Science.gov

Sample records for action 30-day notice

  1. 75 FR 160 - Paperwork Reduction Act; 30-Day Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-04

    ... [Federal Register Volume 75, Number 1 (Monday, January 4, 2010)] [Notices] [Page 160] [FR Doc No: E9-31132] OFFICE OF NATIONAL DRUG CONTROL POLICY Paperwork Reduction Act; 30-Day Notice AGENCY: Office of National Drug Control Policy. The Office of National Drug Control Policy (ONDCP) proposes...

  2. 78 FR 29147 - 30-Day Notice and Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-17

    ... SECURITY United States Secret Service 30-Day Notice and Request for Comments SUMMARY: The Department of... United States Secret Service, Department of Homeland Security, and sent via electronic mail to oira... additional information or copies of the form(s) and instructions should be directed to: United States...

  3. 78 FR 18373 - Paperwork Reduction Act; 30-Day Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-26

    ... CONTROL POLICY Paperwork Reduction Act; 30-Day Notice AGENCY: Office of National Drug Control Policy. ] The Office of National Drug Control Policy (ONDCP) proposes the collection of information concerning... of the President, Office of National Drug Control Policy, Research & Data Analysis, Washington,...

  4. 78 FR 1916 - 30-Day Notice of Proposed Information Collection: Smart Traveler Enrollment Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-09

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF STATE 30-Day Notice of Proposed Information Collection: Smart Traveler Enrollment Program ACTION: Notice of request... Information Collection: Smart Traveler Enrollment Program (STEP). OMB Control Number: 1405-0152. Type...

  5. 78 FR 70958 - 30-Day Notice of Proposed Information Collection: Recordkeeping for HUD's Continuum of Care Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-27

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Recordkeeping for HUD's Continuum of Care Program AGENCY: Office of the Chief Information Officer, HUD. ACTION: Notice. SUMMARY: HUD has... allow for an additional 30 days of public comment. DATES: Comments Due Date: December 27,...

  6. 78 FR 64141 - 30-Day Notice of Proposed Information Collection: Certificate of Housing Counseling...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ... October 25, 2013 Part III Department of Housing and Urban Development 30-Day Notice of Proposed... / Notices#0;#0; ] DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Certificate of Housing Counseling: Homeownership and Certificate of Housing Counseling:...

  7. 78 FR 52005 - 30-Day Notice of Proposed Information Collection: Multifamily Project Construction Contract...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-21

    ... August 21, 2013 Part IV Department of Housing and Urban Development 30-Day Notice of Proposed Information...; ] DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Multifamily... Urban Development, 451 7th Street SW., Washington, DC 20410; email Colette Pollard at...

  8. 77 FR 48160 - Division of Cardiovascular Devices 30-Day Notices and Annual Reports; Public Workshop; Request...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-13

    ... following public workshop entitled ``Division of Cardiovascular Devices 30-Day Notices and Annual Reports... requirements applicable to premarket approval applications (PMAs), 30-day notices and annual reports... periodic (annual) report. This workshop is intended to focus on manufacturing method and procedure...

  9. 78 FR 64143 - 30-Day Notice of Proposed Information Collection: Contractor's Requisition-Project Mortgages

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Contractor's Requisition--Project..., 2013. A. Overview of Information Collection Title of Information Collection: Contractor's...

  10. 78 FR 44579 - 30-Day Notice of Proposed Information Collection: Fellowship Placement Pilot Program Evaluation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-24

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Fellowship Placement Pilot Program.... A. Overview of Information Collection Title of Information Collection: Fellowship Placement Pilot.... Description of the need for the information and proposed use: The Fellowship Placement Program places...

  11. 78 FR 64234 - 30-Day Notice of Proposed Information Collection: Environmental Review Procedures for Entities...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-28

    ... (NEPA), the regulations of the Council on Environmental Quality, related federal environmental laws... compliance with all applicable environmental laws and authorities. HUD (or the State for certain State... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Environmental Review Procedures...

  12. 78 FR 59046 - 30-Day Notice of Proposed Information Collection: Federal Labor Standards Questionnaire(s...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Federal Labor Standards..., Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th Street...

  13. 78 FR 69103 - 30-Day Notice of Proposed Information Collection: Quality Control for Rental Assistance Subsidy...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-18

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Quality Control for Rental... Information Collection: Quality Control for Rental Assistance Subsidy Determinations. OMB Approval Number... Quality Control process involves selecting a nationally representative sample of assisted households...

  14. 78 FR 36561 - 30-Day Notice of Proposed Information Collection: The Housing Counseling Federal Advisory...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-18

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: The Housing Counseling Federal... Information Collection: The Housing Counseling Federal Advisory Committee Membership Application. OMB Approval... for the information and proposed use: The Housing Counseling Federal Advisory Committee (HCFAC)...

  15. 78 FR 31999 - 30-Day Notice of Proposed Information Collection: Young Turkey/Young America Evaluation (YTYA...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-28

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE 30-Day Notice of Proposed Information Collection: Young Turkey/ Young America Evaluation (YTYA) Survey ACTION... Collection: Young Turkey/Young America Evaluation (YTYA) Survey. OMB Control Number: None. Type of...

  16. 78 FR 49280 - 30-Day Notice of Proposed Information Collection: Third-Party Documentation Facsimile Transmittal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-13

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Third-Party Documentation Facsimile..., Department of Housing and Urban Development, 451 7th Street SW., Washington, DC 20410; email Colette...

  17. 78 FR 52008 - 30-Day Notice of Proposed Information Collection: Multifamily Housing Service Coordinator Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-21

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Multifamily Housing Service..., Department of Housing and Urban Development, 451 7th Street SW., Washington, DC 20410; email Colette...

  18. 78 FR 39002 - 30-Day Notice of Proposed Information Collection: Request for Withdrawals From Replacements...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-28

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Request for Withdrawals From..., Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th Street...

  19. 78 FR 52009 - 30-Day Notice of Proposed Information Collection: Utility Allowance Adjustments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-21

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Utility Allowance Adjustments AGENCY... Urban Development, 451 7th Street SW., Washington, DC 20410; email Colette Pollard at...

  20. 78 FR 39001 - 30-Day Notice of Proposed Information Collection: Uniform Physical Standards and Physical...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-28

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Uniform Physical Standards and..., Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th Street...

  1. 78 FR 52007 - 30-Day Notice of Proposed Information Collection: Management Certification and Management Entity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-21

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Management Certification and... Management Officer, QDAM, Department of Housing and Urban Development, 451 7th Street, SW., Washington,...

  2. 78 FR 52007 - 30-Day Notice of Proposed Information Collection: Financial Statement of Corporate Applicant for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-21

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Financial Statement of Corporate..., Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th Street,...

  3. 78 FR 52006 - 30-Day Notice of Proposed Information Collection: Final Endorsement of Credit Instrument

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-21

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Final Endorsement of Credit..., Department of Housing and Urban Development, 451 7th Street, SW., Washington, DC 20410; email Colette...

  4. 78 FR 36565 - 30-Day Notice of Proposed Information Collection: Standardized Form for Collecting Information...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-18

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Standardized Form for Collecting... Information Collection: Standardized Form for Collecting Information Regarding Race and Ethnic Data. OMB... quality, utility, and clarity of the information to be collected; and (4) Ways to minimize the burden...

  5. 78 FR 38070 - 30-Day Notice of Proposed Information Collection: Affirmative Fair Housing Marketing (AFHM) Plan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-25

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Affirmative Fair Housing Marketing... Marketing (AFHM) Plan. OMB Approval Number: 2529-0013. Type of Request: Extension of a currently approved collection. Form Number: HUD-935.2A Affirmative Fair Housing Marketing (AFHM) Plan (Multifamily),...

  6. 78 FR 64142 - 30-Day Notice of Proposed Information Collection: Condominium Project Approval Document Collection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Condominium Project Approval... submitted the proposed information collection requirement described below to the Office of Management and... Management and Budget, New Executive Office Building, Washington, DC 20503; fax: 202-395-5806. Email:...

  7. 78 FR 36560 - 30-Day Notice of Proposed Information Collection: FHA Lender Approval, Annual Renewal, Periodic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-18

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: FHA Lender Approval, Annual Renewal...: Colette Pollard, Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th... Title of Information Collection: FHA Lender Approval, Annual Renewal, Periodic Updates and...

  8. 78 FR 40309 - 30-Day Notice of Proposed Information Collection: Application for Multifamily Project Mortgage...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-03

    ... described below to the Office of Management and Budget (OMB) for review, in accordance with the Paperwork Reduction Act. The purpose of this notice is to allow for an additional 30 days of public comment. DATES... sent to: HUD Desk Officer, Office of Management and Budget, New Executive Office Building,...

  9. 78 FR 75366 - 30-Day Notice of Proposed Information Collection: Public Housing Energy Audits and Utility...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-11

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Public Housing Energy Audits and... Audits and Utility Allowances. OMB Approval Number: 2577-062. Type of Request: Reinstatement, with change... information and proposed use: 24 CFR 965.301, Subpart C, Energy Audit and Energy Conservation...

  10. 78 FR 52964 - 30-Day Notice of Proposed Information Collection: Section 8 Management Assessment Program (SEMAP...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-27

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Section 8 Management Assessment..., Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th Street...

  11. 78 FR 65695 - 30-Day Notice of Proposed Information Collection: Technical Processing Requirements for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-01

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Technical Processing Requirements..., Department of Housing and Urban Development, 451 7th Street SW., Washington, DC 20410; email Colette...

  12. 78 FR 66042 - 30-Day Notice of Proposed Information Collection: Section 3 Business Registry Pilot Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-04

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Section 3 Business Registry Pilot..., Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th Street...

  13. 78 FR 79474 - 30-Day Notice of Proposed Information Collection: Father's Day

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-30

    ...HUD has submitted the proposed information collection requirement described below to the Office of Management and Budget (OMB) for review, in accordance with the Paperwork Reduction Act. The purpose of this notice is to allow for an additional 30 days of public...

  14. 78 FR 79475 - 30-Day Notice of Proposed Information Collection: The Impact of Housing and Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-30

    ...HUD has submitted the proposed information collection requirement described below to the Office of Management and Budget (OMB) for review, in accordance with the Paperwork Reduction Act. The purpose of this notice is to allow for an additional 30 days of public...

  15. 78 FR 75365 - 30-Day Notice of Proposed Information Collection: Assessment of Native American, Alaska Native...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-11

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Assessment of Native American..., Department of Housing and Urban Development, 451 7th Street SW., Washington, DC 20410; email Colette Pollard... Number: 2528-0288. Type of Request: Revision of a currently approved collection. Form Number:...

  16. 78 FR 76187 - 30-Day Notice of Proposed Information Collection: Exchange Programs Alumni Web Site Registration

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-16

    ... Notice of Proposed Information Collection: Exchange Programs Alumni Web Site Registration ACTION: Notice... . SUPPLEMENTARY INFORMATION: Title of Information Collection: Exchange Programs Alumni Web site Registration. OMB... available for public review. Abstract of proposed collection: The International Exchange Alumni Web...

  17. 76 FR 33395 - 30-Day Notice of Proposed Information Collections: ECA Sports & Culture Evaluation Surveys

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-08

    ... Notice of Proposed Information Collections: ECA Sports & Culture Evaluation Surveys ACTION: Notice of... Information Collection: Sports & Culture Evaluation, Between the Lines (BTL) Survey. OMB Control Number: None... Respond: Voluntary. Title of Information Collection: Sports & Culture Evaluation, Sports Envoys...

  18. 78 FR 31999 - 30-Day Notice of Proposed Information Collection: Iran Democracy Program Grants Vetting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-28

    ... Notice of Proposed Information Collection: Iran Democracy Program Grants Vetting ACTION: Notice of...: Iran Program Grants Vetting. OMB Control Number: 1405-0176. Type of Request: Extension. ] Originating.... Respondents: Potential grantees and participants for Iran programs. Estimated Number of Respondents:...

  19. 75 FR 9013 - 30-Day Notice of Proposed Information Collection: DS 3072, Emergency Loan Application and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-26

    ... Documentation ACTION: Notice of request for public comment and submission to OMB of proposed collection of... of 1995. Title of Information Collection: Emergency Loan Application and Evacuation...

  20. 78 FR 41971 - 30-Day Notice of Proposed Information Collection: Electronic Diversity Visa Entry Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-12

    ... Notice of Proposed Information Collection: Electronic Diversity Visa Entry Form ACTION: Notice of request... Collection: Electronic Diversity Visa Entry Form. OMB Control Number: 1405-0153. Type of Request: Extension... Services (CA/VO). Form Number: DS-5501. Respondents: Aliens entering the Diversity Visa Lottery....

  1. 77 FR 62595 - 30-Day Notice of Proposed Information Collection: Passport Demand Forecasting Study

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-15

    ... Notice of Proposed Information Collection: Passport Demand Forecasting Study ACTION: Notice of request... Collection: Passport Demand Forecasting Study. OMB Control Number: 1405-0177. Type of Request: Reinstatement... data gathered from the Passport Demand Forecasting Study will be used to monitor, assess, and...

  2. 78 FR 15800 - 30-Day Notice of Proposed Information Collection: Exchange Student Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-12

    ... Notice of Proposed Information Collection: Exchange Student Survey ACTION: Notice of request for public... INFORMATION: Title of Information Collection: ECA Exchange Student Surveys. OMB Control Number: none. Type of...: SV2012-0007 (Foreign Exchange students) and SV2012-0010 (U.S. Exchange students). Respondents:...

  3. 76 FR 54283 - 30-Day Notice of Proposed Information Collections: Language Learning Survey Questions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-31

    ... various ECA exchange programs that are focused on critical foreign language learning instruction using pre... Notice of Proposed Information Collections: Language Learning Survey Questions ACTION: Notice of request... Information Collection: Language Learning Programs: Pre Program Survey Questions OMB Control Number: None...

  4. 78 FR 39824 - 30-Day Notice of Proposed Information Collection: Shrimp Exporter's/Importer's Declaration

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-02

    ... Notice of Proposed Information Collection: Shrimp Exporter's/Importer's Declaration ACTION: Notice of... Collection: Shrimp Exporter's/ Importer's Declaration OMB Control Number: 1405-0095 Type of Request... imports of shrimp pursuant to the State Department's implementation of Section 609 of Public Law...

  5. 77 FR 69539 - 30-Day Notice of Proposed Information Collection: Humphrey Evaluation Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-19

    ... Notice of Proposed Information Collection: Humphrey Evaluation Survey ACTION: Notice of request for public comment and submission to OMB of proposed collection of information. SUMMARY: The Department of... Information Collection: Humphrey Evaluation Survey. OMB Control Number: None. Type of Request: New...

  6. 78 FR 65697 - 30-Day Notice of Proposed Information Collection: Public Housing, Contracting With Resident-Owned...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-01

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Public Housing, Contracting With...: Colette Pollard, Reports Management Officer, QDAM, Department of Housing and Urban Development, 451...

  7. 77 FR 73731 - 30-Day Notice of Proposed Information Collection: Application Under the Hague Convention on the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-11

    ... Notice is to allow 30 days for public comment. DATES: Submit comments directly to the Office of Management and Budget (OMB) up to January 10, 2013. ADDRESSES: Direct comments to the Department of...

  8. 78 FR 13394 - 30-Day Notice of Proposed Information Collection: Office of Language Services Contractor...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-27

    ... Notice of Proposed Information Collection: Office of Language Services Contractor Application Form ACTION... Language Services Contractor Application Form. OMB Control Number: 1405-0191. Type of Request: Extension of... U.S. Department of State, Office of Language Services, the information collected is used to...

  9. 78 FR 37269 - 30-Day Notice of Proposed Information Collection: Statement of Exigent/Special Family...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-20

    ... of a U.S. Passport to a Minor Under Age 16 ACTION: Notice of request for public comment and.../ Special Family Circumstances for Issuance of a U.S. Passport to a Minor under Age 16. OMB Control Number... for Issuance of a U.S. Passport to a Minor under Age 16'', is used in conjunction with the...

  10. 78 FR 13141 - 30-Day Notice of Proposed Information Collection: Exchange Visitor Program Participant Survey...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-26

    ... Travel ACTION: Notice of request for public comment and submission to OMB of proposed collection of... Participant Survey--Summer Work Travel Program. OMB Control Number: None. Type of Request: New Collection...: Exchange Visitor Program participants in the Summer Work Travel category. Estimated Number of...

  11. 77 FR 10033 - 30-Day Notice of Proposed Information Collection: Gender Assessment Surveys, OMB Control Number...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-21

    ... Notice of Proposed Information Collection: Gender Assessment Surveys, OMB Control Number 1405-xxxx ACTION... Information Collection: Gender Assessment Surveys. OMB Control Number: None. Type of Request: New Collection... requirements, this request for a new information collection clearance will allow ECA/P/V, as part of the...

  12. 75 FR 66413 - 30-Day Notice of Proposed Information Collection: Exchange Programs Alumni Web Site Registration...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-28

    ... Notice of Proposed Information Collection: Exchange Programs Alumni Web Site Registration, DS-7006 ACTION... burden on those who are to respond. Abstract of Proposed Collection The Exchange Programs Alumni Web site requires information to process users' voluntary requests for participation in the Web site. Other...

  13. 77 FR 30045 - 30-Day Notice of Proposed Information Collection: English Language Evaluation Surveys

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-21

    ... Information Collection: English Language Evaluation Surveys ACTION: Notice of request for public comment and... English Language Evaluation, to conduct surveys of participants in the ETA Program, E-Teacher Scholarship program, and the English Language Specialist Program. Participants are those who went on the...

  14. 78 FR 71704 - 30-Day Notice of Proposed Information Collection: Recording, Reporting and Data Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-29

    ... and Exchange Visitor Information System (SEVIS) ACTION: Notice of request for public comment and... Information System (SEVIS). OMB Control Number: 1405-0147. Type of Request: Revision of a Currently Approved... in the Student and Exchange Visitor Information System (SEVIS). Dated: November 19, 2013. Robin...

  15. 75 FR 32961 - 30-Day Federal Register Notice of Intention To Request Clearance of Collection of Information...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-10

    ... collection Office of Management and Budget (OMB) Control 1024-0231. The OMB has up to 60 days to approve or... consideration, OMB should receive public comments within 30 days of the date on which this notice is published... were received on this notice. DATES: Public comments on the proposed Information Collection...

  16. 78 FR 36562 - 30-Day Notice of Proposed Information Collection: Application and Re-certification Packages for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-18

    ...HUD has submitted the proposed information collection requirement described below to the Office of Management and Budget (OMB) for review, in accordance with the Paperwork Reduction Act. The purpose of this notice is to allow for an additional 30 days of public...

  17. 78 FR 66040 - 30-Day Notice of Proposed Information Collection: HUD-Owned Real Estate-Sales Contract and Addendums

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-04

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: HUD-Owned Real Estate--Sales... collection entitled HUD-Owned Real Estate-Sales Contract and Addendums (2502-0306). HUD will republish...

  18. 78 FR 59047 - 30-Day Notice of Proposed Information Collection: Semi-Annual Labor Standards Enforcement Report...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-25

    ... Title of Information Collection: Semi-annual Labor Standards Enforcement Report--Local Contracting... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Semi-Annual Labor Standards Enforcement Report--Local Contracting Agencies (HUD Programs) AGENCY: Office of the Chief Information...

  19. 77 FR 47690 - 30-Day Notice of Proposed Information Collection: Civilian Response Corps Database In-Processing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-09

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE 30-Day Notice of Proposed Information Collection: Civilian Response Corps Database In-Processing Electronic Form... Database In-Processing Electronic Form. OMB Control Number: 1405-0168. Type of Request: Extension of...

  20. 78 FR 15799 - 30-Day Notice of Proposed Information Collection: Statement Regarding a Lost or Stolen U.S...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-12

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE 30-Day Notice of Proposed Information Collection: Statement Regarding a Lost or Stolen U.S. Passport Book and/or... INFORMATION: Title of Information Collection: Statement Regarding a Lost or Stolen U.S. Passport Book...

  1. 78 FR 64145 - 30-Day Notice of Proposed Information Collection: Housing Finance Agency Risk-Sharing Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Housing Finance Agency Risk-Sharing..., 2013. A. Overview of Information Collection Title of Information Collection: Housing Finance Agency... Secretary to implement risk sharing with State and local housing finance agencies (HFAs). Under this...

  2. 78 FR 65696 - 30-Day Notice of Proposed Information Collection: Housing Finance Agency Risk-Sharing Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-01

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Housing Finance Agency Risk-Sharing... Collection Title of Information Collection: Housing Finance Agency Risk- Sharing Program. OMB Approval Number... with State and local housing finance agencies (HFAs). Under this program, HUD provides full...

  3. 77 FR 39318 - 30-Day Notice of Proposed Information Collection: DS-5513, Supplemental Questionnaire To...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-02

    ..., Office of Project Management and Operational Support, Program Coordination (CA/PPT/PMO/PC) Form Number... information collection request to the Office of Management and Budget (OMB) for approval in accordance with... to the Office of Management and Budget (OMB) for up to 30 days from July 2, 2012. ADDRESSES:...

  4. 78 FR 39305 - 30-Day Notice of Proposed Information Collection: OSHC Progress Report Template

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-01

    ... Doc No: 2013-15689] DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5683-N-54] 30-Day... Development, 451 7th Street SW., Washington, DC 20410; email Colette Pollard at Colette.Pollard@hud.gov or... proposed use: The Appropriations Act, provided a total of $100,000,000 to HUD for a Sustainable...

  5. 75 FR 50791 - 30-Day Notice of Proposed Information Collection: Recording, Reporting, and Data Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-17

    ... following information collection request to the Office of Management and Budget (OMB) for approval in... Office: Bureau of Educational and Cultural Affairs, Office of Designation, ECA/EC/D. Form Number: Forms...: Submit comments to the Office of Management and Budget (OMB) for up to 30 days from August 17,...

  6. 77 FR 65439 - 30-Day Notice of Proposed Information Collection: Supplemental Registration for the Diversity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-26

    ... Notice of Proposed Information Collection: Supplemental Registration for the Diversity Immigrant Visa... Information Collection: Supplemental Registration for the Diversity Immigrant Visa Program. OMB Control Number.... Respondents: Diversity Visa Applicants. Estimated Number of Respondents: 60,000. Estimated Number of...

  7. 76 FR 18615 - 30-Day Notice of Proposed Information Collection: Performance Measurement, Evaluation and Public...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-04

    ... Notice of Proposed Information Collection: Performance Measurement, Evaluation and Public Diplomacy... Reduction Act of 1995. Title of Information Collection: Performance Measurement, Evaluation and Public... performance measurement, evaluation and customer satisfaction surveys. Included in this request is...

  8. 76 FR 27373 - 30-Day Notice of Proposed Information Collection: Medical Examination Forms for Immigrant or...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-11

    ... Notice of Proposed Information Collection: Medical Examination Forms for Immigrant or Refugee Applicants.... Title of Information Collection: Medical Examination for Immigrant or Refugee Applicant. OMB Control...-3024, DS-3025, DS-3026. Respondents: Immigrant visa and refugee applicants. Estimated Number...

  9. 77 FR 59700 - 30-Day Notice of Proposed Information Collection: Request for Entry Into Children's Passport...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-28

    ... Notice of Proposed Information Collection: Request for Entry Into Children's Passport Issuance Alert... INFORMATION: Title of Information Collection: Request for Entry into Children's Passport Issuance Alert... unmarried person under 18) into the Children's Passport Issuance Alert Program (CPIAP). CPIAP provides...

  10. 78 FR 12132 - 30-Day Notice of Proposed Information Collection: Reporting Requirements on Responsible...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-21

    ... Management and Budget (OMB) up to March 25, 2013. ADDRESSES: Direct comments to the Department of State Desk... INFORMATION CONTACT: Direct requests for additional information regarding the collection listed in this notice... people, as a means of holding their own government accountable. Nobel Peace Prize laureate Aung San...

  11. 75 FR 33375 - 30-Day Notice of Proposed Information Collection: DS-2031, Shrimp Exporter's/Importer's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-11

    ... Notice of Proposed Information Collection: DS-2031, Shrimp Exporter's/Importer's Declaration, OMB Control... Reduction Act of 1995. Title of Information Collection: Shrimp Exporter's/ Importer's Declaration. OMB... document imports of shrimp pursuant to the State Department's implementation of Section 609 of Public...

  12. 77 FR 28921 - 30-Day Notice of Proposed Information Collection: DS-260, Electronic Application for Immigration...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-16

    ... Notice of Proposed Information Collection: DS-260, Electronic Application for Immigration Visa and Alien... Alien Registration. OMB Control Number: 1405-0185. Type of Request: Extension. Originating Office: CA/VO... eligibility of aliens applying for immigrant visas. Methodology: The DS-260 will be submitted...

  13. 77 FR 14854 - 30-Day Notice of Proposed Information Collection: Department of State Acquisition Regulation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-13

    ... Notice of Proposed Information Collection: Department of State Acquisition Regulation (DOSAR), OMB... Reduction Act of 1995. Title of Information Collection: Department of State Acquisition Regulation (DOSAR... Responses: 9,316. Average Hours Per Response: Varies. Total Estimated Burden: 275,970 hours. Frequency:...

  14. 76 FR 24956 - 30-Day Notice of Proposed Information Collection: Certificate of Eligibility for Exchange Visitor...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-03

    ... Notice of Proposed Information Collection: Certificate of Eligibility for Exchange Visitor (J-1) Status... Exchange Visitor (J-1) Status OMB Control Number: 1405-0119 Type of Request: Extension of a Currently... the Bureau of Educational and Cultural Affairs in administering the Exchange Visitor Program...

  15. 75 FR 25307 - 30-Day Notice of Proposed Information Collection: DS-4100, Iran Program Grants Vetting...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... Notice of Proposed Information Collection: DS-4100, Iran Program Grants Vetting, Information Collection... of 1995. Title of Information Collection: Iran Program Grants. OMB Control Number: 1405-0176. Type of... participants for Iran programs. Estimated Number of Respondents: 200. Estimated Number of Responses:...

  16. 78 FR 36564 - 30-Day Notice of Proposed Information Collection: Delegated Processing for Certain 202 Supportive...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-18

    ... Supportive Housing for the Elderly Projects AGENCY: Office of the Chief Information Officer, HUD. ACTION... Information Collection: Delegated Processing for Certain 202 Supportive Housing for the Elderly Projects....

  17. 76 FR 24081 - 30-Day Notice of Proposed Information Collection: DS-10, Birth Affidavit, 1405-0132

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-29

    ... Notice of Proposed Information Collection: DS-10, Birth Affidavit, 1405-0132 ACTION: Notice of request... Information Collection: Birth Affidavit. OMB Control Number: 1405-0132. Type of Request: Revision of a... Collection The Birth Affidavit is submitted in conjunction with an application for a U.S. passport and...

  18. 78 FR 51801 - 30-Day Notice of Proposed Information Collection: Application for A, G, or NATO Visa

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-21

    ... Notice of Proposed Information Collection: Application for A, G, or NATO Visa ACTION: Notice of request... Collection: Application for A, G, or NATO Visas OMB Control Number: 1405-0100 Type of Request: Extension of a... for A, G or NATO visa reauthorizations, excluding A-3, G-5 or NATO applicants Estimated Number...

  19. 77 FR 40693 - 30-Day Notice of Proposed Information Collection: DS-5506, Local U.S. Citizen Skills/Resources...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-10

    ... Notice of Proposed Information Collection: DS-5506, Local U.S. Citizen Skills/Resources Survey ACTION... Management and Budget (OMB) for approval in accordance with the Paperwork Reduction Act of 1995. Title of Information Collection: Local U.S. Citizen Skills/Resources Survey. OMB Control Number: OMB No....

  20. 75 FR 62913 - 30-Day Notice of Proposed Information Collection: Form DS-3053, Statement of Consent or Special...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-13

    ...: Issuance of a Passport to a Minor Under Age 16, OMB Control Number 1405-0129 ACTION: Notice of request for... Collection: Statement of Consent or Special Circumstances: Issuance of a Passport to a Minor Under Age 16... age of 16. The primary purpose of soliciting the information is to ensure that both parents and/or...

  1. 78 FR 36815 - 30-Day Notice of Proposed Information Collection: Statement of Consent: Issuance of a U.S...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-19

    ... Under Age 16 ACTION: Notice of request for public comment and submission to OMB of proposed collection... of a U.S. Passport to a Minor under Age 16. OMB Control Number: 1405-0129. Type of Request: Revision... on the DS-3053, ``Statement of Consent: Issuance of a U.S. Passport to a Minor under Age 16'',...

  2. 76 FR 72022 - 30-Day Notice of Proposed Information Collection: DS-4131 Advance Notification Form: Tourist and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-21

    ...-Governmental Activities in the Antarctic Treaty Area, 1405-0181 ACTION: Notice of request for public comment... Notification Form: Tourist and Other Non-Governmental Activities in the Antarctic Treaty Area. OMB Control... information on tourist and other non- governmental expeditions to the Antarctic Treaty area. The...

  3. 76 FR 39967 - 30-Day Notice of Proposed Information Collection: U.S. National Commission for UNESCO Laura W...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-07

    ... Fellowship ACTION: Notice of request for public comment and submission to OMB of proposed collection of... Fellowship OMB Control Number: 1405-0180 Type of Request: Extension of a Currently Approved Collection... university students applying for a Fellowship Estimated Number of Respondents: 100 Estimated Number...

  4. 75 FR 58012 - 30-Day Notice of Proposed Information Collection: DS-156E Nonimmigrant Treaty Trader/Investor...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-23

    ... Notice of Proposed Information Collection: DS-156E Nonimmigrant Treaty Trader/Investor Application ACTION... Information Collection: Nonimmigrant Treaty Trader/Investor Application. OMB Control Number: 1405-0101. Type.../investor visa applicants. Estimated Number of Respondents: 17,000. Estimated Number of Responses:...

  5. 78 FR 64145 - 30-Day Notice of Proposed Information Collection: HUD-Owned Real Estate-Sales Contract and Addendums

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ... will be used in binding contracts between purchasers of acquired single-family assets and HUD... Contract and Addendums AGENCY: Office of the Chief Information Officer, HUD. ACTION: Notice. SUMMARY: HUD... Collection: HUD-Owned Real Estate--Sales Contract and Addendums. OMB Approval Number: 2502-0306. Type...

  6. 76 FR 20688 - Guidance for Industry and Food and Drug Administration Staff; 30-Day Notices, 135-Day Premarket...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-13

    ... HUMAN SERVICES Food and Drug Administration Guidance for Industry and Food and Drug Administration Staff... Supplements for Manufacturing Method or Process Changes; Availability AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food and Drug Administration (FDA) is announcing the availability...

  7. 78 FR 58377 - 30-Day Notice of Proposed Information Collection: Application for a U.S. Passport: Name Change...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-23

    ..., and Limited Passport Book Replacement ACTION: Notice of request for public comment and submission to..., and Limited Passport Book Replacement. OMB Control Number: 1405-0160. Type of Request: Revision of a.... passport applies for a new passport book and/or passport card with corrected personal data or when...

  8. 75 FR 62913 - 30-Day Notice of Proposed Information Collection: Form DS-5504, Application for a U.S. Passport...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-13

    ..., Data Correction, and Limited Passport Book Replacement, OMB Control Number 1405-0160 ACTION: Notice of... Book Replacement. OMB Control Number: 1405-0160. Type of Request: Revision of a Currently Approved... Application for a U.S. Passport: Name Change, Data Correction, And Limited Passport Book Replacement....

  9. 76 FR 35506 - 30-Day Notice of Proposed Information Collection: DS-3035, J-1 Visa Waiver Recommendation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-17

    ... Notice of Proposed Information Collection: DS-3035, J-1 Visa Waiver Recommendation Application ACTION... Information Collection: J-1 Visa Waiver Recommendation Application. ] OMB Control Number: 1405-0135. Type of..., Department of State (CA/VO). Form Number: DS-3035. Respondents: J-1 visa holders applying for a waiver of...

  10. 75 FR 77901 - 30-Day Notice of Opportunity for Public Comment on U.S. Nominations to the World Heritage List...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-14

    ... National Park Service 30-Day Notice of Opportunity for Public Comment on U.S. Nominations to the World Heritage List and Potential Additions to the U.S. World Heritage Tentative List AGENCY: National Park... to comment on the next potential U.S. nominations from the U.S. World Heritage Tentative List to...

  11. 76 FR 17734 - 30-Day Notice of Proposed Information Collection: Form DS-1998E, Foreign Service Officer Test...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-30

    .... Originating Office: Human Resources, HR/REE/BEX. Form Number: DS-1998E. Respondents: Registrants for the... information collection request to the Office of Management and Budget (OMB) for ] approval in accordance with... Office of Management and Budget (OMB) for up to 30 days from March 30, 2011. ADDRESSES: Direct...

  12. 76 FR 58074 - 30-Day Notice of Proposed Information Collection: DS-7001 and DS-7005, DOS-Sponsored Academic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ... information collection request to the Office of Management and Budget (OMB) for approval in accordance with... Collection. Originating Office: Bureau of Educational and Cultural Affairs, ECA/A/E/EUR. Form Number: DS-7001... to the Office of Management and Budget (OMB) for up to 30 days from September 19, 2011....

  13. 77 FR 76163 - 30-Day Notice of Proposed Information Collection: Application for Consular Report of Birth Abroad...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-26

    ... Notice of Proposed Information Collection: Application for Consular Report of Birth Abroad of a Citizen... Report of Birth Abroad of a Citizen of the United States of America. OMB Control Number: 1405-0011. Type... Birth Abroad of a Citizen of the United States of America, is used by citizens of the United States...

  14. 75 FR 25024 - 30-Day Notice of Proposed Information Collection: DS-5501, Electronic Diversity Visa Entry Form...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-06

    ... Notice of Proposed Information Collection: DS-5501, Electronic Diversity Visa Entry Form, OMB Control... Reduction Act of 1995. Title of Information Collection: Electronic Diversity Visa Entry Form. OMB Control... entering the Diversity Visa Lottery. Estimated Number of Respondents: 6,000,000. Estimated Number...

  15. 78 FR 13394 - 30-Day Notice of Proposed Information Collection: DS-2028, Overseas Schools Grant Status Report...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-27

    ... Notice of Proposed Information Collection: DS-2028, Overseas Schools Grant Status Report, OMB 1405-0033... Overseas Schools, A/OPR/Os, Room H328, SA-1, Washington, DC 20522-0103, who is reachable on 202-261-8200... Schools, A/OPR/OS, Room H328, SA-1, Washington, DC 20522-0103, who is reachable on 202-261-8200...

