary Drinking Water Regulations (``NPDWRs'') at two trailer courts that Stricklin owns...

  3. 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

    ... DEPARTMENT OF JUSTICE Notice of Lodging of Consent Decree Under the Safe Drinking Water Act Notice... civil penalties for alleged violations of 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...

  4. 5 CFR Appendix C to Part 2634 - Privacy Act and Paperwork Reduction Act Notices for Appendixes A and B

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... burden, to: Deputy Director for Administration and Information Management, U.S. Office of Government... Government Ethics (OGE) require the reporting of this information for the administration of qualified trusts under the Ethics Act. The primary use of the information on this certificate is for review by Government...

  5. 5 CFR Appendix C to Part 2634 - Privacy Act and Paperwork Reduction Act Notices for Appendixes A and B

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... burden, to: Deputy Director for Administration and Information Management, U.S. Office of Government... Government Ethics (OGE) require the reporting of this information for the administration of qualified trusts under the Ethics Act. The primary use of the information on this certificate is for review by Government...

  6. 78 FR 63100 - Endangered and Threatened Wildlife and Plants; Revised Critical Habitat for the Comal Springs...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-23

    ... wetlands, water quality, tide, soil type) that are essential to the conservation of the species. Primary...), under the Endangered Species Act of 1973, as amended. In total, we are designating approximately 169... cave amphipod. Under the Endangered Species Act of 1973, as amended (Act), any species that is...

  7. 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…

  8. 41 CFR 102-76.85 - What is a primary function area for purposes of providing an accessible route in leased...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... AND CONSTRUCTION Architectural Barriers Act § 102-76.85 What is a primary function area for purposes...), a primary function area is an area that contains a major activity for which the leased facility is intended. Primary function areas include areas where services are provided to customers or the public, and...

  9. 41 CFR 102-76.85 - What is a primary function area for purposes of providing an accessible route in leased...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... AND CONSTRUCTION Architectural Barriers Act § 102-76.85 What is a primary function area for purposes...), a primary function area is an area that contains a major activity for which the leased facility is intended. Primary function areas include areas where services are provided to customers or the public, and...

  10. 41 CFR 102-76.85 - What is a primary function area for purposes of providing an accessible route in leased...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... AND CONSTRUCTION Architectural Barriers Act § 102-76.85 What is a primary function area for purposes...), a primary function area is an area that contains a major activity for which the leased facility is intended. Primary function areas include areas where services are provided to customers or the public, and...

  11. 41 CFR 102-76.85 - What is a primary function area for purposes of providing an accessible route in leased...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... AND CONSTRUCTION Architectural Barriers Act § 102-76.85 What is a primary function area for purposes...), a primary function area is an area that contains a major activity for which the leased facility is intended. Primary function areas include areas where services are provided to customers or the public, and...

  12. 41 CFR 102-76.85 - What is a primary function area for purposes of providing an accessible route in leased...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... AND CONSTRUCTION Architectural Barriers Act § 102-76.85 What is a primary function area for purposes...), a primary function area is an area that contains a major activity for which the leased facility is intended. Primary function areas include areas where services are provided to customers or the public, and...

  13. Medicare program; payment policies under the physician fee schedule, five-year review of work relative value units, clinical laboratory fee schedule: signature on requisition, and other revisions to part B for CY 2012. Final rule with comment period.

    PubMed

    2011-11-28

    This final rule with comment period addresses changes to the physician fee schedule and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. It also addresses, implements or discusses certain statutory provisions including provisions of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act) and the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008. In addition, this final rule with comment period discusses payments for Part B drugs; Clinical Laboratory Fee Schedule: Signature on Requisition; Physician Quality Reporting System; the Electronic Prescribing (eRx) Incentive Program; the Physician Resource-Use Feedback Program and the value modifier; productivity adjustment for ambulatory surgical center payment system and the ambulance, clinical laboratory, and durable medical equipment prosthetics orthotics and supplies (DMEPOS) fee schedules; and other Part B related issues.

  14. 12 CFR 1204.2 - What do the terms in this part mean?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... appeals. Privacy Act Officer means the FHFA employee who has primary responsibility for privacy and data protection policy and is authorized to determine Privacy Act requests. Record means any item, collection, or...

  15. Beach Point Test Site, Aberdeen Proving Ground, Edgewood Area, Maryland. Focused Feasibility Study, Final Project Work Plan

    DTIC Science & Technology

    1993-10-01

    Disposal Act (SWDA)/Resource Conservation and Recovery Act (RCRA). Jacobs Englnwfng Gmo Inc FINAL PROJECT WORK PLAN Washington Operatvo 8~ Fs 2-551I Date...shaded map of contaminated areas defined by chemical data, more than one map may be consructed f special and grapk cons *tft ame encountered. Results...that a Siophysical c ao p Pro rma down the axis or Beah PointS using geophysic teehnozoglosts that are •vi subsurface hyd&rosAdgraphic cmal beneath

  16. Assistance to States for the Education of Children with Disabilities and the Early Intervention Program for Infants and Toddlers with Disabilities. Final Regulations. Federal Register, Part II, Department of Education, 34 CFR Parts 300 and 303.

    ERIC Educational Resources Information Center

    Federal Register, 1999

    1999-01-01

    This document presents final regulations for the Assistance to States for Education of Children with Disabilities program under Part B of the Individuals with Disabilities Act (IDEA Part B) and the Early Intervention Program for Infants and Toddlers with Disabilities under Part C of the Act. These regulations are needed to implement changes made…

  17. Satisfaction level and asthma control among Malaysian asthma patients on Symbicort Maintenance and Reliever Therapy (SMART) in the primary care setting (SMARTEST study).

    PubMed

    Liam, Chong-Kin; Pang, Yong-Kek; Chua, Keong-Tiong

    2014-06-01

    To evaluate Malaysian patients' satisfaction levels and asthma control with Symbicort SMART® in the primary care setting. This is a cross-sectional, multicentre study involving adult patients with persistent asthma who were prescribed only Symbicort SMART in the preceding one month prior to recruitment. Patients' satisfaction with Symbicort SMART and asthma control were evaluated using the self-administered Satisfaction with Asthma Treatment Questionnaire (SATQ) and the Asthma Control Test (ACT). Asthma was controlled (ACT score >20) in 189 (83%) of 228 patients. The mean overall SATQ score for patients with controlled asthma was 5.65 indicating a high satisfaction level, which was positively correlated with high ACT scores. There were differences in asthma control based on ethnicity, number of unscheduled visits and treatment compliance. Symbicort SMART resulted in a high satisfaction level and asthma control among Malaysian patients treated in the primary care setting and it is an effective and appealing treatment for asthmatic patients.

  18. 2-Mercaptobenzothiazole; Final Test Rule

    EPA Pesticide Factsheets

    EPA is issuing a final test rule, under section 4 of the Toxic Substances Control Act (TSCA) requiring manufacturers and processors of 2-mercaptobenzothiazole (MBT, CAS No. 149—30-4) to perform testing.

  19. Final Determination - signed August 31, 2008

    EPA Pesticide Factsheets

    Final Determination of the U.S. EPA’s Assistant Administrator for Water pursuant to Section 404(c) of the Clean Water Act concerning the proposed Yazoo Backwater area pumps project, Issaquena county, Mississippi.

  20. 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 (MLR) program. The majority of the provisions in this rule are being finalized as proposed.

  1. 40 CFR 2.214 - Defense of Freedom of Information Act suits; participation by affected business.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Defense of Freedom of Information Act... Freedom of Information Act suits; participation by affected business. (a) In making final confidentiality... information is entitled to confidential treatment, and EPA is sued by a requester under the Freedom of...

  2. 32 CFR 1801.21 - Processing requests for access to or amendment of records.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... NATIONAL COUNTERINTELLIGENCE CENTER PUBLIC RIGHTS UNDER THE PRIVACY ACT OF 1974 Action On Privacy Act... whether the requester cites one Act in the request, both, or neither. This action is taken in order to..., in the form of a final written response, shall so inform the requester and advise of his or her right...

  3. 77 FR 17564 - Notice of Final Federal Agency Actions on Proposed Highway in Utah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-26

    ...)]; Farmland Protection Policy Act (FPPA) [7 U.S.C. 4201-4209]; 6. Wetlands and Water Resources: Clean Water... Protection Act [42 U.S.C. 4001-4129]. Executive Orders: E.O. 11990, Protection of Wetlands; E.O. 11988... actions were taken, including but not limited to: 1. General: National Environmental Policy Act (NEPA) [42...

  4. 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

    ...) and Homeownership Counseling Amendments to the Real Estate Settlement Procedures Act (Regulation X... Servicing Rules Under the Real Estate Settlement Procedures Act (Regulation X), 78 FR 10695; Mortgage... Analysis Section 1026.35 Requirements for Higher-Priced Mortgage Loans 35(b) Escrow Accounts 35(b)(1) The...

  5. 43 CFR 2522.1 - General acts authorizing extensions of time.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR LAND RESOURCE MANAGEMENT (2000) DESERT-LAND ENTRIES... of time for the submission of final proof by a desert-land claimant. Said Acts are the following... making desert-land proofs were authorized by the Acts of June 16, 1933 (48 Stat. 274; 43 U.S.C. 256a...

  6. 43 CFR 2522.1 - General acts authorizing extensions of time.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR LAND RESOURCE MANAGEMENT (2000) DESERT-LAND ENTRIES... of time for the submission of final proof by a desert-land claimant. Said Acts are the following... making desert-land proofs were authorized by the Acts of June 16, 1933 (48 Stat. 274; 43 U.S.C. 256a...

  7. 43 CFR 2522.1 - General acts authorizing extensions of time.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR LAND RESOURCE MANAGEMENT (2000) DESERT-LAND ENTRIES... of time for the submission of final proof by a desert-land claimant. Said Acts are the following... making desert-land proofs were authorized by the Acts of June 16, 1933 (48 Stat. 274; 43 U.S.C. 256a...

  8. 43 CFR 2522.1 - General acts authorizing extensions of time.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR LAND RESOURCE MANAGEMENT (2000) DESERT-LAND ENTRIES... of time for the submission of final proof by a desert-land claimant. Said Acts are the following... making desert-land proofs were authorized by the Acts of June 16, 1933 (48 Stat. 274; 43 U.S.C. 256a...

  9. 76 FR 40817 - Implementation of Section 224 of the Act; A National Broadband Plan for Our Future

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-12

    ...-50] Implementation of Section 224 of the Act; A National Broadband Plan for Our Future AGENCY... information collection requirements. The Office of Management and Budget (OMB) gave approval for these..., Implementation of Section 224 of the Act; A National Broadband Plan for Our Future. DATES: The final rules...

  10. 76 FR 67385 - Claims Procedures Under the Oil Pollution Act of 1990

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-01

    ...-AA03 Claims Procedures Under the Oil Pollution Act of 1990 AGENCY: Coast Guard, DHS. ACTION: Notice of... finalize a 1992 interim rule that set forth the Oil Pollution Act of 1990 (OPA'90) claims procedures and... Pollution Funds Center, U.S. Coast Guard, telephone (202) 493-6863, email [email protected] . If you...

  11. 76 FR 7150 - Notice of Final Results of Expedited Sunset Review of the Antidumping Duty Order: Glycine From...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-09

    ... 751(c)(3)(B) of the Act and section 351.218(e)(1)(ii)(A) of the Department's regulations, the...: Import Administration, International Trade Administration, Department of Commerce. SUMMARY: On October 1... Act of 1930, as amended (``the Act''). See Initiation of Five-Year (``Sunset'') Review, 75 FR 60731...

  12. The BepiColombo Spacecraft: The Mercury Transfer Module Structure Qualification Test Campaign Description

    NASA Astrophysics Data System (ADS)

    Martin Zurdo, M. J.

    2012-07-01

    The BepiColombo is a space mission to Mercury (ESA in cooperation with Japan Aerospace Exploration Agency). The spacecraft consist of three different structures: two orbiters responsible for the scientific mission (MPO and MMO) and one service module, Mercury Transfer Module (MTM), which provides propulsion and services during the journey to Mercury. Taking into account only the MTM structure, the companies involved are ASTRIUM GERMANY acting as the prime contractor and ASTRIUM UK acting as the co- prime contractor company. EADS CASA Espacio (ECE) in Spain is the company responsible for the final design, manufacturing and qualification of the MTM structure. The test campaign specimen is the MTM core structure, which corresponds to the central cone with the structure floors, shear panels and tank support structure. This test campaign qualifies the primary load path and its primary interfaces; the rest of the MTM structure is qualified by system level vibration test. In order to qualify the MTM structure, three different kinds of qualification tests have been performed: stiffness test, global strength test and local tests in different specific areas. The most relevant test during the campaign is the global strength test case, in which several external loads are introduced (different interfaces) simulating the load introduction for a selected critical flight case. There are two important items in the qualification test campaign: 1. The instrumentation of the structure, with two main functions: to control the specimen under test loads, and to demonstrate the qualification of the structure. 2. The set-up structure, designed by ECE to allow the correct load introduction on each testing case during the whole test campaign. This paper describes the MTM structure test campaign from the definition of the loads applied in each test to the qualification of the complete structure.

