Science.gov

Sample records for actual service conditions

  1. Spatial dynamics of ecosystem service flows: a comprehensive approach to quantifying actual services

    USGS Publications Warehouse

    Bagstad, Kenneth J.; Johnson, Gary W.; Voigt, Brian; Villa, Ferdinando

    2013-01-01

    Recent ecosystem services research has highlighted the importance of spatial connectivity between ecosystems and their beneficiaries. Despite this need, a systematic approach to ecosystem service flow quantification has not yet emerged. In this article, we present such an approach, which we formalize as a class of agent-based models termed “Service Path Attribution Networks” (SPANs). These models, developed as part of the Artificial Intelligence for Ecosystem Services (ARIES) project, expand on ecosystem services classification terminology introduced by other authors. Conceptual elements needed to support flow modeling include a service's rivalness, its flow routing type (e.g., through hydrologic or transportation networks, lines of sight, or other approaches), and whether the benefit is supplied by an ecosystem's provision of a beneficial flow to people or by absorption of a detrimental flow before it reaches them. We describe our implementation of the SPAN framework for five ecosystem services and discuss how to generalize the approach to additional services. SPAN model outputs include maps of ecosystem service provision, use, depletion, and flows under theoretical, possible, actual, inaccessible, and blocked conditions. We highlight how these different ecosystem service flow maps could be used to support various types of decision making for conservation and resource management planning.

  2. Experimental study on the regenerator under actual operating conditions

    NASA Astrophysics Data System (ADS)

    Nam, Kwanwoo; Jeong, Sangkwon

    2002-05-01

    An experimental apparatus was prepared to investigate thermal and hydrodynamic characteristics of the regenerator under its actual operating conditions. The apparatus included a compressor to pressurize and depressurize regenerator with various operating frequencies. Cold end of the regenerator was maintained around 100 K by means of liquid nitrogen container and heat exchanger. Instantaneous gas temperature and mass flow rate were measured at both ends of the regenerator during the whole pressure cycle. Pulsating pressure and pressure drop across the regenerator were also measured. The operating frequency of the pressure cycle was varied between 3 and 60 Hz, which are typical operating frequencies of Gifford-McMahon, pulse tube, and Stirling cryocoolers. First, friction factor for the wire screen mesh was directly determined from room temperature experiments. When the operating frequency was less than 9 Hz, the oscillating flow friction factor was nearly same as the steady flow friction factor for Reynolds number up to 100. For 60 Hz operations, the ratio of oscillating flow friction factor to steady flow one was increased as hydraulic Reynolds number became high. When the Reynolds number was 100, this ratio was about 1.6. Second, ineffectiveness of the regenerator was obtained when the cold-end was maintained around 100 K and the warm-end at 300 K to simulate the actual operating condition of the regenerator in cryocooler. Effect of the operating frequency on ineffectiveness of regenerator was discussed at low frequency range.

  3. From theoretical to actual ecosystem services: mapping beneficiaries and spatial flows in ecosystem service assessments

    USGS Publications Warehouse

    Bagstad, Kenneth J.; Villa, Ferdinando; Batker, David; Harrison-Cox, Jennifer; Voigt, Brian; Johnson, Gary W.

    2014-01-01

    Ecosystem services mapping and modeling has focused more on supply than demand, until recently. Whereas the potential provision of economic benefits from ecosystems to people is often quantified through ecological production functions, the use of and demand for ecosystem services has received less attention, as have the spatial flows of services from ecosystems to people. However, new modeling approaches that map and quantify service-specific sources (ecosystem capacity to provide a service), sinks (biophysical or anthropogenic features that deplete or alter service flows), users (user locations and level of demand), and spatial flows can provide a more complete understanding of ecosystem services. Through a case study in Puget Sound, Washington State, USA, we quantify and differentiate between the theoretical or in situ provision of services, i.e., ecosystems’ capacity to supply services, and their actual provision when accounting for the location of beneficiaries and the spatial connections that mediate service flows between people and ecosystems. Our analysis includes five ecosystem services: carbon sequestration and storage, riverine flood regulation, sediment regulation for reservoirs, open space proximity, and scenic viewsheds. Each ecosystem service is characterized by different beneficiary groups and means of service flow. Using the ARtificial Intelligence for Ecosystem Services (ARIES) methodology we map service supply, demand, and flow, extending on simpler approaches used by past studies to map service provision and use. With the exception of the carbon sequestration service, regions that actually provided services to people, i.e., connected to beneficiaries via flow paths, amounted to 16-66% of those theoretically capable of supplying services, i.e., all ecosystems across the landscape. These results offer a more complete understanding of the spatial dynamics of ecosystem services and their effects, and may provide a sounder basis for economic

  4. Establishing seasonal chronicles of actual evapotranspiration under sloping conditions

    NASA Astrophysics Data System (ADS)

    Zitouna Chebbi, R.; Prévot, L.; Jacob, F.; Voltz, M.

    2012-04-01

    Estimation of daily and seasonal actual evapotranspiration (ETa) is strongly needed for hydrological and agricultural purposes. Although the eddy covariance method is well suited for such estimation of land surface fluxes, this method suffers from limitations when establishing long time series. Missing data are often encountered, resulting from bad meteorological conditions, rejection by quality control tests, power failures… Numerous gap fill techniques have been proposed in the literature but there applicability in sloping conditions is not well known. In order to estimate ETa over long periods (agricultural cycle) on crops cultivated in sloping areas, a pluri-annual experiment was conducted in the Kamech catchment, located in North-eastern Tunisia. This Mediterranean site is characterized by a large heterogeneity in topography, soils and crops. Land surface fluxes were measured using eddy covariance systems. Measurements were collected on the two opposite sides of the Kamech V-shaped catchment, within small fields having slopes steeper than 5%. During three different years, four crops were studied: durum wheat, oat, fava bean and pasture. The topography of the catchment and the wind regime induced upslope and downslope flows over the study fields. In this study, we showed that gap filling of the turbulent fluxes (sensible and latent heat) can be obtained through linear regressions against net radiation. To account for the effect of the topography, linear regressions were calibrated by distinguishing upslope and downslope flows. This significantly improved the quality of the reconstructed data over 30 minute intervals. This gap filling technique also improved the energy balance closure at the daily time scale. As a result, seasonal chronicles of daily ETa throughout the growth cycle of the study crops in the Kamech watershed were established, thus providing useful information about the water use of annual crops in a semi-arid rainfed and hilly area.

  5. Teachers' Perceptions of Their Working Conditions: How Predictive of Planned and Actual Teacher Movement?

    ERIC Educational Resources Information Center

    Ladd, Helen F.

    2011-01-01

    This quantitative study examines the relationship between teachers' perceptions of their working conditions and their intended and actual departures from schools. Based on rich administrative data for North Carolina combined with a 2006 statewide survey administered to all teachers in the state, the study documents that working conditions are…

  6. 33 CFR 175.23 - Serviceable condition.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Serviceable condition. 175.23 Section 175.23 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) BOATING SAFETY EQUIPMENT REQUIREMENTS Personal Flotation Devices § 175.23 Serviceable condition. A PFD...

  7. 33 CFR 175.23 - Serviceable condition.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Serviceable condition. 175.23 Section 175.23 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) BOATING SAFETY EQUIPMENT REQUIREMENTS Personal Flotation Devices § 175.23 Serviceable condition. A PFD...

  8. Flow modeling of actual human nasal cavity for various breathing conditions

    NASA Astrophysics Data System (ADS)

    Mokhtar, Nur Hazwani; Yaakob, Muhammad Syauki; Osman, Kahar; Kadir, Mohammed Rafiq Abdul; Abdullah, Wan Kamil Wan; Haron, Juhara

    2012-06-01

    Flow in the human nasal cavity varies when the body is under various physical activities. However, in order to visualize the flow pattern, traditional in-vivo technique may disturb the flow patterns. In this study, computational method was used to model the flow in the nasal cavity under various breathing conditions. Image from CT-Scan was used to mimic the actual cavity geometry. The image was computationally constructed and EFD. Lab was used to predict the flow behavior. Steady incompressible flow was considered for all case studies. The result shows that, for all breathing conditions, vortices were observed in the turbinate region which confirms the turbinate functions as a filter before the flow reaches the olfactory area. Larger vortices were detected when the flow rates were higher. In the olfactory region, the flow velocities were shown to be dramatically dropped to the ideal odorant uptake velocity range for all cases studied. This study had successfully produced visual description of air flow pattern in the nasal cavity.

  9. Cesium adsorption/desorption behavior of clay minerals considering actual contamination conditions in Fukushima

    PubMed Central

    Mukai, Hiroki; Hirose, Atsushi; Motai, Satoko; Kikuchi, Ryosuke; Tanoi, Keitaro; Nakanishi, Tomoko M.; Yaita, Tsuyoshi; Kogure, Toshihiro

    2016-01-01

    Cesium adsorption/desorption experiments for various clay minerals, considering actual contamination conditions in Fukushima, were conducted using the 137Cs radioisotope and an autoradiography using imaging plates (IPs). A 50 μl solution containing 0.185 ~ 1.85 Bq of 137Cs (10−11 ~ 10−9 molL−1 of 137Cs) was dropped onto a substrate where various mineral particles were arranged. It was found that partially-vermiculitized biotite, which is termed “weathered biotite” (WB) in this study, from Fukushima sorbed 137Cs far more than the other clay minerals (fresh biotite, illite, smectite, kaolinite, halloysite, allophane, imogolite) on the same substrate. When WB was absent on the substrate, the amount of 137Cs sorbed to the other clay minerals was considerably increased, implying that selective sorption to WB caused depletion of radiocesium in the solution and less sorption to the coexisting minerals. Cs-sorption to WB continued for about one day, whereas that to ferruginous smectite was completed within one hour. The sorbed 137Cs in WB was hardly leached with hydrochloric acid at pH 1, particularly in samples with a longer sorption time. The presence/absence of WB sorbing radiocesium is a key factor affecting the dynamics and fate of radiocesium in Fukushima. PMID:26868138

  10. Cesium adsorption/desorption behavior of clay minerals considering actual contamination conditions in Fukushima

    NASA Astrophysics Data System (ADS)

    Mukai, Hiroki; Hirose, Atsushi; Motai, Satoko; Kikuchi, Ryosuke; Tanoi, Keitaro; Nakanishi, Tomoko M.; Yaita, Tsuyoshi; Kogure, Toshihiro

    2016-02-01

    Cesium adsorption/desorption experiments for various clay minerals, considering actual contamination conditions in Fukushima, were conducted using the 137Cs radioisotope and an autoradiography using imaging plates (IPs). A 50 μl solution containing 0.185 ~ 1.85 Bq of 137Cs (10-11 ~ 10-9 molL-1 of 137Cs) was dropped onto a substrate where various mineral particles were arranged. It was found that partially-vermiculitized biotite, which is termed “weathered biotite” (WB) in this study, from Fukushima sorbed 137Cs far more than the other clay minerals (fresh biotite, illite, smectite, kaolinite, halloysite, allophane, imogolite) on the same substrate. When WB was absent on the substrate, the amount of 137Cs sorbed to the other clay minerals was considerably increased, implying that selective sorption to WB caused depletion of radiocesium in the solution and less sorption to the coexisting minerals. Cs-sorption to WB continued for about one day, whereas that to ferruginous smectite was completed within one hour. The sorbed 137Cs in WB was hardly leached with hydrochloric acid at pH 1, particularly in samples with a longer sorption time. The presence/absence of WB sorbing radiocesium is a key factor affecting the dynamics and fate of radiocesium in Fukushima.

  11. Do we know the actual magnetopause position for typical solar wind conditions?

    NASA Astrophysics Data System (ADS)

    Samsonov, A. A.; Gordeev, E.; Tsyganenko, N. A.; Å afránková, J.; Němeček, Z.; Å imůnek, J.; Sibeck, D. G.; Tóth, G.; Merkin, V. G.; Raeder, J.

    2016-07-01

    We compare predicted magnetopause positions at the subsolar point and four reference points in the terminator plane obtained from several empirical and numerical MHD models. Empirical models using various sets of magnetopause crossings and making different assumptions about the magnetopause shape predict significantly different magnetopause positions (with a scatter >1 RE) even at the subsolar point. Axisymmetric magnetopause models cannot reproduce the cusp indentations or the changes related to the dipole tilt effect, and most of them predict the magnetopause closer to the Earth than nonaxisymmetric models for typical solar wind conditions and zero tilt angle. Predictions of two global nonaxisymmetric models do not match each other, and the models need additional verification. MHD models often predict the magnetopause closer to the Earth than the nonaxisymmetric empirical models, but the predictions of MHD simulations may need corrections for the ring current effect and decreases of the solar wind pressure that occur in the foreshock. Comparing MHD models in which the ring current magnetic field is taken into account with the empirical Lin et al. model, we find that the differences in the reference point positions predicted by these models are relatively small for Bz=0. Therefore, we assume that these predictions indicate the actual magnetopause position, but future investigations are still needed.

  12. Divergence of actual and reference evapotranspiration observations for irrigated sugarcane with windy tropical conditions

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Standardized reference evapotranspiration (ET) and ecosystem-specific vegetation coefficients are frequently used to estimate actual ET. However, equations for calculating reference ET have not been well validated in more humid environments. We measured ET (ETEC) using Eddy Covariance (EC) towers a...

  13. Comparative analysis of operational forecasts versus actual weather conditions in airline flight planning, volume 2

    NASA Technical Reports Server (NTRS)

    Keitz, J. F.

    1982-01-01

    The impact of more timely and accurate weather data on airline flight planning with the emphasis on fuel savings is studied. This volume of the report discusses the results of Task 2 of the four major tasks included in the study. Task 2 compares various catagories of flight plans and flight tracking data produced by a simulation system developed for the Federal Aviation Administrations by SRI International. (Flight tracking data simulate actual flight tracks of all aircraft operating at a given time and provide for rerouting of flights as necessary to resolve traffic conflicts.) The comparisons of flight plans on the forecast to flight plans on the verifying analysis confirm Task 1 findings that wind speeds are generally underestimated. Comparisons involving flight tracking data indicate that actual fuel burn is always higher than planned, in either direction, and even when the same weather data set is used. Since the flight tracking model output results in more diversions than is known to be the case, it was concluded that there is an error in the flight tracking algorithm.

  14. Opening the ‘black box’: liaison psychiatry services and what they actually do

    PubMed Central

    Guthrie, Elspeth; McMeekin, Aaron; Thomasson, Rachel; Khan, Sylvia; Makin, Sally; Shaw, Ben; Longson, Damien

    2016-01-01

    Aims and method To develop a simple, pragmatic typology to characterise the nature of liaison interventions delivered by a liaison service in a National Health Service setting. We carried out a retrospective electronic case-note review of referrals to a ward-based liaison psychiatry service. Results Three hundred and forty-four patients were referred to the service over a 12-month period. Ten different types of liaison interventions were identified, with the most common interventions being diagnosis (112 patients, 32.6%), medication management (57 patients, 16.6%), risk assessment and treatment (56 patients, 16.3% each). Mental Health Act work accounted for the greatest number of contacts per patient (median 7). Clinical implications There are inherent limitations in any single-site observational study, as site-specific results cannot be generalised to other liaison services. The intervention categories we developed, however, are easy to use and will provide a way of comparing and benchmarking the range of interventions delivered by different liaison psychiatry services. PMID:27512583

  15. Rheological investigation of body cream and body lotion in actual application conditions

    NASA Astrophysics Data System (ADS)

    Kwak, Min-Sun; Ahn, Hye-Jin; Song, Ki-Won

    2015-08-01

    The objective of the present study is to systematically evaluate and compare the rheological behaviors of body cream and body lotion in actual usage situations. Using a strain-controlled rheometer, the steady shear flow properties of commercially available body cream and body lotion were measured over a wide range of shear rates, and the linear viscoelastic properties of these two materials in small amplitude oscillatory shear flow fields were measured over a broad range of angular frequencies. The temperature dependency of the linear viscoelastic behaviors was additionally investigated over a temperature range most relevant to usual human life. The main findings obtained from this study are summarized as follows: (1) Body cream and body lotion exhibit a finite magnitude of yield stress. This feature is directly related to the primary (initial) skin feel that consumers usually experience during actual usage. (2) Body cream and body lotion exhibit a pronounced shear-thinning behavior. This feature is closely connected with the spreadability when cosmetics are applied onto the human skin. (3) The linear viscoelastic behaviors of body cream and body lotion are dominated by an elastic nature. These solid-like properties become a criterion to assess the selfstorage stability of cosmetic products. (4) A modified form of the Cox-Merz rule provides a good ability to predict the relationship between steady shear flow and dynamic viscoelastic properties for body cream and body lotion. (5) The storage modulus and loss modulus of body cream show a qualitatively similar tendency to gradually decrease with an increase in temperature. In the case of body lotion, with an increase in temperature, the storage modulus is progressively decreased while the loss modulus is slightly increased and then decreased. This information gives us a criterion to judge how the characteristics of cosmetic products are changed by the usual human environments.

  16. Pre-Service and In-Service Teachers' Perceptions toward White Board System Prior to Actual Experience

    ERIC Educational Resources Information Center

    Park, Ju

    2014-01-01

    Using sample of survey data by pre-service and in-service teachers attending at a regional campus, this study examined how undergraduate and graduate students, in education major, perceived interactive white boards (IWB), and described implications of how the system can be used effectively, based on student-centered pedagogy. Although the…

  17. 42 CFR 482.23 - Condition of participation: Nursing services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Condition of participation: Nursing services. 482... Hospital Functions § 482.23 Condition of participation: Nursing services. The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished...

  18. 42 CFR 482.23 - Condition of participation: Nursing services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Nursing services. 482... Hospital Functions § 482.23 Condition of participation: Nursing services. The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished...

  19. 42 CFR 482.23 - Condition of participation: Nursing services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Condition of participation: Nursing services. 482... Hospital Functions § 482.23 Condition of participation: Nursing services. The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished...

  20. 42 CFR 482.23 - Condition of participation: Nursing services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Condition of participation: Nursing services. 482... Hospital Functions § 482.23 Condition of participation: Nursing services. The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished...

  1. 42 CFR 482.23 - Condition of participation: Nursing services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Condition of participation: Nursing services. 482... Hospital Functions § 482.23 Condition of participation: Nursing services. The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished...

  2. 42 CFR 415.120 - Conditions for payment: Radiology services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Conditions for payment: Radiology services. 415.120... Physician Services to Beneficiaries in Providers § 415.120 Conditions for payment: Radiology services. (a) Services to beneficiaries. The carrier pays for radiology services furnished by a physician to...

  3. 42 CFR 415.120 - Conditions for payment: Radiology services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Conditions for payment: Radiology services. 415.120... Services to Beneficiaries in Providers § 415.120 Conditions for payment: Radiology services. (a) Services to beneficiaries. The carrier pays for radiology services furnished by a physician to a...

  4. 42 CFR 415.120 - Conditions for payment: Radiology services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Conditions for payment: Radiology services. 415.120... Physician Services to Beneficiaries in Providers § 415.120 Conditions for payment: Radiology services. (a) Services to beneficiaries. The carrier pays for radiology services furnished by a physician to...

  5. 42 CFR 415.120 - Conditions for payment: Radiology services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Conditions for payment: Radiology services. 415.120... Physician Services to Beneficiaries in Providers § 415.120 Conditions for payment: Radiology services. (a) Services to beneficiaries. The carrier pays for radiology services furnished by a physician to...

  6. 42 CFR 415.120 - Conditions for payment: Radiology services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Conditions for payment: Radiology services. 415.120... Services to Beneficiaries in Providers § 415.120 Conditions for payment: Radiology services. (a) Services to beneficiaries. The carrier pays for radiology services furnished by a physician to a...

  7. 42 CFR 482.55 - Condition of participation: Emergency services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Emergency services. 482... Optional Hospital Services § 482.55 Condition of participation: Emergency services. The hospital must meet...: Organization and direction. If emergency services are provided at the hospital— (1) The services must...

  8. Comparative analysis of operational forecasts versus actual weather conditions in airline flight planning: Summary report

    NASA Technical Reports Server (NTRS)

    Keitz, J. F.

    1982-01-01

    The impact of more timely and accurate weather data on airline flight planning with the emphasis on fuel savings is studied. This summary report discusses the results of each of the four major tasks of the study. Task 1 compared airline flight plans based on operational forecasts to plans based on the verifying analyses and found that average fuel savings of 1.2 to 2.5 percent are possible with improved forecasts. Task 2 consisted of similar comparisons but used a model developed for the FAA by SRI International that simulated the impact of ATc diversions on the flight plans. While parts of Task 2 confirm the Task I findings, inconsistency with other data and the known impact of ATC suggests that other Task 2 findings are the result of errors in the model. Task 3 compares segment weather data from operational flight plans with the weather actually observed by the aircraft and finds the average error could result in fuel burn penalties (or savings) of up to 3.6 percent for the average 8747 flight. In Task 4 an in-depth analysis of the weather forecast for the 33 days included in the study finds that significant errors exist on 15 days. Wind speeds in the area of maximum winds are underestimated by 20 to 50 kts., a finding confirmed in the other three tasks.

  9. Comparative analysis of operational forecasts versus actual weather conditions in airline flight planning, volume 3

    NASA Technical Reports Server (NTRS)

    Keitz, J. F.

    1982-01-01

    The impact of more timely and accurate weather data on airline flight planning with the emphasis on fuel savings is studied. This volume of the report discusses the results of Task 3 of the four major tasks included in the study. Task 3 compares flight plans developed on the Suitland forecast with actual data observed by the aircraft (and averaged over 10 degree segments). The results show that the average difference between the forecast and observed wind speed is 9 kts. without considering direction, and the average difference in the component of the forecast wind parallel to the direction of the observed wind is 13 kts. - both indicating that the Suitland forecast underestimates the wind speeds. The Root Mean Square (RMS) vector error is 30.1 kts. The average absolute difference in direction between the forecast and observed wind is 26 degrees and the temperature difference is 3 degree Centigrade. These results indicate that the forecast model as well as the verifying analysis used to develop comparison flight plans in Tasks 1 and 2 is a limiting factor and that the average potential fuel savings or penalty are up to 3.6 percent depending on the direction of flight.

  10. Impact of age and cognitive demand on lane choice and changing under actual highway conditions.

    PubMed

    Reimer, Bryan; Donmez, Birsen; Lavallière, Martin; Mehler, Bruce; Coughlin, Joseph F; Teasdale, Normand

    2013-03-01

    Previous research suggests that drivers change lanes less frequently during periods of heightened cognitive load. However, lane changing behavior of different age groups under varying levels of cognitive demand is not well understood. The majority of studies which have evaluated lane changing behavior under cognitive workload have been conducted in driving simulators. Consequently, it is unclear if the patterns observed in these simulation studies carry over to actual driving. This paper evaluates data from an on-road study to determine the effects of age and cognitive demand on lane choice and lane changing behavior. Three age groups (20-29, 40-49, and 60-69) were monitored in an instrumented vehicle. The 40's age group had 147% higher odds of exhibiting a lane change than the 60's group. In addition, drivers in their 60's were less likely to drive on the leftmost lane compared to drivers in their 20's and 40's. These results could be interpreted as evidence that older adults adopt a more conservative driving style as reflected in being less likely to choose the leftmost lane than the younger groups and less likely to change lanes than drivers in their 40's. Regardless of demand level, cognitive workload reduced the frequency of lane changes for all age groups. This suggests that in general drivers of all ages attempt to regulate their behavior in a risk reducing direction when under added cognitive demand. The extent to which such self-regulation fully compensates for the impact of added cognitive demand remains an open question.

  11. Experimental investigation of panel radiator heat output enhancement for efficient thermal use under actual operating conditions

    NASA Astrophysics Data System (ADS)

    Calisir, Tamer; Baskaya, Senol; Onur Yazar, Hakan; Yucedag, Sinan

    2015-05-01

    In this study the heat output of a panel-convector-convector-panel radiator (PCCP) under controlled laboratory conditions under Turkish household and especially Ankara conditions was investigated experimentally. In this sense, investigations were performed for different heating water mass flow rates, water inlet temperatures and radiator inlet and outlet connection positions, which are most commonly used in Turkey. An experimental setup was built for this purpose in a test room where temperature was controlled and held constant during the experiments. Inlet and outlet water temperatures and mass flow rates were measured and heat output of the radiator was calculated. Infrared thermal camera visualizations of the steel panel radiator front surface were also performed.

  12. Analysis of Actual Operating Conditions of an Off-grid Solid Oxide Fuel Cell

    SciTech Connect

    Dennis Witmer; Thomas Johnson; Jack Schmid

    2008-12-31

    Fuel cells have been proposed as ideal replacements for other technologies in remote locations such as Rural Alaska. A number of suppliers have developed systems that might be applicable in these locations, but there are several requirements that must be met before they can be deployed: they must be able to operate on portable fuels, and be able to operate with little operator assistance for long periods of time. This project was intended to demonstrate the operation of a 5 kW fuel cell on propane at a remote site (defined as one without access to grid power, internet, or cell phone, but on the road system). A fuel cell was purchased by the National Park Service for installation in their newly constructed visitor center at Exit Glacier in the Kenai Fjords National Park. The DOE participation in this project as initially scoped was for independent verification of the operation of this demonstration. This project met with mixed success. The fuel cell has operated over 6 seasons at the facility with varying degrees of success, with one very good run of about 1049 hours late in the summer of 2006, but in general the operation has been below expectations. There have been numerous stack failures, the efficiency of electrical generation has been lower than expected, and the field support effort required has been far higher than expected. Based on the results to date, it appears that this technology has not developed to the point where demonstrations in off road sites are justified.

  13. Actual measurement, hygrothermal response experiment and growth prediction analysis of microbial contamination of central air conditioning system in Dalian, China

    PubMed Central

    Lv, Yang; Hu, Guangyao; Wang, Chunyang; Yuan, Wenjie; Wei, Shanshan; Gao, Jiaoqi; Wang, Boyuan; Song, Fangchao

    2017-01-01

    The microbial contamination of central air conditioning system is one of the important factors that affect the indoor air quality. Actual measurement and analysis were carried out on microbial contamination in central air conditioning system at a venue in Dalian, China. Illumina miseq method was used and three fungal samples of two units were analysed by high throughput sequencing. Results showed that the predominant fungus in air conditioning unit A and B were Candida spp. and Cladosporium spp., and two fungus were further used in the hygrothermal response experiment. Based on the data of Cladosporium in hygrothermal response experiment, this paper used the logistic equation and the Gompertz equation to fit the growth predictive model of Cladosporium genera in different temperature and relative humidity conditions, and the square root model was fitted based on the two environmental factors. In addition, the models were carried on the analysis to verify the accuracy and feasibility of the established model equation. PMID:28367963

  14. The effect of actual and imaginary handgrip on postural stability during different balance conditions.

    PubMed

    VanderHill, M S; Wolf, E E; Langenderfer, J E; Ustinova, K I

    2014-09-01

    The stabilizing effect of holding an object on upright posture has been demonstrated in a variety of settings. The mechanism of this effect is unknown but could be attributed to either additional sensorimotor activity triggered by a hand contact or cognitive efforts related to performance of a supra-postural task. A potential mechanism was investigated by comparing postural stability in young healthy individuals while gripping a custom instrumented wooden stick with a 5N force and while imagining holding the same stick in the hand. Twenty subjects were tested during three standing balance conditions: on a stationary surface, on a freely moving rockerboard, and with an unexpected perturbation of 10° forward rockerboard tipping. Postural stability was evaluated as velocity of the center of mass (COM) and center of pressure (COP) compared across all experimental conditions. COM and COP velocities were equally reduced when subjects gripped the stick and imagined gripping while standing stationary and on the rockerboard. When perturbed, subjects failed to show any postural stability improvements regardless of handgrip task. Results indicate a stabilizing effect of focusing attention on motor task performance. This cognitive strategy does not appear to contribute any additional stabilization when subjects are perturbed. This study adds to the current understanding of postural stabilization strategies.

  15. 42 CFR 482.52 - Condition of participation: Anesthesia services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Condition of participation: Anesthesia services... Optional Hospital Services § 482.52 Condition of participation: Anesthesia services. If the hospital furnishes anesthesia services, they must be provided in a well-organized manner under the direction of...

  16. 42 CFR 482.52 - Condition of participation: Anesthesia services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Condition of participation: Anesthesia services... Optional Hospital Services § 482.52 Condition of participation: Anesthesia services. If the hospital furnishes anesthesia services, they must be provided in a well-organized manner under the direction of...

  17. 42 CFR 482.52 - Condition of participation: Anesthesia services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Condition of participation: Anesthesia services... Optional Hospital Services § 482.52 Condition of participation: Anesthesia services. If the hospital furnishes anesthesia services, they must be provided in a well-organized manner under the direction of...

  18. 42 CFR 482.52 - Condition of participation: Anesthesia services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Anesthesia services... Optional Hospital Services § 482.52 Condition of participation: Anesthesia services. If the hospital furnishes anesthesia services, they must be provided in a well-organized manner under the direction of...

  19. 42 CFR 482.52 - Condition of participation: Anesthesia services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Condition of participation: Anesthesia services... Optional Hospital Services § 482.52 Condition of participation: Anesthesia services. If the hospital furnishes anesthesia services, they must be provided in a well-organized manner under the direction of...

  20. 42 CFR 410.60 - Outpatient physical therapy services: Conditions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Outpatient physical therapy services: Conditions... Services § 410.60 Outpatient physical therapy services: Conditions. (a) Basic rule. Except as specified in paragraph (a)(3)(iii) of this section, Medicare Part B pays for outpatient physical therapy services only...

  1. 42 CFR 410.60 - Outpatient physical therapy services: Conditions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 2 2012-10-01 2012-10-01 false Outpatient physical therapy services: Conditions... Services § 410.60 Outpatient physical therapy services: Conditions. (a) Basic rule. Except as specified in paragraph (a)(3)(iii) of this section, Medicare Part B pays for outpatient physical therapy services only...

  2. 42 CFR 417.414 - Qualifying condition: Range of services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Qualifying condition: Range of services. 417.414... Qualifying condition: Range of services. (a) Condition. The HMO or CMP must demonstrate that it is capable of delivering to Medicare enrollees the range of services required in accordance with this section. (b)...

  3. 42 CFR 417.414 - Qualifying condition: Range of services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Qualifying condition: Range of services. 417.414... Qualifying condition: Range of services. (a) Condition. The HMO or CMP must demonstrate that it is capable of delivering to Medicare enrollees the range of services required in accordance with this section. (b)...

  4. 42 CFR 417.414 - Qualifying condition: Range of services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Qualifying condition: Range of services. 417.414... Qualifying condition: Range of services. (a) Condition. The HMO or CMP must demonstrate that it is capable of delivering to Medicare enrollees the range of services required in accordance with this section. (b)...

  5. 42 CFR 403.734 - Condition of participation: Food services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Condition of participation: Food services. 403.734...-Benefits, Conditions of Participation, and Payment § 403.734 Condition of participation: Food services. The RNHCI must have an organized food service that is directed and adequately staffed by qualified...

  6. 42 CFR 403.734 - Condition of participation: Food services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Condition of participation: Food services. 403.734...-Benefits, Conditions of Participation, and Payment § 403.734 Condition of participation: Food services. The RNHCI must have an organized food service that is directed and adequately staffed by qualified...

  7. 42 CFR 403.734 - Condition of participation: Food services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 2 2012-10-01 2012-10-01 false Condition of participation: Food services. 403.734...-Benefits, Conditions of Participation, and Payment § 403.734 Condition of participation: Food services. The RNHCI must have an organized food service that is directed and adequately staffed by qualified...

  8. 42 CFR 410.59 - Outpatient occupational therapy services: Conditions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 2 2012-10-01 2012-10-01 false Outpatient occupational therapy services... Other Health Services § 410.59 Outpatient occupational therapy services: Conditions. (a) Basic rule... occupational therapy services only if they are furnished by an individual meeting the qualifications in...

  9. 42 CFR 410.59 - Outpatient occupational therapy services: Conditions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Outpatient occupational therapy services... Other Health Services § 410.59 Outpatient occupational therapy services: Conditions. (a) Basic rule... occupational therapy services only if they are furnished by an individual meeting the qualifications in...

  10. 42 CFR 410.59 - Outpatient occupational therapy services: Conditions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Outpatient occupational therapy services... Other Health Services § 410.59 Outpatient occupational therapy services: Conditions. (a) Basic rule... occupational therapy services only if they are furnished by an individual meeting the qualifications in...

  11. 42 CFR 494.130 - Condition: Laboratory services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition: Laboratory services. 494.130 Section 494.130 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS FOR COVERAGE FOR END-STAGE RENAL DISEASE...

  12. 42 CFR 494.130 - Condition: Laboratory services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Condition: Laboratory services. 494.130 Section 494.130 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS FOR COVERAGE FOR END-STAGE RENAL DISEASE...

  13. 42 CFR 494.130 - Condition: Laboratory services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Condition: Laboratory services. 494.130 Section 494.130 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS FOR COVERAGE FOR END-STAGE RENAL DISEASE...

  14. 42 CFR 494.130 - Condition: Laboratory services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Condition: Laboratory services. 494.130 Section 494.130 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS FOR COVERAGE FOR END-STAGE RENAL DISEASE...

  15. 42 CFR 494.130 - Condition: Laboratory services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Condition: Laboratory services. 494.130 Section 494.130 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS FOR COVERAGE FOR END-STAGE RENAL DISEASE...

  16. 42 CFR 417.414 - Qualifying condition: Range of services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Qualifying condition: Range of services. 417.414...: Range of services. (a) Condition. The HMO or CMP must demonstrate that it is capable of delivering to Medicare enrollees the range of services required in accordance with this section. (b) Standard: Range...

  17. 42 CFR 482.25 - Condition of participation: Pharmaceutical services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Condition of participation: Pharmaceutical services... Hospital Functions § 482.25 Condition of participation: Pharmaceutical services. The hospital must have pharmaceutical services that meet the needs of the patients. The institution must have a pharmacy directed by...

  18. 42 CFR 482.25 - Condition of participation: Pharmaceutical services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Condition of participation: Pharmaceutical services... Hospital Functions § 482.25 Condition of participation: Pharmaceutical services. The hospital must have pharmaceutical services that meet the needs of the patients. The institution must have a pharmacy directed by...

  19. 42 CFR 482.56 - Condition of participation: Rehabilitation services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Rehabilitation services... Optional Hospital Services § 482.56 Condition of participation: Rehabilitation services. If the hospital provides rehabilitation, physical therapy, occupational therapy, audiology, or speech pathology...

  20. 42 CFR 485.618 - Condition of participation: Emergency services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Condition of participation: Emergency services. 485.618 Section 485.618 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS OF PARTICIPATION:...

  1. 42 CFR 484.32 - Condition of participation: Therapy services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Condition of participation: Therapy services. 484....32 Condition of participation: Therapy services. Any therapy services offered by the HHA directly or under arrangement are given by a qualified therapist or by a qualified therapy assistant under...

  2. 42 CFR 484.32 - Condition of participation: Therapy services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Condition of participation: Therapy services. 484....32 Condition of participation: Therapy services. Any therapy services offered by the HHA directly or under arrangement are given by a qualified therapist or by a qualified therapy assistant under...

