The impact of alternative pricing methods for drugs in California Workers' Compensation System: Fee-schedule pricing.

PubMed

Wilson, Leslie; Turkistani, Fatema A; Huang, Wei; Tran, Dang M; Lin, Tracy Kuo

2018-01-01

California's Workers' Compensation System (CAWCS) Department of Industrial Relations questioned the adequacy of the current Medi-Cal fee-schedule pricing and requested analysis of alternatives that maximize price availability and maintain budget neutrality. To compare CAWCS pharmacy-dispensed (PD) drug prices under alternative fee schedules, and identify combinations of alternative benchmarks that have prices available for the largest percentage of PD drugs and that best reach budget neutrality. Claims transaction-level data (2011-2013) from CAWCS were used to estimate total annual PD pharmaceutical payments. Medi-Cal pricing data was from the Workman's Compensation Insurance System (WCIS). Average Wholesale Prices (AWP), Wholesale Acquisition Costs (WAC), Direct Prices (DP), Federal Upper Limit (FUL) prices, and National Average Drug Acquisition Costs (NADAC) were from Medi-Span. We matched National Drug Codes (NDCs), pricing dates, and drug quantity for comparisons. We report pharmacy-dispensed (PD) claims frequency, reimbursement matching rate, and paid costs by CAWCS as the reference price against all alternative price benchmarks. Of 12,529,977 CAWCS claims for pharmaceutical products 11.6% (1,462,814) were for PD drugs. Prescription drug cost for CAWCS was over $152M; $63.9M, $47.9M, and $40.6M in 2011-2013. Ninety seven percent of these CAWCS PD claims had a Medi-Cal price. Alternative mechanisms provided a price for fewer claims; NADAC 94.23%, AWP 90.94%, FUL 73.11%, WAC 66.98%, and DP 14.33%. Among CAWCS drugs with no Medi-Cal price in PD claims, AWP, WAC, NADAC, DP, and FUL provided prices for 96.7%, 63.14%, 24.82%, 20.83%, and 15.08% of claims. Overall CAWCS paid 100.52% of Medi-Cal, 60% of AWP, 97% of WAC, 309.53% of FUL, 103.83% of DP, and 136.27% of NADAC. CAWCS current Medi-Cal fee-schedule price list for PD drugs is more complete than all alternative fee-schedules. However, all reimbursement approaches would require combinations of pricing benchmarks. We suggest keeping primary reimbursement at 100% of Medi-Cal and for drugs without a primary Medi-Cal price calculating the maximum fee as 60% of AWP and then 97% of WAC. Alternatively, we suggest using NADAC as a primary fee-schedule followed by either 60% AWP and 97% WAC or AWP-40% for drugs with no NADAC price. Fee-schedules may not offer the best price and a formulary approach may provide more flexibility.

The State of WAC/WID in 2010: Methods and Results of the U.S. Survey of the International WAC/WID Mapping Project

ERIC Educational Resources Information Center

Thaiss, Chris; Porter, Tara

2010-01-01

As writing across the curriculum (WAC) has matured and diversified as a concept and as an organizational structure in U.S. higher education, there has arisen a need for accurate, up-to-date information on the presence and characteristics of WAC and writing-in-the-disciplines (WID) programs. Following on the only previous nationwide survey of…

Heap/stack guard pages using a wakeup unit

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

Gooding, Thomas M; Satterfield, David L; Steinmacher-Burow, Burkhard

A method and system for providing a memory access check on a processor including the steps of detecting accesses to a memory device including level-1 cache using a wakeup unit. The method includes invalidating level-1 cache ranges corresponding to a guard page, and configuring a plurality of wakeup address compare (WAC) registers to allow access to selected WAC registers. The method selects one of the plurality of WAC registers, and sets up a WAC register related to the guard page. The method configures the wakeup unit to interrupt on access of the selected WAC register. The method detects access ofmore » the memory device using the wakeup unit when a guard page is violated. The method generates an interrupt to the core using the wakeup unit, and determines the source of the interrupt. The method detects the activated WAC registers assigned to the violated guard page, and initiates a response.« less

State Environmental Policy Act (SEPA) environmental checklist forms for 304 Concretion Facility Closure Plan. Revision 2

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

Not Available

The 300 Area of the Hanford Site contains reactor fuel manufacturing facilities and several research and development laboratories. Recyclable scrap uranium with zircaloy-2 and copper silicon alloy, uranium-titanium alloy, beryllium/zircaloy-2 alloy, and zircaloy-2 chips and fines were secured in concrete billets (7.5-gallon containers) in the 304 Facility, located in the 300 Area. The beryllium/zircaloy-2 alloy and zircaloy-2 chips and fines are designated as mixed waste with the characteristic of ignitability. The concretion process reduced the ignitability of the fines and chips for safe storage and shipment. This process has been discontinued and the 304 Facility is now undergoing closure asmore » defined in the Resource Conservation and Recovery Act (RCRA) of 1976 and the Washington Administrative Code (WAC) Dangerous Waste Regulations, WAC 173-303-040. This closure plan presents a description of the 304 Facility, the history of materials and waste managed, and the procedures that will be followed to close the 304 Facility. The 304 Facility is located within the 300-FF-3 (source) and 300-FF-5 (groundwater) operable units, as designated in the Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) (Ecology et al. 1992). Contamination in the operable units 300-FF-3 and 300-FF-5 is scheduled to be addressed through the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) of 1980 remedial action process. Therefore, all soil remedial action at the 304 Facility will be conducted as part of the CERCLA remedial action of operable units 300-FF-3 and 300-FF-5.« less

The political and economic impacts of writing across the curriculum in chemistry at the University of Missouri-St. Louis

NASA Astrophysics Data System (ADS)

Klein, William Dixon

Writing Across the Curriculum at most institutions is a web of local knowledges and techniques "situated" within the historical and immediate contexts of academic departments, disciplines, and disciplinary cultures. Because of political and economic tensions existing within colleges and universities, and within academic disciplines themselves, WAC can become a "contact zone," where individuals and institutional structures struggle for power, influence, and in some cases, survival. This dissertation uses the work of Anthony Giddens and Pierre Bourdieu to examine such a struggle as it occurred at the University of Missouri-St. Louis in the early 1980s. A WAC program was initiated there, but eventually failed as a result of political and economic influences. In the time since that failure, a growing emphasis on teaching and learning has helped create new potential for WAC at UMSL. Yet, to make it viable, WAC proponents there must recognize existing realities, attitudes, and conventions within each discipline or department, and develop new methods and approaches to writing and teaching that are relevant to that discipline or department. This examination then focuses on writing in chemistry to discover the realities, attitudes, and conventions used in teaching and learning writing at the undergraduate level. Standards for content acquisition are gathered from ACS accreditation requirements, and from a study of educators and practitioners from a variety of professions. A study of Chemistry students in an NSF-funded educational program suggests that science students may learn as much or more about disciplinary discourse from sources other than the traditional writing course. Interaction with the literature and with graduate students, professors, and professionals may teach students more about disciplinary discourse conventions than a composition-trained specialist might accomplish in a writing course. Still, the writing course can be useful. These findings suggest that writing can be woven into the chemistry curriculum in a number of ways. Interviews with UMSL faculty and administrators suggest new instantiations of WAC that might better thrive in today's political and economic environment. What takes shape might serve as a model for other institutions to follow.

Assessing WAC Elements in Business Syllabi

ERIC Educational Resources Information Center

Nicolas, Maureen O’Day; Annous, Samer

2013-01-01

This study investigates syllabi for evidence of the principles of writing across the curriculum (WAC) in courses offered by the Faculty of Business (FOB) at a university operating in a non–English-speaking country. The research analyzed all syllabi of FOB courses offered in the spring 2010 semester for evidence of WAC looking for indications of…

Reliving the History of WAC--Every Day.

ERIC Educational Resources Information Center

Thaiss, Chris

1997-01-01

In 1978, when writing across the curriculum (WAC) workshops began at George Mason University, some things were very different from today: (1) an outside speaker who had worked with educators in England testified to the fact that WAC was not just a "whim"; (2) session presentations were made by local high school English teachers who had…

Notes from the Margins: WAC, WID, and the Politics of Place(ment)

ERIC Educational Resources Information Center

Cook, Paul G.

2014-01-01

This institutional autoethnography (IAE) explores the political and pedagogical dynamics of WPA and WAC/WID work within an exceedingly small, resolutely single-sex, and assuredly rural liberal arts campus ecology. Working within a theoretical framework informed by WAC/WID's historical commitment to increasing literacy in students from diverse…

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

Snyder, Sandra F.; Barnett, J. Matthew; Bisping, Lynn E.

This report documents radionuclide air emissions that result in the 2014 highest effective dose equivalent (EDE) to an offsite member of the public, referred to as the maximally exposed individual (MEI). The report has been prepared in compliance with the Code of Federal Regulations (CFR), Title 40, Protection of the Environment, Part 61, National Emission Standards for Hazardous Air Pollutants (NESHAP), Subpart H, “National Emission Standards for Emissions of Radionuclides Other than Radon from Department of Energy Facilities” and Washington Administrative Code (WAC) Chapter 246-247, “Radiation Protection–Air Emissions.” The dose to the PNNL Campus MEI due to routine major andmore » minor point source emissions in 2014 from PNNL Campus sources is 2E 05 mrem (2E-07 mSv) EDE. The dose from all fugitive sources is 3E-6 mrem (3E-8 mSv) EDE. The dose from radon emissions is 1E-6 mrem (1E-8 mSv) EDE. No nonroutine emissions occurred in 2014. The total radiological dose for 2014 to the MEI from all PNNL Campus radionuclide emissions, including fugitive emissions and radon, is 3E-5 mrem (3E-7 mSv) EDE, or more than 100,000 times smaller than the federal and state standard of 10 mrem/yr, to which the PNNL Campus is in compliance.« less

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

Snyder, Sandra F.; Barnett, J. Matthew; Bisping, Lynn E.

This report documents radionuclide air emissions that result in the highest effective dose equivalent (EDE) to a member of the public, referred to as the maximally exposed individual (MEI). The report has been prepared in compliance with the Code of Federal Regulations (CFR), Title 40, Protection of the Environment, Part 61, National Emission Standards for Hazardous Air Pollutants (NESHAP), Subpart H, National Emission Standards for Emissions of Radionuclides Other than Radon from Department of Energy Facilities and Washington Administrative Code (WAC) Chapter 246-247, Radiation Protection Air Emissions. The dose to the PNNL Site MEI due to routine major and minormore » point source emissions in 2013 from PNNL Site sources is 2E-05 mrem (2E-07 mSv) EDE. The dose from fugitive emissions (i.e., unmonitored sources) is 2E-6 mrem (2E-8 mSv) EDE. The dose from radon emissions is 1E-11 mrem (1E-13 mSv) EDE. No nonroutine emissions occurred in 2013. The total radiological dose for 2013 to the MEI from all PNNL Site radionuclide emissions, including fugitive emissions and radon, is 2E-5 mrem (2E-7 mSv) EDE, or 100,000 times smaller than the federal and state standard of 10 mrem/yr, to which the PNNL Site is in compliance« less

Select Components and Finish System Design of a Window Air Conditioner with Propane

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

Shen, Bo; Abdelaziz, Omar

This report describes the technical targets for developing a high efficiency window air conditioner (WAC) using propane (R-290). The baseline unit selected for this activity is a GE R-410A WAC. We established collaboration with a Chinese rotary compressor manufacturer, to select an R-290 compressor. We first modelled and calibrated the WAC system model using R-410A. Next, we applied the calibrated system model to design the R-290 WAC, and decided the strategies to reduce the system charge below 260 grams and achieve the capacity and efficiency targets.

List of Research Publications 1940-1980

DTIC Science & Technology

1981-10-01

comparison of the amount of tolerance for misplaced answers found in the GPO and the IBM machine-scored answer sheets. January 1942. (X6304) 1-18 A& .1...machine scoring of answer sheets. March 1942. The effect of the use of No. I pencils on the accuracy of scoring IBM answer sheets by machine. July 1942...X6427) 482 Hobbies - IBM code. 483 Relationship of Classification Test, R-I and WAC Classi- 4023 fication Test-2 for a recruiting station population

Improving Success, Increasing Access: Bringing HIPs to Open Enrollment Institutions through WAC/WID

ERIC Educational Resources Information Center

Kester, Jessica; Block, Rebecca; Karda, Margaret Reinfeld; Orndoff, Harold, III

2016-01-01

Today, and historically, the presence of WAC/WID programs in the community college setting remains anemic when compared to Ph.D.-granting institutions. This fact is particularly troubling considering the AAC&U's research on high-impact practices and its correlation with WAC/WID theory and practice. This article empirically investigates the…

Early Rockets

NASA Image and Video Library

1950-02-24

Bumper Wac liftoff at the Long Range Proving Ground located at Cape Canaveral, Florida. At White Sands, New Mexico, the German rocket team experimented with a two-stage rocket called Bumper Wac, which intended to provide data for upper atmospheric research. On February 24, 1950, the Bumper, which employed a V-2 as the first stage with a Wac Corporal upper stage, obtained a peak altitude of more than 240 miles.

Characterization of the Old Hydrofracture Facility (OHF) waste tanks located at ORNL

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

Keller, J.M.; Giaquinto, J.M.; Meeks, A.M.

1997-04-01

The Old Hydrofracture Facility (OHF) is located in Melton Valley within Waste Area Grouping (WAG) 5 and includes five underground storage tanks (T1, T2, T3, T4, and T9) ranging from 13,000 to 25,000 gal. capacity. During the period of 1996--97 there was a major effort to re-sample and characterize the contents of these inactive waste tanks. The characterization data summarized in this report was needed to address waste processing options, examine concerns dealing with the performance assessment (PA) data for the Waste Isolation Pilot Plant (WIPP), evaluate the waste characteristics with respect to the waste acceptance criteria (WAC) for WIPPmore » and Nevada Test Site (NTS), address criticality concerns, and to provide the data needed to meet DOT requirements for transporting the waste. This report discusses the analytical characterization data collected on both the supernatant and sludge samples taken from three different locations in each of the OHF tanks. The isotopic data presented in this report supports the position that fissile isotopes of uranium ({sup 233}U and {sup 235}U) do not satisfy the denature ratios required by the administrative controls stated in the ORNL LLLW waste acceptance criteria (WAC). The fissile isotope of plutonium ({sup 239}Pu and {sup 241}Pu) are diluted with thorium far above the WAC requirements. In general, the OHF sludge was found to be hazardous (RCRA) based on total metal content and the transuranic alpha activity was well above the 100 nCi/g limit for TRU waste. The characteristics of the OHF sludge relative to the WIPP WAC limits for fissile gram equivalent, plutonium equivalent activity, and thermal power from decay heat were estimated from the data in this report and found to be far below the upper boundary for any of the remote-handled transuranic waste (RH-TRU) requirements for disposal of the waste in WIPP.« less

The Future of WAC-Plenary Address, International Writing across the Curriculum Conference, (Ninth, Austin, Texas, May 2008 )

ERIC Educational Resources Information Center

McLeod, Susan H.

2008-01-01

In this Plenary Address given at the 9th IWAC Conference in 2008, Susan McLeod (who started her first WAC program in 1982) speculates about the future of the WAC movement. She focuses on four issues: The changing nature of communication and the cultural lag in assignment design, the question of who is in charge of the program, the ascendancy of…

Fragment screening for drug leads by weak affinity chromatography (WAC-MS).

PubMed

Ohlson, Sten; Duong-Thi, Minh-Dao

2018-02-23

Fragment-based drug discovery is an important tool for design of small molecule hit-to-lead compounds against various biological targets. Several approved drugs have been derived from an initial fragment screen and many such candidates are in various stages of clinical trials. Finding fragment hits, that are suitable for optimisation by medicinal chemists, is still a challenge as the binding between the small fragment and its target is weak in the range of mM to µM of K d and irrelevant non-specific interactions are abundant in this area of transient interactions. Fortunately, there are methods that can study weak interactions quite efficiently of which NMR, surface plasmon resonance (SPR) and X-ray crystallography are the most prominent. Now, a new technology based on zonal affinity chromatography, weak affinity chromatography (WAC), has been introduced which has remedied many of the problems with other technologies. By combining WAC with mass spectrometry (WAC-MS), it is a powerful tool to identify binders quantitatively in terms of affinity and kinetics either from fragment libraries or from complex mixtures of biological extracts. As WAC-MS can be multiplexed by analysing mixtures of fragments (20-100 fragments) in one sample, this approach yields high throughput, where a whole library of e.g. >2000 fragments can be analysed quantitatively within a day. WAC-MS is easy to perform, where the robustness and quality of HPLC is fully utilized. This review will highlight the rationale behind the application of WAC-MS for fragment screening in drug discovery. Copyright © 2018 Elsevier Inc. All rights reserved.

3718-F Alkali Metal Treatment and Storage Facility Closure Plan. Revision 1

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

None

The Hanford Site, located northwest of the city of Richland, Washington, houses reactors, chemical-separation systems, and related facilities used for the production of special nuclear materials, as well as for activities associated with nuclear energy development. The 300 Area of the Hanford Site contains reactor fuel manufacturing facilities and several research and development laboratories. The 3718-F Alkali Metal Treatment and Storage Facility (3718-F Facility), located in the 300 Area, was used to store and treat alkali metal wastes. Therefore, it is subject to the regulatory requirements for the storage and treatment of dangerous wastes. Closure will be conducted pursuant tomore » the requirements of the Washington Administrative Code (WAC) 173-303-610 (Ecology 1989) and 40 CFR 270.1. Closure also will satisfy the thermal treatment facility closure requirements of 40 CFR 265.381. This closure plan presents a description of the 3718-F Facility, the history of wastes managed, and the approach that will be followed to close the facility. Only hazardous constituents derived from 3718-F Facility operations will be addressed.« less

[Pharmacokinetics of magnolol and honokiol in Weichang'an pill].

PubMed

Chen, Yu-Ling; Wang, Shu-Ping; Wang, Lei; Jin, Zhao-Xiang; Zhang, Jing-Ze; Chen, Hong; Gao, Wen-Yuan

2016-05-01

To conduct multiple-reaction monitoring(MRM) quantitative analysis with high-performance liquid chromatography coupled with mass spectrometry method, establish the quantification method of magnolol and honokiol in blood sample under negative ion mode with ibuprofen as internal standard, investigate the pharmacokinetic process of lignans constituents after oral administration of Weichang'an pill(WCA) at different doses, and provide theoretical basis to further reveal the material basis of WCA's anti-diarrhea effect. In the plasma samples, the linear relationship was good over the concentration range of 5.25 to 1 344.00 μg•L ⁻¹ for magnolol and 10.08 to 2 580.00 μg•L ⁻¹ for honokiol. The results of precision, stability, and extraction recovery tests showed that the determination method of plasma concentration for such compositions was stable and reliable. Dose-dependence was shown for magnolol and honokiol in the plasma concentration-time profile. The results indicated that the time to reach the maximum plasma concentration(Tmax) for lignanoids was 0.55-1.42 h, when the maximum plasma concentration(Cmax) could reach 996.36-2 330.96,189.87-1 469.43 μg•L ⁻¹ respectively for magnolol and honokiol. The lignanoids could be absorbed rapidly in the blood after oral administration of WAC pills, providing experimental basis to prove rapid and long-acting anti-diarrhea effect of WAC pills after oral administration. Copyright© by the Chinese Pharmaceutical Association.

River Protection Project (RPP) Dangerous Waste Training Plan

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

POHTO, R.E.

2000-03-09

This supporting document contains the training plan for dangerous waste management at River Protection Project TSD Units. This document outlines the dangerous waste training program developed and implemented for all Treatment, Storage, and Disposal (TSD) Units operated by River Protection Project (RPP) in the Hanford 200 East, 200 West and 600 Areas and the <90 Day Accumulation Area at 209E. Operating TSD Units managed by RPP are: the Double-Shell Tank (DST) System, 204-AR Waste Unloading Facility, Grout, and the Single-Shell Tank (SST) System. The program is designed in compliance with the requirements of Washington Administrative Code (WAC) 173-303-330 and Titlemore » 40 Code of Federal Regulations (CFR) 265.16 for the development of a written dangerous waste training program and the Hanford Facility Permit. Training requirements were determined by an assessment of employee duties and responsibilities. The RPP training program is designed to prepare employees to operate and maintain the Tank Farms in a safe, effective, efficient, and environmentally sound manner. In addition to preparing employees to operate and maintain the Tank Farms under normal conditions, the training program ensures that employees are prepared to respond in a prompt and effective manner should abnormal or emergency conditions occur. Emergency response training is consistent with emergency responses outlined in the following Building Emergency Plans: HNF-IP-0263-TF and HNF-=IP-0263-209E.« less

Pacific Northwest National Laboratory Campus Radionuclide Air Emissions Report for Calendar Year 2015

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

Snyder, Sandra F.; Barnett, J. Matthew; Bisping, Lynn E.