  13. Progesterone and the Repression of Myometrial Inflammation: The Roles of MKP-1 and the AP-1 System

    PubMed Central

    Lei, K.; Georgiou, E. X.; Chen, L.; Yulia, A.; Sooranna, S. R.; Brosens, J. J.; Bennett, P. R.

    2015-01-01

    Progesterone (P4) maintains uterine quiescence during pregnancy and its functional withdrawal is associated with increased prostaglandin synthesis and the onset of labor. In primary human myometrial cells, the glucocorticoid receptor (GR) rather than the P4 receptor mediates P4 antagonism of IL-1β-induced cyclooxygenase-2 (COX-2) expression, the rate-limiting enzyme in prostaglandin synthesis. We now report that P4 also acts via GR to induce MAPK phosphatase (MKP)-1 and knockdown of MKP-1 impairs the ability of P4 to repress IL-1β-dependent COX-2 induction. Microarray analysis revealed that P4 repressed preferentially activator protein-1-responsive genes in response to IL-1β. Consistent with these observations, we found that the ability of P4 to reduce c-Jun activation was lost upon GR as well as MKP-1 knockdown. Interestingly, c-Jun levels in human myometrial cells declined upon GR and MKP-1 knockdown, which suggests the presence of an activator protein-1 feedback loop. This is supported by our observation that c-Jun levels declined after an initial rise in primary myometrial cells treated with phorbol 12-myrisatate 13-acetate, a potent activator of c-Jun N-terminal kinase. Finally, we show that MKP-1 is an intermediate in P4-mediated repression of some but not all IL-1β-responsive genes. For example, P4 repression of IL11 and IRAK3 was maintained upon MKP-1 knockdown. Taken together, the data show that P4 acts via GR to drive MKP-1 expression, which in turn inhibits IL-1β-dependent c-Jun activation and COX-2 expression. PMID:26280733

  14. A glucocorticoid education group meeting: an effective strategy for improving self-management to prevent adrenal crisis.

    PubMed

    Repping-Wuts, Han J W J; Stikkelbroeck, Nike M M L; Noordzij, Alida; Kerstens, Mies; Hermus, Ad R M M

    2013-07-01

    To assess self-management in patients receiving glucocorticoid replacement therapy for primary or secondary adrenal failure before and 6 months after a glucocorticoid education group meeting. All patients with primary or secondary adrenal insufficiency, treated at the Department of Medicine, Division of Endocrinology, were invited by their endocrinologist to participate in a 3-h glucocorticoid education group meeting, consisting of a lecture about the disease and glucocorticoid doses adjustments in case of stress, followed by an instruction on how to inject hydrocortisone i.m. Finally, all participants could practise the i.m. injection and discuss their experience with (imminent) adrenal crises with other patients and the health care providers. Two weeks before the meeting and 6 months after the meeting, patients were asked to fill out a questionnaire about how they would act in six different conditions (e.g. febrile illness or vomiting). Of the 405 patients who were invited, 246 patients (61%) participated. At baseline the response by the participants on the questionnaire was 100% (n=246) and at follow-up 74% (n=183). At follow-up, significantly more participants (P≤0.005) gave the correct answers to how to act in different situations (e.g. self-administration of a glucocorticoid injection and phone contact in case of vomiting/diarrhoea without fever). Moreover, the use of self-management tools, such as having a 'medicine passport (travel document with information about disease and medication) (P=0.007) or SOS medallion (P=0.0007)', increased. A glucocorticoid education group meeting for patients with adrenal failure seems helpful to improve self-management and proper use of stress-related glucocorticoid dose adjustment.

  15. 77 FR 39117 - Equal Access to Justice Act Implementation Rule

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-29

    ... regularly perform services for remuneration for the applicant, under the applicant's direction and control... Director may delegate authority to take final action on matters pertaining to the Equal Access to Justice... that the Director's final order issued pursuant to Sec. 1081.405 is final and unappealable, both within...

  16. 77 FR 69788 - Colorado: Final Authorization of State Hazardous Waste Management Program Revisions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-21

    ...: Final Authorization of State Hazardous Waste Management Program Revisions AGENCY: Environmental... authorization of changes to its hazardous waste program under the Resource Conservation and Recovery Act (RCRA). The EPA proposes to grant final authorization to the hazardous waste program changes submitted by the...

  17. 47 CFR 1.1317 - The Final Environmental Impact Statement (FEIS).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false The Final Environmental Impact Statement (FEIS... PROCEDURE Procedures Implementing the National Environmental Policy Act of 1969 § 1.1317 The Final Environmental Impact Statement (FEIS). (a) After receipt of comments and reply comments, the Bureau will prepare...

  18. 76 FR 9632 - Notice of Final Federal Agency Actions on Proposed Highway in California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-18

    ... access point to I-15; provide improved regional connectivity to the local transportation network, in... Act of 1906. 6. Air: Clean Air Act (amended 1990). 7. Biological Resources: Federal Endangered Species...

  19. An evaluation of the Motion Picture Association of America's treatment of violence in PG-, PG-13-, and R-rated films.

    PubMed

    Jenkins, Lucille; Webb, Theresa; Browne, Nick; Afifi, A A; Kraus, Jess

    2005-05-01

    The purpose of this study was to determine whether the Motion Picture Association of America's ratings system distinguishes among the 3 primary rating categories (PG, PG-13, and R) with respect to violence based on a study of the 100 top-grossing films of 1994. The Motion Picture Association of America assigns age-based ratings for every film that is released in the United States accompanied by the reasons for the rating. A data abstraction instrument was designed to code each act of violence within the sample of 100 films. A series of Poisson regression models were used to examine the association among rating, seriousness of violence, and primary reason for the rating assignment. The total average number of violent acts within each film by rating category increased from PG (14) to PG-13 (20) to R (32). However, using results from the Poisson models, it is clear that the rating does not predict the frequency of violence in films. For all 3 rating categories, the predicted number of violent acts is almost identical for films with violence as a primary descriptor and films with the highest level of seriousness (R = 62.4 acts, PG-13 = 55.2 acts, and PG = 56.1 acts). The regression analysis shows that the rating does not predict the frequency of violence that occurs in films. Frequency of violence alone is not the most important criterion for the assignment of rating. The content descriptors and average seriousness of films are better measures of the violence than rating assignment.

  20. Federal Register Notice: Final Rule Establishing Consolidated Permit Program Requirements Under Several Environmental Statutes

    EPA Pesticide Factsheets

    This final rule establishes consolidated permit program requirements governing the Hazardous Waste Management program under the Resource Conservation and Recovery Act (RCRA) and other related programs.

  1. Final Determination - signed March 21, 1988

    EPA Pesticide Factsheets

    Information about final determination of the U.S. EPA's Assistant Administrator for water, concerning wetlands owned by the Russo Development Corporation in Carlstadt, New Jersey pursuant to section 404(c) of the Clean Water Act.

  2. Federal Register notice: Isopropanol; Final Test Rule

    EPA Pesticide Factsheets

    EPA is issuing a final test rule, under section 4 of the Toxic Substances Control Act (TSCA), requiring manufacturers and processors of isopropanol (CAS No. 87-83-0) to perform testing for health effects.

  3. 78 FR 1266 - Sunshine Act; Notice of Agency Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-08

    ..., Alexandria, VA 22314-3428. STATUS: Open. MATTERS TO BE CONSIDERED: 1. Board Briefing on the Interagency Final... Government. 6. Final Rule--Section 701.14 of NCUA's Rules and Regulations, ``Troubled Condition'' Definition...

  4. 2-Ethylhexanoic Acid; Final Test Rule

    EPA Pesticide Factsheets

    EPA is issuing a final test rule, under section 4 of the Toxic Substances Control Act (TSCA), requiring manufacturers and processors of 2-ethylhexanoic acid (EHA, CAS No. 149-57-5) to conduct testing.

  5. Final Determination - signed November 23, 1990

    EPA Pesticide Factsheets

    Final determination of the U.S. EPA’s Assistant Administrator for Water pursuant to section 404(c) of the Clean Water Act concerning the Two Forks water supply impoundments in Jefferson and Douglas counties, Colorado.

  6. Final Determination - signed March 1, 1990

    EPA Pesticide Factsheets

    Final Determination of the U.S. Environmental Protection Agency's Assistant Administrator for Water pursuant to Section 404(c) of the Clean Water Act concerning the proposed Big River water supply impoundment in Kent county, RI.

  7. Toxic Substances; Mesityl Oxide; Final Test Rule

    EPA Pesticide Factsheets

    EPA is issuing a final test rule establishing testing requirements under section 4(a) of the Toxic Substances Control Act (TSCA) for manufacturers and processors of mesityl oxide (MO; CAS No. 141-97-7).

  8. Medicaid and Children's Health Insurance Programs: Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Other Provisions Related to Eligibility and Enrollment for Medicaid and CHIP. Final rule.

    PubMed

    2016-11-30

    This final rule implements provisions of the Affordable Care Act that expand access to health coverage through improvements in Medicaid and coordination between Medicaid, CHIP, and Exchanges. This rule finalizes most of the remaining provisions from the "Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing; Proposed Rule" that we published in the January 22, 2013, Federal Register. This final rule continues our efforts to assist states in implementing Medicaid and CHIP eligibility, appeals, and enrollment changes required by the Affordable Care Act.

  9. 77 FR 65929 - Notice of Final Federal Agency Actions on the Tappan Zee Hudson River Crossing Project in New York

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-31

    ... 21st Century Act (MAP-21), Pub. L. 112-141, Sec. 1308, 126 Stat. 405 (2012). Issued on: October 24... of 1966 [49 U.S.C. 303]. 4. Wildlife: Endangered Species Act [16 U.S.C. 1531-1544 and Section 1536], Marine Mammal Protection Act [16 U.S.C. 1361], Fish and Wildlife Coordination Act [16 U.S.C. 661-667(d...

  10. Colon cancer care and survival: income and insurance are more predictive in the USA, community primary care physician supply more so in Canada.

    PubMed

    Gorey, Kevin M; Kanjeekal, Sindu M; Wright, Frances C; Hamm, Caroline; Luginaah, Isaac N; Bartfay, Emma; Zou, Guangyong; Holowaty, Eric J; Richter, Nancy L

    2015-10-29

    Our research group advanced a health insurance theory to explain Canada's cancer care advantages over America. The late Barbara Starfield theorized that Canada's greater primary care-orientation also plays a critically protective role. We tested the resultant Starfield-Gorey theory by examining the effects of poverty, health insurance and physician supplies, primary care and specialists, on colon cancer care in Ontario and California. We analyzed registry data for people with non-metastasized colon cancer from Ontario (n = 2,060) and California (n = 4,574) diagnosed between 1996 and 2000 and followed to 2010. We obtained census tract-based socioeconomic data from population censuses and data on county-level physician supplies from national repositories: primary care physicians, gastroenterologists and other specialists. High poverty neighborhoods were oversampled and the criterion was 10 year survival. Hypotheses were explored with standardized rate ratios (RR) and tested with logistic regression models. Significant inverse associations of poverty (RR = 0.79) and inadequate health insurance (RR = 0.80) with survival were observed in the California, while they were non-significant or non-existent in Ontario. The direct associations of primary care physician (RRs of 1.32 versus 1.11) and gastroenterologist (RRs of 1.56 versus 1.15) supplies with survival were both stronger in Ontario than California. The supply of primary care physicians took precedence. Probably mediated through the initial course of treatment, it largely explained the Canadian advantage. Poverty and health insurance were more predictive in the USA, community physician supplies more so in Canada. Canada's primary care protections were greatest among the most socioeconomically vulnerable. The protective effects of Canadian health care prior to enactment of the Affordable Care Act (ACA) clearly suggested the following. Notwithstanding the importance of insuring all, strengthening America's system of primary care will probably be the best way to ensure that the ACA's full benefits are realized. Finally, Canada's strong primary care system ought to be maintained.

  11. Commentary: improving the supply and distribution of primary care physicians.

    PubMed

    Dorsey, E Ray; Nicholson, Sean; Frist, William H

    2011-05-01

    The current medical education system and reimbursement policies in the United States have contributed to a maldistribution of physicians by specialty and geography. The causes of this maldistribution include financial barriers that prevent the individuals who would be the most likely to serve in primary care and underserved areas from entering the profession, large taxpayer subsidies to teaching hospitals that provide incentives to act in ways that are not in the best interest of society, and reimbursement policies that discourage physicians from providing primary care. The authors propose that the maldistribution of physicians can be addressed successfully by reducing the financial barriers to becoming a primary care physician, aligning subsidies with societal interests, and providing financial incentives that target primary care. They suggest that the Patient Protection and Affordable Care Act of 2010 takes steps in the right direction but that more financially prudent measures should be taken as politicians revisit health care reform with heightened financial scrutiny. Copyright © by the Association of American medical Colleges.

  12. Education in the Wake of Healthcare Reform: Increasing Primary Care Usage by Individuals Currently Reliant upon Emergency Departments for Care

    ERIC Educational Resources Information Center

    Tannebaum, Michael; Wilkin, Holley A.; Keys, Jobia

    2014-01-01

    Background: The Affordable Care Act (ACA) was introduced, in part, to increase access to primary care, which has been shown to provide patients with myriad health benefits. Objective: To increase primary care usage by understanding the beliefs about primary and emergency care most salient to those whose healthcare-seeking practices may be impacted…

  13. 39 CFR 254.2 - Definition of primary function area and criteria used to determine whether an alteration has an...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Definition of primary function area and criteria used to determine whether an alteration has an effect on an area containing a primary function that is... ARCHITECTURAL BARRIERS ACT § 254.2 Definition of primary function area and criteria used to determine whether an...