  3. 42 CFR 484.32 - Condition of participation: Therapy services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Condition of participation: Therapy services. 484....32 Condition of participation: Therapy services. Any therapy services offered by the HHA directly or under arrangement are given by a qualified therapist or by a qualified therapy assistant under...

  4. 42 CFR 484.32 - Condition of participation: Therapy services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Condition of participation: Therapy services. 484....32 Condition of participation: Therapy services. Any therapy services offered by the HHA directly or under arrangement are given by a qualified therapist or by a qualified therapy assistant under...

  5. 42 CFR 403.734 - Condition of participation: Food services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... food served or desire alternative choices. (3) Furnish meals at regular times comparable to normal... 42 Public Health 2 2010-10-01 2010-10-01 false Condition of participation: Food services. 403.734...-Benefits, Conditions of Participation, and Payment § 403.734 Condition of participation: Food services....

  6. Annual Statistical Report of the Public Schools of Arkansas, Public Charter Schools, and Education Service Cooperatives, 2013-2014 Actual and 2014-2015 Budgeted, (ASR)

    ERIC Educational Resources Information Center

    Arkansas Department of Education, 2015

    2015-01-01

    In compliance with the provisions of A.C.A.§§6-20-2201 et seq., the Annual Statistical Report of the Public Schools of Arkansas, Public Charter Schools, and Education Service Cooperatives, 2013-2014 Actual and 2014-2015 Budgeted, (ASR) is presented here. The Rankings of Selected Items of the Public Schools of Arkansas, 2013-2014 Actual, (Rankings)…

  7. 42 CFR 482.54 - Condition of participation: Outpatient services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... nonprofessional personnel available at each location where outpatient services are offered, based on the scope and... 42 Public Health 5 2014-10-01 2014-10-01 false Condition of participation: Outpatient services. 482.54 Section 482.54 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH...

  8. 42 CFR 482.54 - Condition of participation: Outpatient services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... nonprofessional personnel available at each location where outpatient services are offered, based on the scope and... 42 Public Health 5 2013-10-01 2013-10-01 false Condition of participation: Outpatient services. 482.54 Section 482.54 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH...

  9. 42 CFR 410.26 - Services and supplies incident to a physician's professional services: Conditions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 2 2012-10-01 2012-10-01 false Services and supplies incident to a physician's professional services: Conditions. 410.26 Section 410.26 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI)...

  10. 42 CFR 410.26 - Services and supplies incident to a physician's professional services: Conditions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 2 2014-10-01 2014-10-01 false Services and supplies incident to a physician's professional services: Conditions. 410.26 Section 410.26 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI)...

  11. 42 CFR 410.26 - Services and supplies incident to a physician's professional services: Conditions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Services and supplies incident to a physician's professional services: Conditions. 410.26 Section 410.26 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI)...

  12. 42 CFR 410.26 - Services and supplies incident to a physician's professional services: Conditions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Services and supplies incident to a physician's professional services: Conditions. 410.26 Section 410.26 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI)...

  13. 42 CFR 410.26 - Services and supplies incident to a physician's professional services: Conditions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Services and supplies incident to a physician's professional services: Conditions. 410.26 Section 410.26 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI)...

  14. Unchallenged, Professed Core Values: Do Undergraduate Fraternity/Sorority Members Actually Benefit in the Areas of Scholarship, Leadership, Service, and Friendship?

    ERIC Educational Resources Information Center

    Long, Larry D.

    2012-01-01

    Fraternities and sororities promote the ideals of scholarship, leadership, service, and friendship. Little or no research, however, has demonstrated that college students who join fraternal organizations actually grow in these areas as a result of their fraternal experience. The purpose of this descriptive study was to assess the extent to which…

  15. Assessment of Solder Joint Fatigue Life Under Realistic Service Conditions

    NASA Astrophysics Data System (ADS)

    Hamasha, Sa'd.; Jaradat, Younis; Qasaimeh, Awni; Obaidat, Mazin; Borgesen, Peter

    2014-12-01

    The behavior of lead-free solder alloys under complex loading scenarios is still not well understood. Common damage accumulation rules fail to account for strong effects of variations in cycling amplitude, and random vibration test results cannot be interpreted in terms of performance under realistic service conditions. This is a result of the effects of cycling parameters on materials properties. These effects are not yet fully understood or quantitatively predictable, preventing modeling based on parameters such as strain, work, or entropy. Depending on the actual spectrum of amplitudes, Miner's rule of linear damage accumulation has been shown to overestimate life by more than an order of magnitude, and greater errors are predicted for other combinations. Consequences may be particularly critical for so-called environmental stress screening. Damage accumulation has, however, been shown to scale with the inelastic work done, even if amplitudes vary. This and the observation of effects of loading history on subsequent work per cycle provide for a modified damage accumulation rule which allows for the prediction of life. Individual joints of four different Sn-Ag-Cu-based solder alloys (SAC305, SAC105, SAC-Ni, and SACXplus) were cycled in shear at room temperature, alternating between two different amplitudes while monitoring the evolution of the effective stiffness and work per cycle. This helped elucidate general trends and behaviors that are expected to occur in vibrations of microelectronics assemblies. Deviations from Miner's rule varied systematically with the combination of amplitudes, the sequences of cycles, and the strain rates in each. The severity of deviations also varied systematically with Ag content in the solder, but major effects were observed for all the alloys. A systematic analysis was conducted to assess whether scenarios might exist in which the more fatigue-resistant high-Ag alloys would fail sooner than the lower-Ag ones.

  16. 7 CFR 50.11 - Conditional withdrawal of service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Conditional withdrawal of service. 50.11 Section 50.11 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE MARKETING OF PERISHABLE AGRICULTURAL...

  17. Heating and Air Conditioning Specialist. Teacher Edition. Automotive Service Series.

    ERIC Educational Resources Information Center

    Oklahoma State Dept. of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

    This instructor's guide contains materials for teaching the heating and air conditioning specialist component of a competency-based instructional program for students preparing for employment in the automotive service trade. It is based on the National Institute of Automotive Service Excellence task lists. The six instructional units presented…

  18. 42 CFR 416.49 - Condition for coverage-Laboratory and radiologic services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM AMBULATORY SURGICAL SERVICES Specific Conditions... services from a Medicare approved facility to meet the needs of patients. (2) Radiologic services must...

  19. Automated web service composition supporting conditional branch structures

    NASA Astrophysics Data System (ADS)

    Wang, Pengwei; Ding, Zhijun; Jiang, Changjun; Zhou, Mengchu

    2014-01-01

    The creation of value-added services by automatic composition of existing ones is gaining a significant momentum as the potential silver bullet in service-oriented architecture. However, service composition faces two aspects of difficulties. First, users' needs present such characteristics as diversity, uncertainty and personalisation; second, the existing services run in a real-world environment that is highly complex and dynamically changing. These difficulties may cause the emergence of nondeterministic choices in the process of service composition, which has gone beyond what the existing automated service composition techniques can handle. According to most of the existing methods, the process model of composite service includes sequence constructs only. This article presents a method to introduce conditional branch structures into the process model of composite service when needed, in order to satisfy users' diverse and personalised needs and adapt to the dynamic changes of real-world environment. UML activity diagrams are used to represent dependencies in composite service. Two types of user preferences are considered in this article, which have been ignored by the previous work and a simple programming language style expression is adopted to describe them. Two different algorithms are presented to deal with different situations. A real-life case is provided to illustrate the proposed concepts and methods.

  20. [The Red Cross System for War Relief during the Second World War and Actual Conditions of Its Efforts in Burma].

    PubMed

    Kawahara, Yukari

    2015-12-01

    This paper aims to show the system for relief provided by the Japanese Red Cross relief units during the Second World War, as well as the actual activities of sixteen of its relief units dispatched to Burma. The Red Cross wartime relief efforts involved using personnel and funding prepared beforehand to provide aid to those injured in war, regardless of their status as ally or enemy. Thus they were able to receive support from the army in order to ensure safety and provide supplies. Nurses dispatched to Burma took care of many patients who suffered from malnutrition and physical injuries amidst the outbreak of infectious diseases typical of tropical areas, without sufficient replacement members. Base hospitals not meant for the front lines also came under attack, and the nurses' lives were thus in mortal danger. Of the 374 original members, 29 died or went missing in action.

  1. 42 CFR 417.416 - Qualifying condition: Furnishing of services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS Qualifying Conditions for Medicare Contracts § 417.416... definitions and implementing regulations. The HMO or CMP must also ensure that the required services... 1861 of the Act. Except as specified in paragraph (d) of this section, with respect to medical...

  2. Actual use of and satisfaction associated with rollators and "shopping carts" among frail elderly Japanese people using day-service facilities.

    PubMed

    Kitajima, Eiji; Moriuchi, Takefumi; Iso, Naoki; Sagari, Akira; Kikuchi, Yasuyuki; Higashi, Toshio

    2016-04-06

    Purpose This study aimed at clarifying the actual use of and satisfaction with rollators and "shopping carts" (wheeled walkers with storage) among frail elderly people, who were certified by a long-term care insurance system as users of facilities that provide day-service nursing care and rehabilitation. Methods We identified 1247 frail elderly people who used day-service facilities, and evaluated their actual use of, and satisfaction with, rollators and shopping carts. Results Forty-four (3.5%) individuals used rollators, and 53 (4.3%) used shopping carts. The shopping cart group contained more individuals who were certified as care level 1 (26.4%), than the rollator group (20.5%), and 52.8% of the shopping cart group was certified as care levels 1-3. The scores for "repairs and services" and "follow-up" from the Quebec User Evaluation of Satisfaction with assistive Technology second version (QUEST 2.0) survey were significantly higher in the rollator group than in the shopping cart group. Conclusions The QUEST 2.0 scores revealed that shopping cart users exhibit insufficient "repairs and services" and "follow-up" scores. As frail elderly people with poor care status accounted for >50% of the shopping cart group, these individuals urgently need walking aids that are tailored to their care status. Implications for Rehabilitation We conclude that walking aid fitting must be tailored to each persons care status, and suggest that a system should be established to allow occupational or physical therapists to provide this fitting Moreover, our analysis of the QUEST2.0 service scores revealed that repairs, services, and follow-up are insufficient to meet the needs of shopping cart users.

  3. VegScape: U.S. Crop Condition Monitoring Service

    NASA Astrophysics Data System (ADS)

    mueller, R.; Yang, Z.; Di, L.

    2013-12-01

    Since 1995, the US Department of Agriculture (USDA)/National Agricultural Statistics Service (NASS) has provided qualitative biweekly vegetation condition indices to USDA policymakers and the public on a weekly basis during the growing season. Vegetation indices have proven useful for assessing crop condition and identifying the areal extent of floods, drought, major weather anomalies, and vulnerabilities of early/late season crops. With growing emphasis on more extreme weather events and food security issues rising to the forefront of national interest, a new vegetation condition monitoring system was developed. The new vegetation condition portal named VegScape was initiated at the start of the 2013 growing season. VegScape delivers web mapping service based interactive vegetation indices. Users can use an interactive map to explore, query and disseminate current crop conditions. Vegetation indices like Normal Difference Vegetation Index (NDVI), Vegetation Condition Index (VCI), and mean, median, and ratio comparisons to prior years can be constructed for analytical purposes and on-demand crop statistics. The NASA MODIS satellite with 250 meter (15 acres) resolution and thirteen years of data history provides improved spatial and temporal resolutions and delivers improved detailed timely (i.e., daily) crop specific condition and dynamics. VegScape thus provides supplemental information to support NASS' weekly crop reports. VegScape delivers an agricultural cultivated crop mask and the most recent Cropland Data Layer (CDL) product to exploit the agricultural domain and visualize prior years' planted crops. Additionally, the data can be directly exported to Google Earth for web mashups or delivered via web mapping services for uses in other applications. VegScape supports the ethos of data democracy by providing free and open access to digital geospatial data layers using open geospatial standards, thereby supporting transparent and collaborative government

  4. The framing effect with rectangular and trapezoidal surfaces: actual and pictorial surface slant, frame orientation, and viewing condition.

    PubMed

    Reinhardt-Rutland, A H

    1999-01-01

    The perceived slant of a surface relative to the frontal plane can be reduced when the surface is viewed through a frame between the observer and the surface. Aspects of this framing effect were investigated in three experiments in which observers judged the orientations-in-depth of rectangular and trapezoidal surfaces which were matched for pictorial depth. In experiments 1 and 2, viewing was stationary-monocular. In experiment 1, a frontal rectangular frame was present or absent during viewing. The perceived slants of the surfaces were reduced in the presence of the frame; the reduction for the trapezoidal surface was greater, suggesting that conflict in stimulus information contributes to the phenomenon. In experiment 2, the rectangular frame was either frontal or slanted; in a third condition, a frame was trapezoidal and frontal. The conditions all elicited similar results, suggesting that the framing effect is not explained by pictorial perception of the display, or by assimilation of the surface orientation to the frame orientation. In experiment 3, viewing was moving-monocular to introduce motion parallax; the framing effect was reduced, being appreciable only for a trapezoidal surface. The results are related to other phenomena in which depth perception of points in space tends towards a frontal plane; this frontal-plane tendency is attributed to heavy experimental demands, mainly concerning impoverished, conflicting, and distracting information.

  5. 48 CFR 52.241-8 - Change in Rates or Terms and Conditions of Service for Unregulated Services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... CONTRACT CLAUSES Text of Provisions and Clauses 52.241-8 Change in Rates or Terms and Conditions of Service... following: Change in Rates or Terms and Conditions of Service for Unregulated Services (FEB 1995) (a) This... regulatory body. (b) After , either party may request a change in rates or terms and conditions of......

  6. 42 CFR 483.440 - Condition of participation: Active treatment services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... the actual availability of the services needed; and (v) Include physical development and health, nutritional status, sensorimotor development, affective development, speech and language development and auditory functioning, cognitive development, social development, adaptive behaviors or independent...

  7. 42 CFR 483.440 - Condition of participation: Active treatment services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... the actual availability of the services needed; and (v) Include physical development and health, nutritional status, sensorimotor development, affective development, speech and language development and auditory functioning, cognitive development, social development, adaptive behaviors or independent...

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

    NASA Astrophysics Data System (ADS)

    Formica, Andrea; Gallas, E. J.

    2015-12-01

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

  9. 48 CFR 52.241-7 - Change in Rates or Terms and Conditions of Service for Regulated Services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 2 2014-10-01 2014-10-01 false Change in Rates or Terms... CONTRACT CLAUSES Text of Provisions and Clauses 52.241-7 Change in Rates or Terms and Conditions of Service... following: Change in Rates or Terms and Conditions of Service for Regulated Services (FEB 1995) (a)...

  10. 48 CFR 52.241-7 - Change in Rates or Terms and Conditions of Service for Regulated Services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... CONTRACT CLAUSES Text of Provisions and Clauses 52.241-7 Change in Rates or Terms and Conditions of Service... following: Change in Rates or Terms and Conditions of Service for Regulated Services (FEB 1995) (a) This... 48 Federal Acquisition Regulations System 2 2010-10-01 2010-10-01 false Change in Rates or...

  11. 42 CFR 410.55 - Services related to kidney donations: Conditions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Services related to kidney donations: Conditions... Services § 410.55 Services related to kidney donations: Conditions. Medicare Part B pays for medical and other health services covered under this subpart that are furnished in connection with a kidney...

  12. 42 CFR 410.55 - Services related to kidney donations: Conditions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 2 2014-10-01 2014-10-01 false Services related to kidney donations: Conditions... Services § 410.55 Services related to kidney donations: Conditions. Medicare Part B pays for medical and other health services covered under this subpart that are furnished in connection with a kidney...

  13. 42 CFR 410.55 - Services related to kidney donations: Conditions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Services related to kidney donations: Conditions... Services § 410.55 Services related to kidney donations: Conditions. Medicare Part B pays for medical and other health services covered under this subpart that are furnished in connection with a kidney...

  14. 42 CFR 410.55 - Services related to kidney donations: Conditions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 2 2012-10-01 2012-10-01 false Services related to kidney donations: Conditions... Services § 410.55 Services related to kidney donations: Conditions. Medicare Part B pays for medical and other health services covered under this subpart that are furnished in connection with a kidney...

  15. 42 CFR 410.55 - Services related to kidney donations: Conditions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Services related to kidney donations: Conditions... Services § 410.55 Services related to kidney donations: Conditions. Medicare Part B pays for medical and other health services covered under this subpart that are furnished in connection with a kidney...

  16. 42 CFR 484.34 - Condition of participation: Medical social services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Medical social services....34 Condition of participation: Medical social services. If the agency furnishes medical social services, those services are given by a qualified social worker or by a qualified social work...

  17. 42 CFR 482.53 - Condition of participation: Nuclear medicine services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Condition of participation: Nuclear medicine... HOSPITALS Optional Hospital Services § 482.53 Condition of participation: Nuclear medicine services. If the hospital provides nuclear medicine services, those services must meet the needs of the patients...

  18. 42 CFR 482.53 - Condition of participation: Nuclear medicine services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Condition of participation: Nuclear medicine... HOSPITALS Optional Hospital Services § 482.53 Condition of participation: Nuclear medicine services. If the hospital provides nuclear medicine services, those services must meet the needs of the patients...

  19. 42 CFR 482.53 - Condition of participation: Nuclear medicine services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Condition of participation: Nuclear medicine... HOSPITALS Optional Hospital Services § 482.53 Condition of participation: Nuclear medicine services. If the hospital provides nuclear medicine services, those services must meet the needs of the patients...

  20. 42 CFR 486.106 - Condition for coverage: Referral for service and preservation of records.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... SPECIALIZED SERVICES FURNISHED BY SUPPLIERS Conditions for Coverage: Portable X-Ray Services § 486.106 Condition for coverage: Referral for service and preservation of records. All portable X-ray services... are properly preserved. (a) Standard—referral by a physician. Portable X-ray examinations...

  1. 42 CFR 486.106 - Condition for coverage: Referral for service and preservation of records.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... SPECIALIZED SERVICES FURNISHED BY SUPPLIERS Conditions for Coverage: Portable X-Ray Services § 486.106 Condition for coverage: Referral for service and preservation of records. All portable X-ray services.... Portable X-ray examinations are performed only on the order of a physician licensed to practice in...

  2. 42 CFR 486.106 - Condition for coverage: Referral for service and preservation of records.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... SPECIALIZED SERVICES FURNISHED BY SUPPLIERS Conditions for Coverage: Portable X-Ray Services § 486.106 Condition for coverage: Referral for service and preservation of records. All portable X-ray services... are properly preserved. (a) Standard—referral by a physician. Portable X-ray examinations...

  3. 42 CFR 486.106 - Condition for coverage: Referral for service and preservation of records.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... SPECIALIZED SERVICES FURNISHED BY SUPPLIERS Conditions for Coverage: Portable X-Ray Services § 486.106 Condition for coverage: Referral for service and preservation of records. All portable X-ray services... are properly preserved. (a) Standard—referral by a physician. Portable X-ray examinations...

  4. 42 CFR 486.106 - Condition for coverage: Referral for service and preservation of records.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... SPECIALIZED SERVICES FURNISHED BY SUPPLIERS Conditions for Coverage: Portable X-Ray Services § 486.106 Condition for coverage: Referral for service and preservation of records. All portable X-ray services.... Portable X-ray examinations are performed only on the order of a physician licensed to practice in...

  5. 42 CFR 418.70 - Condition of participation: Furnishing of non-core services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM HOSPICE CARE Conditions of Participation: Patient Care Non-Core Services § 418.70 Condition of participation: Furnishing of non-core services. A hospice... hospice or under arrangements made by the hospice as specified in § 418.100. These services must...

  6. 42 CFR 482.53 - Condition of participation: Nuclear medicine services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Nuclear medicine... HOSPITALS Optional Hospital Services § 482.53 Condition of participation: Nuclear medicine services. If the hospital provides nuclear medicine services, those services must meet the needs of the patients...

  7. 42 CFR 482.53 - Condition of participation: Nuclear medicine services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Condition of participation: Nuclear medicine... HOSPITALS Optional Hospital Services § 482.53 Condition of participation: Nuclear medicine services. If the hospital provides nuclear medicine services, those services must meet the needs of the patients...

  8. 42 CFR 424.103 - Conditions for payment for emergency services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Conditions for payment for emergency services. 424...: Emergency Services Furnished by a Nonparticipating Hospital § 424.103 Conditions for payment for emergency services. Medicare pays for emergency services furnished to a beneficiary by a nonparticipating hospital...

  9. 42 CFR 418.70 - Condition of participation: Furnishing of non-core services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM (CONTINUED) HOSPICE CARE Conditions of Participation: Patient Care Non-Core Services § 418.70 Condition of participation: Furnishing of non-core services. A hospice must ensure that the services described in § 418.72 through § 418.78 are...

  10. 42 CFR 418.70 - Condition of participation: Furnishing of non-core services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM (CONTINUED) HOSPICE CARE Conditions of Participation: Patient Care Non-Core Services § 418.70 Condition of participation: Furnishing of non-core services. A hospice must ensure that the services described in § 418.72 through § 418.78 are...

  11. 42 CFR 418.70 - Condition of participation: Furnishing of non-core services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM HOSPICE CARE Conditions of Participation: Patient Care Non-Core Services § 418.70 Condition of participation: Furnishing of non-core services. A hospice... hospice or under arrangements made by the hospice as specified in § 418.100. These services must...

  12. 42 CFR 418.70 - Condition of participation: Furnishing of non-core services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM (CONTINUED) HOSPICE CARE Conditions of Participation: Patient Care Non-Core Services § 418.70 Condition of participation: Furnishing of non-core services. A hospice must ensure that the services described in § 418.72 through § 418.78 are...

  13. Public Services (Conditions of Service for Employees) (Amendment) Regulations, 1989 (No. 26 of 1989). [Selected provisions].

    PubMed

    1989-01-01

    The Zimbabwe Public Service Regulations of 1989 specify the conditions of service for employees. Leave for maternity purposes mandates that the department head grant 90 days leave to a pregnant woman who has served as an employee for more than 1 year beginning no earlier than 45 days and no later than 21 days prior to the estimated date of confinement, provided that, if the baby arrives later than scheduled, the woman may be granted her accrued vacation leave or leave with pay. Before the start of the leave, or before the lapse of 21 days if the period of leave had commenced, the woman shall, following the birth, be permitted to take the full period of the leave for maternity purposes that she applied for it if she provides the Commission with a medical certificate to the effect that the birth was premature, and the Commission is satisfied that she is acting in good faith. The above leave period shall, at the woman's option, consist of 90 days' maternity leave without deduction from her annual or vacation leave, at 75% of her salary, not including allowances; or 60 days maternity leave without deduction from her annual or vacation leave and 30 days' accrued vacation leave or vacation leave in advance, on full pay. The woman shall be paid her normal pensionable and non-pensionable allowances and accrue vacation leave as part of her qualifying service. A department head, with the head of Ministry's approval, may require a pregnant women to cease work earlier if he considers this in the best interest of his office, and may request medical certificate on the woman's fitness. Leave shall not affect a woman's grade, salary, incremental date, conditions of service, seniority, or eligibility for advancement or promotion.

  14. The condition of health services in the Gaza Strip.

    PubMed

    1990-01-01

    The Association of Israeli and Palestinian Physicians for Human Rights was established during the first months of the uprising, against the background of a severe situation in which people were killed and wounded daily. AIPPHR works for the protection of human dignity and human life; defending physicians and patients in a state of political conflict out of loyalty to the principles of universal morality which constitute an inseparable part of the medical profession. This report, which is the result of months of research and investigation, is aimed, among other purposes, at bringing reliable information to the knowledge of the medical community in Israel and the Israeli Medical Association (IMA)--the body which organizes them. The silence of the medical community in the face of the phenomena described above is foreign to the spirit of doctors and medicine. The association's activity is aimed at creating a change in this situation out of the belief that the silence on the part of a large section of the medical community in Israel stems from a lack of regular and reliable information. In order to describe the situation of the medical services in the Gaza Strip, one must note two contrasting trends: on one hand, there is advancement in the population's health conditions, which is expressed by a decline in the infant mortality rate (from 86/1000 in 1970 to 28.1/1000 in 1988); a decline in the number of cases of whooping cough among children (30.1 in 1970 in contrast to 0 in 1988); and a decline in the number of cases of polio (14.3 in 1970 in contrast to 1 in 1980). On the other hand, the tendency of stagnation must be noted, especially in the development of independent local health services. Medicine in the Gaza Strip has been during the entire period of the occupation, and remains, completely dependent on Israeli medicine. Modern equipment and modern medical technology have been at the service of the residents of the Gaza Strip in Israeli hospitals, but they were not

  15. 42 CFR 482.56 - Condition of participation: Rehabilitation services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... provides rehabilitation, physical therapy, occupational therapy, audiology, or speech pathology services... to properly supervise and administer the services. (2) Physical therapy, occupational therapy, speech..., physical therapist assistants, occupational therapists, occupational therapy assistants,...

  16. 42 CFR 482.56 - Condition of participation: Rehabilitation services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... provides rehabilitation, physical therapy, occupational therapy, audiology, or speech pathology services... to properly supervise and administer the services. (2) Physical therapy, occupational therapy, speech..., physical therapist assistants, occupational therapists, occupational therapy assistants,...

  17. 42 CFR 482.56 - Condition of participation: Rehabilitation services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... provides rehabilitation, physical therapy, occupational therapy, audiology, or speech pathology services... to properly supervise and administer the services. (2) Physical therapy, occupational therapy, speech..., physical therapist assistants, occupational therapists, occupational therapy assistants,...

  18. 42 CFR 482.56 - Condition of participation: Rehabilitation services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... provides rehabilitation, physical therapy, occupational therapy, audiology, or speech pathology services... to properly supervise and administer the services. (2) Physical therapy, occupational therapy, speech..., physical therapist assistants, occupational therapists, occupational therapy assistants,...

  19. 42 CFR 410.165 - Payment for rural health clinic services and ambulatory surgical center services: Conditions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Payment for rural health clinic services and... (SMI) BENEFITS Payment of SMI Benefits § 410.165 Payment for rural health clinic services and ambulatory surgical center services: Conditions. (a) Medicare Part B pays for covered rural health clinic...

  20. Actual Condition of Paddy Field Levee Maintenance by Various Farm Households including Large-scale Farming in the Developed Land Renting Area

    NASA Astrophysics Data System (ADS)

    Sakata, Yasuyo

    The survey of interview, resource acquisition, photographic operation, and questionnaire were carried out in the “n” Community in the “y” District in Hakusan City in Ishikawa Prefecture to investigate the actual condition of paddy field levee maintenance in the area where land-renting market was proceeding, large-scale farming was dominant, and the problems of geographically scattered farm-land existed. In the study zone, 1) an agricultural production legal person rent-cultivated some of the paddy fields and maintained the levees, 2) another agricultural production legal person rent-cultivated some of the soy bean fields for crop changeover and land owners maintained the levees. The results indicated that sufficient maintenance was executed on the levees of the paddy fields cultivated by the agricultural production legal person, the soy bean fields for crop changeover, and the paddy fields cultivated by the land owners. Each reason is considered to be the managerial strategy, the economic incentive, the mutual monitoring and cross-regulatory mechanism, etc.

  1. 42 CFR 483.480 - Condition of participation: Dietetic services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION REQUIREMENTS FOR STATES AND LONG TERM CARE... adaptive behavior are evaluated in light of the client's nutritional status and needs. (6) Unless...

  2. 42 CFR 410.60 - Outpatient physical therapy services: Conditions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... doctor of medicine, osteopathy, or podiatric medicine. (2) They are furnished under a written plan of...) Claims submitted for furnished services contain prescribed information on patient functional...

  3. 42 CFR 410.60 - Outpatient physical therapy services: Conditions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... doctor of medicine, osteopathy, or podiatric medicine. (2) They are furnished under a written plan of...) Claims submitted for furnished services contain prescribed information on patient functional...

  4. 42 CFR 410.62 - Outpatient speech-language pathology services: Conditions and exclusions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 2 2012-10-01 2012-10-01 false Outpatient speech-language pathology services... Medical and Other Health Services § 410.62 Outpatient speech-language pathology services: Conditions and... for outpatient speech-language pathology services only if they are furnished by an individual...

  5. 42 CFR 410.62 - Outpatient speech-language pathology services: Conditions and exclusions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Outpatient speech-language pathology services... Medical and Other Health Services § 410.62 Outpatient speech-language pathology services: Conditions and... for outpatient speech-language pathology services only if they are furnished by an individual...

  6. 42 CFR 410.62 - Outpatient speech-language pathology services: Conditions and exclusions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 2 2014-10-01 2014-10-01 false Outpatient speech-language pathology services... Medical and Other Health Services § 410.62 Outpatient speech-language pathology services: Conditions and... for outpatient speech-language pathology services only if they are furnished by an individual...

  7. 42 CFR 410.62 - Outpatient speech-language pathology services: Conditions and exclusions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Outpatient speech-language pathology services... Medical and Other Health Services § 410.62 Outpatient speech-language pathology services: Conditions and... for outpatient speech-language pathology services only if they are furnished by an individual...

  8. 42 CFR 410.62 - Outpatient speech-language pathology services: Conditions and exclusions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Outpatient speech-language pathology services... Medical and Other Health Services § 410.62 Outpatient speech-language pathology services: Conditions and... for outpatient speech-language pathology services only if they are furnished by an individual...

  9. 42 CFR 410.77 - Certified nurse-midwives' services: Qualifications and conditions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Certified nurse-midwives' services: Qualifications... Medical and Other Health Services § 410.77 Certified nurse-midwives' services: Qualifications and conditions. (a) Qualifications. For Medicare coverage of his or her services, a certified nurse-midwife...

  10. 42 CFR 64a.105 - What are the conditions of obligated service?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false What are the conditions of obligated service? 64a.105 Section 64a.105 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING OBLIGATED SERVICE FOR MENTAL HEALTH TRAINEESHIPS § 64a.105 What are...

  11. 42 CFR 64a.105 - What are the conditions of obligated service?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false What are the conditions of obligated service? 64a.105 Section 64a.105 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING OBLIGATED SERVICE FOR MENTAL HEALTH TRAINEESHIPS § 64a.105 What are...

  12. 42 CFR 64a.105 - What are the conditions of obligated service?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false What are the conditions of obligated service? 64a.105 Section 64a.105 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING OBLIGATED SERVICE FOR MENTAL HEALTH TRAINEESHIPS § 64a.105 What are...

  13. 42 CFR 64a.105 - What are the conditions of obligated service?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false What are the conditions of obligated service? 64a.105 Section 64a.105 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING OBLIGATED SERVICE FOR MENTAL HEALTH TRAINEESHIPS § 64a.105 What are...

  14. 26 CFR 1.410(a)-3 - Minimum age and service conditions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 5 2010-04-01 2010-04-01 false Minimum age and service conditions. 1.410(a)-3... age and service conditions. (a) General rule. Except as provided by paragraph (b) or (c) of this... of service with the employer or employers maintaining the plan extending beyond the later of— (1)...

  15. 26 CFR 1.410(a)-3T - Minimum age and service conditions (temporary).

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 5 2010-04-01 2010-04-01 false Minimum age and service conditions (temporary). 1.410(a)-3T Section 1.410(a)-3T Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE.... § 1.410(a)-3T Minimum age and service conditions (temporary). (a) (b) Special rule for plan with...

  16. 26 CFR 1.410(a)-3 - Minimum age and service conditions.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 26 Internal Revenue 5 2013-04-01 2013-04-01 false Minimum age and service conditions. 1.410(a)-3...(a)-3 Minimum age and service conditions. (a) General rule. Except as provided by paragraph (b) or (c... of— (1) Age 25. The date on which the employee attains the age of 25; or (2) One year of service....

  17. 26 CFR 1.410(a)-3 - Minimum age and service conditions.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 26 Internal Revenue 5 2012-04-01 2011-04-01 true Minimum age and service conditions. 1.410(a)-3...(a)-3 Minimum age and service conditions. (a) General rule. Except as provided by paragraph (b) or (c... of— (1) Age 25. The date on which the employee attains the age of 25; or (2) One year of service....

  18. 26 CFR 1.410(a)-3 - Minimum age and service conditions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 26 Internal Revenue 5 2011-04-01 2011-04-01 false Minimum age and service conditions. 1.410(a)-3...(a)-3 Minimum age and service conditions. (a) General rule. Except as provided by paragraph (b) or (c... of— (1) Age 25. The date on which the employee attains the age of 25; or (2) One year of service....

  19. 26 CFR 1.410(a)-3 - Minimum age and service conditions.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 26 Internal Revenue 5 2014-04-01 2014-04-01 false Minimum age and service conditions. 1.410(a)-3...(a)-3 Minimum age and service conditions. (a) General rule. Except as provided by paragraph (b) or (c... of— (1) Age 25. The date on which the employee attains the age of 25; or (2) One year of service....

  20. 26 CFR 1.410(a)-3T - Minimum age and service conditions (temporary).

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 26 Internal Revenue 5 2011-04-01 2011-04-01 false Minimum age and service conditions (temporary). 1.410(a)-3T Section 1.410(a)-3T Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE... Plans, Etc. § 1.410(a)-3T Minimum age and service conditions (temporary). (a) (b) Special rule for...

  1. 26 CFR 1.410(a)-3T - Minimum age and service conditions (temporary).

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 26 Internal Revenue 5 2014-04-01 2014-04-01 false Minimum age and service conditions (temporary). 1.410(a)-3T Section 1.410(a)-3T Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE... Plans, Etc. § 1.410(a)-3T Minimum age and service conditions (temporary). (a) (b) Special rule for...

  2. 26 CFR 1.410(a)-3T - Minimum age and service conditions (temporary).

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 26 Internal Revenue 5 2012-04-01 2011-04-01 true Minimum age and service conditions (temporary). 1.410(a)-3T Section 1.410(a)-3T Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY.... § 1.410(a)-3T Minimum age and service conditions (temporary). (a) (b) Special rule for plan with...

  3. 42 CFR 416.48 - Condition for coverage-Pharmaceutical services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Condition for coverage-Pharmaceutical services. 416... for Coverage § 416.48 Condition for coverage—Pharmaceutical services. The ASC must provide drugs and... direction of an individual designated responsible for pharmaceutical services. (a) Standard:...

  4. 42 CFR 416.48 - Condition for coverage-Pharmaceutical services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Condition for coverage-Pharmaceutical services. 416... for Coverage § 416.48 Condition for coverage—Pharmaceutical services. The ASC must provide drugs and... direction of an individual designated responsible for pharmaceutical services. (a) Standard:...

  5. 42 CFR 416.48 - Condition for coverage-Pharmaceutical services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Condition for coverage-Pharmaceutical services. 416... Coverage § 416.48 Condition for coverage—Pharmaceutical services. The ASC must provide drugs and... direction of an individual designated responsible for pharmaceutical services. (a) Standard:...

  6. 42 CFR 416.48 - Condition for coverage-Pharmaceutical services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Condition for coverage-Pharmaceutical services. 416... for Coverage § 416.48 Condition for coverage—Pharmaceutical services. The ASC must provide drugs and... direction of an individual designated responsible for pharmaceutical services. (a) Standard:...