This report documents radionuclide air emissions that result in the 2015 highest effective dose equivalent (EDE) to an offsite member of the public, referred to as the maximally exposed individual (MEI). The report has been prepared in compliance with the Code of Federal Regulations (CFR), Title 40, Protection of the Environment, Part 61, National Emission Standards for Hazardous Air Pollutants (NESHAP), Subpart H, “National Emission Standards for Emissions of Radionuclides Other than Radon from Department of Energy Facilities” and Washington Administrative Code (WAC) Chapter 246-247, “Radiation Protection–Air Emissions.” The dose to the PNNL Campus MEI from routine major and minormore » point source emissions in 2015 from PNNL Campus sources is 2.6E-4 mrem (2.6E-6 mSv) EDE. The dose from all fugitive sources is 1.8E-6 mrem (1.8E-8 mSv) EDE. The dose from radon emissions is 4.4E-8 mrem (4.4E-10 mSv) EDE. No nonroutine emissions occurred in 2015. The total radiological dose to the MEI from all PNNL Campus radionuclide emissions, including fugitive emissions and radon, is 2.6E-4 mrem (2.6E-6 mSv) EDE, or more than 10,000 times less than the federal and state standard of 10 mrem/yr, with which the PNNL Campus is in compliance.« less

Report on Analyses of WAC Samples of Evaporator Overheads - 2004

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

OJI, LAWRENCE

2004-08-16

All water received into ETF requires characterization versus the defined Waste Acceptance Criteria. Currently much of the water received by ETF comes from the F and H Evaporator Overheads. Concentration, Storage and Transfer Engineering issued a modified list of species to be determined. In March of 2004, the Tank Farm submitted annual samples from 2F, 2H and 3H Evaporator Overhead streams for characterization to verify compliance with the Effluent Treatment Facility (ETF) Waste Acceptance Criteria (WAC) and to look for organic species. With the exception of high silicon in the 2H and slightly high tritium in 2F evaporator overheads, allmore » the overheads samples were found to be in compliance with the Effluent Treatment Facility WAC. The silicon concentration in the 2H-evaporator overhead, at 44 mg/L, was above the ETF WAC limit of 5 mg/L and tritium at 2.11E+05 dpm/mL in 2F overhead sample was above the ETF WAC limit of 1.2E+05 dpm/mL.« less

Implementation of Writing Across the Curriculum (WAC) learning approaches in social work and sociology gerontology courses.

PubMed

Kolb, Patricia

2013-01-01

This article describes the goals and methods of the international Writing Across the Curriculum (WAC) movement in higher education, and WAC-enriched learning approaches that the author used in teaching a social work gerontology practice course and a sociological theories of aging course. The author's in-class, low-stakes, nongraded writing assignments facilitated students' development of knowledge about gerontological practice and sociological theories, as well as analytical thinking. The assignments are influenced by WAC's perspective that when students write their reactions to information, their understanding and retention of information improves; that writing can facilitate the application of new content to students' own lives and interests; and that increased frequency of writing increases writing comfort and maintenance and can result in the improvement of writing skills. The students' reactions to the assignments have been very positive.

Calibration, Projection, and Final Image Products of MESSENGER's Mercury Dual Imaging System

NASA Astrophysics Data System (ADS)

Denevi, Brett W.; Chabot, Nancy L.; Murchie, Scott L.; Becker, Kris J.; Blewett, David T.; Domingue, Deborah L.; Ernst, Carolyn M.; Hash, Christopher D.; Hawkins, S. Edward; Keller, Mary R.; Laslo, Nori R.; Nair, Hari; Robinson, Mark S.; Seelos, Frank P.; Stephens, Grant K.; Turner, F. Scott; Solomon, Sean C.

2018-02-01

We present an overview of the operations, calibration, geodetic control, photometric standardization, and processing of images from the Mercury Dual Imaging System (MDIS) acquired during the orbital phase of the MESSENGER spacecraft's mission at Mercury (18 March 2011-30 April 2015). We also provide a summary of all of the MDIS products that are available in NASA's Planetary Data System (PDS). Updates to the radiometric calibration included slight modification of the frame-transfer smear correction, updates to the flat fields of some wide-angle camera (WAC) filters, a new model for the temperature dependence of narrow-angle camera (NAC) and WAC sensitivity, and an empirical correction for temporal changes in WAC responsivity. Further, efforts to characterize scattered light in the WAC system are described, along with a mosaic-dependent correction for scattered light that was derived for two regional mosaics. Updates to the geometric calibration focused on the focal lengths and distortions of the NAC and all WAC filters, NAC-WAC alignment, and calibration of the MDIS pivot angle and base. Additionally, two control networks were derived so that the majority of MDIS images can be co-registered with sub-pixel accuracy; the larger of the two control networks was also used to create a global digital elevation model. Finally, we describe the image processing and photometric standardization parameters used in the creation of the MDIS advanced products in the PDS, which include seven large-scale mosaics, numerous targeted local mosaics, and a set of digital elevation models ranging in scale from local to global.

Weak affinity chromatography for evaluation of stereoisomers in early drug discovery.

PubMed

Duong-Thi, Minh-Dao; Bergström, Maria; Fex, Tomas; Svensson, Susanne; Ohlson, Sten; Isaksson, Roland

2013-07-01

In early drug discovery (e.g., in fragment screening), recognition of stereoisomeric structures is valuable and guides medicinal chemists to focus only on useful configurations. In this work, we concurrently screened mixtures of stereoisomers and estimated their affinities to a protein target (thrombin) using weak affinity chromatography-mass spectrometry (WAC-MS). Affinity determinations by WAC showed that minor changes in stereoisomeric configuration could have a major impact on affinity. The ability of WAC-MS to provide instant information about stereoselectivity and binding affinities directly from analyte mixtures is a great advantage in fragment library screening and drug lead development.

A Qualitative Approach to Integrative WAC.

ERIC Educational Resources Information Center

Siebert, Debbie L.

Many educators and researchers are discussing a shift in national education from an "instruction" paradigm emphasizing measuring inputs and providing instruction to a "learning" paradigm emphasizing outputs and producing learning. The question is how can Writing Across the Curriculum (WAC) smoothly shift educational paradigms.…

Radioactive Air Emissions Notice of Construction for the 105-KW Basin integrated water treatment system filter vessel sparging vent

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

Kamberg, L.D.

1998-02-23

This document serves as a notice of construction (NOC), pursuant to the requirements of Washington Administrative Code (WAC) 246-247-060, and as a request for approval to construct, pursuant to 40 Code of Federal Regulations (CFR) 61.07, for the Integrated Water Treatment System (IWTS) Filter Vessel Sparging Vent at 105-KW Basin. Additionally, the following description, and references are provided as the notices of startup, pursuant to 40 CFR 61.09(a)(1) and (2) in accordance with Title 40 Code of Federal Regulations, Part 61, National Emission Standards for Hazardous Air Pollutants. The 105-K West Reactor and its associated spent nuclear fuel (SNF) storagemore » basin were constructed in the early 1950s and are located on the Hanford Site in the 100-K Area about 1,400 feet from the Columbia River. The 105-KW Basin contains 964 Metric Tons of SNF stored under water in approximately 3,800 closed canisters. This SNF has been stored for varying periods of time ranging from 8 to 17 years. The 105-KW Basin is constructed of concrete with an epoxy coating and contains approximately 1.3 million gallons of water with an asphaltic membrane beneath the pool. The IWTS, which has been described in the Radioactive Air Emissions NOC for Fuel Removal for 105-KW Basin (DOE/RL-97-28 and page changes per US Department of Energy, Richland Operations Office letter 97-EAP-814) will be used to remove radionuclides from the basin water during fuel removal operations. The purpose of the modification described herein is to provide operational flexibility for the IWTS at the 105-KW basin. The proposed modification is scheduled to begin in calendar year 1998.« less

[Analysis of the reliability and validity of three self-report questionnaires to assess physical activity among Spanish adolescents].

PubMed

Cancela Carral, José María; Lago Ballesteros, Joaquín; Ayán Pérez, Carlos; Mosquera Morono, María Belén

2016-01-01

To analyse the reliability and validity of the Weekly Activity Checklist (WAC), the One Week Recall (OWR), and the Godin-Shephard Leisure Time Exercise Questionnaire (GLTEQ) in Spanish adolescents. A total of 78 adolescents wore a pedometer for one week, filled out the questionnaires at the end of this period and underwent a test to estimate their maximal oxygen consumption (VO2max). The reliability of the questionnaires was determined by means of a factor analysis. Convergent validity was obtained by comparing the questionnaires' scores against the amount of physical activity quantified by the pedometer and the VO2max reported. The questionnaires showed a weak internal consistency (WAC: α=0.59-0.78; OWR: α=0.53-0.73; GLTEQ: α=0.60). Moderate statistically significant correlations were found between the pedometer and the WAC (r=0.69; p <0.01) and the OWR (r=0.42; p <0.01), while a low statistically significant correlation was found for the GLTEQ (r=0.36; p=0.01). The estimated VO2max showed a low level of association with the WAC results (r=0.30; p <0.05), and the OWR results (r=0.29; p <0.05). When classifying the participants as active or inactive, the level of agreement with the pedometer was moderate for the WAC (k=0.46) and the OWR (r=0.44), and slight for the GLTEQ (r=0.20). Of the three questionnaires analysed, the WAC showed the best psychometric performance as it was the only one with respectable convergent validity, while sharing low reliability with the OWR and the GLTEQ. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

The Wide Angle Camera of the ROSETTA Mission

NASA Astrophysics Data System (ADS)

Barbieri, C.; Fornasier, S.; Verani, S.; Bertini, I.; Lazzarin, M.; Rampazzi, F.; Cremonese, G.; Ragazzoni, R.; Marzari, F.; Angrilli, F.; Bianchini, G. A.; Debei, S.; Dececco, M.; Guizzo, G.; Parzianello, G.; Ramous, P.; Saggin, B.; Zaccariotto, M.; Da Deppo, V.; Naletto, G.; Nicolosi, G.; Pelizzo, M. G.; Tondello, G.; Brunello, P.; Peron, F.

This paper aims to give a brief description of the Wide Angle Camera (WAC), built by the Centro Servizi e AttivitàSpaziali (CISAS) of the University of Padova for the ESA ROSETTA Mission to comet 46P/Wirtanen and asteroids 4979 Otawara and 140 Siwa. The WAC is part of the OSIRIS imaging system, which comprises also a Narrow Angle Camera (NAC) built by the Laboratoire d'Astrophysique Spatiale (LAS) of Marseille. CISAS had also the responsibility to build the shutter and the front cover mechanism for the NAC. The flight model of the WAC was delivered in December 2001, and has been already integrated on ROSETTA.

Imaging During MESSENGER's Second Flyby of Mercury

NASA Astrophysics Data System (ADS)

Chabot, N. L.; Prockter, L. M.; Murchie, S. L.; Robinson, M. S.; Laslo, N. R.; Kang, H. K.; Hawkins, S. E.; Vaughan, R. M.; Head, J. W.; Solomon, S. C.; MESSENGER Team

2008-12-01

During MESSENGER's second flyby of Mercury on October 6, 2008, the Mercury Dual Imaging System (MDIS) will acquire 1287 images. The images will include coverage of about 30% of Mercury's surface not previously seen by spacecraft. A portion of the newly imaged terrain will be viewed during the inbound portion of the flyby. On the outbound leg, MDIS will image additional previously unseen terrain as well as regions imaged under different illumination geometry by Mariner 10. These new images, when combined with images from Mariner 10 and from MESSENGER's first Mercury flyby, will enable the first regional- resolution global view of Mercury constituting a combined total coverage of about 96% of the planet's surface. MDIS consists of both a Wide Angle Camera (WAC) and a Narrow Angle Camera (NAC). During MESSENGER's second Mercury flyby, the following imaging activities are planned: about 86 minutes before the spacecraft's closest pass by the planet, the WAC will acquire images through 11 different narrow-band color filters of the approaching crescent planet at a resolution of about 5 km/pixel. At slightly less than 1 hour to closest approach, the NAC will acquire a 4-column x 11-row mosaic with an approximate resolution of 450 m/pixel. At 8 minutes after closest approach, the WAC will obtain the highest-resolution multispectral images to date of Mercury's surface, imaging a portion of the surface through 11 color filters at resolutions of about 250-600 m/pixel. A strip of high-resolution NAC images, with a resolution of approximately 100 m/pixel, will follow these WAC observations. The NAC will next acquire a 15-column x 13- row high-resolution mosaic of the northern hemisphere of the departing planet, beginning approximately 21 minutes after closest approach, with resolutions of 140-300 m/pixel; this mosaic will fill a large gore in the Mariner 10 data. At about 42 minutes following closest approach, the WAC will acquire a 3x3, 11-filter, full- planet mosaic with an average resolution of 2.5 km/pixel. Two NAC mosaics of the entire departing planet will be acquired beginning about 66 minutes after closest approach, with resolutions of 500-700 m/pixel. About 89 minutes following closest approach, the WAC will acquire a multispectral image set with a resolution of about 5 km/pixel. Following this WAC image set, MDIS will continue to acquire occasional images with both the WAC and NAC until 20 hours after closest approach, at which time the flyby data will begin being transmitted to Earth.

76 FR 16365 - Approval and Promulgation of Implementation Plans; Washington: Correction

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-23

... precursors to a NAAQS pollutant: Department of Ecology (Ecology): WAC 173-400-040 (except WAC 173- 400-040(1..., Ecology and SWCAA stated their support of EPA's approval of this correction and narrowing of the... address, as appropriate, disproportionate human health or environmental effects, using practicable and...

WAC Revisited: You Get What You Pay for

ERIC Educational Resources Information Center

Perelman, Les

2011-01-01

In 1982, the author wrote an essay for the second issue of "The Writing Instructor," "Approaches to Comprehensive Writing: Integrating Writing into the College Curriculum," reviewing the early stages of the modern Writing Across the Curriculum (WAC)/Writing in the Disciplines (WID) movement. In this article, the author revisits…

The Far Side of the Moon -- And All the Way Around

NASA Image and Video Library

2011-03-11

NASA image release March 11, 2011 Caption: The lunar farside as never seen before! LROC WAC orthographic projection centered at 180° longitude, 0° latitude. Credit: NASA/Goddard/Arizona State University. Because the moon is tidally locked (meaning the same side always faces Earth), it was not until 1959 that the farside was first imaged by the Soviet Luna 3 spacecraft (hence the Russian names for prominent farside features, such as Mare Moscoviense). And what a surprise - unlike the widespread maria on the nearside, basaltic volcanism was restricted to a relatively few, smaller regions on the farside, and the battered highlands crust dominated. A different world from what we saw from Earth. Of course, the cause of the farside/nearside asymmetry is an interesting scientific question. Past studies have shown that the crust on the farside is thicker, likely making it more difficult for magmas to erupt on the surface, limiting the amount of farside mare basalts. Why is the farside crust thicker? That is still up for debate, and in fact several presentations at this week's Lunar and Planetary Science Conference attempt to answer this question. The Clementine mission obtained beautiful mosaics with the sun high in the sky (low phase angles), but did not have the opportunity to observe the farside at sun angles favorable for seeing surface topography. This WAC mosaic provides the most complete look at the morphology of the farside to date, and will provide a valuable resource for the scientific community. And it's simply a spectacular sight! The Lunar Reconnaissance Orbiter Camera (LROC) Wide Angle Camera (WAC) is a push-frame camera that captures seven color bands (321, 360, 415, 566, 604, 643, and 689 nm) with a 57-km swath (105-km swath in monochrome mode) from a 50 km orbit. One of the primary objectives of LROC is to provide a global 100 m/pixel monochrome (643 nm) base map with incidence angles between 55°-70° at the equator, lighting that is favorable for morphological interpretations. Each month, the WAC provides nearly complete coverage of the Moon under unique lighting. As an added bonus, the orbit-to-orbit image overlap provides stereo coverage. Reducing all these stereo images into a global topographic map is a big job, and is being led by LROC Team Members from the German Aerospace Center (Deutsches Zentrum für Luft- und Raumfahrt; DLR). Several preliminary WAC topographic products have appeared in LROC featured images over the past year (Orientale basin, Sinus Iridum). For a sneak preview of the WAC global DEM with the WAC global mosaic, view a rotating composite moon (70 MB video from ASU's LROC website). The WAC topographic dataset will be completed and released later this year. The global mosaic released today is comprised of over 15,000 WAC images acquired between November 2009 and February 2011. The non-polar images were map projected onto the GLD100 shape model (WAC derived 100 m/pixel DTM), while polar images were map projected on the LOLA shape model. In addition, the LOLA derived crossover corrected ephemeris, and an improved camera pointing, provide accurate positioning (better than 100 m) of each WAC image. As part of the March 2011 PDS release, the LROC team posted the global map in ten regional tiles. Eight of the tiles are equirectangular projections that encompass 60° latitude by 90° longitude. In addition, two polar stereographic projections are available for each pole from ±60° to the pole. These reduced data records (RDR) products will be available for download on March 15, 2011. As the mission progresses, and our knowledge of the lunar photometric function increases, improved and new mosaics will be released! Work your way around the moon with these six orthographic projections constructed from WAC mosaics. The nearside view linked below is different from that released on 21 February. To read more con't here: www.nasa.gov/mission_pages/LRO/news/lro-farside.html NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Join us on Facebook

Empowering Student Writing Tutors as WAC Liaisons in Secondary Schools

ERIC Educational Resources Information Center

Jensen, Amber

2012-01-01

A pilot program in a public high school positions experienced student writing center tutors to become WAC liaisons who foster writing across the curriculum by raising questions, identifying needs, and providing support to their teachers with the goal of strengthening writing instruction school-wide. This article discusses the background and…

Change Agent Research for Windsor Aquatic Club (CAR/WAC).

ERIC Educational Resources Information Center

Moriarty, Dick; Olafson, Gord

This study of the Windsor Aquatic Club (WAC) was undertaken to investigate the following problems and questions: (a) identification of goals; (b) conflict in the interface of age class and school class swimming, as well as the interface of municipal, regional, provincial, federal, and international organizations; (c) identification of task,…

WAC: A Point of Departure to Full Literacy.

ERIC Educational Resources Information Center

Flanigan, Michael C.

The problem with various versions of Writing across the Curriculum (WAC) that have emerged since the turn of the century is that they are not self sustaining--they seemed unable to overcome the destructive forces of departmentalization and the entrenched attitudes in the university both toward writing and toward interdepartmental programs. If WAC…

Pairing WAC and Quantitative Reasoning through Portfolio Assessment and Faculty Development

ERIC Educational Resources Information Center

Rutz, Carol; Grawe, Nathan D.

2009-01-01

Writing across the curriculum has been a pedagogy associated with faculty development since the earliest days of the movement. Carleton College, an early adopter of WAC pedagogy and faculty development, has, in the last decade, added portfolio assessment to the combination with positive results. Among the unexpected consequences has been a…

Associated conditions in myasthenia gravis: response to thymectomy.

PubMed

Téllez-Zenteno, J F; Cardenas, G; Estañol, B; Garcia-Ramos, G; Weder-Cisneros, N

2004-11-01

To compare the response of thymectomy in patients with associated conditions (PWAC) and without associated conditions (PWOAC). Comparative, retrospective. 198 patients with the established diagnosis of myasthenia gravis who had a thymectomy between 1987 and 2000, and who were folowed up for at least 3 years. We formed two groups, one with associated conditions and the second without associated conditions. The patients were divided into four groups: (i) patients in remission, (ii) patients with improvement, (iii) patients without changes, and (iv) patients whose condition worsened. Associated conditions (AC) were found in 49 patients (26%). The main associated conditions were hyperthyroidism in 16 patients (33%) hypothyroidism in seven (14%), rheumatoid arthritis in five (10%) and hypothyroidism and Sjogren syndrome in three (6%). Concerning the response of thymectomy, 13 patients WAC showed remission (27%), vs. 54 patients WOAC (39%). Twenty patients WAC showed improvement (41%) vs. 46 WOAC (33%). Thirteen patients WAC had no changes (27%) vs. 37 WOAC (26%). Finally, in three patients WAC their condition worsened (6%) vs. three WOAC (2%). The response to thymectomy was high (69%) in both groups. We did not identify significant differences.

Inflight Calibration of the Lunar Reconnaissance Orbiter Camera Wide Angle Camera

NASA Astrophysics Data System (ADS)

Mahanti, P.; Humm, D. C.; Robinson, M. S.; Boyd, A. K.; Stelling, R.; Sato, H.; Denevi, B. W.; Braden, S. E.; Bowman-Cisneros, E.; Brylow, S. M.; Tschimmel, M.