  14. 39 CFR 254.2 - Definition of primary function area and criteria used to determine whether an alteration has an...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 39 Postal Service 1 2011-07-01 2011-07-01 false Definition of primary function area and criteria used to determine whether an alteration has an effect on an area containing a primary function that is... ARCHITECTURAL BARRIERS ACT § 254.2 Definition of primary function area and criteria used to determine whether an...

  15. 39 CFR 254.2 - Definition of primary function area and criteria used to determine whether an alteration has an...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 39 Postal Service 1 2014-07-01 2014-07-01 false Definition of primary function area and criteria used to determine whether an alteration has an effect on an area containing a primary function that is... ARCHITECTURAL BARRIERS ACT § 254.2 Definition of primary function area and criteria used to determine whether an...

  16. 39 CFR 254.2 - Definition of primary function area and criteria used to determine whether an alteration has an...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 39 Postal Service 1 2012-07-01 2012-07-01 false Definition of primary function area and criteria used to determine whether an alteration has an effect on an area containing a primary function that is... ARCHITECTURAL BARRIERS ACT § 254.2 Definition of primary function area and criteria used to determine whether an...

  17. 39 CFR 254.2 - Definition of primary function area and criteria used to determine whether an alteration has an...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 39 Postal Service 1 2013-07-01 2013-07-01 false Definition of primary function area and criteria used to determine whether an alteration has an effect on an area containing a primary function that is... ARCHITECTURAL BARRIERS ACT § 254.2 Definition of primary function area and criteria used to determine whether an...

  18. The emotional power of poetry: neural circuitry, psychophysiology and compositional principles

    PubMed Central

    Koelsch, Stefan; Wagner, Valentin; Jacobsen, Thomas; Menninghaus, Winfried

    2017-01-01

    Abstract It is a common experience—and well established experimentally—that music can engage us emotionally in a compelling manner. The mechanisms underlying these experiences are receiving increasing scrutiny. However, the extent to which other domains of aesthetic experience can similarly elicit strong emotions is unknown. Using psychophysiology, neuroimaging and behavioral responses, we show that recited poetry can act as a powerful stimulus for eliciting peak emotional responses, including chills and objectively measurable goosebumps that engage the primary reward circuitry. Importantly, while these responses to poetry are largely analogous to those found for music, their neural underpinnings show important differences, specifically with regard to the crucial role of the nucleus accumbens. We also go beyond replicating previous music-related studies by showing that peak aesthetic pleasure can co-occur with physiological markers of negative affect. Finally, the distribution of chills across the trajectory of poems provides insight into compositional principles of poetry. PMID:28460078

  19. Magnetohydrodynamic actuation of droplets for millimetric planar fluidic systems

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

    Ahmadi, A., E-mail: ali.ahmadi@ubc.ca; McDermid, C. M.; Markley, L.

    2016-01-04

    In this work, a magnetohydrodynamic method is proposed for the actuation of droplets in small-scale planar fluidic systems, providing an alternative to commonly used methods such as electrowetting-on-dielectric. Elementary droplet-based operations, including transport, merging, and mixing, are demonstrated. The forces acting on millimetric droplets are carefully investigated, with a primary focus on the magnetic actuation force and on the unbalanced capillary forces that arise due to hysteresis. A super-hydrophobic channel is 3D printed to guide the droplets, with thin wires installed as contact electrodes and permanent magnets providing a static magnetic field. It is shown that droplet motion is enhancedmore » by increasing the droplet size and minimizing the electrode contact surface. The effects of channel geometry on threshold voltage and minimum moveable droplet volume are characterized. Finally, the presence of electrolysis is investigated and mitigating strategies are discussed.« less

  20. Power and affordances: when the situation has more power over powerful than powerless individuals.

    PubMed

    Guinote, Ana

    2008-08-01

    Six studies examined how power affects responses to situational affordances. Participants were assigned to a powerful or a powerless condition and were exposed to various situations that afford different classes of behavior. Study 1 examined behavior intentions for weekdays and weekends. Studies 2 and 3 focused on responses to imaginary social and work situations. Study 4 examined planned behavior for winter and summer days. Finally, Studies 5 and 6 examined behavior and attention in the presence of situation-relevant and irrelevant information. Consistently across these studies, powerful individuals acted more in situation-consistent ways, and less in situation-inconsistent ways, compared with powerless individuals. These findings are interpreted as a result of the greater tendency for powerful individuals to process information selectively in line with the primary factors that drive cognition, such as affordances. One consequence of these findings is that powerful individuals change behavior across situations more than powerless individuals.

  1. A Review of Pharmacological Management of Attention-Deficit/Hyperactivity Disorder

    PubMed Central

    Todd, Timothy

    2016-01-01

    Attention-deficit/hyperactivity disorder (ADHD) is a common psychological diagnosis in children. This disorder impacts children and adolescents in all areas of life, including academic performance, extracurricular activities, and social interactions. ADHD can continue into adulthood where unemployment and substance abuse has been described. Although behavioral therapy is recommended for all patients with ADHD, medication management typically is initiated soon after diagnosis. Psychostimulants remain the primary medication of choice. This review focuses on the clinical use of psychostimulant medication in children and adolescents. The pharmacodynamic and pharmacokinetic differences between the newest long-acting formulations as well as commonly encountered adverse drug reactions, with suggested management strategies, will be highlighted. Non-stimulant therapy with atomoxetine or alpha2-adrenergic agonists is also reviewed. These agents may be warranted for patients who cannot tolerate psychostimulant therapy or have a comorbid condition. Finally, the 8-year multimodal treatment study results are also discussed. PMID:27453697

  2. Barriers to the use of genetic information for the development of new epilepsy treatments.

    PubMed

    Ferraro, Thomas N

    2016-01-01

    Genetic analysis is providing new information on the biological basis of epilepsy at a rapid pace; this article identifies factors acting as major barriers to use of these data for therapy development. Disease heterogeneity is a primary obstacle since so many genes can cause or predispose to epilepsy and the clinical presentation of epilepsy is so diverse, thus making it difficult to define the most therapeutically relevant targets. Further, many epilepsy genes affect brain development, an observation that represents a barrier unto itself given the challenge of reversing or preventing genetically mediated alterations of brain pathway formation. Finally, the lack of appropriate models for testing new therapies is also recognized as a fundamental limitation. Overcoming these barriers will be aided by full characterization of the genetic landscape of epilepsy, elucidation of key pathway points for therapeutic intervention and creation of unique experimental models to validate results.

  3. Homeostatic reinforcement learning for integrating reward collection and physiological stability.

    PubMed

    Keramati, Mehdi; Gutkin, Boris

    2014-12-02

    Efficient regulation of internal homeostasis and defending it against perturbations requires adaptive behavioral strategies. However, the computational principles mediating the interaction between homeostatic and associative learning processes remain undefined. Here we use a definition of primary rewards, as outcomes fulfilling physiological needs, to build a normative theory showing how learning motivated behaviors may be modulated by internal states. Within this framework, we mathematically prove that seeking rewards is equivalent to the fundamental objective of physiological stability, defining the notion of physiological rationality of behavior. We further suggest a formal basis for temporal discounting of rewards by showing that discounting motivates animals to follow the shortest path in the space of physiological variables toward the desired setpoint. We also explain how animals learn to act predictively to preclude prospective homeostatic challenges, and several other behavioral patterns. Finally, we suggest a computational role for interaction between hypothalamus and the brain reward system.

  4. Orchestration of intestinal homeostasis and tolerance by group 3 innate lymphoid cells.

    PubMed

    Penny, Hugo A; Hodge, Suzanne H; Hepworth, Matthew R

    2018-05-08

    The gastrointestinal tract is the primary site of exposure to a multitude of microbial, environmental, and dietary challenges. As a result, immune responses in the intestine need to be tightly regulated in order to prevent inappropriate inflammatory responses to exogenous stimuli. Intestinal homeostasis and tolerance are mediated through a multitude of immune mechanisms that act to reinforce barrier integrity, maintain the segregation and balance of commensal microbes, and ensure tissue health and regeneration. Here, we discuss the role of group 3 innate lymphoid cells (ILC3) as key regulators of intestinal health and highlight how increasing evidence implicates dysregulation of this innate immune cell population in the onset or progression of a broad range of clinically relevant pathologies. Finally, we discuss how the next generation of immunotherapeutics may be utilized to target ILC3 in disease and restore gastrointestinal tolerance and tissue health.

  5. 42 CFR 414.66 - Incentive payments for physician scarcity areas.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Physician Scarcity Area (PSA) for primary or specialist care are eligible for a 5 percent incentive payment. (c) Primary care physicians furnishing services in primary care PSAs are entitled to an additional 5... section 1861(r)(1) of the Act, furnishing services in specialist care PSAs are entitled to an additional 5...

  6. 22 CFR 96.45 - Using supervised providers in the United States.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...) Requires the supervised provider to provide the primary provider on a timely basis any data that is.... (a) The agency or person, when acting as the primary provider and using supervised providers in the... trafficking of children; and (3) Before entering into an agreement with the primary provider for the provision...

  7. 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…

  8. 76 FR 45573 - Record of Decision for the Final Environmental Impact Statement for Improvements to the Calexico...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-29

    ...: Notice. SUMMARY: Pursuant to the National Environmental Policy Act of 1969, the General Services... of Entry. On July 21, 2011, the Acting Regional Administrator, Pacific Rim Region, approved the ROD...

  9. 76 FR 28964 - Notice of Availability of Record of Decision for the Final Environmental Impact Statement...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-19

    ... actions in compliance with the Endangered Species Act, the Coastal Zone Management Act, and the National... Environmental Justice in Minority Populations and Low Income Populations and EO 13045, Protection of Children...

  10. 76 FR 43278 - Notice of Availability of Record of Decision for the Final Environmental Impact Statement for the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-20

    ... the Endangered Species Act, the Coastal Zone Management Act, and the National Historic Preservation... Justice in Minority Populations and Low Income Populations and EO 13045, Protection of Children from...

  11. 77 FR 57013 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... 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... records in the system of records notice LDIA 10-0002, Foreign Intelligence and Counterintelligence...

  12. 78 FR 64594 - Final Federal Agency Actions on Proposed Highway in North Carolina

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-29

    ...)(1)]; American Indian Religious Freedom Act [42 U.S.C. 1996]; Farmland Protection Policy Act (FPPA... Populations; E.O. 11593 Protection and Enhancement of Cultural Resources; E.O. 13007 Indian Sacred Sites; E.O...

  13. National Primary and Secondary Ambient Air Quality Standards (NAAQS) for Lead (Pb) and Implementation Plans for Lead NAAQS: 1978 Final Rule (43 FR 46246 & 46264)

    EPA Pesticide Factsheets

    This document is a copy of the Federal Register publication of the October 5, 1978 Final Rules for National Primary and Secondary Ambient Air Quality Standards for Lead (Pb) and Implementation Plans for Lead (Pb) NAAQS.

  14. 2-Ethylhexanol; Final Test Rule

    EPA Pesticide Factsheets

    EPA is issuing a final test rule, under section 4 of the Toxic Substances Control Act (TSCA), requiring manufacturers and processors of 2-ethylhexanol (EH: CAS No. 104-76-7) to conduct a 2-year oncogenicity bioassay.

  15. 75 FR 27314 - Sunshine Act Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-14

    ...: Infant Bath Seats--Final Rule. 2. Baby Walkers--Final Rule and Revocation of the Ban of Certain Baby Walkers. A live Webcast of the Meeting can be viewed at http://www.cpsc.gov/webcast . For a recorded...

  16. 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.

  17. Family and medical leave. Office of Personnel Management. Final rule.

    PubMed

    2000-05-08

    The Office of Personnel Management is issuing final regulations on the Family and Medical Leave Act of 1993 to ensure that both employees' and agencies' rights are protected and their responsibilities fulfilled.

  18. 77 FR 61751 - Farm Credit Administration Board; Sunshine Act; Regular Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-11

    ... meeting is: Open Session A. Approval of Minutes September 13, 2012 B. New Business Final Rule--Investment Management Final Rule--Farmer Mac Investment Management Bookletter--Providing Credit to Farmers and Ranchers...

  19. Methyl Ethyl Ketoxime; Final Test Rule

    EPA Pesticide Factsheets

    EPA is issuing this final test rule under section 4 of the Toxic Substances Control Act (TSCA), requiring manufacturers and processors of methyl ethyl ketoxime (MEKO, CAS No. 96-29-7) to perform testing for health effects.

  20. GROUND WATER ISSUE: DESIGN GUIDELINES FOR CONVENTIONAL PUMP-AND-TREAT SySTEMS

    EPA Science Inventory

    Containment and cleanup of contaminated ground water are among the primary objectives of the CERCLA (Comprehensive Environmental Response, Compensation, and Liability Act; also known as Superfund) and RCRA (Resource Conservation and Recovery Act) remediation programs. Ground-...