  7. 42 CFR 416.46 - Condition for coverage-Nursing services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Condition for coverage-Nursing services. 416.46....46 Condition for coverage—Nursing services. The nursing services of the ASC must be directed and staffed to assure that the nursing needs of all patients are met. (a) Standard: Organization and...

  8. 42 CFR 416.46 - Condition for coverage-Nursing services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Condition for coverage-Nursing services. 416.46... Coverage § 416.46 Condition for coverage—Nursing services. The nursing services of the ASC must be directed and staffed to assure that the nursing needs of all patients are met. (a) Standard: Organization...

  9. 42 CFR 416.46 - Condition for coverage-Nursing services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Condition for coverage-Nursing services. 416.46... Coverage § 416.46 Condition for coverage—Nursing services. The nursing services of the ASC must be directed and staffed to assure that the nursing needs of all patients are met. (a) Standard: Organization...

  10. 42 CFR 416.46 - Condition for coverage-Nursing services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Condition for coverage-Nursing services. 416.46....46 Condition for coverage—Nursing services. The nursing services of the ASC must be directed and staffed to assure that the nursing needs of all patients are met. (a) Standard: Organization and...

  11. 42 CFR 416.46 - Condition for coverage-Nursing services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Condition for coverage-Nursing services. 416.46... Coverage § 416.46 Condition for coverage—Nursing services. The nursing services of the ASC must be directed and staffed to assure that the nursing needs of all patients are met. (a) Standard: Organization...

  12. 42 CFR 482.57 - Condition of participation: Respiratory care services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Respiratory care... HOSPITALS Optional Hospital Services § 482.57 Condition of participation: Respiratory care services. The... following requirements apply if the hospital provides respiratory care service. (a) Standard:...

  13. 42 CFR 485.715 - Condition of participation: Speech pathology services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Speech pathology... Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services § 485.715 Condition of participation: Speech pathology services. If speech pathology services are offered,...

  14. 42 CFR 485.715 - Condition of participation: Speech pathology services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Condition of participation: Speech pathology... Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services § 485.715 Condition of participation: Speech pathology services. If speech pathology services are offered,...

  15. 42 CFR 485.715 - Condition of participation: Speech pathology services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Condition of participation: Speech pathology... Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services § 485.715 Condition of participation: Speech pathology services. If speech pathology services are offered,...

  16. 42 CFR 415.130 - Conditions for payment: Physician pathology services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Conditions for payment: Physician pathology... Physician Services to Beneficiaries in Providers § 415.130 Conditions for payment: Physician pathology... of physician pathology services to fee-for-service Medicare beneficiaries who were...

  17. 42 CFR 485.715 - Condition of participation: Speech pathology services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Condition of participation: Speech pathology... Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services § 485.715 Condition of participation: Speech pathology services. If speech pathology services are offered,...

  18. 42 CFR 485.715 - Condition of participation: Speech pathology services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Condition of participation: Speech pathology... Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services § 485.715 Condition of participation: Speech pathology services. If speech pathology services are offered,...

  19. 29 CFR 779.256 - Conditions for enterprise coverage of gasoline service establishments.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 3 2013-07-01 2013-07-01 false Conditions for enterprise coverage of gasoline service... Apply; Enterprise Coverage The Gasoline Service Establishment Enterprise § 779.256 Conditions for enterprise coverage of gasoline service establishments. (a) The requirement that the enterprise must be...

  20. 29 CFR 779.256 - Conditions for enterprise coverage of gasoline service establishments.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 3 2011-07-01 2011-07-01 false Conditions for enterprise coverage of gasoline service... Apply; Enterprise Coverage The Gasoline Service Establishment Enterprise § 779.256 Conditions for enterprise coverage of gasoline service establishments. (a) The requirement that the enterprise must be...

  1. 29 CFR 779.256 - Conditions for enterprise coverage of gasoline service establishments.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Conditions for enterprise coverage of gasoline service... Apply; Enterprise Coverage The Gasoline Service Establishment Enterprise § 779.256 Conditions for enterprise coverage of gasoline service establishments. (a) The requirement that the enterprise must be...

  2. 29 CFR 779.256 - Conditions for enterprise coverage of gasoline service establishments.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 3 2012-07-01 2012-07-01 false Conditions for enterprise coverage of gasoline service... Apply; Enterprise Coverage The Gasoline Service Establishment Enterprise § 779.256 Conditions for enterprise coverage of gasoline service establishments. (a) The requirement that the enterprise must be...

  3. 42 CFR 482.28 - Condition of participation: Food and dietetic services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Condition of participation: Food and dietetic services. 482.28 Section 482.28 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS OF PARTICIPATION...

  4. 42 CFR 418.100 - Condition of Participation: Organization and administration of services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Condition of Participation: Organization and administration of services. 418.100 Section 418.100 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM (CONTINUED) HOSPICE CARE Conditions...

  5. 42 CFR 418.100 - Condition of Participation: Organization and administration of services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Condition of Participation: Organization and administration of services. 418.100 Section 418.100 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM HOSPICE CARE Conditions of...

  6. 42 CFR 418.100 - Condition of Participation: Organization and administration of services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Condition of Participation: Organization and administration of services. 418.100 Section 418.100 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM (CONTINUED) HOSPICE CARE Conditions...

  7. 42 CFR 482.28 - Condition of participation: Food and dietetic services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Condition of participation: Food and dietetic services. 482.28 Section 482.28 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS OF PARTICIPATION...

  8. 42 CFR 482.28 - Condition of participation: Food and dietetic services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Condition of participation: Food and dietetic services. 482.28 Section 482.28 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS OF PARTICIPATION...

  9. 42 CFR 482.28 - Condition of participation: Food and dietetic services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Condition of participation: Food and dietetic services. 482.28 Section 482.28 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS OF PARTICIPATION...

  10. 29 CFR 779.245 - Conditions for coverage of retail or service enterprises.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Conditions for coverage of retail or service enterprises... Apply; Enterprise Coverage Covered Retail Enterprise § 779.245 Conditions for coverage of retail or service enterprises. (a) Retail or service enterprises may be covered under section 3(s)(1) of the...

  11. 42 CFR 416.48 - Condition for coverage-Pharmaceutical services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Condition for coverage-Pharmaceutical services. 416... Coverage § 416.48 Condition for coverage—Pharmaceutical services. The ASC must provide drugs and... direction of an individual designated responsible for pharmaceutical services. (a) Standard:...

  12. 42 CFR 482.57 - Condition of participation: Respiratory care services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Condition of participation: Respiratory care... HOSPITALS Optional Hospital Services § 482.57 Condition of participation: Respiratory care services. The... following requirements apply if the hospital provides respiratory care service. (a) Standard:...

  13. 42 CFR 482.57 - Condition of participation: Respiratory care services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Condition of participation: Respiratory care... HOSPITALS Optional Hospital Services § 482.57 Condition of participation: Respiratory care services. The... following requirements apply if the hospital provides respiratory care service. (a) Standard:...

  14. 42 CFR 482.57 - Condition of participation: Respiratory care services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Condition of participation: Respiratory care... HOSPITALS Optional Hospital Services § 482.57 Condition of participation: Respiratory care services. The... following requirements apply if the hospital provides respiratory care service. (a) Standard:...

  15. 42 CFR 482.57 - Condition of participation: Respiratory care services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Condition of participation: Respiratory care... HOSPITALS Optional Hospital Services § 482.57 Condition of participation: Respiratory care services. The... following requirements apply if the hospital provides respiratory care service. (a) Standard:...

  16. 42 CFR 482.25 - Condition of participation: Pharmaceutical services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... pharmaceutical services that meet the needs of the patients. The institution must have a pharmacy directed by a... the hospital's organized pharmaceutical service. (a) Standard: Pharmacy management and administration. The pharmacy or drug storage area must be administered in accordance with accepted...

  17. 42 CFR 482.25 - Condition of participation: Pharmaceutical services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... pharmaceutical services that meet the needs of the patients. The institution must have a pharmacy directed by a... the hospital's organized pharmaceutical service. (a) Standard: Pharmacy management and administration. The pharmacy or drug storage area must be administered in accordance with accepted...

  18. 42 CFR 410.59 - Outpatient occupational therapy services: Conditions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... incident to the service of, a physician, physician assistant, clinical nurse specialist, or nurse... assistant, clinical nurse specialist, or nurse practitioner, by anyone other than a physician, physician assistant, clinical nurse specialist, or nurse practitioner, the service and the person who furnishes...

  19. 42 CFR 482.26 - Condition of participation: Radiologic services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... radiologic services, particularly ionizing radiology procedures, must be free from hazards for patients and... qualified full-time, part-time, or consulting radiologist must supervise the ionizing radiology services and... osteopathy who is qualified by education and experience in radiology. (2) Only personnel designated...

  20. 42 CFR 482.26 - Condition of participation: Radiologic services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... radiologic services, particularly ionizing radiology procedures, must be free from hazards for patients and... qualified full-time, part-time, or consulting radiologist must supervise the ionizing radiology services and... osteopathy who is qualified by education and experience in radiology. (2) Only personnel designated...

  1. 42 CFR 482.26 - Condition of participation: Radiologic services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... radiologic services, particularly ionizing radiology procedures, must be free from hazards for patients and... qualified full-time, part-time, or consulting radiologist must supervise the ionizing radiology services and... osteopathy who is qualified by education and experience in radiology. (2) Only personnel designated...

  2. 42 CFR 482.26 - Condition of participation: Radiologic services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... radiologic services, particularly ionizing radiology procedures, must be free from hazards for patients and... qualified full-time, part-time, or consulting radiologist must supervise the ionizing radiology services and... osteopathy who is qualified by education and experience in radiology. (2) Only personnel designated...

  3. 42 CFR 482.26 - Condition of participation: Radiologic services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... radiologic services, particularly ionizing radiology procedures, must be free from hazards for patients and... qualified full-time, part-time, or consulting radiologist must supervise the ionizing radiology services and... osteopathy who is qualified by education and experience in radiology. (2) Only personnel designated...

  4. 46 CFR 160.151-43 - Conditions at servicing facilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... of a fully inflated liferaft of the largest size to be serviced, or is furnished with an equally efficient means to facilitate the inspection of bottom seams; (5) Has a smooth floor that will not damage a... liferafts that— (1) Is clean; (2) Is fully enclosed; (3) Has enough space to service the number of...

  5. 42 CFR 410.59 - Outpatient occupational therapy services: Conditions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... is under the care of a physician who is a doctor of medicine, osteopathy, or podiatric medicine. (2... submitted for furnished services contain prescribed information on patient functional limitations....

  6. Human Impacts to Coastal Ecosystems in Puerto Rico (HICE-PR): Actual Condition of Coral Reefs Associated with the Guanica and Manati Watersheds in Puerto Rico

    NASA Astrophysics Data System (ADS)

    Torres-Perez, J. L.; Barreto, M.; Guild, L. S.; Ortiz, J.; Setegn, S. G.; Ramos-Scharron, C. E.; Armstrong, R.; Santiago, L.

    2015-12-01

    For several decades Puerto Rico's coastal and marine ecosystems (CMEs), particularly coral reefs, have suffered the effects of anthropogenic stresses associated to population growth and varying land use. Here we present an overview of the first year of findings of a NASA-funded project that studies human impacts in two priority watersheds (Manatí and Guánica). The project includes remote sensing analysis and hydrological, ecological and socio-economic modeling to provide a multi-decadal assessment of change of CMEs. The project's main goal is to evaluate the impacts of land use/land cover changes on the quality and extent of CMEs in priority watersheds in the north and south coasts of Puerto Rico. This project will include imagery from Landsat 8 to assess coastal ecosystems extent. Habitat and species distribution maps will be created by incorporating field and remotely-sensed data into an Ecological Niche Factor Analysis. The social component will allow us to study the valuation of specific CMEs attributes from the stakeholder's point of view. Field data was collected through a series of phototransects at the main reefs associated with these two priority watersheds. A preliminary assessment shows a range in coral cover from 0.2-30% depending on the site (Guánica) whereas apparently healthy corals dominate the reef in the north coast (Manatí). Reefs on the southwest coast of PR (Guánica) show an apparent shift from hard corals to a more algae and soft corals dominance after decades of anthropogenic impacts (sedimentation, eutrophication, mechanical damage through poorly supervised recreational activities, etc.). Additionally preliminary results from land cover/land use changes analyses show dynamic historical shoreline changes in beaches located west of the Manatí river mouth and a degradation of water quality in Guánica possibly being one of the main factors affecting the actual condition of its CMEs.

  7. The first actual record of deep open-ocean conditions in the Ediacaran: Fe speciation in pelagic deep-sea sediments in accretionary complexes in Wales, UK

    NASA Astrophysics Data System (ADS)

    Sato, T.; Asanuma, H.; Okada, Y.; Maruyama, S.; Shozugawa, K.; Matsuo, M.; Windley, B. F.

    2014-12-01

    The first oxidation of a deep ocean in Earth history is considered to have occurred in the Neoproterozoic, coincident with the metazoan diversification; however, the Neoproterozoic geological record has so far been limited to only continental shelves, slopes, or basins at the deepest. Here, we document Neoproterozoic pelagic deep-sea sediments in reconstructed oceanic plate stratigraphy (OPS) in accretionary complexes (ACs) in Anglesey and Lleyn, Wales, UK. The OPS mostly consists of mid-ocean ridge basalts, pelagic red-bedded cherts, hemipelagic siliceous mudstones and turbidite sandstones, in ascending order. Only at Porth Felen in Lleyn Peninsula does the OPS contain black mudstones (ca. 10 m-thick) instead of pelagic red-bedded cherts. Based on the tectonic reconstruction of these ACs, the OPS at Porth Felen has the oldest depositional age. Our new U-Pb date of detrital zircons separated from the turbidite sandstones at Porth Felen has the youngest age of 580±13 Ma. These results suggest that the black mudstones at Porth Felen were deposited no later than the early Ediacaran. We have analyzed these black mudstones by 57Fe Mössbauer spectroscopy, and found that about a quarter of their iron content is contained in pyrite, while the other components are paramagnetic Fe2+ or occasionally paramagnetic Fe3+ in clay minerals. The red cherts in the younger OPS contain hematite as the main iron mineral, paramagnetic Fe3+, and paramagnetic Fe2+. The occurrence of hematite in a deep-sea chert essentially indicates a primary oxidizing depositional condition, whereas pyrite is indicative of a reducing environment. The present data confirm that a reducing deep-sea existed in the early Ediacaran during the black mudstone deposition, and that an oxidizing deep-sea had been established by the late Ediacaran. In conclusion, our results provide the first direct evidence of an actual deep open-ocean in the Ediacaran to clarify the timing and extent of the Neoproterozoic

  8. Automated Detection of Privacy Sensitive Conditions in C-CDAs: Security Labeling Services at the Department of Veterans Affairs.

    PubMed

    Bouhaddou, Omar; Davis, Mike; Donahue, Margaret; Mallia, Anthony; Griffin, Stephania; Teal, Jennifer; Nebeker, Jonathan

    2016-01-01

    Care coordination across healthcare organizations depends upon health information exchange. Various policies and laws govern permissible exchange, particularly when the information includes privacy sensitive conditions. The Department of Veterans Affairs (VA) privacy policy has required either blanket consent or manual sensitivity review prior to exchanging any health information. The VA experience has been an expensive, administratively demanding burden on staffand Veterans alike, particularly for patients without privacy sensitive conditions. Until recently, automatic sensitivity determination has not been feasible. This paper proposes a policy-driven algorithmic approach (Security Labeling Service or SLS) to health information exchange that automatically detects the presence or absence of specific privacy sensitive conditions and then, to only require a Veteran signed consent for release when actually present. The SLS was applied successfully to a sample of real patient Consolidated-Clinical Document Architecture(C-CDA) documents. The SLS identified standard terminology codes by both parsing structured entries and analyzing textual information using Natural Language Processing (NLP).

  9. 7 CFR 70.31 - How application for service may be made; conditions of service.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... INSPECTION ACT (CONTINUED) VOLUNTARY GRADING OF POULTRY PRODUCTS AND RABBIT PRODUCTS Grading of Poultry Products and Rabbit Products Application for Grading Service § 70.31 How application for service may...

  10. 7 CFR 70.31 - How application for service may be made; conditions of service.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... INSPECTION ACT (CONTINUED) VOLUNTARY GRADING OF POULTRY PRODUCTS AND RABBIT PRODUCTS Grading of Poultry Products and Rabbit Products Application for Grading Service § 70.31 How application for service may...

  11. 7 CFR 70.31 - How application for service may be made; conditions of service.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... INSPECTION ACT (CONTINUED) VOLUNTARY GRADING OF POULTRY PRODUCTS AND RABBIT PRODUCTS Grading of Poultry Products and Rabbit Products Application for Grading Service § 70.31 How application for service may...

  12. 7 CFR 70.31 - How application for service may be made; conditions of service.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... INSPECTION ACT (CONTINUED) VOLUNTARY GRADING OF POULTRY PRODUCTS AND RABBIT PRODUCTS Grading of Poultry Products and Rabbit Products Application for Grading Service § 70.31 How application for service may...

  13. 7 CFR 70.31 - How application for service may be made; conditions of service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... INSPECTION ACT (CONTINUED) VOLUNTARY GRADING OF POULTRY PRODUCTS AND RABBIT PRODUCTS Grading of Poultry Products and Rabbit Products Application for Grading Service § 70.31 How application for service may...

  14. 42 CFR 483.480 - Condition of participation: Dietetic services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... must designate a person to serve as the director of food services. (4) The client's interdisciplinary... persons with ambulation deficits, in dining areas, unless otherwise specified by the interdisciplinary... client eats in an upright position, unless otherwise specified by the interdisciplinary team or...

  15. 42 CFR 418.64 - Condition of participation: Core services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... registered nurse. Nursing services must ensure that the nursing needs of the patient are met as identified in... permits registered nurses to see, treat, and write orders for patients, then registered nurses may provide... dietitians as well as nurses and other individuals who are able to address and assure that the dietary...

  16. 42 CFR 418.64 - Condition of participation: Core services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... registered nurse. Nursing services must ensure that the nursing needs of the patient are met as identified in... permits registered nurses to see, treat, and write orders for patients, then registered nurses may provide... dietitians as well as nurses and other individuals who are able to address and assure that the dietary...

  17. 42 CFR 418.64 - Condition of participation: Core services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... registered nurse. Nursing services must ensure that the nursing needs of the patient are met as identified in... permits registered nurses to see, treat, and write orders for patients, then registered nurses may provide... dietitians as well as nurses and other individuals who are able to address and assure that the dietary...

  18. 42 CFR 418.64 - Condition of participation: Core services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... registered nurse. Nursing services must ensure that the nursing needs of the patient are met as identified in... permits registered nurses to see, treat, and write orders for patients, then registered nurses may provide... dietitians as well as nurses and other individuals who are able to address and assure that the dietary...

  19. 42 CFR 418.64 - Condition of participation: Core services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... registered nurse. Nursing services must ensure that the nursing needs of the patient are met as identified in... permits registered nurses to see, treat, and write orders for patients, then registered nurses may provide... dietitians as well as nurses and other individuals who are able to address and assure that the dietary...

  20. 46 CFR 160.151-43 - Conditions at servicing facilities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... liferafts that— (1) Is clean; (2) Is fully enclosed; (3) Has enough space to service the number of liferafts... efficient means to facilitate the inspection of bottom seams; (5) Has a smooth floor that will not damage a liferaft, can be easily cleaned, and is kept clean and free from oil, grease, and abrasive material; (6)...

  1. 46 CFR 160.151-43 - Conditions at servicing facilities.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... liferafts that— (1) Is clean; (2) Is fully enclosed; (3) Has enough space to service the number of liferafts... efficient means to facilitate the inspection of bottom seams; (5) Has a smooth floor that will not damage a liferaft, can be easily cleaned, and is kept clean and free from oil, grease, and abrasive material; (6)...

  2. 46 CFR 160.151-43 - Conditions at servicing facilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... liferafts that— (1) Is clean; (2) Is fully enclosed; (3) Has enough space to service the number of liferafts... efficient means to facilitate the inspection of bottom seams; (5) Has a smooth floor that will not damage a liferaft, can be easily cleaned, and is kept clean and free from oil, grease, and abrasive material; (6)...

  3. 42 CFR 415.130 - Conditions for payment: Physician pathology services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Conditions for payment: Physician pathology... pathology services. (a) Definitions. The following definitions are used in this section. (1) Covered... technical component of physician pathology services to fee-for-service Medicare beneficiaries who...

  4. 42 CFR 415.130 - Conditions for payment: Physician pathology services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Conditions for payment: Physician pathology... pathology services. (a) Definitions. The following definitions are used in this section. (1) Covered... technical component of physician pathology services to fee-for-service Medicare beneficiaries who...

  5. 42 CFR 415.130 - Conditions for payment: Physician pathology services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Conditions for payment: Physician pathology... pathology services. (a) Definitions. The following definitions are used in this section. (1) Covered... technical component of physician pathology services to fee-for-service Medicare beneficiaries who...

  6. 9 CFR 354.31 - How application for service may be made; conditions of resident service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY MEAT AND POULTRY PRODUCTS INSPECTION AND VOLUNTARY INSPECTION AND CERTIFICATION VOLUNTARY INSPECTION OF RABBITS AND...

  7. [Work condition of electricians servicing railway shunting and maneuvering yards].

    PubMed

    Talivanova, R V; Elizarov, B B; Kudrin, V A; Ovechkina, Zh V

    1995-01-01

    The article represents main occupational hazards and work conditions of such railway occupation as electromechanic and electromounter of shunting yards of railway stations. Complete hygienic evaluation of the occupational activities is given for individuals working at Moskovskaya, Oktjabrskaya and Sevemaya railroads. Health state of the workers was studied according to transitory disablement materials, the morbidity and its structure were analyzed. The authors outline some suggestions to improve the work conditions and decrease the morbidity.

  8. 34 CFR 363.53 - What special conditions apply to services and activities under this program?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... EDUCATION THE STATE SUPPORTED EMPLOYMENT SERVICES PROGRAM What Post-Award Conditions Must Be Met by a State... 34 Education 2 2010-07-01 2010-07-01 false What special conditions apply to services and activities under this program? 363.53 Section 363.53 Education Regulations of the Offices of the...

  9. 42 CFR 484.30 - Condition of participation: Skilled nursing services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 5 2014-10-01 2014-10-01 false Condition of participation: Skilled nursing... Services § 484.30 Condition of participation: Skilled nursing services. The HHA furnishes skilled nursing..., regularly reevaluates the patient's nursing needs, initiates the plan of care and necessary...

  10. 42 CFR 484.30 - Condition of participation: Skilled nursing services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 5 2013-10-01 2013-10-01 false Condition of participation: Skilled nursing... Services § 484.30 Condition of participation: Skilled nursing services. The HHA furnishes skilled nursing..., regularly reevaluates the patient's nursing needs, initiates the plan of care and necessary...

  11. 42 CFR 484.30 - Condition of participation: Skilled nursing services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 5 2012-10-01 2012-10-01 false Condition of participation: Skilled nursing... Services § 484.30 Condition of participation: Skilled nursing services. The HHA furnishes skilled nursing..., regularly reevaluates the patient's nursing needs, initiates the plan of care and necessary...

  12. 42 CFR 484.30 - Condition of participation: Skilled nursing services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Condition of participation: Skilled nursing... Services § 484.30 Condition of participation: Skilled nursing services. The HHA furnishes skilled nursing..., regularly reevaluates the patient's nursing needs, initiates the plan of care and necessary...

  13. 42 CFR 418.62 - Condition of participation: Licensed professional services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM HOSPICE CARE Conditions of Participation: Patient Care § 418.62 Condition of participation: Licensed professional services. (a) Licensed professional... in the coordination of all aspects of the patient's hospice care, in accordance with...

  14. 42 CFR 418.100 - Condition of Participation: Organization and administration of services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Condition of Participation: Organization and... participation: Organizational Environment § 418.100 Condition of Participation: Organization and administration... accepted standards of practice: (i) Nursing services. (ii) Medical social services. (iii)...

  15. 42 CFR 418.62 - Condition of participation: Licensed professional services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM HOSPICE CARE Conditions of Participation: Patient Care § 418.62 Condition of participation: Licensed professional services. (a) Licensed professional... in the coordination of all aspects of the patient's hospice care, in accordance with...

  16. 42 CFR 418.62 - Condition of participation: Licensed professional services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM (CONTINUED) HOSPICE CARE Conditions of Participation: Patient Care § 418.62 Condition of participation: Licensed professional services. (a) Licensed... participate in the coordination of all aspects of the patient's hospice care, in accordance with...

  17. 42 CFR 418.62 - Condition of participation: Licensed professional services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM (CONTINUED) HOSPICE CARE Conditions of Participation: Patient Care § 418.62 Condition of participation: Licensed professional services. (a) Licensed... participate in the coordination of all aspects of the patient's hospice care, in accordance with...

  18. 42 CFR 418.62 - Condition of participation: Licensed professional services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM (CONTINUED) HOSPICE CARE Conditions of Participation: Patient Care § 418.62 Condition of participation: Licensed professional services. (a) Licensed... participate in the coordination of all aspects of the patient's hospice care, in accordance with...

  19. Implementing a patient-led service for chronic conditions.

    PubMed

    Pope, Denise; Tipler, Sue; Kirwan, John; Hewlett, Sarah

    Many chronic conditions with fluctuating levels of disease activity are traditionally managed by lifelong regular medical reviews. However, this means appointments do not always coincide with patient need, while the volume of reviews makes it difficult to respond quickly to requests for help. Research in rheumatoid arthritis suggests that hospital-initiated reviews can be replaced by patient-initiated reviews, supported by nurse-led initiatives.

  20. 38 CFR 3.381 - Service connection of dental conditions for treatment purposes.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Rating Considerations Relative to Specific Diseases § 3.381 Service connection of dental conditions for..., and periodontal disease will be considered service-connected solely for the purpose of establishing... will consider each defective or missing tooth and each disease of the teeth and periodontal...

  1. A Review of Healthcare Service and Education Provision of Autism Spectrum Condition in Mainland China

    ERIC Educational Resources Information Center

    Sun, Xiang; Allison, Carrie; Auyeung, Bonnie; Baron-Cohen, Simon; Brayne, Carol

    2013-01-01

    Little is known about the current situation regarding Autism Spectrum Conditions in mainland China. Electronic databases and bibliographies were searched to identify literature on service provision for ASC in both English and Chinese databases. 14 studies and 6 reports were reviewed. The findings of identified papers on service provision were…

  2. 42 CFR 410.28 - Hospital or CAH diagnostic services furnished to outpatients: Conditions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... where the procedure is performed. (2) For services furnished under arrangement in nonhospital locations... 42 Public Health 2 2014-10-01 2014-10-01 false Hospital or CAH diagnostic services furnished to outpatients: Conditions. 410.28 Section 410.28 Public Health CENTERS FOR MEDICARE & MEDICAID...

  3. Realizing ecosystem services: wetland hydrologic function along a gradient of ecosystem condition.

    PubMed

    McLaughlin, Daniel L; Cohen, Matthew J

    2013-10-01

    Wetlands provide numerous ecosystem services, from habitat provision to pollutant removal, floodwater storage, and microclimate regulation. Delivery of particular services relies on specific ecological functions, and thus to varying degree on wetland ecological condition, commonly quantified as departure from minimally impacted reference sites. Condition assessments are widely adopted as regulatory indicators of ecosystem function, and for some services (e.g., habitat) links between condition and function are often direct. For others, however, links are more tenuous, and using condition alone to enumerate ecosystem value (e.g., for compensatory mitigation) may underestimate important services. Hydrologic function affects many services cited in support of wetland protection both directly (floodwater retention, microclimate regulation) and indirectly (biogeochemical cycling, pollutant removal). We investigated links between condition and hydrologic function to test the hypothesis, embedded in regulatory assessment of wetland value, that condition predicts function. Condition was assessed using rapid and intensive approaches, including Florida's official wetland assessment tool, in 11 isolated forested wetlands in north Florida (USA) spanning a land use intensity gradient. Hydrologic function was assessed using hydrologic regime (mean, variance, and rates of change of water depth), and measurements of groundwater exchange and evapotranspiration (ET). Despite a wide range in condition, no systematic variation in hydrologic regime was observed; indeed reference sites spanned the full range of variation. In contrast, ET was affected by land use, with higher rates in intensive (agriculture and urban) landscapes in response to higher leaf area. ET determines latent heat exchange, which regulates microclimate, a valuable service in urban heat islands. Higher ET also indicates higher productivity and thus carbon cycling. Groundwater exchange regularly reversed flow direction

  4. 42 CFR 415.102 - Conditions for fee schedule payment for physician services to beneficiaries in providers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... case of radiology or laboratory services, the additional requirements in § 415.120 or § 415.130... conditions for payment for radiology services) and 415.130 (concerning conditions for payment for...

  5. 42 CFR 415.102 - Conditions for fee schedule payment for physician services to beneficiaries in providers.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... case of radiology or laboratory services, the additional requirements in § 415.120 or § 415.130... conditions for payment for radiology services) and 415.130 (concerning conditions for payment for...

  6. Reporting on ecological condition and ecosystem services for the 2011 National Wetland Condition Assessment

    EPA Science Inventory

    The first-ever National Wetland Condition Assessment (NWCA) was conducted by the U.S. Environmental Protection Agency (USEPA) in 2011. Vegetation, algae, soil, water chemistry, and hydrologic data were collected at ~900 wetland points across the contiguous United States. The NW...

  7. 38 CFR 17.1000 - Payment or reimbursement for emergency services for nonservice-connected conditions in non-VA...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... for emergency services for nonservice-connected conditions in non-VA facilities. 17.1000 Section 17... Reimbursement for Emergency Services for Nonservice-Connected Conditions in Non-Va Facilities § 17.1000 Payment or reimbursement for emergency services for nonservice-connected conditions in non-VA...

  8. 38 CFR 17.1000 - Payment or reimbursement for emergency services for nonservice-connected conditions in non-VA...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... for emergency services for nonservice-connected conditions in non-VA facilities. 17.1000 Section 17... Reimbursement for Emergency Services for Nonservice-Connected Conditions in Non-Va Facilities § 17.1000 Payment or reimbursement for emergency services for nonservice-connected conditions in non-VA...

  9. 38 CFR 17.1000 - Payment or reimbursement for emergency services for nonservice-connected conditions in non-VA...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... for emergency services for nonservice-connected conditions in non-VA facilities. 17.1000 Section 17... Reimbursement for Emergency Services for Nonservice-Connected Conditions in Non-Va Facilities § 17.1000 Payment or reimbursement for emergency services for nonservice-connected conditions in non-VA...

  10. 38 CFR 17.1000 - Payment or reimbursement for emergency services for nonservice-connected conditions in non-VA...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... for emergency services for nonservice-connected conditions in non-VA facilities. 17.1000 Section 17... Reimbursement for Emergency Services for Nonservice-Connected Conditions in Non-Va Facilities § 17.1000 Payment or reimbursement for emergency services for nonservice-connected conditions in non-VA...

  11. 'I've used the word cancer but it's actually good news': discursive performativity of cancer and the identity of urological cancer services.

    PubMed

    Kazimierczak, Karolina Agata; Skea, Zoe

    2015-03-01

    Drawing on the ethnographic study of urological cancer services, this article explores how a set of particular discourses embedded in the everyday clinical work in a large teaching hospital in the UK helps materialise particular configurations of cancer and related professional identities. Emerging on the intersection of specific socio-material arrangements (cancer survival rates, treatment regimens, cancer staging classifications, metaphors, clinical specialities) and operating across a number of differential relations (curable/incurable, treatable/untreatable, aggressive/nonaggressive), these configurations help constitute the categories of 'good' and 'bad' cancers as separate and contrasting entities. These categories help materialise particular distributions of power and are thus implicated in the making of specific claims about the identity of urological cancer services as unique and privileged. Exploring these issues in view of feminist and material-semiotic approaches to studying science, technology and medicine, this article seeks to move away from the understanding of cancer discourses as primarily linguistic performances, proposing to see them instead as arrangements of practices and relations simultaneously material and semiotic through which particular categories, entities and phenomena acquire their determinate nature. In doing so, it seeks to contribute to sociology's broader concern with discursive performativity of cancer.

  12. Variation in Educational Services Receipt Among US Children with Developmental Conditions

    PubMed Central

    Lindly, Olivia J.; Sinche, Brianna K.; Zuckerman, Katharine E.

    2015-01-01

    Objectives This study examined (1) the relationship between ease of access to needed community-based services (ease of access) and educational services receipt and (2) variation in educational services receipt by sociodemographic and need factors among a nationally representative sample of children with autism spectrum disorder (ASD), developmental delay (DD), and/or intellectual disability (ID). Methods Data from the 2009–10 National Survey of Children with Special Health Care Needs were linked to the 2011 Survey of Pathways to Diagnosis and Services on a sample of 3,502 US children aged 6–17 years with ASD, DD, and/or ID. Descriptive statistics, chi-square tests, and multivariable logistic regression models were used to determine associations of educational services receipt with (1) ease of access and (2) sociodemographic and need factors. Results Among children with developmental conditions, nearly half (49.7%) lacked easy access to services and 16.9% did not have an individualized education program (IEP). Among children with an IEP, those with ease of access were more likely to have an IEP that addressed parent concerns about the child’s development and education than those unable to easily access services (aOR: 2.77; 95% CI: 1.71–4.49). Need factors, including functional limitations status, care coordination need, developmental condition type, and early intervention receipt, were significantly associated with educational services receipt. Conclusions Cross-systems initiatives facilitating service access remain important to ensuring the developmental needs of children with ASD, DD, and/or ID are met. Increased inter-professional collaboration promoting quality educational services receipt for children diagnosed with developmental conditions may further reduce disparities. PMID:26344719

  13. Automated Detection of Privacy Sensitive Conditions in C-CDAs: Security Labeling Services at the Department of Veterans Affairs

    PubMed Central

    Bouhaddou, Omar; Davis, Mike; Donahue, Margaret; Mallia, Anthony; Griffin, Stephania; Teal, Jennifer; Nebeker, Jonathan

    2016-01-01

    Care coordination across healthcare organizations depends upon health information exchange. Various policies and laws govern permissible exchange, particularly when the information includes privacy sensitive conditions. The Department of Veterans Affairs (VA) privacy policy has required either blanket consent or manual sensitivity review prior to exchanging any health information. The VA experience has been an expensive, administratively demanding burden on staffand Veterans alike, particularly for patients without privacy sensitive conditions. Until recently, automatic sensitivity determination has not been feasible. This paper proposes a policy-driven algorithmic approach (Security Labeling Service or SLS) to health information exchange that automatically detects the presence or absence of specific privacy sensitive conditions and then, to only require a Veteran signed consent for release when actually present. The SLS was applied successfully to a sample of real patient Consolidated-Clinical Document Architecture(C-CDA) documents. The SLS identified standard terminology codes by both parsing structured entries and analyzing textual information using Natural Language Processing (NLP). PMID:28269828

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

    PubMed

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

    2016-09-01

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

  15. 42 CFR 418.66 - Condition of participation: Nursing services-Waiver of requirement that substantially all nursing...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Condition of participation: Nursing services-Waiver of requirement that substantially all nursing services be routinely provided directly by a hospice...: Patient Care Core Services § 418.66 Condition of participation: Nursing services—Waiver of...