2016-04-01

The Lunar Reconnaissance Orbiter Camera (LROC) Wide Angle Camera (WAC) has acquired more than 250,000 images of the illuminated lunar surface and over 190,000 observations of space and non-illuminated Moon since 1 January 2010. These images, along with images from the Narrow Angle Camera (NAC) and other Lunar Reconnaissance Orbiter instrument datasets are enabling new discoveries about the morphology, composition, and geologic/geochemical evolution of the Moon. Characterizing the inflight WAC system performance is crucial to scientific and exploration results. Pre-launch calibration of the WAC provided a baseline characterization that was critical for early targeting and analysis. Here we present an analysis of WAC performance from the inflight data. In the course of our analysis we compare and contrast with the pre-launch performance wherever possible and quantify the uncertainty related to various components of the calibration process. We document the absolute and relative radiometric calibration, point spread function, and scattered light sources and provide estimates of sources of uncertainty for spectral reflectance measurements of the Moon across a range of imaging conditions.

Pre-flight and On-orbit Geometric Calibration of the Lunar Reconnaissance Orbiter Camera

NASA Astrophysics Data System (ADS)

Speyerer, E. J.; Wagner, R. V.; Robinson, M. S.; Licht, A.; Thomas, P. C.; Becker, K.; Anderson, J.; Brylow, S. M.; Humm, D. C.; Tschimmel, M.

2016-04-01

The Lunar Reconnaissance Orbiter Camera (LROC) consists of two imaging systems that provide multispectral and high resolution imaging of the lunar surface. The Wide Angle Camera (WAC) is a seven color push-frame imager with a 90∘ field of view in monochrome mode and 60∘ field of view in color mode. From the nominal 50 km polar orbit, the WAC acquires images with a nadir ground sampling distance of 75 m for each of the five visible bands and 384 m for the two ultraviolet bands. The Narrow Angle Camera (NAC) consists of two identical cameras capable of acquiring images with a ground sampling distance of 0.5 m from an altitude of 50 km. The LROC team geometrically calibrated each camera before launch at Malin Space Science Systems in San Diego, California and the resulting measurements enabled the generation of a detailed camera model for all three cameras. The cameras were mounted and subsequently launched on the Lunar Reconnaissance Orbiter (LRO) on 18 June 2009. Using a subset of the over 793000 NAC and 207000 WAC images of illuminated terrain collected between 30 June 2009 and 15 December 2013, we improved the interior and exterior orientation parameters for each camera, including the addition of a wavelength dependent radial distortion model for the multispectral WAC. These geometric refinements, along with refined ephemeris, enable seamless projections of NAC image pairs with a geodetic accuracy better than 20 meters and sub-pixel precision and accuracy when orthorectifying WAC images.

Opposition effect of the Moon from LROC WAC data

NASA Astrophysics Data System (ADS)

Velikodsky, Yu. I.; Korokhin, V. V.; Shkuratov, Yu. G.; Kaydash, V. G.; Videen, Gorden

2016-09-01

LROC WAC images acquired in 5 bands of the visible spectral range were used to study the opposition effect for two mare and two highland regions near the lunar equator. Opposition phase curves were extracted from the images containing the opposition by separating the phase-curve effect from the albedo pattern by comparing WAC images at different phase angles (from 0° to 30°). Akimov's photometric function and the NASA Digital Terrain Model GLD100 were used in the processing. It was found that phase-curve slopes at small phase angles directly correlate with albedo, while at larger phase angles, they are anti-correlated. We suggest a parameter to characterize the coherent-backscattering component of the lunar opposition surge, which is defined as the maximum phase angle for which the opposition-surge slope increases with growing albedo. The width of the coherent-backscattering opposition effect varies from approximately 1.2° for highlands in red light to 3.9° for maria in blue light. The parameter depends on albedo, which is in agreement with the coherent-backscattering theory. The maximum amplitude of the coherent opposition effect is estimated to be near 8%. Maps of albedo and phase-curve slope at phase angles larger than those, at which the coherent-backscattering occurs, were built for the areas under study. Absolute calibration of WAC images was compared with Earth-based observations: the WAC-determined albedo is very close to the mean lunar albedo calculated using available Earth-based observations.

From Glass Flowers to Computer Games: Examining the Emergent Media Practices of Plant Biologists

ERIC Educational Resources Information Center

Reitmeyer, Morgan

2011-01-01

The goal of this project is to begin investigating the emergent media practices of current academic disciplines. This dissertation posits that Writing Across the Curriculum (WAC) scholars have investigated new media use in undergraduate pedagogy, and to some extent the practices of graduate students. However, WAC scholars have yet to try to…

The Application of Writing across the Curriculum (WAC) Techniques in a Systems Analysis & Design Flipped Classroom

ERIC Educational Resources Information Center

Saulnier, Bruce

2016-01-01

To more effectively meet the expectations of industry for entry-level IT employees, a case is made for the inclusion of writing throughout the Computer Information Systems (CIS) curriculum. "Writing Across the Curriculum" ("WAC") principles are explained, and it is opined that both Writing to Learn (WTL) and Writing in the…

Writing-Across-the-Curriculum at Union County College.

ERIC Educational Resources Information Center

Barnes, Marjorie

This paper offers a model for Writing-Across-the-Curriculum (WAC), for faculty and students at Union County College (UCC). The paper summarizes the history of WAC at UCC, which was introduced at the college in 1978, but did not become institutionalized. It also explores faculty views on the teaching of writing and the role of writing in the…

A Team of Equals: Teaching Writing in the Sciences

ERIC Educational Resources Information Center

Emerson, Lisa; MacKay, Bruce R.; MacKay, Marion B.; Funnell, Keith A.

2006-01-01

Writing across the curriculum (WAC) is a way of integrating the teaching of writing into specific academic disciplines. A problem faced in the WAC literature is how to develop a process that integrates the skills of multi-disciplinary teams. In this project, action research was used to develop a team comprising faculty from the applied sciences…

Portfolio Partnerships between Faculty and WAC: Lessons from Disciplinary Practice, Reflection, and Transformation

ERIC Educational Resources Information Center

Peters, Brad; Robertson, Julie Fisher

2007-01-01

In portfolio assessment, WAC helps other disciplines increase programmatic integrity and accountability. This analysis of a portfolio partnership also shows composition faculty how a dynamic culture of assessment helps us protect what we do well, improve what we need to do better, and solve problems as writing instruction keeps pace with…

Fragment screening of cyclin G-associated kinase by weak affinity chromatography.

PubMed

Meiby, Elinor; Knapp, Stefan; Elkins, Jonathan M; Ohlson, Sten

2012-11-01

Fragment-based drug discovery (FBDD) has become a new strategy for drug discovery where lead compounds are evolved from small molecules. These fragments form low affinity interactions (dissociation constant (K(D)) = mM - μM) with protein targets, which require fragment screening methods of sufficient sensitivity. Weak affinity chromatography (WAC) is a promising new technology for fragment screening based on selective retention of fragments by a drug target. Kinases are a major pharmaceutical target, and FBDD has been successfully applied to several of these targets. In this work, we have demonstrated the potential to use WAC in combination with mass spectrometry (MS) detection for fragment screening of a kinase target-cyclin G-associated kinase (GAK). One hundred seventy fragments were selected for WAC screening by virtual screening of a commercial fragment library against the ATP-binding site of five different proteins. GAK protein was immobilized on a capillary HPLC column, and compound binding was characterized by frontal affinity chromatography. Compounds were screened in sets of 13 or 14, in combination with MS detection for enhanced throughput. Seventy-eight fragments (46 %) with K(D) < 200 μM were detected, including a few highly efficient GAK binders (K(D) of 2 μM; ligand efficiency = 0.51). Of special interest is that chiral screening by WAC may be possible, as two stereoisomeric fragments, which both contained one chiral center, demonstrated twin peaks. This ability, in combination with the robustness, sensitivity, and simplicity of WAC makes it a new method for fragment screening of considerable potential.

Watch-and-Comment as an Approach to Collaboratively Annotate Points of Interest in Video and Interactive-TV Programs

NASA Astrophysics Data System (ADS)

Pimentel, Maria Da Graça C.; Cattelan, Renan G.; Melo, Erick L.; Freitas, Giliard B.; Teixeira, Cesar A.

In earlier work we proposed the Watch-and-Comment (WaC) paradigm as the seamless capture of multimodal comments made by one or more users while watching a video, resulting in the automatic generation of multimedia documents specifying annotated interactive videos. The aim is to allow services to be offered by applying document engineering techniques to the multimedia document generated automatically. The WaC paradigm was demonstrated with a WaCTool prototype application which supports multimodal annotation over video frames and segments, producing a corresponding interactive video. In this chapter, we extend the WaC paradigm to consider contexts in which several viewers may use their own mobile devices while watching and commenting on an interactive-TV program. We first review our previous work. Next, we discuss scenarios in which mobile users can collaborate via the WaC paradigm. We then present a new prototype application which allows users to employ their mobile devices to collaboratively annotate points of interest in video and interactive-TV programs. We also detail the current software infrastructure which supports our new prototype; the infrastructure extends the Ginga middleware for the Brazilian Digital TV with an implementation of the UPnP protocol - the aim is to provide the seamless integration of the users' mobile devices into the TV environment. As a result, the work reported in this chapter defines the WaC paradigm for the mobile-user as an approach to allow the collaborative annotation of the points of interest in video and interactive-TV programs.

Measurements of storm and nonstorm circulation in the northern Adriatic: October 2002 Through April 2003

USGS Publications Warehouse

Book, J.W.; Signell, R.P.; Perkins, H.

2007-01-01

Fifteen bottom-mounted Acoustic Doppler Current Profilers were deployed from October 2002 through April 2003 in the northern Adriatic Sea. Average transport from the portion of the Western Adriatic Current (WAC) along the Italian slope was 0.1470 ?? 0.0043 Sv, punctuated by bursts of more than twice that amount during storm events. Monthly means were calculated with times of strong wind-driven circulation excluded. These suggest a 2002/2003 seasonal separation consisting of October, December through February, and March through April. An extreme Po River flood influenced November conditions making seasonal categorization difficult. October generally had more kinetic energy and more vertical structure than other months, and near-inertial waves were more frequent in April and October. The Eastern Adriatic Current (EAC)/WAC (i.e. inflow/outflow) system was clearly present in the means for all months. The cyclonic gyre north of the Po River was present October through February. Generally, in the WAC, over 50% of kinetic energy came from vertically uniform monthly mean flows. Elsewhere, eddy kinetic energy was stronger than mean kinetic energy with 10-40% contributions for vertically uniform monthly mean flows, 40-60% for vertically uniform monthly varying flows, and 10-30% for vertically varying monthly varying flows. Mean currents for bora storms indicate enhancement of the EAC/WAC and the cyclonic northern gyre, a shift toward Kvarner Bay in EAC direction, a circulation null point south of the Po, and double-gyre bifurcation of flow at Istria. Strengthening of both the EAC and WAC also occurs during sirocco storms. Copyright 2007 by the American Geophysical Union.

Dramatic Consequences: Integrating Rhetorical Performance across the Disciplines and Curriculum

ERIC Educational Resources Information Center

Marquez, Loren

2015-01-01

Just as WAC pedagogy and writing studies both stress the ways that writing and communication practices can act as both heuristics and products of genre-based, discipline- specific knowledge, in much the same way, performance, too, can be used as a heuristic and as a product and should be more fully explored in WAC theory and pedagogy. This article…

"A Way to Talk about the Institution as Opposed to Just My Field": WAC Fellowships and Graduate Student Professional Development

ERIC Educational Resources Information Center

Cripps, Michael J.; Hall, Jonathan; Robinson, Heather M.

2016-01-01

The teaching assistantship is a venerable model for funding graduate studies, staffing undergraduate courses, and providing pedagogical support for emerging college and university instructors. In this article, we present a variation of this model of graduate student support: the WAC Fellowship at the City University of New York. Using survey data…

The Europa Imaging System (EIS), a Camera Suite to investigate Europa's Geology, Ice Shell, and Potential for Current Activity

NASA Astrophysics Data System (ADS)

Turtle, E. P.; McEwen, A. S.; Osterman, S. N.; Boldt, J. D.; Strohbehn, K.; EIS Science Team

2016-10-01

EIS NAC and WAC use identical rad-hard rapid-readout 4k × 2k CMOS detectors for imaging during close (≤25 km) fast ( 4.5 km/s) Europa flybys. NAC achieves 0.5 m/pixel over a 2-km swath from 50 km, and WAC provides context pushbroom stereo imaging.

The PanCam instrument on the 2018 Exomars rover: Scientific objectives

NASA Astrophysics Data System (ADS)

Jaumann, Ralf; Coates, Andrew; Hauber, Ernst; Hoffmann, Harald; Schmitz, Nicole; Le Deit, Laetitia; Tirsch, Daniela; Paar, Gerhard; Griffiths, Andrew

2010-05-01

The Exomars Panoramic Camera System is an imaging suite of three camera heads to be mounted on the ExoMars rover`s mast, with the boresight 1.8 m above ground. As late as the ExoMars Pasteur Payload Design Review (PDR) in 2009, the PanCam consists of two identical wide angle cameras (WAC) with fixed focal length lenses, and a high resolution camera (HRC) with an automatic focus mechanism, placed adjacent to the right WAC. The WAC stereo pair provides binocular vision for stereoscopic studies as well as 12 filter positions (per camera) for stereoscopic colour imaging and scientific multispectral studies. The stereo baseline of the pair is 500 mm. The two WAC have 22 mm focal length, f/10 lenses that illuminate detectors with 1024 × 1024 pixels. WAC lenses are fixed, with an optimal focus set to 4 m, and a focus ranging from 1.2 m (corresponding to the nearest view of the calibration target on the rover deck) to infinity. The HRC is able to focus between 0.9 m (distance to a drill core on the rover`s sample tray) and infinity. The instantaneous field of views of WAC and HRC are 580 μrad/pixel and 83 μrad/pixel, respectively. The corresponding resolution (in mm/pixel) at a distance of 2 m are 1.2 (WAC) and 0.17 (HRC), at 100 m distance it is 58 (WAC) and 8.3 (HRC). WAC and HRC will be geometrically co-aligned. The main scientific goal of PanCam is the geologic characterisation of the environment in which the rover is operating, providing the context for investigations carried out by the other instruments of the Pasteur payload. PanCam data will serve as a bridge between orbital data (high-resolution images from HRSC, CTX, and HiRISE, and spectrometer data from OMEGA and CRISM) and the data acquired in situ on the Martian surface. The position of HRC on top of the rover`s mast enables the detailed panoramic inspection of surface features over the full horizontal range of 360° even at large distances, an important prerequisite to identify the scientifically most promising targets and to plan the rover`s traverse. Key to success of PanCam is the provision of data that allow the determination of rock lithology, either of boulders on the surface or of outcrops. This task requires high spatial resolution as well as colour capabilities. The stereo images provide complementary information on the three-dimensional properties (i.e. the shape) of rocks. As an example, the degree of rounding of rocks as a result of fluvial transport can reveal the erosional history of the investigated particles, with possible implications on the chronology and intensity of rock-water interaction. The identification of lithology and geological history of rocks will strongly benefit from the co-aligned views of WAC (colour, stereo) and HRC (high spatial resolution), which will ensure that 3D and multispectral information is available together with fine-scale textural information for each scene. Stereo information is also of utmost importance for the determination of outcrop geometry (e.g., strike and dip of layered sequences), which helps to understand the emplacement history of sedimentary and volcanic rocks (e.g., cross-bedding, unconformities, etc.). PanCam will further reveal physical soil properties such as cohesion by imaging sites where the soil is disturbed by the rover`s wheels and the drill. Another essential task of PanCam is the imaging of samples (from the drill) before ingestion into the rover for further analysis by other instruments. PanCam can be tilted vertically and will also study the atmosphere (e.g., dust loading, opacity, clouds) and aeolian processes related to surface-atmosphere interactions, such as dust devils.

How to Create High-Impact Writing Assignments That Enhance Learning and Development and Reinvigorate WAC/WID Programs: What Almost 72,000 Undergraduates Taught Us

ERIC Educational Resources Information Center

Anderson, Paul; Anson, Chris M.; Gonyea, Robert M.; Paine, Charles

2016-01-01

This article reports on a study that suggests ways that Writing Across the Curriculum/Writing in the Disciplines (WAC/WID) programs can increase the effectiveness of their efforts, including implementation of writingintensive courses, which are one of the Association of American Colleges and Universities' High-Impact Educational Practices. The…

Surface drifter derived circulation in the northern and middle Adriatic Sea: Response to wind regime and season

USGS Publications Warehouse

Ursella, L.; Poulain, P.-M.; Signell, R.P.

2007-01-01

More than 120 satellite-tracked drifters were deployed in the northern and middle Adriatic (NMA) Sea between September 2002 and November 2003, with the purpose of studying the surface circulation at mesoscale to seasonal scale in relation to wind forcing, river runoff, and bottom topography. Pseudo-Eulerian and Lagrangian statistics were calculated from the low-pass-filtered drifter velocity data between September 2002 and December 2003. The structure of the mean circulation is determined with unprecedented high horizontal resolution by the new data. In particular, mean currents, velocity variance, and kinetic energy levels are shown to be maximal in the Western Adriatic Current (WAC). Separating data into seasons, we found that the mean kinetic energy is maximal in fall, with high values also in winter, while it is significantly weaker in summer. High-resolution Local Area Model Italy winds were used to relate the drifter velocities to the wind fields. The surface currents appear to be significantly influenced by the winds. The mean flow during the northeasterly bora regime shows an intensification of the across-basin recirculating currents. In addition, the WAC is strongly intensified both in intensity and in its offshore lateral extension. In the southeasterly sirocco regime, northward flow without recirculation dominates in the eastern half of the basin, while during northwesterly maestro the WAC is enhanced. Separating the data into low and high Po River discharge rates for low-wind conditions shows that the WAC and the velocity fluctuations in front of the Po delta are stronger for high Po River runoff. Lagrangian covariance, diffusivity, and integral time and space scales are larger in the along-basin direction and are maximal in the southern portion of the WAC. Copyright 2006 by the American Geophysical Union.

Cost-efficiency analyses for the US of biosimilar filgrastim-sndz, reference filgrastim, pegfilgrastim, and pegfilgrastim with on-body injector in the prophylaxis of chemotherapy-induced (febrile) neutropenia.

PubMed

McBride, Ali; Campbell, Kim; Bikkina, Mohan; MacDonald, Karen; Abraham, Ivo; Balu, Sanjeev

2017-10-01

Guidelines recommend prophylaxis with granulocyte colony-stimulating factor for chemotherapy-induced (febrile) neutropenia (CIN/FN) based on regimen myelotoxicity and patient-related risk factors. The aim was to conduct a cost-efficiency analysis for the US of the direct acquisition and administration costs of the recently approved biosimilar filgrastim-sndz (Zarxio EP2006) with reference to filgrastim (Neupogen), pegfilgrastim (Neulasta), and a pegfilgrastim injection device (Neulasta Onpro; hereafter pegfilgrastim-injector) for CIN/FN prophylaxis. A cost-efficiency analysis of the prophylaxis of one patient during one chemotherapy cycle under 1-14 days' time horizon was conducted using the unit dose average selling price (ASP) and Current Procedural Terminology (CPT) codes for subcutaneous prophylactic injection under four scenarios: cost of medication only (COSTMED), patient self-administration (SELFADMIN), healthcare provider (HCP) initiating administration followed by self-administration (HCPSTART), and HCP providing full administration (HCPALL). Two case studies were created to illustrate real-world clinical implications. The analyses were replicated using wholesale acquisition cost (WAC). Using ASP + CPT, cost savings achieved with filgrastim-sndz relative to reference filgrastim ranged from $65 (1 day) to $916 (14 days) across all scenarios. Relative to pegfilgrastim, savings with filgrastim-sndz ranged from $834 (14 days) up to $3,666 (1 day) under the COSTMED, SELFADMIN, and HPOSTART scenarios; and from $284 (14 days) up to $3,666 (1 day) under the HPOALL scenario. Similar to the cost-savings compared to pegfilgrastim, filgrastim-sndz achieved savings relative to pegfilgrastim-injector: from $834 (14 days) to $3,666 (1 day) under the COSTMED scenario, from $859 (14 days) to $3,692 (1 day) under SELFADMIN, from $817 (14 days) to $3,649 (1 day) under HPOSTART, and from $267 (14 days) to $3,649 (1 day) under HPOALL. Cost savings of filgrastim-sndz using WAC + CPT were even greater under all scenarios. Prophylaxis with filgrastim-sndz, a biosimilar filgrastim, was associated consistently with significant cost-savings over prophylaxis with reference filgrastim, pegfilgrastim, and pegfilgrastim-injector, and this across various administration scenarios.

Results for the First, Second, and Third Quarter Calendar Year 2015 Tank 50H WAC slurry samples chemical and radionuclide contaminants

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

Crawford, C.