  16. 77 FR 20687 - 30-Day Notice of Proposed Information Collection: Form DS-3097, Exchange Visitor Program Annual...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-05

    ... Notice of Proposed Information Collection: Form DS-3097, Exchange Visitor Program Annual Report, OMB... Reduction Act of 1995. Title of Information Collection: Exchange Visitor Program Annual Report. OMB Control... of Proposed Collection Annual reports from designated program sponsors assist the Department...

  17. 77 FR 40692 - 30-Day Notice of Proposed Information Collection: DS-158, Contact Information and Work History...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-10

    ... Notice of Proposed Information Collection: DS-158, Contact Information and Work History for Nonimmigrant... Reduction Act of 1995. Title of Information Collection: Contact Information and Work History for... FURTHER INFORMATION CONTACT: You may obtain copies of the proposed information collection and...

  18. 75 FR 27854 - 30-Day Notice of Proposed Information Collection: DS-4048, Projected Sales of Major Weapons in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-18

    ... Notice of Proposed Information Collection: DS-4048, Projected Sales of Major Weapons in Support of... Major Weapons in Support of Section 25(a)(1) of the Arms Export Control Act. OMB Control Number: 1405... annual report to Congress on projected sales of major weapons and weapons-related defense equipment...

  19. 77 FR 6167 - 30-Day Notice of Proposed Information Collection: DS-230, Application for Immigrant Visa and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-07

    ... Notice of Proposed Information Collection: DS-230, Application for Immigrant Visa and Alien Registration... Reduction Act of 1995. Title of Information Collection: Application for Immigrant Visa and Alien... collection: The Department of State uses Form DS-230 (Application for Immigrant Visa and Alien...

  20. 75 FR 14180 - 30-Day Notice of Intention To Request Clearance of Collection of Information; Opportunity for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-24

    ... collection (OMB 1024-0026). The OMB has up to 60 days to approve or disapprove the requested information... public comments by the date specified in the DATES section. The National Park Service published a 60-day... this notice. DATES: Public comments on the proposed Information Collection Request (ICR) must...

  1. 76 FR 39465 - 30-Day Notice of Proposed Information Collection: DS-573, DS-574, DS-575, and DS-576, Overseas...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-06

    ... Notice of Proposed Information Collection: DS-573, DS-574, DS-575, and DS-576, Overseas Schools--Grant... following information collection request to the Office of Management and Budget (OMB) for approval in... Collection. Originating Office: Office of Overseas Schools, A/OPR/OS. Form Number: DS-573, DS-574,...

  2. 77 FR 71668 - 30-Day Notice of Proposed Information Collection: Choice of Address and Agent for Immigrant Visa...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-03

    ... Notice of Proposed Information Collection: Choice of Address and Agent for Immigrant Visa Applicants...: Title of Information Collection: Choice of Address and Agent for Immigrant Visa Applicants. OMB Control.../L/R. Form Number: DS-3032. Respondents: Immigrant Visa Applicants. Estimated Number of...

  3. 77 FR 61815 - 30-Day Notice of Proposed Information Collection: Petition To Classify Special Immigrant as an...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-11

    ... Notice of Proposed Information Collection: Petition To Classify Special Immigrant as an Employee or... to Classify Special Immigrant Under INA 203(b)(4) as an employee or former employee of the U.S... Originating Office: CA/VO/L/R Form Number: DS-1884 Respondents: Aliens petitioning for immigrant visas...

  4. 77 FR 33549 - 30-Day Notice of Proposed Information Collection: Form DS-7002, Training/Internship Placement...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-06

    ... Notice of Proposed Information Collection: Form DS-7002, Training/Internship Placement Plan, OMB Control... Reduction Act of 1995. Title of Information Collection: Training/Internship Placement Plan. OMB Control... categories and U.S. businesses that provide the training or internship opportunity. Estimated Number...

  5. 75 FR 25911 - 30-Day Notice of Proposed Information Collection: Forms DS-2053, DS-2054; Medical Examination for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-10

    ... Refugee Applicant; DS- 3030, Chest X-Ray and Classification Worksheet; OMB Control Number 1405-0113 ACTION... Instructions); and DS-3030, Chest X-Ray and Classification Worksheet (2007 Technical Instructions) are...

  6. 78 FR 40313 - 30-Day Notice of Proposed Information Collection: Monthly Report of Excess Income and Annual...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-03

    ... Annual Report of Uses of Excess Income AGENCY: Office of the Chief Information Officer, HUD. ACTION... Information Collection: Monthly Report of Excess Income and Annual Report of Uses of Excess Income. OMB...: Annually. Average Hours per Response: Three-quarters of an hour for the annual report of uses of...

  7. 75 FR 55625 - 30-Day Notice of Proposed Information Collection: Form DS-1622, DS-1843, DS-1622P, and DS-1843P...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-13

    .... SUMMARY: The Department of State is seeking Office of Management and Budget (OMB) approval for the... Management and Budget (OMB) for up to 30 days from August 30, 2010. ADDRESSES: You may submit comments by any... maintain the health and fitness of the individual and family members within the Department of State...

  8. 7 CFR 27.58 - Postponed classification; must be within 30 days.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 2 2014-01-01 2014-01-01 false Postponed classification; must be within 30 days. 27... Classification § 27.58 Postponed classification; must be within 30 days. If thereafter the classification of the cotton be desired, notice thereof shall be filed not later than the expiration of 30 days after the...

  9. 7 CFR 27.58 - Postponed classification; must be within 30 days.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 2 2011-01-01 2011-01-01 false Postponed classification; must be within 30 days. 27... Classification § 27.58 Postponed classification; must be within 30 days. If thereafter the classification of the cotton be desired, notice thereof shall be filed not later than the expiration of 30 days after the...

  10. 7 CFR 27.58 - Postponed classification; must be within 30 days.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Postponed classification; must be within 30 days. 27... Classification § 27.58 Postponed classification; must be within 30 days. If thereafter the classification of the cotton be desired, notice thereof shall be filed not later than the expiration of 30 days after the...

  11. 7 CFR 27.58 - Postponed classification; must be within 30 days.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 2 2013-01-01 2013-01-01 false Postponed classification; must be within 30 days. 27... Classification § 27.58 Postponed classification; must be within 30 days. If thereafter the classification of the cotton be desired, notice thereof shall be filed not later than the expiration of 30 days after the...

  12. 7 CFR 27.58 - Postponed classification; must be within 30 days.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 2 2012-01-01 2012-01-01 false Postponed classification; must be within 30 days. 27... Classification § 27.58 Postponed classification; must be within 30 days. If thereafter the classification of the cotton be desired, notice thereof shall be filed not later than the expiration of 30 days after the...

  13. Ares I-X 30 Day Report

    NASA Technical Reports Server (NTRS)

    Ess, Bob; Smith, Marshall

    2009-01-01

    This slide presentation represents the 30 day report on the Ares I-X test flight. Included in the review is information on the following areas: (1) Ground Systems, (2) Guidance, Navigation and Control, (3) Roll Response, (4) Vehicle Response, (5) Control System Performance, (6) Structural Damping, (7) Thrust Oscillation, (8) Stage Separation, (9) Connector Assessment, (10) USS Splashdown, (11) Data Recorder and (12) FS Hardware Assessment.

  14. 76 FR 6794 - 30-Day Submission Period for Requests for ONC-Approved Accreditor (ONC-AA) Status

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-08

    ... HUMAN SERVICES 30-Day Submission Period for Requests for ONC-Approved Accreditor (ONC-AA) Status AGENCY... ONC-Approved Accreditor (ONC-AA) status. Authority: 42 U.S.C. 300jj-11. DATES: The 30-day submission... a notice in the Federal Register to announce the 30-day period during which requests for...

  15. 24 CFR 25.9 - Notice of administrative action.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... establish the mortgagee's receipt of the notice. (b) In actions for probation, suspension, or withdrawal... state the reasons for the action. In actions for probation, suspension, or withdrawal, the notice...

  16. 40 CFR 147.3002 - Public notice of permit actions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... actions. An applicant shall give public notice of his intention to apply for a permit as follows: (a) Prior to submitting an application to the Director, the applicant shall give notice to each...

  17. 78 FR 17283 - 30-Day Notice and Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-20

    ... reduce paperwork burdens, and as required by the Paperwork Reduction Act of 1995, 44 U.S.C. 3501- 3519... Management and Budget (OMB) approval of the information collection--System Diagram Maps--further described...'s request for OMB approval. Description of Collection Title: System Diagram Maps (or, in the case...

  18. 78 FR 21160 - Paperwork Reduction Act; 30-Day Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-09

    ... Campaign. Type of Collections: OMB 3201-0011-Qualitative Research--Focus groups; OMB 3201-0006--Copy... Collections: See above. Frequency: OMB 3201-0011--Qualitative Research--Quarterly; OMB 3201-0006--Copy testing... teenagers. Estimated Burden: OMB 3201-0011--Qualitative Research--$19,800; OMB 3201-0006--Copy...

  19. 78 FR 59721 - Agency Information Collection Activities: Proposed Collection; Comments Requested; Notice of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-27

    ... of Alcohol, Tobacco, Firearms and Explosives Agency Information Collection Activities: Proposed Collection; Comments Requested; Notice of Firearms Manufactured or Imported ACTION: 30-Day Notice. The Department of Justice (DOJ), Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) will be submitting...

  20. 24 CFR 200.1540 - Imminent harm notice of action.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... HOUSING AND URBAN DEVELOPMENT GENERAL INTRODUCTION TO FHA PROGRAMS Multifamily Accelerated Processing (MAP): MAP Lender Quality Assurance Enforcement § 200.1540 Imminent harm notice of action. The Board may issue an imminent harm notice of action to terminate a MAP lender, or to place a MAP lender on...

  1. 24 CFR 200.1540 - Imminent harm notice of action.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... HOUSING AND URBAN DEVELOPMENT GENERAL INTRODUCTION TO FHA PROGRAMS Multifamily Accelerated Processing (MAP): MAP Lender Quality Assurance Enforcement § 200.1540 Imminent harm notice of action. The Board may issue an imminent harm notice of action to terminate a MAP lender, or to place a MAP lender on...

  2. 24 CFR 200.1540 - Imminent harm notice of action.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... HOUSING AND URBAN DEVELOPMENT GENERAL INTRODUCTION TO FHA PROGRAMS Multifamily Accelerated Processing (MAP): MAP Lender Quality Assurance Enforcement § 200.1540 Imminent harm notice of action. The Board may issue an imminent harm notice of action to terminate a MAP lender, or to place a MAP lender on...

  3. 24 CFR 200.1540 - Imminent harm notice of action.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... HOUSING AND URBAN DEVELOPMENT GENERAL INTRODUCTION TO FHA PROGRAMS Multifamily Accelerated Processing (MAP): MAP Lender Quality Assurance Enforcement § 200.1540 Imminent harm notice of action. The Board may issue an imminent harm notice of action to terminate a MAP lender, or to place a MAP lender on...

  4. 24 CFR 200.1540 - Imminent harm notice of action.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... HOUSING AND URBAN DEVELOPMENT GENERAL INTRODUCTION TO FHA PROGRAMS Multifamily Accelerated Processing (MAP): MAP Lender Quality Assurance Enforcement § 200.1540 Imminent harm notice of action. The Board may issue an imminent harm notice of action to terminate a MAP lender, or to place a MAP lender on...

  5. 49 CFR 630.9 - Notice of FTA action.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 7 2012-10-01 2012-10-01 false Notice of FTA action. 630.9 Section 630.9 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL TRANSIT ADMINISTRATION, DEPARTMENT OF TRANSPORTATION NATIONAL TRANSIT DATABASE § 630.9 Notice of FTA action. Before taking...

  6. 49 CFR 630.9 - Notice of FTA action.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 7 2014-10-01 2014-10-01 false Notice of FTA action. 630.9 Section 630.9 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL TRANSIT ADMINISTRATION, DEPARTMENT OF TRANSPORTATION NATIONAL TRANSIT DATABASE § 630.9 Notice of FTA action. Before taking...

  7. 49 CFR 630.9 - Notice of FTA action.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 7 2013-10-01 2013-10-01 false Notice of FTA action. 630.9 Section 630.9 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL TRANSIT ADMINISTRATION, DEPARTMENT OF TRANSPORTATION NATIONAL TRANSIT DATABASE § 630.9 Notice of FTA action. Before taking...

  8. 49 CFR 630.9 - Notice of FTA action.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 7 2011-10-01 2011-10-01 false Notice of FTA action. 630.9 Section 630.9 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL TRANSIT ADMINISTRATION, DEPARTMENT OF TRANSPORTATION NATIONAL TRANSIT DATABASE § 630.9 Notice of FTA action. Before taking...

  9. 42 CFR 438.404 - Notice of action.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...) MEDICAL ASSISTANCE PROGRAMS MANAGED CARE Grievance System § 438.404 Notice of action. (a) Language and format requirements. The notice must be in writing and must meet the language and format requirements of... State does not require the enrollee to exhaust the MCO or PIHP level appeal procedures, the...

  10. 10 CFR 2.1107 - Notice of proposed action.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 1 2014-01-01 2014-01-01 false Notice of proposed action. 2.1107 Section 2.1107 Energy NUCLEAR REGULATORY COMMISSION AGENCY RULES OF PRACTICE AND PROCEDURE Hybrid Hearing Procedures for Expansion of Spent Nuclear Fuel Storage Capacity at Civilian Nuclear Power Reactors § 2.1107 Notice...

  11. 10 CFR 2.1107 - Notice of proposed action.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 1 2013-01-01 2013-01-01 false Notice of proposed action. 2.1107 Section 2.1107 Energy NUCLEAR REGULATORY COMMISSION AGENCY RULES OF PRACTICE AND PROCEDURE Hybrid Hearing Procedures for Expansion of Spent Nuclear Fuel Storage Capacity at Civilian Nuclear Power Reactors § 2.1107 Notice...

  12. 36 CFR 215.5 - Legal notice of proposed actions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... the notice of availability (NOA) in the Federal Register (§ 215.6(a)(2)). The legal notice must be published after the NOA and contain the NOA publication date. (vi) A statement that only those who submit... proposed action to be analyzed and documented in an EA. The publication date of the NOA in the...

  13. 36 CFR 215.5 - Legal notice of proposed actions.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... the notice of availability (NOA) in the Federal Register (§ 215.6(a)(2)). The legal notice must be published after the NOA and contain the NOA publication date. (vi) A statement that only those who submit... proposed action to be analyzed and documented in an EA. The publication date of the NOA in the...

  14. 36 CFR 215.5 - Legal notice of proposed actions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... the notice of availability (NOA) in the Federal Register (§ 215.6(a)(2)). The legal notice must be published after the NOA and contain the NOA publication date. (vi) A statement that only those who submit... proposed action to be analyzed and documented in an EA. The publication date of the NOA in the...

  15. 36 CFR 215.5 - Legal notice of proposed actions.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... the notice of availability (NOA) in the Federal Register (§ 215.6(a)(2)). The legal notice must be published after the NOA and contain the NOA publication date. (vi) A statement that only those who submit... proposed action to be analyzed and documented in an EA. The publication date of the NOA in the...

  16. 36 CFR 215.5 - Legal notice of proposed actions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... the notice of availability (NOA) in the Federal Register (§ 215.6(a)(2)). The legal notice must be published after the NOA and contain the NOA publication date. (vi) A statement that only those who submit... proposed action to be analyzed and documented in an EA. The publication date of the NOA in the...

  17. 32 CFR 761.16 - Notice of action.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... cannot be processed promptly (usually within ten working days) or whose applications must be forwarded to... time when action may be expected to be taken. Under no circumstances will a notice of...

  18. Worse Prognosis in Heart Failure Patients with 30-Day Readmission

    PubMed Central

    Tung, Ying-Chang; Chou, Shing-Hsien; Liu, Kuan-Liang; Hsieh, I-Chang; Wu, Lung-Sheng; Lin, Chia-Pin; Wen, Ming-Shien; Chu, Pao-Hsien

    2016-01-01

    Background Heart failure (HF) readmission results in substantial expenditure on HF management. This study aimed to evaluate the readmission rate, outcome, and predictors of HF readmission. Methods Patients with reduced left ventricular ejection fraction (LVEF < 40%) who were admitted for acute decompensation of de novo HF were enrolled to analyze readmission rate, mortality and predictors of readmission. Results A total of 433 de novo HF patients with LVEF < 40% were enrolled during the period August 2013 to December 2014. The in-hospital and 6-month mortality rates were 3.9% and 15.2%, respectively. In those patients surviving the index HF hospitalization, the 30-day and 6-month readmission rates were 10.9% and 27%, respectively. At the end of the 6-month follow-up, the readmission group had higher mortality than the non-readmission group (27.66% vs. 10.36%; p = 0.001). The survivors of the 30-day readmission had similar mortality rates at 6 months, regardless of the cause of readmission (cardiovascular vs. non-cardiovascular: 25% vs. 30.43%, p = 0.677). Among all the parameters, prescription of beta blockers independently reduced the risk of 30-day readmission (odds ratio 0.15; 95% confidence interval 0.02-0.99; p = 0.049). Conclusions Those HF patients who suffered from 30-day readmission had worse prognosis at the 6-month follow-up. Regardless of the readmission causes, the patients surviving the 30-day readmission had similar mortality rates at 6-month follow-up. These results underscored the importance of reducing readmission as a means to improve HF outcome. PMID:27899857

  19. 10 CFR 1022.12 - Notice of proposed action.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... DEPARTMENT OF ENERGY (GENERAL PROVISIONS) COMPLIANCE WITH FLOODPLAIN AND WETLAND ENVIRONMENTAL REVIEW REQUIREMENTS Procedures for Floodplain and Wetland Reviews § 1022.12 Notice of proposed action. (a) For a proposed floodplain or wetland action for which an EIS is required, DOE shall use applicable...

  20. 10 CFR 1022.12 - Notice of proposed action.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... DEPARTMENT OF ENERGY (GENERAL PROVISIONS) COMPLIANCE WITH FLOODPLAIN AND WETLAND ENVIRONMENTAL REVIEW REQUIREMENTS Procedures for Floodplain and Wetland Reviews § 1022.12 Notice of proposed action. (a) For a proposed floodplain or wetland action for which an EIS is required, DOE shall use applicable...

  1. 10 CFR 1022.12 - Notice of proposed action.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... DEPARTMENT OF ENERGY (GENERAL PROVISIONS) COMPLIANCE WITH FLOODPLAIN AND WETLAND ENVIRONMENTAL REVIEW REQUIREMENTS Procedures for Floodplain and Wetland Reviews § 1022.12 Notice of proposed action. (a) For a proposed floodplain or wetland action for which an EIS is required, DOE shall use applicable...

  2. 10 CFR 1022.12 - Notice of proposed action.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... DEPARTMENT OF ENERGY (GENERAL PROVISIONS) COMPLIANCE WITH FLOODPLAIN AND WETLAND ENVIRONMENTAL REVIEW REQUIREMENTS Procedures for Floodplain and Wetland Reviews § 1022.12 Notice of proposed action. (a) For a proposed floodplain or wetland action for which an EIS is required, DOE shall use applicable...

  3. 10 CFR 1022.12 - Notice of proposed action.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... DEPARTMENT OF ENERGY (GENERAL PROVISIONS) COMPLIANCE WITH FLOODPLAIN AND WETLAND ENVIRONMENTAL REVIEW REQUIREMENTS Procedures for Floodplain and Wetland Reviews § 1022.12 Notice of proposed action. (a) For a proposed floodplain or wetland action for which an EIS is required, DOE shall use applicable...

  4. Nursing Home Medical Staff Organization and 30-Day Rehospitalizations

    PubMed Central

    Lima, Julie C.; Intrator, Orna; Karuza, Jurgis; Wetle, Terrie; Mor, Vincent; Katz, Paul

    2013-01-01

    Objectives To examine the relationship between features of nursing home (NH) medical staff organization and residents’ 30-day rehospitalizations. Design Cross-sectional study combining primary data collected from a survey of medical directors, NH resident assessment data (minimum data set), Medicare claims, and the Online Survey Certification and Reporting (OSCAR) database. Setting A total of 202 freestanding US nursing homes. Participants Medicare fee-for-service beneficiaries who were hospitalized and subsequently admitted to a study nursing home. Measurements Medical staff organization dimensions derived from the survey, NH residents’ characteristics derived from minimum data set data, hospitalizations obtained from Part A Medicare claims, and NH characteristics from the OSCAR database and from www.ltcfocus.org. Study outcome defined within a 30-day window following an index hospitalization: rehospitalized, otherwise died, otherwise survived and not rehospitalized. Results Thirty-day rehospitalizations occurred for 3788 (20.3%) of the 18,680 initial hospitalizations. Death was observed for 884 (4.7%) of residents who were not rehospitalized. Adjusted by hospitalization, resident, and NH characteristics, nursing homes having a more formal appointment process for physicians were less likely to have 30-day rehospitalization (b = −0.43, SE = 0.17), whereas NHs in which a higher proportion of residents were cared for by a single physician were more likely to have rehospitalizations (b = 0.18, SE = 0.08). Conclusion This is the first study to show a direct relationship between features of NH medical staff organization and resident-level process of care. The relationship of a more strict appointment process and rehospitalizations might be a consequence of more formalized and dedicated medical practice with a sense of ownership and accountability. A higher volume of patients per physician does not appear to improve quality of care. PMID:22682694

  5. 77 FR 17565 - Notice of Final Federal Agency Actions on Proposed Transportation Improvements in Utah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-26

    ... Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Transportation Improvements in Utah AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice of Limitation on Claims...: Mr. Edward Woolford, Environmental Program Manager, Federal Highway Administration, 2520 West...

  6. 77 FR 22837 - Notice of Final Federal Agency Actions on Proposed Highway in California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-17

    ... Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Highway in California AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice of Limitation on Claims for Judicial..., and the National Oceanic and Atmospheric Administration--National Marine Fisheries Service....

  7. 75 FR 59787 - Notice of Final Federal Agency Actions on Proposed Highway in New Hampshire

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-28

    ... Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Highway in New Hampshire AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice of limitation on claims for judicial.... Sikora, Environmental Programs Manager, Federal Highway Administration, 19 Chenell Drive, Suite...

  8. 34 CFR 200.51 - Notice of SEA action.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 1 2013-07-01 2013-07-01 false Notice of SEA action. 200.51 Section 200.51 Education Regulations of the Offices of the Department of Education OFFICE OF ELEMENTARY AND SECONDARY EDUCATION, DEPARTMENT OF EDUCATION TITLE I-IMPROVING THE ACADEMIC ACHIEVEMENT OF THE DISADVANTAGED Improving...

  9. 34 CFR 200.51 - Notice of SEA action.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 1 2011-07-01 2011-07-01 false Notice of SEA action. 200.51 Section 200.51 Education Regulations of the Offices of the Department of Education OFFICE OF ELEMENTARY AND SECONDARY EDUCATION, DEPARTMENT OF EDUCATION TITLE I-IMPROVING THE ACADEMIC ACHIEVEMENT OF THE DISADVANTAGED Improving...

  10. 34 CFR 200.51 - Notice of SEA action.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 1 2012-07-01 2012-07-01 false Notice of SEA action. 200.51 Section 200.51 Education Regulations of the Offices of the Department of Education OFFICE OF ELEMENTARY AND SECONDARY EDUCATION, DEPARTMENT OF EDUCATION TITLE I-IMPROVING THE ACADEMIC ACHIEVEMENT OF THE DISADVANTAGED Improving...

  11. 34 CFR 200.51 - Notice of SEA action.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Notice of SEA action. 200.51 Section 200.51 Education Regulations of the Offices of the Department of Education OFFICE OF ELEMENTARY AND SECONDARY EDUCATION, DEPARTMENT OF EDUCATION TITLE I-IMPROVING THE ACADEMIC ACHIEVEMENT OF THE DISADVANTAGED Improving...

  12. 34 CFR 200.51 - Notice of SEA action.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 1 2014-07-01 2014-07-01 false Notice of SEA action. 200.51 Section 200.51 Education Regulations of the Offices of the Department of Education OFFICE OF ELEMENTARY AND SECONDARY EDUCATION, DEPARTMENT OF EDUCATION TITLE I-IMPROVING THE ACADEMIC ACHIEVEMENT OF THE DISADVANTAGED Improving...

  13. 10 CFR 2.1107 - Notice of proposed action.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 1 2012-01-01 2012-01-01 false Notice of proposed action. 2.1107 Section 2.1107 Energy NUCLEAR REGULATORY COMMISSION RULES OF PRACTICE FOR DOMESTIC LICENSING PROCEEDINGS AND ISSUANCE OF ORDERS Hybrid Hearing Procedures for Expansion of Spent Nuclear Fuel Storage Capacity at Civilian Nuclear...

  14. 10 CFR 2.1107 - Notice of proposed action.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 1 2011-01-01 2011-01-01 false Notice of proposed action. 2.1107 Section 2.1107 Energy NUCLEAR REGULATORY COMMISSION RULES OF PRACTICE FOR DOMESTIC LICENSING PROCEEDINGS AND ISSUANCE OF ORDERS Hybrid Hearing Procedures for Expansion of Spent Nuclear Fuel Storage Capacity at Civilian Nuclear...

  15. 10 CFR 2.1107 - Notice of proposed action.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Notice of proposed action. 2.1107 Section 2.1107 Energy NUCLEAR REGULATORY COMMISSION RULES OF PRACTICE FOR DOMESTIC LICENSING PROCEEDINGS AND ISSUANCE OF ORDERS Hybrid Hearing Procedures for Expansion of Spent Nuclear Fuel Storage Capacity at Civilian Nuclear...

  16. Vitamin D Status Predicts 30 Day Mortality in Hospitalised Cats

    PubMed Central

    Titmarsh, Helen; Kilpatrick, Scott; Sinclair, Jennifer; Boag, Alisdair; Bode, Elizabeth F.; Lalor, Stephanie M.; Gaylor, Donna; Berry, Jacqueline; Bommer, Nicholas X.; Gunn-Moore, Danielle; Reed, Nikki; Handel, Ian; Mellanby, Richard J.

    2015-01-01

    Vitamin D insufficiency, defined as low serum concentrations of the major circulating form of vitamin D, 25 hydroxyvitamin D (25(OH)D), has been associated with the development of numerous infectious, inflammatory, and neoplastic disorders in humans. In addition, vitamin D insufficiency has been found to be predictive of mortality for many disorders. However, interpretation of human studies is difficult since vitamin D status is influenced by many factors, including diet, season, latitude, and exposure to UV radiation. In contrast, domesticated cats do not produce vitamin D cutaneously, and most cats are fed a commercial diet containing a relatively standard amount of vitamin D. Consequently, domesticated cats are an attractive model system in which to examine the relationship between serum 25(OH)D and health outcomes. The hypothesis of this study was that vitamin D status would predict short term, all-cause mortality in domesticated cats. Serum concentrations of 25(OH)D, together with a wide range of other clinical, hematological, and biochemical parameters, were measured in 99 consecutively hospitalised cats. Cats which died within 30 days of initial assessment had significantly lower serum 25(OH)D concentrations than cats which survived. In a linear regression model including 12 clinical variables, serum 25(OH)D concentration in the lower tertile was significantly predictive of mortality. The odds ratio of mortality within 30 days was 8.27 (95% confidence interval 2.54-31.52) for cats with a serum 25(OH)D concentration in the lower tertile. In conclusion, this study demonstrates that low serum 25(OH)D concentration status is an independent predictor of short term mortality in cats. PMID:25970442

  17. 75 FR 23836 - Notice of Actions Taken at March 18, 2010, Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-04

    ... COMMISSION Notice of Actions Taken at March 18, 2010, Meeting AGENCY: Susquehanna River Basin Commission. ACTION: Notice of Commission actions. SUMMARY: At its regular business meeting on March 18, 2010, in... business meeting are contained in the Supplementary Information section of this notice. DATES: March...

  18. 75 FR 49483 - Notice of Availability of the Final Environmental Impact Statement (FEIS) for Training Range and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-13

    ... of the Army, DoD. ACTION: Notice of Availability (NOA). SUMMARY: The Department of the Army announces... Stewart, Georgia. DATES: The waiting period for the FEIS will end 30 days after the publication of an...

  19. 78 FR 76657 - Notice of Action

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-18

    ... action. SUMMARY: Effective with the release of PPI data for January 2014 in February 2014, BLS will... number), or by email to: weinhagen.jonathan@bls.gov . SUPPLEMENTARY INFORMATION: To expand the scope of coverage for the Producer Price Index (PPI), the Bureau of Labor Statistics (BLS) has developed...

  20. 43 CFR 3809.311 - What action does BLM take when it receives my notice?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false What action does BLM take when it receives... action does BLM take when it receives my notice? (a) Upon receipt of your notice, BLM will review it within 15 calendar days to see if it is complete under § 3809.301. (b) If your notice is incomplete,...

  1. 43 CFR 3809.311 - What action does BLM take when it receives my notice?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false What action does BLM take when it receives... action does BLM take when it receives my notice? (a) Upon receipt of your notice, BLM will review it within 15 calendar days to see if it is complete under § 3809.301. (b) If your notice is incomplete,...

  2. 43 CFR 3809.311 - What action does BLM take when it receives my notice?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false What action does BLM take when it receives... action does BLM take when it receives my notice? (a) Upon receipt of your notice, BLM will review it within 15 calendar days to see if it is complete under § 3809.301. (b) If your notice is incomplete,...

  3. 43 CFR 3809.311 - What action does BLM take when it receives my notice?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false What action does BLM take when it receives... action does BLM take when it receives my notice? (a) Upon receipt of your notice, BLM will review it within 15 calendar days to see if it is complete under § 3809.301. (b) If your notice is incomplete,...

  4. 42 CFR 457.160 - Notice and timing of CMS action on State plan material.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Notice and timing of CMS action on State plan... § 457.160 Notice and timing of CMS action on State plan material. (a) Notice of final determination. The... amendment. (b) Timing. (1) A State plan or plan amendment will be considered approved unless CMS, within...

  5. 42 CFR 457.160 - Notice and timing of CMS action on State plan material.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Notice and timing of CMS action on State plan... § 457.160 Notice and timing of CMS action on State plan material. (a) Notice of final determination. The... amendment. (b) Timing. (1) A State plan or plan amendment will be considered approved unless CMS, within...

  6. 42 CFR 457.160 - Notice and timing of CMS action on State plan material.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Notice and timing of CMS action on State plan... § 457.160 Notice and timing of CMS action on State plan material. (a) Notice of final determination. The... amendment. (b) Timing. (1) A State plan or plan amendment will be considered approved unless CMS, within...

  7. 42 CFR 457.160 - Notice and timing of CMS action on State plan material.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Notice and timing of CMS action on State plan... § 457.160 Notice and timing of CMS action on State plan material. (a) Notice of final determination. The... amendment. (b) Timing. (1) A State plan or plan amendment will be considered approved unless CMS, within...

  8. 42 CFR 457.160 - Notice and timing of CMS action on State plan material.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Notice and timing of CMS action on State plan... § 457.160 Notice and timing of CMS action on State plan material. (a) Notice of final determination. The... amendment. (b) Timing. (1) A State plan or plan amendment will be considered approved unless CMS, within...

  9. 77 FR 38307 - Agency Information Collection Activities: Lien Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-27

    ... SECURITY U.S. Customs and Border Protection Agency Information Collection Activities: Lien Notice AGENCY: U.S. Customs and Border Protection, Department of Homeland Security. ACTION: 30-Day notice and request for comments; Extension of an existing information collection. SUMMARY: U.S. Customs and...

  10. 76 FR 27079 - Agency Information Collection Activities: Notice of Detention

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-10

    ... SECURITY U.S. Customs and Border Protection Agency Information Collection Activities: Notice of Detention AGENCY: U.S. Customs and Border Protection, Department of Homeland Security. ACTION: 30-Day notice and request for comments; Extension of an existing information collection: 1651-0073. SUMMARY: U.S....

  11. 75 FR 28818 - Notice of Realty Action: Proposed Sale of Public Land, Wyoming

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-24

    ... Bureau of Land Management Notice of Realty Action: Proposed Sale of Public Land, Wyoming AGENCY: Bureau of Land Management, Interior. ACTION: Notice of Realty Action. SUMMARY: The Bureau of Land Management (BLM) has examined and found the following public lands located in Teton County, Wyoming, suitable...

  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

    ... Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Highway in Connecticut AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice of Limitation on Claims for Judicial... actions on the highway project will be barred unless the claim is filed on or before October 24, 2012....

  13. 78 FR 6845 - Notice of Final Federal Agency Actions on Proposed Interchange Project in Massachusetts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-31

    ... Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Interchange Project in Massachusetts AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice of Limitations on Claims for.... 139(l)(1). The actions relate to the proposed Route 79/I-195 Interchange Project in Fall...

  14. 70 FR 9098 - Notice of Realty Action, Sale of Public Land in Owyhee County, ID

    Federal Register 2010, 2011, 2012, 2013, 2014

    2005-02-24

    ... Bureau of Land Management Notice of Realty Action, Sale of Public Land in Owyhee County, ID AGENCY: Bureau of Land Management, Interior. ACTION: Notice of Realty Action, Sale of Public Land in Owyhee... located in Owyhee County, Idaho is suitable for direct sale to Owyhee County under Sections 203 and 209...

  15. 76 FR 18292 - Notice of Actions Taken at March 10, 2011, Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-01

    ... COMMISSION Notice of Actions Taken at March 10, 2011, Meeting AGENCY: Susquehanna River Basin Commission. ACTION: Notice of Commission Actions. SUMMARY: As part of its regular business meeting held on March 10... reopen Docket No. 20091201 issued to Chesapeake Appalachia, LLC. DATES: March 10, 2011....

  16. 75 FR 13303 - Notice of Realty Action, Lease of Public Land in Sublette County, WY

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-19

    ... Bureau of Land Management Notice of Realty Action, Lease of Public Land in Sublette County, WY AGENCY: Bureau of Land Management, Interior. ACTION: Notice of Realty Action. SUMMARY: The Bureau of Land Management (BLM) proposes to convert a temporary land use permit to a long-term lease under Section 302...

  17. 9 CFR 96.12 - Uncertified casings not disinfected in 30 days; disposition.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 30 days; disposition. 96.12 Section 96.12 Animals and Animal Products ANIMAL AND PLANT HEALTH... STATES § 96.12 Uncertified casings not disinfected in 30 days; disposition. Foreign animal casings... period of 30 days after arrival in the United States, subject to the ability of Division inspectors...

  18. 17 CFR 41.12 - Indexes underlying futures contracts trading for fewer than 30 days.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... contracts trading for fewer than 30 days. 41.12 Section 41.12 Commodity and Securities Exchanges COMMODITY... underlying futures contracts trading for fewer than 30 days. (a) An index on which a contract of sale for... U.S.C. 1a(25)) for the first 30 days of trading, if: (1) Such index would not have been a...