  16. 42 CFR 418.66 - Condition of participation: Nursing services-Waiver of requirement that substantially all nursing...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Condition of participation: Nursing services-Waiver of requirement that substantially all nursing services be routinely provided directly by a hospice... Services § 418.66 Condition of participation: Nursing services—Waiver of requirement that substantially...

  17. 42 CFR 418.66 - Condition of participation: Nursing services-Waiver of requirement that substantially all nursing...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Condition of participation: Nursing services-Waiver of requirement that substantially all nursing services be routinely provided directly by a hospice...: Patient Care Core Services § 418.66 Condition of participation: Nursing services—Waiver of...

  18. 42 CFR 418.66 - Condition of participation: Nursing services-Waiver of requirement that substantially all nursing...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Condition of participation: Nursing services-Waiver of requirement that substantially all nursing services be routinely provided directly by a hospice...: Patient Care Core Services § 418.66 Condition of participation: Nursing services—Waiver of...

  19. 42 CFR 418.66 - Condition of participation: Nursing services-Waiver of requirement that substantially all nursing...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Condition of participation: Nursing services-Waiver of requirement that substantially all nursing services be routinely provided directly by a hospice... Services § 418.66 Condition of participation: Nursing services—Waiver of requirement that substantially...

  20. 42 CFR 485.713 - Condition of participation: Physical therapy services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... strength, balance, endurance, range of motion, and activities of daily living. (2) A qualified physical... 42 Public Health 5 2014-10-01 2014-10-01 false Condition of participation: Physical therapy... Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services §...

  1. 38 CFR 3.381 - Service connection of dental conditions for treatment purposes.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Rating Considerations Relative to Specific Diseases § 3.381 Service connection of dental conditions for... teeth, dental or alveolar abscesses, and periodontal disease are not compensable disabilities, but may... will consider each defective or missing tooth and each disease of the teeth and periodontal...

  2. 38 CFR 3.381 - Service connection of dental conditions for treatment purposes.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Rating Considerations Relative to Specific Diseases § 3.381 Service connection of dental conditions for... teeth, dental or alveolar abscesses, and periodontal disease are not compensable disabilities, but may... will consider each defective or missing tooth and each disease of the teeth and periodontal...

  3. 41 CFR 302-12.3 - Under what conditions may I use a relocation services company?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false Under what conditions may I use a relocation services company? 302-12.3 Section 302-12.3 Public Contracts and Property Management Federal Travel Regulation System RELOCATION ALLOWANCES RESIDENCE TRANSACTION ALLOWANCES 12-USE...

  4. 41 CFR 302-12.3 - Under what conditions may I use a relocation services company?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 41 Public Contracts and Property Management 4 2011-07-01 2011-07-01 false Under what conditions may I use a relocation services company? 302-12.3 Section 302-12.3 Public Contracts and Property Management Federal Travel Regulation System RELOCATION ALLOWANCES RESIDENCE TRANSACTION ALLOWANCES 12-USE...

  5. Getting Down to Business: Air Conditioning and Heating Service, Module 36. Teacher Guide. Entrepreneurship Training Components.

    ERIC Educational Resources Information Center

    Sanderson, Barbara

    This is the thirty-sixth in a set of 36 teacher guides to the Entrepreneurial Training Modules and accompanies CE 031 100. The purpose of the module is to give students some idea of what it is like to own and operate an air conditioning and heating service. Following an overview are general notes on use of the module. Suggested steps for module…

  6. Environmental Control System Installer/Servicer (Residential Air Conditioning Mechanic). V-TECS Guide.

    ERIC Educational Resources Information Center

    Meyer, Calvin F.; Benson, Robert T.

    This guide provides job relevant tasks, performance objectives, performance guides, resources, learning activitites, evaluation standards, and achievement testing in the occupation of environmental control system installer/servicer (residential air conditioning mechanic). It is designed to be used with any chosen teaching method. The course…

  7. Getting Down to Business: Air Conditioning and Heating Service, Module 36. [Student Guide]. Entrepreneurship Training Components.

    ERIC Educational Resources Information Center

    Sanderson, Barbara

    This module on owning and operating an air conditioning and heating service is one of 36 in a series on entrepreneurship. The introduction tells the student what topics will be covered and suggests other modules to read in related occupations. Each unit includes student goals, a case study, and a discussion of the unit subject matter. Learning…

  8. The Prevalence of Undiagnosed Geriatric Health Conditions among Adult Protective Service Clients

    ERIC Educational Resources Information Center

    Heath, John M.; Brown, Merle; Kobylarz, Fred A.; Castano, Susan

    2005-01-01

    Purpose: We sought to determine the prevalence of remediable health conditions from in-home geriatric assessments of referred adult protective service (APS) clients suffering elder mistreatment. Design and Methods: We used a retrospective cohort study of 211 APS clients (74% female; age, M = 77 years) in two central New Jersey counties. Results:…

  9. 42 CFR 415.102 - Conditions for fee schedule payment for physician services to beneficiaries in providers.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...) In the case of radiology or laboratory services, the additional requirements in § 415.120 or § 415... §§ 415.120 (concerning conditions for payment for radiology services) and 415.130 (concerning...

  10. 42 CFR 415.102 - Conditions for fee schedule payment for physician services to beneficiaries in providers.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...) In the case of radiology or laboratory services, the additional requirements in § 415.120 or § 415... §§ 415.120 (concerning conditions for payment for radiology services) and 415.130 (concerning...

  11. The Course of Actualization

    ERIC Educational Resources Information Center

    De Smet, Hendrik

    2012-01-01

    Actualization is traditionally seen as the process following syntactic reanalysis whereby an item's new syntactic status manifests itself in new syntactic behavior. The process is gradual in that some new uses of the reanalyzed item appear earlier or more readily than others. This article accounts for the order in which new uses appear during…

  12. Perceived unfairness in working conditions: The case of public health services in Tanzania

    PubMed Central

    2011-01-01

    Background The focus on the determinants of the quality of health services in low-income countries is increasing. Health workers' motivation has emerged as a topic of substantial interest in this context. The main objective of this article is to explore health workers' experience of working conditions, linked to motivation to work. Working conditions have been pointed out as a key factor in ensuring a motivated and well performing staff. The empirical focus is on rural public health services in Tanzania. The study aims to situate the results in a broader historical context in order to enhance our understanding of the health worker discourse on working conditions. Methods The study has a qualitative study design to elicit detailed information on health workers' experience of their working conditions. The data comprise focus group discussions (FGDs) and in-depth interviews (IDIs) with administrators, clinicians and nursing staff in the public health services in a rural district in Tanzania. The study has an ethnographic backdrop based on earlier long-term fieldwork in the same part of Tanzania. Results The article provides insights into health workers' understanding and assessment of their working conditions. An experience of unsatisfactory working conditions as well as a perceived lack of fundamental fairness dominated the FGDs and IDIs. Informants reported unfairness with reference to factors such as salary, promotion, recognition of work experience, allocation of allowances and access to training as well as to human resource management. The study also revealed that many health workers lack information or knowledge about factors that influence their working conditions. Conclusions The article calls for attention to the importance of locating the discourse of unfairness related to working conditions in a broader historical/political context. Tanzanian history has been characterised by an ambiguous and shifting landscape of state regulation, economic reforms

  13. EVALUATION OF TROQUE VS CLOSURE BOLT PRELOAD FOR A TYPICAL CONTAINMENT VESSEL UNDER SERVICE CONDITIONS

    SciTech Connect

    Smith, A.

    2010-02-16

    Radioactive material package containment vessels typically employ bolted closures of various configurations. Closure bolts must retain the lid of a package and must maintain required seal loads, while subjected to internal pressure, impact loads and vibration. The need for insuring that the specified preload is achieved in closure bolts for radioactive materials packagings has been a continual subject of concern for both designers and regulatory reviewers. The extensive literature on threaded fasteners provides sound guidance on design and torque specification for closure bolts. The literature also shows the uncertainty associated with use of torque to establish preload is typically between 10 and 35%. These studies have been performed under controlled, laboratory conditions. The ability to insure required preload in normal service is, consequently, an important question. The study described here investigated the relationship between indicated torque and resulting bolt load for a typical radioactive materials package closure using methods available under normal service conditions.

  14. Determining optimum service conditions for concentrator mirrors by methods of mathematically planned experiment

    NASA Astrophysics Data System (ADS)

    Ismanzhanov, A.; Altman, T. M.; Zakhidov, R. A.; Dubrovskiy, L. A.

    1984-02-01

    A method of mathematically planning an experiment was proposed for determining the optimum service conditions for concentrator mirrors and also obtaining data on mirror performance which can be useful for optimization of the mirror manufacturing technology. First are determined the number of factors influencing a mirror under service conditions and the ranges of their likely variation. Then, by an a priori ranking process and on the basis of preliminary analysis, these factors are classified into significant and insignificant ones in terms of their contribution to the aging process. The method was applied to aluminum mirrors with front side reflection and various protective coatings. The plan of a 4 factor (air humidity, abrasive wear by dust and sand, photochemical action of solar radiation, mechanical action of cleaning agent) 3 level (base, upper, lower) experiment is shown and the regression equation is obtained for a typical case. Recommendations on optimum mirror design and selection are made on the basis of this experiment.

  15. 20 CFR 661.310 - Under what limited conditions may a Local Board directly be a provider of core services...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Under what limited conditions may a Local Board directly be a provider of core services, intensive services, or training services, or act as a One-Stop Operator? 661.310 Section 661.310 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR STATEWIDE AND...

  16. 42 CFR 412.404 - Conditions for payment under the prospective payment system for inpatient hospital services of...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... payment system for inpatient hospital services of psychiatric facilities. 412.404 Section 412.404 Public... Services of Inpatient Psychiatric Facilities § 412.404 Conditions for payment under the prospective payment system for inpatient hospital services of psychiatric facilities. (a) General requirements. (1)...

  17. 42 CFR 412.404 - Conditions for payment under the prospective payment system for inpatient hospital services of...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... payment system for inpatient hospital services of psychiatric facilities. 412.404 Section 412.404 Public... Services of Inpatient Psychiatric Facilities § 412.404 Conditions for payment under the prospective payment system for inpatient hospital services of psychiatric facilities. (a) General requirements. (1)...

  18. 42 CFR 412.404 - Conditions for payment under the prospective payment system for inpatient hospital services of...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... payment system for inpatient hospital services of psychiatric facilities. 412.404 Section 412.404 Public... Services of Inpatient Psychiatric Facilities § 412.404 Conditions for payment under the prospective payment system for inpatient hospital services of psychiatric facilities. (a) General requirements. (1)...

  19. 42 CFR 412.404 - Conditions for payment under the prospective payment system for inpatient hospital services of...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... payment system for inpatient hospital services of psychiatric facilities. 412.404 Section 412.404 Public... Services of Inpatient Psychiatric Facilities § 412.404 Conditions for payment under the prospective payment system for inpatient hospital services of psychiatric facilities. (a) General requirements. (1)...

  20. 42 CFR 412.404 - Conditions for payment under the prospective payment system for inpatient hospital services of...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... payment system for inpatient hospital services of psychiatric facilities. 412.404 Section 412.404 Public... Services of Inpatient Psychiatric Facilities § 412.404 Conditions for payment under the prospective payment system for inpatient hospital services of psychiatric facilities. (a) General requirements. (1)...

  1. 42 CFR 415.170 - Conditions for payment on a fee schedule basis for physician services in a teaching setting.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... physician services in a teaching setting. 415.170 Section 415.170 Public Health CENTERS FOR MEDICARE...) SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS, SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN CERTAIN SETTINGS Physician Services in Teaching Settings § 415.170 Conditions for payment on a...

  2. 42 CFR 415.170 - Conditions for payment on a fee schedule basis for physician services in a teaching setting.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... physician services in a teaching setting. 415.170 Section 415.170 Public Health CENTERS FOR MEDICARE...) SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS, SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN CERTAIN SETTINGS Physician Services in Teaching Settings § 415.170 Conditions for payment on a...

  3. 42 CFR 415.170 - Conditions for payment on a fee schedule basis for physician services in a teaching setting.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... physician services in a teaching setting. 415.170 Section 415.170 Public Health CENTERS FOR MEDICARE...) SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS, SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN CERTAIN SETTINGS Physician Services in Teaching Settings § 415.170 Conditions for payment on a...

  4. 42 CFR 485.719 - Condition of participation: Arrangements for physical therapy and speech pathology services to be...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... physical therapy and speech pathology services to be performed by other than salaried organization... Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services § 485.719 Condition of participation: Arrangements for physical therapy and speech pathology services to be...

  5. 42 CFR 485.719 - Condition of participation: Arrangements for physical therapy and speech pathology services to be...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... physical therapy and speech pathology services to be performed by other than salaried organization... Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services § 485.719 Condition of participation: Arrangements for physical therapy and speech pathology services to be...

  6. 42 CFR 485.719 - Condition of participation: Arrangements for physical therapy and speech pathology services to be...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... physical therapy and speech pathology services to be performed by other than salaried organization... Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services § 485.719 Condition of participation: Arrangements for physical therapy and speech pathology services to be...

  7. 42 CFR 485.719 - Condition of participation: Arrangements for physical therapy and speech pathology services to be...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... physical therapy and speech pathology services to be performed by other than salaried organization... Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services § 485.719 Condition of participation: Arrangements for physical therapy and speech pathology services to be...

  8. 42 CFR 485.719 - Condition of participation: Arrangements for physical therapy and speech pathology services to be...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... physical therapy and speech pathology services to be performed by other than salaried organization... Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services § 485.719 Condition of participation: Arrangements for physical therapy and speech pathology services to be...

  9. Perspectives on railway track geometry condition monitoring from in-service railway vehicles

    NASA Astrophysics Data System (ADS)

    Weston, P.; Roberts, C.; Yeo, G.; Stewart, E.

    2015-07-01

    This paper presents a view of the current state of monitoring track geometry condition from in-service vehicles. It considers technology used to provide condition monitoring; some issues of processing and the determination of location; how things have evolved over the past decade; and what is being, or could/should be done in future research. Monitoring railway track geometry from an in-service vehicle is an attractive proposition that has become a reality in the past decade. However, this is only the beginning. Seeing the same track over and over again provides an opportunity for observing track geometry degradation that can potentially be used to inform maintenance decisions. Furthermore, it is possible to extend the use of track condition information to identify if maintenance is effective, and to monitor the degradation of individual faults such as dipped joints. There are full unattended track geometry measurement systems running on in-service vehicles in the UK and elsewhere around the world, feeding their geometry measurements into large databases. These data can be retrieved, but little is currently done with the data other than the generation of reports of track geometry that exceeds predefined thresholds. There are examples of simpler systems that measure some track geometry parameters more or less directly and accurately, but forego parameters such as gauge. Additionally, there are experimental systems that use mathematics and models to infer track geometry using data from sensors placed on an in-service vehicle. Finally, there are systems that do not claim to measure track geometry, but monitor some other quantity such as ride quality or bogie acceleration to infer poor track geometry without explicitly measuring it.

  10. Methodological considerations in service use assessment for children and youth with mental health conditions; issues for economic evaluation.

    PubMed

    Woolderink, M; Lynch, F L; van Asselt, A D I; Beecham, J; Evers, S M A A; Paulus, A T G; van Schayck, C P

    2015-05-01

    Economic evaluations are increasingly used in decision-making. Accurate measurement of service use is critical to economic evaluation. This qualitative study, based on expert interviews, aims to identify best approaches to service use measurement for child mental health conditions, and to identify problems in current methods. Results suggest considerable agreement on strengths (e.g., availability of accurate instruments to measure service use) and weaknesses, (e.g., lack of unit prices for services outside the health sector) or alternative approaches to service use measurement. Experts also identified some unresolved problems, for example the lack of uniform definitions for some mental health services.

  11. [Conditions and motivations for the work of nurses and physicians in high complexity emergency services].

    PubMed

    Mendes, Antonio da Cruz Gouveia; de Araújo Júnior, José Luiz do Amaral Corrêa; Furtado, Betise Mery Alencar Souza Macau; Duarte, Petra Oliveira; da Silva, Ana Lúcia Andrade; Miranda, Gabriella Morais Duarte

    2013-01-01

    This study aimed to evaluate the motivations and conditions offered to the work of nurses and doctors in three high complexity emergency services of the city of Recife, Pernambuco. It is a descriptive transversal type study. It was interviewed 42 nurses and 84 doctors, of a total population of 97 nurses and 469 doctors. It was used a questionnaire prepared for this survey and the Scale of Values Related to Work. On the motivation assessment it was found that Professional Realization was the major motivational factor, and Prestige the less important factor.

  12. 42 CFR 410.45 - Rural health clinic services: Scope and conditions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...) Services and supplies furnished as an incident to physicians' professional services. (3) Nurse practitioner and physician assistant services. (4) Services and supplies furnished as an incident to nurse practitioners' or physician assistants' services. (5) Visiting nurse services. (b) Medicare pays for...

  13. 42 CFR 410.45 - Rural health clinic services: Scope and conditions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...) Services and supplies furnished as an incident to physicians' professional services. (3) Nurse practitioner and physician assistant services. (4) Services and supplies furnished as an incident to nurse practitioners' or physician assistants' services. (5) Visiting nurse services. (b) Medicare pays for...

  14. 42 CFR 410.45 - Rural health clinic services: Scope and conditions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...) Services and supplies furnished as an incident to physicians' professional services. (3) Nurse practitioner and physician assistant services. (4) Services and supplies furnished as an incident to nurse practitioners' or physician assistants' services. (5) Visiting nurse services. (b) Medicare pays for...

  15. 42 CFR 410.45 - Rural health clinic services: Scope and conditions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...) Services and supplies furnished as an incident to physicians' professional services. (3) Nurse practitioner and physician assistant services. (4) Services and supplies furnished as an incident to nurse practitioners' or physician assistants' services. (5) Visiting nurse services. (b) Medicare pays for...

  16. 42 CFR 410.45 - Rural health clinic services: Scope and conditions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...) Services and supplies furnished as an incident to physicians' professional services. (3) Nurse practitioner and physician assistant services. (4) Services and supplies furnished as an incident to nurse practitioners' or physician assistants' services. (5) Visiting nurse services. (b) Medicare pays for...

  17. 42 CFR 415.110 - Conditions for payment: Medically directed anesthesia services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... anesthesia services. 415.110 Section 415.110 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... directed anesthesia services. (a) General payment rule. Medicare pays for the physician's medical direction of anesthesia services for one service or two through four concurrent anesthesia services...

  18. 42 CFR 415.110 - Conditions for payment: Medically directed anesthesia services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... anesthesia services. 415.110 Section 415.110 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... directed anesthesia services. (a) General payment rule. Medicare pays for the physician's medical direction of anesthesia services for one service or two through four concurrent anesthesia services...

  19. 50 CFR 253.16 - Actual cost.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 50 Wildlife and Fisheries 9 2011-10-01 2011-10-01 false Actual cost. 253.16 Section 253.16 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE AID TO FISHERIES FISHERIES ASSISTANCE PROGRAMS Fisheries Finance Program §...

  20. Associations between comorbid health conditions and the use of mental health services among adults with bipolar disorder.

    PubMed

    Lee, Sungkyu; Matejkowski, Jason

    2016-01-01

    Using a nationally representative sample, this study examined to what extent the number of comorbid health conditions was associated with various mental health service utilization among people with bipolar disorder. The results of logistic regression models indicate that a greater number of comorbid medical conditions were associated with higher odds of using specialty mental health service, while they were not associated with utilization of services provided by general health care providers. The type of bipolar disorder, functional impairment, and marital status were found to be associated with the use of a specialty service, while ethnicity was the only covariate significantly related to general health care use.

  1. Digital Watermarks Enabling E-Commerce Strategies: Conditional and User Specific Access to Services and Resources

    NASA Astrophysics Data System (ADS)

    Dittmann, Jana; Steinebach, Martin; Wohlmacher, Petra; Ackermann, Ralf

    2002-12-01

    Digital watermarking is well known as enabling technology to prove ownership on copyrighted material, detect originators of illegally made copies, monitor the usage of the copyrighted multimedia data and analyze the spread spectrum of the data over networks and servers. Research has shown that data hiding techniques can be applied successfully to other application areas like manipulations recognition. In this paper, we show our innovative approach for integrating watermark and cryptography based methods within a framework of new application scenarios spanning a wide range from dedicated and user specific services, "Try&Buy" mechanisms to general means for long-term customer relationships. The tremendous recent efforts to develop and deploy ubiquitous mobile communication possibilities are changing the demands but also possibilities for establishing new business and commerce relationships. Especially we motivate annotation watermarks and aspects of M-Commerce to show important scenarios for access control. Based on a description of the challenges of the application domain and our latest work we discuss, which methods can be used for establishing services in a fast convenient and secure way for conditional access services based on digital watermarking combined with cryptographic techniques. We introduce an example scenario for digital audio and an overview of steps in order to establish these concepts practically.

  2. Health Service Utilization among Syrian Refugees with Chronic Health Conditions in Jordan

    PubMed Central

    Doocy, Shannon; Lyles, Emily; Akhu-Zaheya, Laila; Oweis, Arwa; Al Ward, Nada; Burton, Ann

    2016-01-01

    Introduction The influx of Syrian refugees into Jordan presents an immense burden to the Jordanian health system, particularly in treating chronic health conditions. This study was undertaken to assess utilization of health services for chronic health conditions among Syrian refugees in non-camp settings. Methods A survey of Syrian refugees in Jordan was undertaken in June 2014 to characterize health seeking behaviors and issues related to accessing care for hypertension, diabetes, cardiovascular diseases, chronic respiratory diseases, and arthritis. A cluster design with probability proportional to size sampling was used to attain a nationally representative sample of 1550 non-camp Syrian refugee households. Results Of 1363 cases with a chronic health condition diagnosis, 84.7% had received care in Jordan. Public facilities faced a heavy burden serving over half (53.9%) of care-seekers; the remainder received care in the private (29.6%) and NGO/charity (16.6%) sectors. Individuals with non-communicable diseases (NCDs) in the central region of Jordan and with arthritis had the lowest rates of care-seeking when compared to other regions and conditions. Overall, 31.6% of care-seekers had an out-of-pocket payment for the most recent care-seeking event which averaged 18.8 USD (median = 0 USD), excluding cost of medications. Discussion Forced displacement presents major challenges to those with NCDs, which have the potential to seriously impact both the quality of life and life expectancy amongst refugees. NCD patterns among Syrian refugees indicate the importance of continuing support to public sector services in Jordan to adequately meet expanding needs and ensure appropriate prevention and control of priority NCDs. PMID:27073930

  3. 42 CFR 415.110 - Conditions for payment: Medically directed anesthesia services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... anesthesia services. 415.110 Section 415.110 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... payment: Medically directed anesthesia services. (a) General payment rule. Medicare pays for the physician's medical direction of anesthesia services for one service or two through four concurrent...

  4. 42 CFR 415.110 - Conditions for payment: Medically directed anesthesia services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... anesthesia services. 415.110 Section 415.110 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... payment: Medically directed anesthesia services. (a) General payment rule. Medicare pays for the physician's medical direction of anesthesia services for one service or two through four concurrent...

  5. 42 CFR 415.110 - Conditions for payment: Medically directed anesthesia services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... anesthesia services. 415.110 Section 415.110 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... payment: Medically directed anesthesia services. (a) General payment rule. Medicare pays for the physician's medical direction of anesthesia services for one service or two through four concurrent...

  6. 42 CFR 415.170 - Conditions for payment on a fee schedule basis for physician services in a teaching setting.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... physician services in a teaching setting. 415.170 Section 415.170 Public Health CENTERS FOR MEDICARE... BY PHYSICIANS IN PROVIDERS, SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN CERTAIN SETTINGS Physician Services in Teaching Settings § 415.170 Conditions for payment on a fee schedule...

  7. 42 CFR 415.170 - Conditions for payment on a fee schedule basis for physician services in a teaching setting.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... physician services in a teaching setting. 415.170 Section 415.170 Public Health CENTERS FOR MEDICARE... BY PHYSICIANS IN PROVIDERS, SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN CERTAIN SETTINGS Physician Services in Teaching Settings § 415.170 Conditions for payment on a fee schedule...

  8. A longitudinal, multicentre, cohort study of community rehabilitation service delivery in long-term neurological conditions

    PubMed Central

    Siegert, Richard J; Jackson, Diana M; Playford, E Diane; Fleminger, Simon; Turner-Stokes, Lynne

    2014-01-01

    Objectives Part A: To pilot the use of a register to identify and monitor patients with complex needs arising from long-term neurological conditions. Part B: To determine the extent to which patients’ needs for health and social services are met following discharge to the community after inpatient rehabilitation; to identify which factors predict unmet needs and to explore the relationship between service provision and outcomes at 12 months. Design A multicentre, prospective, cohort study surveying participants at 1, 6 and 12 months using postal/online questionnaires and telephone interview. Setting Consecutive discharges to the community from all nine tertiary, specialist, inpatient neurorehabilitation services in London over 18 months in 2010–2011. Participants Of 576 admissions 428 patients were recruited at discharge: 256 responded at 4 weeks, 212 at 6 months and 190 at 12 months. Measures Neurological Impairment Scale, The Needs and Provision Complexity Scale, The Northwick Park Dependency Scale, Community Integration Questionnaire, Zarit Burden Inventory. Results n=322 (75%) expressed willingness to be registered, but in practice less than half responded to questionnaires at 6 and 12 months (49% and 44%, respectively), despite extensive efforts to contact them, with no significant differences between responders and non-responders. Significant unmet needs were identified within the first year following discharge, particularly in rehabilitation, social work support and provision of specialist equipment. Dependency for basic care and motor and cognitive impairment predicted services received, together accounting for 40% of the variance. Contra to expectation, patients whose rehabilitation needs were met were more dependent and less well integrated at 12 months post discharge than those with unmet needs. Conclusions Registration is acceptable to most patients, but questionnaires/telephone interviews may not be the most efficient way to reach

  9. 42 CFR 418.100 - Condition of Participation: Organization and administration of services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., and homemaker services. (vi) Physical therapy, occupational therapy, and speech-language pathology... administration, supervision, and services with the hospice issued the certification number. (iii) The lines...

  10. An Online Interactive Map Service for Displaying Ground-Water Conditions in Arizona

    USGS Publications Warehouse

    Tillman, Fred D; Leake, Stanley A.; Flynn, Marilyn E.; Cordova, Jeffrey T.; Schonauer, Kurt T.

    2007-01-01

    Monitoring the availability of the nation's ground-water supplies is of critical importance to planners and water managers. The general public also has an interest in understanding the status of ground-water conditions, especially in the semi-arid Southwestern United States where much of the water used by municipalities and agriculture comes from the subsurface. Unlike surface-water indicators such as stage or discharge, ground-water conditions may be more difficult to assess and present. Individual well observations may only represent conditions in a limited area surrounding the well and wells may be screened over single or multiple aquifers, further complicating single-well measurement interpretations. Additionally, changes in ground-water conditions may involve time scales ranging from days to many years, depending on recharge, soil properties and depth to the water table. This lack of an easily identifiable ground-water property indicative of current conditions combined with differing time scales of water-level changes makes the presentation of ground-water conditions a difficult task, particularly on a regional basis. One approach is to spatially present several indicators of ground-water conditions that address different time scales and attributes of the aquifer systems. In this report, we describe a publicly-available online interactive map service that presents several different layers of ground-water-conditions information for the alluvial basins in the Lower Colorado River Basin in Arizona (http://montezuma.wr.usgs.gov/website/azgwconditions/). These data layers include wells experiencing water-level decline, wells experiencing water-level rise, recent trends in ground-water levels, change in water level since predevelopment and change in storage since predevelopment. Recent pumpage totals and projected population numbers are also provided for ground-water basins and counties in the region of the Lower Colorado River in Arizona along with a bibliography

  11. Effects of service condition on rolling contact fatigue failure mechanism and lifetime of thermal spray coatings—A review

    NASA Astrophysics Data System (ADS)

    Cui, Huawei; Cui, Xiufang; Wang, Haidou; Xing, Zhiguo; Jin, Guo

    2015-01-01

    The service condition determines the Rolling Contact Fatigue(RCF) failure mechanism and lifetime under ascertain material structure integrity parameter of thermal spray coating. The available literature on the RCF testing of thermal spray coatings under various condition services is considerable; it is generally difficult to synthesize all of the result to obtain a comprehensive understanding of the parameters which has a great effect on a thermal spray coating's resistance of RCF. The effects of service conditions(lubrication states, contact stresses, revolve speed, and slip ratio) on the changing of thermal spray coatings' contact fatigue lifetime is introduced systematically. The effects of different service condition on RCF failure mechanism of thermal spray coating from the change of material structure integrity are also summarized. Moreover, In order to enhance the RCF performance, the parameter optimal design formula of service condition and material structure integrity is proposed based on the effect of service condition on thermal spray coatings' contact fatigue lifetime and RCF failure mechanism. The shortage of available literature and the forecast focus in future researches are discussed based on available research. The explicit result of RCF lifetime law and parameter optimal design formula in term of lubrication states, contact stresses, revolve speed, and slip ratio, is significant to improve the RCF performance on the engineering application.

  12. Challenges in recovery and recycling of refrigerants from Indian refrigeration and air-conditioning service sector

    NASA Astrophysics Data System (ADS)

    Devotta, Sukumar; Asthana, Saroja; Joshi, Rahul

    India is a large producer and user of chlorofluorocarbons (CFCs) in the refrigeration and air-conditioning (RAC) sector. Government of India has taken several steps to restrict the production and consumption of CFCs. Refrigerant conservation through recovery, recycling (R&R) and reclamation is one way of reducing emissions and encouraging timely phase out of CFCs in developing countries. CFC recovery, recycling and reclamation have been mandated in many developed countries. However, this practice is yet to make an impact in India although it is practiced in MAC sector to some extent. India is planning for the final phase out of CFCs in the RAC service sector, in which R&R will be one of the components. A model has been developed to assess the economics of R&R for some typical parameters in developing counties like India. The model suggests that the enterprises recycling 1500 kg/a will break even within 1 year for all scenarios. However, R&R may not be cost effective for small workshops and low volume refrigerant vendors until either the price of CFC goes up or the cost of R&R unit is subsidized. A nationwide survey on RAC service sector revealed that in India, there are very few enterprises handling more than 500 kg/a. Therefore, there is a need to provide the RAC service sector with adequate and innovative financial incentives. This paper attempts to study the issues related to R&R for various sub-sectors of RAC in developing countries with an emphasis on cost effectiveness. India is used as a model for this study.

  13. Multiple chronic conditions and disabilities: implications for health services research and data demands.

    PubMed

    Iezzoni, Lisa I

    2010-10-01

    Increasing numbers of Americans are living with multiple chronic conditions (MCCs) and disabilities. Addressing health care needs of persons with MCCs or disabilities presents challenges on many levels. For health services researchers, priorities include (1) considering MCCs and disabilities in comparative effectiveness research (CER) and assessing quality of care; and (2) identifying and evaluating the data needed to conduct CER, performance measure development, and other research to inform health policy and public health decisions concerning persons with MCCs or disabilities. Little information is available to guide CER or treatment choices for persons with MCCs or disabilities, however, because they are typically excluded from clinical trials that produce the scientific evidence base. Furthermore, most research funding flows through public and private agencies oriented around single organ systems or diseases. Likely changes in the data landscape-notably wider dissemination of electronic health records (EHRs) and moving toward updated coding nomenclatures-may increase the information available to monitor health care service delivery and quality for persons with MCCs and disabilities. Generating this information will require new methods to extract and code information about MCCs and functional status from EHRs, especially narrative texts, and incorporating coding nomenclatures that capture critical dimensions of functional status and disability.

  14. Status report on assessment of environmentally assisted fatigue for LWR extended service conditions

    SciTech Connect

    Mohanty, S.; Soppet, W. K.; Majumdar, S.; Natesan, K.

    2014-07-09

    This report provides an update on an earlier assessment of environmentally assisted fatigue for light water reactor (LWR) materials under extended service conditions. This report is a deliverable in September 2013, under the work package for environmentally assisted fatigue in the Light Water Reactor Sustainability (LWRS) program. The overall objective of this LWRS project is to assess the degradation by environmentally assisted cracking/fatigue of LWR materials, such as various alloy base metals and their welds used in reactor coolant system piping. This effort is to support the U.S. Department of Energy LWRS program for developing tools to predict the aging/failure mechanism and to correspondingly predict the remaining life of LWR components for anticipated 60-80 year operation.

  15. Undocumented migrants in Canada: a scope literature review on health, access to services, and working conditions.

    PubMed

    Magalhaes, Lilian; Carrasco, Christine; Gastaldo, Denise

    2010-02-01

    It is estimated that there are 30-40 million undocumented workers worldwide. Although undocumented migration has become an issue of high international relevance, it has been strikingly understudied in Canada, especially with respect to its impact on health. The purpose of this study is to explore the concept of undocumentedness in Canada through a scoping review of peer-reviewed and grey literature written in English, French, Portuguese and Spanish between 2002 and 2008. The specific aims are to: (i) summarize and disseminate current academic and community-based findings on the health, service access and working conditions of undocumented migrants in Canada; (ii) examine the sources and use of evidence; (iii) identify significant gaps in existing knowledge; (iv) set recommendations for policy and research, including considerations on transnationalism, ethics, interdisciplinary approaches, gender differences, resilience, and impact on the children of non-status parents.

  16. Undocumented Migrants in Canada: A scope literature review on health, access to services, and working conditions

    PubMed Central

    Carrasco, Christine; Gastaldo, Denise

    2011-01-01

    It is estimated that there are 30 to 40 million undocumented workers worldwide. Although undocumented migration has become an issue of high international relevance, it has been strikingly understudied in Canada, especially with respect to its impact on health. The purpose of this study is to explore the concept of undocumentedness in Canada through a scoping review of peer-reviewed and grey literature written in English, French, Portuguese and Spanish between 2002 and 2008. The specific aims are to: i) summarize and disseminate current academic and community-based findings on the health, service access and working conditions of undocumented migrants in Canada; ii) examine the sources and use of evidence; iii) identify significant gaps in existing knowledge; iv) set recommendations for policy and research, including considerations on transnationalism, ethics, interdisciplinary approaches, gender differences, resilience, and impact on the children of non-status parents. PMID:19657739

  17. [The information on a sanitary-and-epidemiologic condition of general educational establishments and catering services of schoolboys].

    PubMed

    Onishchenko, G G

    2008-01-01

    The federal service on supervision in sphere of protection of the rights of consumers and well-being of the person develops normative and methodical documents, including sanitary rules and the norms defining hygienic parameters of food value of food raw material and foodstuff, children used in a feed and teenagers; requirements to catering services of pupils of various types of teaching and educational establishments. Decisions of the Main state health officer of the Russian Federation, the conditions directed on improvement and catering services in educational establishments are published. At participation of Rospotrebnadzor's experts on subjects of the Russian Federation the regional programs directed on improvement of catering services of pupils are developed. The information on a condition of general educational establishments with offers on improvement of a sanitary-engineering condition, goes to address of enforcement authorities.