2016-02-18

This report details the chemical and radionuclide contaminant results for the characterization of the Calendar Year (CY) 2015 First, Second, and Third Quarter sampling of Tank 50H for the Saltstone Waste Acceptance Criteria (WAC) in effect at that time. Information from this characterization will be used by Defense Waste Processing Facility (DWPF) & Saltstone Facility Engineering (D&S-FE) to support the transfer of low-level aqueous waste from Tank 50H to the Salt Feed Tank in the Saltstone Facility in Z-Area, where the waste will be immobilized. This information is also used to update the Tank 50H Waste Characterization System. Previous memorandamore » documenting the WAC analyses results have been issued for these three samples.« less

The perceptions and practices of selected high school teachers in special admission schools regarding writing across the curriculum

NASA Astrophysics Data System (ADS)

Mitchell, Rebecca Hayward

The National Assessment of Educational Progress (NAEP) measured the writing achievement of 55,000 American school children. The students performed at the basic or lower level. In 1988, "The Writing Report Card of the NAEP," and in 1996, the Pennsylvania Mathematics and Reading Assessment along with the Stanford 9 Exam concluded that students, of all racial/ethnic backgrounds, are unable to write well except in response to the simplest tasks. The purpose of this study was to determine the perceptions and practices of math, science, and social studies high school teachers in special admission schools regarding writing across the curriculum (WAC). Specifically, this study attempted to answer: (1) Do math, science, and social studies teachers differ in their perceptions and practices regarding student writing in their classrooms? (2) Are teacher characteristics related to the perceptions and practices of math, science, and social studies teachers regarding the need for student writing in their classrooms? The questions led to the following null hypotheses: (1) There is no significant difference among math, science, and social studies teachers regarding their perceptions and practices for student writing in their classrooms. (2) There is no significant relationship between the highest degree earned, the length of teaching experience, and the level of grades taught by math, science, and social studies teachers and their perceptions and practices regarding the need for student writing in their classrooms. A review of the literature since 1992 using ERIC and Dissertation Abstracts revealed that there were no studies concerned with the focus of this particular study. A cross sectional survey of School District of Philadelphia math, science, and social studies high school teachers in special admission schools was conducted. A questionnaire was developed to obtain the data. A panel of experts was selected to establish validity of the instrument. Thirty-two usable questionnaires were returned and used in testing the reliability of the instrument. Statistical analysis of the data examined the responses to the questionnaire relative to the hypotheses and research questions. It was discovered that social studies teachers used WAC strategies more than mathematics or science teachers. The following are the major implications of this research study: (1) Most non-English teachers do not follow WAC strategies. (2) Finally, if the writing achievement of the nation's students is to improve, WAC must be mandated by school district administrators and its usage must be monitored as on-going training and support is provided.

Physicochemical Properties of Dietary Fibers from Artocarpus camansi Fruit

NASA Astrophysics Data System (ADS)

Suryanti, V.; Kusumaningsih, T.; Rumingtyas, Y. S.

2017-04-01

The objective of this work was to investigate the dietary fiber (DF) contents of Artocorpus camansi (breadnut) fruit and examine their physicochemical properties, such as water-holding capacity (WAC), oil-holding capacity (OHC) and water absorption capacity (WAC). This fruit flour contained of both water soluble fibers (SDF), such as pectin (1.95%) and gum (0.4%), and water insoluble fibers (IDF) (89.25%). The IDF content of this fruit was significantly high in respect to other DF sources. The WHC, OHC and WAC of IDF were 4.10, 2.60 and 4.0%, respectively. Moreover, the WHC, OHC and WHC of total dietary fibers (TDF) were 4.2, 4.3 and 4.6%, respectively. The results showed that the DF of fruit flour had good physicochemical properties. The findings suggested that there is a potential application of A. camansi of fruit as functional ingredients in the food industry.

Improved Medium for Selecting Nitrate-Nonutilizing (nit) Mutants of Verticillium dahliae.

PubMed

Korolev, N; Katan, T

1997-10-01

ABSTRACT Nitrate-nonutilizing (nit) mutants are commonly used to determine vegetative compatibility between isolates of Verticillium dahliae by complementation (heterokaryon) testing. These mutants emerge spontaneously as chlorate-resistant sectors growing out of partially restricted, wild-type colonies on chlorate-amended media. The commonly used chlorate media are based on minimal medium (MMC) or cornmeal agar (CMC), amended with potassium chlorate. nit mutants recovered on these media constituted 10 to 36%(on MMC) and 25 to 45%(on CMC) of the apparently resistant sectors. An improved water agar chlorate medium (WAC) is described that is more effective for selecting chlorate-resistant nit mutants. WAC medium consists of agar (2%), glucose (0.02%), and potassium chlorate (2 to 5%). On WAC, growth of most V. dahliae isolates was strongly inhibited, and 66 to 100%(average >80%) of the chlorate-resistant sectors formed were nit mutants. Most mutants were characterized as nit1, and about 6% as NitM.

Evaluation of Specialty Drug Price Trends Using Data from Retrospective Pharmacy Sales Transactions.

PubMed

Penington, Robert; Stubbings, Jo Ann

2016-09-01

The past 25 years have seen a substantial increase in the effect of specialty drugs on patient care. These agents were initially not considered financially viable because they often served a comparatively small market of patients. However, the extended monopoly afforded to manufacturers of these drugs by the Orphan Drug Act of 1983 has made treatment of rare diseases, which specialty drugs often target, a more viable option. As a result, pharmaceutical companies began to increase research and development expenditures in this area, and the pipeline of specialty drugs began to grow in the late 1980s. To analyze the annual change in wholesale acquisition cost (WAC) pricing of specialty drugs sold over a period of 11 years. Pharmacy claims data, including date and WAC, were collected for each specialty drug transaction that occurred from 2002 through 2013 at the University of Illinois at Chicago Ambulatory Care Pharmacy Department. The data were organized to create a chronological sequence of WAC values from the initial to final sales of each available drug. Those values were then used to calculate annual percentage of change in WAC. These results were grouped into subsets and graphed in order to illustrate the effects that various factors had on the annual changes in price. The price of the specialty drugs studied has generally shown a greater rate of increase since experiencing a trough rate increase in 2009 of 4.08%. The economic crisis of 2008 created a short pause in this overall trend, but increases in the rate of price growth have since rebounded. WACs increased at a rate of 7.03% or greater from 2010 through the end of the study period. There was a clear increase over the last few years of the study in the number of drugs with more than 10% annual increases in WAC, which has also shown a rebound after the economic crisis at the end of the last decade. Specialty drugs are getting more expensive at a faster rate over time. The period from 2010 to 2013, the final year of this study, has also seen biologic agents take a more prominent role in driving these annual increases in WAC. No funding was provided for the commission of this study. The source data was provided by the University of Illinois at Chicago Ambulatory Care Pharmacy Department and described de-identified data from customer transactions from 2002 through 2013. The authors report no conflicts of interest. Study concept and design and data interpretation were contributed by Stubbings and Penington. The manuscript was written primarily by Penington with assistance from Stubbings.

Lunar mare TiO2 abundances estimated from UV/Vis reflectance

NASA Astrophysics Data System (ADS)

Sato, Hiroyuki; Robinson, Mark S.; Lawrence, Samuel J.; Denevi, Brett W.; Hapke, Bruce; Jolliff, Bradley L.; Hiesinger, Harald

2017-11-01

The visible (400-700 nm) and near-infrared (700-2800 nm) reflectance of the lunar regolith is dominantly controlled by variations in the abundance of plagioclase, iron-bearing silicate minerals, opaque minerals (e.g., ilmenite), and maturation products (e.g., agglutinate glass, radiation-produced rims on soil grains, and Fe-metal). The same materials control reflectance into the near-UV (250-400 nm) with varying degrees of importance. A key difference is that while ilmenite is spectrally neutral in the visible to near-infrared, it exhibits a diagnostic upturn in reflectance in the near-UV, at wavelengths shorter than about 450 nm. The Lunar Reconnaissance Orbiter Wide Angle Camera (WAC) filters were specifically designed to take advantage of this spectral feature to enable more accurate mapping of ilmenite within mare soils than previously possible. Using the reflectance measured at 321 and 415 nm during 62 months of repeated near-global WAC observations, first we found a linear correlation between the TiO2 contents of the lunar soil samples and the 321/415 nm ratio of each sample return site. We then used the coefficients from the linear regression and the near-global WAC multispectral mosaic to derive a new TiO2 map. The average TiO2 content is 3.9 wt% for the 17 major maria. The highest TiO2 values were found in Mare Tranquillitatis (∼12.6 wt%) and Oceanus Procellarum (∼11.6 wt%). Regions contaminated by highland ejecta, lunar swirls, and the low-TiO2 maria (e.g., Mare Frigoris, the northeastern units of Mare Imbrium) exhibit very low TiO2 values (<2 wt%). We find that the Clementine visible to near-infrared based TiO2 maps (Lucey et al., 2000) have systematically higher values relative to the WAC estimates. The Lunar Prospector Gamma-Ray Spectrometer (GRS) TiO2 map is consistent with the WAC TiO2 map, although there are local offsets possibly due to the different depth sensitivities and large pixel scale of the GRS relative to the WAC. We find a wide variation of TiO2 abundances (from 0 to 10 wt%) for early mare volcanism (>2.6 Ga), whereas only medium to high TiO2 values (average = 6.8 wt%, minimum = 4.5 wt%) are found for younger mare units (<2.6 Ga).

Data Quality Objectives for Tank Farms Waste Compatibility Program

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

BANNING, D.L.

1999-07-02

There are 177 waste storage tanks containing over 210,000 m{sup 3} (55 million gal) of mixed waste at the Hanford Site. The River Protection Project (RPP) has adopted the data quality objective (DQO) process used by the U.S. Environmental Protection Agency (EPA) (EPA 1994a) and implemented by RPP internal procedure (Banning 1999a) to identify the information and data needed to address safety issues. This DQO document is based on several documents that provide the technical basis for inputs and decision/action levels used to develop the decision rules that evaluate the transfer of wastes. A number of these documents are presentlymore » in the process of being revised. This document will need to be revised if there are changes to the technical criteria in these supporting documents. This DQO process supports various documents, such as sampling and analysis plans and double-shell tank (DST) waste analysis plans. This document identifies the type, quality, and quantity of data needed to determine whether transfer of supernatant can be performed safely. The requirements in this document are designed to prevent the mixing of incompatible waste as defined in Washington Administrative Code (WAC) 173-303-040. Waste transfers which meet the requirements contained in this document and the Double-Shell Tank Waste Analysis Plan (Mulkey 1998) are considered to be compatible, and prevent the mixing of incompatible waste.« less

Characterization of the MVST waste tanks located at ORNL

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

Keller, J.M.; Giaquinto, J.M.; Meeks, A.M.

During the fall of 1996 there was a major effort to sample and analyze the Active Liquid Low-Level Waste (LLLW) tanks at ORNL which include the Melton Valley Storage Tanks (MVST) and the Bethel Valley Evaporator Service Tanks (BVEST). The characterization data summarized in this report was needed to address waste processing options, address concerns of the performance assessment (PA) data for the Waste Isolation Pilot Plant (WIPP), evaluate the characteristics with respect to the waste acceptance criteria (WAC) for WIPP and Nevada Test Site (NTS), address criticality concerns, and meet DOT requirements for transporting the waste. This report onlymore » discusses the analytical characterization data for the MVST waste tanks. The isotopic data presented in this report support the position that fissile isotopes of uranium and plutonium were ``denatured`` as required by administrative controls. In general, MVST sludge was found to be both hazardous by RCRA characteristics and the transuranic alpha activity was well about the limit for TRU waste. The characteristics of the MVST sludge relative to the WIPP WAC limits for fissile gram equivalent, plutonium equivalent activity, and thermal power from decay heat, were estimated from the data in this report and found to be far below the upper boundary for any of the remote-handled transuranic waste requirements for disposal of the waste in WIPP.« less

Wind for Schools: A National Data and Curricula Development Activity for Schools (Poster)

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

Baring-Gould, I.

As the United States dramatically expands wind energy deployment, the industry is challenged with developing a skilled workforce and addressing public resistance. Wind Powering America?s Wind for Schools project addresses these issues by: 1) Developing Wind Application Centers (WACs) at universities; WAC students assist in implementing school wind turbines and participate in wind courses. 2) Installing small wind turbines at community 'host' schools. 3) Implementing teacher training with interactive curricula at each host school.

Wind for Schools: Fostering the Human Talent Supply Chain for a 20% Wind Energy Future (Poster)

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

Baring-Gould, I.

2011-03-01

As the United States dramatically expands wind energy deployment, the industry is challenged with developing a skilled workforce and addressing public resistance. Wind Powering America's Wind for Schools project addresses these issues by: 1) Developing Wind Application Centers (WACs) at universities; WAC students assist in implementing school wind turbines and participate in wind courses. 2) Installing small wind turbines at community "host" schools. 3) Implementing teacher training with interactive curricula at each host school.

Characterization Results for the January 2017 H-Tank Farm 2H Evaporator Overhead Sample

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

Truong, T.; Nicholson, J.

2017-04-11

This report contains the radioanalytical results of the 2H evaporator overhead sample received at SRNL on January 19, 2017. Specifically, concentrations of 137Cs, 90Sr, and 129I are reported and compared to the corresponding Waste Acceptance Criteria (WAC) limits of the Effluent Treatment Project (ETP) Waste Water Collection Tank (WWCT) (rev. 6). All of the radionuclide concentrations in the sample were found to be in compliance with the ETP WAC limits.

Characterization Results For The 2013 HTF 3H Evaporator Overhead Samples

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

Washington, A. L. II

2013-12-04

This report tabulates the radiochemical analysis of the 3H evaporator overhead sample for {sup 137}Cs, {sup 90}Sr, and {sup 129}I to meet the requirements in the Effluent Treatment Project (ETP) Waste Acceptance Criteria (WAC) (rev. 6). This report identifies the sample receipt date, preparation method, and analysis performed in the accumulation of the listed values. All data was found to be within the ETP WAC (rev. 6) specification for the Waste Water Collection Tanks (WWCT).

Characterization results for the October 2015-Tank for farm 3H evaporator overhead examples

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

Nicholson, J. C.

2016-01-28

This report contains the radioanalytical results of the 3H evaporator overhead sample received at SRNL on October 13, 2015. Specifically, concentrations of 137Cs, 90Sr, and 129I are reported and compared to the corresponding Waste Acceptance Criteria (WAC) limits of the Effluent Treatment Project (ETP) Waste Water Collection Tank (WWCT) (rev. 6). All of the radionuclide concentrations in the sample were found to be in compliance with the ETP WAC limits.

Characterization Results for the March 2016 H-Tank Farm 2H Evaporator Overhead Samples

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

Nicholson, J. C.

2016-05-09

This report contains the radioanalytical results of the 2H evaporator overhead sample received at SRNL on March 16, 2016. Specifically, concentrations of 137Cs, 90Sr, and 129I are reported and compared to the corresponding Waste Acceptance Criteria (WAC) limits of the Effluent Treatment Project (ETP) Waste Water Collection Tank (WWCT) (rev. 6). All of the radionuclide concentrations in the sample were found to be in compliance with the ETP WAC limits.

Characterization Results for the 2014 HTF 3H & 2H Evaporator Overhead Samples

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

Washington, A.

2015-05-11

This report tabulates the radiochemical analysis of the 3H and 2H evaporator overhead samples for 137Cs, 90Sr, and 129I to meet the requirements in the Effluent Treatment Project (ETP) Waste Acceptance Criteria (WAC) (rev. 6). This report identifies the sample receipt date, preparation method, and analysis performed in the accumulation of the listed values. All data was found to be within the ETP WAC (rev. 6) specification for the Waste Water Collection Tanks (WWCT).

First Results from the Wide Angle Camera of the ROSETTA Mission .

NASA Astrophysics Data System (ADS)

Barbieri, C.; Fornasier, S.; Bertini, I.; Angrilli, F.; Bianchini, G. A.; Debei, S.; De Cecco, M.; Parzianello, G.; Zaccariotto, M.; Da Deppo, V.; Naletto, G.

This paper gives a brief description of the Wide Angle Camera (WAC), built by the Center of Studies and Activities for Space (CISAS) of the University of Padova for the ESA ROSETTA Mission, of data we have obtained about the new mission targets, and of the first results achieved after the launch in March 2004. The WAC is part of the OSIRIS imaging system, built under the PI-ship of Dr. U. Keller (Max-Planck-Institute for Solar System Studies) which comprises also a Narrow Angle Camera (NAC) built by the Laboratoire d'Astrophysique Spatiale (LAS) of Marseille. CISAS had also the responsibility to build the shutter and the front door mechanism for the NAC. The images show the excellent optical quality of the WAC, exceeding the specifications both in term of encircled energy (80% in one pixel over a FoV of 12×12 sq degree), limiting magnitude (fainter than the 13th in 30s exposure time through a wideband red filter) and amount of distortions.

RH-TRU Waste Inventory Characterization by AK and Proposed WIPP RH-TRU Waste Characterization Objectives

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

Most, W. A.; Kehrman, R.; Gist, C.

2002-02-26

The U.S. Department of Energy (DOE)-Carlsbad Field Office (CBFO) has developed draft documentation to present the proposed Waste Isolation Pilot Plant (WIPP) remote-handled (RH-) transuranic (TRU) waste characterization program to its regulators, the U.S. Environmental Protection Agency and the New Mexico Environment Department. Compliance with Title 40, Code of Federal Regulations, Parts 191 and 194; the WIPP Land Withdrawal Act (PL 102-579); and the WIPP Hazardous Waste Facility Permit, as well as the Certificates of Compliance for the 72-B and 10-160B Casks, requires that specific waste parameter limits be imposed on DOE sites disposing of TRU waste at WIPP. Themore » DOE-CBFO must control the sites' compliance with the limits by specifying allowable characterization methods. As with the established WIPP contact handled TRU waste characterization program, the DOE-CBFO has proposed a Remote-Handled TRU Waste Acceptance Criteria (RH-WAC) document consolidating the requirements from various regulatory drivers and proposed allowable characterization methods. These criteria are consistent with the recommendation of a recent National Academy Sciences/National Research Council to develop an RH-TRU waste characterization approach that removes current self imposed requirements that lack a legal or safety basis. As proposed in the draft RH-WAC and other preliminary documents, the DOE-CBFO RH-TRU waste characterization program proposes the use of acceptable knowledge (AK) as the primary method for obtaining required characterization information. The use of AK involves applying knowledge of the waste in light of the materials or processes used to generate the waste. Documentation, records, or processes providing information about various attributes of a waste stream, such as chemical, physical, and radiological properties, may be used as AK and may be applied to individual waste containers either independently or in conjunction with radiography, visual examination, assay, and other sampling and analytical data. RH-TRU waste cannot be shipped to WIPP on the basis of AK alone if documentation demonstrating that all of the prescribed limits in the RH-WAC are met is not available, discrepancies exist among AK source documents describing the same waste stream and the most conservative assumptions regarding those documents indicates that a limit will not be met, or all required data are not available for a given waste stream.« less

An Examination of Issues Related to U.S. Lake Erie Natural Gas Development.

DTIC Science & Technology

1978-09-01

37 pg/mL 27 pg/mL 27 pg/mL 27 pg/mL detergent Wac-8 Talc & guar Non-toxic to 10,000 pg/mL in 24 hours gum Wac-10 Talc, silica Non-toxic to 10,000 ug...mL in 24 hours guar gum Fr-10 High molecu- Bioassay Method not applicable lar weight synthetic Fr-19 Polymer Bioassay Method not applicable aData from...Adeorption None Activated carbon. Activated carbon Activated carbon Activated carbon Activated carbon powdered Filtration Sandb Activated carbon. Sand Sand

Transient stability enhancement of modern power grid using predictive Wide-Area Monitoring and Control

NASA Astrophysics Data System (ADS)

Yousefian, Reza

This dissertation presents a real-time Wide-Area Control (WAC) designed based on artificial intelligence for large scale modern power systems transient stability enhancement. The WAC using the measurements available from Phasor Measurement Units (PMUs) at generator buses, monitors the global oscillations in the system and optimally augments the local excitation system of the synchronous generators. The complexity of the power system stability problem along with uncertainties and nonlinearities makes the conventional modeling non-practical or inaccurate. In this work Reinforcement Learning (RL) algorithm on the benchmark of Neural Networks (NNs) is used to map the nonlinearities of the system in real-time. This method different from both the centralized and the decentralized control schemes, employs a number of semi-autonomous agents to collaborate with each other to perform optimal control theory well-suited for WAC applications. Also, to handle the delays in Wide-Area Monitoring (WAM) and adapt the RL toward the robust control design, Temporal Difference (TD) is proposed as a solver for RL problem or optimal cost function. However, the main drawback of such WAC design is that it is challenging to determine if an offline trained network is valid to assess the stability of the power system once the system is evolved to a different operating state or network topology. In order to address the generality issue of NNs, a value priority scheme is proposed in this work to design a hybrid linear and nonlinear controllers. The algorithm so-called supervised RL is based on mixture of experts, where it is initialized by linear controller and as the performance and identification of the RL controller improves in real-time switches to the other controller. This work also focuses on transient stability and develops Lyapunov energy functions for synchronous generators to monitor the stability stress of the system. Using such energies as a cost function guarantees the convergence toward optimal post-fault solutions. These energy functions are developed on inter-area oscillations of the system identified online with Prony analysis. Finally, this work investigates the impacts of renewable energy resources, in specific Doubly Fed Induction Generator (DFIG)-based wind turbines, on power system transient stability and control. As the penetration of such resources is increased in transmission power system, neglecting the impacts of them will make the WAC design non-realistic. An energy function is proposed for DFIGs based on their dynamic performance in transient disturbances. Further, this energy is augmented to synchronous generators' energy as a global cost function, which is minimized by the WAC signals. We discuss the relative advantages and bottlenecks of each architecture and methodology using dynamic simulations of several test systems including a 2-area 8 bus system, IEEE 39 bus system, and IEEE 68 bus system in EMTP and real-time simulators. Being nonlinear-based, fast, accurate, and non-model based design, the proposed WAC system shows better transient and damping response when compared to conventional control schemes and local PSSs.