  19. 17 CFR 41.12 - Indexes underlying futures contracts trading for fewer than 30 days.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... contracts trading for fewer than 30 days. 41.12 Section 41.12 Commodity and Securities Exchanges COMMODITY... Indexes underlying futures contracts trading for fewer than 30 days. (a) An index on which a contract of... narrow-based security index under section 1a(35) of the Act (7 U.S.C. 1a(35)) for the first 30 days...

  20. 43 CFR 4.1186 - Waiver of the 30-day decision requirement.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 1 2011-10-01 2011-10-01 false Waiver of the 30-day decision requirement... Expedited Review of Section 521(a)(2) Or 521(a)(3) Orders of Cessation § 4.1186 Waiver of the 30-day decision requirement. (a) Any person qualified to receive a 30-day decision may waive that right— (1)...

  1. 43 CFR 4.1186 - Waiver of the 30-day decision requirement.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 1 2013-10-01 2013-10-01 false Waiver of the 30-day decision requirement... Expedited Review of Section 521(a)(2) Or 521(a)(3) Orders of Cessation § 4.1186 Waiver of the 30-day decision requirement. (a) Any person qualified to receive a 30-day decision may waive that right— (1)...

  2. 26 CFR 31.3406(d)-3 - Special 30-day rules for certain reportable payments.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 26 Internal Revenue 15 2012-04-01 2012-04-01 false Special 30-day rules for certain reportable... COLLECTION OF INCOME TAX AT SOURCE Collection of Income Tax at Source § 31.3406(d)-3 Special 30-day rules for... certification of notified payee underreporting) within 30 days after the establishment or acquisition...

  3. 43 CFR 4.1186 - Waiver of the 30-day decision requirement.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 1 2014-10-01 2014-10-01 false Waiver of the 30-day decision requirement... Expedited Review of Section 521(a)(2) Or 521(a)(3) Orders of Cessation § 4.1186 Waiver of the 30-day decision requirement. (a) Any person qualified to receive a 30-day decision may waive that right— (1)...

  4. 9 CFR 96.12 - Uncertified casings not disinfected in 30 days; disposition.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 30 days; disposition. 96.12 Section 96.12 Animals and Animal Products ANIMAL AND PLANT HEALTH... STATES § 96.12 Uncertified casings not disinfected in 30 days; disposition. Foreign animal casings... period of 30 days after arrival in the United States, subject to the ability of Division inspectors...

  5. 43 CFR 4.1186 - Waiver of the 30-day decision requirement.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Waiver of the 30-day decision requirement... Expedited Review of Section 521(a)(2) Or 521(a)(3) Orders of Cessation § 4.1186 Waiver of the 30-day decision requirement. (a) Any person qualified to receive a 30-day decision may waive that right— (1)...

  6. 9 CFR 96.12 - Uncertified casings not disinfected in 30 days; disposition.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 30 days; disposition. 96.12 Section 96.12 Animals and Animal Products ANIMAL AND PLANT HEALTH... STATES § 96.12 Uncertified casings not disinfected in 30 days; disposition. Foreign animal casings... period of 30 days after arrival in the United States, subject to the ability of Division inspectors...

  7. 43 CFR 4.1186 - Waiver of the 30-day decision requirement.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 1 2012-10-01 2011-10-01 true Waiver of the 30-day decision requirement... Expedited Review of Section 521(a)(2) Or 521(a)(3) Orders of Cessation § 4.1186 Waiver of the 30-day decision requirement. (a) Any person qualified to receive a 30-day decision may waive that right— (1)...

  8. 17 CFR 41.12 - Indexes underlying futures contracts trading for fewer than 30 days.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... contracts trading for fewer than 30 days. 41.12 Section 41.12 Commodity and Securities Exchanges COMMODITY... underlying futures contracts trading for fewer than 30 days. (a) An index on which a contract of sale for... U.S.C. 1a(25)) for the first 30 days of trading, if: (1) Such index would not have been a...

  9. 26 CFR 31.3406(d)-3 - Special 30-day rules for certain reportable payments.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 26 Internal Revenue 15 2014-04-01 2014-04-01 false Special 30-day rules for certain reportable... COLLECTION OF INCOME TAX AT SOURCE Collection of Income Tax at Source § 31.3406(d)-3 Special 30-day rules for... certification of notified payee underreporting) within 30 days after the establishment or acquisition...

  10. 9 CFR 96.12 - Uncertified casings not disinfected in 30 days; disposition.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 30 days; disposition. 96.12 Section 96.12 Animals and Animal Products ANIMAL AND PLANT HEALTH... STATES § 96.12 Uncertified casings not disinfected in 30 days; disposition. Foreign animal casings... period of 30 days after arrival in the United States, subject to the ability of Division inspectors...

  11. 17 CFR 9.11 - Form, contents and delivery of notice of disciplinary or access denial action.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... notice of disciplinary or access denial action. 9.11 Section 9.11 Commodity and Securities Exchanges... OTHER ADVERSE ACTIONS Notice and Effective Date of Disciplinary Action or Access Denial Action § 9.11... effective by the exchange except as provided in § 9.12. (b) Contents of notice. For purposes of this...

  12. 17 CFR 9.11 - Form, contents and delivery of notice of disciplinary or access denial action.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... notice of disciplinary or access denial action. 9.11 Section 9.11 Commodity and Securities Exchanges... OTHER ADVERSE ACTIONS Notice and Effective Date of Disciplinary Action or Access Denial Action § 9.11... effective by the exchange except as provided in § 9.12. (b) Contents of notice. For purposes of this...

  13. 17 CFR 9.11 - Form, contents and delivery of notice of disciplinary or access denial action.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... notice of disciplinary or access denial action. 9.11 Section 9.11 Commodity and Securities Exchanges... OTHER ADVERSE ACTIONS Notice and Effective Date of Disciplinary Action or Access Denial Action § 9.11... effective by the exchange except as provided in § 9.12. (b) Contents of notice. For purposes of this...

  14. 17 CFR 9.11 - Form, contents and delivery of notice of disciplinary or access denial action.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... notice of disciplinary or access denial action. 9.11 Section 9.11 Commodity and Securities Exchanges... OTHER ADVERSE ACTIONS Notice and Effective Date of Disciplinary Action or Access Denial Action § 9.11... effective by the exchange except as provided in § 9.12. (b) Contents of notice. For purposes of this...

  15. 17 CFR 9.11 - Form, contents and delivery of notice of disciplinary or access denial action.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... notice of disciplinary or access denial action. 9.11 Section 9.11 Commodity and Securities Exchanges... OTHER ADVERSE ACTIONS Notice and Effective Date of Disciplinary Action or Access Denial Action § 9.11... effective by the exchange except as provided in § 9.12. (b) Contents of notice. For purposes of this...

  16. 77 FR 74454 - Media Outlets for Publication of Legal and Action Notices in the Southern Region

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-14

    ... Southern Region AGENCY: Forest Service, USDA. ACTION: Notice. SUMMARY: Deciding Officers in the Southern Region will publish notice of decisions subject to administrative appeal under 36 CFR parts 215 and 219... notice. The Southern Region consists of Alabama, Kentucky, Georgia, Tennessee, Florida,...

  17. 78 FR 9028 - Notice of Availability of a Swine Brucellosis and Pseudorabies Proposed Action Plan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-07

    ... Animal and Plant Health Inspection Service Notice of Availability of a Swine Brucellosis and Pseudorabies Proposed Action Plan AGENCY: Animal and Plant Health Inspection Service, USDA. ACTION: Notice of... coming. FOR FURTHER INFORMATION CONTACT: Dr. Troy Bigelow, National Center for Animal Health Programs,...

  18. 76 FR 53996 - Notice of Final Federal Agency Actions on Proposed Highway in California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-30

    ... Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Highway in California AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice of limitation on claims for judicial... . SUPPLEMENTARY INFORMATION: Effective July 1, 2007, the Federal Highway Administration (FHWA) assigned, and...

  19. 77 FR 52108 - Notice of Final Federal Agency Actions on Proposed Highway in Utah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-28

    ... Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Highway in Utah AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice of Limitation on Claims for Judicial Review of..., Design Program Manager, Federal Highway Administration, 2520 West 4700 South, Suite 9A, Salt Lake...

  20. 77 FR 5617 - Notice of Final Federal Agency Action on Proposed Highway in Utah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-03

    ... Federal Highway Administration Notice of Final Federal Agency Action on Proposed Highway in Utah AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice of Limitations on Claims for Judicial Review of..., Federal Highway Administration, 2520 West 4700 South, Suite 9A, Salt Lake City, Utah 84129; telephone...

  1. 76 FR 36614 - Notice of Final Federal Agency Action on Proposed Highway in Illinois

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-22

    ... Federal Highway Administration Notice of Final Federal Agency Action on Proposed Highway in Illinois AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice of limitation on claims for judicial...-controlled, four- lane expressway on new right-of-way between the proposed Macomb Bypass in McDonough...

  2. 76 FR 41554 - Notice of Final Federal Agency Actions on Proposed Highway in California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-14

    ... Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Highway in California AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice of Limitation on Claims for Judicial...; 8. Endangered Species Act of 1973; 9. Migratory Bird Treaty Act; 10. Title VI of the Civil...

  3. 76 FR 40744 - Notice of Realty Action: Notice of Receipt of Conveyance of Federally Owned Mineral Interests...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-11

    ... Mineral Interests Application, Do a Ana County, NM AGENCY: Bureau of Land Management, Interior. ACTION... mineral interest on a 444-acre tract of land in Do a Ana County, New Mexico, which is described in this notice. Publication of this notice temporarily segregates the mineral interests in the land...

  4. Preadmission use of SSRIs alone or in combination with NSAIDs and 30-day mortality after peptic ulcer bleeding.

    PubMed

    Gasse, Christiane; Christensen, Steffen; Riis, Anders; Mortensen, Preben B; Adamsen, Sven; Thomsen, Reimar W

    2009-01-01

    OBJECTIVE. Use of selective serotonin reuptake inhibitors (SSRIs) increases the risk of upper gastrointestinal bleeding and this risk is amplified by concomitant use of non-steroidal anti-inflammatory drugs (NSAIDs). The aim of the study was to examine the impact of SSRI use alone or in combination with NSAIDs on 30-day mortality after peptic ulcer bleeding (PUB). MATERIAL AND METHODS. A population-based cohort study of patients with a first hospitalization with PUB in three Danish counties was carried out between 1991 and 2005 using medical databases. We calculated 30-day mortality rate ratios (MRRs) associated with the use of SSRIs, alone or in combination with NSAIDs, adjusted for important covariates. RESULTS. Of 7415 patients admitted with PUB, 5.9% used SSRIs only, and 3.8% used SSRIs in combination with NSAIDs, with a 30-day mortality of 11.8% and 11.3%, respectively. Compared with patients who used neither SSRIs nor NSAIDs, the adjusted 30-day MRR was 1.02 (95% CI: 0.76-1.36) for current users of SSRIs and 0.89 (0.62-1.28) for the combined use of SSRIs with NSAIDs. There was a 2.11-fold (95% CI 1.35-3.30) increased risk of death associated with SSRI use starting within 60 days of admission; for those younger than 80 years, the adjusted MRR was 1.54 (0.72-3.29), and 2.57 (1.47-4.49) for those older than 80 years. CONCLUSIONS. Use of SSRIs, alone or in combination with NSAIDs, was not associated with increased 30-day mortality following PUB. However, increased mortality was found in patients who started SSRI therapy, particularly among those older than 80 years. We can only speculate on whether this finding is due to pharmacological action or confounding factors.

  5. 78 FR 11898 - Agency Information Collection Activities: Notice of Naturalization Oath Ceremony, Form N-445...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-20

    ...-day public comment period. USCIS did receive 1 comment in connection with the 60-day notice. DATES... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOMELAND....S. Citizenship and Immigration Services, DHS. ACTION: 30-Day notice. SUMMARY: The Department...

  6. 77 FR 3003 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Notice of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-20

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF JUSTICE Agency Information Collection Activities: Proposed Collection; Comments Requested: Notice of Appeal From a Decision of an Immigration Judge ACTION: 30-Day Notice of Information Collection Under Review. The Department of Justice (DOJ), Executive Office...

  7. 78 FR 57845 - Notice of Availability (NOA) for Strategic Network Optimization (SNO) Program Environmental...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-20

    ... of the Secretary Notice of Availability (NOA) for Strategic Network Optimization (SNO) Program Environmental Assessment AGENCY: Defense Logistics Agency, DoD. ACTION: Notice of Availability (NOA) for... period will end 30 days after publication of this NOA in the Federal Register. Comments received by...

  8. 78 FR 25258 - Notice of Availability (NOA) for Sharpe Permit Relinquishment Project Environmental Assessment

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-30

    ... of the Secretary Notice of Availability (NOA) for Sharpe Permit Relinquishment Project Environmental Assessment AGENCY: Defense Logistics Agency, DoD. ACTION: Notice of Availability (NOA) for Sharpe Permit... end 30 days after publication of this NOA in the Federal Register. Comments received by the end of...

  9. 43 CFR 4.1187 - Procedure if 30-day decision requirement is not waived.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 1 2012-10-01 2011-10-01 true Procedure if 30-day decision requirement is...-day decision requirement is not waived. If the applicant does not waive the 30-day decision... a response to the application for review shall file a written response within 5 working days...

  10. 43 CFR 4.1187 - Procedure if 30-day decision requirement is not waived.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 1 2011-10-01 2011-10-01 false Procedure if 30-day decision requirement...-day decision requirement is not waived. If the applicant does not waive the 30-day decision... a response to the application for review shall file a written response within 5 working days...

  11. 19 CFR 158.42 - Abandonment by importer within 30 days after entry.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 2 2012-04-01 2012-04-01 false Abandonment by importer within 30 days after entry... days after entry. Allowance in duties for merchandise abandoned to the Government in accordance with... which the merchandise being abandoned appears. (b) Application within 30 days. The importer shall...

  12. 43 CFR 4.1187 - Procedure if 30-day decision requirement is not waived.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Procedure if 30-day decision requirement...-day decision requirement is not waived. If the applicant does not waive the 30-day decision... a response to the application for review shall file a written response within 5 working days...

  13. 19 CFR 158.42 - Abandonment by importer within 30 days after entry.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Abandonment by importer within 30 days after entry... days after entry. Allowance in duties for merchandise abandoned to the Government in accordance with... which the merchandise being abandoned appears. (b) Application within 30 days. The importer shall...

  14. 19 CFR 158.42 - Abandonment by importer within 30 days after entry.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 2 2014-04-01 2014-04-01 false Abandonment by importer within 30 days after entry... days after entry. Allowance in duties for merchandise abandoned to the Government in accordance with... which the merchandise being abandoned appears. (b) Application within 30 days. The importer shall...

  15. 76 FR 36173 - Notice of Final Federal Agency Actions on Proposed Highway in California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-21

    ... Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Highway in California... Review of Actions by the California Department of Transportation (Caltrans), pursuant to 23 U.S.C. 327... the State of California. Those actions grant licenses, permits, and approvals for the project....

  16. 76 FR 42161 - Notice of Final Federal Agency Actions on Proposed Highway in California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-18

    ... Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Highway in California... Review of Actions by the California Department of Transportation (Caltrans), pursuant to 23 U.S.C. 327... Diego, State of California. Those actions grant licenses, permits, and approvals for the project....

  17. 78 FR 28282 - Notice of Final Federal Agency Actions on Proposed Highway in California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-14

    ... Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Highway in California... Review of Actions by the California Department of Transportation (Caltrans), pursuant to 23 U.S.C. 327, U... County, in the State of California. Those actions grant licenses, permits, and approvals for the...

  18. 5 CFR 731.402 - Notice of proposed action.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    .... (a) The agency must notify the applicant or appointee (hereinafter, the “respondent”) in writing of... and state that the respondent has the right to answer the notice in writing. The notice must further... respondent must designate the representative in writing. (c) The agency must serve the notice of...

  19. 5 CFR 731.302 - Notice of proposed action.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...) OPM will notify the applicant, appointee, or employee (hereinafter, the “respondent”) in writing of... and state that the respondent has the right to answer the notice in writing. The notice will further... respondent must designate the representative in writing. (c) OPM will serve the notice of proposed...

  20. 76 FR 33374 - Notice of Request for a Revision of a Currently Approved Information Collection and Request for a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-08

    ... From the Federal Register Online via the Government Publishing Office PEACE CORPS Notice of... Number. ACTION: 30-day notice and request for comments. SUMMARY: The Peace Corps will be submitting the... Chapter 35), the Peace Corps invites the general public to comment on the extension, with change,...

  1. 78 FR 78943 - Notice of Availability (NOA) of an Environmental Assessment (EA) for the Temporary Storage of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-27

    ... of the Secretary Notice of Availability (NOA) of an Environmental Assessment (EA) for the Temporary... Agency, DoD. ACTION: Notice of Availability (NOA) of an Environmental Assessment (EA) for the Temporary...: The public comment period will end 30 days after publication of this NOA in the Federal...

  2. 14 CFR 1245.112 - Notice of proposed Board action and reconsideration.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Notice of proposed Board action and reconsideration. 1245.112 Section 1245.112 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION PATENTS AND OTHER INTELLECTUAL PROPERTY RIGHTS Patent Waiver Regulations § 1245.112 Notice of...

  3. 14 CFR 1245.112 - Notice of proposed Board action and reconsideration.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 5 2011-01-01 2010-01-01 true Notice of proposed Board action and reconsideration. 1245.112 Section 1245.112 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION PATENTS AND OTHER INTELLECTUAL PROPERTY RIGHTS Patent Waiver Regulations § 1245.112 Notice of...

  4. 75 FR 21033 - Notice of Correction to Realty Action: Proposed Sale of Public Land, Idaho

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-22

    ... Management (BLM) published a notice in the Federal Register on March 3, 2009, pertaining to a direct sale of... Bureau of Land Management Notice of Correction to Realty Action: Proposed Sale of Public Land, Idaho..., except the sale provisions of the FLPMA and the lands will be open to disposal under those...

  5. 78 FR 25302 - Notice of Realty Action: Termination of Recreation and Public Purposes Act Classifications and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-30

    ... Classifications and Opening of Lands in Nye and Esmeralda Counties; NV AGENCY: Bureau of Land Management, Interior. ACTION: Notice. SUMMARY: This notice terminates the existing classifications in their entirety ] for public lands at three locations that were classified as suitable for lease/disposal under the...

  6. 77 FR 51560 - Notice of Realty Action: Termination of Recreation and Public Purposes Act Classifications and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-24

    ... Classifications and Opening of Lands; Wyoming AGENCY: Bureau of Land Management, Interior. ACTION: Notice. ] SUMMARY: This notice terminates the existing classifications in their entirety or in part for public lands at three locations that were classified as suitable for lease/disposal under the Recreation...

  7. 75 FR 1114 - Notice of Final Federal Agency Actions on Proposed Highway in California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-08

    ... Doc No: 2010-110] DEPARTMENT OF TRANSPORTATION Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Highway in California AGENCY: Federal Highway Administration (FHWA), DOT..., 2007, the Federal Highway Administration (FHWA) assigned, and the California Department...

  8. 76 FR 59997 - Newspapers To Be Used by the Alaska Region for Publication of Legal Notices of Proposed Actions...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-28

    ... Regional Office of the Alaska Region will use to publish legal notice of all decisions subject to appeal... receive constructive notice of a decision or proposed action, to provide clear evidence of timely notice... newspapers that Responsible Officials in the Alaska Region will use to give notice of decisions subject...

  9. Effect of feeding in 30-day bioaccumulation assays using Hyalella azteca in fluoranthene-dosed sediment

    SciTech Connect

    Harkey, G.A.; Landrum, P.F.

    1995-12-31

    Current protocols for conducting freshwater sediment bioaccumulation tests require that food be added to exposures. To determine effects of adding food, 30-day bioaccumulation assays were conducted with H. azteca exposed to sediment dosed with four concentrations (0.05 to 1,267 nmol/g dry weight) of fluoranthene. Accumulation was significantly greater in fed versus non-fed animals at all dose levels after 96 and 240 hours of exposure and continued to be greater after 30 days in the low dose levels. At sediment concentrations above 634 nmol/g dw, survival of unfed animals dropped to 34% after 30 days, However, after 30 days, reproduction was observed in fed animals exposed to sediment concentrations > 16 times the expected LC50 calculated for fluoranthene in sediment. These data raise questions concerning the interpretation of standard toxicity and bioaccumulation tests when food is routinely added.

  10. 68 FR 27583 - Notice of Realty Action, Sale of Public Land in Owyhee County, Idaho; Termination of Desert Land...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2003-05-20

    ...-03-003] Notice of Realty Action, Sale of Public Land in Owyhee County, Idaho; Termination of Desert.... ACTION: Notice and sale of public land in Owyhee County. SUMMARY: This notice terminates a suitable..., Owyhee County, Idaho T. 7 S., R. 6 E., section 7: Lot 6 Containing +/- 0.96 acres. The patent,...

  11. A space maintainability experiment aboard the Ben Franklin submersible during the 30-day Gulf Stream drift mission.

    NASA Technical Reports Server (NTRS)

    Kappler, J. R.; May, C. B.

    1972-01-01

    In the summer of 1969, a deep submersible drifted for 30 days below the surface of the Gulf Stream, while operated by a six man crew. The main purpose of the mission was oceanographic research. The crew's activities and completely self-contained environment resembled those of a space station such as Skylab. Because of these similarities aspects of onboard vehicle maintenance during the actual conduct of a scientific mission were investigated. The maintainability study was accomplished in six distinct phases. Two useful plots of manpower distribution were developed. A maintenance action summary is presented in a table.

  12. Avoidable 30-Day Readmissions Among Patients With Stroke and Other Cerebrovascular Disease

    PubMed Central

    Nahab, Fadi; Takesaka, Jennifer; Mailyan, Eugene; Judd, Lilith; Culler, Steven; Webb, Adam; Frankel, Michael; Choi, Dennis; Helmers, Sandra

    2012-01-01

    Background: There are limited data on factors associated with 30-day readmissions and the frequency of avoidable readmissions among patients with stroke and other cerebrovascular disease. Methods: University HealthSystem Consortium (UHC) database records were used to identify patients discharged with a diagnosis of stroke or other cerebrovascular disease at a university hospital from January 1, 2007 to December 31, 2009 and readmitted within 30 days to the index hospital. Logistic regression models were used to identify patient and clinical characteristics associated with 30-day readmission. Two neurologists performed chart reviews on readmissions to identify avoidable cases. Results: Of 2706 patients discharged during the study period, 174 patients had 178 readmissions (6.4%) within 30 days. The only factor associated with 30-day readmission was the index length of stay >10 days (vs <5 days; odds ratio [OR] 2.3, 95% CI [1.4, 3.7]). Of 174 patients readmitted within 30 days (median time to readmission 10 days), 92 (53%) were considered avoidable readmissions including 38 (41%) readmitted for elective procedures within 30 days of discharge, 27 (29%) readmitted after inadequate outpatient care coordination, 15 (16%) readmitted after incomplete initial evaluations, 8 (9%) readmitted due to delayed palliative care consultation, and 4 (4%) readmitted after being discharged with inadequate discharge instructions. Only 5% of the readmitted patients had outpatient follow-up recommended within 1 week. Conclusions: More than half of the 30-day readmissions were considered avoidable. Coordinated timing of elective procedures and earlier outpatient follow-up may prevent the majority of avoidable readmissions among patients with stroke and other cerebrovascular disease. PMID:23983857

  13. 78 FR 15801 - 30-Day Notice of Proposed Information Collection: Gilman Evaluation Survey

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-12

    ..., including the validity of the methodology and assumptions used. Enhance the quality, utility, and clarity of... the use of automated collection techniques or other forms of information technology. Please note that...; study the ways in which they shared what they learned with family, peers, and other community...

  14. 78 FR 40310 - 30-Day Notice of Proposed Information Collection: Comprehensive Needs Assessment (CNA)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-03

    ... at Colette.Pollard@hud.gov or telephone 202-402-3400. Persons with hearing or speech impairments may access this number through TTY by calling the toll-free Federal Relay Service at (800) 877-8339. This is not a toll- free number. Copies of available documents submitted to OMB may be obtained from...

  15. 77 FR 37706 - Agency Information Collection Activities: 30-Day Notice of Intention To Request Clearance of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-22

    ...We (National Park Service) will ask the Office of Management and Budget (OMB) to approve the information collection request (ICR) described below. As required by the Paperwork Reduction Act of 1995 and as part of our continuing efforts to reduce paperwork and respondent burden, we invite the general public and other Federal agencies to take this opportunity to comment on this ICR which is an......

  16. 76 FR 70804 - 30-Day Notice of Proposed Information Collection: DS-7656; Affidavit of Relationship (AOR)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-15

    ... Collection. Originating Office: Office of Admissions, Bureau of Population, Refugees and Migration (PRM/A..., Bureau of Population, Refugees and Migration (PRM), PRM/Admissions, 2401 E Street NW., Suite L505, SA-1... Director, Office of Admissions, Bureau of Population, Refugees, and Migration, Department of State....

  17. 76 FR 9849 - 30-Day Notice of Proposed Information Collection: Refugee Biographic Data, OMB Control Number...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... Currently Approved Collection Originating Office: Bureau of Population, Refugees, and Migration, PRM/A Form... Bureau of Population, Refugees, and Migration. Methodology: Biographic information is collected in a face... Population, Refugees, and Migration, Department of State. BILLING CODE 4710-33-P...

  18. 78 FR 47479 - 30-Day Notice of Proposed Information Collection: Nonimmigrant Treaty Trader/Investor Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-05

    ... include the DS form number, information collection title, and the OMB control number in the subject line... Taylor, who may be reached at PRA_BurdenComments@state.gov . SUPPLEMENTARY INFORMATION: Title...

  19. 78 FR 64146 - 30-Day Notice of Proposed Information Collection: Technical Processing Requirements for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ...: Colette Pollard, Reports Management Officer, QDAM, Department of Housing and Urban Development, 451 7th... insurance-- underwriting, valuation, architectural, and mortgage credit analysis. HUD performs each phases... (i.e. affected public): Business and other for profit. Estimated Annual Reporting and...

  20. 78 FR 36562 - 30-Day Notice of Proposed Information Collection: Home Equity Conversion Mortgage (HECM...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-18

    ... the information collection for a period of 60 days was published on August 31, 2012. A. Overview of... borrower eligibility, property analysis, underwriting analysis, and collection of mortgage...

  1. 78 FR 77547 - 30-Day Notice of Proposed Information Collection: Voluntary Disclosures

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-23

    ... International Traffic in Arms Regulations (``ITAR,'' 22 CFR 120-130) and Section 38 of the Arms Export Control... and exporters must maintain records of defense trade activities for five years. ITAR Sec. 127.12... of the AECA, ITAR, or any order, license, or other authorization issued under the AECA. The...

  2. 76 FR 32008 - 30-Day Notice of Proposed Information Collections: RPPR Public Diplomacy Surveys

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-02

    ... forms of social media and similar collaborative technologies to interact on Public Diplomacy themes in... Information Collection: Electronic Media Engagement Evaluation. OMB Control Number: None. Type of Request: New... participants who are representative of the general populations. The Electronic Media Engagement collection...

  3. 78 FR 70956 - 30-Day Notice of Proposed Information Collection: Assessment of Native American, Alaska Native...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-27

    ..., Alaska Native and Native Hawaiian Housing Needs AGENCY: Office of the Chief Information Officer, HUD... Housing Needs. OMB Approval Number: 2528-0288. Type of Request: Revision of a currently approved collection. Form Number: None. Description of the need for the information and proposed use: The...

  4. 77 FR 74545 - 30-Day Notice of Proposed Information Collection: Directorate of Defense Trade Controls...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-14

    ... public review. Abstract of proposed collection: The export, temporary import, temporary export and... parts 120-130) and Section 38 of the Arms Export Control Act. Any person who engages in the business of manufacturing or exporting defense articles, defense services, and related technical data, or the...

  5. 78 FR 42796 - 30-Day Notice of Proposed Information Collection: HUD Standard Grant Application Forms: Detailed...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-17

    ...: Detailed Budget Form (HUD-424-CB), Budget Worksheet (HUD-424CBW), Application for Federal Assistance (SF...-424-CB), Budget Worksheet (HUD- 424CBW), Application for Federal Assistance (SF-424), and the Third... the Paperwork Reduction Act of 1995, 44 U.S.C. Chapter 35. Dated: July 9, 2013. Colette...

  6. 77 FR 2601 - 30-Day Notice of Proposed Information Collection: DS-4164 OMB Control #1405-XXXX

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-18

    ... Collection: Risk Analysis and Management. OMB Control Number: None. Type of Request: New Collection... in the FY 2011 Continuing Resolution, is implementing a Risk Analysis and Management Program to...

  7. 76 FR 53704 - 30-Day Notice of Proposed Information Collection: Passport Demand Forecasting Study Phase III...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-29

    ... Services reaches the appropriate audience and leverages the best research method to obtain valid responses. The survey data will cover an estimated 48,000 respondents annually and will include variables covering passport, travel, and socio-demographic variables of interest to the Office of Passport...

  8. 78 FR 56908 - 30-Day Notice of Proposed Information Collection: Training Evaluation Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-16

    ... anticipates launching a Web site dedicated to providing links to existing HUD Web-based learning materials... Management and Governance training at in 22 locations in FY 2013. This training will be web-based in the... consists of pre- requisite computer-based component followed by an instructor led component. To...

  9. 77 FR 30318 - Agency Information Collection Activities: 30-Day Notice of Intention To Request Clearance of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-22

    ...-0018, Nomination of Properties for Listing in the National Register of Historic Places, 36 CFR 60 and..., National Register of Historic Places, 1201 Eye St. NW., 20005. You may send an email to Lisa_Deline@nps.gov... Register of Historic Places (National Register) is the official Federal list of districts, sites,...

  10. 75 FR 70961 - 30-Day Notice of Proposed Information Collection: Voluntary Disclosures

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-19

    ... Disclosures. OMB Control Number: 1405-0179. Type of Request: Extension of Currently Approved Collection... Number: None. Respondents: Business and Nonprofit Organizations. Estimated Number of Respondents:...

  11. 76 FR 11837 - 30-Day Notice of Proposed Information Collections: DS-4143, Brokering Prior Approval (License...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-03

    ... Prior Approval (License). OMB Control Number: 1405-0142. Type of Request: Extension of Currently... Controls, PM/DDTC. Form Number: None. Respondents: Business and Nonprofit Organizations. Estimated Number.... Title of Information Collection: Annual Brokering Report. OMB Control Number: 1405-0141. Type of...

  12. 78 FR 54267 - 30-Day Notice of Proposed Information Collection: Disaster Recovery Grant Reporting System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-03

    ... appropriation for Hurricane Sandy relief. One-time only submissions: The onetime only pre- and post-award submissions for the estimated 40 new DRSI grants resulting from Hurricane Sandy include standard forms, DRGR.... Historical data on voucher and QPR submissions for technical assistance grants were extremely limited at...

  13. 78 FR 70090 - 30-Day Notice of Proposed Information Collection: PEPFAR Program Expenditures

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-22

    ... enactment of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (Pub. L.../AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 (Pub. L. 110-293) (HIV/AIDS Leadership...

  14. 77 FR 39317 - 30-Day Notice of Proposed Information Collection, DS-5520, Supplemental Questionnaire to...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-02

    ... being said, the Department is also well aware of how complicated family dynamics can be regardless of... that providing information about one's family members (living and deceased) is irrelevant for... requested information. The details surrounding one's family are usually one of the easiest pieces...

  15. 78 FR 58377 - 30-Day Notice of Proposed Information Collection: Nonimmigrant Fiance(e) Visa Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-23

    ... Taylor, Visa Services, U.S. Department of State, 2401 E Street NW., L-603, Washington, DC 20522, who may... an alien applicant for a non-immigrant fianc (e) visa. Dated: September 10, 2013. Edward...

  16. 78 FR 60993 - 30-Day Notice of Proposed Information Collection: Application To Determine Returning Status

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-02

    ... Taylor, who may be reached at PRA_BurdenComments@state.gov . SUPPLEMENTARY INFORMATION: ] Title of..., and submit the DS-0117 during their interview at a Consular Post. Dated: September 25, 2013....

  17. 76 FR 64421 - 30-Day Notice of Proposed Information Collections: DDTC Information Collections.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-18

    ..., PM/DDTC Form Number: DSP-5 Respondents: Business and Nonprofit Organizations Estimated Number of...: Bureau of Political-Military Affairs, Directorate of Defense Trade Controls, PM/DDTC Form Number: DSP-61... Affairs, Directorate of Defense Trade Controls, PM/DDTC Form Number: DSP-73 Respondents: Business...

  18. 78 FR 59048 - 30-Day Notice of Proposed Information Collection: Family Self-Sufficiency Program (FSS)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-25

    ...-A, HUD-2991, HUD-52752, HUD-52755, SF- 424, SF-LLL, HUD-1044. Description of the need for the... Worksheet HUD-1044--Grant Agreement*...... 250 1 250 N/A N/A Annual Report (Narrative)....... 900 1 900...

  19. 78 FR 6171 - 30-Day Notice of Proposed Information Collection: INTERNational Connections

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-29

    ...: Alumni of the U.S. Department of State's Student Programs, including internships, Pickerings, Rangels... available for public review. Abstract of proposed collection: The Department's student internship programs... as to their motivation in seeking an internship, whether or not they had pursued a career with...

  20. 77 FR 38296 - Draft Public Health Action Plan-A National Public Health Action Plan for the Detection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-27

    ... for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION... (CDC), located within the Department of Health and Human Services (HHS) published a notice in the... be received on or before June 15, 2012. HHS/CDC has received a request asking for a 30 day...