  18. Views of Young People With Chronic Conditions on Transition From Pediatric to Adult Health Services

    PubMed Central

    Hislop, Jenni; Mason, Helen; Parr, Jeremy R.; Vale, Luke; Colver, Allan

    2017-01-01

    Purpose This study sought to identify and describe the views of young people with chronic conditions about the transition from pediatric to adult services. Methods Q methodology was used to identify young people’s views on transition. A set of 39 statements about transition was developed from an existing literature review and refined in consultation with local groups of young people. Statements were printed onto cards and a purposive sample of 44 young people with chronic health conditions was recruited, 41 remaining in the study. The young people were asked to sort the statement cards onto a Q-sort grid, according to their opinions from “strongly disagree” to “strongly agree.” Factor analysis was used to identify shared points of view (patterns of similarity between individual’s Q-sorts). Results Four distinct views on transition were identified from young people: (1) “a laid-back view of transition;” (2) “anxiety about transition;” (3) “wanting independence and autonomy during transition;” and (4) “valuing social interaction with family, peers, and professionals to assist transition.” Conclusions Successful transition is likely to be influenced by how young people view the process. Discussing and understanding young people’s views and preferences about transition should help clinicians and young people develop personalized planning for transition as a whole, and more specifically the point of transfer, leading to effective and efficient engagement with adult care. PMID:27287962

  19. 7 CFR 1.620 - What supporting information must the Forest Service provide with its preliminary conditions?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 1 2011-01-01 2011-01-01 false What supporting information must the Forest Service provide with its preliminary conditions? 1.620 Section 1.620 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Conditions in FERC Hydropower Licenses Initiation of Hearing...

  20. 7 CFR 1.620 - What supporting information must the Forest Service provide with its preliminary conditions?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false What supporting information must the Forest Service provide with its preliminary conditions? 1.620 Section 1.620 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Conditions in FERC Hydropower Licenses Initiation of Hearing...

  1. 7 CFR 1.620 - What supporting information must the Forest Service provide with its preliminary conditions?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 1 2014-01-01 2014-01-01 false What supporting information must the Forest Service provide with its preliminary conditions? 1.620 Section 1.620 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Conditions in FERC Hydropower Licenses Initiation of Hearing...

  2. 7 CFR 1.620 - What supporting information must the Forest Service provide with its preliminary conditions?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 1 2013-01-01 2013-01-01 false What supporting information must the Forest Service provide with its preliminary conditions? 1.620 Section 1.620 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Conditions in FERC Hydropower Licenses Initiation of Hearing...

  3. 7 CFR 1.620 - What supporting information must the Forest Service provide with its preliminary conditions?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 1 2012-01-01 2012-01-01 false What supporting information must the Forest Service provide with its preliminary conditions? 1.620 Section 1.620 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Conditions in FERC Hydropower Licenses Initiation of Hearing...

  4. 7 CFR 1.673 - How will the Forest Service analyze a proposed alternative and formulate its modified condition?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 1 2012-01-01 2012-01-01 false How will the Forest Service analyze a proposed alternative and formulate its modified condition? 1.673 Section 1.673 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Conditions in FERC Hydropower Licenses Alternatives Process § 1.673...

  5. 7 CFR 1.673 - How will the Forest Service analyze a proposed alternative and formulate its modified condition?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 1 2011-01-01 2011-01-01 false How will the Forest Service analyze a proposed alternative and formulate its modified condition? 1.673 Section 1.673 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Conditions in FERC Hydropower Licenses Alternatives Process § 1.673...

  6. 7 CFR 1.673 - How will the Forest Service analyze a proposed alternative and formulate its modified condition?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 1 2013-01-01 2013-01-01 false How will the Forest Service analyze a proposed alternative and formulate its modified condition? 1.673 Section 1.673 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Conditions in FERC Hydropower Licenses Alternatives Process § 1.673...

  7. 7 CFR 1.673 - How will the Forest Service analyze a proposed alternative and formulate its modified condition?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 1 2014-01-01 2014-01-01 false How will the Forest Service analyze a proposed alternative and formulate its modified condition? 1.673 Section 1.673 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Conditions in FERC Hydropower Licenses Alternatives Process § 1.673...

  8. Preoperational Subsurface Conditions at the Idaho Nuclear Technology and Engineering Center Service Waste Disposal Facility

    SciTech Connect

    Ansley, Shannon Leigh

    2002-02-01

    The Idaho Nuclear Technology and Engineering Center (INTEC) Service Wastewater Discharge Facility replaces the existing percolation ponds as a disposal facility for the INTEC Service Waste Stream. A preferred alternative for helping decrease water content in the subsurface near INTEC, closure of the existing ponds is required by the INTEC Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) Record of Decision (ROD) for Waste Area Group 3 Operable Unit 3-13 (DOE-ID 1999a). By August 2002, the replacement facility was constructed approximately 2 miles southwest of INTEC, near the Big Lost River channel. Because groundwater beneath the Idaho National Engineering and Environmental Laboratory (INEEL) is protected under Federal and State of Idaho regulations from degradation due to INEEL activities, preoperational data required by U.S. Department of Energy (DOE) Order 5400.1 were collected. These data include preexisting physical, chemical, and biological conditions that could be affected by the discharge; background levels of radioactive and chemical components; pertinent environmental and ecological parameters; and potential pathways for human exposure or environmental impact. This document presents specific data collected in support of DOE Order 5400.1, including: four quarters of groundwater sampling and analysis of chemical and radiological parameters; general facility description; site specific geology, stratigraphy, soils, and hydrology; perched water discussions; and general regulatory requirements. However, in order to avoid duplication of previous information, the reader is directed to other referenced publications for more detailed information. Documents that are not readily available are compiled in this publication as appendices. These documents include well and borehole completion reports, a perched water evaluation letter report, the draft INEEL Wellhead Protection Program Plan, and the Environmental Checklist.

  9. Preoperational Subsurface Conditions at the Idaho Nuclear Technology and Engineering Center Service Wastewater Discharge Facility

    SciTech Connect

    Ansley, Shannon L.

    2002-02-20

    The Idaho Nuclear Technology and Engineering Center (INTEC) Service Wastewater Discharge Facility replaces the existing percolation ponds as a disposal facility for the INTEC Service Waste Stream. A preferred alternative for helping decrease water content in the subsurface near INTEC, closure of the existing ponds is required by the INTEC Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) Record of Decision (ROD) for Waste Area Group 3 Operable Unit 3-13 (DOE-ID 1999a). By August 2002, the replacement facility was constructed approximately 2 miles southwest of INTEC, near the Big Lost River channel. Because groundwater beneath the Idaho National Engineering and Environmental Laboratory (INEEL) is protected under Federal and State of Idaho regulations from degradation due to INEEL activities, preoperational data required by U.S. Department of Energy (DOE) Order 5400.1 were collected. These data include preexisting physical, chemical, and biological conditions that could be affected by the discharge; background levels of radioactive and chemical components; pertinent environmental and ecological parameters; and potential pathways for human exposure or environmental impact. This document presents specific data collected in support of DOE Order 5400.1, including: four quarters of groundwater sampling and analysis of chemical and radiological parameters; general facility description; site specific geology, stratigraphy, soils, and hydrology; perched water discussions; and general regulatory requirements. However, in order to avoid duplication of previous information, the reader is directed to other referenced publications for more detailed information. Documents that are not readily available are compiled in this publication as appendices. These documents include well and borehole completion reports, a perched water evaluation letter report, the draft INEEL Wellhead Protection Program Plan, and the Environmental Checklist.

  10. Dos and Donts for Conditional Acceptance of Nonconforming Supplies or Services

    DTIC Science & Technology

    2016-06-01

    Acceptance of Nonconforming Supplies or Services ...have to deal with the dreaded issue of contractors trying to deliver nonconforming supplies or services . As a government contracting professional, you...acceptance means “acceptance of supplies or services that do not conform to contract quality requirements, or are otherwise incomplete, that the

  11. 50 CFR 260.97 - Conditions for providing fishery products inspection service at official establishments.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... providing fishery products inspection service at official establishments. (a) The determination as to the... products; or (3) For failure to supply enough inspection effort during any period of service. (c) The..., to be used on any product which is not packed under fishery products inspection service nor...

  12. 42 CFR 410.77 - Certified nurse-midwives' services: Qualifications and conditions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...: (1) Be a registered nurse who is legally authorized to practice as a nurse-midwife in the State where... 42 Public Health 2 2011-10-01 2011-10-01 false Certified nurse-midwives' services: Qualifications... Medical and Other Health Services § 410.77 Certified nurse-midwives' services: Qualifications...

  13. 42 CFR 410.77 - Certified nurse-midwives' services: Qualifications and conditions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...: (1) Be a registered nurse who is legally authorized to practice as a nurse-midwife in the State where... 42 Public Health 2 2013-10-01 2013-10-01 false Certified nurse-midwives' services: Qualifications... Medical and Other Health Services § 410.77 Certified nurse-midwives' services: Qualifications...

  14. 42 CFR 410.77 - Certified nurse-midwives' services: Qualifications and conditions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...: (1) Be a registered nurse who is legally authorized to practice as a nurse-midwife in the State where... 42 Public Health 2 2012-10-01 2012-10-01 false Certified nurse-midwives' services: Qualifications... Medical and Other Health Services § 410.77 Certified nurse-midwives' services: Qualifications...

  15. 42 CFR 410.77 - Certified nurse-midwives' services: Qualifications and conditions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...: (1) Be a registered nurse who is legally authorized to practice as a nurse-midwife in the State where... 42 Public Health 2 2014-10-01 2014-10-01 false Certified nurse-midwives' services: Qualifications... Medical and Other Health Services § 410.77 Certified nurse-midwives' services: Qualifications...

  16. 50 CFR 260.97 - Conditions for providing fishery products inspection service at official establishments.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... inspection service at official establishments. 260.97 Section 260.97 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE PROCESSED FISHERY... providing fishery products inspection service at official establishments. (a) The determination as to...

  17. 42 CFR 482.24 - Condition of participation: Medical record services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... to surgery or a procedure requiring anesthesia services. The medical history and physical examination... prior to surgery or a procedure requiring anesthesia services. (B) An updated examination of the patient... surgery or a procedure requiring anesthesia services. (ii) Admitting diagnosis. (iii) Results of...

  18. 42 CFR 482.24 - Condition of participation: Medical record services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... anesthesia services. The medical history and physical examination must be placed in the patient's medical... anesthesia services. (B) An updated examination of the patient, including any changes in the patient's... anesthesia services. (ii) Admitting diagnosis. (iii) Results of all consultative evaluations of the...

  19. 42 CFR 482.24 - Condition of participation: Medical record services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... anesthesia services. The medical history and physical examination must be placed in the patient's medical... anesthesia services. (B) An updated examination of the patient, including any changes in the patient's... anesthesia services. (ii) Admitting diagnosis. (iii) Results of all consultative evaluations of the...

  20. Apparatus for determining past-service conditions and remaining life of thermal barrier coatings and components having such coatings

    DOEpatents

    Srivastava, Alok Mani; Setlur, Anant Achyut; Comanzo, Holly Ann; Devitt, John William; Ruud, James Anthony; Brewer, Luke Nathaniel

    2004-05-04

    An apparatus for determining past-service conditions and/or remaining useful life of a component of a combustion engine and/or a thermal barrier coating ("TBC") of the component comprises a radiation source that provides the exciting radiation to the TBC to excite a photoluminescent ("PL") material contained therein, a radiation detector for detecting radiation emitted by the PL material, and means for relating a characteristic of an emission spectrum of the PL material to the amount of a crystalline phase in the TBC, thereby inferring the past-service conditions or the remaining useful life of the component or the TBC.

  1. Effects of A 6-Week Junior Tennis Conditioning Program on Service Velocity

    PubMed Central

    Fernandez-Fernandez, Jaime; Ellenbecker, Todd; Sanz-Rivas, david; Ulbricht, Alexander; Ferrautia, lexander

    2013-01-01

    This study examined the effects of a 6-week strength-training program on serve velocity in youth tennis players. Thirty competitive healthy and nationally ranked male junior tennis players (13 years of age) were randomly and equally divided into control and training groups. The training group performed 3 sessions (60-70 min) weekly for 6 weeks, comprising core strength, elastic resistance and medicine ball exercises. Both groups (control and training) also performed a supervised stretching routine at the end of each training session, during the 6 week intervention. Service velocity, service accuracy and shoulder internal/external rotation were assessed initially and at the end of the 6-week conditioning program for both, control and training groups. There was a significant improvement in the serve velocity for the training group (p = 0. 0001) after the intervention, whereas in the control group there were no differences between pre and post-tests (p = 0.29). Serve accuracy was not affected in the training group (p = 0.10), nor in the control group (p = 0.15). Shoulder internal/external rotation ROM significantly improved in both groups, training (p = 0.001) and control (p = 0.0001). The present results showed that a short- term training program for young tennis players, using minimum equipment and effort, can result in improved tennis performance (i.e., serve velocity) and a reduction in the risk of a possible overuse injury, reflected by an improvement in shoulder external/internal range of motion. Key Points A short-term training program for young tennis players, using minimum equipment and effort, can result in improved tennis performance and a reduction in the risk of a possible overuse injury, reflected by an improvement in shoulder external/internal range of motion A combination of core stabilization, elastic resistance exercises, and upper body plyometric exercises (i.e., medicine ball throws), focussing on the primary muscle groups and stabilizers involved

  2. 9 CFR 351.5 - Conditions of eligibility for certification service; review of applications.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY MEAT AND POULTRY.... (Approved by the Office of Management and Budget under control number 0583-0036)...

  3. 42 CFR 410.43 - Partial hospitalization services: Conditions and exclusions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... section 1861(s)(2)(K)(i) of the Act. (3) Nurse practitioner and clinical nurse specialist services, as... specified in part 484 of this chapter. (iii) Services of social workers, trained psychiatric nurses, and... that are not primarily recreational or diversionary. (vi) Family counseling, the primary purpose...

  4. 42 CFR 410.28 - Hospital or CAH diagnostic services furnished to outpatients: Conditions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS...). (d) Rules on emergency services furnished to outpatients by nonparticipating hospitals are set forth..., “direct supervision” means the physician must be present in the off-campus provider-based department...

  5. 38 CFR 3.381 - Service connection of dental conditions for treatment purposes.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., and periodontal disease will be considered service-connected solely for the purpose of establishing... will consider each defective or missing tooth and each disease of the teeth and periodontal tissues... be considered service-connected for treatment purposes: (1) Calculus; (2) Acute periodontal...

  6. 42 CFR 485.635 - Condition of participation: Provision of services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... services. Nursing services must meet the needs of patients. (1) A registered nurse must provide (or assign... qualifications and competence of the staff available. (2) A registered nurse or, where permitted by State law, a... administered by or under the supervision of a registered nurse, a doctor of medicine or osteopathy, or,...

  7. 42 CFR 485.713 - Condition of participation: Physical therapy services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... program if it can: (i) Provide services using therapeutic exercise and the modalities of heat, cold, water... treatment of the types of disabilities it accepts for service. (c) Standard: Personnel qualified to provide... therapists who retain responsibility for the treatment prescribed by the attending physician....

  8. 42 CFR 485.713 - Condition of participation: Physical therapy services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... program if it can: (i) Provide services using therapeutic exercise and the modalities of heat, cold, water... treatment of the types of disabilities it accepts for service. (c) Standard: Personnel qualified to provide... therapists who retain responsibility for the treatment prescribed by the attending physician....

  9. 42 CFR 485.713 - Condition of participation: Physical therapy services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... program if it can: (i) Provide services using therapeutic exercise and the modalities of heat, cold, water... treatment of the types of disabilities it accepts for service. (c) Standard: Personnel qualified to provide... therapists who retain responsibility for the treatment prescribed by the attending physician....

  10. Parks and Recreation: Resource Limitations Affect Condition of Forest Service Recreation Sites

    DTIC Science & Technology

    1991-01-01

    hereafter called districts.2 The Forest Service manages 149 national forests in the United State3 and Puerto Rico . Because the Forest Service’s day-to-day...meet the needs of people with disabilities. According to the questionnaire respondent in the Santa Lucia district of the Los Padres National Forest in

  11. Directory of National Information Sources on Handicapping Conditions and Related Services. Fourth Edition.

    ERIC Educational Resources Information Center

    Russell (Harold) and Associates, Inc., Waltham, MA.

    This directory, compiled as a reference tool for information and service providers, lists and briefly describes national level organizations which provide information about disabilities and direct services to disabled individuals. Organizations are categorized as: advocacy, consumer, and voluntary health organizations (124); information/data…

  12. 42 CFR 64a.105 - What are the conditions of obligated service?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., rape victims, physically handicapped, abusers of alcohol, or persons addicted to drugs or other... alcohol, drug abuse or mental health services to one or more of the priority population groups listed in... health and alcohol, drug abuse or mental health services. (iii) Providing in a public or...

  13. 42 CFR 485.713 - Condition of participation: Physical therapy services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services § 485.713... therapist is present or readily available to offer supervision when a physical therapist assistant furnishes services. (i) If a qualified physical therapist is not on the premises during all hours of...

  14. Service Workers' Chain Reactions to Daily Customer Mistreatment: Behavioral Linkages, Mechanisms, and Boundary Conditions.

    PubMed

    Chi, Nai-Wen; Yang, Jixia; Lin, Chia-Ying

    2016-10-27

    Drawing on the stressor-emotion model, we examine how customer mistreatment can evoke service workers' passive forms of deviant behaviors (i.e., work withdrawal behavior [WWB]) and negative impacts on their home life (i.e., work-family conflict [WFC]), and whether individuals' core self-evaluations and customer service training can buffer the negative effects of customer mistreatment. Using the experience sampling method, we collect daily data from 77 customer service employees for 10 consecutive working days, yielding 546 valid daily responses. The results show that daily customer mistreatment increases service workers' daily WWB and WFC through negative emotions. Furthermore, employees with high core self-evaluations and employees who received customer service training are less likely to experience negative emotions when faced with customer mistreatment, and thus are less likely to engage in WWB or provoke WFC. (PsycINFO Database Record

  15. Projecting supply and demand of hydrologic ecosystem services under future climate conditions

    NASA Astrophysics Data System (ADS)

    Chiang, Li-Chi; Huang, Tao; Lee, Tsung-Yu

    2014-05-01

    Ecosystems provide essential goods and services, such as food, clean water, water purification, soil conservation and cultural services for human being. In a watershed, these water-related ecosystem goods and services can directly or indirectly benefit both local people and downstream beneficiaries through a reservoir. Water quality and quantity in a reservoir are of importance for agricultural, industrial and domestic uses. Under the impacts of climate and land use changes, both ecosystem service supply and demand will be affected by changes in precipitation patterns, temperature, urbanization and agricultural activities. However, the linkage between ecosystem service provisioning (ESP) and ecosystem service beneficiary (ESB), and scales of supply and demand of ecosystem services are not clear yet. Therefore, to investigate water-related ecosystem service supply under climate and land use change, we took the Xindian river watershed (303 km2) as a case study, where the Feitsui Reservoir provides hydro-power and daily domestic water use of 3,450,000 m3 for 3.46 million people in Taipei, Taiwan. We integrated a hydrological model (Soil and Water Assessment Tool, SWAT) and a land use change model (Conversion of Land Use and its Effects, CLUE-s) with future climate change scenarios derived from General Circulation Models (GCMs), to assess the changes in ecosystem service supply and demand at different hydrologic scales. The results will provide useful information for decision-making on future land use management and climate change adaptation strategies in the watersheds. Keywords: climate change, land use change, ecosystem service, watershed, scale

  16. The Role of School Health Services in Addressing the Needs of Students with Chronic Health Conditions: A Systematic Review

    ERIC Educational Resources Information Center

    Leroy, Zanie C.; Wallin, Robin; Lee, Sarah

    2017-01-01

    Children and adolescents in the United States spend many hours in school. Students with chronic health conditions (CHCs) may face lower academic achievement, increased disability, fewer job opportunities, and limited community interactions as they enter adulthood. School health services provide safe and effective management of CHCs, often for…

  17. 18 CFR 154.204 - Changes in rate schedules, forms of service agreements, or the general terms and conditions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Changes in rate... REGULATIONS UNDER NATURAL GAS ACT RATE SCHEDULES AND TARIFFS Procedures for Changing Tariffs § 154.204 Changes in rate schedules, forms of service agreements, or the general terms and conditions. A filing...

  18. Higher Education Academics' Satisfaction with Their Terms and Conditions of Service and Their Job Satisfaction: A Case Study

    ERIC Educational Resources Information Center

    Mammen, K. J.

    2006-01-01

    This article originates from a research conducted at a Historically Disadvantaged Institution (HDI) in South Africa. Academics (those who teach) at higher education institutions (HEIs) are usually highly qualified personnel. Their satisfaction with the terms and conditions of service and the job satisfaction they derive from and through their work…

  19. [The Russian Armed Forces Military Medical Service: condition and ways of improvement].

    PubMed

    Fisun, A Ia

    2014-01-01

    In 2013 the main efforts of the Medical Service were aimed at the following tasks: optimization of management system of military medical service, improvement of medical evacuation system, medical service security for military contingents, assigned according to territory principle to military-medical facilities of the Ministry of Defence of the Russian Federation, implementation of innovations at all stages of medical evacuation in peace- and wartime, security of combat and mobilization readiness of regulatory bodies of the Medical Service, medical military units and military medical facilities, medical service of troops battle training, improvement of material and technical resources, security of regular pharmacy and equipment supply, activation of research work in the Medical Service interests. Lines of military medicine development in 2014 are: transfer of treatment facilities that are not used by the Ministry of Defence into the Federal Biomedical Agency till the end of 2014, prevention of pneumonia and meningitis in military personnel, improvement of early diagnosis system, medical service for military contingents according to territory principle, improvement of diagnostic and treatment work in military-medical units and subunits and military-medical facilities by means of development of material and technical resources, monitor the implementation of innovative diagnostic and treatment technologies, completion of construction projects of central military hospitals and etc.

  20. 29 CFR 779.256 - Conditions for enterprise coverage of gasoline service establishments.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... meaning of the Act. For example, gasoline filling station employees servicing motor vehicles used in... station posts a sign on or alongside the gasoline pumps indicating that a certain amount per gallon is...

  1. 20 CFR 404.1325 - Separation from active service under conditions other than dishonorable.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... States, or by the active service of an allied country during the World War II period; (c) A dishonorable... by a civil court for treason, sabotage, espionage, murder, rape, arson, burglary, robbery,...

  2. 42 CFR 418.56 - Condition of participation: Interdisciplinary group, care planning, and coordination of services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... supervise the care and services. The hospice must designate a registered nurse that is a member of the... hospice). (ii) A registered nurse. (iii) A social worker. (iv) A pastoral or other counselor. (2) If...

  3. 42 CFR 418.56 - Condition of participation: Interdisciplinary group, care planning, and coordination of services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... entirety, must supervise the care and services. The hospice must designate a registered nurse that is a... under contract with the hospice). (ii) A registered nurse. (iii) A social worker. (iv) A pastoral...

  4. 42 CFR 418.56 - Condition of participation: Interdisciplinary group, care planning, and coordination of services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... entirety, must supervise the care and services. The hospice must designate a registered nurse that is a... under contract with the hospice). (ii) A registered nurse. (iii) A social worker. (iv) A pastoral...

  5. 42 CFR 418.56 - Condition of participation: Interdisciplinary group, care planning, and coordination of services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... entirety, must supervise the care and services. The hospice must designate a registered nurse that is a... under contract with the hospice). (ii) A registered nurse. (iii) A social worker. (iv) A pastoral...

  6. 42 CFR 418.56 - Condition of participation: Interdisciplinary group, care planning, and coordination of services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... supervise the care and services. The hospice must designate a registered nurse that is a member of the... hospice). (ii) A registered nurse. (iii) A social worker. (iv) A pastoral or other counselor. (2) If...

  7. 42 CFR 424.122 - Conditions for payment for emergency inpatient hospital services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... hospital services, the beneficiary was— (1) In the United States; or (2) In Canada traveling between Alaska... was closer to, or more accessible from, the site of the emergency than the nearest United...

  8. 42 CFR 485.918 - Condition of participation: Organization, governance, administration of services, and partial...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... services must be provided in a location that meets Federal, State, and local health and safety standards... ensure that individual or group therapy sessions are conducted in a manner that maintains client...

  9. Risk Factors for Incident Postdeployment Mental Health Conditions Among U.S. Air Force Medical Service Personnel.

    PubMed

    Maupin, Genny M; Tvaryanas, Anthony P; White, Edward D; Lysfjord, Heather J

    2017-03-01

    The prevalence of postdeployment mental health (PDMH) conditions in military health care personnel appears to be on par with that of other military personnel. However, there is no comprehensive analysis of incident PDMH conditions within the overall population of U.S. Air Force Medical Service personnel. This study explored the epidemiology of incident PDMH conditions among Air Force Medical Service personnel returning from deployment. A cohort survival analysis was conducted of 24,409 subjects without preexisting mental health conditions and at least one deployment during 2003-2013. Electronic health record data were used to ascertain the diagnosis of a PDMH condition. The primary outcome measure was an incident PDMH condition defined as a mental health diagnosis on at least two separate clinical encounters. The incidence of PDMH conditions was 59.74 per 1,000 person-years. Adjustment, anxiety, mood, sleep, and post-traumatic stress disorders accounted for 78% diagnoses. Protective factors included officer, surgeon, specific enlisted career fields, Air National Guard or Air Force Reserve, and multiple deployments. Risk factors included nurse, other specific enlisted career fields, female, and unmarried with dependents. Most subjects (73%) were diagnosed within the standard 30-month surveillance time period; median time to diagnosis was 13 months.

  10. The development of satisfaction with service-related choices for disabled young people with degenerative conditions: evidence from parents' accounts.

    PubMed

    Maddison, Jane; Beresford, Bryony

    2012-07-01

    Satisfaction with service-related choices has not received much research attention, especially beyond medical/health-related decisions. This paper reports findings from an analysis of parents' accounts of making service-related choices with, or on behalf of, a disabled son or daughter with a degenerative condition. It focuses particularly on factors and processes, which contribute to parents' satisfaction. This is particularly interesting given that sub-optimal outcomes or negative consequences are often experienced following a service-related choice being implemented. The data reported here were collected as part of a larger, longitudinal study (the Choice and Change project) of service users' experiences of choice-making, including the outcomes and consequences of those choices. Parents of disabled young people with degenerative conditions formed part of this sample. The accounts of 14 of these parents, collected over three interviews during a two and a half-year period, all of whom expressed satisfaction with the medium- to long-term outcomes of a service-related choice, were selected for specific analyses to understand what underlies satisfaction with service-related choices. Clarity of the desired outcome for the young person supported effective decision-making and led parents to feel confident that the best possible choice was being made. Evidence of desired outcomes being attained were used by parents to 'trade off' the negative consequences of a choice. These included the considerable demands placed on parents' personal, financial and practical resources to operationalise a choice, and the emotional impact incurred by significant changes such as the loss of the carer role. The passage of time was important in allowing evidence of positive outcomes to emerge, psychological or emotional adjustments to be made, and for parents to develop trust in new service providers. The findings suggest that practitioners can have an important role in both practical and

  11. Development history and bibliography of the US Forest Service crown-condition indicator for forest health monitoring.

    PubMed

    Randolph, KaDonna C

    2013-06-01

    Comprehensive assessment of individual-tree crown condition by the US Department of Agriculture, Forest Service, Forest Inventory and Analysis (FIA) Program has its origins in the concerns about widespread forest decline in Europe and North America that developed in the late 1970s and early 1980s. Programs such as the US National Acid Precipitation Assessment Program, US National Vegetation Survey, Canadian Acid Rain National Early Warning System, and joint US-Canadian North American Sugar Maple Decline Project laid the groundwork for the development of the US Forest Service crown-condition indicator. The crown-condition assessment protocols were selected and refined through literature review, peer review, and field studies in several different forest types during the late 1980s and early 1990s. Between 1980 and 2011, 126 publications relating specifically to the crown-condition indicator were added to the literature. The majority of the articles were published by the US Department of Agriculture, Forest Service or other State or Federal government agency, and more than half were published after 2004.

  12. Linguistic Theory and Actual Language.

    ERIC Educational Resources Information Center

    Segerdahl, Par

    1995-01-01

    Examines Noam Chomsky's (1957) discussion of "grammaticalness" and the role of linguistics in the "correct" way of speaking and writing. It is argued that the concern of linguistics with the tools of grammar has resulted in confusion, with the tools becoming mixed up with the actual language, thereby becoming the central…

  13. 39 CFR 3030.13 - Conditions for applying rate or service inquiry procedures to complaints.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... rate or service matters that are isolated incidents affecting few mail users provided that the complaint does not either: (1) Raise unfair competition issues; (2) Raise issues affecting a significant... to resolve the complaint within 45 days, or such other period of time as ordered by the...

  14. 42 CFR 484.30 - Condition of participation: Skilled nursing services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... services by or under the supervision of a registered nurse and in accordance with the plan of care. (a) Standard: Duties of the registered nurse. The registered nurse makes the initial evaluation visit... supervises and teaches other nursing personnel. (b) Standard: Duties of the licensed practical nurse....

  15. 42 CFR 418.76 - Condition of participation: Hospice aide and homemaker services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... nurse, or a licensed practical nurse, who is under the supervision of a registered nurse. Classroom and... that task without direct supervision by a registered nurse until after he or she has received training...) In-service training may be offered by any organization, and must be supervised by a registered...

  16. 42 CFR 418.76 - Condition of participation: Hospice aide and homemaker services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... nurse, or a licensed practical nurse, who is under the supervision of a registered nurse. Classroom and... that task without direct supervision by a registered nurse until after he or she has received training...) In-service training may be offered by any organization, and must be supervised by a registered...

  17. 42 CFR 484.14 - Condition of participation: Organization, services, and administration.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... physician or registered nurse required under paragraph (d) of this section, organizes and directs the agency... administrator. (d) Standard: Supervising physician or registered nurse. The skilled nursing and other therapeutic services furnished are under the supervision and direction of a physician or a registered...

  18. 42 CFR 484.36 - Condition of participation: Home health aide services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... individual under the direct supervision of a registered nurse or licensed practical nurse. (2) Conduct of... a qualified registered nurse. (3) Documentation of training. The HHA must maintain sufficient... evaluation must be performed by a registered nurse. The in-service training generally must be supervised by...

  19. 42 CFR 484.36 - Condition of participation: Home health aide services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... individual under the direct supervision of a registered nurse or licensed practical nurse. (2) Conduct of... a qualified registered nurse. (3) Documentation of training. The HHA must maintain sufficient... evaluation must be performed by a registered nurse. The in-service training generally must be supervised by...

  20. 42 CFR 484.36 - Condition of participation: Home health aide services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... individual under the direct supervision of a registered nurse or licensed practical nurse. (2) Conduct of... a qualified registered nurse. (3) Documentation of training. The HHA must maintain sufficient... evaluation must be performed by a registered nurse. The in-service training generally must be supervised by...

  1. 42 CFR 484.14 - Condition of participation: Organization, services, and administration.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... physician or registered nurse required under paragraph (d) of this section, organizes and directs the agency... administrator. (d) Standard: Supervising physician or registered nurse. The skilled nursing and other therapeutic services furnished are under the supervision and direction of a physician or a registered...

  2. 42 CFR 418.76 - Condition of participation: Hospice aide and homemaker services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... nurse, or a licensed practical nurse, who is under the supervision of a registered nurse. Classroom and... that task without direct supervision by a registered nurse until after he or she has received training...) In-service training may be offered by any organization, and must be supervised by a registered...

  3. 42 CFR 484.14 - Condition of participation: Organization, services, and administration.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... physician or registered nurse required under paragraph (d) of this section, organizes and directs the agency... administrator. (d) Standard: Supervising physician or registered nurse. The skilled nursing and other therapeutic services furnished are under the supervision and direction of a physician or a registered...

  4. 42 CFR 484.14 - Condition of participation: Organization, services, and administration.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... physician or registered nurse required under paragraph (d) of this section, organizes and directs the agency... administrator. (d) Standard: Supervising physician or registered nurse. The skilled nursing and other therapeutic services furnished are under the supervision and direction of a physician or a registered...

  5. 42 CFR 418.76 - Condition of participation: Hospice aide and homemaker services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... nurse, or a licensed practical nurse, who is under the supervision of a registered nurse. Classroom and... that task without direct supervision by a registered nurse until after he or she has received training...) In-service training may be offered by any organization, and must be supervised by a registered...

  6. 42 CFR 482.24 - Condition of participation: Medical record services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... reactions to drugs and anesthesia. (v) Properly executed informed consent forms for procedures and... document the following, as appropriate: (i) Evidence of— (A) A medical history and physical examination... to surgery or a procedure requiring anesthesia services. The medical history and physical...

  7. AD/HD Is a Bio-Psychosocial Condition Requiring Support from Integrated Services

    ERIC Educational Resources Information Center

    Hughes, Lesley

    2007-01-01

    This article reports on how integrated services can provide coordinated support for children with AD/HD and their families. The author reports on the effectiveness of a problem-based approach to interagency working by exploring the use of two models of good practice from education, health and social care to provide a framework for working across…

  8. 42 CFR 484.14 - Condition of participation: Organization, services, and administration.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... plans developed in accordance with the Public Health Service Act or the Mental Retardation Facilities and Community Mental Health Centers Construction Act of 1963. (B) Whether a capital expenditure... (who preferably has at least 1 year of nursing experience and is a public health nurse). This...

  9. 38 CFR 3.381 - Service connection of dental conditions for treatment purposes.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... totally disabled due to a service-connected disability. (b) Treatable carious teeth, replaceable missing teeth, dental or alveolar abscesses, and periodontal disease are not compensable disabilities, but may... will consider each defective or missing tooth and each disease of the teeth and periodontal...

  10. Improving the Human Condition: Leadership for Justice-Oriented Service-Learning

    ERIC Educational Resources Information Center

    Boyle-Baise, Marilynne; Bridgwaters, Betty; Brinson, Leslie; Hiestand, Nancy; Johnson, Beverly; Wilson, Pat

    2007-01-01

    The Banneker History Project (BHP) reconstructed the history of the Benjamin Banneker School, which operated as a segregated school for African Americans from 1915 to 1951. It was a project in social justice education with community service as its base. Here, the authors provide an insider perspective of group dynamics among core leaders for the…

  11. 42 CFR 410.15 - Annual wellness visits providing Personalized Prevention Plan Services: Conditions for and...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS Medical and Other Health Services § 410.15 Annual wellness visits... medications and supplements, including calcium and vitamins. (iii) Medical events in the beneficiary's parents... risks and benefits. (ix) Furnishing of personalized health advice to the individual and a referral,...

  12. 42 CFR 410.15 - Annual wellness visits providing Personalized Prevention Plan Services: Conditions for and...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS Medical and Other Health Services § 410.15 Annual wellness visits... medications and supplements, including calcium and vitamins. (iii) Medical events in the beneficiary's parents...), and a list of treatment options and their associated risks and benefits. (viii) Furnishing...

  13. 42 CFR 410.15 - Annual wellness visits providing Personalized Prevention Plan Services: Conditions for and...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS Medical and Other Health Services § 410.15 Annual wellness visits... medications and supplements, including calcium and vitamins. (iii) Medical events in the beneficiary's parents... risks and benefits. (ix) Furnishing of personalized health advice to the individual and a referral,...