  1. 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.

  2. GRAPHIC SOURCES FOR THE TEACHING OF RESTORATION ACTING STYLE, AN APPROACH TO THE ACTING OF RESTORATION COMEDY. FINAL REPORT.

    ERIC Educational Resources Information Center

    HENSHAW, NANCY WANDALIE

    THIS SOURCE BOOK TRANSLATES THE ELEGANT AND SOMEWHAT ALIEN WORLD OF RESTORATION COMEDY INTO TERMS THAT CAN ENABLE AMERICAN DIRECTORS AND ACTORS--BY EMPLOYING THE ACTING "METHOD" OF CONTEMPORARY PSYCHOLOGICAL REALISM--TO SIMULATE THE EXPERIENCE, PERCEPTION, AND EXPRESSION OF THE 17TH-CENTURY ENGLISH ARISTOCRAT. TO ENCOURAGE DIRECTORS TO IMMERSE…

  3. 78 FR 12221 - National School Lunch Program: Direct Certification Continuous Improvement Plans Required by the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-22

    ..., Hunger-Free Kids Act of 2010 AGENCY: Food and Nutrition Service, USDA. ACTION: Final rule. SUMMARY: This... Healthy, Hunger-Free Kids Act of 2010 designed to encourage States to improve direct certification efforts.../CNP/cnp.htm .) Section 101(b) of Public Law 111-296, the Healthy, Hunger-Free Kids Act of 2010 (HHFKA...

  4. 76 FR 30757 - Endangered and Threatened Wildlife and Plants; Listing the Salmon-Crested Cockatoo as Threatened...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-26

    ...We, the U.S. Fish and Wildlife Service, determine threatened status for the salmon-crested cockatoo (Cacatua moluccensis) under the Endangered Species Act of 1973, as amended (Act). This final rule implements the Federal protections provided by the Act for this species. We are also publishing a special rule for the species.

  5. 78 FR 4307 - Current Good Manufacturing Practice Requirements for Combination Products

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-22

    .... Rationale for the Rulemaking B. The Proposed Rule C. The Final Rule II. Comments on the Proposed Rule A. General B. What is the scope of this subpart? (Sec. 4.1) C. How does FDA define key terms and phrases in... Act (the PHS Act) (42 U.S.C. 262). All biological products regulated under the PHS Act meet the...

  6. 75 FR 75463 - Clean Air Act Operating Permit Program; Petition To Object to Title V Permit for Luke Paper...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-03

    ... ENVIROMENTAL PROTECTION AGENCY [FRL-9234-9] Clean Air Act Operating Permit Program; Petition To Object to Title V Permit for Luke Paper Company, Luke, MD AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of final action. SUMMARY: Pursuant to section 505(b)(2) of the Clean Air Act (CAA), the...

  7. An Investigation of the effectiveness of the Virginia Habitual Offender Act : a study conducted by the Virginia Transportation Research Council for the Advisory Committee to the Commission on VASAP : final report.

    DOT National Transportation Integrated Search

    1993-01-01

    In 1968, Virginia passed the Habitual Offender Act (the Act), one of the first laws in the United States directed at motorists who repeatedly violate traffic laws. Persons adjudicated as habitual offenders are subject to long-term license revocation,...

  8. Recovery Act Hospital Alteration Project at Naval Air Station Jacksonville

    DTIC Science & Technology

    2010-12-07

    QMAD Quantitative Methods and Analysis Division RLF Rogers Lovelock & Fritz, Incorporated SE Southeast SF Square Feet SOW Statement of Work TMA TRICARE...Finally, the contractor, Rogers Lovelock & Fritz, Incorporated, reported the recipient information required by the Recovery Act. What We Recommend...contractor, Rogers Lovelock & Fritz, Incorporated (RLF), reported the recipient information required by the Recovery Act. Planning: Initially, Project

  9. 78 FR 41499 - Endangered and Threatened Wildlife and Plants; Threatened Status for the Northern Mexican...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-10

    ...We, the U.S. Fish and Wildlife Service (Service), propose to list the northern Mexican gartersnake (Thamnophis eques megalops) and narrow-headed gartersnake (Thamnophis rufipunctatus) as threatened species under the Endangered Species Act of 1973, as amended (Act). If we finalize this rule as proposed, it would extend the Act's protections to these species. The effect of this regulation is to conserve northern Mexican and narrow-headed gartersnakes under the Act.

  10. 77 FR 4654 - Senior Community Service Employment Program; Final Rule, Additional Indicator on Volunteer Work

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-31

    ... rule amends our regulations regarding Performance Accountability for title V of the Older Americans Act... on September 1, 2010. 75 FR 53786. Previously, an interim final rule (IFR) on performance measures... performance through regulation. OAA Sec. 513(b)(3). As established in the SCSEP Final Rule published September...

  11. 76 FR 18519 - Polyethylene Terephthalate Film, Sheet, and Strip From Taiwan: Amended Final Results of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-04

    ... Film, Sheet, and Strip From Taiwan: Amended Final Results of Antidumping Duty Review AGENCY: Import... duty administrative review of polyethylene terephthalate film, sheet, and strip (PET Film) from Taiwan... amended (the Act). \\1\\ See Polyethylene Terephthalate Film, Sheet, and Strip From Taiwan: Final Results of...

  12. 78 FR 13080 - Notice of Availability of Record of Decision for the National Petroleum Reserve-Alaska Final...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-26

    ...] Notice of Availability of Record of Decision for the National Petroleum Reserve-Alaska Final Integrated... National Petroleum Reserve in Alaska (NPR-A) Final Integrated Activity Plan (IAP). The Secretary of the... required by the Naval Petroleum Reserves Production Act, as amended, and for application for onshore...

  13. 75 FR 30483 - Atlantic Highly Migratory Species; Atlantic Shark Management Measures; Amendment 3

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-01

    ...NMFS publishes this final rule implementing the Final Amendment 3 to the Consolidated Atlantic Highly Migratory Species (HMS) Fishery Management Plan (FMP). As it developed Amendment 3, NMFS examined a full range of management alternatives available to rebuild blacknose sharks and end overfishing of blacknose and shortfin mako sharks, consistent with recent stock assessments, the Magnuson-Stevens Fishery Conservation and Management Act (Magnuson-Stevens Act), and other applicable law, and evaluated options for managing smooth dogfish as a highly migratory species under the HMS FMP. This final rule implements the final conservation and management measures in Amendment 3 for blacknose sharks, shortfin mako sharks, and smooth dogfish. In order to reduce confusion with spiny dogfish regulations, this final rule places both smooth dogfish and Florida smoothhound into the ``smoothhound shark complex.'' This final rule also announces the opening date and 2010 annual quotas for small coastal sharks (SCS). These changes could affect all fishermen, commercial and recreational, who fish for sharks in the Atlantic Ocean, the Gulf of Mexico, and the Caribbean Sea.

  14. Neighborhood intermodal transfer facilities : final report

    DOT National Transportation Integrated Search

    2001-10-01

    Intermodalism is a topic that is fostered in the Transportation Efficiency Act for the 21st Century and Florida's Growth Management Act; however, it can also be difficult to achieve. For this reason, it is important to develop new ideas and concepts ...

  15. 77 FR 67345 - Final Environmental Impact Statement/Environmental Impact Report (EIS/EIR) for the Clearwater...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-09

    ... activities would require authorization from the Corps pursuant to Section 404 of the Clean Water Act, Section 10 of the Rivers and Harbors Act, and Section 103 of the Marine Protection, Research, and Sanctuaries...

  16. Final Report to the Clean Air Act Advisory Committee, Title V Implementation Experience

    EPA Pesticide Factsheets

    In 2004, the Clean Air Act Advisory Committee established the Task Force on Title V Implementation Experience to report on stakeholder experience with implementation of the Title V operating permit program. This report details their recommendations.

  17. 77 FR 15591 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-16

    ... Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: The Defense Intelligence Agency is deleting an exemption rule for LDIA 0275... Defense Intelligence Agency Privacy Program rules. These changes will allow the Department to transfer...

  18. 76 FR 49658 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-11

    ... Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: The Defense Intelligence Agency is deleting an exemption rule for LDIA 0275... Defense Intelligence Agency Privacy Program rules. These changes will allow the Department to transfer...

  19. 77 FR 15594 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-16

    ... Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: The Defense Intelligence Agency is deleting an exemption rule for LDIA 0800... Defense Intelligence Agency Privacy Program rules. These changes will allow the Department to transfer...

  20. 77 FR 38363 - Office of Privacy, Records, and Disclosure; Privacy Act of 1974, as Amended

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-27

    ... delinquencies; final determinations of appeals; name/ title of officials responsible for denial of records; and... FOIA and the Privacy Act. Also used to produce statistical reports; and as a data source for management...

  1. 7 CFR 2.27 - Office of Administrative Law Judges.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Seed Act, as amended (7 U.S.C. 1551 et seq.); the (Laboratory) Animal Welfare Act, as amended (7 U.S.C... of judicial review except a final decision of the Secretary upon appeal. As used herein, “Secretary...

  2. 7 CFR 2.27 - Office of Administrative Law Judges.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Seed Act, as amended (7 U.S.C. 1551 et seq.); the (Laboratory) Animal Welfare Act, as amended (7 U.S.C... of judicial review except a final decision of the Secretary upon appeal. As used herein, “Secretary...

  3. Factsheet -- EPA’s Rule to Implement the Formaldehyde Standards for Composite Wood Products Act

    EPA Pesticide Factsheets

    This factsheet explains EPA's final rule to implement the Formaldehyde Standards for Composite Wood Products Act and reduce exposure to formaldehyde vapors from certain wood products produced domestically or imported into the United States.

  4. 76 FR 53706 - Notice of Final Federal Agency Actions on Proposed Highway in Washington

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-29

    ...)]; American Indian Religious Freedom Act [42 U.S.C. 1996]. 7. Wetlands and Water Resources: Clean Water Act... Resources; E.O. 13007 Indian Sacred Sites; E.O. 13287 Preserve America; E.O. 13175 Consultation and...

  5. 77 FR 24255 - Notice of Final Federal Agency Actions on Proposed Highways in Colorado

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-23

    ...)-2000(d)(1)]; American Indian Religious Freedom Act [42 U.S.C. 1996]; Farmland Protection Policy Act [7... Cultural Resources; E.O. 13007 Indian Sacred Sites; E.O. 13287 Preserve America; E.O. 13175 Consultation...

  6. 75 FR 36270 - Appraisal Subcommittee; Appraiser Regulation; Privacy Act Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-25

    ... FEDERAL FINANCIAL INSTITUTIONS EXAMINATION COUNCIL 12 CFR Part 1102 [Docket No. AS10-2] Appraisal Subcommittee; Appraiser Regulation; Privacy Act Implementation AGENCY: Appraisal Subcommittee of the Federal Financial Institutions Examination Council (Subcommittee). ACTION: Final rule amendments. SUMMARY: The...

  7. 76 FR 12857 - Montana Regulatory Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-09

    ... DEPARTMENT OF THE INTERIOR Office of Surface Mining Reclamation and Enforcement 30 CFR Part 926... of Surface Mining Reclamation and Enforcement, Interior. ACTION: Final rule; approval of amendment... the Surface Mining Control and Reclamation Act of 1977 (``SMCRA'' or ``the Act''). Montana proposed...

  8. The medial prefrontal cortex: coordinator of autonomic, neuroendocrine and behavioural responses to stress.

    PubMed

    McKlveen, J M; Myers, B; Herman, J P

    2015-06-01

    Responding to real or potential threats in the environment requires the coordination of autonomic, neuroendocrine and behavioural processes to promote adaptation and survival. These diverging systems necessitate input from the limbic forebrain to integrate and modulate functional output in accordance with contextual demand. In the present review, we discuss the potential role of the medial prefrontal cortex (mPFC) as a coordinator of behavioural and physiological stress responses across multiple temporal and contextual domains. Furthermore, we highlight converging evidence from rodent and human research indicating the necessity of the mPFC for modulating physiological energetic systems to mobilise or limit energetic resources as needed to ultimately promote behavioural adaptation in the face of stress. We review the literature indicating that glucocorticoids act as one of the primary messengers in the reallocation of energetic resources having profound effects locally within the mPFC, as well as shaping how the mPFC acts within a network of brain structures to modulate responses to stress. Finally, we discuss how both rodent and human studies point toward a critical role of the mPFC in the coordination of anticipatory responses to stress and why this distinction is an important one to make in stress neurobiology. © 2015 British Society for Neuroendocrinology.

  9. HIV Risk, Substance Use, and Personality Characteristics among Adults with History of Serious Mental Illness.

    PubMed

    Mainville, Cathryn H; Richardson, Mark A; Brady, Stephen M; Berger-Greenstein, Jori; Bacic, Janine

    2017-01-01

    The present study examined the relationship between characteristics associated with personality disorders, substance use, and HIV risk among adults with a history of serious mental illness. Participants included 103 adults with antisocial or borderline personality disorder, serious mental illness, and recent HIV risk behavior. The sample was predominately male (64%), diverse (42% African American and 13% Hispanic), and homeless/marginally housed (76%). In order to examine the relationship between personality characteristics and risk we constructed a risk index comprising key symptoms of antisocial and borderline personality disorders, namely; impulsivity, affective instability, and disregard for safety of self/others. Contrary to our primary hypotheses, risk index scores did not predict HIV risk behavior and substance abuse did not mediate this risk. Exploratory analyses did reveal that women engaged in significantly more risk behaviors than their male counterparts and that risk scores were a significant predictor of total sex acts for women but not men. In addition, increased emotional dysregulation was a significant predictor of condomless sex acts for women but not men. Finally, recent alcohol use and increased impulsivity was associated with more condomless oral sex for men and women. These results suggest the relationship among serious mental illness, personality disorder, substance abuse, and gender is complex and merits further study.