  1. Predictors of 30-day mortality in patients with spontaneous primary intracerebral hemorrhage

    PubMed Central

    Safatli, Diaa A.; Günther, Albrecht; Schlattmann, Peter; Schwarz, Falko; Kalff, Rolf; Ewald, Christian

    2016-01-01

    Background: Intracerebral hemorrhage (ICH) is a life threatening entity, and an early outcome assessment is mandatory for optimizing therapeutic efforts. Methods: We retrospectively analyzed data from 342 patients with spontaneous primary ICH to evaluate possible predictors of 30-day mortality considering clinical, radiological, and therapeutical parameters. We also applied three widely accepted outcome grading scoring systems [(ICH score, FUNC score and intracerebral hemorrhage grading scale (ICH-GS)] on our population to evaluate the correlation of these scores with the 30-day mortality in our study. We also applied three widely accepted outcome grading scoring systems [(ICH score, FUNC score and intracerebral hemorrhage grading scale (ICH-GS)] on our population to evaluate the correlation of these scores with the 30-day mortality in our study. Results: From 342 patients (mean age: 67 years, mean Glasgow Coma Scale [GCS] on admission: 9, mean ICH volume: 62.19 ml, most common hematoma location: basal ganglia [43.9%]), 102 received surgical and 240 conservative treatment. The 30-day mortality was 25.15%. In a multivariate analysis, GCS (Odds ratio [OR] =0.726, 95% confidence interval [CI] =0.661–0.796, P < 0.001), bleeding volume (OR = 1.012 per ml, 95% CI = 1.007 – 1.017, P < 0.001), and infratentorial hematoma location (OR = 5.381, 95% CI = 2.166-13.356, P = 0.009) were significant predictors for the 30-day mortality. After receiver operating characteristics analysis, we defined a “high-risk group” for an unfavorable short-term outcome with GCS <11 and ICH volume >32 ml supratentorially or 21 ml infratentorially. Using Pearson correlation, we found a correlation of 0.986 between ICH score and 30-day mortality (P < 0.001), 0.853 between FUNC score and 30-day mortality (P = 0.001), and 0.924 between ICH-GS and 30-day mortality (P = 0.001). Conclusions: GCS score on admission together with the baseline volume and localization of the hemorrhage are strong

  2. Relationships between in-hospital and 30-day standardized hospital mortality: implications for profiling hospitals.

    PubMed Central

    Rosenthal, G. E.; Baker, D. W.; Norris, D. G.; Way, L. E.; Harper, D. L.; Snow, R. J.

    2000-01-01

    OBJECTIVE: To examine the relationship of in-hospital and 30-day mortality rates and the association between in-hospital mortality and hospital discharge practices. DATA SOURCES/STUDY SETTING: A secondary analysis of data for 13,834 patients with congestive heart failure who were admitted to 30 hospitals in northeast Ohio in 1992-1994. DESIGN: A retrospective cohort study was conducted. DATA COLLECTION: Demographic and clinical data were collected from patients' medical records and were used to develop multivariable models that estimated the risk of in-hospital and 30-day (post-admission) mortality. Standardized mortality ratios (SMRs) for in-hospital and 30-day mortality were determined by dividing observed death rates by predicted death rates. PRINCIPAL FINDINGS: In-hospital SMRs ranged from 0.54 to 1.42, and six hospitals were classified as statistical outliers (p <.05); 30-day SMRs ranged from 0.63 to 1.73, and seven hospitals were outliers. Although the correlation between in-hospital SMRs and 30-day SMRs was substantial (R = 0.78, p < .001), outlier status changed for seven of the 30 hospitals. Nonetheless, changes in outlier status reflected relatively small differences between in-hospital and 30-day SMRs. Rates of discharge to nursing homes or other inpatient facilities varied from 5.4 percent to 34.2 percent across hospitals. However, relationships between discharge rates to such facilities and in-hospital SMRs (R = 0.08; p = .65) and early post-discharge mortality rates (R = 0.23; p = .21) were not significant. CONCLUSIONS: SMRs based on in-hospital and 30-day mortality were relatively similar, although classification of hospitals as statistical outliers often differed. However, there was no evidence that in-hospital SMRs were biased by differences in post-discharge mortality or discharge practices. PMID:10737447

  3. Measuring hospital mortality rates: are 30-day data enough? Ischemic Heart Disease Patient Outcomes Research Team.

    PubMed Central

    Garnick, D W; DeLong, E R; Luft, H S

    1995-01-01

    OBJECTIVE. We compare 30-day and 180-day postadmission hospital mortality rates for all Medicare patients and those in three categories of cardiac care: coronary artery bypass graft surgery, acute myocardial infarction, and congestive heart failure. DATA SOURCES/COLLECTION. Health Care Financing Administration (HCFA) hospital mortality data for FY 1989. STUDY DESIGN. Using hospital level public use files of actual and predicted mortality at 30 and 180 days, we constructed residual mortality measures for each hospital. We ranked hospitals and used receiver operating characteristic (ROC) curves to compare 0-30, 31-180, and 0-180-day postadmission mortality. PRINCIPAL FINDINGS. For the admissions we studied, we found a broad range of hospital performance when we ranked hospitals using the 30-day data; some hospitals had much lower than predicted 30-day mortality rates, while others had much higher than predicted mortality rates. Data from the time period 31-180 days postadmission yield results that corroborate the 0-30 day postadmission data. Moreover, we found evidence that hospital performance on one condition is related to performance on the other conditions, but that the correlation is much weaker in the 31-180-day interval than in the 0-30-day period. Using ROC curves, we found that the 30-day data discriminated the top and bottom fifths of the 180-day data extremely well, especially for AMI outcomes. CONCLUSIONS. Using data on cumulative hospital mortality from 180 days postadmission does not yield a different perspective from using data from 30 days postadmission for the conditions we studied. PMID:7860319

  4. 78 FR 45270 - Notice of Realty Action; Proposed Modified Competitive Sale of Public Land in Jackson County, Oregon

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-26

    ... Bureau of Land Management Notice of Realty Action; Proposed Modified Competitive Sale of Public Land in Jackson County, Oregon AGENCY: Bureau of Land Management, Interior. ACTION: Notice of realty action. SUMMARY: The Bureau of Land Management (BLM) proposes to sell a 9.26 acre parcel of public land in...

  5. 78 FR 27473 - Notice of Final Federal Agency Actions on the Tappan Zee Hudson River Crossing Project in New York

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-10

    ... Federal Highway Administration Notice of Final Federal Agency Actions on the Tappan Zee Hudson River... within the meaning of 23 U.S.C. 139(l)(1). The actions relate to the Tappan Zee Hudson River Crossing... FHWA published a ``Notice of Final Federal Agency Actions'' on the Tappan Zee Hudson River...

  6. 78 FR 11899 - Notice of Realty Action: Direct Sale of Public Land in San Mateo County, CA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-20

    ... Bureau of Land Management Notice of Realty Action: Direct Sale of Public Land in San Mateo County, CA AGENCY: Bureau of Land Management, Interior. ACTION: Notice of realty action. SUMMARY: The Bureau of Land Management (BLM), Hollister Field Office, proposes to sell two separate parcels of public land...

  7. Hyperkalemia is Associated with Increased 30-Day Mortality in Hip Fracture Patients.

    PubMed

    Norring-Agerskov, Debbie; Madsen, Christian Medom; Abrahamsen, Bo; Riis, Troels; Pedersen, Ole B; Jørgensen, Niklas Rye; Bathum, Lise; Lauritzen, Jes Bruun; Jørgensen, Henrik L

    2017-02-17

    Abnormal plasma concentrations of potassium in the form of hyper- and hypokalemia are frequent among hospitalized patients and have been linked to poor outcomes. In this study, we examined the prevalence of hypo- and hyperkalemia in patients admitted with a fractured hip as well as the association with 30-day mortality in these patients. A total of 7293 hip fracture patients (aged 60 years or above) with admission plasma potassium measurements were included. Data on comorbidity, medication, and death was retrieved from national registries. The association between plasma potassium and mortality was examined using Cox proportional hazards models adjusted for age, sex, and comorbidities. The prevalence of hypo- and hyperkalemia on admission was 19.8% and 6.6%, respectively. The 30-day mortality rates were increased for patients with hyperkalemia (21.0%, p < 0.0001) compared to normokalemic patients (9.5%), whereas hypokalemia was not significantly associated with mortality. After adjustment for age, sex, and individual comorbidities, hyperkalemia was still associated with increased risk of death 30 days after admission (HR = 1.93 [1.55-2.40], p < 0.0001). After the same adjustments, hypokalemia remained non-associated with increased risk of 30-day mortality (HR = 1.06 [0.87-1.29], p = 0.6). Hyperkalemia, but not hypokalemia, at admission is associated with increased 30-day mortality after a hip fracture.

  8. Half of 30-Day Hospital Readmissions Among HIV-Infected Patients Are Potentially Preventable

    PubMed Central

    Kitchell, Ellen; Etherton, Sarah Shelby; Duarte, Piper; Halm, Ethan A.; Jain, Mamta K.

    2015-01-01

    Abstract Thirty-day readmission rates, a widely utilized quality metric, are high among HIV-infected individuals. However, it is unknown how many 30-day readmissions are preventable, especially in HIV patients, who have been excluded from prior potentially preventable readmission analyses. We used electronic medical records to identify all readmissions within 30 days of discharge among HIV patients hospitalized at a large urban safety net hospital in 2011. Two independent reviewers assessed whether readmissions were potentially preventable using both published criteria and detailed chart review, how readmissions might have been prevented, and the phase of care deemed suboptimal (inpatient care, discharge planning, post-discharge). Of 1137 index admissions, 213 (19%) resulted in 30-day readmissions. These admissions occurred among 930 unique HIV patients, with 130 individuals (14%) experiencing 30-day readmissions. Of these 130, about half were determined to be potentially preventable using published criteria (53%) or implicit chart review (48%). Not taking antiretroviral therapy (ART) greatly increased the odds of a preventable readmission (OR 5.9, CI:2.4–14.8). Most of the preventable causes of readmission were attributed to suboptimal care during the index hospitalization. Half of 30-day readmission in HIV patients are potentially preventable. Increased focus on early ART initiation, adherence counseling, management of chronic conditions, and appropriate timing of discharge may help reduce readmissions in this vulnerable population. PMID:26154066

  9. 78 FR 40265 - Notice of Final Federal Agency Action on Proposed Bridge Replacement in Massachusetts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-03

    ... Federal Highway Administration Notice of Final Federal Agency Action on Proposed Bridge Replacement in... final within the meaning of 23 U.S.C. Sec. 139(l)(1). The actions relate to the proposed Mitchell River Bridge (Bridge Street over the Mitchell River) Replacement Project in Chatham-Barnstable...

  10. 77 FR 1782 - Notice of Final Federal Agency Action on Proposed Bridge Replacement in Massachusetts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-11

    ... within the meaning of 23 U.S.C. 39(l)(1). The action relates to the proposed Fore River Bridge (State... Federal Highway Administration Notice of Final Federal Agency Action on Proposed Bridge Replacement in... bridge project in the Commonwealth of Massachusetts. The project proposes to replace the...

  11. 77 FR 48168 - Correction for Notice of Realty Action; Recreation and Public Purposes Act Classification...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-13

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR Bureau of Land Management Correction for Notice of Realty Action; Recreation and Public Purposes Act Classification; California AGENCY: Bureau of Land Management, Interior. ACTION: Correction SUMMARY: This...

  12. 78 FR 25524 - Notice of Final Federal Agency Actions on Proposed Highway in California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-01

    ... Populations; E.O. 11593 Protection and Enhancement of the Cultural Environment; E.O. 13007 Indian Sacred Sites... Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Highway in California... Review of Actions by the California Department of Transportation (Caltrans), pursuant to 23 U.S.C....

  13. 75 FR 3522 - Notice of Final Federal Agency Actions on Proposed Highway in California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-21

    ... and Enhancement of the Cultural Environment; E.O. 13007 Indian Sacred Sites; E.O. 13287 Preserve... Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Highway in California... Review of Actions by the California Department of Transportation (Caltrans), pursuant to 23 USC...

  14. 76 FR 81011 - Notice of Final Federal Agency Actions on Proposed Light Rail Project in Washington

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-27

    ... Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Light Rail Project in... meaning of 23 U.S.C. 139(l)(1). The actions relate to the East Link Light Rail Transit Project in King... approvals for the following project in the State of Washington: East Link Light Rail Transit Project,...

  15. 75 FR 53014 - Notice and Modification of Action: Canada-Compliance with Softwood Lumber Agreement

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-30

    ... TRADE REPRESENTATIVE Notice and Modification of Action: Canada--Compliance with Softwood Lumber... action. SUMMARY: Under the 2006 Softwood Lumber Agreement (SLA), Canada agreed to impose export measures on Canadian exports of softwood lumber products to the United States. At the request of the...

  16. 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

    ... Federal Highway Administration Notice of Final Federal Agency Actions on Transportation Project in... Project, located in the City of Puyallup (Milepost 6.40) in Pierce County, Washington. The action by FHWA... traffic, which will accommodate the future SR 167 Extension interchange and removes the existing...

  17. 47 CFR 0.422 - Current action documents and public notices.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Current action documents and public notices. 0.422 Section 0.422 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL COMMISSION ORGANIZATION General Information Forms and Documents Available Upon Request § 0.422 Current action documents and...

  18. 78 FR 59085 - Notice of Final Federal Agency Action on Proposed Highway in California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-25

    ... Federal Highway Administration Notice of Final Federal Agency Action on Proposed Highway in California... Review of Actions by FHWA and other Federal agencies. SUMMARY: The FHWA, on behalf of the California... taken by the California Department of ] Transportation (Department) pursuant to its...

  19. 77 FR 59035 - Notice of Final Federal Agency Action on Proposed Bridge Rehabilitation and Restoration in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-25

    ... compliance with modern standards, in particular the Americans with Disabilities Act. It is one of the largest... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION... on Claims for Judicial Review of Action by FHWA. SUMMARY: This notice announces action taken by...

  20. 77 FR 6622 - Notice of Final Federal Agency Action on Proposed Bridge Replacement in Massachusetts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-08

    ... review. It is one of ] the largest projects to be undertaken by MassDOT under the Commonwealth's $3... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION... Judicial Review of Action by FHWA. SUMMARY: This notice announces action taken by the FHWA that is...

  1. 60 FR 12968 - Notice of Realty Action, Sale of Public Lands in Owyhee County, Idaho

    Federal Register 2010, 2011, 2012, 2013, 2014

    1995-03-09

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR Notice of Realty Action, Sale of Public Lands in Owyhee County, Idaho AGENCY: Bureau of Land Management, Interior. ACTION: Sale of public lands in Owyhee County. SUMMARY: The following-described public land...

  2. 63 FR 43413 - Notice of Realty Action, Sale of Public Land in Owyhee County, Idaho

    Federal Register 2010, 2011, 2012, 2013, 2014

    1998-08-13

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR Bureau of Land Management Notice of Realty Action, Sale of Public Land in Owyhee County, Idaho AGENCY: Bureau of Land Management, Interior. ACTION: Sale of Public Land in Owyhee County. SUMMARY: The...

  3. 78 FR 77477 - Notice of Statute of Limitations on Claims; Notice of Final Federal Agency Action on the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-23

    ... with a fixed bridge. As a structure over navigable waters of the United States, the proposed bridge... the Interstate 5 Bridge across the Columbia River AGENCY: Coast Guard, DHS. ACTION: Notice of... the issuance of a Coast Guard bridge permit, adoption of the bridge related portions of the...

  4. 76 FR 33357 - Notice of Realty Action; Recreation and Public Purposes Act Classification; and Notice of Intent...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-08

    ... will not be offered for an R&PP Act lease and/or conveyance until after the classification decision... Bureau of Land Management Notice of Realty Action; Recreation and Public Purposes Act Classification; and... (BLM) has examined for classification approximately 1.31 acres of public land located in Mohave...

  5. Characteristics of older adults rehospitalized within 7 and 30 days of discharge: implications for nursing practice.

    PubMed

    Hain, Debra J; Tappen, Ruth; Diaz, Sanya; Ouslander, Joseph G

    2012-08-01

    Rehospitalization within 30 days consumes a significant portion of health care costs; therefore, interventions aimed at reducing the risk of rehospitalization are needed. A retrospective study was conducted examining rehospitalization rates and diagnoses according to discharge location and comparing characteristics of older adults within 7 and 30 days of discharge from a community hospital. Data on rehospitalization for Medicare fee-for-service patients (75 and older) over a 12-month period were obtained from the information technology department of a not-for-profit community hospital. A total of 6,809 patients were discharged, with 12% rehospitalized within 30 days. Skilled nursing facilities had the highest rehospitalization rates (15%), followed by home with home health care (13%) and then home with self-care (8%). The highest rehospitalization rates were in areas where nursing has a strong presence, suggesting that nurses can play an important role in the development of interventions aimed at reducing rehospitalizations.

  6. Relationship between obstructive sleep apnea and 30-day mortality among patients with pulmonary embolism

    PubMed Central

    Ghiasi, Farzin; Ahmadpoor, Amin; Amra, Babak

    2015-01-01

    Background: Pulmonary embolism (PE) is the most life-threatening form of venous thrombosis which causes the majority of mortalities in this category. Obstructive sleep apnea (OSA) has been indicated as one of the risk factors for thromboembolism because of hemostatic alterations. The present study was designed to seek for the relationship between OSA and 30-day mortality of patients with PE. Materials and Methods: This prospective cohort study was conducted among 137 consecutive patients referred to hospital with symptoms of PE and preliminary stable hemodynamic. Confirmation of PE was made by multislice computed tomography pulmonary angiography and in the case of contraindication; V/Q lung scan and Doppler sonography were done. A STOP-Bang Questionnaire was used to determine patients with high- and low-risk of OSA. Patients were followed up for 1-month, and their survivals were recorded. Results: This study showed that there was no relationship between OSA and 30-day mortality (P = 0.389). Chronic kidney disease (P = 0.004), hypertension (P = 0.003), main thrombus (P = 0.004), and segmental thrombus (P = 0.022) were associated with 30-day mortality. In the logistic regression analysis, history of chronic kidney disease was diagnosed as a risk factor for 30-day mortality among the PE patients (P = 0.029, odds ratio = 4.93). Conclusion: Results of this study showed 30-day mortality was not affected by OSA directly. In fact, it was affected by complications of OSA such as hypertension and thrombus. Also, positive history of chronic kidney disease increased the risk of 30-day mortality. PMID:26622255

  7. Myelinated fibers of the mouse spinal cord after a 30-day space flight.

    PubMed

    Povysheva, T V; Rezvyakov, P N; Shaimardanova, G F; Nikolskii, E E; Islamov, R R; Chelyshev, Yu A; Grygoryev, A I

    2016-07-01

    Myelinated fibers and myelin-forming cells in the spinal cord at the L3-L5 level were studied in C57BL/6N mice that had spent 30 days in space. Signs of destruction of myelin in different areas of white matter, reduction of the thickness of myelin sheath and axon diameter, decreased number of myelin-forming cells were detected in "flight" mice. The stay of mice in space during 30 days had a negative impact on the structure of myelinated fibers and caused reduced expression of the markers myelin-forming cells. These findings can complement the pathogenetic picture of the development of hypogravity motor syndrome.

  8. 77 FR 67657 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service (IHS...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-13

    ... health care and preventive health services. To support the IHS mission and to provide the product/service... HUMAN SERVICES Indian Health Service Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service (IHS) Sharing What Works--Best Practice, Promising Practice, and Local...

  9. 77 FR 13128 - Agency Information Collection Request; 30-Day Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-05

    ...'' campaign is a national Public Service Announcement (PSA) campaign that aims to educate, engage and empower... HUMAN SERVICES Agency Information Collection Request; 30-Day Public Comment Request AGENCY: Office of... Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services,...

  10. 77 FR 37407 - Agency Information Collection Request-30-Day Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-21

    ... HUMAN SERVICES Agency Information Collection Request--30-Day Public Comment Request AGENCY: Office of... Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, is.... Proposed Project: New Comprehensive Communication Campaign on Right To Non-Discrimination in Certain...

  11. Enhanced recovery of Phytophthora ramorum from soil following 30 days storage at 4C

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Chlamydospores of Phytophthora ramorum produced by mixing 20 percent V8 juice broth cultures with sand and incubating over a 30 day period were used to infest field soil at densities ranging from 0.2 to 42 chlamydospores per cubic centimeter of soil. Chlamydospore recovery was determined by baiting...

  12. 77 FR 18820 - Agency Information Collection Request; 30-Day Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-28

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency Information Collection Request; 30-Day Public Comment Request AGENCY: Office of... Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services,...

  13. 77 FR 59354 - Removal of 30-Day Residency Requirement for Per Diem Payments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-27

    ... reasons other than hospital care, such as when a veteran travels to visit family members. This proposed... payments, stating: ``We believe that 30 days is a minimal amount of time for demonstrating that a veteran... State home within a specific period of time, or communicates that he or she will not be returning....

  14. 77 FR 59318 - Removal of 30-Day Residency Requirement for Per Diem Payments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-27

    ... reasons other than hospital care, such as when a veteran travels to visit family members. This rule also... 30 days is a minimal amount of time for demonstrating that a veteran intends to be a resident at the... State home within a specific period of time, or communicates that he or she will not be returning....

  15. 76 FR 59129 - Agency Information Collection Request; 30-Day Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-23

    ... HUMAN SERVICES Agency Information Collection Request; 30-Day Public Comment Request AGENCY: Office of... Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, is... to send comments regarding this burden estimate or any other aspect of this collection of...

  16. 26 CFR 31.3406(d)-3 - Special 30-day rules for certain reportable payments.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 15 2010-04-01 2010-04-01 false Special 30-day rules for certain reportable payments. 31.3406(d)-3 Section 31.3406(d)-3 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE... account. (b) Sale of an instrument for a customer by electronic transmission or by mail. The special...

  17. 77 FR 32638 - Agency Information Collection Request. 30-Day Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-01

    ... HUMAN SERVICES Agency Information Collection Request. 30-Day Public Comment Request AGENCY: Office of... Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, is...) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) the...

  18. 76 FR 79683 - Agency Information Collection Request. 30-Day Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-22

    ... HUMAN SERVICES Agency Information Collection Request. 30-Day Public Comment Request AGENCY: Office of... Reduction Act of 1995, the Office of the Secretary (OS), Department of Health and Human Services, is... new AIDS cases. As one strategy to address this disparity, the U.S. Department of Health and...

  19. 78 FR 79703 - Submission for OMB Review; 30-Day Comment Request: Application Process for Clinical Research...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-31

    ... for OMB Review; 30-Day Comment Request: Application Process for Clinical Research Training and Medical... contact: Robert M. Lembo, MD, Deputy Director, Office of Clinical Research Training and Medical Education... Process for Clinical Research Training and Medical Education at the Clinical Center and its Impact...

  20. New consensus definition for acute kidney injury accurately predicts 30-day mortality in cirrhosis with infection

    PubMed Central

    Wong, Florence; O’Leary, Jacqueline G; Reddy, K Rajender; Patton, Heather; Kamath, Patrick S; Fallon, Michael B; Garcia-Tsao, Guadalupe; Subramanian, Ram M.; Malik, Raza; Maliakkal, Benedict; Thacker, Leroy R; Bajaj, Jasmohan S

    2015-01-01

    Background & Aims A consensus conference proposed that cirrhosis-associated acute kidney injury (AKI) be defined as an increase in serum creatinine by >50% from the stable baseline value in <6 months or by ≥0.3mg/dL in <48 hrs. We prospectively evaluated the ability of these criteria to predict mortality within 30 days among hospitalized patients with cirrhosis and infection. Methods 337 patients with cirrhosis admitted with or developed an infection in hospital (56% men; 56±10 y old; model for end-stage liver disease score, 20±8) were followed. We compared data on 30-day mortality, hospital length-of-stay, and organ failure between patients with and without AKI. Results 166 (49%) developed AKI during hospitalization, based on the consensus criteria. Patients who developed AKI had higher admission Child-Pugh (11.0±2.1 vs 9.6±2.1; P<.0001), and MELD scores (23±8 vs17±7; P<.0001), and lower mean arterial pressure (81±16mmHg vs 85±15mmHg; P<.01) than those who did not. Also higher amongst patients with AKI were mortality in ≤30 days (34% vs 7%), intensive care unit transfer (46% vs 20%), ventilation requirement (27% vs 6%), and shock (31% vs 8%); AKI patients also had longer hospital stays (17.8±19.8 days vs 13.3±31.8 days) (all P<.001). 56% of AKI episodes were transient, 28% persistent, and 16% resulted in dialysis. Mortality was 80% among those without renal recovery, higher compared to partial (40%) or complete recovery (15%), or AKI-free patients (7%; P<.0001). Conclusions 30-day mortality is 10-fold higher among infected hospitalized cirrhotic patients with irreversible AKI than those without AKI. The consensus definition of AKI accurately predicts 30-day mortality, length of hospital stay, and organ failure. PMID:23999172

  1. 75 FR 21037 - Notice of Realty Action; Application for Conveyance of Federally-Owned Mineral Interests, California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-22

    ... Bureau of Land Management Notice of Realty Action; Application for Conveyance of Federally- Owned Mineral... federally-owned mineral interests in the 2292.12-acre tract of land described in this notice. Publication of this notice temporarily segregates the mineral interests in the land covered by the application...

  2. 77 FR 25734 - 30-Day Extension of Call for Nominations for the Bureau of Land Management's California Desert...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-01

    ... California Desert District Advisory Council AGENCY: Bureau of Land Management, Interior. ACTION: Notice. SUMMARY: The Bureau of Land Management's (BLM) California Desert District is extending the call for... of Land Management, California Desert District Office, 22835 Calle San Juan De Los Lagos,...

  3. 7 CFR 273.13 - Notice of adverse action.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE FOOD STAMP AND FOOD DISTRIBUTION PROGRAM CERTIFICATION OF ELIGIBLE HOUSEHOLDS § 273.13 Notice of... holiday, and a request for a fair hearing and continuation of benefits is received the day after...

  4. 30-Day Survival Probabilities as a Quality Indicator for Norwegian Hospitals: Data Management and Analysis

    PubMed Central

    Hassani, Sahar; Lindman, Anja Schou; Kristoffersen, Doris Tove; Tomic, Oliver; Helgeland, Jon

    2015-01-01

    Background The Norwegian Knowledge Centre for the Health Services (NOKC) reports 30-day survival as a quality indicator for Norwegian hospitals. The indicators have been published annually since 2011 on the website of the Norwegian Directorate of Health (www.helsenorge.no), as part of the Norwegian Quality Indicator System authorized by the Ministry of Health. Openness regarding calculation of quality indicators is important, as it provides the opportunity to critically review and discuss the method. The purpose of this article is to describe the data collection, data pre-processing, and data analyses, as carried out by NOKC, for the calculation of 30-day risk-adjusted survival probability as a quality indicator. Methods and Findings Three diagnosis-specific 30-day survival indicators (first time acute myocardial infarction (AMI), stroke and hip fracture) are estimated based on all-cause deaths, occurring in-hospital or out-of-hospital, within 30 days counting from the first day of hospitalization. Furthermore, a hospital-wide (i.e. overall) 30-day survival indicator is calculated. Patient administrative data from all Norwegian hospitals and information from the Norwegian Population Register are retrieved annually, and linked to datasets for previous years. The outcome (alive/death within 30 days) is attributed to every hospital by the fraction of time spent in each hospital. A logistic regression followed by a hierarchical Bayesian analysis is used for the estimation of risk-adjusted survival probabilities. A multiple testing procedure with a false discovery rate of 5% is used to identify hospitals, hospital trusts and regional health authorities with significantly higher/lower survival than the reference. In addition, estimated risk-adjusted survival probabilities are published per hospital, hospital trust and regional health authority. The variation in risk-adjusted survival probabilities across hospitals for AMI shows a decreasing trend over time: estimated

  5. Morbidity associated with 30-day surgical site infection following nonshunt pediatric neurosurgery.

    PubMed

    Sherrod, Brandon A; Rocque, Brandon G

    2017-04-01

    OBJECTIVE Morbidity associated with surgical site infection (SSI) following nonshunt pediatric neurosurgical procedures is poorly understood. The purpose of this study was to analyze acute morbidity and mortality associated with SSI after nonshunt pediatric neurosurgery using a nationwide cohort. METHODS The authors reviewed data from the American College of Surgeons National Surgical Quality Improvement Program-Pediatric (NSQIP-P) 2012-2014 database, including all neurosurgical procedures performed on pediatric patients. Procedures were categorized by Current Procedural Terminology (CPT) codes. CSF shunts were excluded. Deep and superficial SSIs occurring within 30 days of an index procedure were identified. Deep SSIs included deep wound infections, intracranial abscesses, meningitis, osteomyelitis, and ventriculitis. The following outcomes occurring within 30 days of an index procedure were analyzed, along with postoperative time to complication development: sepsis, wound disruption, length of postoperative stay, readmission, reoperation, and death. RESULTS A total of 251 procedures associated with a 30-day SSI were identified (2.7% of 9296 procedures). Superficial SSIs were more common than deep SSIs (57.4% versus 42.6%). Deep SSIs occurred more frequently after epilepsy or intracranial tumor procedures. Superficial SSIs occurred more frequently after skin lesion, spine, Chiari decompression, craniofacial, and myelomeningocele closure procedures. The mean (± SD) postoperative length of stay for patients with any SSI was 9.6 ± 14.8 days (median 4 days). Post-SSI outcomes significantly associated with previous SSI included wound disruption (12.4%), sepsis (15.5%), readmission (36.7%), and reoperation (43.4%) (p < 0.001 for each). Post-SSI sepsis rates (6.3% vs 28.0% for superficial versus deep SSI, respectively; p < 0.001), wound disruption rates (4.9% vs 22.4%, p < 0.001), and reoperation rates (23.6% vs 70.1%, p < 0.001) were significantly greater for patients

  6. 49 CFR 234.11 - State highway-rail grade crossing action plans.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false State highway-rail grade crossing action plans... within 30 days following receipt of written notice from FRA. (4) FRA may condition the awarding of any... RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION GRADE CROSSING SIGNAL SYSTEM SAFETY AND STATE...

  7. Work capacity during 30 days of bed rest with isotonic and isokinetic exercise training

    NASA Technical Reports Server (NTRS)

    Greenleaf, J. E.; Bernauer, E. M.; Ertl, A. C.; Trowbridge, T. S.; Wade, C. E.

    1989-01-01

    Results are presented from a study to determine whether or not short-term variable intensity isotonic and intermittent high-intensity isokinetic short-duration leg exercise is effective for the maintenance of peak O2 (VO2) uptake and muscular strength and endurance, respectively, during 30 days of -6 deg head-down bed rest deconditioning. The results show no significant changes in leg peak torque, leg mean total work, arm total peak torque, or arm mean total work for members of the isotonic, isokinetic, and controls groups. Changes are observed, however, in peak VO2 levels. The results suggest that near-peak variabile intensity, isotonic leg excercise maintains peak VO2 during 30 days of bed rest, while peak intermittent, isokinetic leg excercise protocol does not.

  8. Analysis of weekend effect on 30-day mortality among patients with acute myocardial infarction

    PubMed Central

    Noad, Rebecca; Stevenson, Michael; Herity, Niall A

    2017-01-01

    Objectives Several publications have demonstrated increased 30-day mortality in patients admitted on Saturdays or Sundays compared with weekdays. We sought to determine whether this was true for two different cohorts of patients admitted with acute myocardial infarction (MI). Methods and results Thirty-day mortality data were obtained for 3757 patients who had been admitted to the Belfast Health and Social Care Trust with acute MI between 2009 and 2015. They were subdivided into those presenting with ST elevation MI (n=2240) and non-ST elevation MI (n= 1517). We observed no excess 30-day mortality in those admitted over weekends. Conclusion Excess mortality in patients admitted at weekends is not a universal finding. This may mean that that there are patient subgroups with proportionately greater weekend hazard and points to the need for more detailed understanding of the weekend effect.

  9. A Comprehensive Analysis of the Causes and Predictors of 30-Day Mortality Following Hip Fracture Surgery

    PubMed Central

    Hossain, Fahad Siddique; Aqil, Adeel; Akinbamijo, Babawande; Mushtaq, Vhaid; Kapoor, Harish

    2017-01-01

    Background A fracture neck of femur is the leading cause of injury-related mortality in the elderly population. The 30-day mortality figure is a well utilised marker of clinical outcome following a fracture neck of femur. Current studies fail to analyse all patient demographic, biochemical and comorbid parameters associated with increased 30-day mortality. We aimed to assess medical risk factors for mortality, which are easily identifiable on admission for patients presenting with a fractured neck of femur. Methods A retrospective review of a prospectively populated database was undertaken to identify all consecutive patients with a fracture neck of femur between October 2008 and March 2011. All factors related to the patient, injury and surgery were identified. The primary outcome of interest was 30-day mortality. Univariate and subsequent multivariate analyses using a backward stepwise likelihood ratio Cox regression model were performed in order to establish all parameters that significantly increased the risk of death. Results A total of 1,356 patients were included in the study. The 30-day mortality was 8.7%. The most common causes of death included pneumonia, sepsis and acute myocardial infarction. Multiple regression analysis revealed male gender, increasing age, admission source other than the patient's own home, admission haemoglobin of less than 10 g/dL, a history of myocardial infarction, concomitant chest infection during admission, increasing Charlson comorbidity score and liver disease to be significant predictors of mortality. Conclusions This study has elucidated risk factors for mortality using clinical and biochemical information which are easily gathered at the point of hospitalization. These results allow for identification of vulnerable patients who may benefit from a prioritisation of resources. PMID:28261422

  10. Incidence, Causes and Predictors of 30-Day Readmission After Shoulder Arthroplasty

    PubMed Central

    Westermann, Robert W; Anthony, Chris A.; Duchman, Kyle R.; Pugely, Andrew J.; Gao, Yubo; Hettrich, Carolyn M.