  14. 42 CFR 410.15 - Annual wellness visits providing Personalized Prevention Plan Services: Conditions for and...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS Medical and Other Health Services § 410.15 Annual wellness visits... medications and supplements, including calcium and vitamins. (iii) Medical events in the beneficiary's parents... risks and benefits. (ix) Furnishing of personalized health advice to the individual and a referral,...

  15. 42 CFR 410.43 - Partial hospitalization services: Conditions and exclusions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... mental health professionals to the extent authorized under State law. (ii) Occupational therapy requiring... HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS Medical and... the program; (5) Have a mental health diagnosis; (6) Are not judged to be dangerous to self or...

  16. 42 CFR 410.43 - Partial hospitalization services: Conditions and exclusions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... mental health professionals to the extent authorized under State law. (ii) Occupational therapy requiring... HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS Medical and... the program; (5) Have a mental health diagnosis; (6) Are not judged to be dangerous to self or...

  17. 42 CFR 410.43 - Partial hospitalization services: Conditions and exclusions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... mental health professionals to the extent authorized under State law. (ii) Occupational therapy requiring... HEALTH AND HUMAN SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS Medical and... the program; (5) Have a mental health diagnosis; (6) Are not judged to be dangerous to self or...

  18. Extreme climatic conditions and health service utilisation across rural and metropolitan New South Wales

    NASA Astrophysics Data System (ADS)

    Jegasothy, Edward; McGuire, Rhydwyn; Nairn, John; Fawcett, Robert; Scalley, Benjamin

    2017-03-01

    Periods of successive extreme heat and cold temperature have major effects on human health and increase rates of health service utilisation. The severity of these events varies between geographic locations and populations. This study aimed to estimate the effects of heat waves and cold waves on health service utilisation across urban, regional and remote areas in New South Wales (NSW), Australia, during the 10-year study period 2005-2015. We divided the state into three regions and used 24 over-dispersed or zero-inflated Poisson time-series regression models to estimate the effect of heat waves and cold waves, of three levels of severity, on the rates of ambulance call-outs, emergency department (ED) presentations and mortality. We defined heat waves and cold waves using excess heat factor (EHF) and excess cold factor (ECF) metrics, respectively. Heat waves generally resulted in increased rates of ambulance call-outs, ED presentations and mortality across the three regions and the entire state. For all of NSW, very intense heat waves resulted in an increase of 10.8% (95% confidence interval (CI) 4.5, 17.4%) in mortality, 3.4% (95% CI 0.8, 7.8%) in ED presentations and 10.9% (95% CI 7.7, 14.2%) in ambulance call-outs. Cold waves were shown to have significant effects on ED presentations (9.3% increase for intense events, 95% CI 8.0-10.6%) and mortality (8.8% increase for intense events, 95% CI 2.1-15.9%) in outer regional and remote areas. There was little evidence for an effect from cold waves on health service utilisation in major cities and inner regional areas. Heat waves have a large impact on health service utilisation in NSW in both urban and rural settings. Cold waves also have significant effects in outer regional and remote areas. EHF is a good predictor of health service utilisation for heat waves, although service needs may differ between urban and rural areas.

  19. Does China's new cooperative medical scheme promote rural elders' access to healthcare services in relation to chronic conditions?

    PubMed Central

    Dai, Baozhen

    2015-01-01

    Background This study examined use of healthcare services by elderly people with a long-term condition living in rural China and participating in that country's New Cooperative Medical Scheme (NCMS). Methods Data were taken from the 2009 China Health and Nutrition Survey. Results The study results showed that education level and annual income were low among rural elders (aged ≥65 years); the illiteracy rate was 58.0% (200/345) and 67.6% (92/136) had an annual income of less than 5000 Chinese yuan renminbi. The elders had low rates of treatment and use of preventive healthcare services while the prevalence of chronic disease was highest among them when compared to other age groups. Among the few elders who received preventive healthcare, most received it at village clinics. Conclusions Preventive healthcare services and chronic disease management are urgently needed by rural elders in China. NCMS should initiate payments to township health centers to enable them to undertake community outreach and education campaigns among rural residents, and train village doctors in standard chronic condition management and prevention, with prioritization of the provision of prevention and management of chronic conditions by village clinics. PMID:25091022

  20. Service properties of Cr-Mo-V steels in different structural conditions

    SciTech Connect

    Mints, I.I.; Shul'gina, N.G.; Smirnova, A.P.

    1986-05-01

    The authors study the influence on heat-treatment cycles on the service properties of 12Kh1MF steel. Variations in heat analysis within specification limits do not have a marked influence on the stress-rupture strength of 15Kh1M1F steel in the investigated temperature-time interval but do significantly influence its long-term plasticity. The higher the stress-rupture strength of the material, the stronger this influence.

  1. Comment on 'Shang S. 2012. Calculating actual crop evapotranspiration under soil water stress conditions with appropriate numerical methods and time step. Hydrological Processes 26: 3338-3343. DOI: 10.1002/hyp.8405'

    NASA Technical Reports Server (NTRS)

    Yatheendradas, Soni; Narapusetty, Balachandrudu; Peters-Lidard, Christa; Funk, Christopher; Verdin, James

    2014-01-01

    A previous study analyzed errors in the numerical calculation of actual crop evapotranspiration (ET(sub a)) under soil water stress. Assuming no irrigation or precipitation, it constructed equations for ET(sub a) over limited soil-water ranges in a root zone drying out due to evapotranspiration. It then used a single crop-soil composite to provide recommendations about the appropriate usage of numerical methods under different values of the time step and the maximum crop evapotranspiration (ET(sub c)). This comment reformulates those ET(sub a) equations for applicability over the full range of soil water values, revealing a dependence of the relative error in numerical ET(sub a) on the initial soil water that was not seen in the previous study. It is shown that the recommendations based on a single crop-soil composite can be invalid for other crop-soil composites. Finally, a consideration of the numerical error in the time-cumulative value of ET(sub a) is discussed besides the existing consideration of that error over individual time steps as done in the previous study. This cumulative ET(sub a) is more relevant to the final crop yield.

  2. 42 CFR 410.43 - Partial hospitalization services: Conditions and exclusions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... which is treatment of the individual's condition. (vii) Patient training and education, to the extent...; and (7) Have the cognitive and emotional ability to participate in the active treatment process...

  3. 42 CFR 415.130 - Conditions for payment: Physician pathology services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... clinically significant normal or expected range in view of the condition of the beneficiary. (3) Result in a... independent laboratory may not bill the carrier for the technical component of physician pathology...

  4. Feasibility of Field Test Kits for Assessing In-Service Condition of Army Engine Oils.

    DTIC Science & Technology

    1979-03-01

    spark-ignition engine service, and shotild not be used for diesel and/or synthetic motor oils possibly because the diesel oil contains soot . Also, a...NVKINII$i \\21110 ~ N LiO.\\ Ams4 iiiNNPNI.N it,182i 0I14 4iII iKIN%IPHOIbSI \\ \\41)1 I 11(.11 NI I N I)K4.’M I I \\I I 4OMiNINI H I’ N K\\IN I INk Nt

  5. Pre-Conditions, Benefits and Costs of Privatized Public Services: Lessons from the Dutch Educational System.

    ERIC Educational Resources Information Center

    James, Estelle

    The system in the Netherlands of "privatization," a government policy of financially supporting private schools and encouraging people to use them, depends on conditions in Dutch society that are conducive to a large nongovernment, nonprofit sector. These include cultural heterogeneity, coupled with the lack of a single dominant culture…

  6. Conditional long-term survival following minimally invasive robotic mitral valve repair: a health services perspective

    PubMed Central

    Griffin, William F.; Gudimella, Preeti; O’Neal, Wesley T.; Davies, Stephen W.; Crane, Patricia B.; Anderson, Ethan J.; Kindell, Linda C.; Landrine, Hope; O’Neal, Jason B.; Alwair, Hazaim; Kypson, Alan P.; Nifong, Wiley L.; Chitwood, W. Randolph

    2015-01-01

    Background Conditional survival is defined as the probability of surviving an additional number of years beyond that already survived. The aim of this study was to compute conditional survival in patients who received a robotically assisted, minimally invasive mitral valve repair procedure (RMVP). Methods Patients who received RMVP with annuloplasty band from May 2000 through April 2011 were included. A 5- and 10-year conditional survival model was computed using a multivariable product-limit method. Results Non-smoking men (≤65 years) who presented in sinus rhythm had a 96% probability of surviving at least 10 years if they survived their first year following surgery. In contrast, recent female smokers (>65 years) with preoperative atrial fibrillation only had an 11% probability of surviving beyond 10 years if alive after one year post-surgery. Conclusions In the context of an increasingly managed healthcare environment, conditional survival provides useful information for patients needing to make important treatment decisions, physicians seeking to select patients most likely to benefit long-term following RMVP, and hospital administrators needing to comparatively assess the life-course economic value of high-tech surgical procedures. PMID:26539348

  7. Educational Services Market as a Factor of Formation of Professional Mobility and Conditions for Its Implementation

    ERIC Educational Resources Information Center

    Kadakin, Vasily Vasilevich; Zeynalov, Guseyn Gardash ogly

    2016-01-01

    The relevance of the problem stated in the article is conditioned by the fact that the inclusion of Russia into the international market area requires a new quality in educators--professional mobility. The market is not an end in itself, but the environment in which educators must learn to fulfill their personal, intellectual and creative…

  8. Special Features of the Carbonitriding of Parts of Instrument Bearings Designed for Extreme Service Conditions

    NASA Astrophysics Data System (ADS)

    Smirnov, A. E.; Shevchenko, S. Yu.; Shchipunov, V. S.; Kunyaev, V. E.; Seval'nev, G. S.

    2016-09-01

    A study is made of complexly alloyed steel 8Kh4V9F2-Sh, which is used for fabricating parts of engineering bearings operating under extreme conditions. Vacuum processes are shown to be preferable to gas carburizing for hardening the races of precision bearings. Vacuum carburizing is shown to be an effective technique for forming quality diffusion layers.

  9. HEALTH CONDITIONS AND SERVICES FOR DOMESTIC SEASONAL AGRICULTURAL WORKERS AND THEIR FAMILIES IN CALIFORNIA.

    ERIC Educational Resources Information Center

    California State Dept. of Public Health, Berkeley.

    FIELD INTERVIEWS WERE HELD WITH COMMUNITY LEADERS AND WITH SEVERAL HUNDRED WORKERS' FAMILIES. THE ACQUIRED INFORMATION SUPPLEMENTED A SURVEY OF PAST AND PRESENT CONDITIONS AND ASSISTED IN FORMULATING RECOMMENDATIONS FOR ACTION TO MEET THE ACUTE HEALTH NEEDS OF CALIFORNIA'S SEASONAL AGRICULTURAL WORKERS. THE HEALTH PROBLEM CAN BE MET BY LOCAL…

  10. Psychosocial conditions and access to an occupational health service among farmers.

    PubMed

    Thelin, A; Stiernström, E L; Holmberg, S

    2000-01-01

    To determine whether membership in an occupational health service program varies with correlation with psychosocial risk factors, this study was carried out among farmers in connection with a larger investigation of salutogenic factors. The study was based on information collected via questionnaires (answered on location) and standardized interviews. The material consists of 364 farmers or persons engaged in agriculture who had occupational health care and 548 without it. There were clear differences in psychosocial patterns between the groups. Those with occupational health care were less often single and had more education and more social contacts than did those without such care. Eating times were more regular and meals were better in those with occupational health care. Karasek-Theorell's indices for psychological demands and decision latitude at work were also higher in this group. Better-educated farmers and those with larger farms were more often members of an occupational health care program. In addition, this group had fewer psychosocial risk factors.

  11. Effect of fee-for-service air-conditioning management in balancing thermal comfort and energy usage.

    PubMed

    Chen, Chen-Peng; Hwang, Ruey-Lung; Shih, Wen-Mei

    2014-11-01

    Balancing thermal comfort with the requirement of energy conservation presents a challenge in hot and humid areas where air-conditioning (AC) is frequently used in cooling indoor air. A field survey was conducted in Taiwan to demonstrate the adaptive behaviors of occupants in relation to the use of fans and AC in a school building employing mixed-mode ventilation where AC use was managed under a fee-for-service mechanism. The patterns of using windows, fans, and AC as well as the perceptions of students toward the thermal environment were examined. The results of thermal perception evaluation in relation to the indoor thermal conditions were compared to the levels of thermal comfort predicted by the adaptive models described in the American Society of Heating, Refrigerating, and Air-Conditioning Engineers Standard 55 and EN 15251 and to that of a local model for evaluating thermal adaption in naturally ventilated buildings. A thermal comfort-driven adaptive behavior model was established to illustrate the probability of fans/AC use at specific temperature and compared to the temperature threshold approach to illustrate the potential energy saving the fee-for-service mechanism provided. The findings of this study may be applied as a reference for regulating the operation of AC in school buildings of subtropical regions.

  12. The impact of a conditional cash transfer program on the utilization of non-targeted services: Evidence from Afghanistan.

    PubMed

    Witvorapong, Nopphol; Foshanji, Abo Ismael

    2016-03-01

    While existing research suggests that health-related conditional cash transfer (CCT) programs have positive impacts on the utilization of CCT-targeted health services, little is known as to whether they also influence the utilization of non-targeted health services-defined as general health services for which program participants are not financially motivated. Based on a sample of 6649 households in a CCT program that took place in May 2009-June 2011 in Afghanistan, we evaluate the impact of the receipt of CCTs on the utilization of non-targeted health services both by women, who were direct beneficiaries of the program, and by members of their households. We estimate the outcomes of interest through four probit models, accounting for potential endogeneity of the CCT receipt and dealing with lack of credible exclusion restrictions in different ways. In comparison with the control group, the receipt of CCTs is found to be associated with an increase in the probability of utilizing non-targeted services among household members across regression models. The results are mixed, with regard to the utilization by women, suggesting that there exist non-economic barriers to health care, unique to women, that are not captured by the data. The results confirm the importance of accounting for direct as well as indirect effects in policy evaluation and suggest that future studies investigate more deeply the role of community health workers in removing non-economic barriers for Afghan women and the possibility of introducing an incentive structure to motivate them to contribute more actively to population health in Afghanistan.

  13. Grain boundary microchemistry and metallurgical characterization of Eurofer'97 after simulated service conditions

    NASA Astrophysics Data System (ADS)

    Fernández, P.; García-Mazarío, M.; Lancha, A. M.; Lapeña, J.

    2004-08-01

    The aim of this paper is to describe the microstructural investigations, the mechanical properties (hardness, tensile and charpy) and the grain boundary microchemistry studied by Auger electron spectroscopy (AES), of the Eurofer'97 steel aged in the range of temperatures from 400 to 600 °C up to 10 000 h. After these thermal aging treatments the steel showed a high microstructural stability, and similar values of hardness, ultimate tensile strength and 0.2% proof stress regardless of the material condition. A slight DBTT increase was observed in the material aged at 600 °C for 5000 and 10 000 h. The Auger results showed chromium enrichment at grain boundaries in all material conditions. In addition, phosphorus was detected at the grain boundaries after the aging treatments at 500 °C.

  14. How People Actually Use Thermostats

    SciTech Connect

    Meier, Alan; Aragon, Cecilia; Hurwitz, Becky; Mujumdar, Dhawal; Peffer, Therese; Perry, Daniel; Pritoni, Marco

    2010-08-15

    Residential thermostats have been a key element in controlling heating and cooling systems for over sixty years. However, today's modern programmable thermostats (PTs) are complicated and difficult for users to understand, leading to errors in operation and wasted energy. Four separate tests of usability were conducted in preparation for a larger study. These tests included personal interviews, an on-line survey, photographing actual thermostat settings, and measurements of ability to accomplish four tasks related to effective use of a PT. The interviews revealed that many occupants used the PT as an on-off switch and most demonstrated little knowledge of how to operate it. The on-line survey found that 89% of the respondents rarely or never used the PT to set a weekday or weekend program. The photographic survey (in low income homes) found that only 30% of the PTs were actually programmed. In the usability test, we found that we could quantify the difference in usability of two PTs as measured in time to accomplish tasks. Users accomplished the tasks in consistently shorter times with the touchscreen unit than with buttons. None of these studies are representative of the entire population of users but, together, they illustrate the importance of improving user interfaces in PTs.

  15. Corrosion Sensor for Monitoring the Service Condition of Chloride-Contaminated Cement Mortar

    PubMed Central

    Lu, Shuang; Ba, Heng-Jing

    2010-01-01

    A corrosion sensor for monitoring the corrosion state of cover mortar was developed. The sensor was tested in cement mortar, with and without the addition of chloride to simulate the adverse effects of chloride-contaminated environmental conditions on concrete structures. In brief, a linear polarization resistance method combined with an embeddable reference electrode was utilized to measure the polarization resistance (Rp) using built-in sensor electrodes. Subsequently, electrochemical impedance spectroscopy in the frequency range of 1 kHz to 50 kHz was used to obtain the cement mortar resistance (Rs). The results show that the polarization resistance is related to the chloride content and Rs; ln (Rp) is linearly related to the Rs values in mortar without added chloride. The relationships observed between the Rp of the steel anodes and the resistance of the surrounding cement mortar measured by the corrosion sensor confirms that Rs can indicate the corrosion state of concrete structures. PMID:22319347

  16. Corrosion sensor for monitoring the service condition of chloride-contaminated cement mortar.

    PubMed

    Lu, Shuang; Ba, Heng-Jing

    2010-01-01

    A corrosion sensor for monitoring the corrosion state of cover mortar was developed. The sensor was tested in cement mortar, with and without the addition of chloride to simulate the adverse effects of chloride-contaminated environmental conditions on concrete structures. In brief, a linear polarization resistance method combined with an embeddable reference electrode was utilized to measure the polarization resistance (Rp) using built-in sensor electrodes. Subsequently, electrochemical impedance spectroscopy in the frequency range of 1 kHz to 50 kHz was used to obtain the cement mortar resistance (Rs). The results show that the polarization resistance is related to the chloride content and Rs; ln (Rp) is linearly related to the Rs values in mortar without added chloride. The relationships observed between the Rp of the steel anodes and the resistance of the surrounding cement mortar measured by the corrosion sensor confirms that Rs can indicate the corrosion state of concrete structures.

  17. Information Needs Assessment for Coastal and Marine Management and Policy: Ecosystem Services Under Changing Climatic, Land Use, and Demographic Conditions

    NASA Astrophysics Data System (ADS)

    Goldsmith, Kaitlin A.; Granek, Elise F.; Lubitow, Amy

    2015-12-01

    Changing climatic, demographic, and land use conditions are projected to alter the provisioning of ecosystem services in estuarine, coastal, and nearshore marine ecosystems, necessitating mitigation and adaptation policies and management. The current paradigm of research efforts occurring in parallel to, rather than in collaboration with, decision makers will be insufficient for the rapid responses required to adapt to and mitigate for projected changing conditions. Here, we suggest a different paradigm: one where research begins by engaging decision makers in the identification of priority data needs (biophysical, economic, and social). This paper uses synthesized interview data to provide insight into the varied demands for scientific research as described by decision makers working on coastal issues in Oregon, USA. The findings highlight the need to recognize (1) the differing framing of ecosystem services by decision makers versus scientists; and (2) the differing data priorities relevant to inland versus coastal decision makers. The findings further serve to highlight the need for decision makers, scientists, and funders to engage in increased communication. This research is an important first step in advancing efforts toward evidence-based decision making in Oregon and provides a template for further research across the US.

  18. Information Needs Assessment for Coastal and Marine Management and Policy: Ecosystem Services Under Changing Climatic, Land Use, and Demographic Conditions.

    PubMed

    Goldsmith, Kaitlin A; Granek, Elise F; Lubitow, Amy

    2015-12-01

    Changing climatic, demographic, and land use conditions are projected to alter the provisioning of ecosystem services in estuarine, coastal, and nearshore marine ecosystems, necessitating mitigation and adaptation policies and management. The current paradigm of research efforts occurring in parallel to, rather than in collaboration with, decision makers will be insufficient for the rapid responses required to adapt to and mitigate for projected changing conditions. Here, we suggest a different paradigm: one where research begins by engaging decision makers in the identification of priority data needs (biophysical, economic, and social). This paper uses synthesized interview data to provide insight into the varied demands for scientific research as described by decision makers working on coastal issues in Oregon, USA. The findings highlight the need to recognize (1) the differing framing of ecosystem services by decision makers versus scientists; and (2) the differing data priorities relevant to inland versus coastal decision makers. The findings further serve to highlight the need for decision makers, scientists, and funders to engage in increased communication. This research is an important first step in advancing efforts toward evidence-based decision making in Oregon and provides a template for further research across the US.

  19. Structural Safety Analysis Based on Seismic Service Conditions for Butterfly Valves in a Nuclear Power Plant

    PubMed Central

    Han, Sang-Uk; Ahn, Dae-Gyun; Lee, Myeong-Gon

    2014-01-01

    The structural integrity of valves that are used to control cooling waters in the primary coolant loop that prevents boiling within the reactor in a nuclear power plant must be capable of withstanding earthquakes or other dangerous situations. In this study, numerical analyses using a finite element method, that is, static and dynamic analyses according to the rigid or flexible characteristics of the dynamic properties of a 200A butterfly valve, were performed according to the KEPIC MFA. An experimental vibration test was also carried out in order to verify the results from the modal analysis, in which a validated finite element model was obtained via a model-updating method that considers changes in the in situ experimental data. By using a validated finite element model, the equivalent static load under SSE conditions stipulated by the KEPIC MFA gave a stress of 135 MPa that occurred at the connections of the stem and body. A larger stress of 183 MPa was induced when we used a CQC method with a design response spectrum that uses 2% damping ratio. These values were lower than the allowable strength of the materials used for manufacturing the butterfly valve, and, therefore, its structural safety met the KEPIC MFA requirements. PMID:24955416

  20. What Family Support Specialists Do: Examining Service Delivery

    PubMed Central

    Wisdom, Jennifer P.; Lewandowski, R. Eric; Pollock, Michele; Acri, Mary; Shorter, Priscilla; Olin, S. Serene; Armusewicz, Kelsey; Horwitz, Sarah; Hoagwood, Kimberly E.

    2013-01-01

    This study describes services provided by family support specialists (FSS), peer advocates in programs for children with serious psychiatric conditions, to delineate differences between recommended components of FSS services and services actually provided. An analysis of qualitative interview and observational data and quantitative survey data from 63 staff at 21 mental health programs in New York identified that FSS and other staff have generally similar ideas about FSS services, and that these perceptions of activities are generally congruent with what FSS actually did. Implications of findings are discussed in the context of developing competencies and quality indicators for FSS. PMID:24174330

  1. Home-based music therapy - a systematic overview of settings and conditions for an innovative service in healthcare

    PubMed Central

    2010-01-01

    Background Almost every Western healthcare system is changing to make their services more centered around out-patient care. In particular, long-term or geriatric patients who have been discharged from the hospital often require home-based care and therapy. Therefore, several programs have been developed to continue the therapeutic process and manage the special needs of patients after discharge from hospital. Music therapy has also moved into this field of healthcare service by providing home-based music therapy (HBMT) programs. This article reviews and summarizes the settings and conditions of HBMT for the first time. Methods The following databases were used to find articles on home-based music therapy: AMED, CAIRSS, EMBASE, MEDLINE, PsychINFO, and PSYNDEX. The search terms were "home-based music therapy" and "mobile music therapy". Included articles were analyzed with respect to participants as well as conditions and settings of HBMT. Furthermore, the date of publication, main outcomes, and the design and quality of the studies were investigated. Results A total of 20 international publications, 11 clinical studies and nine reports from practice, mainly from the United States (n = 8), were finally included in the qualitative synthesis. Six studies had a randomized controlled design and included a total of 507 patients. The vast majority of clients of HBMT are elderly patients living at home and people who need hospice and palliative care. Although settings were heterogeneous, music listening programs played a predominant role with the aim to reduce symptoms like depression and pain, or to improve quality of life and the relationship between patients and caregivers as primary endpoints. Conclusions We were able to show that HBMT is an innovative service for future healthcare delivery. It fits with the changing healthcare system and its conditions but also meets the therapeutic needs of the increasing number of elderly and severely impaired people. Apart from

  2. The actual goals of geoethics

    NASA Astrophysics Data System (ADS)

    Nemec, Vaclav

    2014-05-01

    The most actual goals of geoethics have been formulated as results of the International Conference on Geoethics (October 2013) held at the geoethics birth-place Pribram (Czech Republic): In the sphere of education and public enlightenment an appropriate needed minimum know how of Earth sciences should be intensively promoted together with cultivating ethical way of thinking and acting for the sustainable well-being of the society. The actual activities of the Intergovernmental Panel of Climate Changes are not sustainable with the existing knowledge of the Earth sciences (as presented in the results of the 33rd and 34th International Geological Congresses). This knowledge should be incorporated into any further work of the IPCC. In the sphere of legislation in a large international co-operation following steps are needed: - to re-formulate the term of a "false alarm" and its legal consequences, - to demand very consequently the needed evaluation of existing risks, - to solve problems of rights of individuals and minorities in cases of the optimum use of mineral resources and of the optimum protection of the local population against emergency dangers and disasters; common good (well-being) must be considered as the priority when solving ethical dilemmas. The precaution principle should be applied in any decision making process. Earth scientists presenting their expert opinions are not exempted from civil, administrative or even criminal liabilities. Details must be established by national law and jurisprudence. The well known case of the L'Aquila earthquake (2009) should serve as a serious warning because of the proven misuse of geoethics for protecting top Italian seismologists responsible and sentenced for their inadequate superficial behaviour causing lot of human victims. Another recent scandal with the Himalayan fossil fraud will be also documented. A support is needed for any effort to analyze and to disclose the problems of the deformation of the contemporary

  3. Smokers with Self-Reported Mental Health Conditions: A Case for Screening in the Context of Tobacco Cessation Services

    PubMed Central

    Anthenelli, Robert M.; Zhu, Shu-Hong

    2016-01-01

    Background People with mental health conditions (MHC) smoke at high rates and many die prematurely from smoking-related illnesses. Smoking cessation programs, however, generally do not screen for MHC. This study examined the utility of MHC screening in a large tobacco quitline to determine whether self-reported MHC predicts service utilization and quitting behaviors. Methods & Findings A brief set of question on MHC was embedded in the routine intake of a state quitline, and 125,261 smokers calling from June 2012 to September 2015 were asked the questions. Quit attempt rate and 6-month success rate were analyzed for a random subset of participants. Overall, 52.2% of smokers reported at least one MHC. Demographic patterns like gender or ethnic difference in self-reported MHC were similar to that in the general population. Depression disorder was reported most often (38.6%), followed by anxiety disorder (33.8%), bipolar disorder (17.0%), drug/alcohol abuse (11.9%), and schizophrenia (7.9%). Among those reporting any MHC, about two-thirds reported more than 1 MHC. Smokers with MHC received more counseling than smokers with no MHC. Quit attempt rates were high for all three groups (>70%). The probability of relapse was greater for those with more than one MHC than for those with one MHC (p<0.005), which in turn was greater than those with no MHC (p < .01). The six-month prolonged abstinence rates for the three conditions were, 21.8%, 28.6%, and 33.7%, respectively. The main limitation of this study is the use of a non-validated self-report question to assess MHC, even though it appears to be useful for predicting quitting behavior. Conclusions Smokers with MHC actively seek treatment to quit. Smoking cessation services can use a brief set of questions to screen for MHC to help identify smokers in need of more intensive treatment to quit smoking. PMID:27391334

  4. Effect of immunological castration management strategy on lipid oxidation and sensory characteristics of bacon stored under simulated food service conditions.

    PubMed

    Herrick, R T; Tavárez, M A; Harsh, B N; Mellencamp, M A; Boler, D D; Dilger, A C

    2016-07-01

    The objectives of this study were to determine the effect of 1) immunological castration (Improvest, a gonadotropin releasing factor analog-diphtheria toxoid conjugate) management strategy (age at slaughter and time of slaughter after second dose) and 2) sex on lipid oxidation and sensory characteristics of bacon stored under simulated food service conditions. For Objective 1, immunological castration management strategies included 24-wk-old immunologically castrated (IC) barrows 4, 6, 8, or 10 wk after the second Improvest dose (ASD); 26-wk-old IC barrows 6 wk ASD; and 28-wk-old IC barrows 8 wk ASD ( = 63). Objective 2 ( = 97) included IC barrows, physically castrated (PC) barrows, and gilts slaughtered at 24, 26, and 28 wks of age. Bellies from 2 slaughter dates were manufactured into bacon under commercial conditions. Bacon slices were laid out on parchment paper, packaged in oxygen-permeable poly-vinyl-lined boxes, and frozen (-33°C) for 1, 4, 8, or 12 wk to simulate food service conditions. At the end of each storage period, bacon was evaluated for lipid oxidation, moisture and lipid content, and sensory characteristics. Data from both objectives were analyzed using the MIXED procedure in SAS with belly as the experimental unit. For both objectives, as storage time increased, lipid oxidation of bacon increased ( < 0.01), regardless of management strategy or sex. Also, there was no sex or management strategy × week of frozen storage interaction for any traits evaluated ( ≥ 0.25). For Objective 1, lipid content of bacon from IC barrows increased as time of slaughter ASD increased ( < 0.05), regardless of age at slaughter. Additionally, there were no differences in sensory attributes of bacon across management strategies. For the evaluation of sex effects in Objective 2, lipid oxidation was greater ( < 0.05) in IC barrows compared with PC barrows but was not different than gilts ( > 0.05). After 12 wk of frozen storage, lipid oxidation values for IC barrows

  5. 47 CFR 20.20 - Conditions applicable to provision of CMRS service by incumbent Local Exchange Carriers.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... service by incumbent Local Exchange Carriers. 20.20 Section 20.20 Telecommunication FEDERAL COMMUNICATIONS... provision of CMRS service by incumbent Local Exchange Carriers. (a) Separate affiliate. An incumbent LEC... local exchange service in the same in-region market. Nothing in this section prohibits the...

  6. 47 CFR 20.20 - Conditions applicable to provision of CMRS service by incumbent Local Exchange Carriers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... service by incumbent Local Exchange Carriers. 20.20 Section 20.20 Telecommunication FEDERAL COMMUNICATIONS... to provision of CMRS service by incumbent Local Exchange Carriers. (a) Separate affiliate. An... provision of local exchange service in the same in-region market. Nothing in this section prohibits...

  7. 47 CFR 20.20 - Conditions applicable to provision of CMRS service by incumbent Local Exchange Carriers.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... service by incumbent Local Exchange Carriers. 20.20 Section 20.20 Telecommunication FEDERAL COMMUNICATIONS... provision of CMRS service by incumbent Local Exchange Carriers. (a) Separate affiliate. An incumbent LEC... local exchange service in the same in-region market. Nothing in this section prohibits the...

  8. 47 CFR 20.20 - Conditions applicable to provision of CMRS service by incumbent Local Exchange Carriers.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... service by incumbent Local Exchange Carriers. 20.20 Section 20.20 Telecommunication FEDERAL COMMUNICATIONS... provision of CMRS service by incumbent Local Exchange Carriers. (a) Separate affiliate. An incumbent LEC... local exchange service in the same in-region market. Nothing in this section prohibits the...

  9. 47 CFR 20.20 - Conditions applicable to provision of CMRS service by incumbent Local Exchange Carriers.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... service by incumbent Local Exchange Carriers. 20.20 Section 20.20 Telecommunication FEDERAL COMMUNICATIONS... provision of CMRS service by incumbent Local Exchange Carriers. (a) Separate affiliate. An incumbent LEC... local exchange service in the same in-region market. Nothing in this section prohibits the...

  10. Getting Through College With a Disability; A Summary of Services Available on 500 Campuses for Students With Handicapping Conditions.

    ERIC Educational Resources Information Center

    President's Committee on Employment of the Handicapped, Washington, DC.

    This guide to college selection for the physically handicapped student summarizes information on the services and policies of 500 two- and four-year colleges. As to each college, it indicates if there are student organizations, offices, financial aid services, or career development services specifically designed for handicapped students, and if…

  11. A national audit of standards of care for women with vulval conditions and survey of attitudes to nurse practitioners in vulval services in the UK.

    PubMed

    Innamaa, A; Tidy, J A; Nunns, D; Palmer, J E

    2016-01-01

    This national audit assessed whether UK specialist vulval clinics adhere to the British Society of Vulval Diseases (BSSVD) document 'Standards of care for women with vulval conditions' published in 2013 and benchmarked clinician attitudes towards nurse practitioners in vulval services. Audit standards were based on the BSSVD guidance. All BSSVD and British Society for Colposcopy and Cervical Pathology or BSCCP members were surveyed via two electronic questionnaires. Results demonstrate that the majority of specialist vulval clinics in the UK are non-compliant with the standards set out for specialist vulval services. The majority of clinicians would support the introduction of clinical nurse specialists to vulval services, but there is need for development of a national training programme. In conclusion, significant improvements are required in provision of patient information, guidelines, access to multidisciplinary services, multidisciplinary team or MDT processes and data recording in UK specialist vulval services.

  12. Health surveillance under adverse ergonomics conditions--validity of a screening method adapted for the occupational health service.

    PubMed

    Jonker, Dirk; Gustafsson, Ewa; Rolander, Bo; Arvidsson, Inger; Nordander, Catarina

    2015-01-01

    A new health surveillance protocol for work-related upper-extremity musculoskeletal disorders has been validated by comparing the results with a reference protocol. The studied protocol, Health Surveillance in Adverse Ergonomics Conditions (HECO), is a new version of the reference protocol modified for application in the Occupational Health Service (OHS). The HECO protocol contains both a screening part and a diagnosing part. Sixty-three employees were examined. The screening in HECO did not miss any diagnosis found when using the reference protocol, but in comparison to the reference protocol considerable time savings could be achieved. Fair to good agreement between the protocols was obtained for one or more diagnoses in neck/shoulders (86%, k = 0.62) and elbow/hands (84%, k = 0.49). Therefore, the results obtained using the HECO protocol can be compared with a reference material collected with the reference protocol, and thus provide information of the magnitude of disorders in an examined work group. Practitioner Summary: The HECO protocol is a relatively simple physical examination protocol for identification of musculoskeletal disorders in the neck and upper extremities. The protocol is a reliable and cost-effective tool for the OHS to use for occupational health surveillance in order to detect workplaces at high risk for developing musculoskeletal disorders.

  13. Assessment of infrared spectroscopy and multivariate techniques for monitoring the service condition of diesel-engine lubricating oils.