Acidic electrolyzed water efficiently improves the flavour of persimmon (Diospyros kaki L. cv. Mopan) wine.

PubMed

Zhu, Wanqi; Zhu, Baoqing; Li, Yao; Zhang, Yanyan; Zhang, Bolin; Fan, Junfeng

2016-04-15

The ability of acidic (AcW) and alkaline electrolyzed waters (AlW) to improve the flavour of persimmon (Diospyros kaki L.) wine was evaluated. Wines made with AcW (WAcW) were significantly better than wines made with AlW or pure water (PW) in aroma, taste, and colour. Volatile analysis showed that WAcW has high alcohol and ester contents, including 2-phenylethanol, isopentanol, isobutanol, ethyl dodecanoate, phenethyl acetate, and butanedioic acid diethyl ester. The total amino acid content of persimmon slurry soaked with AcW reached 531.2 mg/l, which was much higher than those of the slurries soaked in AlW (381.3 mg/l) and PW (182.7 mg/l). The composition of major amino acids in the AcW-soaked slurry may contribute to the strong ester flavour of WAcW. This is the first report to suggest that electrolyzed functional water (EFW) can be used to improve wine flavour, leading to the possible use of EFW in food processing. Copyright © 2015 Elsevier Ltd. All rights reserved.

Report on Analyses of WAC Samples of Evaporator Overheads - 2004

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

Oji, L

2005-03-18

In November and December of 2004, the Tank Farm submitted annual samples from 2F, 2H and 3H Evaporator Overhead streams for characterization to verify compliance with the new Effluent Treatment Facility (ETF) Waste Acceptance Criteria (WAC) and to look for organic species. With the exception of slightly high ammonia in the 2F evaporator overheads and high radiation control guide number for the 3H and 2F evaporator overhead samples, all the overheads samples were found to be in compliance with the Effluent Treatment Facility WAC. The ammonium concentration in the 2F-evaporator overhead, at 33 mg/L, was above the ETF waste watermore » collection tank (WWCT) limits of 28 mg/L. The RCG Number for the 3H and 2F evaporator samples at, respectively, 1.38E-02 and 8.24E-03 were higher than the WWCT limit of 7.69E-03. The analytical detection limits for americium-241 and radium-226 in the evaporator samples were not consistently met because of low WWCT detection limits and insufficient evaporator samples.« less

Hanford Site Air Operating Permit Application Supplemental Information [Sec 1 Thru 5] Vol 1 Thru 3 Appendices A Thru C

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

CURN, B.L.

2000-05-01

This report documents radionuclide air emissions from the Hanford Site in 1998 and the resulting effective dose equivalent to the maximally exposed individual (MEI) member of the public. The report has been prepared in accordance with the Code of Federal Regulations, Title 40, Protection of the Environment, Part 61, National Emission Standards for Hazardous Air Pollutants (40 CFR 61), Subpart H: ''National Emission Standards for Emissions of Radionuclides Other than Radon from Department of Energy Facilities,'' and with the Washington Administrative Code Chapter 246247, Radiation Protection - Air Emissions. The federal regulations in 40 CFR 61, Subpart H, require themore » measurement and reporting of radionuclides emitted from Department of Energy facilities and the resulting offsite dose from those emissions. A standard of 10 mrem/yr effective dose equivalent (EDE) is imposed on them. The EDE to the MEI due to routine emissions in 1998 from Hanford Site point sources was 1.3 E-02 mrem (1.3 E-04 mSv). which is 0.13 percent of the federal standard. Chapter 246-247 of the Washington Administrative Code (WAC) requires the reporting of radionuclide emissions from all Department of Energy Hanford Site sources. The state has adopted into these regulations the 40 CFR 61 standard of 10 mrem/yr EDE. The EDE to the MEI attributable to diffuse and fugitive radionuclide air emissions from the Hanford Site in 1998 was 2.5 E-02 mrem (2.S E-04 mSv). This dose added to the dose from point sources gives a total for all sources of 3.8 E-02 mrem/yr (3.8 E-04 mSv) EDE. which is 0.38 percent of the 10 mrem/yr standard. An unplanned release on August 26, 1998, in the 300 Area of the Hanford Site resulted in a potential dose of 4.1 E-02 mrem to a hypothetical individual at the nearest point of public access to that area. This hypothetical individual was not the MEI since the wind direction on the day of the release was away from the MEI residence. The potential dose from the unplanned event was similar in magnitude to that from routine releases during 1998. Were the release from this unplanned event combined with routine releases, the total dose would be less than 1 percent of the 10 mrem/yr standard.« less

Results For The Fourth Quarter 2014 Tank 50 WAC Slurry Sample: Chemical And Radionuclide Contaminants

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

Crawford, C.

2015-09-30

This report details the chemical and radionuclide contaminant results for the characterization of the Calendar Year (CY) 2014 Fourth Quarter sampling of Tank 50 for the Saltstone Waste Acceptance Criteria (WAC) in effect at that time. Information from this characterization will be used by DWPF & Saltstone Facility Engineering (DSFE) to support the transfer of low-level aqueous waste from Tank 50 to the Salt Feed Tank in the Saltstone Facility in Z-Area, where the waste will be immobilized. This information is also used to update the Tank 50 Waste Characterization System.

Wacław Szybalski's contribution to immunotherapy: HGPRT mutation & HAT selection as first steps to gene therapy and hybrid techniques in mammalian cells.

PubMed

Bigda, Jacek J; Koszałka, Patrycja

2013-08-10

In this report we describe Wacław Szybalski's fundamental contribution to gene therapy and immunotherapy. His 1962 PNAS paper (Szybalska and Szybalski, 1962) documented the first successful gene repair in mammalian cells. Furthermore, this was also the first report on the HAT selection method used later in many applications. Most importantly, somatic cell fusion and HAT selection were subsequently used to develop monoclonal antibody technology, which contributed significantly to the progress of today's medicine. Copyright © 2013 Elsevier B.V. All rights reserved.

Wind for Schools (Poster)

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

Baring-Gould, I.

2010-05-01

As the United States dramatically expands wind energy deployment, the industry is challenged with developing a skilled workforce and addressing public resistance. Wind Powering America's Wind for Schools project addresses these issues by developing Wind Application Centers (WACs) at universities; WAC students assist in implementing school wind turbines and participate in wind courses, by installing small wind turbines at community "host" schools, by implementing teacher training with interactive curricula at each host school. This poster provides an overview of the first two years of the Wind for Schools project, primarily supporting activities in Colorado, Kansas, Nebraska, South Dakota, Montana, andmore » Idaho.« less

Military Personnel Dilemmas: Perspectives on Gender-Related Issues. A selected List of Resource Materials Prepared for the Human Resources Division, HQ FORSCOM

DTIC Science & Technology

1983-08-01

interfered with his performance of his duties. " "- "Army Discharges’ Woman After Marriage to Alleged Transsexual ." CBS NEWS (MORNING NEWS). July 23...1977. p. 11. A WAC is discharged because of her marriage to a former WAC who now claims to be a transsexual man. The Army says that there may have been...a . .- psycholoqical transition but not a physical one. "Army Seeks Dismissal of Woman Married to Transsexual ." CBS NEWS (MORNING NEWS). June 6, 1977

Secure Wake-Up Scheme for WBANs

NASA Astrophysics Data System (ADS)

Liu, Jing-Wei; Ameen, Moshaddique Al; Kwak, Kyung-Sup

Network life time and hence device life time is one of the fundamental metrics in wireless body area networks (WBAN). To prolong it, especially those of implanted sensors, each node must conserve its energy as much as possible. While a variety of wake-up/sleep mechanisms have been proposed, the wake-up radio potentially serves as a vehicle to introduce vulnerabilities and attacks to WBAN, eventually resulting in its malfunctions. In this paper, we propose a novel secure wake-up scheme, in which a wake-up authentication code (WAC) is employed to ensure that a BAN Node (BN) is woken up by the correct BAN Network Controller (BNC) rather than unintended users or malicious attackers. The scheme is thus particularly implemented by a two-radio architecture. We show that our scheme provides higher security while consuming less energy than the existing schemes.

Borehole Data Package for 1998 Wells Installed at Single-Shell Tank Waste Management Area TX-TY

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

DG Horton; FN Hodges

1999-03-23

Four new Resource Conservation and Recovery Act (RCRA) groundwater monitoring wells were installed at the single-shell tank farm Waste Management Area (WMA) TX-TY during August through November of 1998 in fi,dfillment of Tri-Party Agreement (Eoology 1996) milestone M-24-38. The wells are 299-W1O-26, 299-W14-13, 299-W14-14, and 299-W15-40. Well 299-W1O-26 is located outside the east fence of the TY tank farm and replaces downgradient well299-W1O-18; well 299-W14-13 is located along the east fence near the northeast corner of the TX tank f- and replaces downgradient well 299-W14-12; well 299-W14-14 is located outside the east fence in the south ha.lfof the TX tankmore » fiirm and is anew downgradient well; and well 299-W15-40 is located on the west side of the TX tank farm and is anew upgradient well. The locations of all wells in the monitoring network are shown on Figure 1. The groundwater monitoring plan for WMA TX-TY (Caggiano and Goodwin 1991) describes the hydrogeology of the 200 West Area and WMA TX-TY. An Interim Change Notice to the groundwater monitoring plan provides justification for the new wells. The new wells were constructed to the speciii- cations and requirements described in Washington Administrative Code (WAC) 173-160 and WAC 173-303. This document compiles &fiormation on the drilling and construction, well development pump instal- latio~ groundwater sampling, and sediment testing applicable to wells 299-W1O-26, 299-W14-13, 299-W14-14, and 299-W15-40. Appendix A contains the geologist's log, the Well Construction Sum- mary Repo~ and Well Summary Sheet (as-built diagram); Appendix B contains results of laboratory analyses of particle size distribution, p~ conductivity, calcium carbonate conten~ major cation and anion concentrations from 1:1 water: sediment extracts, and moisture conten~ Appendix C contains geophysical logs; and Appendix D contains the analytical results from groundwater samples obtained during well construction. Aqutier tests (slug tests) were performed on all the new wells after well completions. Results of the aquifer tests will be reported elsewhere. Additiond documentation concerning well construction is on fde with Bechtel Hanfor& Inc., Richland, Washington.« less

Photometric normalization of LROC WAC images

NASA Astrophysics Data System (ADS)

Sato, H.; Denevi, B.; Robinson, M. S.; Hapke, B. W.; McEwen, A. S.; LROC Science Team

2010-12-01

The Lunar Reconnaissance Orbiter Camera (LROC) Wide Angle Camera (WAC) acquires near global coverage on a monthly basis. The WAC is a push frame sensor with a 90° field of view (FOV) in BW mode and 60° FOV in 7-color mode (320 nm to 689 nm). WAC images are acquired during each orbit in 10° latitude segments with cross track coverage of ~50 km. Before mosaicking, WAC images are radiometrically calibrated to remove instrumental artifacts and to convert at sensor radiance to I/F. Images are also photometrically normalized to common viewing and illumination angles (30° phase), a challenge due to the wide angle nature of the WAC where large differences in phase angle are observed in a single image line (±30°). During a single month the equatorial incidence angle drifts about 28° and over the course of ~1 year the lighting completes a 360° cycle. The light scattering properties of the lunar surface depend on incidence(i), emission(e), and phase(p) angles as well as soil properties such as single-scattering albedo and roughness that vary with terrain type and state of maturity [1]. We first tested a Lommel-Seeliger Correction (LSC) [cos(i)/(cos(i) + cos(e))] [2] with a phase function defined by an exponential decay plus 4th order polynomial term [3] which did not provide an adequate solution. Next we employed a LSC with an exponential 2nd order decay phase correction that was an improvement, but still exhibited unacceptable frame-to-frame residuals. In both cases we fitted the LSC I/F vs. phase angle to derive the phase corrections. To date, the best results are with a lunar-lambert function [4] with exponential 2nd order decay phase correction (LLEXP2) [(A1exp(B1p)+A2exp(B2p)+A3) * cos(i)/(cos(e) + cos(i)) + B3cos(i)]. We derived the parameters for the LLEXP2 from repeat imaging of a small region and then corrected that region with excellent results. When this correction was applied to the whole Moon the results were less than optimal - no surprise given the variability of the regolith from region to region. As the fitting area increases, the accuracy of curve fitting decreases due to the larger variety of albedo, topography, and composition. Thus we have adopted an albedo-dependent photometric normalization routine. Phase curves are derived for discreet bins of preliminary normalized reflectance calculated from Clementine global mosaic in a fitting area that is composed of predominantly mare in Oceanus Procellarum. The global WAC mosaic was then corrected pixel-by-pixel according to its preliminary reflectance map with satisfactory results. We observed that the phase curves per normalized-reflectance bins become steeper as the reflectance value increases. Further filtering by using FeO, TiO2, or optical maturity [5] for parameter calculations may help elucidate the effects of surface composition and maturity on photometric properties of the surface. [1] Hapke, B.W. (1993) Theory of Reflectance and Emittance Spectroscopy, Cambridge Univ. Press. [2] Schoenberg (1925) Ada. Soc. Febb., vol. 50. [3] Hillier et al. (1999) Icarus 141, 205-225. [4] McEwen (1991) Icarus 92, 298-311. [5] Lucey et al. (2000) JGR, v105, no E8, p20377-20386.

Words as cultivators of others minds

PubMed Central

Schilhab, Theresa S. S.

2015-01-01

The embodied–grounded view of cognition and language holds that sensorimotor experiences in the form of ‘re-enactments’ or ‘simulations’ are significant to the individual’s development of concepts and competent language use. However, a typical objection to the explanatory force of this view is that, in everyday life, we engage in linguistic exchanges about much more than might be directly accessible to our senses. For instance, when knowledge-sharing occurs as part of deep conversations between a teacher and student, language is the salient tool by which to obtain understanding, through the unfolding of explanations. Here, the acquisition of knowledge is realized through language, and the constitution of knowledge seems entirely linguistic. In this paper, based on a review of selected studies within contemporary embodied cognitive science, I propose that such linguistic exchanges, though occurring independently of direct experience, are in fact disguised forms of embodied cognition, leading to the reconciliation of the opposing views. I suggest that, in conversation, interlocutors use Words as Cultivators (WAC) of other minds as a direct result of their embodied–grounded origin, rendering WAC a radical interpretation of the Words as social Tools (WAT) proposal. The WAC hypothesis endorses the view of language as dynamic, continuously integrating with, and negotiating, cognitive processes in the individual. One such dynamic feature results from the ‘linguification process’, a term by which I refer to the socially produced mapping of a word to its referent which, mediated by the interlocutor, turns words into cultivators of others minds. In support of the linguification process hypothesis and WAC, I review relevant embodied–grounded research, and selected studies of instructed fear conditioning and guided imagery. PMID:26594187

Words as cultivators of others minds.

PubMed

Schilhab, Theresa S S

2015-01-01

The embodied-grounded view of cognition and language holds that sensorimotor experiences in the form of 're-enactments' or 'simulations' are significant to the individual's development of concepts and competent language use. However, a typical objection to the explanatory force of this view is that, in everyday life, we engage in linguistic exchanges about much more than might be directly accessible to our senses. For instance, when knowledge-sharing occurs as part of deep conversations between a teacher and student, language is the salient tool by which to obtain understanding, through the unfolding of explanations. Here, the acquisition of knowledge is realized through language, and the constitution of knowledge seems entirely linguistic. In this paper, based on a review of selected studies within contemporary embodied cognitive science, I propose that such linguistic exchanges, though occurring independently of direct experience, are in fact disguised forms of embodied cognition, leading to the reconciliation of the opposing views. I suggest that, in conversation, interlocutors use Words as Cultivators (WAC) of other minds as a direct result of their embodied-grounded origin, rendering WAC a radical interpretation of the Words as social Tools (WAT) proposal. The WAC hypothesis endorses the view of language as dynamic, continuously integrating with, and negotiating, cognitive processes in the individual. One such dynamic feature results from the 'linguification process', a term by which I refer to the socially produced mapping of a word to its referent which, mediated by the interlocutor, turns words into cultivators of others minds. In support of the linguification process hypothesis and WAC, I review relevant embodied-grounded research, and selected studies of instructed fear conditioning and guided imagery.

Radioactive air emissions notice of construction for installation and operation of a waste retrieval system and tanks 241-AP-102 and 241-AP-104 project

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

DEXTER, M.L.

1999-11-15

This document serves as a notice of construction (NOC) pursuant to the requirements of Washington Administrative Code (WAC) 246 247-060, and as a request for approval to modify pursuant to 40 Code of Federal Regulations (CFR) 61 07 for the installation and operation of one waste retrieval system in the 24 1 AP-102 Tank and one waste retrieval system in the 241 AP 104 Tank Pursuant to 40 CFR 61 09 (a)( 1) this application is also intended to provide anticipated initial start up notification Its is requested that EPA approval of this application will also constitute EPA acceptance ofmore » the initial start up notification Project W 211 Initial Tank Retrieval Systems (ITRS) is scoped to install a waste retrieval system in the following double-shell tanks 241-AP 102-AP 104 AN 102, AN 103, AN-104, AN 105, AY 102 AZ 102 and SY-102 between now and the year 2011. Because of the extended installation schedules and unknowns about specific activities/designs at each tank, it was decided to submit NOCs as that information became available This NOC covers the installation and operation of a waste retrieval system in tanks 241 AP-102 and 241 AP 104 Generally this includes removal of existing equipment installation of new equipment and construction of new ancillary equipment and buildings Tanks 241 AP 102 and 241 AP 104 will provide waste feed for immobilization into a low activity waste (LAW) product (i.e. glass logs) The total effective dose equivalent (TEDE) to the offsite maximally exposed individual (MEI) from the construction activities is 0 045 millirem per year The unabated TEDE to the offsite ME1 from operation of the mixer pumps is 0 042 millirem per year.« less

303-K Storage Facility closure plan. Revision 2

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

Not Available

1993-12-15

Recyclable scrap uranium with zircaloy-2 and copper silicon alloy, uranium-titanium alloy, beryllium/zircaloy-2 alloy, and zircaloy-2 chips and fines were secured in concrete billets (7.5-gallon containers) in the 303-K Storage Facility, located in the 300 Area. The beryllium/zircaloy-2 alloy and zircaloy-2 chips and fines are designated as mixed waste with the characteristic of ignitability. The concretion process reduced the ignitability of the fines and chips for safe storage and shipment. This process has been discontinued and the 303-K Storage Facility is now undergoing closure as defined in the Resource Conservation and Recovery Act (RCRA) of 1976 and the Washington Administrative Codemore » (WAC) Dangerous Waste Regulations, WAC 173-303-040. This closure plan presents a description of the 303-K Storage Facility, the history of materials and waste managed, and the procedures that will be followed to close the 303-K Storage Facility. The 303-K Storage Facility is located within the 300-FF-3 (source) and 300-FF-5 (groundwater) operable units, as designated in the Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) (Ecology et al. 1992). Contamination in the operable units 300-FF-3 and 300-FF-5 is scheduled to be addressed through the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) of 1980 remedial action process. Therefore, all soil remedial action at the 304 Facility will be conducted as part of the CERCLA remedial action of operable units 300-FF-3 and 300-FF-5.« less

Improved Digitization of Lunar Mare Ridges with LROC Derived Products

NASA Astrophysics Data System (ADS)

Crowell, J. M.; Robinson, M. S.; Watters, T. R.; Bowman-Cisneros, E.; Enns, A. C.; Lawrence, S.