  10. EFA6 proteins regulate lumen formation through α-actinin 1.

    PubMed

    Milanini, Julie; Fayad, Racha; Partisani, Mariagrazia; Lecine, Patrick; Borg, Jean-Paul; Franco, Michel; Luton, Frédéric

    2018-02-08

    A key step of epithelial morphogenesis is the creation of the lumen. Luminogenesis by hollowing proceeds through the fusion of apical vesicles at cell-cell contacts. The small nascent lumens grow through extension, coalescence and enlargement, coordinated with cell division, to give rise to a single central lumen. Here, by using MDCK cells grown in 3D-culture, we show that EFA6A (also known as PSD) participates in luminogenesis. EFA6A recruits α-actinin 1 (ACTN1) through direct binding. In polarized cells, ACTN1 was found to be enriched at the tight junction where it acts as a primary effector of EFA6A for normal luminogenesis. Both proteins are essential for the lumen extension and enlargement, where they mediate their effect by regulating the cortical acto-myosin contractility. Finally, ACTN1 was also found to act as an effector for the isoform EFA6B (also known as PSD4) in the human mammary tumoral MCF7 cell line. EFA6B restored the glandular morphology of this tumoral cell line in an ACTN1-dependent manner. Thus, we identified new regulators of cyst luminogenesis essential for the proper maturation of a newly-formed lumen into a single central lumen. © 2018. Published by The Company of Biologists Ltd.

  11. A dual drug regimen synergistically blocks human parainfluenza virus infection

    NASA Astrophysics Data System (ADS)

    Bailly, Benjamin; Dirr, Larissa; El-Deeb, Ibrahim M.; Altmeyer, Ralf; Guillon, Patrice; von Itzstein, Mark

    2016-04-01

    Human parainfluenza type-3 virus (hPIV-3) is one of the principal aetiological agents of acute respiratory illness in infants worldwide and also shows high disease severity in the elderly and immunocompromised, but neither therapies nor vaccines are available to treat or prevent infection, respectively. Using a multidisciplinary approach we report herein that the approved drug suramin acts as a non-competitive in vitro inhibitor of the hPIV-3 haemagglutinin-neuraminidase (HN). Furthermore, the drug inhibits viral replication in mammalian epithelial cells with an IC50 of 30 μM, when applied post-adsorption. Significantly, we show in cell-based drug-combination studies using virus infection blockade assays, that suramin acts synergistically with the anti-influenza virus drug zanamivir. Our data suggests that lower concentrations of both drugs can be used to yield high levels of inhibition. Finally, using NMR spectroscopy and in silico docking simulations we confirmed that suramin binds HN simultaneously with zanamivir. This binding event occurs most likely in the vicinity of the protein primary binding site, resulting in an enhancement of the inhibitory potential of the N-acetylneuraminic acid-based inhibitor. This study offers a potentially exciting avenue for the treatment of parainfluenza infection by a combinatorial repurposing approach of well-established approved drugs.

  12. Metformin directly acts on mitochondria to alter cellular bioenergetics

    PubMed Central

    2014-01-01

    Background Metformin is widely used in the treatment of diabetes, and there is interest in ‘repurposing’ the drug for cancer prevention or treatment. However, the mechanism underlying the metabolic effects of metformin remains poorly understood. Methods We performed respirometry and stable isotope tracer analyses on cells and isolated mitochondria to investigate the impact of metformin on mitochondrial functions. Results We show that metformin decreases mitochondrial respiration, causing an increase in the fraction of mitochondrial respiration devoted to uncoupling reactions. Thus, cells treated with metformin become energetically inefficient, and display increased aerobic glycolysis and reduced glucose metabolism through the citric acid cycle. Conflicting prior studies proposed mitochondrial complex I or various cytosolic targets for metformin action, but we show that the compound limits respiration and citric acid cycle activity in isolated mitochondria, indicating that at least for these effects, the mitochondrion is the primary target. Finally, we demonstrate that cancer cells exposed to metformin display a greater compensatory increase in aerobic glycolysis than nontransformed cells, highlighting their metabolic vulnerability. Prevention of this compensatory metabolic event in cancer cells significantly impairs survival. Conclusions Together, these results demonstrate that metformin directly acts on mitochondria to limit respiration and that the sensitivity of cells to metformin is dependent on their ability to cope with energetic stress. PMID:25184038

  13. 78 FR 43224 - Notice of Availability of the Final Environmental Impact Statement for the Proposed Sun Valley to...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-19

    ...In accordance with the National Environmental Policy Act of 1969, as amended (NEPA), and the Federal Land Policy and Management Act of 1976, as amended (FLPMA), the Bureau of Land Management (BLM) has prepared a Final Environmental Impact Statement (EIS) for the proposed Sun Valley to Morgan 500/230-kilovolt (kV) Transmission Line Project (Project) and Proposed Bradshaw-Harquahala Resource Management Plan (RMP) Amendment for the BLM Hassayampa Field Office, and by this notice is announcing its availability.

  14. 78 FR 35201 - Endangered and Threatened Wildlife and Plants; Listing All Chimpanzees as Endangered

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-12

    ...We, the U.S. Fish and Wildlife Service, propose to list all chimpanzees (Pan troglodytes) as endangered under the Endangered Species Act of 1973, as amended (Act). We are taking this action in response to a petition to list the entire species, whether in the wild or in captivity, as endangered under the Act. This proposal constitutes our 12-month finding on the petition and announces our finding that listing all chimpanzees as endangered is warranted. This document also serves as our 5-year review of the species. If we finalize this rule as proposed, we would eliminate the separate classification of captive and wild chimpanzees under the Act and extend the Act's protections to captive chimpanzees in the United States. In addition, we propose to amend the special rule for primates to remove chimpanzees from the rule. If the listing of all chimpanzees as endangered is finalized, the provisions of the special rule can no longer be applied to captive chimpanzees. We seek comments from the public on this proposed rule.

  15. 78 FR 66621 - Protection of Collateral of Counterparties to Uncleared Swaps; Treatment of Securities in a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-06

    ...The Commodity Futures Trading Commission (the ``Commission'') is issuing final rules implementing new statutory provisions enacted by Title VII of the Dodd-Frank Wall Street Reform and Consumer Protection Act (the ``Dodd-Frank Act''). Specifically, the final rule contained herein imposes requirements on swap dealers (``SDs'') and major swap participants (``MSPs'') with respect to the treatment of collateral posted by their counterparties to margin, guarantee, or secure uncleared swaps. Additionally, the final rule includes revisions to ensure that, for purposes of subchapter IV of chapter 7 of the Bankruptcy Code, securities held in a portfolio margining account that is a futures account or a Cleared Swaps Customer Account constitute ``customer property''; and owners of such account constitute ``customers.''

  16. Triethylene Glycol Monomethyl Ether; Final Test Rule

    EPA Pesticide Factsheets

    EPA is issuing a final test rule under section 4 of the Toxic Substances Control Act (TSCA) requiring manufacturers and processors of triethylene glycol monomethyl ether (TGME, CAS No. 112-35-6) to perform developmental neurotoxicity tasting.

  17. Anthraquinone Final Reporting and Recordkeeping Requirements and Test Rule

    EPA Pesticide Factsheets

    EPA is issuing a final rule, under section 4 of the Toxic Substances Control Act (TSCA), requiring manufacturers and processors of 9,10-anthraquinone (CAS No. 84—65—1), hereinafter anthraquinone, to perform testing.

  18. Factors Influencing Primary Students' Learning Achievement in Bangladesh

    ERIC Educational Resources Information Center

    Nath, Samir Ranjan

    2012-01-01

    Using "Education Watch" database of 2008, this article explores the factors associated with learning achievement of primary school students in Bangladesh. The sample consists of 7,093 fifth graders (final year of compulsory primary education) from 440 primary schools. Based on nationally adopted competencies for primary education, a…

  19. Making the Most of the Every Student Succeeds Act (ESSA): Helping States Focus on School Equity, Quality and Climate

    ERIC Educational Resources Information Center

    Penuel, William; Meyer, Elizabeth; Valladares, Michelle Renée

    2016-01-01

    Staff in State Departments of Education are diligently reviewing and revising their state accountability systems to meet the new requirements and opportunities of the Every Student Succeeds Act (ESSA). ESSA is the latest reauthorization of the 1965 Elementary and Secondary Education Act, the primary federal bill guiding K-12 education policy. As a…

  20. 40 CFR 141.1 - Applicability.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS General § 141.1 Applicability. This part establishes primary drinking water regulations pursuant to section 1412 of the Public Health Service Act, as amended by the Safe...

  1. 40 CFR 141.1 - Applicability.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS General § 141.1 Applicability. This part establishes primary drinking water regulations pursuant to section 1412 of the Public Health Service Act, as amended by the Safe...

  2. Final Evaluation Report of the Sensory Adjustment for Effective Reading (SAFER) Project for the Encinitas Union School District.

    ERIC Educational Resources Information Center

    California State Dept. of Education, Sacramento. Office of Program Planning and Development.

    This final report on Sensory Adjustment for Effective Reading contains information related to the two major objectives of the reading program: to diagnose and treat sensorily deficient kindergarten and primary children, and to individualize the kindergarten and primary reading program utilizing sensory information. Activities conducted to achieve…

  3. Medicare program; hospital outpatient prospective payment system and CY 2007 payment rates; CY 2007 update to the ambulatory surgical center covered procedures list; Medicare administrative contractors; and reporting hospital quality data for FY 2008 inpatient prospective payment system annual payment update program--HCAHPS survey, SCIP, and mortality. Final rule with comment period and final rule.

    PubMed

    2006-11-24

    This final rule with comment period revises the Medicare hospital outpatient prospective payment system to implement applicable statutory requirements and changes arising from our continuing experience with this system, and to implement certain related provisions of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 and the Deficit Reduction Act (DRA) of 2005. In this final rule with comment period, we describe changes to the amounts and factors used to determine the payment rates for Medicare hospital outpatient services paid under the prospective payment system. These changes are applicable to services furnished on or after January 1, 2007. In addition, this final rule with comment period implements future CY 2009 required reporting on quality measures for hospital outpatient services paid under the prospective payment system. This final rule with comment period revises the current list of procedures that are covered when furnished in a Medicare-approved ambulatory surgical center (ASC), which are applicable to services furnished on or after January 1, 2007. This final rule with comment period revises the emergency medical screening requirements for critical access hospitals (CAHs). This final rule with comment period supports implementation of a restructuring of the contracting entities responsibilities and functions that support the adjudication of Medicare fee-for-service (FFS) claims. This restructuring is directed by section 1874A of the Act, as added by section 911 of the MMA. The prior separate Medicare intermediary and Medicare carrier contracting authorities under Title XVIII of the Act have been replaced with the Medicare Administrative Contractor (MAC) authority. This final rule continues to implement the requirements of the DRA that require that we expand the "starter set" of 10 quality measures that we used in FY 2005 and FY 2006 for the hospital inpatient prospective payment system (IPPS) Reporting Hospital Quality Data for the Annual Payment Update (RHQDAPU) program. We began to adopt expanded measures effective for payments beginning in FY 2007. In this rule, we are finalizing additional quality measures for the expanded set of measures for FY 2008 payment purposes. These measures include the HCAHPS survey, as well as Surgical Care Improvement Project (SCIP, formerly Surgical Infection Prevention (SIP)), and Mortality quality measures.

  4. Global Warming Responses at the Primary Secondary Interface: 2. Potential Effectiveness of Education

    ERIC Educational Resources Information Center

    Skamp, Keith; Boyes, Eddie; Stannistreet, Martin

    2009-01-01

    In an earlier paper (Skamp, Boyes, & Stanisstreet, 2009b), students' beliefs and willingness to act in relation to 16 specific actions related to global warming were 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…

  5. 76 FR 9403 - Finding That the Lebanese Canadian Bank SAL Is a Financial Institution of Primary Money...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-17

    ... Bank SAL Is a Financial Institution of Primary Money Laundering Concern AGENCY: Financial Crimes...'') is a financial institution of primary money laundering concern. DATES: The finding made in this... Law 107-56. Title III of the USA PATRIOT Act amended the anti- money laundering provisions of the Bank...

  6. Developmentally Appropriate Practices in the Primary Program: A Survey of Primary School Teachers.

    ERIC Educational Resources Information Center

    Addington, Brenda Burton; Hinton, Samuel

    Under the Kentucky Education Reform Act, public schools in Kentucky were required to restructure the traditional kindergarten through third-grade classes into a multi-age and multi-ability level, ungraded primary program during the 1993-1994 school year. Classrooms that once contained children at relatively the same age have been replaced with…

  7. 78 FR 24596 - Notice of Finding That Halawi Exchange Co. Is a Financial Institution of Primary Money Laundering...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-25

    ... Exchange Co. Is a Financial Institution of Primary Money Laundering Concern AGENCY: Financial Crimes... a financial institution operating outside the United States that is of primary money laundering...-56. Title III of the USA PATRIOT Act amends the anti- money laundering provisions of the Bank Secrecy...