    PubMed

    Caneca, Arnobio Roberto; Pimentel, M Fernanda; Galvão, Roberto Kawakami Harrop; da Matta, Cláudia Eliane; de Carvalho, Florival Rodrigues; Raimundo, Ivo M; Pasquini, Celio; Rohwedder, Jarbas J R

    2006-09-15

    This paper presents two methodologies for monitoring the service condition of diesel-engine lubricating oils on the basis of infrared spectra. In the first approach, oils samples are discriminated into three groups, each one associated to a given wear stage. An algorithm is proposed to select spectral variables with good discriminant power and small collinearity for the purpose of discriminant analysis classification. As a result, a classification accuracy of 93% was obtained both in the middle (MIR) and near-infrared (NIR) ranges. The second approach employs multivariate calibration methods to predict the viscosity of the lubricant. In this case, the use of absorbance measurements in the NIR spectral range was not successful, because of experimental difficulties associated to the presence of particulate matter. Such a problem was circumvented by the use of attenuated total reflectance (ATR) measurements in the MIR spectral range, in which an RMSEP of 3.8cSt and a relative average error of 3.2% were attained.

  14. [Health conditions and physical development of soldiers during enrollment in the Armed Forces of Ukraine and military service in 2001-2010].

    PubMed

    Didenko, L V; Ustinova, L A; Khyzhniak, M I

    2012-01-01

    Fitness of soldiers in military reserve for military service at the stage in the Armed Forces of Ukraine has been studied in the article. It has been established that the growing number of soldiers in military reserve with changes in health and physical condition indicates insufficient level of their health which has a negative impact on their capability and gradually on their fitness for military service. Priorities of changes in organization of the process of completion by human resources of the soldiers' military reserve in the Armed Forces of Ukraine during their transition towards professional army have been defined, to include optimization of criteria of fitness for military service.

  15. How the Awareness of u-Healthcare Service and Health Conditions Affect Healthy Lifestyle: An Empirical Analysis Based on a u-Healthcare Service Experience

    PubMed Central

    Youm, Sekyoung

    2015-01-01

    Abstract Objective: The objectives of this study are (1) to establish a ubiquitous healthcare (u-healthcare) center for those who wish to use u-healthcare, allowing them to experience the service, and (2) to evaluate the users' awareness and expectations of the service based on their overall assessment. Materials and Methods: To establish the u-healthcare center, a kiosk, devices for health checkup, a body-type examination system, and a physical fitness assessment system were installed. Also, a u-healthcare Web site was developed. A survey was conducted on 280 individuals who visited the u-healthcare center and used the service, to determine (1) individual awareness of u-healthcare before using the service and their change of perception after use, (2) factors that affect the use of u-healthcare, and (3) the effects of disease awareness on exercise habits. Results: Only 25.4% of the participants were aware of u-healthcare, and only 36% who saw the u-healthcare center recognized that it was where the u-healthcare service was provided. The group of individuals who were willing to use the u-healthcare showed statistically significant differences in their satisfaction with the overall environment of the center, as well as the specificity of the descriptions, examination results, kindness of the staff, and their responses. Additionally, the group of individuals who were diagnosed with chronic diseases and the group who were not showed statistically significant differences in the number of days on which they exercised lightly or took a walk. Conclusions: To promote the usage of u-healthcare service, the understanding of the service and the credibility of examination results need to be increased by sharing successful cases. Furthermore, to expand the use of the system that allows a person to regularly check his or her state of health, a lifelong periodical management system linked with another medical welfare program will be needed. PMID:25635473

  16. Access to services, quality of care, and family impact for children with autism, other developmental disabilities, and other mental health conditions.

    PubMed

    Vohra, Rini; Madhavan, Suresh; Sambamoorthi, Usha; St Peter, Claire

    2014-10-01

    This cross-sectional study examined perceived access to services, quality of care, and family impact reported by caregivers of children aged 3-17 years with autism spectrum disorders, as compared to caregivers of children with other developmental disabilities and other mental health conditions. The 2009-2010 National Survey of Children with Special Health Care Needs was utilized to examine the association between child's special needs condition and three outcomes (N = 18,136): access to services (difficulty using services, difficulty getting referrals, lack of source of care, and inadequate insurance coverage), quality of care (lack of care coordination, lack of shared decision making, and no routine screening), and family impact (financial, employment, and time-related burden). Multivariate logistic regressions were performed to compare caregivers of children with autism spectrum disorders to caregivers of children with developmental disabilities (cerebral palsy, Down syndrome, developmental delay, or intellectual disability), mental health conditions (attention deficit hyperactivity disorder, anxiety, behavioral/conduct problems, or depression), or both developmental disabilities and mental health conditions. Caregivers of children with autism spectrum disorders were significantly more likely to report difficulty using services, lack of source of care, inadequate insurance coverage, lack of shared decision making and care coordination, and adverse family impact as compared to caregivers of children with developmental disabilities, mental health conditions, or both.

  17. 47 CFR 25.145 - Licensing conditions for the Fixed-Satellite Service in the 20/30 GHz bands.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... (CONTINUED) COMMON CARRIER SERVICES SATELLITE COMMUNICATIONS Applications and Licenses Space Stations § 25... covering a specified number of space stations to operate in a specified number of orbital planes. (c) In... applicant for a space station in the fixed-satellite service operating in the 20/30 GHz band if...

  18. 47 CFR 25.145 - Licensing conditions for the Fixed-Satellite Service in the 20/30 GHz bands.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... (CONTINUED) COMMON CARRIER SERVICES SATELLITE COMMUNICATIONS Applications and Licenses Space Stations § 25... covering a specified number of space stations to operate in a specified number of orbital planes. (c) In... applicant for a space station in the fixed-satellite service operating in the 20/30 GHz band if...

  19. 47 CFR 25.145 - Licensing conditions for the Fixed-Satellite Service in the 20/30 GHz bands.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... (CONTINUED) COMMON CARRIER SERVICES SATELLITE COMMUNICATIONS Applications and Licenses Space Stations § 25... covering a specified number of space stations to operate in a specified number of orbital planes. (c) In... applicant for a space station in the fixed-satellite service operating in the 20/30 GHz band if...

  20. Linking Ecosystem Condition to Goods and Services: Monitoring to Inform the Science and Vision of Gulf Coast Restoration

    EPA Science Inventory

    The natural resources of the Gulf’s coastal and marine habitats and the services they provide are essential to the regional economy and provide 17% of the Nation’s gross domestic product (GDP). Restoring these natural resources, goods and services will be important t...

  1. Demographic Characteristics, Health Conditions, and Residential Service Use in Adults with Down Syndrome in 25 U.S. States

    ERIC Educational Resources Information Center

    Stancliffe, Roger J.; Lakin, K. Charlie; Larson, Sheryl A.; Engler, Joshua; Taub, Sarah; Fortune, Jon; Bershadsky, Julie

    2012-01-01

    This study describes service users with Down syndrome (N = 1,199) and a comparative sample with intellectual and developmental disabilities but not Down syndrome (N = 11,182), drawn from National Core Indicator surveys of adult service users in 25 U.S. states. Individuals with Down syndrome were younger than were individuals without Down syndrome.…

  2. Access to Services, Quality of Care, and Family Impact for Children with Autism, Other Developmental Disabilities, and Other Mental Health Conditions

    ERIC Educational Resources Information Center

    Vohra, Rini; Madhavan, Suresh; Sambamoorthi, Usha; St Peter, Claire

    2014-01-01

    This cross-sectional study examined perceived access to services, quality of care, and family impact reported by caregivers of children aged 3-17 years with autism spectrum disorders, as compared to caregivers of children with other developmental disabilities and other mental health conditions. The 2009-2010 National Survey of Children with…

  3. Measuring conditions and trends in ecosystem services at multiple scales: the Southern African Millennium Ecosystem Assessment (SAfMA) experience

    PubMed Central

    van Jaarsveld, A.S; Biggs, R; Scholes, R.J; Bohensky, E; Reyers, B; Lynam, T; Musvoto, C; Fabricius, C

    2005-01-01

    The Southern African Millennium Ecosystem Assessment (SAfMA) evaluated the relationships between ecosystem services and human well-being at multiple scales, ranging from local through to sub-continental. Trends in ecosystem services (fresh water, food, fuel-wood, cultural and biodiversity) over the period 1990–2000 were mixed across scales. Freshwater resources appear strained across the continent with large numbers of people not securing adequate supplies, especially of good quality water. This translates to high infant mortality patterns across the region. In some areas, the use of water resources for irrigated agriculture and urban–industrial expansion is taking place at considerable cost to the quality and quantity of freshwater available to ecosystems and for domestic use. Staple cereal production across the region has increased but was outstripped by population growth while protein malnutrition is on the rise. The much-anticipated wood-fuel crisis on the subcontinent has not materialized but some areas are experiencing shortages while numerous others remain vulnerable. Cultural benefits of biodiversity are considerable, though hard to quantify or track over time. Biodiversity resources remain at reasonable levels, but are declining faster than reflected in species extinction rates and appear highly sensitive to land-use decisions. The SAfMA sub-global assessment provided an opportunity to experiment with innovative ways to assess ecosystem services including the use of supply–demand surfaces, service sources and sink areas, priority areas for service provision, service ‘hotspots’ and trade-off assessments. PMID:15814355

  4. Two decades of change in European general practice service profiles: conditions associated with the developments in 28 countries between 1993 and 2012

    PubMed Central

    Schäfer, Willemijn L. A.; Boerma, Wienke G. W.; Spreeuwenberg, Peter; Schellevis, François G.; Groenewegen, Peter P.

    2016-01-01

    Objective Evidence regarding the benefits of strong primary care has influenced health policy and practice. This study focuses on changes in the breadth of services provided by general practitioners (GPs) in Europe between 1993 and 2012 and offers possible explanations for these changes. Design Data on the breadth of service profiles were used from two cross-sectional surveys in 28 countries: the 1993 European GP Task Profile study (6321 GPs) and the 2012 QUALICOPC study (6044 GPs). GPs’ involvement in four areas of clinical activity (first contact care, treatment of diseases, medical procedures, and prevention) was established using ecometric analyses. The changes were measured by the relative increase in the breadth of service profiles. Associations between changes and national-level conditions were examined though regression analyses. Data on the national conditions were used from various other public databases including the World Databank and the PHAMEU (Primary Health care Activity Monitor) database. Setting A total of 28 European countries. Subjects GPs. Main outcome measure Changes in the breadth of GP service profiles. Results A general trend of increased involvement of European GPs in treatment of diseases and decreased involvement in preventive activities was observed. Conditions at the national level were associated with changes in the involvement of GPs in first contact care, treatment of diseases and, to a limited extent, prevention. Especially in countries with stronger growth of health care expenditures between 1993 and 2012 the service profiles have expanded. In countries where family values are more dominant the breadth in service profiles decreased. A stronger professional status of GPs was positively associated with the change in first contact care. Conclusions GPs in former communist countries and Turkey have increased their involvement in the provision of services. Developments in Western Europe were less evident. The developments in the

  5. 42 CFR 414.48 - Limits on actual charges of nonparticipating suppliers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... suppliers. 414.48 Section 414.48 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF... SERVICES Physicians and Other Practitioners § 414.48 Limits on actual charges of nonparticipating suppliers. (a) General rule. A supplier, as defined in § 400.202 of this chapter, who is nonparticipating...

  6. Using conditionality as a solution to the problem of low uptake of essential services among disadvantaged communities: a social determinants view.

    PubMed

    Forde, Ian; Bell, Ruth; Marmot, Michael G

    2011-08-01

    Conditional cash transfer schemes, which use cash to incentivize uptake of basic health and educational services, are well established among social planners inlow- and middle-income countries and are now taking hold in high-income countries. We appraised these schemes within a social determinants framework and found some encouraging signs in their first decade of operation. Success, however, has been inconsistent, and it is unclear whether conditional cash transfer schemes can reliably secure meaningful improvements in participants' health and nutritional status or educational attainment. Conditional cash transfer schemes' objectives will not be met unless they are transformed in 3 ways: transferring power as well as resources, emphasizing entitlements alongside conditionality, and avoiding the trap of incoherent or residualized policy.

  7. Realizing actual feedback control of complex network

    NASA Astrophysics Data System (ADS)

    Tu, Chengyi; Cheng, Yuhua

    2014-06-01

    In this paper, we present the concept of feedbackability and how to identify the Minimum Feedbackability Set of an arbitrary complex directed network. Furthermore, we design an estimator and a feedback controller accessing one MFS to realize actual feedback control, i.e. control the system to our desired state according to the estimated system internal state from the output of estimator. Last but not least, we perform numerical simulations of a small linear time-invariant dynamics network and a real simple food network to verify the theoretical results. The framework presented here could make an arbitrary complex directed network realize actual feedback control and deepen our understanding of complex systems.

  8. Children's Rights and Self-Actualization Theory.

    ERIC Educational Resources Information Center

    Farmer, Rod

    1982-01-01

    Educators need to seriously reflect upon the concept of children's rights. Though the idea of children's rights has been debated numerous times, the idea remains vague and shapeless; however, Maslow's theory of self-actualization can provide the children's rights idea with a needed theoretical framework. (Author)

  9. Group Counseling for Self-Actualization.

    ERIC Educational Resources Information Center

    Streich, William H.; Keeler, Douglas J.

    Self-concept, creativity, growth orientation, an integrated value system, and receptiveness to new experiences are considered to be crucial variables to the self-actualization process. A regular, year-long group counseling program was conducted with 85 randomly selected gifted secondary students in the Farmington, Connecticut Public Schools. A…

  10. Culture Studies and Self-Actualization Theory.

    ERIC Educational Resources Information Center

    Farmer, Rod

    1983-01-01

    True citizenship education is impossible unless students develop the habit of intelligently evaluating cultures. Abraham Maslow's theory of self-actualization, a theory of innate human needs and of human motivation, is a nonethnocentric tool which can be used by teachers and students to help them understand other cultures. (SR)

  11. Humanistic Education and Self-Actualization Theory.

    ERIC Educational Resources Information Center

    Farmer, Rod

    1984-01-01

    Stresses the need for theoretical justification for the development of humanistic education programs in today's schools. Explores Abraham Maslow's hierarchy of needs and theory of self-actualization. Argues that Maslow's theory may be the best available for educators concerned with educating the whole child. (JHZ)

  12. Developing Human Resources through Actualizing Human Potential

    ERIC Educational Resources Information Center

    Clarken, Rodney H.

    2012-01-01

    The key to human resource development is in actualizing individual and collective thinking, feeling and choosing potentials related to our minds, hearts and wills respectively. These capacities and faculties must be balanced and regulated according to the standards of truth, love and justice for individual, community and institutional development,…

  13. 7 CFR 1.673 - How will the Forest Service analyze a proposed alternative and formulate its modified condition?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... disputed issues of material fact issued under § 1.660 with respect to the preliminary condition; (4...; (4) Water supply; (5) Air quality; and (6) Preservation of other aspects of environmental quality....

  14. 36 CFR 79.8 - Terms and conditions to include in contracts, memoranda and agreements for curatorial services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... conditions for making the collection available for scientific, educational and religious uses, including... methods for conducting and documenting the inspections and inventories stipulated in § 79.11 of this...

  15. 36 CFR 79.8 - Terms and conditions to include in contracts, memoranda and agreements for curatorial services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... conditions for making the collection available for scientific, educational and religious uses, including... methods for conducting and documenting the inspections and inventories stipulated in § 79.11 of this...

  16. Patterns of smoking and its association with psychosocial work conditions among blue-collar and service employees of hospitality venues in Shenyang, PR China

    PubMed Central

    2010-01-01

    Background To characterize the smoking patterns of hospitality employees in blue-collar and service occupations, and to examine its relations with psychosocial work conditions. Methods The Shenyang Hospitality Industry Employees Survey-a face-to-face cross-sectional study of representative hospitality industry employees-was conducted between March and July 2008. A total of 4,213 workers were selected using stratified random cluster sampling designs, and final analyses were performed on 2,508 blue-collar and service subjects. Multilevel-logistic regression models were used to estimate the contribution of psychosocial work conditions to smoking status. Results Blue-collar and service employees smoked at a rate 1.4 times that of the general population (49.4% vs. 35.8%), more particularly for females (12.9% vs. 3.08%). Strain jobs had significantly higher odds ratio of daily smoking (OR 2.09, 95%CI: 1.28-3.41) compared to the relaxed category. The passive jobs (OR 2.01, 95%CI 1.27 to 3.17), highest job demands (OR 1.72, 95%CI: 1.13-2.61), and lowest job control (OR 2.56, 95%CI: 1.57-4.16) were also associated with a significantly higher daily smoking ratio. The negative relationship between job stability and smoking behavior was slightly stronger among daily than occasional smokers. However, neither job strain nor any of its components was found to be significantly associated with occasional smoking. Conclusions Smoking in hospitality blue-collar and service employees is certainly a major occupational health problem in Shenyang. This evidence also suggests an association between psychosocial-work conditions and smoking status, and implies that more intervention studies where changes in work environment are carried out in combination with health promotion interventions should be performed. PMID:20102639

  17. Whiteheadian Actual Entitities and String Theory

    NASA Astrophysics Data System (ADS)

    Bracken, Joseph A.

    2012-06-01

    In the philosophy of Alfred North Whitehead, the ultimate units of reality are actual entities, momentary self-constituting subjects of experience which are too small to be sensibly perceived. Their combination into "societies" with a "common element of form" produces the organisms and inanimate things of ordinary sense experience. According to the proponents of string theory, tiny vibrating strings are the ultimate constituents of physical reality which in harmonious combination yield perceptible entities at the macroscopic level of physical reality. Given that the number of Whiteheadian actual entities and of individual strings within string theory are beyond reckoning at any given moment, could they be two ways to describe the same non-verifiable foundational reality? For example, if one could establish that the "superject" or objective pattern of self- constitution of an actual entity vibrates at a specific frequency, its affinity with the individual strings of string theory would be striking. Likewise, if one were to claim that the size and complexity of Whiteheadian 'societies" require different space-time parameters for the dynamic interrelationship of constituent actual entities, would that at least partially account for the assumption of 10 or even 26 instead of just 3 dimensions within string theory? The overall conclusion of this article is that, if a suitably revised understanding of Whiteheadian metaphysics were seen as compatible with the philosophical implications of string theory, their combination into a single world view would strengthen the plausibility of both schemes taken separately. Key words: actual entities, subject/superjects, vibrating strings, structured fields of activity, multi-dimensional physical reality.

  18. Characterization of microstructure of HAZs in as-welded and service condition of P91 pipe weldments

    NASA Astrophysics Data System (ADS)

    Pandey, C.; Giri, A.; Mahapatra, M. M.; Kumar, P.

    2017-01-01

    Steels 9-12% Cr, having the high creep rupture strength are advocated for the modern low polluting thermal power plants. In the present investigation, the P91 pipe weldments have been characterized for microstructural responses in as-welded, post-weld heat treatment (PWHT) and ageing conditions. The PWHT of welded samples were carried out at 760 °C for time of 2 h and ageing at 760 °C for 720 h and 1440 h, respectively. The effect of time has been studied on precipitates size, distribution of precipitates and grain sizes present in various zones of P91 steel weldments. The impact toughness and hardness variation of heat affected zone (HAZ) have also been studied in as-welded condition as well as at different heat treatment condition. A significant change was observed in grain size and precipitates size after each heat treatment condition. The maximum impact toughness of HAZ was obtained after PWHT at 760 °C for 2 h. The main phase observed in weld fusion zone in as-welded, PWHT and ageing conditions were M23C6, MX, M7C3, Fe-rich M3C and M2C. The unwanted Z-phase (NbCrN) was also noticed in weld fusion zone after ageing of 1440 h.

  19. A study comparing changes in loading conditions of an extended service life system using aluminum 2024-T351

    NASA Astrophysics Data System (ADS)

    Beal, Roger Zack

    The current fiscally austere environment prevalent in the military and industry is driving extreme measures to save money. In the United States Air Force, this has driven enormous efforts to trim sustainment spending on extended life aircraft. The challenge to the aerospace engineer is to ensure flight safety in the midst of this economic pressure. One method of cutting costs is to increase the time an aircraft is in service by delaying the point when the aircraft is taken out of service for depot maintenance. To ensure flight safety, in depth fatigue and fracture analysis needs to be accomplished to assess increasing the inspection interval. The purpose of this study was to determine the sensitivity of Aluminum 2024-T351 alloy, a common material used in tension dominated aerospace applications, to two different loading spectra---one that is aggressive and the other that is benign. This was accomplished by conducting five different combinations of the two spectra, developing computer simulations using the AFGROW software and comparing with the measured data. The results showed that the material demonstrated significantly different behavior between the two spectra. These results provide a valuable tool for the aerospace engineer for fatigue life prediction and inspection interval evaluation.

  20. ASME N511-19XX, Standard for periodic in-service testing of nuclear air treatment, heating, ventilating and air conditioning systems

    SciTech Connect

    1997-08-01

    A draft version of the Standard is presented in this document. The Standard covers the requirements for periodic in-service testing of nuclear safety-related air treatment, heating, ventilating, and air conditioning systems in nuclear facilities. The Standard provides a basis for the development of test programs and does not include acceptance criteria, except in cases where the results of one test influence the performance of other tests. The Standard covers general inspection and test requirements, reference values, inspection and test requirements, generic tests, acceptance criteria, in-service test requirements, testing following an abnormal incident, corrective action requirements, and quality assurance. Mandatory appendices provide a visual inspection checklist and four test procedures. Non-mandatory appendices provide additional information and guidance on mounting frame pressure leak test procedure, corrective action, challenge gas substitute selection criteria, and test program development. 8 refs., 10 tabs.

  1. 20 CFR 661.310 - Under what limited conditions may a Local Board directly be a provider of core services...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Under what limited conditions may a Local...-Stop Operator? 661.310 Section 661.310 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR STATEWIDE AND LOCAL GOVERNANCE OF THE WORKFORCE INVESTMENT SYSTEM UNDER TITLE I OF...

  2. 20 CFR 661.310 - Under what limited conditions may a Local Board directly be a provider of core services...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 4 2012-04-01 2012-04-01 false Under what limited conditions may a Local...-Stop Operator? 661.310 Section 661.310 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR (CONTINUED) STATEWIDE AND LOCAL GOVERNANCE OF THE WORKFORCE INVESTMENT SYSTEM UNDER...

  3. The Influence of Local Conditions on Social Service Partnerships, Parent Involvement, and Community Engagement in Neighborhood Schools

    ERIC Educational Resources Information Center

    Cohen-Vogel, Lora; Goldring, Ellen; Smrekar, Claire

    2010-01-01

    By using Geographic Information System (GIS) mapping software to combine health and crime data with data from 20 schools in one Southeastern district, the study explores whether and how neighborhood conditions affect school-community arrangements. Findings show that the nature of the relationships and the strategies principals and teachers use to…

  4. The Actual Apollo 13 Prime Crew

    NASA Technical Reports Server (NTRS)

    1970-01-01

    The actual Apollo 13 lunar landing mission prime crew from left to right are: Commander, James A. Lovell Jr., Command Module pilot, John L. Swigert Jr.and Lunar Module pilot, Fred W. Haise Jr. The original Command Module pilot for this mission was Thomas 'Ken' Mattingly Jr. but due to exposure to German measles he was replaced by his backup, Command Module pilot, John L. 'Jack' Swigert Jr.

  5. Assessing the long-term hydrological services provided by wetlands under changing climate conditions: A case study approach of a Canadian watershed

    NASA Astrophysics Data System (ADS)

    Fossey, M.; Rousseau, A. N.

    2016-10-01

    The water content of wetlands represents a key driver of their hydrological services and it is highly dependent on short- and long-term weather conditions, which will change, to some extent, under evolving climate conditions. The impact on stream flows of this critical dynamic component of wetlands remains poorly studied. While hydrodynamic modelling provide a framework to describe the functioning of individual wetland, hydrological modelling offers the opportunity to assess their services at the watershed scale with respect to their type (i.e., isolated or riparian). This study uses a novel approach combining hydrological modelling and limited field monitoring, to explore the effectiveness of wetlands under changing climate conditions. To achieve this, two isolated wetlands and two riparian wetlands, located in the Becancour River watershed within the St Lawrence Lowlands (Quebec, Canada), were monitored using piezometers and stable water isotopes (δD - δ18O) between October 2013 and October 2014. For the watershed hydrology component of this study, reference (1986-2015) and future meteorological data (2041-2070) were used as inputs to the PHYSITEL/HYDROTEL modelling platform. Results obtained from in-situ data illustrate singular hydrological dynamics for each typology of wetlands (i.e., isolated and riparian) and support the hydrological modelling approach used in this study. Meanwhile, simulation results indicate that climate change could affect differently the hydrological dynamics of wetlands and associated services (e.g., storage and slow release of water), including their seasonal contribution (i.e., flood mitigation and low flow support) according to each wetland typology. The methodological framework proposed in this paper meets the requirements of a functional tool capable of anticipating hydrological changes in wetlands at both the land management scale and the watershed management scale. Accordingly, this framework represents a starting point towards

  6. Power Delivery from an Actual Thermoelectric Generation System

    NASA Astrophysics Data System (ADS)

    Kaibe, Hiromasa; Kajihara, Takeshi; Nagano, Kouji; Makino, Kazuya; Hachiuma, Hirokuni; Natsuume, Daisuke

    2014-06-01

    Similar to photovoltaic (PV) and fuel cells, thermoelectric generators (TEGs) supply direct-current (DC) power, essentially requiring DC/alternating current (AC) conversion for delivery as electricity into the grid network. Use of PVs is already well established through power conditioning systems (PCSs) that enable DC/AC conversion with maximum-power-point tracking, which enables commercial use by customers. From the economic, legal, and regulatory perspectives, a commercial PCS for PVs should also be available for TEGs, preferably as is or with just simple adjustment. Herein, we report use of a PV PCS with an actual TEG. The results are analyzed, and proper application for TEGs is proposed.

  7. Explosive Percolation Transition is Actually Continuous

    NASA Astrophysics Data System (ADS)

    da Costa, R. A.; Dorogovtsev, S. N.; Goltsev, A. V.; Mendes, J. F. F.

    2010-12-01

    Recently a discontinuous percolation transition was reported in a new “explosive percolation” problem for irreversible systems [D. Achlioptas, R. M. D’Souza, and J. Spencer, Science 323, 1453 (2009)SCIEAS0036-807510.1126/science.1167782] in striking contrast to ordinary percolation. We consider a representative model which shows that the explosive percolation transition is actually a continuous, second order phase transition though with a uniquely small critical exponent of the percolation cluster size. We describe the unusual scaling properties of this transition and find its critical exponents and dimensions.

  8. Neoadjuvant Treatment in Rectal Cancer: Actual Status

    PubMed Central

    Garajová, Ingrid; Di Girolamo, Stefania; de Rosa, Francesco; Corbelli, Jody; Agostini, Valentina; Biasco, Guido; Brandi, Giovanni

    2011-01-01

    Neoadjuvant (preoperative) concomitant chemoradiotherapy (CRT) has become a standard treatment of locally advanced rectal adenocarcinomas. The clinical stages II (cT3-4, N0, M0) and III (cT1-4, N+, M0) according to International Union Against Cancer (IUCC) are concerned. It can reduce tumor volume and subsequently lead to an increase in complete resections (R0 resections), shows less toxicity, and improves local control rate. The aim of this review is to summarize actual approaches, main problems, and discrepancies in the treatment of locally advanced rectal adenocarcinomas. PMID:22295206

  9. Air resistance measurements on actual airplane parts

    NASA Technical Reports Server (NTRS)

    Weiselsberger, C

    1923-01-01

    For the calculation of the parasite resistance of an airplane, a knowledge of the resistance of the individual structural and accessory parts is necessary. The most reliable basis for this is given by tests with actual airplane parts at airspeeds which occur in practice. The data given here relate to the landing gear of a Siemanms-Schuckert DI airplane; the landing gear of a 'Luftfahrzeug-Gesellschaft' airplane (type Roland Dlla); landing gear of a 'Flugzeugbau Friedrichshafen' G airplane; a machine gun, and the exhaust manifold of a 269 HP engine.

  10. Development of a mixed shrub-tanoak-douglas-fir community in a treated and untreated condition. Forest Service research paper

    SciTech Connect

    McDonald, P.M.; Fiddler, G.O.

    1996-08-01

    On a medium site in northern California, a tanoak-mixed shrub community was given several treatments (manual release two and three times, a combination chainsaw and cut surface herbicide treatment, two foliar herbicides, and a tank mix of the two herbicides) to study its development in both a natural (control) and treated condition. The herbicides were 2,4-D, Garlon 3A, and Garlon 4, each applied two times. Survival of planted Douglas-fir seedlings was recorded for 11 years and growth was quantified for 9 years after the last treatment application. In addition to Douglas-fir, data are presented individually for the two most abundant species (tanoak and snowbrush), for greenleaf manzanita, and for the hardwood tree and shrubs combined. The treatment response data, cost information, and plant community relationships provides the forest land manager with knowledge on how to attain some specific plant communities in the future, and their developmental potentials.

  11. 78 FR 59817 - Revision to United States Marshals Service Fees for Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-30

    ... Marshals Service fees to reflect current costs to the United States Marshals Service for service of process....S.C. 1921(a). To the extent practicable, these fees shall reflect the actual and reasonable costs of... in 1991 based on the actual costs, e.g., salaries, overhead, etc., of the services rendered and...

  12. Development of a mixed shrub-ponderosa pine community in a natural and treated condition. Forest Service research paper (Final)

    SciTech Connect

    McDonald, P.M.; Fiddler, G.O.

    1995-05-01

    On a medium site in northern California, a mostly shrub community was treated by two manual release techniques and by two herbicides, to study its development in both a natural (control) and treated condition. Survival and growth of planted ponderosa pine seedlings were quantified for 8 to 11 years after initial treatment applications. Treatments included manual release in a 4-foot radius around pine seedlings one, two, and three times; grubbing the entire one-seventh acre plot two times; applying 2,4-D and Velpar herbicides to the entire plot one time; and a control. Data are presented for the most abundant species (greenleaf manzanita), second most abundant species (snowbrush), by the two species combined, and by all 10 shrub species combined. At the end of the study in 1990, manzanita was the most abundant species with 15,267 plants per acre, cover of 24,800 ft, and height of 5.4 feet. Ponderosa pine developed best in plots where the entire area was grubbed twice (mean height of 14.2 feet).

  13. Thermoregulation during prolonged actual and laboratory-simulated bicycling.

    PubMed

    Brown, S L; Banister, E W

    1985-01-01

    Thermoregulatory and cardiorespiratory responses to bicycling 55 km (mean speed 9.7 m X s-1) outdoors (15 degrees C DB) were compared to equivalent cycle ergometry (90 min at 65% VO2max) in the laboratory (20-23 degrees C DB, 50% RH) in 7 trained cyclists. Outdoor environmental conditions were simulated with fans and lamps, and were contrasted with standard no-wind, no-sun laboratory conditions. Sweating rate was similar during outdoor and laboratory simulated outdoor cycling (0.90 and 0.87 to 0.94 1 X h-1 respectively). During outdoor bicycling, mean heart rate (161 bt X min-1) was 7-13% higher (p less than .05) than under laboratory conditions, suggesting a greater strain for a similar external work rate. The increase in rectal temperature (0.8 degrees C) was 33-50% less (p less than 0.05) at the cooler outdoor ambient temperature than in the laboratory. Thermoregulatory stress was greater under the no-fan, no-lamp laboratory condition than during simulated outdoor conditions (36-38% greater (p less than 0.05) sweating rate, 15-18% greater (p less than 0.01) mean skin temperature, 6.4 to 7.8 fold greater (p less than 0.01) amount of clothing-retrained sweat). The cooling wind encountered in actual road bicycling apparently reduces thermoregulatory and circulatory demands compared with stationary cycle ergometry indoors. Failure to account for this enhanced cooling may result in overestimation of the physiological stress of actual road cycling.(ABSTRACT TRUNCATED AT 250 WORDS)

  14. 7 CFR 1437.101 - Actual production history.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Actual production history. 1437.101 Section 1437.101... Determining Yield Coverage Using Actual Production History § 1437.101 Actual production history. Actual production history (APH) is the unit's record of crop yield by crop year for the APH base period. The...

  15. 7 CFR 1437.101 - Actual production history.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 10 2012-01-01 2012-01-01 false Actual production history. 1437.101 Section 1437.101... Determining Yield Coverage Using Actual Production History § 1437.101 Actual production history. Actual production history (APH) is the unit's record of crop yield by crop year for the APH base period. The...

  16. 7 CFR 1437.101 - Actual production history.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Actual production history. 1437.101 Section 1437.101... Determining Yield Coverage Using Actual Production History § 1437.101 Actual production history. Actual production history (APH) is the unit's record of crop yield by crop year for the APH base period. The...

  17. 7 CFR 1437.101 - Actual production history.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 10 2014-01-01 2014-01-01 false Actual production history. 1437.101 Section 1437.101... Determining Yield Coverage Using Actual Production History § 1437.101 Actual production history. Actual production history (APH) is the unit's record of crop yield by crop year for the APH base period. The...

  18. 7 CFR 1437.101 - Actual production history.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 10 2013-01-01 2013-01-01 false Actual production history. 1437.101 Section 1437.101... Determining Yield Coverage Using Actual Production History § 1437.101 Actual production history. Actual production history (APH) is the unit's record of crop yield by crop year for the APH base period. The...

  19. What do tests of formal reasoning actually measure?

    NASA Astrophysics Data System (ADS)

    Lawson, Anton E.

    Tests of formal operational reasoning derived from Piagetian theory have been found to be effective predictors of academic achievement. Yet Piaget's theory regarding the underlying nature of formal operations and their employment in specific contexts has run into considerable empirical difficulty. The primary purpose of this study was to present the core of an alternative theory of the nature of advanced scientific reasoning. That theory, referred to as the multiple-hypothesis theory, argues that tests of formal operational reasoning actually measure the extent to which persons have acquired the ability to initiate reasoning with more than one specific antecedent condition, or if they are unable to imagine more than one antecedent condition, they are aware that more than one is possible; therefore conclusions that are drawn are tempered by this possibility. As a test of this multiple-hypothesis theory of advanced reasoning and the contrasting Piagetian theory of formal operations, a sample of 922 college students were first classified as concrete operational, transitional, or formal operational, based upon responses to standard Piagetian measures of formal operational reasoning. They were then administered seven logic tasks. Actual response patterns to the tasks were analyzed and found to be similar to predicted response patterns derived from the multiple-hypothesis theory and were different from those predicted by Piagetian theory. Therefore, support was obtained for the multiple-hypothesis theory. The terms intuitive and reflective were suggested to replace the terms concrete operational and formal operational to refer to persons at varying levels of intellectual development.

  20. The actual status of Astronomy in Moldova

    NASA Astrophysics Data System (ADS)

    Gaina, A.