2011-12-01

Lunar wrinkle ridges (mare ridges) are positive-relief structures formed from compressional stress in basin-filling flood basalt deposits [1]. Previous workers have measured wrinkle ridge orientations and lengths to investigate their spatial distribution and infer basin-localized stress fields [2,3]. Although these plots include the most prominent mare ridges and their general trends, they may not have fully captured all of the ridges, particularly the smaller-scale ridges. Using Lunar Reconnaissance Orbiter Wide Angle Camera (WAC) global mosaics and derived topography (100m pixel scale) [4], we systematically remapped wrinkle ridges in Mare Serenitatis. By comparing two WAC mosaics with different lighting geometry, and shaded relief maps made from a WAC digital elevation model (DEM) [5], we observed that some ridge segments and some smaller ridges are not visible in previous structure maps [2,3]. In the past, mapping efforts were limited by a fixed Sun direction [6,7]. For systematic mapping we created three shaded relief maps from the WAC DEM with solar azimuth angles of 0°, 45°, and 90°, and a fourth map was created by combining the three shaded reliefs into one, using a simple averaging scheme. Along with the original WAC mosaic and the WAC DEM, these four datasets were imported into ArcGIS, and the mare ridges of Imbrium, Serenitatis, and Tranquillitatis were digitized from each of the six maps. Since the mare ridges are often divided into many ridge segments [8], each major component was digitized separately, as opposed to the ridge as a whole. This strategy enhanced our ability to analyze the lengths, orientations, and abundances of these ridges. After the initial mapping was completed, the six products were viewed together to identify and resolve discrepancies in order to produce a final wrinkle ridge map. Comparing this new mare ridge map with past lunar tectonic maps, we found that many mare ridges were not recorded in the previous works. It was noted in some cases, the lengths and orientations of previously digitized ridges were different than those of the ridges digitized in this study. This method of multi-map digitizing allows for a greater accuracy in spatial characterization of mare ridges than previous methods. We intend to map mare ridges on a global scale, creating a more comprehensive ridge map due to higher resolution. References Cited: [1] Schultz P.H. (1976) Moon Morphology, 308. [2] Wilhelms D.E. (1987) USGS Prof. Paper 1348, 5A-B. [3] Carr, M.H. (1966) USGS Geologic Atlas of the Moon, I-498. [4] Robinson M.S. (2010) Space Sci. Rev., 150:82. [5] Scholten F. et al. (2011) LPSC XLII, 2046. [6] Fielder G. and Kiang T. (1962) The Observatory: No. 926, 8. [7] Watters T.R. and Konopliv A.S. (2001) Planetary and Space Sci. 49. 743-748. [8] Aubele J.C. (1988) LPSC XIX, 19.

Lunar Reconnaissance Orbiter Camera (LROC) instrument overview

USGS Publications Warehouse

Robinson, M.S.; Brylow, S.M.; Tschimmel, M.; Humm, D.; Lawrence, S.J.; Thomas, P.C.; Denevi, B.W.; Bowman-Cisneros, E.; Zerr, J.; Ravine, M.A.; Caplinger, M.A.; Ghaemi, F.T.; Schaffner, J.A.; Malin, M.C.; Mahanti, P.; Bartels, A.; Anderson, J.; Tran, T.N.; Eliason, E.M.; McEwen, A.S.; Turtle, E.; Jolliff, B.L.; Hiesinger, H.

2010-01-01

The Lunar Reconnaissance Orbiter Camera (LROC) Wide Angle Camera (WAC) and Narrow Angle Cameras (NACs) are on the NASA Lunar Reconnaissance Orbiter (LRO). The WAC is a 7-color push-frame camera (100 and 400 m/pixel visible and UV, respectively), while the two NACs are monochrome narrow-angle linescan imagers (0.5 m/pixel). The primary mission of LRO is to obtain measurements of the Moon that will enable future lunar human exploration. The overarching goals of the LROC investigation include landing site identification and certification, mapping of permanently polar shadowed and sunlit regions, meter-scale mapping of polar regions, global multispectral imaging, a global morphology base map, characterization of regolith properties, and determination of current impact hazards.

Reduction of low frequency ac losses in coaxial cables of type II superconductors by a steady bias current

NASA Astrophysics Data System (ADS)

LeBlanc, M. A. R.; Cameron, Daniel S. M.; LeBlanc, David; Meng, Jinglei

1996-01-01

Hysteresis losses, Wac, in the core of a monolithic coaxial cable carrying an alternating current of fixed amplitude Iac are predicted to trace a valley as a steady bias current Ibias is superimposed on Iac, when (a) the critical current density jc diminishes with increasing magnetic field H, and/or (b) a Meissner current IM or a surface barrier current ISB opposing flux entry play a role. The predicted Ibias,min where the valley minimum occurs and the value of Wac at the minima are displayed for various IM≥0 and ISB≥0 when jc=α (Bean) and jc=α/H (Kim approximation).

Alkali activated solidification/stabilisation of air pollution control residues and co-fired pulverised fuel ash.

PubMed

Shirley, Robin; Black, Leon

2011-10-30

This paper examines the potential treatment by solidification/stabilisation (S/S) of air pollution control (APC) residues using only waste materials otherwise bound for disposal, namely a pulverised fuel ash (PFA) from a co-fired power station and a waste caustic solution. The use of waste materials to stabilise hazardous wastes in order to meet waste acceptance criteria (WAC) would offer an economical and efficient method for reducing the environmental impact of the hazardous waste. The potential is examined against leach limits for chlorides, sulphates and total dissolved solids, and compressive strength performance described in the WAC for stable non-reactive (SNR) hazardous waste landfill cells in England and Wales. The work demonstrates some potential for the treatment, including suitable compressive strengths to meet regulatory limits. Monolithic leach results showed good encapsulation compared to previous work using a more traditional cement binder. However, consistent with previous work, SNR WAC for chlorides was not met, suggesting the need for a washing stage. The potential problems of using a non-EN450 PFA for S/S applications were also highlighted, as well as experimental results which demonstrate the effect of ionic interactions on the mobility of phases during regulatory leach testing. Copyright © 2011 Elsevier B.V. All rights reserved.

Uncertainty analysis for an effluent trading system in a typical nonpoint-sources-polluted watershed

PubMed Central

Chen, Lei; Han, Zhaoxing; Wang, Guobo; Shen, Zhenyao

2016-01-01

Conventional effluent trading systems (ETSs) between point sources (PSs) and nonpoint sources (NPSs) are often unreliable because of the uncertain characteristics of NPSs. In this study, a new framework was established for PS-NPS ETSs, and a comprehensive analysis was conducted by quantifying the impacts of the uncertainties associated with the water assimilative capacity (WAC), NPS emissions, and measurement effectiveness. On the basis of these results, the uncertain characteristics of NPSs would result in a less cost-effective PS-NPS ETS during most hydrological periods, and there exists a clear transition occurs from the WAC constraint to the water quality constraint if these stochastic factors are considered. Specifically, the emission uncertainty had a greater impact on PSs, but an increase in the emission or abatement uncertainty caused the abatement efforts to shift from NPSs toward PSs. Moreover, the error transitivity from the WAC to conventional ETS approaches is more obvious than that to the WEFZ-based ETS. When NPSs emissions are relatively high, structural BMPs should be considered for trading, and vice versa. These results are critical to understand the impacts of uncertainty on the functionality of PS-NPS ETSs and to provide a trade-off between the confidence level and abatement efforts. PMID:27406070

Uncertainty analysis for an effluent trading system in a typical nonpoint-sources-polluted watershed

NASA Astrophysics Data System (ADS)

Chen, Lei; Han, Zhaoxing; Wang, Guobo; Shen, Zhenyao

2016-07-01

Conventional effluent trading systems (ETSs) between point sources (PSs) and nonpoint sources (NPSs) are often unreliable because of the uncertain characteristics of NPSs. In this study, a new framework was established for PS-NPS ETSs, and a comprehensive analysis was conducted by quantifying the impacts of the uncertainties associated with the water assimilative capacity (WAC), NPS emissions, and measurement effectiveness. On the basis of these results, the uncertain characteristics of NPSs would result in a less cost-effective PS-NPS ETS during most hydrological periods, and there exists a clear transition occurs from the WAC constraint to the water quality constraint if these stochastic factors are considered. Specifically, the emission uncertainty had a greater impact on PSs, but an increase in the emission or abatement uncertainty caused the abatement efforts to shift from NPSs toward PSs. Moreover, the error transitivity from the WAC to conventional ETS approaches is more obvious than that to the WEFZ-based ETS. When NPSs emissions are relatively high, structural BMPs should be considered for trading, and vice versa. These results are critical to understand the impacts of uncertainty on the functionality of PS-NPS ETSs and to provide a trade-off between the confidence level and abatement efforts.

Structures of the West African Craton Margin across southern Mauritania inferred from a 450-km geoelectrical profile

NASA Astrophysics Data System (ADS)

Ritz, M.; Robineau, B.; Vassal, J.; Bellion, Y.; Dukhan, M.

1989-04-01

Magnetotelluric (MT) measurements were carried out at 20 sites, extending 450 km across southern Mauritania in order to study lithospheric structures related to the West African craton (WAC) margin. The MT profile starts to the west on the Senegal-Mauritania basin (S-M basin), traverses across the Mauritanides orogenic belt, and terminates on the western border of the WAC (Taoudeni basin). Distortion effects due to local shallow inhomogeneities are present in nearly all of the basin data. In such a situation, the preliminary interpretation of the data was done by using 1D inversions based upon rotationally invariant parameters. Such distortion is not apparent for the belt and craton sites, and 1D inversions were followed by 2D modeling. The models produced reveal a clear crustal subdivision into a resistive upper crust underlain by a two-layer lower crust with two conductors, one at mid-crustal depths (supposed fluid-produced) beneath the S-M basin and the second at the base of the crust beneath the WAC. The 14-km-thick conductive material below the Mauritanides belt is interpreted as large imbricated thrusts representing the deep roots of the Mauritanides nappes. The models also show that significant contrasts in resistivity extend deep in the lithosphere between the cratonic area and the Senegal microplate.

Uncertainty analysis for an effluent trading system in a typical nonpoint-sources-polluted watershed.

PubMed

Chen, Lei; Han, Zhaoxing; Wang, Guobo; Shen, Zhenyao

2016-07-11

Conventional effluent trading systems (ETSs) between point sources (PSs) and nonpoint sources (NPSs) are often unreliable because of the uncertain characteristics of NPSs. In this study, a new framework was established for PS-NPS ETSs, and a comprehensive analysis was conducted by quantifying the impacts of the uncertainties associated with the water assimilative capacity (WAC), NPS emissions, and measurement effectiveness. On the basis of these results, the uncertain characteristics of NPSs would result in a less cost-effective PS-NPS ETS during most hydrological periods, and there exists a clear transition occurs from the WAC constraint to the water quality constraint if these stochastic factors are considered. Specifically, the emission uncertainty had a greater impact on PSs, but an increase in the emission or abatement uncertainty caused the abatement efforts to shift from NPSs toward PSs. Moreover, the error transitivity from the WAC to conventional ETS approaches is more obvious than that to the WEFZ-based ETS. When NPSs emissions are relatively high, structural BMPs should be considered for trading, and vice versa. These results are critical to understand the impacts of uncertainty on the functionality of PS-NPS ETSs and to provide a trade-off between the confidence level and abatement efforts.

Assessment of the Impact of a New Guanidine Suppressor In NGS on F/H Laboratory Analyses For DWPF and Saltstone MCU Transfers

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

Bannochie, C. J.

2013-04-29

Implementation of the Next Generation Solvent (NGS) in the Modular Caustic-Side Solvent Extraction Unit (MCU) will now proceed with a new suppressor compound, 1,2,3-tris(3,7-dimethyloctyl)guanidine (TiDG), replacing the originally planned suppressor for NGS, 1,3-dicyclohexyl-2-(11-methyldodecyl) guanidine (DCiTG). The Savannah River National Laboratory (SRNL) was tasked with evaluating the potential impact to F/H Laboratory analyses supporting the Defense Waste Processing Facility (DWPF) Waste Acceptance Criteria (WAC) used to qualify transfers of MCU Strip Effluent (SE) into the facility and the Saltstone WAC used to qualify transfers of Tank 50 containing Decontaminated Salt Solution (DSS) from MCU into Saltstone. This assigned scope is coveredmore » by a Task Technical and Quality Assurance Plan (TTQAP). Previous impact evaluations were conducted when the DCiTG suppressor was planned for NGS and concluded that there was no impact to either the determination of MCU SE pH nor the analysis of Isopar® L carryover in the MCU SE and DSS streams. SRNL reported on this series of cross-check studies between the SRNL and F/H Laboratories. The change in suppressor from DCiTG to TiDG in the NGS should not impact the measurement of Isopar® L or pH in SE or DSS necessary to satisfy DWPF and Saltstone WAC (Tank 50) criteria, respectively. A statistical study of the low bias observed in Isopar® L measurements in both SRNL and F/H Laboratories may be necessary now that the final NGS composition is fixed in order to quantify the low bias so that a proper correction can be applied to measurements critical to the DWPF and Saltstone WACs. Depending upon the final DWPF WAC requirement put in place for SE pH, it could become necessary to implement an alternative ICP-AES measurement of boron. The current blended solvent system testing in SRNL should address any impacts to Isopar® L carryover into either the DSS or the SE. It is recommended that SRNL monitor the current blended solvent work underway with simulants in SRNL as well as any DWPF CPC testing done with the new SE stream to ascertain whether any need develops that could result in modification of any currently planned F/H Laboratory testing protocols.« less

Results of Hg speciation testing on tank 39 and 1Q16 tank 50 samples

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

Bannochie, C. J.

2016-03-07

The Savannah River National Laboratory (SRNL) was tasked with preparing and shipping samples for Hg speciation by Eurofins Frontier Global Sciences, Inc. in Seattle, WA on behalf of the Savannah River Remediation (SRR) Mercury Task Team.i,ii The seventeenth shipment of samples was designated to include two Tank 39 samples and the 1Q16 Tank 50 Quarterly WAC sample. The surface Tank 39 sample was pulled at 262.1” from the tank bottom, and the depth Tank 39 sample was pulled at 95” from the tank bottom. The 1Q16 Tank 50 WAC sample was drawn from the 1-L variable depth sample received bymore » SRNL.« less

[Professor Wacław Kuśnierczyk (1908-1997)--Pro Memoria in the century of birthday].

PubMed

Brozek, Krzysztof; Kozakiewicz, Jacek; Kierzek, Andrzej

2009-01-01

Wacław Kuśnierczyk was born in 1908 in Sniatyń. He received the degree in medicine at Jan Kazimierz University in Lwów in 1932. He did his PhD degree under Professor Zaleski supervision in 1938 at Jan Kazimierz University. At that time he concentrated his scientific activity on research on tuberculosis. In 1953 he obtained the title of second degree specialist in ear, nose and throat diseases. He became a chief of Otolaryngology at Urban Hospital No 4 in Katowice in 1960. Since then this eminent physician was working on tumours located in upper respiratory tract and the possibility of its endoscopic diagnosis at Silesian Academy of Medicine in Katowice. As one of the first he pointed out the negative influence of smoking cigarettes on cancer of larynx. It was Wacław Kuśnierczyk who implemented new priorities for integrated programs in patient care, research, education and cancer prevention. He has published widely in peer reviewed journals and has edited or contributed to many books. He has given many major lectures and is the recipient of numerous prestigious awards for his scientific accomplishments. The achievement of Professor Kuśnierczyk were the valuable source of information for the physicians. In 1997, on the 31st of January he died in Katowice.

Biosynthetic Genes for the Tetrodecamycin Antibiotics

PubMed Central

Gverzdys, Tomas

2016-01-01

ABSTRACT We recently described 13-deoxytetrodecamycin, a new member of the tetrodecamycin family of antibiotics. A defining feature of these molecules is the presence of a five-membered lactone called a tetronate ring. By sequencing the genome of a producer strain, Streptomyces sp. strain WAC04657, and searching for a gene previously implicated in tetronate ring formation, we identified the biosynthetic genes responsible for producing 13-deoxytetrodecamycin (the ted genes). Using the ted cluster in WAC04657 as a reference, we found related clusters in three other organisms: Streptomyces atroolivaceus ATCC 19725, Streptomyces globisporus NRRL B-2293, and Streptomyces sp. strain LaPpAH-202. Comparing the four clusters allowed us to identify the cluster boundaries. Genetic manipulation of the cluster confirmed the involvement of the ted genes in 13-deoxytetrodecamycin biosynthesis and revealed several additional molecules produced through the ted biosynthetic pathway, including tetrodecamycin, dihydrotetrodecamycin, and another, W5.9, a novel molecule. Comparison of the bioactivities of these four molecules suggests that they may act through the covalent modification of their target(s). IMPORTANCE The tetrodecamycins are a distinct subgroup of the tetronate family of secondary metabolites. Little is known about their biosynthesis or mechanisms of action, making them an attractive subject for investigation. In this paper we present the biosynthetic gene cluster for 13-deoxytetrodecamycin in Streptomyces sp. strain WAC04657. We identify related clusters in several other organisms and show that they produce related molecules. PMID:27137499

Characterization Results for the March 2016 H-Tank Farm 2H Evaporator Overhead Samples

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

Nicholson, J. C.

This report contains the radioanalytical results of the 2H evaporator overhead sample received at SRNL on March 16, 2016. Specifically, concentrations of 137Cs, 90Sr, and 129I are reported and compared to the corresponding Waste Acceptance Criteria (WAC) limits of the Effluent Treatment Project (ETP) Waste Water Collection Tank (WWCT) (rev. 6). All of the radionuclide concentrations in the sample were found to be in compliance with the ETP WAC limits. Revision 1 of this document corrects the cumulative beta count initially reported for 90Sr content with the sole 90Sr count obtained after recharacterization of the sample. The initial data wasmore » found to be a cumulative beta count rather than the 90Sr count requested.« less

GLD100 - Lunar topography from LROC WAC stereo

NASA Astrophysics Data System (ADS)

Scholten, F.; Oberst, J.; Robinson, M. S.

2011-10-01

The LROC WAC instrument of the LRO mission comprises substantial stereo image data from adjacent orbits. Multiple coverage of the entire surface of the Moon at a mean ground scale of 75 m/pxl has already been achieved within the first two years of the mission. We applied photogrammetric stereo processing methods for the derivation of a 100 m raster DTM (digital terrain model), called GLD100, from several tens of thousands stereo models. The GLD100 covers the lunar surface between 80° northern and southern latitude. Polar regions are excluded because of poor illumination and stereo conditions. Vertical differences of the GLD100 to altimetry data from the LRO LOLA instrument are small, the mean deviation is typically about 20 m, without systematic lateral or vertical offsets.

Preliminary Mapping of Permanently Shadowed and Sunlit Regions Using the Lunar Reconnaissance Orbiter Camera (LROC)

NASA Astrophysics Data System (ADS)

Speyerer, E.; Koeber, S.; Robinson, M. S.

2010-12-01

The spin axis of the Moon is tilted by only 1.5° (compared with the Earth's 23.5°), leaving some areas near the poles in permanent shadow while other nearby regions remain sunlit for a majority of the year. Theory, radar data, neutron measurements, and Lunar CRater Observation and Sensing Satellite (LCROSS) observations suggest that volatiles may be present in the cold traps created inside these permanently shadowed regions. While areas of near permanent illumination are prime locations for future lunar outposts due to benign thermal conditions and near constant solar power. The Lunar Reconnaissance Orbiter (LRO) has two imaging systems that provide medium and high resolution views of the poles. During almost every orbit the LROC Wide Angle Camera (WAC) acquires images at 100 m/pixel of the polar region (80° to 90° north and south latitude). In addition, the LROC Narrow Angle Camera (NAC) targets selected regions of interest at 0.7 to 1.5 m/pixel [Robinson et al., 2010]. During the first 11 months of the nominal mission, LROC acquired almost 6,000 WAC images and over 7,300 NAC images of the polar region (i.e., within 2° of pole). By analyzing this time series of WAC and NAC images, regions of permanent shadow and permanent, or near-permanent illumination can be quantified. The LROC Team is producing several reduced data products that graphically illustrate the illumination conditions of the polar regions. Illumination movie sequences are being produced that show how the lighting conditions change over a calendar year. Each frame of the movie sequence is a polar stereographic projected WAC image showing the lighting conditions at that moment. With the WAC’s wide field of view (~100 km at an altitude of 50 km), each frame has repeat coverage between 88° and 90° at each pole. The same WAC images are also being used to develop multi-temporal illumination maps that show the percent each 100 m × 100 m area is illuminated over a period of time. These maps are derived by stacking all the WAC frames, selecting a threshold to determine if the surface is illuminated, and summing the resulting binary images. In addition, mosaics of NAC images are also being produced for regions of interest at a scale of 0.7 to 1.5 m/pixel. The mosaics produced so far have revealed small illuminated surfaces on the tens of meters scale that were previously thought to be shadowed during that time. The LROC dataset of the polar regions complements previous illumination analysis of Clementine images [Bussey et al., 1999], Kaguya topography [Bussey et al., 2010], and the current efforts underway by the Lunar Orbiter Laser Altimeter (LOLA) Team [Mazarico et al., 2010] and provide an important new dataset for science and exploration. References: Bussey et al. (1999), Illumination conditions at the lunar south pole, Geophysical Research Letters, 26(9), 1187-1190. Bussey et al. (2010), Illumination conditions of the south pole of the Moon derived from Kaguya topography, Icarus, 208, 558-564. Mazarico et al. (2010), Illumination of the lunar poles from the Lunar Orbiter Laser Altimeter (LOLA) Topography Data, paper presented at 41st LPSC, Houston, TX. Robinson et al. (2010), Lunar Reconnaissance Orbiter Camera (LROC) Instrument Overview, Space Sci Rev, 150, 81-124.