    2016-01-01

    Background The Center for Medicare and Medicaid Service has identified several quality metrics, including unplanned readmission within 30 days of surgery, to assess and compare surgeons and hospitals. The purpose of this study was to identify the incidence, causes and risk factors for unplanned 30-day readmission after total shoulder arthroplasty. Methods We identified patients undergoing primary elective shoulder arthroplasty performed at American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) participating hospitals in 2013. Cases were stratified by readmission status. Univariate and multivariate analyses were employed to assess patient demographics, comorbidities and operative variables predicting unplanned readmission. Results 2779 patients undergoing shoulder arthroplasty were identified, with 74 (2.66%) requiring unplanned readmissions within 30 days of surgery. The most common surgical causes for unplanned readmission were surgical site infections (18.6%), dislocations (16.3%) and venous thromboembolism (14.0%). Medical causes for readmission were responsible for 51% of unplanned readmissions. Multivariate analysis identified patient age >75 (OR 2.62, 95% CI: 1.27 - 5.41), and ASA class of 3 (OR 1.79, 95% CI: 1.01 - 3.18) or 4 (OR 3.63, 95% CI: 1.31 - 10.08) as independent risk factors for unplanned readmission. Predictive modeling estimated that patients with ASA class of 4 and age >75 are 17.4 times more likely (95% CI 1.77-171.09) to be readmitted within 30 days of shoulder arthroplasty. Conclusion Unplanned readmission after shoulder arthroplasty is infrequent and medical complications account for more than 50% of occurrences. The risk of readmission exponentially increases when age and preoperative comorbidity burden are increased. PMID:27528839

  11. Skeletal muscle adaptations following blood flow-restricted training during 30 days of muscular unloading.

    PubMed

    Cook, Summer B; Brown, Kimberly A; Deruisseau, Keith; Kanaley, Jill A; Ploutz-Snyder, Lori L

    2010-08-01

    This study evaluated the effectiveness of low-load resistance training with a blood flow restriction (LL(BFR)) to attenuate muscle loss and weakness after 30 days of unilateral lower limb suspension (ULLS). Sixteen subjects (ages 18-50 yr) underwent 30 days of ULLS. Measurements of muscle strength, cross-sectional area, and endurance on the knee extensors and plantar flexors were collected before and after ULLS. Plasma concentrations of IGF-1 and IGFBP-3 were also assessed. During ULLS, eight subjects (5 males, 3 females) participated in LL(BFR) three times per week (ULLS + Exercise) while eight subjects (4 males, 4 females) did not exercise (ULLS). The blood flow-restricted exercise consisted of dynamic knee extension at 20% of the subject's isometric maximum voluntary contraction coupled with a suprasystolic blood flow restriction. After 30 days of limb suspension, the ULLS + Exercise group experienced minimal and insignificant losses in knee extensor cross-sectional area and strength (1.2% and 2.0%, respectively; P 0.05). Muscular endurance in the knee extensors improved 31% in the ULLS + Exercise group, while it decreased 24% in the ULLS group (P = 0.01). No changes were seen in hormone concentrations throughout the study. In conclusion, LL(BFR) of the knee extensors is effective in maintaining muscle strength and size during 30 days of ULLS and results in improved knee extensor muscular endurance.

  12. The 10-30-day intraseasonal variation of the East Asian winter monsoon: The temperature mode

    NASA Astrophysics Data System (ADS)

    Yao, Suxiang; Sun, Qingfei; Huang, Qian; Chu, Peng

    2016-09-01

    East Asia is known for its monsoon characteristics, but little research has been performed on the intraseasonal time scale of the East Asian winter monsoon (EAWM). In this paper, the extended reanalysis (ERA)-Interim sub-daily data are used to study the surface air temperature intraseasonal oscillation (ISO) of the EAWM. The results show that the air temperature (2-m level) of the EAWM has a dominant period of 10-30 days. Lake Baikal and south China are the centers of the air temperature ISO. An anomalous low frequency (10-30-day filtered) anticyclone corresponds to the intraseasonal cold air. The 10-30-day filtered cold air spreads from Novaya Zemlya to Lake Baikal and even to South China. The ISO of the Arctic Oscillation (AO) index influences the temperature of the EAWM by stimulating Rossby waves in middle latitude, causing meridional circulation, and eventually leads to the temperature ISO of the EAWM. RegCM4 has good performance for the simulation of the air temperature ISO. The simulated results indicate that the plateau is responsible for the southward propagation of the intraseasonal anticyclone. The anticyclone could not reach South China when there was no plateau in western China and its upper reaches.

  13. Surgeon volume and 30 day mortality for brain tumours in England

    PubMed Central

    Williams, Matt; Treasure, Peter; Greenberg, David; Brodbelt, Andrew; Collins, Peter

    2016-01-01

    Background: There is evidence that surgeons who perform more operations have better outcomes. However, in patients with brain tumours, all of the evidence comes from the USA. Methods: We examined all English patients with an intracranial neoplasm who had an intracranial resection in 2008–2010. We included surgeons who performed at least six operations over 3 years, and at least one operation in the first and last 6 months of the period. Results: The analysis data set comprised 9194 operations, 163 consultant neurosurgeons and 30 centres. Individual surgeon volumes varied widely (7–272; median=46). 72% of operations were on the brain, and 30 day mortality was 3%. A doubling of surgeon load was associated with a 20% relative reduction in mortality. Thirty day mortality varied between centres (0·95–8·62%) but was not related to centre workload. Conclusions: Individual surgeon volumes correlated with patient 30 day mortality. Centres and surgeons in England are busier than surgeons and centres in the USA. There is no relationship between centre volume and 30 day mortality in England. Services in the UK appear to be adequately arranged at a centre level, but would benefit from further surgeon sub-specialisation. PMID:27764843

  14. Discharge to a rehabilitation facility is associated with decreased 30-day readmission in elective spinal surgery.

    PubMed

    Abt, Nicholas B; McCutcheon, Brandon A; Kerezoudis, Panagiotis; Murphy, Meghan; Rinaldo, Lorenzo; Fogelson, Jeremy; Nassr, Ahmad; Currier, Bradford L; Bydon, Mohamad

    2017-02-01

    The aim of our study was to determine independent predictors of discharge disposition to rehabilitation or skilled care (SC) facilities and investigate whether discharge location is associated with unplanned readmission and/or reoperation rates. All elective spinal surgery patients in a national surgical registry were analyzed using between 2011 and 2012. Multivariable logistic regression analysis was used to assess for predictors of discharge to rehabilitation or SC facilities versus home as well as to determine whether discharge disposition was significantly associated with the 30-day unplanned readmission or reoperation. Of 34,023 elective spinal surgery patients, the distribution of discharge locations was as follows: 30,606 (90.0%) discharged home, 1674 (4.9%) discharged to rehabilitation, and 1743 (5.1%) discharged to SC. Patients discharged home were associated with the lowest complication rate relative to rehabilitation and SC facilities. Following multivariable regression analysis, there was a significant increase in the odds of discharge to rehabilitation associated with age, male gender, current smoking, ASA class three and four, history of diabetes, operative time, total hospital length of stay, preoperative neurologic morbidity and having at least one postoperative morbidity event. Moreover, there were 804 (4.06%) 30-day unplanned readmissions and 822 (2.45%) unplanned reoperations. After risk adjustment, discharge to rehabilitation was independently associated with decreased odds of 30-day unplanned readmission (OR=0.41; p=0.008) but not reoperation.

  15. 20 CFR 702.262 - Action by district director upon receipt of notice of contest.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Action by district director upon receipt of notice of contest. 702.262 Section 702.262 Employees' Benefits EMPLOYMENT STANDARDS ADMINISTRATION, DEPARTMENT OF LABOR LONGSHOREMEN'S AND HARBOR WORKERS' COMPENSATION ACT AND RELATED STATUTES...

  16. 20 CFR 702.252 - Action by district director upon receipt of notice of controversion.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Action by district director upon receipt of notice of controversion. 702.252 Section 702.252 Employees' Benefits EMPLOYMENT STANDARDS ADMINISTRATION, DEPARTMENT OF LABOR LONGSHOREMEN'S AND HARBOR WORKERS' COMPENSATION ACT AND RELATED STATUTES...

  17. 78 FR 23740 - Notice of Availability of a Swine Brucellosis and Pseudorabies Proposed Action Plan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-22

    ... Animal and Plant Health Inspection Service Notice of Availability of a Swine Brucellosis and Pseudorabies... swine brucellosis and pseudorabies available for public review and comment. This action will allow... a potential new approach to managing swine brucellosis and pseudorabies available for public...

  18. 75 FR 26789 - Notice of Realty Action; Recreation and Public Purposes Act Classification for Conveyance of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-12

    ....241A.00; UTU-87630] Notice of Realty Action; Recreation and Public Purposes Act Classification for... classification for conveyance to Grand County under the provisions of the Recreation and Public Purposes (R&PP... portion has been used for solid waste disposal or for any other purpose that the authorized...

  19. 76 FR 60524 - Notice of Realty Action: Recreation and Public Purposes Act Classification and Conveyance of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-29

    ... Bureau of Land Management Notice of Realty Action: Recreation and Public Purposes Act Classification and... classification and conveyance to Emery County under the provisions of the Recreation and Public Purposes (R&PP... Recognized Environmental Conditions. The land is not needed for any Federal purpose of National...

  20. 76 FR 44649 - Notice of Final Federal Agency Actions on Proposed Highway in Texas

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... USACE involvement with this project is limited to approving the Section 404 permit for the project. This... notice and all laws under which such actions were taken, including but not limited to: 1. General.... 661- 667(d)]; and Migratory Bird Treaty Act . 5. Historic and Cultural Resources: Section 106 of...

  1. 77 FR 55495 - Notice of Realty Action: Application for Conveyance of Federally Owned Mineral Interests in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-10

    ... Bureau of Land Management Notice of Realty Action: Application for Conveyance of Federally Owned Mineral... Act to convey the federally owned mineral interests of 111.33 acres located in Maricopa County... temporarily segregating the federally owned mineral interests in the land covered by the application from...

  2. 75 FR 443 - Notice of Realty Action: Application for Conveyance of Federally-owned Mineral Interests...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-05

    ...] Notice of Realty Action: Application for Conveyance of Federally- owned Mineral Interests, Monterey... application was filed on May 6, 2009, for the conveyance of the federally-owned mineral interests in the 10... mineral interests in the land covered by the application from appropriation under the mining and...

  3. 75 FR 27384 - Notice of Final Federal Agency Actions on Proposed Highway in California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-14

    ... Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Highway in California... Road interchange in the City of Stockton (post mile 15.0), in San Joaquin County, State of California...-mail: dominic.hoang@dot.gov . For the California Department of Transportation: Gail Miller,...

  4. 77 FR 61023 - Notice of Realty Action: Direct Sale of Public Land in Shasta County, CA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-05

    ... Bureau of Land Management Notice of Realty Action: Direct Sale of Public Land in Shasta County, CA AGENCY...), Redding Field Office, proposes to sell a parcel of public land totaling approximately 40 acres in Shasta... Act of 1976 (FLPMA), as amended (43 U.S.C. 1713 and 1719). Mount Diablo Meridian T. 34 N., R. 1...

  5. 76 FR 46890 - Notice of Final Federal Agency Actions on Proposed Highway in Washington

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-03

    ... notice, FHWA is advising the public of final agency actions subject to 23 U.S.C. 139(1). A claim seeking... applies. FOR FURTHER INFORMATION CONTACT: Pete Jilek, Urban Area Engineer, Federal Highway Administration...@.dot.gov. The FHWA Washington Division Urban Area Engineer's regular office hours are between 6...

  6. 78 FR 25301 - Notice of Realty Action: Recreation and Public Purposes Act Classification and Conveyance of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-30

    ... Bureau of Land Management Notice of Realty Action: Recreation and Public Purposes Act Classification and... classification and conveyance to Jackson County, under the provisions of the Recreation and Public Purposes Act.... DATES: Interested parties may submit written comments regarding the proposed classification...

  7. 78 FR 75577 - Notice of Realty Action: Recreation and Public Purposes Act Classification; Lease and Conveyance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-12

    ... found suitable for classification for lease and/or conveyance to the City of Las Cruces under the... Bureau of Land Management Notice of Realty Action: Recreation and Public Purposes Act Classification; Lease and Conveyance of Public Land, Do a Ana County, NM AGENCY: Bureau of Land Management,...

  8. 75 FR 14626 - Notice of Realty Action: Recreation and Public Purposes Act Classification, Clark County, NV

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-26

    ... proposed classification, lease or conveyance will be reviewed by the BLM Nevada State Director, who may...] Notice of Realty Action: Recreation and Public Purposes Act Classification, Clark County, NV AGENCY... filed a Recreation and Public Purposes (R&PP) Act application for lease or conveyance of approximately...

  9. 78 FR 40167 - Notice of Realty Action: Classification for Lease and Subsequent Conveyance for Recreation and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-03

    ...: 14X5232] Notice of Realty Action: Classification for Lease and Subsequent Conveyance for Recreation and... suitable for classification for lease and subsequent conveyance under the provisions of the Recreation and...: Interested parties may submit written comments regarding the proposed classification of the land for...

  10. 78 FR 40168 - Notice of Realty Action: Classification for Lease and Subsequent Conveyance for Recreation and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-03

    ...: 14X5232] Notice of Realty Action: Classification for Lease and Subsequent Conveyance for Recreation and... suitable for classification for lease and subsequent conveyance under the provisions of the Recreation and...: Interested parties may submit written comments regarding the proposed classification of the land for...

  11. 76 FR 16809 - Notice of Realty Action; Recreation and Public Purposes Act Classification; Lease and Conveyance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-25

    ... regarding this proposed classification and lease or sale of this public land until May 9, 2011. ADDRESSES... available for lease or conveyance until after the classification becomes effective. (Authority: 43 CFR 2741... Bureau of Land Management Notice of Realty Action; Recreation and Public Purposes Act...

  12. 75 FR 28282 - Notice of Realty Action; Recreation and Public Purposes Act Classification; Lease and Conveyance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-20

    ... written comments regarding the proposed classification and lease or conveyance of this public land on or... will not be available for lease or conveyance until after the classification becomes effective... Bureau of Land Management Notice of Realty Action; Recreation and Public Purposes Act...

  13. 75 FR 35084 - Notice of Realty Action: Recreation and Public Purposes Act Classification; Lease and Conveyance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-21

    ... guarantee that we will be able to do so. Any adverse comments on the proposed classification, lease and sale... be available for lease and conveyance until after the classification becomes effective. Authority: 43... Bureau of Land Management Notice of Realty Action: Recreation and Public Purposes Act...

  14. 75 FR 14625 - Notice of Realty Action: Recreation and Public Purposes Act Classification, Clark County, NV

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-26

    ... to do so. Any adverse comments on the proposed classification, lease or conveyance will be reviewed...] Notice of Realty Action: Recreation and Public Purposes Act Classification, Clark County, NV AGENCY... filed a Recreation and Public Purposes (R&PP) Act application for lease or conveyance of approximately...

  15. 76 FR 6816 - Notice of Realty Action: Recreation and Public Purposes Act Classification; Lease and Conveyance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-08

    ...: Interested parties may submit written comments regarding the proposed classification for lease and/or... for classification for lease and/or conveyance to the Cultural Department of the State of New Mexico... Bureau of Land Management Notice of Realty Action: Recreation and Public Purposes Act...

  16. 75 FR 35085 - Notice of Realty Action: Recreation and Public Purposes Act Classification, Elko County, NV

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-21

    ... classification and lease and/or conveyance under the provisions of the R&PP Act, as amended, (43 U.S.C. 869 et...: 14X5232] Notice of Realty Action: Recreation and Public Purposes Act Classification, Elko County, NV... Public Purposes (R&PP) Act application for lease and/or conveyance of approximately 807.5 acres of...

  17. Risk Factors and Indications for 30-Day Readmission After Primary Surgery for Epithelial Ovarian Cancer

    PubMed Central

    AlHilli, Mariam; Langstraat, Carrie; Tran, Christine; Martin, Janice; Weaver, Amy; McGree, Michaela; Mariani, Andrea; Cliby, William; Bakkum-Gamez, Jamie

    2015-01-01

    Background To identify patients at risk for postoperative morbidities, we evaluated indications and factors associated with 30-day readmission after epithelial ovarian cancer surgery. Methods Patients undergoing primary surgery for epithelial ovarian cancer between January 2, 2003, and December 29, 2008, were evaluated. Univariable and multivariable logistic regression models were fit to identify factors associated with 30-day readmission. A parsimonious multivariable model was identified using backward and stepwise variable selection. Results In total, 324 (60.2%) patients were stage III and 91 (16.9%) were stage IV. Of all 538 eligible patients, 104 (19.3%) were readmitted within 30 days. Cytoreduction to no residual disease was achieved in 300 (55.8%) patients, and 167 (31.0%) had measurable disease (≤1 cm residual disease). The most common indications for readmission were surgical site infection (SSI; 21.2%), pleural effusion/ascites management (14.4%), and thromboembolic events (12.5%). Multivariate analysis identified American Society of Anesthesiologists score of 3 or higher (odds ratio, 1.85; 95% confidence interval, 1.18–2.89; P = 0.007), ascites [1.76 (1.11–2.81); P = 0.02], and postoperative complications during initial admission [grade 3–5 vs none, 2.47 (1.19–5.16); grade 1 vs none, 2.19 (0.98–4.85); grade 2 vs none, 1.28 (0.74–2.21); P = 0.048] to be independently associated with 30-day readmission (c-index = 0.625). Chronic obstructive pulmonary disease was the sole predictor of readmission for SSI (odds ratio, 3.92; 95% confidence interval, 1.07–4.33; P = 0.04). Conclusions Clinically significant risk factors for 30-day readmission include American Society of Anesthesiologists score of 3 or higher, ascites and postoperative complications at initial admission. The SSI and pleural effusions/ascites are common indications for readmission. Systems can be developed to predict patients needing outpatient management, improve care, and reduce

  18. 77 FR 25196 - Agency Information Collection Activities: Proposed Collection; Comments Requested; Notice of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-27

    ... Attorney or Representative Before the Board of Immigration Appeals (Form EOIR-27) ACTION: 30-Day Notice of... Appearance as Attorney or Representative Before the Board of Immigration Appeals. (3) Agency form number, if... public who will be asked or required to respond, as well as a brief abstract: Primary: Attorneys...

  19. 77 FR 25197 - Agency Information Collection Activities: Proposed Collection; Comments Requested; Notice of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-27

    ... Attorney or Representative Before the Immigration Court (Form EOIR-28) ACTION: 30-Day Notice of Information... Appearance as Attorney or Representative before the Immigration Court. (3) Agency form number, if any, and... be asked or required to respond, as well as a brief abstract: Primary: Attorneys or...

  20. 77 FR 54612 - Agency Information Collection Activities: Proposed Collection; Comments Requested: Notice of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-05

    ...-54613] [FR Doc No: 2012-21798] DEPARTMENT OF JUSTICE Executive Office for Immigration Review [OMB Number... Appeal to the Board of Immigration Appeals From a Decision of a DHS Officer ACTION: 30-Day notice of information collection. The Department of Justice (DOJ), Executive Office for Immigration Review (EOIR)...

  1. 75 FR 42131 - Notice of Lodging of Consent Decree Under the Clean Air Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-20

    ... of Lodging of Consent Decree Under the Clean Air Act Notice is hereby given that on July 13, 2010, a proposed Consent Decree in United States v. Edgeboro Disposal, Inc., et al., Civil Action No. 3:10-cv-03541... thirty (30) days from the date of this publication comments relating to the Consent Decree....

  2. 17 CFR 240.3a55-2 - Indexes underlying futures contracts trading for fewer than 30 days.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... contracts trading for fewer than 30 days. 240.3a55-2 Section 240.3a55-2 Commodity and Securities Exchanges... Indexes underlying futures contracts trading for fewer than 30 days. (a) An index on which a contract of... the Act (15 U.S.C. 78c(a)(55)) for the first 30 days of trading, if: (1) Such index would not...

  3. 17 CFR 240.3a55-2 - Indexes underlying futures contracts trading for fewer than 30 days.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... contracts trading for fewer than 30 days. 240.3a55-2 Section 240.3a55-2 Commodity and Securities Exchanges... Indexes underlying futures contracts trading for fewer than 30 days. (a) An index on which a contract of... the Act (15 U.S.C. 78c(a)(55)) for the first 30 days of trading, if: (1) Such index would not...

  4. 17 CFR 240.3a55-2 - Indexes underlying futures contracts trading for fewer than 30 days.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... contracts trading for fewer than 30 days. 240.3a55-2 Section 240.3a55-2 Commodity and Securities Exchanges... Indexes underlying futures contracts trading for fewer than 30 days. (a) An index on which a contract of... the Act (15 U.S.C. 78c(a)(55)) for the first 30 days of trading, if: (1) Such index would not...

  5. 17 CFR 240.3a55-2 - Indexes underlying futures contracts trading for fewer than 30 days.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... contracts trading for fewer than 30 days. 240.3a55-2 Section 240.3a55-2 Commodity and Securities Exchanges... Indexes underlying futures contracts trading for fewer than 30 days. (a) An index on which a contract of... the Act (15 U.S.C. 78c(a)(55)) for the first 30 days of trading, if: (1) Such index would not...

  6. 17 CFR 240.3a55-2 - Indexes underlying futures contracts trading for fewer than 30 days.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... contracts trading for fewer than 30 days. 240.3a55-2 Section 240.3a55-2 Commodity and Securities Exchanges... Indexes underlying futures contracts trading for fewer than 30 days. (a) An index on which a contract of... the Act (15 U.S.C. 78c(a)(55)) for the first 30 days of trading, if: (1) Such index would not...

  7. Advancing Age and 30-Day Adverse Outcomes Following Non-Emergent General Surgical Operations

    PubMed Central

    Gajdos, Csaba; Kile, Deidre; Hawn, Mary T.; Finlayson, Emily; Henderson, William G.; Robinson, Thomas N.

    2014-01-01

    Background While some single center studies have demonstrated that major surgical operations are safe to perform in older adults, most multicenter database studies find advancing age to independently predict adverse postoperative outcomes. We hypothesized that thirty-day postoperative mortality, complications, failure to rescue rates and postoperative length of stay will increase with advancing age. Design Retrospective cohort study. Setting Hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) Participants Patients undergoing non-emergent major general surgical operations between 2005 and 2008 were studied. Measures Postoperative outcomes of interest were complications occurring within 30 days of the index operation, return to OR within 30 days, failure to rescue after a postoperative complication, post-surgical length of stay and 30 day mortality. Results A total of 165,600 patients were studied. The rates of postoperative mortality, overall morbidity, and each type of postoperative complication increased as age increased. The rates of failure to rescue after each type of postoperative complication also increased with age. Mortality rates in patients ≥80 following renal insufficiency (43.3%), stroke (36.5%), myocardial infarction (35.6%), and pulmonary complications (25-39%) were particularly high. Median postoperative length of stay increased with age following surgical site infection, UTI, pneumonia, return to OR, and overall morbidity, but not after venous thromboembolism, stroke, myocardial infarction, renal insufficiency, failure to wean from the ventilator or reintubations. Conclusion Thirty-day mortality, complications and failure to rescue rates increase with advancing age following non-emergent general surgical operations. Patients over 80 years of age have especially high mortality following renal, cardiovascular, and pulmonary complications. As patient age advances, surgeons need to be

  8. Rat brain pro-oxidant effects of peripherally administered 5 nm ceria 30 days after exposure.

    PubMed

    Hardas, Sarita S; Sultana, Rukhsana; Warrier, Govind; Dan, Mo; Florence, Rebecca L; Wu, Peng; Grulke, Eric A; Tseng, Michael T; Unrine, Jason M; Graham, Uschi M; Yokel, Robert A; Butterfield, D Allan

    2012-10-01

    The objective of this study was to determine the residual pro-or anti-oxidant effects in rat brain 30 days after systemic administration of a 5 nm citrate-stabilized ceria dispersion. A ∼4% aqueous ceria dispersion was iv-infused (0 or 85 mg/kg) into rats which were terminated 30 days later. Ceria concentration, localization, and chemical speciation in the brain was assessed by inductively coupled plasma mass spectrometry (ICP-MS), light and electron microscopy (EM), and electron energy loss spectroscopy (EELS), respectively. Pro- or anti-oxidant effects were evaluated by measuring levels of protein carbonyls (PC), 3-nitrotyrosine (3NT), and protein-bound-4-hydroxy-2-trans-nonenal (HNE) in the hippocampus, cortex, and cerebellum. Glutathione reductase (GR), glutathione peroxidase (GPx), superoxide dismutase (SOD), and catalase levels and activity were measured in addition to levels of inducible nitric oxide (iNOS), and heat shock protein-70 (Hsp70). The blood brain barrier (BBB) was visibly intact and no ceria was seen in the brain cells. Ceria elevated PC and Hsp70 levels in hippocampus and cerebellum, while 3NT and iNOS levels were elevated in the cortex. Whereas glutathione peroxidase and catalase activity were decreased in the hippocampus, GR levels were decreased in the cortex, and GPx and catalase levels were decreased in the cerebellum. The GSH:GSSG ratio, an index of cellular redox status, was decreased in the hippocampus and cerebellum. The results are in accordance with the observation that this nanoscale material remains in this mammal model up to 30 days after its administration and the hypothesis that it exerts pro-oxidant effects on the brain without crossing the BBB. These results have important implications on the potential use of ceria ENM as therapeutic agents.

  9. Derivation and validation of a 30-day heart failure readmission model.

    PubMed

    Fleming, Lisa M; Gavin, Michael; Piatkowski, Gail; Chang, James D; Mukamal, Kenneth J

    2014-11-01

    In 2006, there were >1 million hospital admissions for heart failure (HF), and the estimated cost to the United States in 2009 was >$37.2 billion. Better models to target aggressive therapy to patients at the highest risk for readmission are clearly needed. We studied 3,413 consecutive admissions for HF based on discharge diagnosis codes from October 2007 to August 2011 from a single academic center. We randomly generated derivation and validation sets in a 3:1 ratio. We used generalized estimating equations to develop our models, accounting for repeated hospitalizations and the Hosmer-Lemeshow test to examine model calibration. The 30-day readmission rate was 24.2% in the derivation set. Of 25 candidate variables, the best fitting model included creatinine, troponin, hematocrit, and hyponatremia at discharge; race; zip code of residence; discharge hour; and number of hospitalizations in the previous year. Insignificant variables included intravenous diuretic use on day of discharge, discharge service, diabetes, atrial fibrillation, age, and gender. The risk of 30-day readmission increased with increasing decile of predicted risk in both the validation and derivation cohorts. The area under the receiver operating characteristic curve for the model was 0.69 in the derivation set and 0.66 in the validation set. In conclusion, we derived and validated a simple model relating discharge-specific characteristics at risk of 30-day readmission. Application of this approach may facilitate targeted intervention to reduce the burden of rehospitalization in patients with HF, but our results suggest that the best readmission models may require incorporation of both clinical and local system factors for optimal prediction.

  10. Changes in size and compliance of the calf after 30 days of simulated microgravity

    NASA Technical Reports Server (NTRS)

    Convertino, Victor A.; Doerr, Donald F.; Stein, Stewart L.

    1989-01-01

    The hypothesis that reducing muscle compartment by a long-term exposure to microgravity would cause increased leg venous compliance was tested in eight men who were assessed for vascular compliance and for serial circumferences of the calf before and after 30 days of continuous 6-deg head-down bed rest. It was found that head-down bed rest caused decreases in the calculated calf volume and the calf-muscle compartment, as well as increases in calf compliance. The percent increases in calf compliance correlated significantly with decreases in calf muscle compartment.

  11. Race, Rehabilitation, and 30-Day Readmission After Elective Total Knee Arthroplasty

    PubMed Central

    Jorgenson, Erik S.; Richardson, Diane M.; Thomasson, Arwin M.; Nelson, Charles L.

    2015-01-01

    Introduction: To examine racial variations in access to postacute care (PAC) and rehabilitation (Rehab) services following elective total knee arthroplasty and whether where patients go after surgery for PAC/Rehab is associated with 30-day readmission to acute care facility. Materials and Methods: Sample consisted of 129 522 patients discharged from 169 hospitals in the State of Pennsylvania between fiscal years 2008 and 2012. We used multinomial regression models to assess the relationship between patient race and discharge destination after surgery, for patients aged 18 to 64 years and for those aged 65 and older. We used multivariable (MV) regression and propensity score (PS) approaches to examine the relationship between patient discharge destination after surgery for PAC/Rehab and 30-day readmission, controlling for key individual- and facility-level factors. Results: Lower proportions of younger patients compared to those older than 65 were discharged to inpatient rehabilitation facilities (IRFs; 5.8% vs 12.6%, respectively) and skilled nursing facilities (SNFs; 15.2% vs 32.7%, respectively) compared to home-based Rehab (self-care; 23.3% vs 14.2%, respectively). Compared to whites, African American patients had significantly higher odds of discharge to IRF (age < 65, odds ratio = 2.04; age ≥ 65, odds ratio = 1.64) and to SNF (age < 65, odds ratio = 2.86; age ≥ 65, odds ratio = 2.19) and discharge to home care in patients younger than 65 years (odds ratio = 1.31). The odds of 30-day readmission among patients discharged to an IRF (MV odds ratio = 7.76; PS odds ratio = 8.34) and SNF (MV odds ratio = 2.01; PS odds ratio = 1.83) were significantly higher in comparison to patients discharged home with self-care. Conclusion: African American patients with knee replacement are more likely to be discharged to inpatient Rehab settings following surgery. Inpatient Rehab is significantly associated with 30-day readmission to acute care facility. PMID:26623166

  12. 49 CFR 630.9 - Notice of FTA action.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... action under §§ 630.5 or 630.8, FTA will transmit a written request to the reporting entity to provide the necessary information within a specified reasonable period of time. FTA will advise the reporting entity of its final decision....

  13. Development and implementation of a real-time 30-day readmission predictive model.

    PubMed

    Cronin, Patrick R; Greenwald, Jeffrey L; Crevensten, Gwen C; Chueh, Henry C; Zai, Adrian H

    2014-01-01

    Hospitals are under great pressure to reduce readmissions of patients. Being able to reliably predict patients at increased risk for rehospitalization would allow for tailored interventions to be offered to them. This requires the creation of a functional predictive model specifically designed to support real-time clinical operations. A predictive model for readmissions within 30 days of discharge was developed using retrospective data from 45,924 MGH admissions between 2/1/2012 and 1/31/2013 only including factors that would be available by the day after admission. It was then validated prospectively in a real-time implementation for 3,074 MGH admissions between 10/1/2013 and 10/31/2013. The model developed retrospectively had an AUC of 0.705 with good calibration. The real-time implementation had an AUC of 0.671 although the model was overestimating readmission risk. A moderately discriminative real-time 30-day readmission predictive model can be developed and implemented in a large academic hospital.

  14. The Relationship Between Nurse Staffing and 30-Day Readmission for Adults With Heart Failure

    PubMed Central

    Giuliano, Karen K.; Danesh, Valerie; Funk, Marjorie

    2016-01-01

    OBJECTIVE The purpose of this study was to better understand the relationship between nurse staffing and 30-day excess readmission ratios for patients with heart failure in the top US adult cardiology and heart surgery hospitals. BACKGROUND Heart failure is the most common cause of hospitalization for patients older than 65 years and is the most frequent diagnosis associated with 30-day hospital readmission in the United States. METHODS A secondary data analysis was conducted using nurse staffing data from 661 cardiology and heart surgery hospitals from the 2013 US News & World Report “Best Hospitals” survey. These data were combined with excess readmission ratios from the Centers for Medicare & Medicaid Services Hospital Compare database from 2013. An independent-samples t test was used to compare staffing (low/high) and excess hospital readmissions rates. RESULTS A significant difference (P = .021) was found between the low nurse staffing group (n = 358) and the high nurse staffing group (n = 303). Hospitals with a lower nurse staffing index had a significantly higher excess readmission rate. CONCLUSION These data provide further support to the body of research showing a positive relationship between nurse staffing and positive outcomes. PMID:26579974

  15. Early inpatient calculation of laboratory-based 30-day readmission risk scores empowers clinical risk modification during index hospitalization.

    PubMed

    Horne, Benjamin D; Budge, Deborah; Masica, Andrew L; Savitz, Lucy A; Benuzillo, José; Cantu, Gabriela; Bradshaw, Alejandra; McCubrey, Raymond O; Bair, Tami L; Roberts, Colleen A; Rasmusson, Kismet D; Alharethi, Rami; Kfoury, Abdallah G; James, Brent C; Lappé, Donald L

    2017-03-01

    Improving 30-day readmission continues to be problematic for most hospitals. This study reports the creation and validation of sex-specific inpatient (i) heart failure (HF) risk scores using electronic data from the beginning of inpatient care for effective and efficient prediction of 30-day readmission risk.

  16. 78 FR 35641 - Notice of Intent To Prepare an Amendment to the Mimbres Resource Management Plan and Associated...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-13

    ..., Las Cruces, New Mexico AGENCY: Bureau of Land Management, Interior. ACTION: Notice. SUMMARY: The Bureau of Land Management (BLM) Las Cruces District Office, New Mexico, intends to prepare a Resource... Web site ( http://www.blm.gov/nm/las cruces). The BLM will accept scoping comments for 30 days...

  17. Correspondence between hair cortisol concentrations and 30-day integrated daily salivary and weekly urinary cortisol measures.

    PubMed

    Short, Sarah J; Stalder, Tobias; Marceau, Kristine; Entringer, Sonja; Moog, Nora K; Shirtcliff, Elizabeth A; Wadhwa, Pathik D; Buss, Claudia

    2016-09-01

    Characterization of cortisol production, regulation and function is of considerable interest and relevance given its ubiquitous role in virtually all aspects of physiology, health and disease risk. The quantification of cortisol concentration in hair has been proposed as a promising approach for the retrospective assessment of integrated, long-term cortisol production. However, human research is still needed to directly test and validate current assumptions about which aspects of cortisol production and regulation are reflected in hair cortisol concentrations (HCC). Here, we report findings from a validation study in a sample of 17 healthy adults (mean±SD age: 34±8.6 yrs). To determine the extent to which HCC captures cumulative cortisol production, we examined the correspondence of HCC, obtained from the first 1cm scalp-near hair segment, assumed to retrospectively reflect 1-month integrated cortisol secretion, with 30-day average salivary cortisol area-under-the curve (AUC) based on 3 samples collected per day (on awakening, +30min, at bedtime) and the average of 4 weekly 24-h urinary free cortisol (UFC) assessments. To further address which aspects of cortisol production and regulation are best reflected in the HCC measure, we also examined components of the salivary measures that represent: (1) production in response to the challenge of awakening (using the cortisol awakening response [CAR]), and (2) chronobiological regulation of cortisol production (using diurnal slope). Finally, we evaluated the test-retest stability of each cortisol measure. Results indicate that HCC was most strongly associated with the prior 30-day integrated cortisol production measure (average salivary cortisol AUC) (r=0.61, p=0.01). There were no significant associations between HCC and the 30-day summary measures using CAR or diurnal slope. The relationship between 1-month integrated 24-h UFC and HCC did not reach statistical significance (r=0.30, p=0.28). Lastly, of all cortisol

  18. Etiologies, Trends, and Predictors of 30-Day Readmission in Patients With Heart Failure.

    PubMed

    Arora, Shilpkumar; Patel, Prashant; Lahewala, Sopan; Patel, Nilay; Patel, Nileshkumar J; Thakore, Kosha; Amin, Aditi; Tripathi, Byomesh; Kumar, Varun; Shah, Harshil; Shah, Mahek; Panaich, Sidakpal; Deshmukh, Abhishek; Badheka, Apurva; Gidwani, Umesh; Gopalan, Radha

    2017-03-01

    Heart failure (HF) is the most common discharge diagnosis across the United States, and these patients are particularly vulnerable to readmissions, increasing attention to potential ways to address the problem. The study cohort was derived from the Healthcare Cost and Utilization Project's National Readmission Data 2013, sponsored by the Agency for Healthcare Research and Quality. HF was identified using appropriate International Classification of Diseases, Ninth Revision, Clinical Modification codes. Readmission was defined as a subsequent hospital admission within 30 days after discharge day of index admission. Readmission causes were identified using International Classification of Diseases, Ninth Revision, codes in primary diagnosis filed. The primary outcome was 30-day readmission. Hierarchical 2-level logistic models were used to evaluate study outcomes. From a total 301,892 principal admissions (73.4% age ≥65 years and 50.6% men), 55,857 (18.5%) patients were readmitted with a total of 64,264 readmissions during the study year. Among the etiologies of readmission, cardiac causes (49.8%) were most common (HF being most common followed by coronary artery disease and arrhythmias), whereas pulmonary causes were responsible for 13.1% and renal causes for 8.9% of the readmissions. Significant predictors of increased 30-day readmission included diabetes (odds ratio, 95% confidence interval, p value: 1.06, 1.03 to 1.08, p <0.001), chronic lung disease (1.13, 1.11 to 1.16, p <0.001), renal failure/electrolyte imbalance (1.12, 1.10 to 1.15, p <0.001), discharge to facilities (1.07, 1.04 to 1.09, p <0.001), lengthier hospital stay, and transfusion during index admission. In conclusion, readmission after a hospitalization for HF is common. Although it may be necessary to readmit some patients, the striking rate of readmission demands efforts to further clarify the determinants of readmission and develop strategies in terms of quality of care and care transitions to

  19. Incidence And Risk Factors For 30-Day Readmissions After Hip Fracture Surgery

    PubMed Central

    Martin, Christopher T; Gao, Yubo; Pugely, Andrew J.