    The astronomical research in the Republic of Moldova after Nicolae Donitch (Donici)(1874-1956(?)) were renewed in 1957, when a satellites observations station was open in Chisinau. Fotometric observations and rotations of first Soviet artificial satellites were investigated under a program SPIN put in action by the Academy of Sciences of former Socialist Countries. The works were conducted by Assoc. prof. Dr. V. Grigorevskij, which conducted also research in variable stars. Later, at the beginning of 60-th, an astronomical Observatory at the Chisinau State University named after Lenin (actually: the State University of Moldova), placed in Lozovo-Ciuciuleni villages was open, which were coordinated by Odessa State University (Prof. V.P. Tsesevich) and the Astrosovet of the USSR. Two main groups worked in this area: first conducted by V. Grigorevskij (till 1971) and second conducted by L.I. Shakun (till 1988), both graduated from Odessa State University. Besides this research areas another astronomical observations were made: Comets observations, astroclimate and atmospheric optics in collaboration with the Institute of the Atmospheric optics of the Siberian branch of the USSR (V. Chernobai, I. Nacu, C. Usov and A.F. Poiata). Comets observations were also made since 1988 by D. I. Gorodetskij which came to Chisinau from Alma-Ata and collaborated with Ukrainean astronomers conducted by K.I. Churyumov. Another part of space research was made at the State University of Tiraspol since the beggining of 70-th by a group of teaching staff of the Tiraspol State Pedagogical University: M.D. Polanuer, V.S. Sholokhov. No a collaboration between Moldovan astronomers and Transdniestrian ones actually exist due to War in Transdniestria in 1992. An important area of research concerned the Radiophysics of the Ionosphere, which was conducted in Beltsy at the Beltsy State Pedagogical Institute by a group of teaching staff of the University since the beginning of 70-th: N. D. Filip, E

  1. 45 CFR 149.335 - Documentation of costs of actual claims involved.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Documentation of costs of actual claims involved. 149.335 Section 149.335 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS FOR THE EARLY RETIREE REINSURANCE PROGRAM Reimbursement...

  2. 30 CFR 206.180 - How do I determine an actual processing allowance?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false How do I determine an actual processing allowance? 206.180 Section 206.180 Mineral Resources MINERALS MANAGEMENT SERVICE, DEPARTMENT OF THE INTERIOR MINERALS REVENUE MANAGEMENT PRODUCT VALUATION Indian Gas Processing Allowances § 206.180 How do I...

  3. Survival or growth of inoculated Escherichia coli O157:H7 and Salmonella on yellow onions (Allium cepa) under conditions simulating food service and consumer handling and storage.

    PubMed

    Lieberman, Vanessa M; Zhao, Irene Y; Schaffner, Donald W; Danyluk, Michelle D; Harris, Linda J

    2015-01-01

    Whole and diced yellow onions (Allium cepa) were inoculated with five-strain cocktails of rifampin-resistant Escherichia coli O157:H7 or Salmonella and stored under conditions to simulate food service or consumer handling. The inoculum was grown in broth (for both whole and diced onion experiments) or on agar plates (for whole onion experiments). Marked circles (3.3 cm in diameter) on the outer papery skin of whole onions were spot inoculated (10 μl in 10 drops) at 7 log CFU per circle, and onions were stored at 4°C, 30 to 50 % relative humidity, or at ambient conditions (23°C, 30 to 50 % relative humidity). Diced onions were inoculated at 3 log CFU/g and then stored in open or closed containers at 4°C or ambient conditions. Previously inoculated and ambient-stored diced onions were also mixed 1:9 (wt/wt) with refrigerated uninoculated freshly diced onions and stored in closed containers at ambient conditions. Inoculated pathogens were recovered in 0.1 % peptone and plated onto selective and nonselective media supplemented with 50 μg/ml rifampin. Both E. coli O157:H7 and Salmonella populations declined more rapidly on onion skins when the inoculum was prepared in broth rather than on agar. Agar-prepared E. coli O157:H7 and Salmonella declined by 0.4 and 0.3 log CFU per sample per day, respectively, at ambient conditions; at 4°C the rates of reduction were 0.08 and 0.06 log CFU per sample per day for E. coli O157:H7 and Salmonella, respectively. Populations of E. coli O157:H7 and Salmonella did not change over 6 days of storage at 4°C in diced onions. Lag times of 6 to 9 h were observed with freshly inoculated onion at ambient conditions; no lag was observed when previously inoculated and uninoculated onions were mixed. Growth rates at ambient conditions were 0.2 to 0.3 log CFU/g/h for E. coli O157:H7 and Salmonella in freshly inoculated onion and 0.2 log CFU/g/h in mixed product. Diced onions support pathogen growth and should be kept refrigerated.

  4. Caustic-Side Solvent Extraction: Prediction of Cesium Extraction for Actual Wastes and Actual Waste Simulants

    SciTech Connect

    Delmau, L.H.; Haverlock, T.J.; Sloop, F.V., Jr.; Moyer, B.A.

    2003-02-01

    This report presents the work that followed the CSSX model development completed in FY2002. The developed cesium and potassium extraction model was based on extraction data obtained from simple aqueous media. It was tested to ensure the validity of the prediction for the cesium extraction from actual waste. Compositions of the actual tank waste were obtained from the Savannah River Site personnel and were used to prepare defined simulants and to predict cesium distribution ratios using the model. It was therefore possible to compare the cesium distribution ratios obtained from the actual waste, the simulant, and the predicted values. It was determined that the predicted values agree with the measured values for the simulants. Predicted values also agreed, with three exceptions, with measured values for the tank wastes. Discrepancies were attributed in part to the uncertainty in the cation/anion balance in the actual waste composition, but likely more so to the uncertainty in the potassium concentration in the waste, given the demonstrated large competing effect of this metal on cesium extraction. It was demonstrated that the upper limit for the potassium concentration in the feed ought to not exceed 0.05 M in order to maintain suitable cesium distribution ratios.

  5. Laminar Flow Control Leading Edge Systems in Simulated Airline Service

    NASA Technical Reports Server (NTRS)

    Wagner, R. D.; Maddalon, D. V.; Fisher, D. F.

    1988-01-01

    Achieving laminar flow on the wings of a commercial transport involves difficult problems associated with the wing leading edge. The NASA Leading Edge Flight Test Program has made major progress toward the solution of these problems. The effectiveness and practicality of candidate laminar flow leading edge systems were proven under representative airline service conditions. This was accomplished in a series of simulated airline service flights by modifying a JetStar aircraft with laminar flow leading edge systems and operating it out of three commercial airports in the United States. The aircraft was operated as an airliner would under actual air traffic conditions, in bad weather, and in insect infested environments.

  6. Actual and actuarial probabilities of competing risks: apples and lemons.

    PubMed

    Grunkemeier, Gary L; Jin, Ruyun; Eijkemans, Marinus J C; Takkenberg, Johanna J M

    2007-05-01

    The probability of a type of failure that is not inevitable, but can be precluded by other events such as death, is given by the cumulative incidence function. In cardiac research articles, it has become known as the actual probability, in contrast to the actuarial methods of estimation, usually implemented by the Kaplan-Meier (KM) estimate. Unlike cumulative incidence, KM attempts to predict what the latent failure probability would be if death were eliminated. To do this, the KM method assumes that the risk of dying and the risk of failure are independent. But this assumption is not true for many cardiac applications in which the risks of failure and death are negatively correlated (ie, patients with a higher risk of dying have a lower risk of failure, and patients with a lower risk of death have a higher risk of failure, which is a condition called informative censoring). Recent editorials in two cardiac journals have promoted the use of the KM method (actuarial estimate) for competing risk events (specifically for heart valve performance) and criticized the use of the cumulative incidence (actual) estimates. This report has two aims: to explain the difference between these two estimates and to show why the KM is generally not appropriate. In the process we will rely on alternative representations of the KM estimator (using redistribution to the right and inverse probability weighting) to explain the difference between the two estimates and to show how it may be possible to adjust KM to overcome the informative censoring.

  7. From In-Service Teacher Development to School Improvement: Factors of Learning Transfer in Teacher Education

    ERIC Educational Resources Information Center

    Dreer, Benjamin; Dietrich, Julia; Kracke, Bärbel

    2017-01-01

    In-service teacher development programs are perceived as a common way to foster school improvement. Nevertheless, program evaluation to date ends with the assessment of acquired knowledge, skills, and motivation, frequently disregarding the actual learning transfer and its conditions. This study aimed to investigate how individual and situational…

  8. Consequences of Predicted or Actual Asteroid Impacts

    NASA Astrophysics Data System (ADS)

    Chapman, C. R.

    2003-12-01

    Earth impact by an asteroid could have enormous physical and environmental consequences. Impactors larger than 2 km diameter could be so destructive as to threaten civilization. Since such events greatly exceed any other natural or man-made catastrophe, much extrapolation is necessary just to understand environmental implications (e.g. sudden global cooling, tsunami magnitude, toxic effects). Responses of vital elements of the ecosystem (e.g. agriculture) and of human society to such an impact are conjectural. For instance, response to the Blackout of 2003 was restrained, but response to 9/11 terrorism was arguably exaggerated and dysfunctional; would society be fragile or robust in the face of global catastrophe? Even small impacts, or predictions of impacts (accurate or faulty), could generate disproportionate responses, especially if news media reports are hyped or inaccurate or if responsible entities (e.g. military organizations in regions of conflict) are inadequately aware of the phenomenology of small impacts. Asteroid impact is the one geophysical hazard of high potential consequence with which we, fortunately, have essentially no historical experience. It is thus important that decision makers familiarize themselves with the hazard and that society (perhaps using a formal procedure, like a National Academy of Sciences study) evaluate the priority of addressing the hazard by (a) further telescopic searches for dangerous but still-undiscovered asteroids and (b) development of mitigation strategies (including deflection of an oncoming asteroid and on- Earth civil defense). I exemplify these issues by discussing several representative cases that span the range of parameters. Many of the specific physical consequences of impact involve effects like those of other geophysical disasters (flood, fire, earthquake, etc.), but the psychological and sociological aspects of predicted and actual impacts are distinctive. Standard economic cost/benefit analyses may not

  9. Do it well and do it right: The impact of service climate and ethical climate on business performance and the boundary conditions.

    PubMed

    Jiang, Kaifeng; Hu, Jia; Hong, Ying; Liao, Hui; Liu, Songbo

    2016-11-01

    Prior research has demonstrated that service climate can enhance unit performance by guiding employees' service behavior to satisfy customers. Extending this literature, we identified ethical climate toward customers as another indispensable organizational climate in service contexts and examined how and when service climate operates in conjunction with ethical climate to enhance business performance of service units. Based on data collected in 2 phases over 6 months from multiple sources of 196 movie theaters, we found that service climate and ethical climate had disparate impacts on business performance, operationalized as an index of customer attendance rate and operating income per labor hour, by enhancing service behavior and reducing unethical behavior, respectively. Furthermore, we found that service behavior and unethical behavior interacted to affect business performance, in such a way that service behavior was more positively related to business performance when unethical behavior was low than when it was high. This interactive effect between service and unethical behaviors was further strengthened by high market turbulence and competitive intensity. These findings provide new insight into theoretical development of service management and offer practical implications about how to maximize business performance of service units by managing organizational climates and employee behaviors synergistically. (PsycINFO Database Record

  10. External Validity of Contingent Valuation: Comparing Hypothetical and Actual Payments.

    PubMed

    Ryan, Mandy; Mentzakis, Emmanouil; Jareinpituk, Suthi; Cairns, John

    2016-10-09

    Whilst contingent valuation is increasingly used in economics to value benefits, questions remain concerning its external validity that is do hypothetical responses match actual responses? We present results from the first within sample field test. Whilst Hypothetical No is always an Actual No, Hypothetical Yes exceed Actual Yes responses. A constant rate of response reversals across bids/prices could suggest theoretically consistent option value responses. Certainty calibrations (verbal and numerical response scales) minimise hypothetical-actual discrepancies offering a useful solution. Helping respondents resolve uncertainty may reduce the discrepancy between hypothetical and actual payments and thus lead to more accurate policy recommendations. Copyright © 2016 John Wiley & Sons, Ltd.

  11. A taxometric analysis of actual Internet sports gambling behavior.

    PubMed

    Braverman, Julia; LaBrie, Richard A; Shaffer, Howard J

    2011-03-01

    This article presents findings from the first taxometric study of actual gambling behavior to determine whether we can represent the characteristics of extreme gambling as qualitatively distinct (i.e., taxonic) or as a point along a dimension. We analyzed the bets made during a 24-month study period by the 4,595 most involved gamblers among a cohort of 48,114 people using an Internet service to gamble on sporting events. We applied two taxometric procedures (i.e., MAMBAC and MAXCOV) to three indicators of betting behavior: total money lost, total number of bets, and total money wagered. The results fail to provide support for the view that the most involved Internet sports gamblers include a distinct category of gamblers. More research is necessary to clarify the similar features of recreational and extreme gamblers and the dimensions that scientists can use to measure these behaviors. Finally, we discuss the implications of these findings for clinical, research, and public policy activities.

  12. Virtual reality as telemedicine tool: technology, ergonomics and actual applications.

    PubMed

    Riva, G; Gamberini, L

    2000-01-01

    This paper surveys the state of the art in telemedicine applications of virtual environments (VEs) and related technologies for health care. The possible use of VEs as telemedicine tool has attracted much interest in medicine. Actually this technology is commonly used in remote or augmented surgery, and surgical training, which are critically dependent upon eye-hand coordination. Recently, however, different researchers have tried to use VEs in anatomic learning and for the assessment and rehabilitation in neuro-psychology. To date, such applications have improved the quality of health care, and later they will lead to substantial cost savings. Tools that respond to the needs of present VE systems are being refined or developed. However, the possible use of VEs in telemedicine is not linked to the solution of technical problems only. In fact telemedicine is not simply a technology but a complex process whose successful exploitation needs significant attention to ergonomics, human factors and organizational changes in the structure of the relevant health service.

  13. Discomfort Glare: What Do We Actually Know?

    SciTech Connect

    Clear, Robert D.

    2012-04-19

    We reviewed glare models with an eye for missing conditions or inconsistencies. We found ambiguities as to when to use small source versus large source models, and as to what constitutes a glare source in a complex scene. We also found surprisingly little information validating the assumed independence of the factors driving glare. A barrier to progress in glare research is the lack of a standardized dependent measure of glare. We inverted the glare models to predict luminance, and compared model predictions against the 1949 Luckiesh and Guth data that form the basis of many of them. The models perform surprisingly poorly, particularly with regards to the luminance-size relationship and additivity. Evaluating glare in complex scenes may require fundamental changes to form of the glare models.

  14. Neuromuscular adaptation to actual and simulated weightlessness

    NASA Technical Reports Server (NTRS)

    Edgerton, V. R.; Roy, R. R.

    1994-01-01

    The chronic "unloading" of the neuromuscular system during spaceflight has detrimental functional and morphological effects. Changes in the metabolic and mechanical properties of the musculature can be attributed largely to the loss of muscle protein and the alteration in the relative proportion of the proteins in skeletal muscle, particularly in the muscles that have an antigravity function under normal loading conditions. These adaptations could result in decrements in the performance of routine or specialized motor tasks, both of which may be critical for survival in an altered gravitational field, i.e., during spaceflight and during return to 1 G. For example, the loss in extensor muscle mass requires a higher percentage of recruitment of the motor pools for any specific motor task. Thus, a faster rate of fatigue will occur in the activated muscles. These consequences emphasize the importance of developing techniques for minimizing muscle loss during spaceflight, at least in preparation for the return to 1 G after spaceflight. New insights into the complexity and the interactive elements that contribute to the neuromuscular adaptations to space have been gained from studies of the role of exercise and/or growth factors as countermeasures of atrophy. The present chapter illustrates the inevitable interactive effects of neural and muscular systems in adapting to space. It also describes the considerable progress that has been made toward the goal of minimizing the functional impact of the stimuli that induce the neuromuscular adaptations to space.

  15. The impact of population-based disease management services for selected chronic conditions: the Costs to Australian Private Insurance - Coaching Health (CAPICHe) study protocol

    PubMed Central

    2012-01-01

    Background Recent evidence from a large scale trial conducted in the United States indicates that enhancing shared decision-making and improving knowledge, self-management, and provider communication skills to at-risk patients can reduce health costs and utilisation of healthcare resources. Although this trial has provided a significant advancement in the evidence base for disease management programs it is still left for such results to be replicated and/or generalised for populations in other countries and other healthcare environments. This trial responds to the limited analyses on the effectiveness of providing chronic disease management services through telephone health coaching in Australia. The size of this trial and it's assessment of cost utility with respect to potentially preventable hospitalisations adds significantly to the body of knowledge to support policy and investment decisions in Australia as well as to the international debate regarding the effect of disease management programs on financial outcomes. Methods Intention to treat study applying a prospective randomised design comparing usual care with extensive outreach to encourage use of telephone health coaching for those people identified from a risk scoring algorithm as having a higher likelihood of future health costs. The trial population has been limited to people with one or more of the following selected chronic conditions: namely, low back pain, diabetes, coronary artery disease, heart failure, and chronic obstructive pulmonary disease. This trial will enrol at least 64,835 sourced from the approximately 3 million Bupa Australia private health insured members located across Australia. The primary outcome will be the total (non-maternity) cost per member as reported to the private health insurer (i.e. charged to the insurer) 12 months following entry into the trial for each person. Study recruitment will be completed in early 2012 and the results will be available in late 2013. Discussion

  16. Using a Service Audit Project for Improving Student Learning in a Service-Marketing Course

    ERIC Educational Resources Information Center

    Gonzalez-Padron, Tracy; Ferguson, Jeffery M.

    2015-01-01

    Service-marketing education provides students customer service skills sought by employers who recognize the relationship between service and profit. Students in service marketing benefit from active-learning activities with actual organizations to apply customer service frameworks taught in the course. The purpose of this paper is to describe an…

  17. The ECE Pre-Service Teachers' Perception on Factors Affecting the Integration of Educational Computer Games in Two Conditions: Selecting versus Redesigning

    ERIC Educational Resources Information Center

    Sancar Tokmak, Hatice; Ozgelen, Sinan

    2013-01-01

    This case study aimed to examine early childhood education (ECE) pre-service teachers' perception on the factors affecting integration of educational computer games to their instruction in two areas: selecting and redesigning. Twenty-six ECE pre-service teachers participated in the study. The data was collected through open-ended questionnaires,…

  18. Pre-Service Perspectives on E-Teaching: Assessing E-Teaching Using the EPEC Hierarchy of Conditions for E-Learning/Teaching Competence

    ERIC Educational Resources Information Center

    Sisco, Ashley; Woodcock, Stuart; Eady, Michelle

    2015-01-01

    This article reports on the findings of phase two of a larger study, which examines pre-service teacher experiences engaging with a synchronous (live-time) platform as a part of their training. While phase one focused on pre-service experiences "e-learning" with this synchronous platform (Woodcock, Sisco, & Eady, 2015), phase two…

  19. Under What Conditions Does Caseworker-Caregiver Racial/Ethnic Similarity Matter for Housing Service Provision? An Application of Representative Bureaucracy Theory.

    PubMed

    McBeath, Bowen; Chuang, Emmeline; Bunger, Alicia; Blakeslee, Jennifer

    2014-03-01

    In this article, we examine child welfare caseworkers' housing-related service strategies when they serve culturally similar versus culturally dissimilar clients. Testing hypotheses drawn from representative bureaucracy theory and using data from the second cohort of the National Survey of Child and Adolescent Well-Being, we find that when non-Caucasian caseworkers share the same racial/ethnic background as caregivers, caseworkers use more active strategies to connect caregivers to needed housing services. The relationship between racial/ethnic matching and frontline workers' repertoire of service strategies is most pronounced when the need for housing has been registered formally via referrals and case plans and thus legitimated institutionally. These results reinforce basic tenets of representative bureaucracy theory and provide evidence of the benefits of racial and ethnic diversity in the human service workforce. Our findings also highlight the need for research identifying institutional and frontline organizational factors that enhance the quality of service provision.

  20. Examining the Influence of Subjective Norm and Facilitating Conditions on the Intention to Use Technology among Pre-Service Teachers: A Structural Equation Modeling of an Extended Technology Acceptance Model

    ERIC Educational Resources Information Center

    Teo, Timothy

    2010-01-01

    This study examined pre-service teachers' self-reported behavioral intentions to use technology. Three hundred and fourteen participants completed a survey questionnaire measuring their responses to six constructs from a research model that extends the technology acceptance model (TAM) by including facilitating conditions and subjective norm.…

  1. Coping with changing conditions: alternative strategies for the delivery of maternal and child health and family planning services in Dhaka, Bangladesh.

    PubMed Central

    Routh, S.; el Arifeen, S.; Jahan, S. A.; Begum, A.; Thwin, A. A.; Baqui, A. H.

    2001-01-01

    The door-to-door distribution of contraceptives and information on maternal and child health and family planning (MCH-FP) services, through bimonthly visits to eligible couples by trained fieldworkers, has been instrumental in increasing the contraceptive prevalence rate and immunization coverage in Bangladesh. The doorstep delivery strategy, however, is labour-intensive and costly. More cost-effective service delivery strategies are needed, not only for family planning services but also for a broader package of reproductive and other essential health services. Against this backdrop, operations research was conducted by the Centre for Health and Population Research at the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) from January 1996 to May 1997, in collaboration with government agencies and a leading national nongovernmental organization, with a view to developing and field-testing alternative approaches to the delivery of MCH-FP services in urban areas. Two alternative strategies featuring the withdrawal of home-based distribution and the delivery of basic health care from fixed-site facilities were tested in two areas of Dhaka. The clinic-based service delivery strategy was found to be a feasible alternative to the resource-intensive doorstep system in urban Dhaka. It did not adversely affect programme performance and it allowed the needs of clients to be addressed holistically through a package of essential health and family planning services. PMID:11242821

  2. Chemiluminescent prediction of service life

    NASA Technical Reports Server (NTRS)

    Hassell, J. A.; Mendenhall, G. D.; Nathan, R. A.

    1976-01-01

    Technique can be used to predict polymer degradation under actual expected-use conditions, without imposing artificial conditions. Smooth or linear correlations are obtained between chemiluminescence and physical properties of purified polymer gums.

  3. Using plant traits to evaluate the resistance and resilience of ecosystem service provision

    NASA Astrophysics Data System (ADS)

    Kohler, Marina; Devaux, Caroline; Fontana, Veronika; Grigulis, Karl; Lavorel, Sandra; Leitinger, Georg; Schirpke, Uta; Tasser, Erich; Tappeiner, Ulrike

    2015-04-01

    Mountain grassland ecosystems are a hotspot of biodiversity and deliver a multiplicity of ecosystem services. Due to a long history of well adapted agricultural use and specific environmental conditions (e.g. slope, altitude, or climate), various types of grassland ecosystems have developed. Each of them shows specific attributes in forms of plant communities and abiotic characteristics, which lead to particular ranges of ecosystem service provision. However, ongoing climate and societal changes thread plant community composition and may lead to changes in plant traits, and therefore, the provision of ecosystem services. Currently it is not clear how vulnerable these ecosystems are to disturbances, or whether they have developed a high resilience over time. Thus, it is essential to know the ranges of resistance and resilience of an ecosystem service. We, therefore, developed a static approach based on community weighted mean plant traits and abiotic parameters to measure the boundaries of resistance and resilience of each ecosystem service separately. By calculating actual minimum and maximum amounts of ecosystem services, we define the range of resistance of an ecosystem service. We then calculate the potential amount of an ecosystem services (via simulated plant communities) by assuming that no species is lost or added to the system. By comparing actual and potential values, we can estimate whether an ecosystem service is in danger to lose its resilience. We selected different ecosystem services related to mountain grassland ecosystems, e.g. carbon storage, forage quality, forage quantity, and soil fertility. We analysed each ecosystem service for different grassland management types, covering meadows and pastures of very low land-use intensity through to grasslands of high land-use intensity. Results indicate that certain ecosystem services have a higher resilience than others (e.g. carbon storage) for all management types. The ecosystem may provide steady

  4. Parents with Co-Occurring Mental Health and Substance Abuse Conditions Involved in Child Protection Services: Clinical Profile and Treatment Needs

    ERIC Educational Resources Information Center

    Stromwall, Layne K.; Larson, Nancy C.; Nieri, Tanya; Holley, Lynn C.; Topping, Diane; Castillo, Jason; Ashford, Jose B.

    2008-01-01

    This article reports findings of an exploratory study of 71 parents with substance abuse conditions involved in a child dependency court. Over half (59%) of the parents had a co-occurring mental health condition. Parents with co-occurring conditions (PWCC) differed in several important ways from those with only substance abuse conditions. PWCC…

  5. Self-Actualization and the Effective Social Studies Teacher.

    ERIC Educational Resources Information Center

    Farmer, Rodney B.

    1980-01-01

    Discusses a study undertaken to investigate the relationship between social studies teachers' degrees of self-actualization and their teacher effectiveness. Investigates validity of using Maslow's theory of self-actualization as a way of identifying the effective social studies teacher personality. (Author/DB)

  6. Self-Actualization Effects Of A Marathon Growth Group

    ERIC Educational Resources Information Center

    Jones, Dorothy S.; Medvene, Arnold M.

    1975-01-01

    This study examined the effects of a marathon group experience on university student's level of self-actualization two days and six weeks after the experience. Gains in self-actualization as a result of marathon group participation depended upon an individual's level of ego strength upon entering the group. (Author)

  7. Self-actualization: Its Use and Misuse in Teacher Education.

    ERIC Educational Resources Information Center

    Ivie, Stanley D.

    1982-01-01

    The writings of Abraham Maslow are analyzed to determine the meaning of the psychological term "self-actualization." After pointing out that self-actualization is a rare quality and that it has little to do with formal education, the author concludes that the concept has little practical relevance for teacher education. (PP)

  8. The Self-Actualization of Polk Community College Students.

    ERIC Educational Resources Information Center

    Pearsall, Howard E.; Thompson, Paul V., Jr.

    This article investigates the concept of self-actualization introduced by Abraham Maslow (1954). A summary of Maslow's Needs Hierarchy, along with a description of the characteristics of the self-actualized person, is presented. An analysis of humanistic education reveals it has much to offer as a means of promoting the principles of…

  9. 26 CFR 1.953-2 - Actual United States risks.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 26 Internal Revenue 10 2010-04-01 2010-04-01 false Actual United States risks. 1.953-2 Section 1... (CONTINUED) INCOME TAXES Controlled Foreign Corporations § 1.953-2 Actual United States risks. (a) In general. For purposes of paragraph (a) of § 1.953-1, the term “United States risks” means risks described...

  10. 26 CFR 1.953-2 - Actual United States risks.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 26 Internal Revenue 10 2011-04-01 2011-04-01 false Actual United States risks. 1.953-2 Section 1... (CONTINUED) INCOME TAXES (CONTINUED) Controlled Foreign Corporations § 1.953-2 Actual United States risks. (a) In general. For purposes of paragraph (a) of § 1.953-1, the term “United States risks” means...

  11. 26 CFR 1.953-2 - Actual United States risks.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 26 Internal Revenue 10 2014-04-01 2013-04-01 true Actual United States risks. 1.953-2 Section 1... (CONTINUED) INCOME TAXES (CONTINUED) Controlled Foreign Corporations § 1.953-2 Actual United States risks. (a) In general. For purposes of paragraph (a) of § 1.953-1, the term “United States risks” means...

  12. 26 CFR 1.953-2 - Actual United States risks.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 26 Internal Revenue 10 2013-04-01 2013-04-01 false Actual United States risks. 1.953-2 Section 1... (CONTINUED) INCOME TAXES (CONTINUED) Controlled Foreign Corporations § 1.953-2 Actual United States risks. (a) In general. For purposes of paragraph (a) of § 1.953-1, the term “United States risks” means...

  13. 26 CFR 1.953-2 - Actual United States risks.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 26 Internal Revenue 10 2012-04-01 2012-04-01 false Actual United States risks. 1.953-2 Section 1... (CONTINUED) INCOME TAXES (CONTINUED) Controlled Foreign Corporations § 1.953-2 Actual United States risks. (a) In general. For purposes of paragraph (a) of § 1.953-1, the term “United States risks” means...

  14. Facebook as a Library Tool: Perceived vs. Actual Use

    ERIC Educational Resources Information Center

    Jacobson, Terra B.

    2011-01-01

    As Facebook has come to dominate the social networking site arena, more libraries have created their own library pages on Facebook to create library awareness and to function as a marketing tool. This paper examines reported versus actual use of Facebook in libraries to identify discrepancies between intended goals and actual use. The results of a…

  15. School Guidance Counselors' Perceptions of Actual and Preferred Job Duties

    ERIC Educational Resources Information Center

    Edwards, John Dexter

    2010-01-01

    The purpose of this study was to provide process data for school counselors, administrators, and the public, regarding school counselors' actual roles within the guidance counselor preferred job duties and actual job duties. In addition, factors including National Certification or no National Certification, years of counseling experience, and…

  16. Alternate corrections for estimating actual wetland evapotranspiration from potential evapotranspiration

    USGS Publications Warehouse

    Barclay, Shoemaker W.; Sumner, D.M.

    2006-01-01

    Corrections can be used to estimate actual wetland evapotranspiration (AET) from potential evapotranspiration (PET) as a means to define the hydrology of wetland areas. Many alternate parameterizations for correction coefficients for three PET equations are presented, covering a wide range of possible data-availability scenarios. At nine sites in the wetland Everglades of south Florida, USA, the relatively complex PET Penman equation was corrected to daily total AET with smaller standard errors than the PET simple and Priestley-Taylor equations. The simpler equations, however, required less data (and thus less funding for instrumentation), with the possibility of being corrected to AET with slightly larger, comparable, or even smaller standard errors. Air temperature generally corrected PET simple most effectively to wetland AET, while wetland stage and humidity generally corrected PET Priestley-Taylor and Penman most effectively to wetland AET. Stage was identified for PET Priestley-Taylor and Penman as the data type with the most correction ability at sites that are dry part of each year or dry part of some years. Finally, although surface water generally was readily available at each monitoring site, AET was not occurring at potential rates, as conceptually expected under well-watered conditions. Apparently, factors other than water availability, such as atmospheric and stomata resistances to vapor transport, also were limiting the PET rate. ?? 2006, The Society of Wetland Scientists.

  17. Remote Sensing of Actual Evapotranspiration at Basin Scale in the Northern Tibetan Plateau Area

    NASA Astrophysics Data System (ADS)

    Zhong, Lei; Zou, Mijun; Ma, Yaoming; Su, Zhongbo; Ma, Weiqiang; Hu, Yuanyuan; Han, Cunbo; Wang, Binbin

    2016-08-01

    Evapotranspiration(ET), as one of the most uncertain components of the water cycle, was derived in the Nagqu river basin of the northern Tibetan Plateau based on multi-sensor remote sensing data and field observations under clear-sky condition. Improved land surface albedo, improved downward shortwave radiation flux and reconstructed normalized difference vegetation index (NDVI) were coupled into the topographical enhanced surface energy balance system (TESEBS) model to estimate actual ET. The model-estimated results were compared with those determined by the combinatory method which were treated as actual ET. The results indicated that the model-estimated ET agreed well with actual ET with correlation coefficient, mean bias error and root mean square error of 0.836, 0.087 and 0.140 respectively.

  18. Actual 10-Year Survivors Following Resection of Adrenocortical Carcinoma

    PubMed Central

    Tran, Thuy B.; Postlewait, Lauren M.; Maithel, Shishir K.; Prescott, Jason D.; Wang, Tracy S.; Glenn, Jason; Phay, John E.; Keplinger, Kara; Fields, Ryan C.; Jin, Linda X.; Weber, Sharon M.; Salem, Ahmed; Sicklick, Jason K.; Gad, Shady; Yopp, Adam C.; Mansour, John C.; Duh, Quan-Yang; Seiser, Natalie; Solorzano, Carmen C.; Kiernan, Colleen M.; Votanopoulos, Konstantinos I.; Levine, Edward A.; Hatzaras, Ioannis; Shenoy, Rivfka; Pawlik, Timothy M.; Norton, Jeffrey A.; Poultsides, George A.

    2017-01-01

    Background Adrenocortical carcinoma (ACC) is a rare and aggressive malignancy with limited therapeutic options beyond surgical resection. The characteristics of actual long-term survivors following surgical resection for ACC have not been previously reported. Method Patients who underwent resection for ACC at one of 13 academic institutions participating in the US Adrenocortical Carcinoma Group from 1993 to 2014 were analyzed. Patients were stratified into four groups: early mortality (died within 2 years), late mortality (died within 2–5 years), actual 5-year survivor (survived at least 5 years), and actual 10-year survivor (survived at least 10 years). Patients with less than 5 years of follow-up were excluded. Results Among the 180 patients available for analysis, there were 49 actual 5-year survivors (27%) and 12 actual 10-year survivors (7%). Patients who experienced early mortality had higher rates of cortisol-secreting tumors, nodal metastasis, synchronous distant metastasis, and R1 or R2 resections (all P < 0.05). The need for multi-visceral resection, perioperative blood transfusion, and adjuvant therapy correlated with early mortality. However, nodal involvement, distant metastasis, and R1 resection did not preclude patients from becoming actual 10-year survivors. Ten of twelve actual 10-year survivors were women, and of the seven 10-year survivors who experienced disease recurrence, five had undergone repeat surgery to resect the recurrence. Conclusion Surgery for ACC can offer a 1 in 4 chance of actual 5-year survival and a 1 in 15 chance of actual 10-year survival. Long-term survival was often achieved with repeat resection for local or distant recurrence, further underscoring the important role of surgery in managing patients with ACC. PMID:27633419

  19. Actual and perceived sleep: associations with daytime functioning among postpartum women.

    PubMed

    Insana, Salvatore P; Stacom, Elizabeth E; Montgomery-Downs, Hawley E

    2011-02-01

    Sleep and wake have a homeostatic relation that influences most aspects of physiology and waking behavior. Sleep disturbance has a detrimental effect on sleepiness and psychomotor vigilance. The purpose of this study was to identify which actual or perceived sleep characteristics accounted for the most variance in daytime functioning among postpartum mothers. Seventy first-time postpartum mothers' actual sleep (actigraphically estimated: total sleep time, number of wake bouts, length of nocturnal wake, and sleep efficiency) and perceived sleep (self-reported: number of awakenings, wake time, and sleep quality) were measured along with their daytime functioning (Stanford Sleepiness Scale [SSS], Epworth Sleepiness Scale [ESS], Visual Analogue of Fatigue Scale [VAFS], and morning Psychomotor Vigilance Test [PVT]). Data were repeatedly collected from the same sample during postpartum weeks 2, 7, and 13. Four stepwise linear regressions were calculated for each postpartum week to examine which objective and/or subjective variable(s) accounted for the most variance in daytime functioning. The SSS and VAFS were both most consistently associated with perceived sleep quality. The ESS was most consistently associated with actual total sleep time. PVT performance was most consistently associated with estimates of actual and perceived sleep efficiency. Actual and perceived sleep profiles were differentially associated with specific daytime functions. These results from postpartum mothers may indicate that populations who experience specific forms of sleep disturbance (e.g. fragmentation and/or deprivation) may also experience specific daytime conditions.

  20. Electrodermal responses to implied versus actual violence on television.

    PubMed

    Kalamas, A D; Gruber, M L

    1998-01-01

    The electrodermal response (EDR) of children watching a violent show was measured. Particular attention was paid to the type of violence (actual or implied) that prompted an EDR. In addition, the impact of the auditory component (sounds associated with violence) of the show was evaluated. Implied violent stimuli, such as the villain's face, elicited the strongest EDR. The elements that elicited the weakest responses were the actual violent stimuli, such as stabbing. The background noise and voices of the sound track enhanced the total number of EDRs. The results suggest that implied violence may elicit more fear (as measured by EDRs) than actual violence does and that sounds alone contribute significantly to the emotional response to television violence. One should not, therefore, categorically assume that a show with mostly actual violence evokes less fear than one with mostly implied violence.