Diamond exploration and regional prospectivity of Western Australia

NASA Astrophysics Data System (ADS)

Hutchison, Mark T.

2018-06-01

Pre-1.6 Ga rocks comprise around 45% of the onshore area of Western Australia (WA), constituting the West Australian Craton (WAC) (including the Archean Yilgarn and Pilbara Cratons) and the western part of the North Australian Craton (NAC). These areas provide the conditions suitable for diamond formation at depth, and numerous diamondiferous lamproite and kimberlite fields are known. As emplacement ages span close to 2500 Ma, there are significant opportunities for diamond-affinity rocks being present near-surface in much of the State, including amongst Phanerozoic rocks. WA's size, terrain, infrastructure and climate, mean that many areas remain underexplored. However, continuous diamond exploration since the 1970s has resulted in abundant data. In order to advance future exploration, a comprehensive database of results of diamond exploration sampling (Geological Survey of Western Australia 2018) has been assessed. The Yilgarn and Pilbara Cratons have spinel indicators almost exclusively dominated by chromite (>90% of grains), whereas (Mg,Fe,Ti)-bearing Al-chromites account for more of the indicator spinels in the NAC, up to 50% of grains at the Northern Territory (NT) border. Increasing dominance of Al in chromites is interpreted as a sign of weathering or a shallower source than Al-depleted Mg-chromites. Garnet compositions across the State also correlate with geological subdivisions, with lherzolitic garnets showing more prospective compositions (Ca-depleted) in WAC samples compared to the NAC. WAC samples also show a much broader scatter into strongly diamond-prospective G10 and G10D compositions. Ilmenites from the NAC show Mg-enriched compositions (consistent with kimberlites), over and above those present in NT data. However, ilmenites from the WAC again show the most diamond-prospective trends. Numerous indicator mineral concentrations throughout the State have unknown sources. Due in part to the presence of diamondiferous lamproites, it is cautioned that some accepted indicator mineral criteria do not apply in parts of WA. For example Ca-depleted garnets, Mg-depleted ilmenites and Cr-depleted and Al-absent clinopyroxenes are all sometimes associated with strongly diamondiferous localities. Quantitative prospectivity analysis has also been carried out based on the extent and results of sampling, age of surface rocks relative to ages of diamond-prospective rocks, and the underlying mantle structure. Results show that locations within the NAC and with proximity to WA's diamond mines score well. However, results point to parts of the WAC being more prospective, consistent with mineral chemical data. Most notable are the Hamersley Basin, Eastern Goldfields Superterrane and the Goodin Inlier of the Yilgarn Craton. Despite prolific diamond exploration, WA is considerably underexplored and the ageing Argyle mine and recent closure of operations at Ellendale warrant a re-evaluation of diamond potential. Results of mineral chemistry and prospectivity analysis make a compelling case for renewed exploration.

LROC Advances in Lunar Science

NASA Astrophysics Data System (ADS)

Robinson, M. S.

2012-12-01

Since entering orbit in 2009 the Lunar Reconnaissance Orbiter Camera (LROC) has acquired over 700,000 Wide Angle Camera (WAC) and Narrow Angle Camera (NAC) images of the Moon. This new image collection is fueling research into the origin and evolution of the Moon. NAC images revealed a volcanic complex 35 x 25 km (60N, 100E), between Compton and Belkovich craters (CB). The CB terrain sports volcanic domes and irregular depressed areas (caldera-like collapses). The volcanic complex corresponds to an area of high-silica content (Diviner) and high Th (Lunar Prospector). A low density of impact craters on the CB complex indicates a relatively young age. The LROC team mapped over 150 volcanic domes and 90 volcanic cones in the Marius Hills (MH), many of which were not previously identified. Morphology and compositional estimates (Diviner) indicate that MH domes are silica poor, and are products of low-effusion mare lavas. Impact melt deposits are observed with Copernican impact craters (>10 km) on exterior ejecta, the rim, inner wall, and crater floors. Preserved impact melt flow deposits are observed around small craters (25 km diam.), and estimated melt volumes exceed predictions. At these diameters the amount of melt predicted is small, and melt that is produced is expected to be ejected from the crater. However, we observe well-defined impact melt deposits on the floor of highland craters down to 200 m diameter. A globally distributed population of previously undetected contractional structures were discovered. Their crisp appearance and associated impact crater populations show that they are young landforms (<1 Ga). NAC images also revealed small extensional troughs. Crosscutting relations with small-diameter craters and depths as shallow as 1 m indicate ages <50 Ma. These features place bounds on the amount of global radial contraction and the level of compressional stress in the crust. WAC temporal coverage of the poles allowed quantification of highly illuminated regions, including one site that remains lit for 94% of a year (longest eclipse period of 43 hours). Targeted NAC images provide higher resolution characterization of key sites with permanent shadow and extended illumination. Repeat WAC coverage provides an unparalleled photometric dataset allowing spatially resolved solutions (currently 1 degree) to Hapke's photometric equation - data invaluable for photometric normalization and interpreting physical properties of the regolith. The WAC color also provides the means to solve for titanium, and distinguish subtle age differences within Copernican aged materials. The longevity of the LRO mission allows follow up NAC and WAC observations of previously known and newly discovered targets over a range of illumination and viewing geometries. Of particular merit is the acquisition of NAC stereo pairs and oblique sequences. With the extended SMD phase, the LROC team is working towards imaging the whole Moon with pixel scales of 50 to 200 cm.

LROC WAC Ultraviolet Reflectance of the Moon

NASA Astrophysics Data System (ADS)

Robinson, M. S.; Denevi, B. W.; Sato, H.; Hapke, B. W.; Hawke, B. R.

2011-10-01

Earth-based color filter photography, first acquired in the 1960s, showed color differences related to morphologic boundaries on the Moon [1]. These color units were interpreted to indicate compositional differences, thought to be the result of variations in titanium content [1]. Later it was shown that iron abundance (FeO) also plays a dominant role in controlling color in lunar soils [2]. Equally important is the maturity of a lunar soil in terms of its reflectance properties (albedo and color) [3]. Maturity is a measure of the state of alteration of surface materials due to sputtering and high velocity micrometeorite impacts over time [3]. The Clementine (CL) spacecraft provided the first global and digital visible through infrared observations of the Moon [4]. This pioneering dataset allowed significant advances in our understanding of compositional (FeO and TiO2) and maturation differences across the Moon [5,6]. Later, the Lunar Prospector (LP) gamma ray and neutron experiments provided the first global, albeit low resolution, elemental maps [7]. Newly acquired Moon Mineralogic Mapper hyperspectral measurements are now providing the means to better characterize mineralogic variations on a global scale [8]. Our knowledge of ultraviolet color differences between geologic units is limited to low resolution (km scale) nearside telescopic observations, and high resolution Hubble Space Telescope images of three small areas [9], and laboratory analyses of lunar materials [10,11]. These previous studies detailed color differences in the UV (100 to 400 nm) related to composition and physical state. HST UV (250 nm) and visible (502 nm) color differences were found to correlate with TiO2, and were relatively insensitive to maturity effects seen in visible ratios (CL) [9]. These two results led to the conclusion that improvements in TiO2 estimation accuracy over existing methods may be possible through a simple UV/visible ratio [9]. The Lunar Reconnaissance Orbiter Camera (LROC) Wide Angle Camera (WAC) provides the first global lunar ultraviolet through visible (321 nm to 689 nm) multispectral observations [12]. The WAC is a sevencolor push-frame imager with nominal resolutions of 400 m (321, 360 nm) and 100 m (415, 566, 604, 643, 689 nm). Due to its wide field-of-view (60° in color mode) the phase angle within a single line varies ±30°, thus requiring the derivation of a precise photometric characterization [13] before any interpretations of lunar reflectance properties can be made. The current WAC photometric correction relies on multiple WAC observations of the same area over a broad range of phase angles and typically results in relative corrections good to a few percent [13].

Biosynthetic Genes for the Tetrodecamycin Antibiotics.

PubMed

Gverzdys, Tomas; Nodwell, Justin R

2016-07-15

We recently described 13-deoxytetrodecamycin, a new member of the tetrodecamycin family of antibiotics. A defining feature of these molecules is the presence of a five-membered lactone called a tetronate ring. By sequencing the genome of a producer strain, Streptomyces sp. strain WAC04657, and searching for a gene previously implicated in tetronate ring formation, we identified the biosynthetic genes responsible for producing 13-deoxytetrodecamycin (the ted genes). Using the ted cluster in WAC04657 as a reference, we found related clusters in three other organisms: Streptomyces atroolivaceus ATCC 19725, Streptomyces globisporus NRRL B-2293, and Streptomyces sp. strain LaPpAH-202. Comparing the four clusters allowed us to identify the cluster boundaries. Genetic manipulation of the cluster confirmed the involvement of the ted genes in 13-deoxytetrodecamycin biosynthesis and revealed several additional molecules produced through the ted biosynthetic pathway, including tetrodecamycin, dihydrotetrodecamycin, and another, W5.9, a novel molecule. Comparison of the bioactivities of these four molecules suggests that they may act through the covalent modification of their target(s). The tetrodecamycins are a distinct subgroup of the tetronate family of secondary metabolites. Little is known about their biosynthesis or mechanisms of action, making them an attractive subject for investigation. In this paper we present the biosynthetic gene cluster for 13-deoxytetrodecamycin in Streptomyces sp. strain WAC04657. We identify related clusters in several other organisms and show that they produce related molecules. Copyright © 2016, American Society for Microbiology. All Rights Reserved.

High Efficiency Room Air Conditioner

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

Bansal, Pradeep

This project was undertaken as a CRADA project between UT-Battelle and Geberal Electric Company and was funded by Department of Energy to design and develop of a high efficiency room air conditioner. A number of novel elements were investigated to improve the energy efficiency of a state-of-the-art WAC with base capacity of 10,000 BTU/h. One of the major modifications was made by downgrading its capacity from 10,000 BTU/hr to 8,000 BTU/hr by replacing the original compressor with a lower capacity (8,000 BTU/hr) but high efficiency compressor having an EER of 9.7 as compared with 9.3 of the original compressor. However,more » all heat exchangers from the original unit were retained to provide higher EER. The other subsequent major modifications included- (i) the AC fan motor was replaced by a brushless high efficiency ECM motor along with its fan housing, (ii) the capillary tube was replaced with a needle valve to better control the refrigerant flow and refrigerant set points, and (iii) the unit was tested with a drop-in environmentally friendly binary mixture of R32 (90% molar concentration)/R125 (10% molar concentration). The WAC was tested in the environmental chambers at ORNL as per the design rating conditions of AHAM/ASHRAE (Outdoor- 95F and 40%RH, Indoor- 80F, 51.5%RH). All these modifications resulted in enhancing the EER of the WAC by up to 25%.« less

Scanning for safety: an integrated approach to improved bar-code medication administration.

PubMed

Early, Cynde; Riha, Chris; Martin, Jennifer; Lowdon, Karen W; Harvey, Ellen M

2011-03-01

This is a review of lessons learned in the postimplementation evaluation of a bar-code medication administration technology implemented at a major tertiary-care hospital in 2001. In 2006, with a bar-code medication administration scan compliance rate of 82%, a near-miss sentinel event prompted review of this technology as part of an institutional recommitment to a "culture of safety." Multifaceted problems with bar-code medication administration created an environment of circumventing safeguards as demonstrated by an increase in manual overrides to ensure timely medication administration. A multiprofessional team composed of nursing, pharmacy, human resources, quality, and technical services formalized. Each step in the bar-code medication administration process was reviewed. Technology, process, and educational solutions were identified and implemented systematically. Overall compliance with bar-code medication administration rose from 82% to 97%, which resulted in a calculated cost avoidance of more than $2.8 million during this time frame of the project.

Estimating Drug Costs: How do Manufacturer Net Prices Compare with Other Common US Price References?

PubMed

Mattingly, T Joseph; Levy, Joseph F; Slejko, Julia F; Onwudiwe, Nneka C; Perfetto, Eleanor M

2018-05-12

Drug costs are frequently estimated in economic analyses using wholesale acquisition cost (WAC), but what is the best approach to develop these estimates? Pharmaceutical manufacturers recently released transparency reports disclosing net price increases after accounting for rebates and other discounts. Our objective was to determine whether manufacturer net prices (MNPs) could approximate the discounted prices observed by the U.S. Department of Veterans Affairs (VA). We compared the annual, average price discounts voluntarily reported by three pharmaceutical manufacturers with the VA price for specific products from each company. The top 10 drugs by total sales reported from company tax filings for 2016 were included. The discount observed by the VA was determined from each drug's list price, reported as WAC, in 2016. Descriptive statistics were calculated for the VA discount observed and a weighted price index was calculated using the lowest price to the VA (Weighted VA Index), which was compared with the manufacturer index. The discounted price as a percentage of the WAC ranged from 9 to 74%. All three indexes estimated by the average discount to the VA were at or below the manufacturer indexes (42 vs. 50% for Eli Lilly, 56 vs. 65% for Johnson & Johnson, and 59 vs. 59% for Merck). Manufacturer-reported average net prices may provide a close approximation of the average discounted price granted to the VA, suggesting they may be a useful proxy for the true pharmacy benefits manager (PBM) or payer cost. However, individual discounts for products have wide variation, making a standard discount adjustment across multiple products less acceptable.

Quantitative Evaluation of a Planetary Renderer for Terrain Relative Navigation

NASA Astrophysics Data System (ADS)

Amoroso, E.; Jones, H.; Otten, N.; Wettergreen, D.; Whittaker, W.

2016-11-01

A ray-tracing computer renderer tool is presented based on LOLA and LROC elevation models and is quantitatively compared to LRO WAC and NAC images for photometric accuracy. We investigated using rendered images for terrain relative navigation.

Tribal Green Building Administrative Code Example

EPA Pesticide Factsheets

This Tribal Green Building Administrative Code Example can be used as a template for technical code selection (i.e., building, electrical, plumbing, etc.) to be adopted as a comprehensive building code.

DWPF DECON FRIT SUPERNATE ANALYSIS

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

Peeler, D.; Crawford, C.

2010-09-22

The Savannah River National Laboratory (SRNL) has been requested to perform analyses on samples of the Defense Waste Processing Facility (DWPF) decon frit slurry (i.e., supernate samples and sump solid samples). Four 1-L liquid slurry samples were provided to SRNL by Savannah River Remediation (SRR) from the 'front-end' decon activities. Additionally, two 1-L sump solids samples were provided to SRNL for compositional and physical analysis. This report contains the results of the supernate analyses, while the solids (sump and slurry) results will be reported in a supplemental report. The analytical data from the decon frit supernate indicate that all ofmore » the radionuclide, organic, and inorganic concentrations met the limits in Revision 4 of the Effluent Treatment Plant (ETP) Waste Acceptance Criteria (WAC) with the exception of boron. The ETP WAC limit for boron is 15.0 mg/L while the average measured concentration (based on quadruplicate analysis) was 15.5 mg/L. The measured concentrations of Li, Na, and Si were also relatively high in the supernate analysis. These results are consistent with the relatively high measured value of B given the compositional make-up of Frit 418. Given these results, it was speculated that either (a) Frit 418 was dissolving into the supernate or aqueous fraction and/or (b) fine frit particulates were carried forward to the analytical instrument based on the sampling procedure used (i.e., the supernate samples were not filtered - only settled with the liquid fraction being transferred with a pipette). To address this issue, a filtered supernate sample (using a 0.45 um filter) was prepared and submitted for analysis. The results of the filtered sample were consistent with 'unfiltered or settled' sample - relatively high values of B, Li, Na, and Si were found. This suggests that Frit 418 is dissolving in the liquid phase which could be enhanced by the high surface area of the frit fines or particulates in suspension. Based on the results of this study, it is recommended that DWPF re-evaluate the technical basis for the B WAC limit (the only component that exceeds the ETP WAC limit from the supernate analyses) or assess if a waiver or exception can be obtained for exceeding this limit. Given the possible dissolution of B, Li, Na, and Si into the supernate (due to dissolution of frit), DWPF may need to assess if the release of these frit components into the supernate are a concern for the disposal options being considered. It should be noted that the results of this study may not be representative of future decon frit solutions or sump/slurry solids samples. Therefore, future DWPF decisions regarding the possible disposal pathways for either the aqueous or solid portions of the Decon Frit system need to factor in the potential differences. More specifically, introduction of a different frit or changes to other DWPF flowsheet unit operations (e.g., different sludge batch or coupling with other process streams) may impact not only the results but also the conclusions regarding acceptability with respect to the ETF WAC limits.« less

18 CFR 410.1 - Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations. 410.1 Section 410.1 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL BASIN REGULATIONS; WATER CODE AND ADMINISTRATIVE MANUAL-PART III...

18 CFR 410.1 - Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 18 Conservation of Power and Water Resources 2 2014-04-01 2014-04-01 false Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations. 410.1 Section 410.1 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL BASIN REGULATIONS; WATER CODE AND ADMINISTRATIVE MANUAL-PART III...

18 CFR 410.1 - Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 18 Conservation of Power and Water Resources 2 2013-04-01 2012-04-01 true Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations. 410.1 Section 410.1 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL BASIN REGULATIONS; WATER CODE AND ADMINISTRATIVE MANUAL-PART III...

18 CFR 410.1 - Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 18 Conservation of Power and Water Resources 2 2012-04-01 2012-04-01 false Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations. 410.1 Section 410.1 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL BASIN REGULATIONS; WATER CODE AND ADMINISTRATIVE MANUAL-PART III...

Nurses' attitudes toward the use of the bar-coding medication administration system.

PubMed

Marini, Sana Daya; Hasman, Arie; Huijer, Huda Abu-Saad; Dimassi, Hani

2010-01-01

This study determines nurses' attitudes toward bar-coding medication administration system use. Some of the factors underlying the successful use of bar-coding medication administration systems that are viewed as a connotative indicator of users' attitudes were used to gather data that describe the attitudinal basis for system adoption and use decisions in terms of subjective satisfaction. Only 67 nurses in the United States had the chance to respond to the e-questionnaire posted on the CARING list server for the months of June and July 2007. Participants rated their satisfaction with bar-coding medication administration system use based on system functionality, usability, and its positive/negative impact on the nursing practice. Results showed, to some extent, positive attitude, but the image profile draws attention to nurses' concerns for improving certain system characteristics. The high bar-coding medication administration system skills revealed a more negative perception of the system by the nursing staff. The reasons underlying dissatisfaction with bar-coding medication administration use by skillful users are an important source of knowledge that can be helpful for system development as well as system deployment. As a result, strengthening bar-coding medication administration system usability by magnifying its ability to eliminate medication errors and the contributing factors, maximizing system functionality by ascertaining its power as an extra eye in the medication administration process, and impacting the clinical nursing practice positively by being helpful to nurses, speeding up the medication administration process, and being user-friendly can offer a congenial settings for establishing positive attitude toward system use, which in turn leads to successful bar-coding medication administration system use.

Validation of Carotid Artery Revascularization Coding in Ontario Health Administrative Databases.

PubMed

Hussain, Mohamad A; Mamdani, Muhammad; Saposnik, Gustavo; Tu, Jack V; Turkel-Parrella, David; Spears, Julian; Al-Omran, Mohammed

2016-04-02

The positive predictive value (PPV) of carotid endarterectomy (CEA) and carotid artery stenting (CAS) procedure and post-operative complication coding were assessed in Ontario health administrative databases. Between 1 April 2002 and 31 March 2014, a random sample of 428 patients were identified using Canadian Classification of Health Intervention (CCI) procedure codes and Ontario Health Insurance Plan (OHIP) billing codes from administrative data. A blinded chart review was conducted at two high-volume vascular centers to assess the level of agreement between the administrative records and the corresponding patients' hospital charts. PPV was calculated with 95% confidence intervals (CIs) to estimate the validity of CEA and CAS coding, utilizing hospital charts as the gold standard. Sensitivity of CEA and CAS coding were also assessed by linking two independent databases of 540 CEA-treated patients (Ontario Stroke Registry) and 140 CAS-treated patients (single-center CAS database) to administrative records. PPV for CEA ranged from 99% to 100% and sensitivity ranged from 81.5% to 89.6% using CCI and OHIP codes. A CCI code with a PPV of 87% (95% CI, 78.8-92.9) and sensitivity of 92.9% (95% CI, 87.4-96.1) in identifying CAS was also identified. PPV for post-admission complication diagnosis coding was 71.4% (95% CI, 53.7-85.4) for stroke/transient ischemic attack, and 82.4% (95% CI, 56.6-96.2) for myocardial infarction. Our analysis demonstrated that the codes used in administrative databases accurately identify CEA and CAS-treated patients. Researchers can confidently use administrative data to conduct population-based studies of CEA and CAS.