    2016-01-01

    Background Unplanned hospital readmission following orthopedic procedures results in significant expenditures for the Medicare population. In order to reduce expenditures, hospital readmission has become an important quality metric for Medicare patients. The purpose of the present study is to determine the incidence and risk factors for 30-day readmissions after hip fracture surgery. Methods Patients over the age of 18 years who underwent hip fracture surgery, including open reduction internal fixation (ORIF), intramedullary nailing, hemi-arthroplasty, or total hip arthroplasty, between the years 2012 and 2013 were identified from the American College of Surgeons National Surgical Quality improvement Program (NSQIP) database. Overall, 17,765 patients were identified. Univariate and multivariate analyses were performed in order to determine patient and surgical factors associated with 30-day readmission. Results There were 1503 patients (8.4%) readmitted within 30-days of their index procedure. Of the patients with a reason listed for readmission, 27.4% were for procedurally related reasons, including wound complications (16%), peri-prosthetic fractures (4.5%) and prosthetic dislocations (6%). 72.6% of readmissions were for medical reasons, including sepsis (7%), pneumonia (14%), urinary tract infection (6.3%), myocardial infarction (2.7%), renal failure (2.7%), and stroke (2.3%). In the subsequent multivariate analysis, pre-operative dyspnea, COPD, hypertension, disseminated cancer, a bleeding disorder, pre-operative hematocrit of <36, pre-operative creatinine of >1.2, an ASA class of 3 or 4, and the operative procedure type were each independently associated with readmissions risk (p<0.05 for each). Conclusions The overall rate of readmission following hip fracture surgery was moderate. Surgeons should consider discharge optimization in the at risk cohorts identified here, particularly patients with multiple medical comorbidities or an elevated ASA class, and

  20. 75 FR 53735 - Notice of Final Federal Agency Actions on East Lake Sammamish Master Plan Trail in King County, WA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-01

    ... [Federal Register Volume 75, Number 169 (Wednesday, September 1, 2010)] [Notices] [Pages 53735-53736] [FR Doc No: 2010-21804] DEPARTMENT OF TRANSPORTATION Federal Highway Administration Notice of Final Federal Agency Actions on East Lake Sammamish Master Plan Trail in King County, WA AGENCY:...

  1. 76 FR 81525 - Notice of Realty Action: Conveyance of Federally Owned Mineral Interests in Pinal County, AZ

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-28

    ... Bureau of Land Management Notice of Realty Action: Conveyance of Federally Owned Mineral Interests in... mineral interests of a 459.60 acre tract of land in Pinal County, Arizona. Publication of this notice temporarily segregates the Federal mineral interests in the land covered by the application from...

  2. 78 FR 33435 - Notice of Realty Action: Application for Conveyance of Federally Owned Mineral Interests in Pima...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-04

    ... Bureau of Land Management Notice of Realty Action: Application for Conveyance of Federally Owned Mineral.... SUMMARY: Upon publication of this notice, the BLM is temporarily segregating the federally owned mineral... convey the federally owned mineral interests of 2,286.19 acres located in Pima County, Arizona, to...

  3. 77 FR 66215 - Notice of Final Federal Agency Actions on the Tappan Zee Hudson River Crossing Project in New York

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-02

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Federal Highway Administration Notice of Final Federal Agency Actions on the Tappan Zee Hudson River Crossing Project in New York Correction In notice document 2012-26799, appearing on page 65929 in the...

  4. 63 FR 59842 - Notice of Realty Action-IDI-32281; Direct Sale of Public Lands in Owyhee County, ID

    Federal Register 2010, 2011, 2012, 2013, 2014

    1998-11-05

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR Bureau of Land Management Notice of Realty Action-IDI-32281; Direct Sale of Public Lands in Owyhee County, ID Correction In notice document 98-27697, beginning on page 55403, in the issue of Thursday,...

  5. 20 CFR 702.419 - Action by employer upon acquiring knowledge or being given notice of injury.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Action by employer upon acquiring knowledge or being given notice of injury. 702.419 Section 702.419 Employees' Benefits EMPLOYMENT STANDARDS... acquiring knowledge or being given notice of injury. Whenever an employer acquires knowledge of an...

  6. 78 FR 20642 - Notice of Proposed CERCLA Agreement and Order on Consent for Removal Action by Bona Fide...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-05

    ... Chromium Operable Unit, 264 W. Spazier Ave., Burbank, California ACTION: Notice; request for public comment... Valley Area 2 Superfund Site, Glendale Chromium Operable Unit, located at 264 W. Spazier Ave.,...

  7. Assessing Risk and Preventing 30-Day Readmissions in Decompensated Heart Failure: Opportunity to Intervene?

    PubMed

    Dunbar-Yaffe, Richard; Stitt, Audra; Lee, Joseph J; Mohamed, Shanas; Lee, Douglas S

    2015-10-01

    Heart failure (HF) patients are at high risk of hospital readmission, which contributes to substantial health care costs. There is great interest in strategies to reduce rehospitalization for HF. However, many readmissions occur within 30 days of initial hospital discharge, presenting a challenge for interventions to be instituted in a short time frame. Potential strategies to reduce readmissions for HF can be classified into three different forms. First, patients who are at high risk of readmission can be identified even before their initial index hospital discharge. Second, ambulatory remote monitoring strategies may be instituted to identify early warning signs before acute decompensation of HF occurs. Finally, strategies may be employed in the emergency department to identify low-risk patients who may not need hospital readmission. If symptoms improve with initial therapy, low-risk patients could be referred to specialized, rapid outpatient follow-up care where investigations and therapy can occur in an outpatient setting.

  8. The Gravity of LBNP Exercise: Lessons Learned from Identical Twins in Bed for 30 Days

    NASA Technical Reports Server (NTRS)

    Hargens, Alan R.; Groppo, Eli R.; Lee, Stuart M. C.; Watenpaugh, Donald; Schneider, Suzanne; O'Leary, Deborah; Smith, Scott M.; Steinbach, Gregory C.; Tanaka, Kunihiko; Kimura, Shinji; Meyer, R. Scott

    2002-01-01

    Microgravity leads to cardiovascular deconditioning in humans, which is manifested by post-flight reduction of orthostatic tolerance and upright exercise capacity. During upright posture on Earth, blood pressures are greater in the feet than at heart or head levels due to gravity's effects on columns of blood in the body. During exposure to Microgravity, all gravitational blood pressures disappear. Presently, there is no exercise hardware available for space flight to provide gravitational blood pressures to tissues of the lower body. We hypothesized that 40 minutes of supine treadmill running per day in a LBNP chamber at 1.0 to 1.2 body weight (approximately 50 - 60 mm Hg LBNP) with a 5 min resting, nonexercise LBNP exposure at 50 mm Hg after the exercise session will maintain aerobic fitness orthostatic tolerance, and selected parameters of musculoskeletal function during 30 days of bed rest (simulated microgravity). This paper is an interim report of some of our findings on 16 subjects.

  9. Development of Lightweight Material Composites to Insulate Cryogenic Tanks for 30-Day Storage in Outer Space

    NASA Technical Reports Server (NTRS)

    Krause, D. R.

    1972-01-01

    A conceptual design was developed for an MLI system which will meet the design constraints of an ILRV used for 7- to 30-day missions. The ten tasks are briefly described: (1) material survey and procurement, material property tests, and selection of composites to be considered; (2) definition of environmental parameters and tooling requirements, and thermal and structural design verification test definition; (3) definition of tanks and associated hardware to be used, and definition of MLI concepts to be considered; (4) thermal analyses, including purge, evacuation, and reentry repressurization analyses; (5) structural analyses (6) thermal degradation tests of composite and structural tests of fastener; (7) selection of MLI materials and system; (8) definition of a conceptual MLI system design; (9) evaluation of nondestructive inspection techniques and definition of procedures for repair of damaged areas; and (10) preparation of preliminary specifications.

  10. Structural and metabolic characteristics of human skeletal muscle following 30 days of simulated microgravity

    NASA Technical Reports Server (NTRS)

    Hikida, Robert S.; Gollnick, Philip D.; Dudley, Gary A.; Convertino, Victor A.; Buchanan, Paul

    1989-01-01

    The effects of simulated microgravity (30 days of continuous 6-deg headdown bedrest, BR) on the structural and metabolic characteristics of human skeletal muscle were determined. Percutaneous needle biopsy samples obtained from the vastus lateralis and soleus muscles before and after the headdown BR were analyzed for histochemical, biochemical and ultrastructual changes. It was found that headdown BR led to decreases in both fast-twitch and slow-twitch fiber areas in both muscles, and there was evidence of remodeling of the ultrastructure in both muscles. The activities of beta-hydroxyacyl-CoA dehydrogenase and citrate synthase were reduced during BR, but phosphofructokinase and lactate dehydrogenase activities did not change. The results indicate that 30-d exposure to simulated microgravity decreased the capacity for aerobic energy supply of human skeletal muscle and led to a disorganization of the contractile machinery.

  11. Continuous 30-day measurements utilizing the monkey metabolism pod. [study of weightlessness effects

    NASA Technical Reports Server (NTRS)

    Pace, N.; Kodama, A. M.; Mains, R. C.; Rahlmann, D. F.; Grunbaum, B. W.

    1977-01-01

    A fiberglass system was previously described, using which quantitative physiological measurements could be made to study the effects of weightlessness on 10 to 14 kg adult monkeys maintained in comfortable restraint under space flight conditions. Recent improvements in the system have made it possible to obtain continuous measurements of respiratory gas exchange, cardiovascular function, and mineral balance for periods of up to 30 days on pig-tailed monkeys. It has also been possible to operate two pods which share one set of instrumentation, thereby permitting simultaneous measurements to be made on two animals by commutating signal outputs from the pods. In principle, more than two pods could be operated in this fashion. The system is compatible with Spacelab design. Representative physiological data from ground tests of the system are presented.

  12. Bone metabolism and nutritional status during 30-day head-down-tilt bed rest.

    PubMed

    Morgan, Jennifer L L; Zwart, Sara R; Heer, Martina; Ploutz-Snyder, Robert; Ericson, Karen; Smith, Scott M

    2012-11-01

    Bed rest studies provide an important tool for modeling physiological changes that occur during spaceflight. Markers of bone metabolism and nutritional status were evaluated in 12 subjects (8 men, 4 women; ages 25-49 yr) who participated in a 30-day -6° head-down-tilt diet-controlled bed rest study. Blood and urine samples were collected twice before, once a week during, and twice after bed rest. Data were analyzed using a mixed-effects linear regression with a priori contrasts comparing all days to the second week of the pre-bed rest acclimation period. During bed rest, all urinary markers of bone resorption increased ~20% (P < 0.001), and serum parathyroid hormone decreased ~25% (P < 0.001). Unlike longer (>60 days) bed rest studies, neither markers of oxidative damage nor iron status indexes changed over the 30 days of bed rest. Urinary oxalate excretion decreased ~20% during bed rest (P < 0.001) and correlated inversely with urinary calcium (R = -0.18, P < 0.02). These data provide a broad overview of the biochemistry associated with short-duration bed rest studies and provide an impetus for using shorter studies to save time and costs wherever possible. For some effects related to bone biochemistry, short-duration bed rest will fulfill the scientific requirements to simulate spaceflight, but other effects (antioxidants/oxidative damage, iron status) do not manifest until subjects are in bed longer, in which case longer studies or other analogs may be needed. Regardless, maximizing research funding and opportunities will be critical to enable the next steps in space exploration.

  13. Integrated systems of stroke care and reduction in 30-day mortality

    PubMed Central

    Ganesh, Aravind; Lindsay, Patrice; Fang, Jiming; Kapral, Moira K.; Côté, Robert; Joiner, Ian; Hakim, Antoine M.

    2016-01-01

    Objective: To evaluate the association between the presence of integrated systems of stroke care and stroke case-fatality across Canada. Methods: We used the Canadian Institute of Health Information's Discharge Abstract Database to retrospectively identify a cohort of stroke/TIA patients admitted to all acute care hospitals, excluding the province of Quebec, in 11 fiscal years from 2003/2004 to 2013/2014. We used a modified Poisson regression model to compute the adjusted incidence rate ratio (aIRR) of 30-day in-hospital mortality across time for provinces with stroke systems compared to those without, controlling for age, sex, stroke type, comorbidities, and discharge year. We conducted surveys of stroke care resources in Canadian hospitals in 2009 and 2013, and compared resources in provinces with integrated systems to those without. Results: A total of 319,972 patients were hospitalized for stroke/TIA. The crude 30-day mortality rate decreased from 15.8% in 2003/2004 to 12.7% in 2012/2013 in provinces with stroke systems, while remaining 14.5% in provinces without such systems. Starting with the fiscal year 2009/2010, there was a clear reduction in relative mortality in provinces with stroke systems vs those without, sustained at aIRR of 0.85 (95% confidence interval 0.79–0.92) in the 2011/2012, 2012/2013, and 2013/2014 fiscal years. The surveys indicated that facilities in provinces with such systems were more likely to care for patients on a stroke unit, and have timely access to a stroke prevention clinic and telestroke services. Conclusion: In this retrospective study, the implementation of integrated systems of stroke care was associated with a population-wide reduction in mortality after stroke. PMID:26850979

  14. Bone metabolism and nutritional status during 30-day head-down-tilt bed rest

    PubMed Central

    Morgan, Jennifer L. L.; Zwart, Sara R.; Heer, Martina; Ploutz-Snyder, Robert; Ericson, Karen

    2012-01-01

    Bed rest studies provide an important tool for modeling physiological changes that occur during spaceflight. Markers of bone metabolism and nutritional status were evaluated in 12 subjects (8 men, 4 women; ages 25–49 yr) who participated in a 30-day −6° head-down-tilt diet-controlled bed rest study. Blood and urine samples were collected twice before, once a week during, and twice after bed rest. Data were analyzed using a mixed-effects linear regression with a priori contrasts comparing all days to the second week of the pre-bed rest acclimation period. During bed rest, all urinary markers of bone resorption increased ∼20% (P < 0.001), and serum parathyroid hormone decreased ∼25% (P < 0.001). Unlike longer (>60 days) bed rest studies, neither markers of oxidative damage nor iron status indexes changed over the 30 days of bed rest. Urinary oxalate excretion decreased ∼20% during bed rest (P < 0.001) and correlated inversely with urinary calcium (R = −0.18, P < 0.02). These data provide a broad overview of the biochemistry associated with short-duration bed rest studies and provide an impetus for using shorter studies to save time and costs wherever possible. For some effects related to bone biochemistry, short-duration bed rest will fulfill the scientific requirements to simulate spaceflight, but other effects (antioxidants/oxidative damage, iron status) do not manifest until subjects are in bed longer, in which case longer studies or other analogs may be needed. Regardless, maximizing research funding and opportunities will be critical to enable the next steps in space exploration. PMID:22995395

  15. Analysis of rat testicular proteome following 30-day exposure to 900 MHz electromagnetic field radiation.

    PubMed

    Sepehrimanesh, Masood; Kazemipour, Nasrin; Saeb, Mehdi; Nazifi, Saeed

    2014-12-01

    The use of electromagnetic field (EMF) generating apparatuses such as cell phones is increasing, and has caused an interest in the investigations of its effects on human health. We analyzed proteome in preparations from the whole testis in adult male Sprague-Dawley rats that were exposed to 900 MHz EMF radiation for 1, 2, or 4 h/day for 30 consecutive days, simulating a range of possible human cell phone use. Subjects were sacrificed immediately after the end of the experiment and testes fractions were solubilized and separated via high-resolution 2D electrophoresis, and gel patterns were scanned, digitized, and processed. Thirteen proteins, which were found only in sham or in exposure groups, were identified by MALDI-TOF/TOF-MS. Among them, heat shock proteins, superoxide dismutase, peroxiredoxin-1, and other proteins related to misfolding of proteins and/or stress were identified. These results demonstrate significant effects of radio frequency modulated EMFs exposure on proteome, particularly in protein species in the rodent testis, and suggest that a 30-day exposure to EMF radiation induces nonthermal stress in testicular tissue. The functional implication of the identified proteins was discussed.

  16. Complications and 30-day Outcomes Associated With Venous Thromboembolism in the Pediatric Orthopaedic Surgical Population

    PubMed Central

    Baker, Dustin; Sherrod, Brandon; McGwin, Gerald; Ponce, Brent; Gilbert, Shawn

    2016-01-01

    Introduction The risk of morbidity associated with venous thromboembolism (VTE) after pediatric orthopaedic surgery remains unclear despite increased use of thromboprophylaxis measures. Methods The American College of Surgeons National Surgical Quality Improvement Program, Pediatric database was queried for patients undergoing an orthopaedic surgical procedure between 2012 and 2013. Upper extremity and skin/subcutaneous surgeries were excluded. Associations between VTE and procedure, demographics, comorbidities, preoperative laboratory values, and 30-day postoperative outcomes were evaluated. Results Of 14,776 cases, 15 patients (0.10%) experienced postoperative VTE. Deep vein thrombosis (DVT) occurred in 13 patients (0.09%), and pulmonary embolism developed in 2 patients (0.01%). The procedure with the highest VTE rate was surgery for infection (1.2%). Patient factors associated with the development of VTE included hyponatremia (P = 0.003), abnormal partial thromboplastin time (P = 0.046), elevated aspartate transaminase level (P = 0.004), and gastrointestinal (P = 0.011), renal (P = 0.016), and hematologic (P = 0.019) disorders. Nearly half (46.2%) of DVTs occurred postdischarge. Complications associated with VTE included prolonged hospitalization (P = <0.001), pneumonia (P = <0.001), unplanned intubation (P = 0.003), urinary tract infection (P = 0.003), and central line-associated bloodstream infection (P = <0.001). Most of the postoperative complications (66.7%) occurred before VTE diagnosis, and no patients with VTE died. Conclusion In the absence of specified risk factors, thromboprophylaxis may be unnecessary for this population. PMID:26855119

  17. [Activity of various oxidases and transaminases in the rat liver in the readaptation period after hypokinesia up to 30 days].

    PubMed

    Potapov, P P

    1990-01-01

    The activity of alpha-ketoglutarate dehydrogenase and succinic dehydrogenase in readaptation after 15-day hypokinesia was within normal limits, whereas following 30-day hypokinesia it was enhanced on days 11-15. Pyruvate dehydrogenase exhibited hyperactivity in the end of readaptation week 2 both in 15- and 30-day hypokinesia which resulted in rat liver hyperactivity of glutamate dehydrogenase and transaminases. Normal levels of the latter were recorded on readaptation day 12-19.

  18. 76 FR 16812 - Notice of Realty Action: Modified Competitive Bid Sale of Public Land in Santa Clara County, CA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR...: Bureau of Land Management, Interior. ACTION: Notice of realty action. SUMMARY: The Bureau of Land... approximately 9.27 acres in Santa Clara County, California, for not less than the appraised fair market value...

  19. 78 FR 23630 - Notice of Final Federal Agency Actions on State Highway 99 (Segment C) in Texas

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-19

    .... 1251- 1342; Land and Water Conservation Fund (LWCF), 16 U.S.C. 4601-4604. 8. Executive Orders: E.O... Texas AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice of Limitation on Claims for...) to SH 288 in Fort Bend and Brazoria Counties, Texas. Those actions grant licenses, permits,...

  20. 76 FR 68810 - Notice of Final Federal Agency Actions on Farm-to-Market 1626 in Texas

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-07

    .... 1251- 1342]; Land and Water Conservation Fund (LWCF) [16 U.S.C. 4601-4604]. 8. Executive Orders: E.O... Federal Agency Actions on Farm-to-Market 1626 in Texas AGENCY: Federal Highway Administration (FHWA), DOT..., Texas. Those actions grant licenses, permits, and approvals for the project. DATES: By this notice,...

  1. 76 FR 54288 - Notice of Final Federal Agency Actions on Proposed Bridge and Approach Roadways in Nevada and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-31

    ... Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Bridge and Approach... Federal agencies that are final within the meaning of 23 U.S.C. 139(I)(1). The actions relate to the proposed Laughlin-Bullhead City Bridge project in Laughlin, Clark County, Nevada; and in Bullhead...

  2. 75 FR 51480 - Notice of Realty Action, Recreation and Public Purposes Act Classification of Public Lands in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-20

    ... Bureau of Land Management Notice of Realty Action, Recreation and Public Purposes Act Classification of... Action. SUMMARY: Under the provisions of the Recreation and Public Purposes (R&PP) Act, as amended... Worland Field Office at the above address. The land is not needed for any Federal purpose. The...

  3. 78 FR 7809 - Notice of Realty Action: Proposed (Non-Competitive) Direct Sale of Public Land in Campbell County...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-04

    ... in Campbell County, WY AGENCY: Bureau of Land Management, Interior. ACTION: Notice of Realty Action... acres of public land in Campbell County, Wyoming, at not less than the appraised fair market value to... following-described public land in Campbell County, Wyoming, is proposed for direct sale, subject to...

  4. 75 FR 21037 - Notice of Realty Action: Proposed Non-Competitive (Direct) Sales of Public Lands, Boulder County, CO

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-22

    ... Bureau of Land Management [LLCOFO2000-L14300000.EU0000; COC-51328, COC-51330, COC-65294, COC- 65295, COC...: Proposed Non-Competitive (Direct) Sales of Public Lands, Boulder County, CO AGENCY: Bureau of Land Management, Interior. ACTION: Notice of Realty Action. SUMMARY: The public lands described in this...

  5. 76 FR 28452 - Notice of Realty Action: Recreation and Public Purposes Lease Partial Change of Use of Public...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-17

    ... Bureau of Land Management [LLNVS00560.L58530000.ES0000 241A; N-80113; 11-08807; MO 4500020397;TAS 14X5232... Clark County, NV AGENCY: Bureau of Land Management, Interior. ACTION: Notice of realty action. SUMMARY... classrooms, education auditorium, administration building, garage, swimming pool and parking area....

  6. 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

    ... Federal Highway Administration Notice of Final Federal Agency Actions on the Tappan Zee Hudson River.... Sec. 139(l)(1). The actions relate to the Tappan Zee Hudson River Crossing Project located in Rockland... the following highway project in the State of New York: Tappan Zee Hudson River Crossing...

  7. 78 FR 42151 - Notice of Final Federal Agency Actions on the Goethals Bridge Replacement Project in New York and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-15

    ... of a replacement bridge with a new six-lane structure directly and entirely south of the existing... Federal Highway Administration Notice of Final Federal Agency Actions on the Goethals Bridge Replacement... meaning of 23 U.S.C. 139(l)(1). The actions relate to the Goethals Bridge Replacement Project located...

  8. 78 FR 8188 - Notice of Realty Action: Proposed (Non-Competitive) Direct Sale of Public Land in Carbon County, UT

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-05

    ... in Carbon County, UT AGENCY: Bureau of Land Management, Interior. ACTION: Notice of realty action... acres of public land in Carbon County, Utah, at not less than the appraised fair market value to Hunt... Carbon County, Utah, are proposed for direct sale, subject to the applicable provisions of Sections...

  9. 76 FR 26336 - Notice of Final Federal Agency Actions on the Proposed Klingle Valley Trail in Washington, DC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-06

    ... in Washington, DC AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice of Limitation on...)(1). The actions relate to the proposed Klingle Valley Trail project in Northwest Washington, DC.../Urban Engineer, 1990 K Street, NW., Suite 510, Washington, DC 20006-1103, (202) 219-3536; or...

  10. 75 FR 3277 - Notice of Final Federal Agency Actions on State Highway 99 (Segment F-2) in Texas

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-20

    ... Federal Highway Administration Notice of Final Federal Agency Actions on State Highway 99 (Segment F-2) in... actions relate to a proposed highway project, Grand Parkway (State Highway 99) Segment F-2, from State... the following highway project in the State of Texas: Grand Parkway (State Highway 99) Segment F-2...

  11. Expanded public notice: Washington State notice of intent for corrective action management unit, Hanford Environmental Restoration Disposal

    SciTech Connect

    Not Available

    1994-01-01

    This document is to serve notice of the intent to operate an Environmental Restoration Disposal Facility (ERDF), adjacent to the 200 West Area of the Hanford Facility, Richland, Washington, as a Corrective Action Management Unit (CAMU), in accordance with 40 Code of Federal Regulation (CFR) 264.552. The ERDF CAMU will serve as a management unit for the majority of waste (primarily soil) excavated during remediation of waste management sites on the Hanford Facility. Only waste that originates from the Hanford Facility can be accepted in this ERDF CAMU. The waste is expected to consist of dangerous waste, radioactive waste, and mixed waste. Mixed waste contains radioactive and dangerous components. The primary features of the ERDF could include the following: one or more trenches, rail and tractor/trailer container handling capability, railroads, an inventory control system, a decontamination building, and operational offices.

  12. Unplanned 30-Day Readmissions in a General Internal Medicine Hospitalist Service at a Comprehensive Cancer Center

    PubMed Central

    Manzano, Joanna-Grace M.; Gadiraju, Sahitya; Hiremath, Adarsh; Lin, Heather Yan; Farroni, Jeff; Halm, Josiah

    2015-01-01

    Purpose: Hospital readmissions are considered by the Centers for Medicare and Medicaid as a metric for quality of health care delivery. Robust data on the readmission profile of patients with cancer are currently insufficient to determine whether this measure is applicable to cancer hospitals as well. To address this knowledge gap, we estimated the unplanned readmission rate and identified factors influencing unplanned readmissions in a hospitalist service at a comprehensive cancer center. Methods: We retrospectively analyzed unplanned 30-day readmission of patients discharged from the General Internal Medicine Hospitalist Service at a comprehensive cancer center between April 1, 2012, and September 30, 2012. Multiple independent variables were studied using univariable and multivariable logistic regression models, with generalized estimating equations to identify risk factors associated with readmissions. Results: We observed a readmission rate of 22.6% in our cohort. The median time to unplanned readmission was 10 days. Unplanned readmission was more likely in patients with metastatic cancer and those with three or more comorbidities. Patients discharged to hospice were less likely to be readmitted (all P values < .01). Conclusion: We observed a high unplanned readmission rate among our population of patients with cancer. The risk factors identified appear to be related to severity of illness and open up opportunities for improving coordination with primary care physicians, oncologists, and other specialists to manage comorbidities, or perhaps transition appropriate patients to palliative care. Our findings will be instrumental for developing targeted interventions to help reduce readmissions at our hospital. Our data also provide direction for appropriate application of readmission quality measures in cancer hospitals. PMID:26152375

  13. Monitoring and Modeling the Fluctuations in Apparent Groundwater Age During a 30-Day Pumping Test.

    NASA Astrophysics Data System (ADS)

    Perle, M. E.; Zhang, Y.; Fogg, G. E.

    2004-12-01

    Recent research shows that dispersion due to geologic heterogeneity can cause large (10's to 100's of yrs) variations in actual groundwater age within individual samples drawn from a well, even if well bore mixing is not significant. We hypothesize that the presence of such large ranges in groundwater age may cause the mean apparent age as estimated from environmental tracers such as CFC's, SF&_{6}, and ^{3}H-^{3}He to drift measurably during long-term, continuous pumping. This hypothesis was confirmed by 3-D numerical experiments wherein variation in groundwater ages under high-rate (\\sim0.06 m^{3}/s; 1,000 gpm) long-term pumping was modeled using backward-time random walk particle tracking techniques combined with geostatistical simulations of hydrofacies heterogeneity. Results indicate that the age distribution within a water sample and the mean apparent age implied by environmental tracers is strongly influenced by historical atmospheric concentrations of environmental tracers and subsurface heterogeneity. As a partial implementation of this same experiment in the field, an abandoned well was pumped at a low rate (\\sim0.005 m^{3}/s; 75 gpm) during 53 days. Water samples were collected from the top and bottom of a 25 foot well screen at 12 hour intervals for the first 30 days and were analyzed for CFC's, SF&6, and 3H-3He. The measured tracer ages indicate that 1) CFC-11 apparent ages increased with time within the first five days of pumping and then remained constant for the remainder of the pump test; 2) trends in CFC-12, CFC-113 and SF&_{6}$ indicate a discrepancy in apparent ages with CFC-11, 3) water reaching the top interval is younger than water reaching the bottom interval. Gas samples were collected from the unsaturated zone to investigate possible CFC contamination and tracer concentration spatial variations in the pumping well recharge zone. Potential effects of heterogeneity and local CFC contamination on the monitoring results will be discussed.

  14. Bion M1. Peculiarities of life activities of microbes in 30-day spaceflight

    NASA Astrophysics Data System (ADS)

    Viacheslav, Ilyin; Korshunov, Denis; Morozova, Julia; Voeikova, Tatiana; Tyaglov, Boris; Novikova, Liudmila; Krestyanova, Irina; Emelyanova, Lydia

    The aim of this work was to analyze the influence of space flight factors ( SFF) to microorganism strains , exposed inside unmanned spacecraft Bion M-1 during the 30- day space flight. Objectives of the work - the study of the influence of the SFF exchange chromosomal DNA in crosses microorganisms of the genus Streptomyces; the level of spontaneous phage induction of lysogenic strains fS31 from Streptomyces lividans 66 and Streptomyces coelicolor A3 ( 2 ) on the biosynthesis of the antibiotic tylosin strain of Streptomyces fradiae; survival electrogenic bacteria Shewanella oneidensis MR- 1 is used in the microbial fuel cell As a result of this work it was found that the SFF affect the exchange of chromosomal DNA by crossing strains of Streptomyces. Was detected polarity crossing , expressed in an advantageous contribution chromosome fragment of one of the parent strains in recombinant offspring. This fact may indicate a more prolonged exposure of cells in microgravity and , as a consequence, the transfer of longer fragments of chromosomal DNA This feature is the transfer of genetic material in microgravity could lead to wider dissemination and horizontal transfer of chromosomal and plasmid DNA of symbiotic microflora astronauts and other strains present in the spacecraft. It was shown no effect on the frequency of recombination PCF and the level of mutation model reversion of auxotrophic markers to prototrophy It was demonstrated that PCF increase the level of induction of cell actinophage fS31 lysogenic strain of S. lividans 66, but did not affect the level of induction of this phage cells S. coelicolor A3 ( 2). It is shown that the lower the level of synthesis PCF antibiotic aktinorodina (actinorhodin) in lysogenic strain S. coelicolor A3 ( 2). 66 Strains of S. lividans and S. coelicolor A3 ( 2 ) can be used as a biosensor for studying the effect on microorganisms PCF It is shown that the effect of the PCF reduces synthesis of tylosin and desmicosyn S. fradiae at

  15. 76 FR 8804 - 30-Day Notice of Proposed Information Collection: Form DS-3097, Exchange Visitor Program Annual...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-15

    ... collection request to the Office of Management and Budget (OMB) for approval in accordance with the Paperwork.... Obligation to Respond: Required to Retain a Benefit. DATES: Submit comments to the Office of Management and... State Desk Officer in the Office of Information and Regulatory Affairs at the Office of Management...

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    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-10

    ... and standardized manner. The MEPI Performance Reporting System (PRS) enables enhanced monitoring and evaluation of grants through standardized collection and storage of relevant award elements, such...

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    2013-07-03

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    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-18

    ... Naval Air Station (NAS) Alameda, Alameda, California. FOR FURTHER INFORMATION CONTACT: Ms. Kimberly A. Ostrowski, Director, Naval Facilities Engineering Command, Base Realignment and Closure Program Management... Assessment and Draft Finding of No Significant Impact: Former Naval Air Station Alameda, Alameda,...

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    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-01

    ... Collection. Originating Office: Bureau of Population, Refugees, and Migration, Office of Admissions (PRM/A... Center of the Bureau of Population, Refugees and Migration. Dated: May 14, 2012. Kelly A. Gauger, Deputy Director, Office of Admissions, Bureau of Population, Refugees, and Migration, Department of State....

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    2013-07-03

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  1. 76 FR 22939 - 30-Day Notice of Proposed Information Collection: Form- DS-1950, Department of State Application...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-25

    ... collection. Originating Office: Bureau of Human Resources, Office of Recruitment, Examination, Employment (HR... from Marvin E. Moore, Bureau of Human Resources, Recruitment Division, Student Programs,...

  2. 78 FR 36012 - 30-Day Notice of Proposed Information Collection: Export Declaration of Defense Technical Data or...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-14

    ... accordance with the International Traffic in Arms Regulations (ITAR, 22 CFR Parts 120-130) and Section 38 of... reported directly to DDTC. DDTC administers the ITAR and Section 38 of the Arms Export Control Act (AECA). The actual exports must be in accordance with requirements of the ITAR and section 38 of the...

  3. 78 FR 67385 - 30-Day Notice of Proposed Information Collection: FHA PowerSaver Pilot Program (Title I Property...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-12

    ... energy efficient improvements. Respondents (i.e. affected public): Individuals and households. Estimated... product from the FHA that will enable homeowners to make energy saving improvements to their homes....

  4. 78 FR 64144 - 30-Day Notice of Proposed Information Collection: Section 202 Supportive Housing for the Elderly...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    .... Form Number: HUD-92015-CA, HUD-96010, HUD-92041, SF-424, SF-424- Supplemental, SF-LLL, HUD-2880, HUD... U.S.C. Chapter 35. Dated: October 17, 2013. Colette Pollard, Department Reports Management...