  8. Medicaid Integrity Program; eligible entity and contracting requirements for the Medicaid Integrity audit program. Final rule.

    PubMed

    2008-09-26

    Section 1936 of the Social Security Act (the Act) (as added by section 6034 of the Deficit Reduction Act of 2005 (DRA) established the Medicaid Integrity Program to promote the integrity of the Medicaid program by requiring CMS to enter into contracts with eligible entities to: (1) Review the actions of individuals or entities furnishing items or services (whether on a fee-for-service, risk, or other basis) for which payment may be made under an approved State plan and/or any waiver of such plan approved under section 1115 of the Act; (2) audit claims for payment of items or services furnished, or administrative services rendered, under a State plan; (3) identify overpayments to individuals or entities receiving Federal funds; and (4) educate providers of services, managed care entities, beneficiaries, and other individuals with respect to payment integrity and quality of care. This final rule will provide requirements for an eligible entity to enter into a contract under the Medicaid integrity audit program. The final rule will also establish the contracting requirements for eligible entities. The requirements will include procedures for identifying, evaluating, and resolving organizational conflicts of interest that are generally applicable to Federal acquisition and procurement; competitive procedures to be used; and procedures under which a contract may be renewed.

  9. 78 FR 10512 - Wyoming Regulatory Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

    ... DEPARTMENT OF THE INTERIOR Office of Surface Mining Reclamation and Enforcement 30 CFR Part 950... Mining Reclamation and Enforcement, Interior. ACTION: Final rule; approval of amendment with certain... ``Wyoming program'') under the Surface Mining Control and Reclamation Act of 1977 (``SMCRA'' or ``the Act...

  10. 75 FR 43611 - Notice of Final Federal Agency Actions on Proposed Highway in Washington

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-26

    ... Economic: Civil Rights Act of 1964 (42 U.S.C. 2000(d)-2000(d)(1)); American Indian Religious Freedom Act... Protection and Enhancement of Cultural Resources; E.O. 13007 Indian Sacred Sites; E.O. 13287 Preserve America...

  11. 77 FR 55896 - Notice of Final Federal Agency Actions on Loop 1 in Texas

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-11

    ... Indian Religious Freedom Act [42 U.S.C. 1996]; Farmland Protection Policy Act (FPPA) [7 U.S.C. 4201- 4209... Protection and Enhancement of Cultural Resources; E.O. 13007 Indian Sacred Sites; E.O. 13287 Preserve America...

  12. 77 FR 26601 - Notice of Final Federal Agency Actions on Proposed Highway in Connecticut

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-04

    ... Indian Religious Freedom Act [42 U.S.C. 1996]; Farmland Protection Policy Act (FPPA) [7 U.S.C. 4201-4209... Protection and Enhancement of Cultural Resources; E.O. 13007 Indian Sacred Sites; E.O. 13287 Preserve America...

  13. 78 FR 69551 - Privacy Act; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-20

    ... Privacy Act; Implementation AGENCY: Defense Intelligence Agency, DoD. ACTION: Direct final rule with request for comments. SUMMARY: Defense Intelligence Agency (DIA) is proposing to update the DIA Privacy... Privacy Program rules that will exempt applicable Department records and/or material from certain portions...

  14. 20 CFR 349.1 - Reopening and revising decisions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Section 349.1 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT FINALITY OF DECISIONS REGARDING UNEMPLOYMENT AND SICKNESS INSURANCE BENEFITS § 349.1 Reopening... with respect to benefits under the Railroad Unemployment Insurance Act. After the expiration of the...

  15. 20 CFR 349.1 - Reopening and revising decisions.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Section 349.1 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT FINALITY OF DECISIONS REGARDING UNEMPLOYMENT AND SICKNESS INSURANCE BENEFITS § 349.1 Reopening... with respect to benefits under the Railroad Unemployment Insurance Act. After the expiration of the...

  16. 20 CFR 349.1 - Reopening and revising decisions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Section 349.1 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT FINALITY OF DECISIONS REGARDING UNEMPLOYMENT AND SICKNESS INSURANCE BENEFITS § 349.1 Reopening... with respect to benefits under the Railroad Unemployment Insurance Act. After the expiration of the...

  17. 20 CFR 349.1 - Reopening and revising decisions.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Section 349.1 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT FINALITY OF DECISIONS REGARDING UNEMPLOYMENT AND SICKNESS INSURANCE BENEFITS § 349.1 Reopening... with respect to benefits under the Railroad Unemployment Insurance Act. After the expiration of the...

  18. 20 CFR 349.1 - Reopening and revising decisions.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Section 349.1 Employees' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT FINALITY OF DECISIONS REGARDING UNEMPLOYMENT AND SICKNESS INSURANCE BENEFITS § 349.1 Reopening... with respect to benefits under the Railroad Unemployment Insurance Act. After the expiration of the...

  19. 77 FR 73463 - Sunshine Act Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-10

    ... resolution re: Amendments to the Statement of Policy for Section 19 of the Federal Deposit Insurance Act. Memorandum and resolution re: Quadrennial Civil Penalty Inflation Adjustment Final Rule. Memorandum and resolution re: Request for Approval of the Corporate Investment Policy. Memorandum and resolution re: Request...

  20. 75 FR 16645 - Increase in the Primary Nuclear Liability Insurance Premium

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-02

    ... Primary Nuclear Liability Insurance Premium AGENCY: Nuclear Regulatory Commission. ACTION: Final rule... impractical. The NRC is amending its regulations to increase the primary premium for liability insurance... protection requirements and indemnity agreements to increase the primary nuclear liability insurance layer...

  1. Implementation of the Ryan Haight Online Pharmacy Consumer Protection Act of 2008. Interim final rule with request for comments.

    PubMed

    2009-04-06

    The Ryan Haight Online Pharmacy Consumer Protection Act, which was enacted on October 15, 2008, amended the Controlled Substances Act and Controlled Substances Import and Export Act by adding several new provisions to prevent the illegal distribution and dispensing of controlled substances by means of the Internet. DEA is hereby issuing an interim rule to amend its regulations to implement the legislation and is requesting comments on the interim rule.

  2. 78 FR 45997 - Notice of Final Federal Agency Actions on Transportation Project in Washington State

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-30

    ... Century Act (MAP-21), Pub. L. 112-141, sec. 1308, 126 Stat. 405 (2012). Issued on: July 16, 2013. Daniel M... ROD issued concurrently on July 16, 2013, and in other documents in the FHWA administrative record... Act [16 U.S.C. 1531-1544]; Migratory Bird Treaty Act [16 U.S.C. 703-712]. (Catalog of Federal Domestic...

  3. Considerations for State Leaders in the Design of School Accountability Systems under the "Every Student Succeeds Act"

    ERIC Educational Resources Information Center

    Marion, Scott

    2016-01-01

    The Elementary and Secondary Schools Education Act (ESEA) was finally reauthorized as the Every Student Succeeds Act (ESSA). The reauthorization was long overdue and with its passage comes much hype and some misinformation about what the law permits and does not permit. The purpose of this brief is to outline some of the key accountability…

  4. 75 FR 71125 - Proposed Consent Decree, Clean Air Act Citizen Suit

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-22

    ... public comment. SUMMARY: In accordance with section 113(g) of the Clean Air Act, as amended (``CAA'' or the ``Act''), 42 U.S.C. 7413(g), notice is hereby given of a proposed consent decree to address a... section 110(k)(2) of the CAA, 42 U.S.C. 7410(k)(2), to take timely final action on a submission entitled...

  5. Implementation of the Provision of the Comprehensive Addiction and Recovery Act of 2016 Relating to the Dispensing of Narcotic Drugs for Opioid Use Disorder. Final rule.

    PubMed

    2018-01-23

    The Comprehensive Addiction and Recovery Act (CARA) of 2016, which became law on July 22, 2016, amended the Controlled Substances Act (CSA) to expand the categories of practitioners who may, under certain conditions on a temporary basis, dispense a narcotic drug in Schedule III, IV, or V for the purpose of maintenance treatment or detoxification treatment. Separately, the Department of Health and Human Services, by final rule effective August 8, 2016, increased to 275 the maximum number of patients that a practitioner may treat for opioid use disorder without being separately registered under the CSA for that purpose. The Drug Enforcement Administration (DEA) is hereby amending its regulations to incorporate these statutory and regulatory changes.

  6. 15 CFR 922.103 - Management and enforcement.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Management and enforcement. The National Oceanic and Atmospheric Administration (NOAA) has primary... Development Planning Office (EDPO) will assist NOAA in the administration of the Sanctuary, and act as the... provisions of any grant or cooperative agreement. NOAA may act to deputize enforcement agents of the American...

  7. 15 CFR 922.103 - Management and enforcement.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Management and enforcement. The National Oceanic and Atmospheric Administration (NOAA) has primary... Development Planning Office (EDPO) will assist NOAA in the administration of the Sanctuary, and act as the... provisions of any grant or cooperative agreement. NOAA may act to deputize enforcement agents of the American...

  8. 15 CFR 922.103 - Management and enforcement.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Management and enforcement. The National Oceanic and Atmospheric Administration (NOAA) has primary... Development Planning Office (EDPO) will assist NOAA in the administration of the Sanctuary, and act as the... provisions of any grant or cooperative agreement. NOAA may act to deputize enforcement agents of the American...

  9. Bisphenol A; Final Test Rule

    EPA Pesticide Factsheets

    EPA is issuing a final rule, under section 4 of the Toxic Substances Control Act (TSCA) requiring manufacturers and processors of bisphenol A, hereinafter BPA, (4.4’-isopropylidenediphenol, CAS No. 80-05—7) to conduct a 90-day inhalation study.

  10. Tetrabromobisphenol A; Final Test Rule

    EPA Pesticide Factsheets

    EPA is issuing a final test rule, under section 4 of the Toxic Substances Control Act (TSCA), requiring manufacturers and processors of tetrabromobisphenol A (TBBPA. CAS No. 79—94—7) to perform testing for chemical fate and environmental effects.

  11. The organ transplantation act and recent trends in Korea.

    PubMed

    Joo, Ho No

    2013-03-01

    The Organ Transplantation Act, including transplantation of organs from brain-dead donors, entered into force in Korea on February 9, 2000. This article introduces the Organ Transplantation Act, focusing on scope of the Act, determination of brain death, removal of organs from brain-dead or deceased donors, removal from living donors, organ allocation, and prohibition of trade in human organs. Especially, some primary ethical dilemmas surrounding organ allocation arise from the shortage of available organs. The primary ethical problems surrounding organ allocation are as follows. A key purpose of the organ donation incentive system is to increase the number of organ transplants from brain-dead donors. In particular, the priority for kidney patient was allowed in consideration of doctor's strong desire to increase the brain-dead donors. Also, the organ allocation criteria based on the organ donation incentive system appear unfair, especially for the kidney patient, because the criteria do not fit the principles of distributive justice. In the future, the organ donation incentive system itself may need to be reexamined.

  12. Factors associated with final year nursing students' desire to work in the primary health care setting: Findings from a national cross-sectional survey.

    PubMed

    Bloomfield, Jacqueline G; Aggar, Christina; Thomas, Tamsin H T; Gordon, Christopher J

    2018-02-01

    Registered nurses are under-represented in the primary health care setting both internationally and in Australia, and this shortage is predicted to worsen. To address the increasingly complex healthcare needs of an ageing population, it is vital to develop and sustain a primary health care nursing workforce, yet attracting nurses is challenging. In Australia, registered nurses graduating from university typically commence their careers in hospital-based transition to professional practice programs. Similar programs in primary health care settings may be a valuable strategy for developing the primary health care nursing workforce, yet little is known about nursing students desire to work in this setting, factors that influence this, or their expectations of primary health care-focused transition to professional practice programs. This study sought to identify factors associated with final year nursing students' desire to work in primary health care setting including demographic factors, expectations of future employment conditions, and job content. It also explored expectations of graduate transition programs based in primary health care. A cross-sectional survey design comprising a quantitative online survey. 14 Australian universities from all states/territories, both rural and urban. 530 final-year nursing students. Binary logistic regression identifying factors contributing to desire to work in primary health care. The desire of nursing students to work in primary health care is associated with older age, greater perceived value of employment conditions including flexibility, and less perceived importance of workplace support. Collaborative efforts from primary health care nurses, health professionals, academics and policy makers are needed to attract new graduate nurses to primary health care. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

  13. 78 FR 56650 - Boundary Description and Final Map for Roaring Wild and Scenic River, Mount Hood National Forest...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-13

    ... DEPARTMENT OF AGRICULTURE Forest Service Boundary Description and Final Map for Roaring Wild and... availability. SUMMARY: In accordance with section 3(b) of the Wild and Scenic Rivers Act, the USDA Forest Service, Washington Office, is transmitting the final boundary description and map of the Roaring Wild and...

  14. 76 FR 81860 - Fisheries of the Exclusive Economic Zone Off Alaska; Gulf of Alaska; Final 2011 and 2012 Harvest...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-29

    ... required by the final rule implementing Amendment 83 to the Fishery Management Plan for Groundfish of the...-Stevens Fishery Conservation and Management Act. DATES: The final 2011 and 2012 harvest specifications and... resources of the GOA, dated November 2011, are available from the North Pacific Fishery Management Council...

  15. 78 FR 49967 - Magnuson-Stevens Fishery Conservation and Management Act Provisions; Fisheries of the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-16

    ...: Final rule. SUMMARY: This final rule reopens an additional portion of the Georges Bank Closed Area to... interim final rule reopened a portion of the Georges Bank Closed Area that had been closed to the harvest... additional portion of the Georges Bank Closed Area. DATES: This rule is effective August 16, 2013. ADDRESSES...

  16. 76 FR 5562 - Polyvinyl Alcohol From Taiwan: Final Determination of Sales at Less Than Fair Value

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-01

    ... Taiwan: Final Determination of Sales at Less Than Fair Value AGENCY: Import Administration, International... United States at less than fair value (LTFV), as provided in section 735 of the Tariff Act of 1930, as... Taiwan: Preliminary Determination of Sales at Less Than Fair Value and Postponement of Final...

  17. 78 FR 286 - Circular Welded Carbon Steel Pipes and Tubes From Turkey; Amended Final Results of Antidumping...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-03

    ... Pipes and Tubes From Turkey; Amended Final Results of Antidumping Duty Administrative Review; 2010 to... administrative review of the antidumping duty order on circular welded carbon steel pipes and tubes from Turkey... Act). \\1\\ See Circular Welded Carbon Steel Pipes and Tubes from Turkey; Final Results of Antidumping...

  18. Long-acting injectables and risk for rehospitalization among patients with schizophrenia in the home care program in Taiwan.

    PubMed

    Ju, Po-Chung; Chou, Frank Huang-Chih; Lai, Te-Jen; Chuang, Po-Ya; Lin, Yung-Jung; Yang, Ching-Wen Wendy; Tang, Chao-Hsiun

    2014-02-01

    We aimed at evaluating the relationship between medication and treatment effectiveness in a home care setting among patients with schizophrenia. Patients with schizophrenia hospitalized between 2004 and 2009 with a primary International Classification of Diseases, Ninth Revision, Clinical Modification code of 295 were identified from Psychiatric Inpatient Medical Claims Data released by the National Health Research Institute in Taiwan. Patients who joined the home care program after discharge and were prescribed long-acting injection (LAI) (the LAI group) or oral antipsychotic medications (the oral group) were included as study subjects. The final sample for the study included 810 participants in the LAI group and 945 in the oral group. Logistic regression was performed to examine the independent effect of LAI medication on the risk for rehospitalization within the 12-month observation window after controlling for patient and hospital characteristics and propensity score quintile adjustment. The unadjusted odds ratio for rehospitalization risk was 0.80 (confidence interval, 0.65-0.98) for the LAI group compared to the oral group. The adjusted odds ratio was further reduced to 0.78 (confidence interval, 0.63-0.97). Results remained unchanged when the propensity score quintiles were entered into the regression for further adjustment. In a home care setting, patients treated with long-acting antipsychotic agents are at a significantly lower risk for psychiatric rehospitalization than those treated with oral medication. Consequently, LAI home-based treatment for the prevention of schizophrenia relapse may lead to substantial clinical and economic benefits.

  19. Molecular, biochemical, and functional characterization of a Nudix hydrolase protein that stimulates the activity of a nicotinoprotein alcohol dehydrogenase.

    PubMed

    Kloosterman, Harm; Vrijbloed, Jan W; Dijkhuizen, Lubbert

    2002-09-20

    The cytoplasmic coenzyme NAD(+)-dependent alcohol (methanol) dehydrogenase (MDH) employed by Bacillus methanolicus during growth on C(1)-C(4) primary alcohols is a decameric protein with 1 Zn(2+)-ion and 1-2 Mg(2+)-ions plus a tightly bound NAD(H) cofactor per subunit (a nicotinoprotein). Mg(2+)-ions are essential for binding of NAD(H) cofactor in MDH protein expressed in Escherichia coli. The low coenzyme NAD(+)-dependent activity of MDH with C(1)-C(4) primary alcohols is strongly stimulated by a second B. methanolicus protein (ACT), provided that MDH contains NAD(H) cofactor and Mg(2+)-ions are present in the assay mixture. Characterization of the act gene revealed the presence of the highly conserved amino acid sequence motif typical of Nudix hydrolase proteins in the deduced ACT amino acid sequence. The act gene was successfully expressed in E. coli allowing purification and characterization of active ACT protein. MDH activation by ACT involved hydrolytic removal of the nicotinamide mononucleotide NMN(H) moiety of the NAD(H) cofactor of MDH, changing its Ping-Pong type of reaction mechanism into a ternary complex reaction mechanism. Increased cellular NADH/NAD(+) ratios may reduce the ACT-mediated activation of MDH, thus preventing accumulation of toxic aldehydes. This represents a novel mechanism for alcohol dehydrogenase activity regulation.

  20. 76 FR 11319 - Truth in Lending

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-02

    ... Congress enacted the Truth in Lending Act (TILA) based on findings that economic stability would be... Final Rule Congress enacted TILA based on findings that economic stability would be enhanced and... Economic Recovery Act of 2008 (HERA), also provides that its principal obligation limitations are subject...

  1. 75 FR 404 - Privacy Act of 1974; Department of Homeland Security U.S. Immigration and Customs Enforcement-009...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-05

    .... Government. The Privacy Act exemptions for this system go unchanged and the Final Rule remains in place. This... the docket to read background documents or comments received go to http://www.regulations.gov . FOR...

  2. 32 CFR 291.5 - Responsibilities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM § 291.5 Responsibilities. (a) The Director, DNA, as appellate authority, is responsible for reviewing and making the final... requests and has sole responsibility for withholding that information. (c) The DNA FOIA Officer, who is...

  3. 32 CFR 291.5 - Responsibilities.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM § 291.5 Responsibilities. (a) The Director, DNA, as appellate authority, is responsible for reviewing and making the final... requests and has sole responsibility for withholding that information. (c) The DNA FOIA Officer, who is...

  4. 32 CFR 291.5 - Responsibilities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM § 291.5 Responsibilities. (a) The Director, DNA, as appellate authority, is responsible for reviewing and making the final... requests and has sole responsibility for withholding that information. (c) The DNA FOIA Officer, who is...

  5. 32 CFR 291.5 - Responsibilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... INFORMATION ACT PROGRAM DEFENSE NUCLEAR AGENCY (DNA) FREEDOM OF INFORMATION ACT PROGRAM § 291.5 Responsibilities. (a) The Director, DNA, as appellate authority, is responsible for reviewing and making the final... requests and has sole responsibility for withholding that information. (c) The DNA FOIA Officer, who is...

  6. 77 FR 66935 - Telephone Consumer Protection Act of 1991

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-08

    ... FEDERAL COMMUNICATIONS COMMISSION 47 CFR Part 64 [CG Docket No. 02-278; FCC 12-21] Telephone Consumer Protection Act of 1991 AGENCY: Federal Communications Commission. ACTION: Final rule; correction...: Karen Johnson, Consumer and Governmental Affairs Bureau, Consumer Policy Division, at (202) 418- 7706 or...

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-22

    ... involving loan modification and foreclosure rescue services.'' \\7\\ The Omnibus Appropriations Act, as... respect to mortgage assistance relief services. See Mortgage Assistance Relief Services (MARS), Final Rule....e., likely to affect consumers' decisions to purchase or use the product or service at issue.\\9...

  8. 78 FR 15877 - Taxable Medical Devices; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-13

    ... Medical Devices; Correction AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Correction to final... on the excise tax imposed on the sale of certain medical devices, enacted by the Health Care and Education Reconciliation Act of 2010 in conjunction with the Patient Protection and Affordable Care Act...

  9. 77 FR 18271 - Notice of Sunshine Act Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-27

    .... Affirmation Session (Public Meeting) (Tentative) a. FirstEnergy Nuclear Operating Co. (Davis-Besse Nuclear... NUCLEAR REGULATORY COMMISSION [NRC-2012-0002] Notice of Sunshine Act Meeting DATE: Weeks of March....m. Briefing on the Final Report of the Blue Ribbon Commission on America's Nuclear Future (Public...

  10. 78 FR 55703 - Privacy Act of 1974; Systems of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-11

    ... Maritime Commission, or from the FMC's Web site at FMC Systems of Records Based on Privacy Act Issuances..., and/or research material used to support the final position classification. Authority for maintenance... the system through analysis, research, corroboration, field investigation, reporting, and referral...

  11. 77 FR 21843 - Mango Promotion, Research, and Information Order; Assessment Increase

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-12

    ...-0021] Mango Promotion, Research, and Information Order; Assessment Increase AGENCY: Agricultural Marketing Service, USDA. ACTION: Final rule. SUMMARY: This rule amends the Mango Promotion, Research, and..., which is authorized by the Commodity Promotion, Research, and Information Act of 1996 (Act). The...

  12. 75 FR 62182 - Notice of Final Federal Agency Actions on Proposed Highway in North Carolina

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-07

    ... Indian Religious Freedom Act [42 U.S.C. 1996]; Farmland Protection Policy Act (FPPA) [7 U.S.C. 4201-4209... Populations; E.O. 11593 Protection and Enhancement of Cultural Resources; E.O. 13007 Indian Sacred Sites; E.O...

  13. 75 FR 75721 - Notice of Final Federal Agency Actions on Proposed Highway in Wisconsin

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-06

    ...: Civil Rights Act of 1964 [42 U.S.C. 2000(d) et. seq.]; American Indian Religious Freedom Act [42 U.S.C... Income Populations; E.O. 11593 Protection and Enhancement of Cultural Resources; E.O. 13007 Indian Sacred...

  14. 78 FR 14669 - Privacy Act of 1974; Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-07

    ... DEPARTMENT OF JUSTICE 28 CFR Part 16 [CPCLO Order No. 002-2013] 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 Enforcement Administration (DEA) is issuing a...

  15. 76 FR 73025 - Medicare Program; Payment Policies Under the Physician Fee Schedule, Five-Year Review of Work...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-28

    ...This final rule with comment period addresses changes to the physician fee schedule and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. It also addresses, implements or discusses certain statutory provisions including provisions of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act) and the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008. In addition, this final rule with comment period discusses payments for Part B drugs; Clinical Laboratory Fee Schedule: Signature on Requisition; Physician Quality Reporting System; the Electronic Prescribing (eRx) Incentive Program; the Physician Resource-Use Feedback Program and the value modifier; productivity adjustment for ambulatory surgical center payment system and the ambulance, clinical laboratory, and durable medical equipment prosthetics orthotics and supplies (DMEPOS) fee schedules; and other Part B related issues.

  16. Strategies for Interculturally-oriented Civics Teaching at Primary and Secondary Level. Final Symposium (Timisoara, Romania, December 7-11, 1994). Report.

    ERIC Educational Resources Information Center

    Birzea, Cesar

    This publication reports on the final symposium of the "Strategies for Interculturally-oriented Civics Teaching at Primary and Secondary Level" pilot project. The report presents an overview of the various aspects of the project and outlines the results of the experimental phase in which 40 teachers representing 16 European countries…

  17. Applying the Exceptions to the Fair Labor Standards Act to Child Care Workers

    ERIC Educational Resources Information Center

    Dalton, Jason

    2009-01-01

    The Fair Labor Standards Act (FLSA) is the primary federal legislation establishing national wage and hour standards. The purpose of the Act is to protect the working class from overwork and underpay by providing non-waivable rights to a minimum wage and a premium pay rate at time and one-half the regular rate of pay for all hours worked over 40…

  18. Medicare and state health care programs: fraud and abuse; safe harbors for certain electronic prescribing and electronic health records arrangements under the anti-kickback statute. Final rule.

    PubMed

    2006-08-08

    As required by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Public Law 108-173, this final rule establishes a new safe harbor under the Federal anti-kickback statute for certain arrangements involving the provision of electronic prescribing technology. Specifically, the safe harbor would protect certain arrangements involving hospitals, group practices, and prescription drug plan (PDP) sponsors and Medicare Advantage (MA) organizations that provide to specified recipients certain nonmonetary remuneration in the form of hardware, software, or information technology and training services necessary and used solely to receive and transmit electronic prescription information. In addition, in accordance with section 1128B(b)(3)(E) of the Social Security Act (the Act), this final rule creates a separate new safe harbor for certain arrangements involving the provision of nonmonetary remuneration in the form of electronic health records software or information technology and training services necessary and used predominantly to create, maintain, transmit, or receive electronic health records.

  19. Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNFs) for FY 2016, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, and Staffing Data Collection. Final Rule.

    PubMed

    2015-08-04

    This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2016. In addition, it specifies a SNF all-cause all-condition hospital readmission measure, as well as adopts that measure for a new SNF Value-Based Purchasing (VBP) Program, and includes a discussion of SNF VBP Program policies we are considering for future rulemaking to promote higher quality and more efficient health care for Medicare beneficiaries. Additionally, this final rule will implement a new quality reporting program for SNFs as specified in the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act). It also amends the requirements that a long-term care (LTC) facility must meet to qualify to participate as a skilled nursing facility (SNF) in the Medicare program, or a nursing facility (NF) in the Medicaid program, by establishing requirements that implement the provision in the Affordable Care Act regarding the submission of staffing information based on payroll data.