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    2012-06-01

    ... information collection is to determine if a U.S. citizen/national parent possesses the requisite physical presence or residence in the United States prior to their child's birth to transmit U.S. citizenship to the... is not a federal ``benefit,'' applicants will not be able to obtain citizenship for their...

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    2013-09-30

    ... Respond: Required to Obtain or Retain a Benefit. We are soliciting public comments to permit the... necessary for Passport Services to issue a United States passport (book and/or card format) in the...

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    2010-10-13

    ... citizenship, identity, and entitlement of the applicant to the U.S. passport or related service, and to... either download the DS-4085 from the internet or obtain one from an Acceptance Facility/Passport...

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    2010-10-13

    ... establish citizenship, identity, and entitlement to the issuance of the U.S. passport or related service... internet or obtain one from an Acceptance Facility/Passport Agency. The form must be completed, executed at an acceptance facility or passport agency, and submitted with evidence of citizenship and...

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    2010-10-13

    ..., identity, and entitlement to the issuance of the U.S. passport or related service, and to properly... internet or obtain one from an Acceptance Facility/Passport Agency. The form must be completed, signed,...

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    2011-07-21

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    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-08

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    ... commensurate with the capital invested and the obligations assumed. It also requires that franchise fees be... knowledge of the concessioner's operation so that franchise fees can be determined in a timely manner...

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    2011-07-07

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  1. 75 FR 58013 - 30-Day Notice of Proposed Information Collection: Form DS-117, Application to Determine Returning...

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  4. Predictors of 30-day mortality and the risk of recurrent systemic thromboembolism in cancer patients suffering acute ischemic stroke

    PubMed Central

    Kim, Tae Jung; An, Sang Joon; Oh, Kyungmi; Mo, Heejung; Kang, Min Kyoung; Han, Moon-Ku; Demchuk, Andrew M.; Ko, Sang-Bae; Yoon, Byung-Woo

    2017-01-01

    Background Stroke in cancer patients is not rare but is a devastating event with high mortality. However, the predictors of mortality in stroke patients with cancer have not been well addressed. D-dimer could be a useful predictor because it can reflect both thromboembolic events and advanced stages of cancer. Aim In this study, we evaluate the possibility of D-dimer as a predictor of 30-day mortality in stroke patients with active cancer. Methods We included 210 ischemic stroke patients with active cancer. The 30-day mortality data were collected by reviewing medical records. We also collected follow-up D-dimer levels in 106 (50%) participants to evaluate the effects of treatment response on D-dimer levels. Results Of the 210 participants, 30-day mortality occurred in 28 (13%) patients. Higher initial NIHSS scores, D-dimer levels, and CRP levels as well as frequent cryptogenic mechanism, systemic metastasis, multiple vascular territory lesion, hemorrhagic transformation, and larger infarct volume were related to 30-day mortality. In the multivariate analysis, D-dimer [adjusted OR (aOR) = 2.19; 95% CI, 1.46–3.28, P < 0.001] predicted 30-day mortality after adjusting for confounders. The initial NIHSS score (aOR = 1.07; 95% CI, 1.00–1.14, P = 0.043) and hemorrhagic transformation (aOR = 3.02; 95% CI, 1.10–8.29, P = 0.032) were also significant independent of D-dimer levels. In the analysis of D-dimer changes after treatment, the mortality group showed no significant decrease in D-dimer levels, despite treatment, while the survivor group showed the opposite response. Conclusions D-dimer levels may predict 30-day mortality in acute ischemic stroke patients with active cancer. PMID:28282388

  5. Impact of Inpatient Versus Outpatient Total Joint Arthroplasty on 30-Day Hospital Readmission Rates and Unplanned Episodes of Care.

    PubMed

    Springer, Bryan D; Odum, Susan M; Vegari, David N; Mokris, Jeffrey G; Beaver, Walter B

    2017-01-01

    This article describes a study comparing 30-day readmission rates between patients undergoing outpatient versus inpatient total hip (THA) and knee (TKA) arthroplasty. A retrospective review of 137 patients undergoing outpatient total joint arthroplasty (TJA) and 106 patients undergoing inpatient (minimum 2-day hospital stay) TJA was conducted. Unplanned hospital readmissions and unplanned episodes of care were recorded. All patients completed a telephone survey. Seven inpatients and 16 outpatients required hospital readmission or an unplanned episode of care following hospital discharge. Readmission rates were higher for TKA than THA. The authors found no statistical differences in 30-day readmission or unplanned care episodes.

  6. Hypotension During Hospitalization for Acute Heart Failure Is Independently Associated With 30-Day Mortality: Findings from ASCEND-HF

    PubMed Central

    Patel, Priyesh A.; Heizer, Gretchen; O’Connor, Christopher M.; Schulte, Phillip J.; Dickstein, Kenneth; Ezekowitz, Justin A.; Armstrong, Paul W.; Hasselblad, Vic; Mills, Roger M.; McMurray, John J.; Starling, Randall C.; Wilson Tang, W. H.; Califf, Robert M.; Hernandez, Adrian F.

    2015-01-01

    Background Outcomes associated with episodes of hypotension while hospitalized are not well understood. Methods and Results Using data from ASCEND-HF, we assessed factors associated with inhospital hypotension and subsequent 30-day outcomes. Patients were classified as having symptomatic or asymptomatic hypotension. Multivariable logistic regression was used to determine factors associated with in-hospital hypotension, and Cox proportional hazards models were used to assess the association between hypotension and 30-day outcomes. We also tested for treatment interaction with nesiritide on 30-day outcomes and the association between inhospital hypotension and renal function at hospital discharge. Overall, 1555/7141 (21.8%) patients had an episode of hypotension, of which 73.1% were asymptomatic and 26.9% were symptomatic. Factors strongly associated with in-hospital hypotension included randomization to nesiritide (odds ratio [OR] 1.98, 95% confidence interval [CI] 1.76–2.23; p<0.001), chronic metolazone therapy (OR 1.74, 95% CI 1.17–2.60; p<0.001), and baseline orthopnea (OR 1.31, 95% CI 1.13–1.52; p=0.001) or S3 gallop (OR 1.21, 95% CI 1.06–1.40; p=0.006). In-hospital hypotension was associated with increased hazards of 30-day mortality (hazard ratio [HR] 2.03, 95% CI 1.57–2.61; p<0.001), 30-day heart failure (HF) hospitalization or mortality (HR 1.58, 95% CI 1.34–1.86; p<0.001), and 30-day all-cause hospitalization or mortality (HR 1.40, 95% CI 1.22–1.61; p<0.001). Nesiritide had no interaction on the relationship between hypotension and 30-day outcomes (interaction p=0.874 for death, p=0.908 for death/HF hospitalization, p=0.238 death/all-cause hospitalization). Conclusions Hypotension while hospitalized for acute decompensated HF is an independent risk factor for adverse 30-day outcomes, and its occurrence highlights the need for modified treatment strategies. Clinical Trial Registration URL: http://www.clinicaltrials.gov. Unique identifier: NCT

  7. Superfund reform: US Environmental Protection Agency`s 30-day study and its implication for the US Department of Energy

    SciTech Connect

    Siegel, M.R.; Friedman, J.R.; Neff, R.W.

    1993-03-01

    As part of an ongoing effort to reform and restructure the US Environmental Protection Agency`s (EPAS) Superfund program, the EPA Administrator on October 21, 1991, announced several key programmatic reforms. These reforms are a result of the Superfund 30-Day Task Force Report (30-Day Study, EPA 1991a), an effort carried out by EPAs office of Solid Waste and Emergency Response (OSWER). The EPA OSWER oversees environmental cleanup activities under a number of statutory authorities, including the Comprehensive Environmental response, Compensation, and Liability Act (CERCLA, also known as Superfund). CERCLA and its implementing regulation, the National Contingency Plan (NCP), establish a regulatory framework to govern the cleanup of existing, and often abandoned, hazardous waste sites. The purposes of this report are to (1) review the background and recommendations of EPNs 30-Day Study, (2) identify and discuss the initiatives from the 30-Day Study that may impact DOE`s environmental restoration mission, (3) report on EPAs progress in implementing the selected priority initiatives, and (4) describe potentially related DOE activities.

  8. 31 CFR 538.506 - 30-day delayed effective date for pre-November 4, 1997 trade contracts involving Sudan.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...-November 4, 1997 trade contracts involving Sudan. 538.506 Section 538.506 Money and Finance: Treasury....506 30-day delayed effective date for pre-November 4, 1997 trade contracts involving Sudan. (a) Pre... of Sudanese origin or owned or controlled by the Government of Sudan, importations under the...

  9. 31 CFR 538.506 - 30-day delayed effective date for pre-November 4, 1997 trade contracts involving Sudan.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...-November 4, 1997 trade contracts involving Sudan. 538.506 Section 538.506 Money and Finance: Treasury....506 30-day delayed effective date for pre-November 4, 1997 trade contracts involving Sudan. (a) Pre... of Sudanese origin or owned or controlled by the Government of Sudan, importations under the...

  10. 31 CFR 538.506 - 30-day delayed effective date for pre-November 4, 1997 trade contracts involving Sudan.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...-November 4, 1997 trade contracts involving Sudan. 538.506 Section 538.506 Money and Finance: Treasury....506 30-day delayed effective date for pre-November 4, 1997 trade contracts involving Sudan. (a) Pre... of Sudanese origin or owned or controlled by the Government of Sudan, importations under the...

  11. 31 CFR 538.506 - 30-day delayed effective date for pre-November 4, 1997 trade contracts involving Sudan.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...-November 4, 1997 trade contracts involving Sudan. 538.506 Section 538.506 Money and Finance: Treasury....506 30-day delayed effective date for pre-November 4, 1997 trade contracts involving Sudan. (a) Pre... of Sudanese origin or owned or controlled by the Government of Sudan, importations under the...

  12. 31 CFR 538.506 - 30-day delayed effective date for pre-November 4, 1997 trade contracts involving Sudan.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...-November 4, 1997 trade contracts involving Sudan. 538.506 Section 538.506 Money and Finance: Treasury....506 30-day delayed effective date for pre-November 4, 1997 trade contracts involving Sudan. (a) Pre... of Sudanese origin or owned or controlled by the Government of Sudan, importations under the...

  13. 31 CFR 560.515 - 30-day delayed effective date for pre-May 7, 1995 trade contracts involving Iran.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...-May 7, 1995 trade contracts involving Iran. 560.515 Section 560.515 Money and Finance: Treasury....515 30-day delayed effective date for pre-May 7, 1995 trade contracts involving Iran. (a) All... involving Iran (a pre-existing trade contract), including the exportation of goods, services...

  14. 31 CFR 560.515 - 30-day delayed effective date for pre-May 7, 1995 trade contracts involving Iran.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...-May 7, 1995 trade contracts involving Iran. 560.515 Section 560.515 Money and Finance: Treasury....515 30-day delayed effective date for pre-May 7, 1995 trade contracts involving Iran. (a) All... involving Iran (a pre-existing trade contract), including the exportation of goods, services...

  15. 31 CFR 560.515 - 30-day delayed effective date for pre-May 7, 1995 trade contracts involving Iran.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...-May 7, 1995 trade contracts involving Iran. 560.515 Section 560.515 Money and Finance: Treasury....515 30-day delayed effective date for pre-May 7, 1995 trade contracts involving Iran. (a) All... involving Iran (a pre-existing trade contract), including the exportation of goods, services...

  16. Predicting 30-Day Readmissions: Performance of the LACE Index Compared with a Regression Model among General Medicine Patients in Singapore

    PubMed Central

    Low, Lian Leng; Lee, Kheng Hock; Hock Ong, Marcus Eng; Wang, Sijia; Tan, Shu Yun; Thumboo, Julian; Liu, Nan

    2015-01-01

    The LACE index (length of stay, acuity of admission, Charlson comorbidity index, CCI, and number of emergency department visits in preceding 6 months) derived in Canada is simple and may have clinical utility in Singapore to predict readmission risk. We compared the performance of the LACE index with a derived model in identifying 30-day readmissions from a population of general medicine patients in Singapore. Additional variables include patient demographics, comorbidities, clinical and laboratory variables during the index admission, and prior healthcare utilization in the preceding year. 5,862 patients were analysed and 572 patients (9.8%) were readmitted in the 30 days following discharge. Age, CCI, count of surgical procedures during index admission, white cell count, serum albumin, and number of emergency department visits in previous 6 months were significantly associated with 30-day readmission risk. The final logistic regression model had fair discriminative ability c-statistic of 0.650 while the LACE index achieved c-statistic of 0.628 in predicting 30-day readmissions. Our derived model has the advantage of being available early in the admission to identify patients at high risk of readmission for interventions. Additional factors predicting readmission risk and machine learning techniques should be considered to improve model performance. PMID:26682212

  17. 77 FR 62518 - Submission for OMB Review; Comment Request (30-Day FRN); Prostate, Lung, Colorectal and Ovarian...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-15

    ... their full effect if received within 30 days of the date of this publication. Proposed Collection... ovarian cancer can reduce mortality from these cancers which currently cause an estimated 255,700 deaths... term effects of the screening on cancer incidence and mortality for the four targeted cancers....

  18. 78 FR 35040 - Submission for OMB Review; 30-day Comment Request; Web-Based Media Literacy Parent Training for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-11

    ... HUMAN SERVICES National Institutes of Health Submission for OMB Review; 30-day Comment Request; Web-Based Media Literacy Parent Training for Substance Use Prevention in Rural Locations SUMMARY: Under the... Branch, Division of Epidemiology, Services, and Prevention Research, NIDA, NIH, 6001 Executive...

  19. Relationship between Early Physician Follow-Up and 30-Day Readmission after Acute Myocardial Infarction and Heart Failure

    PubMed Central

    Tung, Yu-Chi; Chang, Guann-Ming; Chang, Hsien-Yen

    2017-01-01

    Background Thirty-day readmission rates after acute myocardial infarction (AMI) and heart failure are important patient outcome metrics. Early post-discharge physician follow-up has been promoted as a method of reducing 30-day readmission rates. However, the relationships between early post-discharge follow-up and 30-day readmission for AMI and heart failure are inconclusive. We used nationwide population-based data to examine associations between 7-day physician follow-up and 30-day readmission, and further associations of 7-day same physician (during the index hospitalization and at follow-up) and cardiologist follow-up with 30-day readmission for non-ST-segment-elevation myocardial infarction (NSTEMI) or heart failure. Methods We analyzed all patients 18 years or older with NSTEMI and heart failure and discharged from hospitals in 2010 in Taiwan through Taiwan’s National Health Insurance Research Database. Cox proportional hazard models with robust sandwich variance estimates and propensity score weighting were performed after adjustment for patient and hospital characteristics to test associations between 7-day physician follow-up and 30-day readmission. Results The study population for NSTEMI and heart failure included 5,008 and 13,577 patients, respectively. Early physician follow-up was associated with a lower hazard ratio of readmission compared with no early physician follow-up for patients with NSTEMI (hazard ratio [HR], 0.47; 95% confidence interval [CI], 0.39–0.57), and for patients with heart failure (HR, 0.54; 95% CI, 0.48–0.60). Same physician follow-up was associated with a reduced hazard ratio of readmission compared with different physician follow-up for patients with NSTEMI (HR, 0.56; 95% CI, 0.48–0.65), and for patients with heart failure (HR, 0.69; 95% CI, 0.62–0.76). Conclusions For each condition, patients who have an outpatient visit with a physician within 7 days of discharge have a lower risk of 30-day readmission. Moreover

  20. Sex Differences in the Rate, Timing and Principal Diagnoses of 30-Day Readmissions in Younger Patients with Acute Myocardial Infarction

    PubMed Central

    Dreyer, Rachel P.; Ranasinghe, Isuru; Wang, Yongfei; Dharmarajan, Kumar; Murugiah, Karthik; Nuti, Sudhakar V.; Hsieh, Angela F.; Spertus, John A.; Krumholz, Harlan M.

    2016-01-01

    Background Young women (<65 years) experience a 2–3-fold greater mortality risk than younger men after acute myocardial infarction (AMI). However, it is unknown whether they are at higher risk for 30-day readmission, and if this association varies by age. We examined sex differences in the rate, timing and principal diagnoses of 30-day readmissions, including the independent effect of sex following adjustment for confounders. Methods and Results We included patients aged 18–64 years with a principal diagnosis of AMI. Data was utilized from the Healthcare Cost and Utilization Project-State Inpatient Database for California (07–09). Readmission diagnoses were categorized using an aggregated version of the Centers for Medicare and Medicaid Services’ Condition Categories, and readmission timing was determined from the day after discharge. Of 42,518 younger patients with AMI (26.4% female), 4,775 (11.2%) had at least one readmission. The 30-day all-cause readmission rate was higher for women (15.5% vs. 9.7%, P<0.0001). For both sexes, readmission risk was highest on days 2–4 after discharge and declined thereafter, and women were more likely to present with non-cardiac diagnoses (44.4% vs. 40.6%, P=0.01). Female sex was associated with a higher rate of 30-day readmission, which persisted after adjustment (HR=1.22, 95% CI 1.15, 1.30). There was no significant interaction between age and sex on readmission. Conclusions Compared with men, younger women have a higher risk for readmission, even after adjustment for confounders. The timing of 30-day readmission was similar in women and men, and both sexes were susceptible to a wide range of causes for readmission. PMID:26085455

  1. 76 FR 10938 - Notice of Final Federal Agency Actions on Sunrise Project, I-205 to Rock Creek Junction...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-28

    ... Federal Highway Administration Notice of Final Federal Agency Actions on Sunrise Project, I-205 to Rock... a proposed highway project, Sunrise Project, I-205 to Rock Creek Junction, Clackamas County, Oregon..., NE., Suite 100, Salem, Oregon 97301, Telephone: (503) 587-4716. The Sunrise Project, I-205 to...

  2. 77 FR 71207 - Notice of Final Federal Agency Actions on Proposed Highway and Bridge in the Cities of Cincinnati...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-29

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Federal Highway Administration Notice of Final Federal Agency Actions on Proposed Highway and Bridge in... bridge over the Ohio River in the City of Cincinnati, Hamilton County, State of Ohio and the City...

  3. 43 CFR 3251.12 - What action will BLM take on my Notice of Intent to Conduct Geothermal Resource Exploration...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Intent to Conduct Geothermal Resource Exploration Operations? 3251.12 Section 3251.12 Public Lands... INTERIOR MINERALS MANAGEMENT (3000) GEOTHERMAL RESOURCE LEASING Exploration Operations: Getting BLM Approval § 3251.12 What action will BLM take on my Notice of Intent to Conduct Geothermal...

  4. 43 CFR 3251.12 - What action will BLM take on my Notice of Intent to Conduct Geothermal Resource Exploration...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Intent to Conduct Geothermal Resource Exploration Operations? 3251.12 Section 3251.12 Public Lands... INTERIOR MINERALS MANAGEMENT (3000) GEOTHERMAL RESOURCE LEASING Exploration Operations: Getting BLM Approval § 3251.12 What action will BLM take on my Notice of Intent to Conduct Geothermal...

  5. 43 CFR 3251.12 - What action will BLM take on my Notice of Intent to Conduct Geothermal Resource Exploration...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Intent to Conduct Geothermal Resource Exploration Operations? 3251.12 Section 3251.12 Public Lands... INTERIOR MINERALS MANAGEMENT (3000) GEOTHERMAL RESOURCE LEASING Exploration Operations: Getting BLM Approval § 3251.12 What action will BLM take on my Notice of Intent to Conduct Geothermal...

  6. 43 CFR 3251.12 - What action will BLM take on my Notice of Intent to Conduct Geothermal Resource Exploration...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Intent to Conduct Geothermal Resource Exploration Operations? 3251.12 Section 3251.12 Public Lands... INTERIOR MINERALS MANAGEMENT (3000) GEOTHERMAL RESOURCE LEASING Exploration Operations: Getting BLM Approval § 3251.12 What action will BLM take on my Notice of Intent to Conduct Geothermal...

  7. 76 FR 61121 - Joint Industry Plan; Notice of Designation of a Longer Period for Commission Action on the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-03

    ... COMMISSION Joint Industry Plan; Notice of Designation of a Longer Period for Commission Action on the... Commission (``Commission''), pursuant to Section 11A of the Securities Exchange Act of 1934 (``Act''),\\1\\ and... June 1, 2011.\\4\\ The Commission received 18 comments on the proposed Plan.\\5\\ \\1\\ 15 U.S.C. 78k-1....

  8. 78 FR 26739 - Notice of Final Action on Petition From Earthjustice To List Coal Mines as a Source Category and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-08

    ... AGENCY 40 CFR Part 63 Notice of Final Action on Petition From Earthjustice To List Coal Mines as a Source Category and To Regulate Air Emissions From Coal Mines AGENCY: Environmental Protection Agency (EPA..., the Acting EPA Administrator, Bob Perciasepe, signed a letter denying a petition to add coal mines...

  9. 76 FR 11262 - Notice of Realty Action: Conveyance of Public Lands for Airport Purposes in Clark County, NV

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-01

    ... 4500018891; TAS:14X5232] Notice of Realty Action: Conveyance of Public Lands for Airport Purposes in Clark..., Clark County, Nevada, as suitable for conveyance for airport purposes under the authority of Section 516... examined and found suitable for public airport lease purposes under the provisions of the Airport...

  10. 75 FR 60478 - Notice of Realty Action: Direct Sale of Public Lands in Santa Fe County, NM

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-30

    ... Bureau of Land Management Notice of Realty Action: Direct Sale of Public Lands in Santa Fe County, NM... Management (BLM) has determined that 2.96 acres located in Santa Fe County, New Mexico, is suitable for...., Fractional sec. 29, lot 10. The area described contains 2.96 acres, more or less, in Santa Fe...

  11. 78 FR 24231 - Notice of Realty Action: Proposed Direct Sale of Public Land in Josephine County, Oregon

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-24

    ... Bureau of Land Management Notice of Realty Action: Proposed Direct Sale of Public Land in Josephine..., Oregon, by direct sale procedures to Joan Conklin for the approved appraised fair market value of $300...) and regulations at 43 CFR subparts 2710 and 2720, this conveyance will be made by direct...

  12. 76 FR 11264 - Notice of Realty Action: Proposed Direct Sale of Public Land in Shoshone County, ID

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-01

    ... Bureau of Land Management Notice of Realty Action: Proposed Direct Sale of Public Land in Shoshone County... Register announcing the proposed direct sale and segregation of 5.07 acres of public land in Shoshone... by direct sale to Sunshine in accordance with Sections 203 and 209 of the Federal Land Policy...

  13. 76 FR 50492 - Notice of Realty Action: Direct Sale of Public Land in San Benito County, CA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-15

    ... Bureau of Land Management Notice of Realty Action: Direct Sale of Public Land in San Benito County, CA... is proposed for direct sale to Windfield Ranch, LLC, the adjoining landowner, in accordance with... lacks legal access. The BLM is proposing a direct sale to Windfield Ranch, LLC, the owner of...

  14. 75 FR 79018 - Notice of Realty Action: Proposed Sale of Public Lands in Bear Lake County, ID

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ... Bureau of Land Management Notice of Realty Action: Proposed Sale of Public Lands in Bear Lake County, ID... Management (BLM) proposes the sale of 26 parcels of public lands totaling 1,543.14 acres in Bear Lake County... Bear Lake County, Idaho, are proposed for sale under the authority of Sections 203 and 209 of FLPMA...

  15. 76 FR 16810 - Notice of Realty Action: Non-Competitive (Direct) Sale of Public Land in Hot Springs County, WY

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-25

    ... Bureau of Land Management Notice of Realty Action: Non-Competitive (Direct) Sale of Public Land in Hot...: A 10-acre parcel of public land in Hot Springs County, Wyoming is being considered for non... following described public land in Hot Springs County, Wyoming has been examined and found suitable for...

  16. 75 FR 25309 - Notice of Final Federal Agency Actions on Proposed Expanded Intermodal Freight Terminal in Michigan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... Freight Terminal in Michigan AGENCY: Federal Highway Administration (FHWA), DOT. ACTION: Notice of... Yard, also known as the Detroit Intermodal Freight Terminal (DIFT) and associated external-to-terminal... following expansion project in the State of Michigan: Detroit Intermodal Freight Terminal. The...

  17. 76 FR 72972 - Notice of Realty Action: Competitive Sale of Public Land in Santa Clara County, CA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-28

    ... Bureau of Land Management Notice of Realty Action: Competitive Sale of Public Land in Santa Clara County... approximately 23.42 acres, more or less, in Santa Clara County, California. The public land would be sold for... described contains 23.42 acres, more or less, in Santa Clara County, California. Appraised fair market...

  18. 76 FR 68784 - Notice of Realty Action: Direct Sale of Public Land in Santa Clara County, CA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-07

    ....EU0000; CACA 50168 12] Notice of Realty Action: Direct Sale of Public Land in Santa Clara County, CA... approximately 15.97 acres, more or less, in Santa Clara County, California. The public land would be sold to... less, in Santa Clara County. [[Page 68785

  19. 75 FR 67393 - Notice of Realty Action: Direct Sale of Public Lands in Santa Barbara County, CA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-02

    ... Bureau of Land Management Notice of Realty Action: Direct Sale of Public Lands in Santa Barbara County... land consisting of approximately 391 acres in Santa Barbara County, California. Each parcel would be... 23; Sec. 30, lot 2; Sec. 32, lot 3; Sec. 33, lot 10. The area described contains 31.68 acres in...

  20. 76 FR 6154 - Notice of Realty Action: Modified Competitive Bid Sale of Public Lands in Santa Cruz County, CA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-03

    ... Lands in Santa Cruz County, CA AGENCY: Bureau of Land Management, Interior. ACTION: Notice of realty... public land consisting of approximately 12.55 acres in Santa Cruz County, California, for not less than..., 2, and 9. The area described contains 12.55 acres, more or less, in Santa Cruz County. The...

  1. 78 FR 59754 - Notice of Final Federal Agency Actions on the Proposed U.S. 50 Study Crossing Over Sinepauxent...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-27

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Federal Highway Administration Notice of Final Federal Agency Actions on the Proposed U.S. 50 Study Crossing Over Sinepauxent Bay in the Town of Ocean City, Worcester County, Maryland Correction In...

  2. 78 FR 64592 - Notice of Final Federal Agency Actions on the Stehekin Valley Road Improvement Project From the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-29

    ... Improvement Project From the Stehekin River Corridor Implementation Plan: Chelan County, Washington AGENCY... Improvement project from the Stehekin River Corridor Implementation Plan in Chelan County, Washington. This action grants approval for the road improvement project element of the plan. DATES: By this notice,...

  3. 75 FR 81307 - Notice of Realty Action: Recreation and Public Purposes Act Classification for Lease and/or...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-27

    ...: 14X5232] Notice of Realty Action: Recreation and Public Purposes Act Classification for Lease and/or... suitable for classification for lease and/or subsequent conveyance under the provisions of the Recreation... classification of the land, or lease and/or subsequent conveyance of the land, until February 10, 2011....

  4. 76 FR 29785 - Notice of Realty Action: Recreation and Public Purposes Act Classification; Lease of Public Land...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-23

    ...] Notice of Realty Action: Recreation and Public Purposes Act Classification; Lease of Public Land in...: Interested parties may submit written comments regarding the proposed classification and lease of this public... available for lease until after the classification becomes effective. Authority: 43 CFR 2741.5. Terry...

  5. 77 FR 1081 - Notice of Realty Action: Classification for Lease and/or Subsequent Conveyance for Recreation and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-09

    ...: 14X5232] Notice of Realty Action: Classification for Lease and/or Subsequent Conveyance for Recreation and... classification for lease and/or subsequent conveyance under the provisions of the Recreation and Public Purposes... parties may submit written comments regarding the proposed classification of the land for lease...

  6. 78 FR 26104 - Notice of Final Federal Agency Actions on OR 62: I-5 to Dutton Road (Medford) Project: Jackson...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-03

    ... Federal Highway Administration Notice of Final Federal Agency Actions on OR 62: I-5 to Dutton Road (Medford) Project: Jackson County, OR AGENCY: Federal Highway Administration (FHWA), Department of..., Program Development Team Leader, Federal Highway Administration, 530 Center Street NE., Suite 420,...

  7. 72 FR 46509 - Notice of Realty Action; Non-Competitive (Direct) Sale of Public Land in Owyhee County, ID

    Federal Register 2010, 2011, 2012, 2013, 2014

    2007-08-20

    ... Bureau of Land Management Notice of Realty Action; Non-Competitive (Direct) Sale of Public Land in Owyhee....55 acre parcel of public land in Owyhee County, Idaho is being considered for non-competitive (direct) sale to Owyhee County under the provisions of the Federal Land Policy Management Act of 1976, at...

  8. 63 FR 55403 - Notice of Realty ActionIDI-32281; Direct Sale of Public Lands in Owyhee County, ID

    Federal Register 2010, 2011, 2012, 2013, 2014

    1998-10-15

    ... Bureau of Land Management Notice of Realty Action--IDI-32281; Direct Sale of Public Lands in Owyhee... Owyhee County, Idaho has been examined and through the pubic-supported land use planning process has been... land by direct sale to Owyhee County for solid waste disposal purposes. Their refusal or failure to...

  9. 20 CFR 408.820 - Will we send you a notice of intended action affecting your SVB payment status?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Will we send you a notice of intended action affecting your SVB payment status? 408.820 Section 408.820 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Suspensions and Terminations Termination §...

  10. 20 CFR 408.820 - Will we send you a notice of intended action affecting your SVB payment status?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Will we send you a notice of intended action affecting your SVB payment status? 408.820 Section 408.820 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Suspensions and Terminations Termination §...

  11. 20 CFR 408.820 - Will we send you a notice of intended action affecting your SVB payment status?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Will we send you a notice of intended action affecting your SVB payment status? 408.820 Section 408.820 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Suspensions and Terminations Termination §...

  12. 20 CFR 408.820 - Will we send you a notice of intended action affecting your SVB payment status?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Will we send you a notice of intended action affecting your SVB payment status? 408.820 Section 408.820 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Suspensions and Terminations Termination §...

  13. 20 CFR 408.820 - Will we send you a notice of intended action affecting your SVB payment status?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Will we send you a notice of intended action affecting your SVB payment status? 408.820 Section 408.820 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Suspensions and Terminations Termination §...

  14. 77 FR 13142 - Notice of Realty Action: Modified-Competitive Sale of Public Land in Pahrump, Nye County, NV

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-05

    ...; TAS: 14X5232] Notice of Realty Action: Modified-Competitive Sale of Public Land in Pahrump, Nye County... in Pahrump, Nye County, Nevada, by modified-competitive, sealed-bid sale at not less than the... INFORMATION: The Nye County Board of Commissioners supports the Spring Mountain Raceway, LLC's request for...

  15. 76 FR 6765 - Consumer Product Safety Act: Notice of Commission Action on the Stay of Enforcement of Testing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-08

    ... (``Bicycles and Related Products'') designed or intended primarily for children 12 years of age or younger. 74... From the Federal Register Online via the Government Publishing Office CONSUMER PRODUCT SAFETY COMMISSION Consumer Product Safety Act: Notice of Commission Action on the Stay of Enforcement of Testing...

  16. Impact of Peri-Operative Acute Kidney Injury as a Severity Index for 30-day Readmission After Cardiac Surgery

    PubMed Central

    Brown, Jeremiah R.; Parikh, Chirag R.; Ross, Cathy S.; Kramer, Robert S.; Magnus, Patrick C.; Chaisson, Kristine; Boss, Richard A.; Helm, Robert E.; Horton, Susan R.; Hofmaster, Patricia; Desaulniers, Helen; Blajda, Pamela; Westbrook, Benjamin M.; Duquette, Dennis; LeBlond, Kelly; Quinn, Reed D.; Jones, Cheryl; DiScipio, Anthony W.; Malenka, David J.

    2014-01-01

    Background Of patients undergoing cardiac surgery in the United States, 15–20% are re-hospitalized within 30-days. Current models to predict readmission have not evaluated the association between severity of post-operative acute kidney injury (AKI) and 30-day readmissions. Methods We collected data from 2,209 consecutive patients who underwent either coronary artery bypass (CABG) or valve surgery at seven member hospitals of the Northern New England Cardiovascular Disease Study Group Cardiac Surgery Registry (NNE) between July 2008 and December 2010. Administrative data at each hospital was searched to identify all patients readmitted to the index hospital within 30 days of discharge. We defined AKI Stages by the AKI Network definition of 0.3 or 50% increase (Stage 1), 2-fold increase (stage 2) and a 3-fold or 0.5 increase if the baseline serum creatinine was at least 4.0 (mg/dL) or new dialysis (stage 3). We evaluate the association between stages of AKI and 30-day readmission using multivariate logistic regression. Results There were 260 patients readmitted within 30-days (12.1%). The median time to readmission was 9 (IQR 4–16) days. Patients not developing AKI following cardiac surgery had a 30-day readmission rate of 9.3% compared to patients developing AKI stage 1 (16.1%), AKI stage 2 (21.8%) and AKI stage 3 (28.6%, p <0.001). Adjusted odds ratios for AKI stage 1 (1.81; 1.35, 2.44), stage 2 (2.39; 1.38, 4.14) and stage 3 (3.47; 1.85–6.50). Models to predict readmission were significantly improved with the addition of AKI stage (c-statistic 0.65, p = 0.001) and net reclassification rate of 14.6% (95%CI: 5.05% to 24.14%, p = .003). Conclusions In addition to more traditional patient characteristics, the severity of post-operative AKI should be used when assessing a patient’s risk for readmission. PMID:24119985

  17. 30 Days Wild: Development and Evaluation of a Large-Scale Nature Engagement Campaign to Improve Well-Being.

    PubMed

    Richardson, Miles; Cormack, Adam; McRobert, Lucy; Underhill, Ralph

    2016-01-01

    There is a need to increase people's engagement with and connection to nature, both for human well-being and the conservation of nature itself. In order to suggest ways for people to engage with nature and create a wider social context to normalise nature engagement, The Wildlife Trusts developed a mass engagement campaign, 30 Days Wild. The campaign asked people to engage with nature every day for a month. 12,400 people signed up for 30 Days Wild via an online sign-up with an estimated 18,500 taking part overall, resulting in an estimated 300,000 engagements with nature by participants. Samples of those taking part were found to have sustained increases in happiness, health, connection to nature and pro-nature behaviours. With the improvement in health being predicted by the improvement in happiness, this relationship was mediated by the change in connection to nature.