  20. 23 CFR 633.206 - Project agreements.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...) “For projects constructed under section 201 of the Appalachian Regional Development Act of 1965, as... Development Act of 1965 is to provide employment, the State highway department further agrees that in addition... Appalachian development route not already on the Federal-aid Primary System, the State highway department...

  1. Army PM UAS Spectrum Update

    DTIC Science & Technology

    2012-07-01

    Small Unmanned Aircraft Systems vs. Air Combat Telemetry Systems SUAS - 2 Watts vs. ACTS 100 Watts... SUAS - 25 km normal radius vs. ACTS 200 km normal radius Primary Concerns: Operational Small Unmanned Aircraft Systems ...Std Z39-18 UNCLASSIFIED UNCLASSIFIED Army Unmanned Aircraft Systems 2 Provides the small unit the

  2. THE CHALLENGES OF AIR POLLUTION AND RESIDUAL RISK ASSESSMENT (EDITORIAL)

    EPA Science Inventory

    The Clean Air Act (CAA), a comprehensive federal law that regulates air pollution from stationary and mobile sources, was first passed in 1963. The act has provided the primary framework for protecting human health and the environment. The CAA divides air pollutants into "criteri...

  3. The Law in Review

    ERIC Educational Resources Information Center

    Odland, Jerry

    2007-01-01

    The No Child Left Behind (NCLB) Act is currently being reviewed in Congress for reauthorization. NCLB, among the most significant U.S. education initiatives, reauthorized the 1965 Elementary and Secondary Education Act and is founded on four primary objectives: (1) increasing accountability for states, school districts, and schools; (2) giving…

  4. Investigation of the electrical discharge parameters in electrodeless inductive lamps with a re-entrant coupler and magnetic core

    NASA Astrophysics Data System (ADS)

    Statnic, Eugen; Tanach, Valentin

    2006-08-01

    The inductively coupled fluorescent lamp with a cored induction coil placed in a re-entrant cavity is in fact a coaxial transformer operated in the radiofrequency range between 100 kHz and a few MHz. The magnetic coupling coefficient k between the primary coil and the plasma ring is relatively low because of the open magnetic circuit. The acting mutual inductance M enables us to quantify the interaction between the magnetic field produced by the primary coil current I1 and the opposing magnetic field produced by the powerful plasma current I2. A contra-electromotive force jωMI2 is induced in the induction coil L1, defining the primary voltage V1 = I1(R1 + jω L1) - jωMI2. The current I1 induces in the secondary conductive plasma the driving electromotive force jωMI1 supplying the secondary load consisting of the average plasma resistance R2 and the secondary inductance L2, according to the equation jωMI2 = I2(R2 + jωL2). It is the aim of this paper to find a model to determine k on the basis of the measured primary parameters V1, I1, P1, L1, R1 and finally all electrical inaccessible parameters, such as M, V2, I2, phiv2, L2, R2, in order to optimize the discharge and lamp efficacy. The complex characteristic of plasma inductance for this type of lamp is analysed and clarified. Some reflexive basic relations verifying the correctness of the inferred plasma parameters are also developed. The described experiments are related to a lamp working at about 2.6 MHz.

  5. Utilisation of strategic communication to create willingness to change work practices among primary care staff: a long-term follow-up study.

    PubMed

    Morténius, Helena; Fridlund, Bengt; Marklund, Bertil; Palm, Lars; Baigi, Amir

    2012-04-01

    To evaluate the long-term utilisation of strategic communication as a factor of importance when changing work practices among primary care staff. In many health care organisations, there is a gap between theory and practice. This gap hinders the provision of optimal evidence-based practice and, in the long term, is unfavourable for patient care. One way of overcoming this barrier is systematically structured communication between the scientific theoretical platform and clinical practice. This longitudinal evaluative study was conducted among a primary care staff cohort. Strategic communication was considered to be the intervention platform and included a network of ambassadors who acted as a component of the implementation. Measurements occurred 7 and 12 years after formation of the cohort. A questionnaire was used to obtain information from participants. In total, 846 employees (70%) agreed to take part in the study. After 12 years, the 352 individuals (60%) who had remained in the organisation were identified and followed up. Descriptive statistics and multivariate analysis were used to analyse the data. Continuous information contributed to significant improvements over time with respect to new ideas and the intention to change work practices. There was a statistically significant synergistic effect on the new way of thinking, that is, willingness to change work practices. During the final two years, the network of ambassadors had created a distinctive image for itself in the sense that primary care staff members were aware of it and its activities. This awareness was associated with a positive change with regard to new ways of thinking. More years of practice was inversely associated with willingness to change work practices. Strategic communication may lead to a scientific platform that promotes high-quality patient care by means of new methods and research findings.

  6. 78 FR 24593 - Notice of Finding That Kassem Rmeiti & Co. For Exchange Is a Financial Institution of Primary...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-25

    .... For Exchange Is a Financial Institution of Primary Money Laundering Concern AGENCY: Financial Crimes... United States that is of primary money laundering concern. DATES: The finding referred to in this notice... the anti- money laundering provisions of the Bank Secrecy Act (``BSA''), codified at 12 U.S.C. 1829b...

  7. Palmdale Energy Project; Final Decision; Prevention of Significant Deterioration (PSD) Permit

    EPA Pesticide Factsheets

    EPA Region 9 is issuing a final decision to grant conditional approval, in accordance with the Clean Air Act, for the construction of a natural gas-fired combined cycle power plant known as the Palmdale Energy Project.

  8. 40 CFR 305.36 - Final order; costs.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 29 2013-07-01 2013-07-01 false Final order; costs. 305.36 Section 305.36 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND, EMERGENCY... LIABILITY ACT (CERCLA) ADMINISTRATIVE HEARING PROCEDURES FOR CLAIMS AGAINST THE SUPERFUND Hearing Procedure...

  9. 40 CFR 305.36 - Final order; costs.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 28 2011-07-01 2011-07-01 false Final order; costs. 305.36 Section 305.36 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND, EMERGENCY... LIABILITY ACT (CERCLA) ADMINISTRATIVE HEARING PROCEDURES FOR CLAIMS AGAINST THE SUPERFUND Hearing Procedure...

  10. 40 CFR 305.36 - Final order; costs.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 29 2012-07-01 2012-07-01 false Final order; costs. 305.36 Section 305.36 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND, EMERGENCY... LIABILITY ACT (CERCLA) ADMINISTRATIVE HEARING PROCEDURES FOR CLAIMS AGAINST THE SUPERFUND Hearing Procedure...

  11. Final Rule: 2013 Conditional Exclusions From Solid Waste and Hazardous Waste for Solvent-Contaminated Wipes

    EPA Pesticide Factsheets

    This is a regulation page for the final rule EPA issued on July 31, 2013 that modifies the hazardous waste management regulations for solvent-contaminated wipes under the Resource Conservation and Recovery Act (RCRA).

  12. 10 CFR 51.90 - Final environmental impact statement-general.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 2 2014-01-01 2014-01-01 false Final environmental impact statement-general. 51.90 Section 51.90 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) ENVIRONMENTAL PROTECTION REGULATIONS FOR DOMESTIC LICENSING AND RELATED REGULATORY FUNCTIONS National Environmental Policy Act-Regulations...

  13. 10 CFR 51.91 - Final environmental impact statement-contents.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 2 2014-01-01 2014-01-01 false Final environmental impact statement-contents. 51.91 Section 51.91 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) ENVIRONMENTAL PROTECTION REGULATIONS FOR DOMESTIC LICENSING AND RELATED REGULATORY FUNCTIONS National Environmental Policy Act-Regulations...

  14. Federal Register notice: Office of Solid Waste Chemicals; Final Test Rule

    EPA Pesticide Factsheets

    EPA is issuing a final test rule, under section 4 of the Toxic Substances Control Act(TSCA) requiring and/or recommending that manufacturers and processors of 33 chemicals perform testing for human health effects and/or chemical fate.

  15. Notice and Supplemental Determination for Renewable Fuels Produced Under the Final Renewable Fuel Standard Program from Canola Oil

    EPA Pesticide Factsheets

    This rule finalizes the determination that canola oil biodiesel meets the lifecycle greenhouse gas (GHG) emission reduction threshold of 50 required by the Energy Independence and Security Act of 2007 (EISA).

  16. Implications of recent EIA changes in Thailand

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

    Tongcumpou, C.; Harvey, N.

    The practice of environmental impact assessment (EIA) was implemented in Thailand after the revision of the National Environmental Quality Act in 1978. This led to more than 3,000 EIA documents being prepared and officially submitted up to 1992. More recently, a new act, the Enhancement and Conservation of National Environmental Quality Act, was introduced in 1992. As a consequence, some aspects of environmental legislation have been improved including the EIA process, which is expected to be more effective under the new act. This article examines the development and implementation of the EIA process in Thailand and its effectiveness in themore » context of its performance as an environmental management tool. The strengths and weaknesses of the EIA process under the original act are analyzed and compared to the new act, using two case studies in order to gain an insight into the EIA system. The first is the Second Stage Expressway in Bangkok, and the second is the Pak Mun Hydroelectric Dam project in Ubon Rachathani, a northeastern province of Thailand. EIAs for these projects were originally submitted according to the requirements of the old act. Both are public projects that have aroused controversy for different environmental reasons, although final decisions have been made facilitating the implementation of these projects. Finally, the article presents some suggestions for improving the content and procedures for the EIA system in Thailand.« less

  17. The balance between innovation and competition: the Hatch-Waxman Act, the 2003 Amendments, and beyond.

    PubMed

    Kelly, Colleen

    2011-01-01

    In 1984, Congress passed the Hatch-Waxman Act, a landmark statute designed both to encourage innovation by pioneer drug companies and to increase competition by generic drug companies. After its enactment, drug companies attempted to "ga the regulatory regime to their respective economic advantage. In 2003, in an effort to address these issues, FDA promulgated a final rule and Congress passed the Medicare Modernization Act, amending the Hatch-Waxman Act. This article provides a comprehensive look at the 2003 statutory and regulatory changes. First, the article analyzes the history and provisions of the original Hatch-Waxman Act and the issues that arose after its enactment. Second, the article discusses the passage of the 2003 FDA rule and the 2003 Medicare Modernization Act. Next, the article demonstrates that, although the 2003 amendments may have definitively resolved some issues, the amendments did not resolve all interpretive issues and have even led to unintended consequences. In particular, the article discusses several areas of current controversy, including the effect of patent delisting and patent expiration on 180-day exclusivity, the patent delisting counterclaim provision, the declaratory judgment action provision, patent settlement agreements, and authorized generics. Finally, the article assesses the potential for future reform of the Hatch-Waxman Act. The article concludes that maintaining the balance between innovation and competition will likely remain a daunting task for legislators and regulators in the future.

  18. 75 FR 58489 - Regulation Z; Truth in Lending

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-24

    ...The Board is publishing final rules amending Regulation Z (Truth in Lending). The final rule implements Section 131(g) of the Truth in Lending Act (TILA), which was enacted on May 20, 2009, as Section 404(a) of the Helping Families Save Their Homes Act. TILA Section 131(g) became effective immediately upon enactment and established a new requirement for notifying consumers of the sale or transfer of their mortgage loans. Consistent with the statute, the final rule requires a purchaser or assignee that acquires a loan to provide the disclosures in writing no later than 30 days after the date on which the loan was sold, transferred or assigned. Certain exceptions may apply if the covered person transfers or assigns the loan to another party on or before the 30th day.

  19. Medicaid program; Medicaid Management Information Systems; conditions of approval and reapproval and procedures for reduction of Federal financial participation--HCFA. Final rule.

    PubMed

    1985-07-30

    This final rule provides the additional requirements to the conditions and procedures for initial approval and reapproval of Medicaid Management Information Systems (MMIS) that were added by section 1903(r) of the Social Security Act (as amended by section 901 of the Mental Health Systems Act of 1980, Pub. L. 96-398). These provisions are intended to improve States' MMIS, ensure efficient system operations, and make the procedures for detection of fraud, waste, and abuse more effective. In addition, this final rule specifies the procedures we follow in reducing the level of Federal financial participation in State administrative expenditures if a State fails to meet the conditions for initial operation, initial approval, or reapproval of an MMIS.

  20. Supplements and other changes to an approved application. Final rule.

    PubMed

    2004-04-08

    The Food and Drug Administration (FDA) is amending its regulations on supplements and other changes to an approved application to implement the manufacturing changes provision of the Food and Drug Administration Modernization Act of 1997 (the Modernization Act). The final rule requires manufacturers to assess the effects of manufacturing changes on the identity, strength, quality, purity, and potency of a drug or biological product as those factors relate to the safety or effectiveness of the product. The final rule sets forth requirements for changes requiring supplement submission and approval before the distribution of the product made using the change, changes requiring supplement submission at least 30 days prior to the distribution of the product, changes requiring supplement submission at the time of distribution, and changes to be described in an annual report.

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