  18. African Easterly Waves in 30-day High-Resolution Global Simulations: A Case Study During the 2006 NAMMA Period

    NASA Technical Reports Server (NTRS)

    Shen, Bo-Wen; Tao, Wei-Kuo; Wu, Man-Li C.

    2010-01-01

    In this study, extended -range (30 -day) high-resolution simulations with the NASA global mesoscale model are conducted to simulate the initiation and propagation of six consecutive African easterly waves (AEWs) from late August to September 2006 and their association with hurricane formation. It is shown that the statistical characteristics of individual AEWs are realistically simulated with larger errors in the 5th and 6th AEWs. Remarkable simulations of a mean African easterly jet (AEJ) are also obtained. Nine additional 30 -day experiments suggest that although land surface processes might contribute to the predictability of the AEJ and AEWs, the initiation and detailed evolution of AEWs still depend on the accurate representation of dynamic and land surface initial conditions and their time -varying nonlinear interactions. Of interest is the potential to extend the lead time for predicting hurricane formation (e.g., a lead time of up to 22 days) as the 4th AEW is realistically simulated.

  19. No evidence for race and socioeconomic status as independent predictors of 30-day readmission rates following orthopedic surgery.

    PubMed

    Hunter, Tracey; Yoon, Richard S; Hutzler, Lorraine; Band, Philip; Liublinksa, Victoria; Slover, James; Bosco, Joseph A

    2015-01-01

    The Centers for Medicare & Medicaid Services considers readmissions within 30 days of discharge to be a quality indicator. Hospitals' and eventually physicians' readmission rates will be used to determine payment for services. It is imperative that health care providers understand which patients are at risk for readmission so that they can apply the appropriate preventive interventions. The research team analyzed all orthopedic admissions and readmissions at their institution from September 2008 to April 2011 in this study. Preparing for the next stage in health care reform, identifying any preoperative factors that may place certain patients into a "high-risk" category for readmission following an orthopedic procedure is of paramount importance. This data analysis of more than 13 000 patients noted that race-based and income-based risk factors did not translate into significant risk factors or predictors of 30-day readmission following orthopedic admission.

  20. 30 Days Wild: Development and Evaluation of a Large-Scale Nature Engagement Campaign to Improve Well-Being

    PubMed Central

    Richardson, Miles; Cormack, Adam; McRobert, Lucy; Underhill, Ralph

    2016-01-01

    There is a need to increase people’s engagement with and connection to nature, both for human well-being and the conservation of nature itself. In order to suggest ways for people to engage with nature and create a wider social context to normalise nature engagement, The Wildlife Trusts developed a mass engagement campaign, 30 Days Wild. The campaign asked people to engage with nature every day for a month. 12,400 people signed up for 30 Days Wild via an online sign-up with an estimated 18,500 taking part overall, resulting in an estimated 300,000 engagements with nature by participants. Samples of those taking part were found to have sustained increases in happiness, health, connection to nature and pro-nature behaviours. With the improvement in health being predicted by the improvement in happiness, this relationship was mediated by the change in connection to nature. PMID:26890891

  1. Predicting 30-Day Readmissions in an Asian Population: Building a Predictive Model by Incorporating Markers of Hospitalization Severity

    PubMed Central

    Low, Lian Leng; Liu, Nan; Wang, Sijia; Thumboo, Julian; Ong, Marcus Eng Hock; Lee, Kheng Hock

    2016-01-01

    Background To reduce readmissions, it may be cost-effective to consider risk stratification, with targeting intervention programs to patients at high risk of readmissions. In this study, we aimed to derive and validate a prediction model including several novel markers of hospitalization severity, and compare the model with the LACE index (Length of stay, Acuity of admission, Charlson comorbidity index, Emergency department visits in past 6 months), an established risk stratification tool. Method This was a retrospective cohort study of all patients ≥ 21 years of age, who were admitted to a tertiary hospital in Singapore from January 1, 2013 through May 31, 2015. Data were extracted from the hospital’s electronic health records. The outcome was defined as unplanned readmissions within 30 days of discharge from the index hospitalization. Candidate predictive variables were broadly grouped into five categories: Patient demographics, social determinants of health, past healthcare utilization, medical comorbidities, and markers of hospitalization severity. Multivariable logistic regression was used to predict the outcome, and receiver operating characteristic analysis was performed to compare our model with the LACE index. Results 74,102 cases were enrolled for analysis. Of these, 11,492 patient cases (15.5%) were readmitted within 30 days of discharge. A total of fifteen predictive variables were strongly associated with the risk of 30-day readmissions, including number of emergency department visits in the past 6 months, Charlson Comorbidity Index, markers of hospitalization severity such as ‘requiring inpatient dialysis during index admission, and ‘treatment with intravenous furosemide 40 milligrams or more’ during index admission. Our predictive model outperformed the LACE index by achieving larger area under the curve values: 0.78 (95% confidence interval [CI]: 0.77–0.79) versus 0.70 (95% CI: 0.69–0.71). Conclusion Several factors are important for

  2. International Validity of the “HOSPITAL” Score to Predict 30-day Potentially Avoidable Readmissions in Medical Patients

    PubMed Central

    Donzé, Jacques D.; Williams, Mark V.; Robinson, Edmondo J.; Zimlichman, Eyal; Aujesky, Drahomir; Vasilevskis, Eduard E.; Kripalani, Sunil; Metlay, Joshua P.; Wallington, Tamara; Fletcher, Grant S.; Auerbach, Andrew D.; Schnipper, Jeffrey L.

    2016-01-01

    IMPORTANCE Identification of patients at high risk of potentially avoidable readmission allows hospitals to efficiently direct additional care transitions services to the patients most likely to benefit. OBJECTIVE To externally validate the “HOSPITAL” score in an international multicenter study to assess its generalizability. DESIGN International multicenter retrospective cohort study. SETTING 9 large hospitals across 4 different countries. PARTICIPANTS All adult patients consecutively discharged alive from a medical department between January and December, 2011 (117,065 participants). Patients transferred to another acute care facility were excluded. EXPOSURES The “HOSPITAL” score includes the following predictors at discharge: Hemoglobin, discharge from an Oncology service, Sodium level, Procedure during the index admission, Index Type of admission (urgent), number of Admissions during the last 12 months, and Length of stay. MAIN OUTCOMES AND MEASURES 30-day potentially avoidable readmission to the index hospital using the SQLape algorithm. RESULTS Of all medical discharges, 14.5% (n=16,992) were followed by a 30-day readmission, and 9.7% (n=11,307) were followed by a 30-day potentially avoidable readmission. The discriminatory power of the “HOSPITAL” score to predict potentially avoidable readmission was good with a C-statistic of 0.72 (95% CI 0.72-0.72). As in the derivation study, patients were classified into 3 risk categories: low (62%), intermediate (24%), and high risk (14%). The estimated proportions of potentially avoidable readmission for each risk category matched the observed proportion, resulting in an excellent calibration (Pearson goodness of fit test P=0.89). CONCLUSIONS AND RELEVANCE The “HOSPITAL” score identified patients at high risk of 30-day potentially avoidable readmission with moderately high discrimination and excellent calibration when applied to a large international multicenter cohort of medical patients. This score

  3. Outpatient Follow-Up versus 30-day Readmission among General and Vascular Surgery Patients: A Case for Redesigning Transitional Care

    PubMed Central

    Saunders, Richard Scott; Fernandes-Taylor, Sara; Rathouz, Paul J.; Saha, Sandeep; Wiseman, Jason T.; Havlena, Jeffrey; Matsumura, Jon; Kent, K. Craig

    2014-01-01

    Background The association between early outpatient follow-up and 30-day readmission has not been evaluated in any surgical population. Our study characterizes the relationship between outpatient follow-up and early readmissions among surgical patients. Methods We queried the medical record at a large, tertiary care institution (July 2008-December 2012) to determine rates of 30-day outpatient follow-up and readmission for general or vascular surgical procedures. Results The majority of discharges for general (84% of 7552) and vascular (75% of 2362) surgery had a follow-up visit before readmission or within 30 days of discharge. General surgery patients who were not readmitted had high rates of follow-up (88%) and received follow-up at approximately 2-weeks post-discharge (median time 11 days after discharge). In contrast, readmitted general surgery patients received first follow-up at one week (a median time of 8 days); 49% had follow-up. Vascular surgery patients showed a similar trend. Over half of patients readmitted after follow-up were readmitted within 24 hours of their most recent outpatient visit. Conclusions Current routine follow-up does not occur early enough to detect adverse events and prevent readmission. Early outpatient care may prevent readmission in some patients, but often serves as a conduit for readmission among patients already experiencing complications. PMID:25239351

  4. Factors associated with 30-day mortality in elderly inpatients with community acquired pneumonia during 2 influenza seasons.

    PubMed

    Torner, Núria; Izquierdo, Conchita; Soldevila, Núria; Toledo, Diana; Chamorro, Judith; Espejo, Elena; Fernández-Sierra, Amelia; Domínguez, Angela

    2017-02-01

    Community-acquired pneumonia (CAP) refers to pneumonia unrelated to hospitals or extended-care facilities. The aim of this study was to determine factors associated with 30-day mortality in patients with CAP aged ≥ 65 y admitted to 20 hospitals in 7 Spanish regions during the 2013-14 and 2014-15 influenza seasons. Logistic regression was used to identify factors associated with 30-day mortality. The adjusted model included variables selected by backward elimination with a cut off of < 0.02. A total of 1928 CAP cases were recorded; 60.7% were male, 46.67% were aged 75-84 years, and 30-day mortality was 7.6% (n = 146). Pneumococcal vaccination had a significant protective effect (OR 0.68, 95% CI, 0.48-0.96; p = 0.03) and influenza vaccination in any 3 preceding seasons slight protective effect against CAP (OR 0.72, 95% CI, 0.51-1.02;p = 0.06). Factors significantly associated with 30-day mortality were having a degree of dependence (aOR 3.67, 95% CI, 2.34-5.75; p < 0,001); age ≥ 85 y (OR 3.01, 95% CI, 1.71-5.30; p < 0.001), liver impairment (aOR 2.41, 95% CI, 1.10-5.31; p = 0.03); solid organ neoplasm (aOR 2.24, 95% CI, 1.46-3.45; p < 0.001), impaired cognitive function (aOR 1.93, 95% CI, 1.22-3.05; p = 0.005), and ICU admittance (aOR2.56, 95% CI, 1.27-5.16; p = 0.009); length of stay (aOR 1.56, 95% CI, 1.02 - 2.40; p = 0.04) and cardio-respiratory resuscitation (aOR 7.75, 95% CI, 1.20 - 49.98; p = 0.03). No association was observed for other comorbidities such as chronic pulmonary obstructive disease (COPD) or heart conditions in the adjusted model. Offering both pneumococcal and influenza vaccination to the elderly may improve 30-day mortality in patients with CAP.

  5. Emergency department evaluation and 30-day readmission after craniotomy for primary brain tumor resection in New York State.

    PubMed

    Missios, Symeon; Bekelis, Kimon

    2017-01-06

    OBJECTIVE Fragmentation of care has been recognized as a major contributor to 30-day readmissions after surgical procedures. The authors investigated the association of evaluation in the hospital where the original procedure was performed with the rate of 30-day readmissions for patients presenting to the emergency department (ED) after craniotomy for primary brain tumor resection. METHODS A cohort study was conducted, involving patients who were evaluated in the ED within 30 days after discharge following a craniotomy for primary brain tumor resection between 2009 and 2013, and who were registered in the Statewide Planning and Research Cooperative System (SPARCS) database of New York State. A propensity score-adjusted model was used to control for confounding, whereas a mixed-effects model accounted for clustering at the hospital level. RESULTS Of the 610 patients presenting to the ED, 422 (69.2%) were evaluated in a hospital different from the one where the original procedure was performed (28.9% were readmitted), and 188 (30.8%) were evaluated at the original hospital (20.3% were readmitted). In a multivariable analysis, the authors demonstrated that being evaluated in the ED of the original hospital was associated with a decreased rate of 30-day readmission (OR 0.64, 95% CI 0.41-0.98). Similar associations were found in a mixed-effects logistic regression model (OR 0.63, 95% CI 0.40-0.96) and a propensity score-adjusted model (OR 0.64, 95% CI 0.41-0.98). This corresponds to one less readmission per 12 patients evaluated in the hospital where the original procedure was performed. CONCLUSIONS Using a comprehensive all-payer cohort of patients in New York State who were evaluated in the ED after craniotomy for primary brain tumor resection, the authors identified an association of assessment in the hospital where the original procedure was performed with a lower rate of 30-day readmissions. This underscores the potential importance of continuity of care in

  6. Relationship between platelet count and 30-day clinical outcomes after percutaneous coronary interventions. Pooled analysis of four ISAR trials.

    PubMed

    Iijima, Raisuke; Ndrepepa, Gjin; Mehilli, Julinda; Bruskina, Olga; Schulz, Stefanie; Schömig, Albert; Kastrati, Adnan

    2007-10-01

    Platelets play an important role in the development of major adverse cardiac events (MACE) following percutaneous coronary intervention (PCI). The impact of platelet count on the outcome of patients undergoing PCI after pre-treatment with clopidogrel is unknown. The study included 5,256 patients enrolled in four randomized trials - ISAR-REACT, ISAR-SMART2, ISAR-SWEET, and ISAR-REACT2 - which assessed the value of abciximab in patients with coronary artery disease (CAD) undergoing PCI after pre-treatment with 600 mg of clopidogrel. Platelet count was measured at baseline before PCI. Primary endpoint was the 30-day incidence of MACE, secondary endpoint was mortality. The tertiles of platelet counts were: lower tertile (<198 x 10(9)/L; n = 1,726), middle tertile (198-244 x 10(9)/L; n = 1,750) and upper tertile (>244 x 10(9)/L; n = 1,780). The 30-day incidence of MACE was 6.7% (n = 116) among patients of the lower tertile, 6.3% (n = 111) among patients of the middle tertile, and 7.0% (n = 124) among patients of the upper tertile (P = 0.76). The 30-day mortality was 1.2% (n = 22) among patients of the upper tertile, 0.5% (n = 9) among patients of middle tertile and 0.6% (n = 11) among patients of the lower tertile (P = 0.04). Q-wave myocardial infarction occurred in 1.3% of patients (n = 23) in the upper tertile, 0.7% of patients (n = 13) in the middle tertile and 0.5% of patients (n = 8) in the lower tertile (P = 0.02). Platelet count was an independent correlate of 30-day mortality (hazard ratio 2.69, 95% confidence interval 1.08-6.67; P = 0.033 for the third vs. the first tertile). In conclusion, in patients with CAD undergoing PCI after pre-treatment with 600 mg clopidogrel, baseline platelet count predicts 30-day mortality.

  7. Rheumatoid arthritis patients are not at increased risk for 30-day cardiovascular events, infections, or mortality after total joint arthroplasty

    PubMed Central

    2013-01-01

    Introduction Serious infection, cardiovascular disease, and mortality are increased in rheumatoid arthritis (RA). Whether RA affects the risk for these complications after total joint arthroplasty (TJA) is unknown, we hypothesize that it does. We compared the occurrence of 30-day postoperative complications and mortality in a large cohort of RA and osteoarthritis (OA) patients undergoing hip or knee TJA. Methods Analyses included 7-year data from the Veterans Affairs Surgical Quality Improvement Program. The 30-day complications were compared by diagnosis by using logistic regression, and long-term mortality was examined by using Cox proportional hazards regression. All analyses were adjusted for age, sex, and clustering by surgical site. Additional covariates included sociodemographics, comorbidities, health behaviors, and operative risk factors. Results The 34,524 patients (839 RA, 33,685 OA) underwent knee (65.9%) or hip TJA. Patients were 95.7% men with a mean (SD) age of 64.4 (10.7) years and had 3,764 deaths over a mean follow-up of 3.7 (2.3) years. Compared with OA patients, those with RA were significantly more likely to require a return to the operating room (odds ratio (OR), 1.45 (95% CI, 1.08 to 1.94), but had similar rates of 30-day postoperative infection, OR 1.02 (0.72 to 1.47), cardiovascular events, OR 0.69 (0.37 to 1.28), and mortality, OR 0.94 (0.38 to 2.33). RA was associated with a significantly higher long-term mortality; hazard ratio (HR), 1.22 (1.00 to 1.49). Conclusion In this study of US veterans, RA patients were not at an increased risk for short-term mortality or other major complications after TJA, although they returned to the operating room more often and had increased long-term mortality. PMID:24252350

  8. Effects of leg strength and bicycle ergometry exercise on cardiovascular deconditioning after 30-day head-down bed rest

    NASA Astrophysics Data System (ADS)

    Wu, Bin; Liu, Yusheng; Sun, Hongyi; Zhao, Dongming; Wang, Yue; Wu, Ping; Ni, Chengzhi

    2010-10-01

    The purpose of this study is to determine if the intermittent leg muscular strength exercise and bicycle ergometry exercise could attenuate cardiovascular deconditioning induced by prolonged -6° head-down bed rest (HDBR). Fifteen male subjects were randomly allocated into group A ( n=5, 30 days HDBR without exercise), group B ( n=5, 30 days HDBR with leg muscular strength exercise) and group C ( n=5, 30 days HDBR with bicycle ergometry exercise). The orthostatic tolerance (OT) was determined by +75°/20 min head-up tilt (HUT) test and the submaximal exercise capacity was determined by bicycle ergometry before and after HDBR. The results were as follows: (1) Compared with that before HDBR, OT time decreased dramatically by 57.6% ( p<0.001) after HDBR in group A, while it decreased by 36.4% ( p=0.084) in group B and by 34.7% ( p=0.062) in group C. (2) Compared with that before HDBR, the submaximal exercise time decreased significantly by 17.7% ( p<0.05) and 21.1% ( p<0.05) in groups A and B, respectively, after HDBR. However, it had no change (+1.3%, p>0.77) in group C. (3) compared with that before HDBR, the changes of heart rate (HR) and blood pressure were slightly improved in group B and C, while deteriorated in group A during orthostatic test and exercise test after HDBR. The results indicate that leg muscular strength exercise and bicycle ergometry exercise could partially attenuate the cardiovascular deconditioning induced by 30 d HDBR, and the latter exercise training could fully provide the protection for the loss of exercise capacity.

  9. Hospital Nursing and 30-Day Readmissions among Medicare Patients with Heart Failure, Acute Myocardial Infarction, and Pneumonia

    PubMed Central

    McHugh, Matthew D.; Ma, Chenjuan

    2013-01-01

    Background Provisions of the Affordable Care Act that increase hospitals’ financial accountability for preventable readmissions have heightened interest in identifying system-level interventions to reduce readmissions. Objectives To determine the relationship between hospital nursing; i.e. nurse work environment, nurse staffing levels, and nurse education, and 30-day readmissions among Medicare patients with heart failure, acute myocardial infarction, and pneumonia. Method and Design Analysis of linked data from California, New Jersey, and Pennsylvania that included information on the organization of hospital nursing (i.e., work environment, patient-to-nurse ratios, and proportion of nurses holding a BSN degree) from a survey of nurses, as well as patient discharge data, and American Hospital Association Annual Survey data. Robust logistic regression was used to estimate the relationship between nursing factors and 30-day readmission. Results Nearly one-quarter of heart failure index admissions (23.3% [n=39,954]); 19.1% (n=12,131) of myocardial infarction admissions; and 17.8% (n=25,169) of pneumonia admissions were readmitted within 30-days. Each additional patient per nurse in the average nurse’s workload was associated with a 7% higher odds of readmission for heart failure (OR=1.07, [1.05–1.09]), 6% for pneumonia patients (OR=1.06, [1.03–1.09]), and 9% for myocardial infarction patients (OR=1.09, [1.05–1.13]). Care in a hospital with a good versus poor work environment was associated with odds of readmission that were 7% lower for heart failure (OR = 0.93, [0.89–0.97]); 6% lower for myocardial infarction (OR = 0.94, [0.88–0.98]); and 10% lower for pneumonia (OR = 0.90, [0.85–0.96]) patients. Conclusions Improving nurses’ work environments and staffing may be effective interventions for preventing readmissions. PMID:23151591

  10. Effects of Cardiopulmonary Support With a Novel Pediatric Pump-Lung in a 30-Day Ovine Animal Model.

    PubMed

    Liu, Yang; Sanchez, Pablo G; Wei, Xufeng; Watkins, Amelia C; Niu, Shuqiong; Wu, Zhongjun J; Griffith, Bartley P

    2015-12-01

    The scarcity of donor organs has led to the development of devices that provide optimal long-term respiratory or cardiopulmonary support to bridge recipients as they wait for lung and/or heart transplantation. This study was designed to evaluate the 30-day in vivo performance of the newly developed pediatric pump-lung (PediPL) for cardiopulmonary support using a juvenile sheep model. The PediPL device was placed surgically between the right atrium and descending aorta in eight sheep (25.4-31.2 kg) and evaluated for 30 days. Anticoagulation was maintained with continuous heparin infusion (activated clotting time 150-200 s). The flow rate was measured continually, and gas transfer was measured daily. Plasma free hemoglobin, platelet activation, hematologic data, and blood biochemistry were assessed twice a week. Sheep were euthanized after 30 days. The explanted devices were examined for gross thrombosis. Six sheep survived for 30-32 days. During the study, the oxygen transfer rate of the devices was 54.9 ± 13.2 mL/min at a mean flow rate of 1.14 ± 0.46 L/min with blood oxygen saturation of 95.4% ± 1.7%. Plasma free hemoglobin was 8.2 ± 3.7 mg/dL. Platelet activation was 5.35 ± 2.65%. The animals had normal organ chemistries except for surgery-related transient alterations in kidney and liver function. Although we found some scattered thrombi on the membrane surfaces of some explanted devices during the necropsy, the device function and performance did not degrade. The PediPL device was capable of providing cardiopulmonary support with long-term reliability and good biocompatibility over the 30-day duration and offers the potential option for bridging pediatric patients with end-stage heart or lung disease to heart and/or lung transplantation.

  11. Long-acting bronchodilators with or without inhaled corticosteroids and 30-day readmission in patients hospitalized for COPD

    PubMed Central

    Bishwakarma, Raju; Zhang, Wei; Kuo, Yong-Fang; Sharma, Gulshan

    2017-01-01

    Background The ability of a long-acting muscarinic antagonist (LAMA) and long-acting beta 2 agonists (LABAs; long-acting bronchodilators, LABDs) with or without inhaled corticosteroids (ICSs) to reduce early readmission in hospitalized patients with COPD is unknown. Methods We studied a 5% sample of Medicare beneficiaries enrolled in Medicare parts A, B and D and hospitalized for COPD in 2011. We examined prescriptions filled for LABDs with or without ICSs (LABDs±ICSs) within 90 days prior to and 30 days after hospitalization. Primary outcome was the 30-day readmission rate between “users” and “nonusers” of LABDs±ICSs. Propensity score matching and sensitivity analysis were performed by limiting analysis to patients hospitalized for acute exacerbation of COPD (AECOPD). Among 6,066 patients hospitalized for COPD, 3,747 (61.8%) used LABDs±ICSs during the specified period. The “user” and “nonuser” groups had similar rates of all-cause emergency room (ER) visits and readmissions within 30 days of discharge date (22.4% vs 20.7%, P-value 0.11; 18.0% vs 17.8%, P-value 0.85, respectively). However, the “users” had higher rates of COPD-related ER visits (5.3% vs 3.4%, P-value 0.0006), higher adjusted odds ratio (aOR) 1.47 (95% CI, 1.11–1.93) and readmission (7.8% vs 5.0%, P-value <0.0001 and aOR 1.48 [95% CI, 1.18–1.86]) than “nonusers”. After propensity score matching, the aOR of COPD-related ER visits was 1.45 (95% CI, 1.07–1.96) and that of readmission was 1.34 (95% CI, 1.04–1.73). The results were similar when restricted to patients hospitalized for AECOPD. Conclusion Use of LABDs±ICSs did not reduce 30-day readmissions in patients hospitalized for COPD. PMID:28203071

  12. 7 CFR 356.4 - Property valued at $10,000 or less; notice of seizure administrative action to obtain forfeiture.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Property valued at $10,000 or less; notice of seizure... PROCEDURES § 356.4 Property valued at $10,000 or less; notice of seizure administrative action to obtain...,000 or less. (b) Waiver of forfeiture procedures by owner of seized property. A person claiming to...

  13. 40 CFR Appendix D to Part 307 - Notice of Limitations on the Payment of Claims for Response Actions Which Is To Be Placed in...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 27 2010-07-01 2010-07-01 false Notice of Limitations on the Payment of Claims for Response Actions Which Is To Be Placed in Public Dockets D Appendix D to Part 307... (CERCLA) CLAIMS PROCEDURES Pt. 307, App. D Appendix D to Part 307—Notice of Limitations on the Payment...

  14. Variation between Hospitals with Regard to Diagnostic Practice, Coding Accuracy, and Case-Mix. A Retrospective Validation Study of Administrative Data versus Medical Records for Estimating 30-Day Mortality after Hip Fracture

    PubMed Central

    Kristoffersen, Doris Tove; Skyrud, Katrine Damgaard; Lindman, Anja Schou

    2016-01-01

    Background The purpose of this study was to assess the validity of patient administrative data (PAS) for calculating 30-day mortality after hip fracture as a quality indicator, by a retrospective study of medical records. Methods We used PAS data from all Norwegian hospitals (2005–2009), merged with vital status from the National Registry, to calculate 30-day case-mix adjusted mortality for each hospital (n = 51). We used stratified sampling to establish a representative sample of both hospitals and cases. The hospitals were stratified according to high, low and medium mortality of which 4, 3, and 5 hospitals were sampled, respectively. Within hospitals, cases were sampled stratified according to year of admission, age, length of stay, and vital 30-day status (alive/dead). The final study sample included 1043 cases from 11 hospitals. Clinical information was abstracted from the medical records. Diagnostic and clinical information from the medical records and PAS were used to define definite and probable hip fracture. We used logistic regression analysis in order to estimate systematic between-hospital variation in unmeasured confounding. Finally, to study the consequences of unmeasured confounding for identifying mortality outlier hospitals, a sensitivity analysis was performed. Results The estimated overall positive predictive value was 95.9% for definite and 99.7% for definite or probable hip fracture, with no statistically significant differences between hospitals. The standard deviation of the additional, systematic hospital bias in mortality estimates was 0.044 on the logistic scale. The effect of unmeasured confounding on outlier detection was small to moderate, noticeable only for large hospital volumes. Conclusions This study showed that PAS data are adequate for identifying cases of hip fracture, and the effect of unmeasured case mix variation was small. In conclusion, PAS data are adequate for calculating 30-day mortality after hip-fracture as a quality

  15. Pharmacokinetic and Genomic Effects of Arsenite in Drinking Water on Mouse Lung in a 30-Day Exposure.

    PubMed

    Chilakapati, Jaya; Wallace, Kathleen; Hernandez-Zavala, Araceli; Moore, Tanya; Ren, Hongzu; Kitchin, Kirk T

    2015-01-01

    The 2 objectives of this subchronic study were to determine the arsenite drinking water exposure dependent increases in female C3H mouse liver and lung tissue arsenicals and to characterize the dose response (to 0, 0.05, 0.25, 1, 10, and 85 ppm arsenite in drinking water for 30 days and a purified AIN-93M diet) for genomic mouse lung expression patterns. Mouse lungs were analyzed for inorganic arsenic, monomethylated, and dimethylated arsenicals by hydride generation atomic absorption spectroscopy. The total lung mean arsenical levels were 1.4, 22.5, 30.1, 50.9, 105.3, and 316.4 ng/g lung tissue after 0, 0.05, 0.25, 1, 10, and 85 ppm, respectively. At 85 ppm, the total mean lung arsenical levels increased 14-fold and 131-fold when compared to either the lowest noncontrol dose (0.05 ppm) or the control dose, respectively. We found that arsenic exposure elicited minimal numbers of differentially expressed genes (DEGs; 77, 38, 90, 87, and 87 DEGs) after 0.05, 0.25, 1, 10, and 85 ppm, respectively, which were associated with cardiovascular disease, development, differentiation, apoptosis, proliferation, and stress response. After 30 days of arsenite exposure, this study showed monotonic increases in mouse lung arsenical (total arsenic and dimethylarsinic acid) concentrations but no clear dose-related increases in DEG numbers.

  16. Kansas City Cardiomyopathy Questionnaire Utility in Prediction of 30-Day Readmission Rate in Patients with Chronic Heart Failure

    PubMed Central

    Gui, Junhong; Zhu, Xiang; Malhotra, Divyanshu; Li, Shenjing; Virkram, Fnu; Chada, Aditya; Jiang, Haibing

    2016-01-01

    Background. Heart failure (HF) is one of the most common diagnoses associated with hospital readmission. We designed this prospective study to evaluate whether Kansas City Cardiomyopathy Questionnaire (KCCQ) score is associated with 30-day readmission in patients hospitalized with decompensated HF. Methods and Results. We enrolled 240 patients who met the study criteria. Forty-eight (20%) patients were readmitted for decompensated HF within thirty days of hospital discharge, and 192 (80%) patients were not readmitted. Compared to readmitted patients, nonreadmitted patients had a higher average KCCQ score (40.8 versus 32.6, P = 0.019) before discharge. Multivariate analyses showed that a high KCCQ score was associated with low HF readmission rate (adjusted OR = 0.566, P = 0.022). The c-statistic for the base model (age + gender) was 0.617. The combination of home medication and lab tests on the base model resulted in an integrated discrimination improvement (IDI) increase of 3.9%. On that basis, the KCQQ further increased IDI of 2.7%. Conclusions. The KCCQ score determined before hospital discharge was significantly associated with 30-day readmission rate in patients with HF, which may provide a clinically useful measure and could significantly improve readmission prediction reliability when combined with other clinical components. PMID:27872790

  17. Psychometric Properties of 7- and 30-Day Versions of the PROMIS Emotional Distress Item Banks in an Australian Adult Sample.

    PubMed

    Batterham, Philip J; Sunderland, Matthew; Carragher, Natacha; Calear, Alison L

    2017-01-01

    This study aimed to examine the psychometric properties of the PROMIS depression, anxiety, and anger item banks in a large Australian population-based sample. The study tested for unidimensionality; evaluated invariance across age, gender, and education; assessed local independence; and tested item bank scores as an indicator for clinical criteria. In addition, equivalence of the 7-day time frame against an alternative 30-day time frame was assessed. A sample of 3,175 Australian adults were recruited into the study through online advertising. All three item banks showed strong evidence of unidimensionality and parsimony, with no items showing local dependence. All items were invariant across age, gender, and education. The item banks were accurate in detecting clinical criteria for major depressive disorder, generalized anxiety disorder, and panic disorder, although legacy measures designed for this purpose sometimes performed marginally better. Responses to the 30-day time frame were highly consistent with the original 7-day time frame. The study provided support for the validity of the PROMIS emotional distress item banks as measures of depression, anxiety, and anger in the Australian population, supporting the generalizability of the measures. The time frame chosen for assessing mental health outcomes using these item banks should be based on pragmatic considerations.

  18. Readmission for Acute Exacerbation within 30 Days of Discharge Is Associated with a Subsequent Progressive Increase in Mortality Risk in COPD Patients: A Long-Term Observational Study

    PubMed Central

    Guerrero, Mónica; Crisafulli, Ernesto; Liapikou, Adamantia; Huerta, Arturo; Gabarrús, Albert; Chetta, Alfredo; Soler, Nestor; Torres, Antoni

    2016-01-01

    Background and Objective Twenty per cent of chronic obstructive pulmonary disease (COPD) patients are readmitted for acute exacerbation (AECOPD) within 30 days of discharge. The prognostic significance of early readmission is not fully understood. The objective of our study was to estimate the mortality risk associated with readmission for acute exacerbation within 30 days of discharge in COPD patients. Methods The cohort (n = 378) was divided into patients readmitted (n = 68) and not readmitted (n = 310) within 30 days of discharge. Clinical, laboratory, microbiological, and severity data were evaluated at admission and during hospital stay, and mortality data were recorded at four time points during follow-up: 30 days, 6 months, 1 year and 3 years. Results Patients readmitted within 30 days had poorer lung function, worse dyspnea perception and higher clinical severity. Two or more prior AECOPD (HR, 2.47; 95% CI, 1.51–4.05) was the only variable independently associated with 30-day readmission. The mortality risk during the follow-up period showed a progressive increase in patients readmitted within 30 days in comparison to patients not readmitted; moreover, 30-day readmission was an independent risk factor for mortality at 1 year (HR, 2.48; 95% CI, 1.10–5.59). In patients readmitted within 30 days, the estimated absolute increase in the mortality risk was 4% at 30 days (number needed to harm NNH, 25), 17% at 6-months (NNH, 6), 19% at 1-year (NNH, 6) and 24% at 3 years (NNH, 5). Conclusion In conclusion a readmission for AECOPD within 30 days is associated with a progressive increased long-term risk of death. PMID:26943928

  19. [Effect of 30-day space flight and subsequent readaptation on the signaling processes in m. longissimus dorsi of mice].

    PubMed

    Mirzoev, T M; Vil'chinskaia, N A; Lomonosova, Iu N; Nemirovskaia, T L; Shenkman, B S

    2014-01-01

    Some steps of anabolic and catabolic signaling pathways were investigated in postural/tonic m. longissimus dorsi of mice following the 30-day orbital flight of biosatellite "Bion-M1" and 8-day recovery. Western blotting was used for determining insulin receptor substrate 1 (IRS-1) and AMR-activated protein kinase (AMPK) involved in reciprocal regulation of anabolic and catabolic pathways, as well as E3-ligase MURF-1, and elongation factor eEF2. Functioning of the IGF-1-dependent IRS-1 signaling pathway was activated in the recovery period only. Though the content of ubiquitinligase MURF-1 showed an increase after flight, on completion of the recovery period it did not exceed the pre-flight level unambiguously.

  20. Hip Fractures: What Information Does the Evidence Show That Patients and Families Need to Decrease 30-Day Readmission?

    PubMed

    Gardner, Kristin OʼMara

    2015-01-01

    The current bundled payment reimbursement from the Centers for Medicare & Medicaid Services will not cover the additional cost of hospital readmission for the same diagnosis, and patients with hip fractures have one of the highest cost-saving opportunities when compared with other admission reasons. Common reasons for readmission to the hospital after hip fracture include pneumonia, dehydration, and mobility issues. The learning modalities including visual, aural, read/write, and kinesthetic were used to make recommendations on how the education can be incorporated into the instruction of patients with hip fractures and their families. These learning techniques can be used to develop education to decrease possibility of 30-day readmission after hip fracture. Nurses must focus their education to meet the needs of each individual patient, adapting to different types of adult learners to increase the health literacy of patients with hip fractures and their families.