45 CFR 162.1011 - Valid code sets.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 45 Public Welfare 1 2012-10-01 2012-10-01 false Valid code sets. 162.1011 Section 162.1011 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1011 Valid code sets. Each code set is valid within the dates...

45 CFR 162.1011 - Valid code sets.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 45 Public Welfare 1 2013-10-01 2013-10-01 false Valid code sets. 162.1011 Section 162.1011 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1011 Valid code sets. Each code set is valid within the dates...

45 CFR 162.1011 - Valid code sets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Valid code sets. 162.1011 Section 162.1011 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1011 Valid code sets. Each code set is valid within the dates...

45 CFR 162.1011 - Valid code sets.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 45 Public Welfare 1 2014-10-01 2014-10-01 false Valid code sets. 162.1011 Section 162.1011 Public Welfare Department of Health and Human Services ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1011 Valid code sets. Each code set is valid within the dates...

45 CFR 162.1011 - Valid code sets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 Public Welfare 1 2011-10-01 2011-10-01 false Valid code sets. 162.1011 Section 162.1011 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1011 Valid code sets. Each code set is valid within the dates...

The accuracy of burn diagnosis codes in health administrative data: A validation study.

PubMed

Mason, Stephanie A; Nathens, Avery B; Byrne, James P; Fowler, Rob; Gonzalez, Alejandro; Karanicolas, Paul J; Moineddin, Rahim; Jeschke, Marc G

2017-03-01

Health administrative databases may provide rich sources of data for the study of outcomes following burn. We aimed to determine the accuracy of International Classification of Diseases diagnoses codes for burn in a population-based administrative database. Data from a regional burn center's clinical registry of patients admitted between 2006-2013 were linked to administrative databases. Burn total body surface area (TBSA), depth, mechanism, and inhalation injury were compared between the registry and administrative records. The sensitivity, specificity, and positive and negative predictive values were determined, and coding agreement was assessed with the kappa statistic. 1215 burn center patients were linked to administrative records. TBSA codes were highly sensitive and specific for ≥10 and ≥20% TBSA (89/93% sensitive and 95/97% specific), with excellent agreement (κ, 0.85/κ, 0.88). Codes were weakly sensitive (68%) in identifying ≥10% TBSA full-thickness burn, though highly specific (86%) with moderate agreement (κ, 0.46). Codes for inhalation injury had limited sensitivity (43%) but high specificity (99%) with moderate agreement (κ, 0.54). Burn mechanism had excellent coding agreement (κ, 0.84). Administrative data diagnosis codes accurately identify burn by burn size and mechanism, while identification of inhalation injury or full-thickness burns is less sensitive but highly specific. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

Baffling system for the Wide Angle Camera (WAC) of ROSETTA mission

NASA Astrophysics Data System (ADS)

Brunello, Pierfrancesco; Peron, Fabio; Barbieri, Cesare; Fornasier, Sonia

2000-10-01

After the experience of GIOTTO fly-by to comet Halley in 1986, the European Space Agency planned to improve the scientific knowledge of these astronomical objects by means of an even more ambitious rendezvous mission with another comet (P/Wirtanen). This mission, named ROSETTA, will go on from 2003 to 2013, ending after the comet perihelion phase and including also the fly-by with two asteroids of the main belt (140 Siwa and 4979 Otawara). Scientific priority of the mission is the in situ investigation of the cometary nucleus, with the aim of better understanding the formation and the composition of planetesimals and their evolution over the last 4.5 billions of years. In this context, the Authors were involved in the design of the baffling for the Wide Angle Camera (WAC) of the imaging system (OSIRIS) carried on board of the spacecraft. Scientific requirements for the WAC are : a large field of view (FOV) of 12 degree(s) x 12 degree(s) with a resolution of 100 (mu) rad per pixel, UV response, and a contrast ratio of 10-4 in order to detect gaseous and dusty features close to the nucleus of the comet. TO achieve these performances, a fairly novel class of optical solutions employing off-axis sections of concentric mirrors was explored. Regarding baffling, the peculiar demand was the rejection of stray-light generated by the optics for sources within the FOV, since the optical entrance aperture is located at the level of the secondary mirror (instead of the primary as usual). This paper describes the baffle design and analyzes its performances, calculated by numerical simulation with ray tracing methods, at different angles of incidence of the light, for sources both outside and inside the field of view.

Analysis of the technology acceptance model in examining hospital nurses' behavioral intentions toward the use of bar code medication administration.

PubMed

Song, Lunar; Park, Byeonghwa; Oh, Kyeung Mi

2015-04-01

Serious medication errors continue to exist in hospitals, even though there is technology that could potentially eliminate them such as bar code medication administration. Little is known about the degree to which the culture of patient safety is associated with behavioral intention to use bar code medication administration. Based on the Technology Acceptance Model, this study evaluated the relationships among patient safety culture and perceived usefulness and perceived ease of use, and behavioral intention to use bar code medication administration technology among nurses in hospitals. Cross-sectional surveys with a convenience sample of 163 nurses using bar code medication administration were conducted. Feedback and communication about errors had a positive impact in predicting perceived usefulness (β=.26, P<.01) and perceived ease of use (β=.22, P<.05). In a multiple regression model predicting for behavioral intention, age had a negative impact (β=-.17, P<.05); however, teamwork within hospital units (β=.20, P<.05) and perceived usefulness (β=.35, P<.01) both had a positive impact on behavioral intention. The overall bar code medication administration behavioral intention model explained 24% (P<.001) of the variance. Identified factors influencing bar code medication administration behavioral intention can help inform hospitals to develop tailored interventions for RNs to reduce medication administration errors and increase patient safety by using this technology.

Data Quality Objectives Process for Designation of K Basins Debris

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

WESTCOTT, J.L.

2000-05-22

The U.S. Department of Energy has developed a schedule and approach for the removal of spent fuels, sludge, and debris from the K East (KE) and K West (KW) Basins, located in the 100 Area at the Hanford Site. The project that is the subject of this data quality objective (DQO) process is focused on the removal of debris from the K Basins and onsite disposal of the debris at the Environmental Restoration Disposal Facility (ERDF). This material previously has been dispositioned at the Hanford Low-Level Burial Grounds (LLBGs) or Central Waste Complex (CWC). The goal of this DQO processmore » and the resulting Sampling and Analysis Plan (SAP) is to provide the strategy for characterizing and designating the K-Basin debris to determine if it meets the Environmental Restoration Disposal Facility Waste Acceptance Criteria (WAC), Revision 3 (BHI 1998). A critical part of the DQO process is to agree on regulatory and WAC interpretation, to support preparation of the DQO workbook and SAP.« less

Low-level radioactive waste management: transitioning to off-site disposal at Los Alamos National Laboratory

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

Dorries, Alison M

2010-11-09

Facing the closure of nearly all on-site management and disposal capability for low-level radioactive waste (LLW), Los Alamos National Laboratory (LANL) is making ready to ship the majority of LLW off-site. In order to ship off-site, waste must meet the Treatment, Storage, and Disposal Facility's (TSDF) Waste Acceptance Criteria (WAC). In preparation, LANL's waste management organization must ensure LANL waste generators characterize and package waste compliantly and waste characterization documentation is complete and accurate. Key challenges that must be addressed to successfully make the shift to off-site disposal of LLW include improving the detail, accuracy, and quality of process knowledgemore » (PK) and acceptable knowledge (AK) documentation, training waste generators and waste management staff on the higher standard of data quality and expectations, improved WAC compliance for off-site facilities, and enhanced quality assurance throughout the process. Certification of LANL generators will allow direct off-site shipping of LLW from their facilities.« less

The Panoramic Camera (PanCam) Instrument for the ESA ExoMars Rover

NASA Astrophysics Data System (ADS)

Griffiths, A.; Coates, A.; Jaumann, R.; Michaelis, H.; Paar, G.; Barnes, D.; Josset, J.

The recently approved ExoMars rover is the first element of the ESA Aurora programme and is slated to deliver the Pasteur exobiology payload to Mars by 2013. The 0.7 kg Panoramic Camera will provide multispectral stereo images with 65° field-of- view (1.1 mrad/pixel) and high resolution (85 µrad/pixel) monoscopic "zoom" images with 5° field-of-view. The stereo Wide Angle Cameras (WAC) are based on Beagle 2 Stereo Camera System heritage. The Panoramic Camera instrument is designed to fulfil the digital terrain mapping requirements of the mission as well as providing multispectral geological imaging, colour and stereo panoramic images, solar images for water vapour abundance and dust optical depth measurements and to observe retrieved subsurface samples before ingestion into the rest of the Pasteur payload. Additionally the High Resolution Camera (HRC) can be used for high resolution imaging of interesting targets detected in the WAC panoramas and of inaccessible locations on crater or valley walls.

Integrating Bar-Code Medication Administration Competencies in the Curriculum: Implications for Nursing Education and Interprofessional Collaboration.

PubMed

Angel, Vini M; Friedman, Marvin H; Friedman, Andrea L

This article describes an innovative project involving the integration of bar-code medication administration technology competencies in the nursing curriculum through interprofessional collaboration among nursing, pharmacy, and computer science disciplines. A description of the bar-code medication administration technology project and lessons learned are presented.

40 CFR 52.2470 - Identification of plan.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 18, 1972, by the Department of Ecology. (4) Clarifying submission (Non-regulatory) to the... December 12, 1972, by the Washington Department of Ecology. (6) Compliance schedules, revisions to WAC 18... July 25, 1973, by the Department of Ecology. (10) Indirect source plan submitted on October 11, 1973...

America's first long-range-missile and space exploration program: The ORDCIT project of the Jet Propulsion Laboratory, 1943 - 1946: A memoir

NASA Technical Reports Server (NTRS)

Malina, F. J.

1977-01-01

Research and achievements of the wartime Jet Propulsion Laboratory are outlined. Accomplishments included development of the solid-propellant Private A and private R rockets and the liquid-propellant nitric acid-aniline WAC Corporal rocket.

Morphology and Composition of Localized Lunar Dark Mantle Deposits With LROC Data

NASA Astrophysics Data System (ADS)

Gustafson, O.; Bell, J. F.; Gaddis, L. R.; Hawke, B. R.; Robinson, M. S.; LROC Science Team

2010-12-01

Clementine color (ultraviolet, visible or UVVIS) and Lunar Reconnaissance Orbiter (LRO) Wide Angle (WAC) and Narrow Angle (NAC) camera data provide the means to investigate localized lunar dark-mantle deposits (DMDs) of potential pyroclastic origin. Our goals are to (1) examine the morphology and physical characteristics of these deposits with LROC WAC and NAC data; (2) extend methods used in earlier studies of lunar DMDs with Clementine spectral reflectance (CSR) data; (3) use LRO WAC multispectral data to complement and extend the CSR data for compositional analyses; and (4) apply these results to identify the likely mode of emplacement and study the diversity of compositions among these deposits. Pyroclastic deposits have been recognized all across the Moon, identified by their low albedo, smooth texture, and mantling relationship to underlying features. Gaddis et al. (2003) presented a compositional analysis of 75 potential lunar pyroclastic deposits (LPDs) based on CSR measurements. New LRO camera (LROC) data permit more extensive analyses of such deposits than previously possible. Our study began with six sites on the southeastern limb of the Moon that contain nine of the cataloged 75 potential pyroclastic deposits: Humboldt (4 deposits), Petavius, Barnard, Abel B, Abel C, and Titius. Our analysis found that some of the DMDs exhibit qualities characteristic of fluid emplacement, such as flat surfaces, sharp margins, embaying relationships, and flow textures. We conclude that the localized DMDs are a complex class of features, many of which may have formed by a combination of effusive and pyroclastic emplacement mechanisms. We have extended this analysis to include additional localized DMDs from the catalog of 75 potential pyroclastic deposits. We have examined high resolution (up to 0.5 m/p) NAC images as they become available to assess the mode of emplacement of the deposits, locate potential volcanic vents, and assess physical characteristics of the DMDs such as thickness, roughness, and rock abundance. Within and around each DMD, the Clementine UVVIS multispectral mosaic (100 m/p, 5 bands at 415, 750, 900, 950, and 1000 nm) and LROC WAC multispectral image cubes (75 to 400 m/p, 7 bands at 320, 360, 415, 565, 605, 645, and 690 nm) have been used to extract spectral reflectance data. Spectral ratio plots were prepared to compare deposits and draw conclusions regarding compositional differences, such as mafic mineral or titanium content and distribution, both within and between DMDs. The result of the study will be an improved classification of these deposits in terms of emplacement mechanisms and composition, including identifying compositional affinities among DMDs and between DMDs and other volcanic deposits.

Effect of bar-code technology on the safety of medication administration.

PubMed

Poon, Eric G; Keohane, Carol A; Yoon, Catherine S; Ditmore, Matthew; Bane, Anne; Levtzion-Korach, Osnat; Moniz, Thomas; Rothschild, Jeffrey M; Kachalia, Allen B; Hayes, Judy; Churchill, William W; Lipsitz, Stuart; Whittemore, Anthony D; Bates, David W; Gandhi, Tejal K

2010-05-06

Serious medication errors are common in hospitals and often occur during order transcription or administration of medication. To help prevent such errors, technology has been developed to verify medications by incorporating bar-code verification technology within an electronic medication-administration system (bar-code eMAR). We conducted a before-and-after, quasi-experimental study in an academic medical center that was implementing the bar-code eMAR. We assessed rates of errors in order transcription and medication administration on units before and after implementation of the bar-code eMAR. Errors that involved early or late administration of medications were classified as timing errors and all others as nontiming errors. Two clinicians reviewed the errors to determine their potential to harm patients and classified those that could be harmful as potential adverse drug events. We observed 14,041 medication administrations and reviewed 3082 order transcriptions. Observers noted 776 nontiming errors in medication administration on units that did not use the bar-code eMAR (an 11.5% error rate) versus 495 such errors on units that did use it (a 6.8% error rate)--a 41.4% relative reduction in errors (P<0.001). The rate of potential adverse drug events (other than those associated with timing errors) fell from 3.1% without the use of the bar-code eMAR to 1.6% with its use, representing a 50.8% relative reduction (P<0.001). The rate of timing errors in medication administration fell by 27.3% (P<0.001), but the rate of potential adverse drug events associated with timing errors did not change significantly. Transcription errors occurred at a rate of 6.1% on units that did not use the bar-code eMAR but were completely eliminated on units that did use it. Use of the bar-code eMAR substantially reduced the rate of errors in order transcription and in medication administration as well as potential adverse drug events, although it did not eliminate such errors. Our data show that the bar-code eMAR is an important intervention to improve medication safety. (ClinicalTrials.gov number, NCT00243373.) 2010 Massachusetts Medical Society

22 CFR 139.4 - Responsibilities of the Program Administrator.

Code of Federal Regulations, 2010 CFR

2010-04-01

... of living, support infrastructure, and other relevant factors. The Program Administrator, from time... program regulations, including rules of the Program Administrator and the code of code of conduct; or the...

State waste discharge permit application for the 200 Area Effluent Treatment Facility and the State-Approved Land Disposal Site

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

Not Available

1993-08-01

Application is being made for a permit pursuant to Chapter 173--216 of the Washington Administrative Code (WAC), to discharge treated waste water and cooling tower blowdown from the 200 Area Effluent Treatment Facility (ETF) to land at the State-Approved Land Disposal Site (SALDS). The ETF is located in the 200 East Area and the SALDS is located north of the 200 West Area. The ETF is an industrial waste water treatment plant that will initially receive waste water from the following two sources, both located in the 200 Area on the Hanford Site: (1) the Liquid Effluent Retention Facility (LERF)more » and (2) the 242-A Evaporator. The waste water discharged from these two facilities is process condensate (PC), a by-product of the concentration of waste from DSTs that is performed in the 242-A Evaporator. Because the ETF is designed as a flexible treatment system, other aqueous waste streams generated at the Hanford Site may be considered for treatment at the ETF. The origin of the waste currently contained in the DSTs is explained in Section 2.0. An overview of the concentration of these waste in the 242-A Evaporator is provided in Section 3.0. Section 4.0 describes the LERF, a storage facility for process condensate. Attachment A responds to Section B of the permit application and provides an overview of the processes that generated the wastes, storage of the wastes in double-shell tanks (DST), preliminary treatment in the 242-A Evaporator, and storage at the LERF. Attachment B addresses waste water treatment at the ETF (under construction) and the addition of cooling tower blowdown to the treated waste water prior to disposal at SALDS. Attachment C describes treated waste water disposal at the proposed SALDS.« less

Electronic Communication across the Curriculum.

ERIC Educational Resources Information Center

Reiss, Donna, Ed.; Selfe, Dickie, Ed; Young, Art, Ed.

This collection of 24 essays explores what happens when proponents of writing across the curriculum (WAC) use the latest computer-mediated tools and techniques--including e-mail, asynchronous learning networks, MOOs, and the World Wide Web--to expand and enrich their teaching practices, especially the teaching of writing. Essays and their authors…

An Emergentist Model for Writing in Mathematics.

ERIC Educational Resources Information Center

Hoh, Pau-San; Kirtland, Joe

In spite of the widespread implementation of Writing Across the Curriculum (WAC), there remains little concrete evidence of the writing-thinking connection. This paper proposes a new research method that tracks students' performance and production at a deeper level of specificity than that in previous investigations of this relationship, e.g., in…

Coding in Muscle Disease.

PubMed

Jones, Lyell K; Ney, John P

2016-12-01

Accurate coding is critically important for clinical practice and research. Ongoing changes to diagnostic and billing codes require the clinician to stay abreast of coding updates. Payment for health care services, data sets for health services research, and reporting for medical quality improvement all require accurate administrative coding. This article provides an overview of administrative coding for patients with muscle disease and includes a case-based review of diagnostic and Evaluation and Management (E/M) coding principles in patients with myopathy. Procedural coding for electrodiagnostic studies and neuromuscular ultrasound is also reviewed.

47 CFR 52.15 - Central office code administration.

Code of Federal Regulations, 2012 CFR

2012-10-01

... functions. The NANPA shall perform its CO Code administration functions in accordance with the published... by telecommunications carriers to perform internal administrative or operational functions necessary... another telecommunications carrier or non-carrier entity for the purpose of providing telecommunications...

Minimum Standards for Student Conduct and Discipline, Including Suggested Guidelines and Model Codes. Oregon Administrative Rules 21-050 -- 21-085.

ERIC Educational Resources Information Center

Parnell, Dale

The guidelines and codes in this booklet were written to assist teachers and administrators strengthen their positions in times of legal and social confusion and in the face of challenges to administrative and staff authority. Model codes are provided for student (1) assembly, (2) dress and grooming, (3) motor vehicles, (4) search and seizure, (5)…

Re-Framing Race in Teaching Writing across the Curriculum

ERIC Educational Resources Information Center

Poe, Mya

2013-01-01

Although faculty across the curriculum are often faced with issues of racial identity in the teaching of writing, WAC has offered little support for addressing race in assignment design, classroom interactions, and assessment. Through examples from teaching workshops, I offer specific ways that we can engage discussions about teaching writing and…

Beyond the Workshop: Building Faculty Development into the WAC Program.

ERIC Educational Resources Information Center

Berger, Jeffrey

The first goal of a writing-across-the-curriculum program is to convince content area teachers that the movement can aid them in fulfilling their goals. Rather than trying to inspire individual faculty members, the writing-across-the-curriculum program at the Community College of Philadelphia restructures the classroom teaching situation. The…

Faculty Beliefs and Practices about Writing Initiatives as Classroom Strategies and Institutional Objectives

ERIC Educational Resources Information Center

Kreiger, Joan

2013-01-01

Employers consistently rank "writing skills" as a desired quality of college graduates; however studies show that students' writing skills often fall short of the mark (AAC& U, 2008; Charting the Future, 2006). Writing Across the Curriculum (WAC) initiatives are one way universities attempt to improve student writing and promote…

78 FR 79652 - Approval and Promulgation of Implementation Plans; Washington: State Implementation Plan...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-31

... Department of Ecology (Ecology) dated November 20, 2013. This SIP revision updates ambient air quality... May 22, 1996. See 75 FR 35520 and 61 FR 25580. Lastly, Ecology requested EPA approval of the state..., particulate matter, and sulfur dioxide. Secondly, Ecology repealed Chapter 173-470 WAC that contained outdated...

Leadership and Women in Organizations.

ERIC Educational Resources Information Center

Holmes, Douglas S.

This report is intended for use by the Women's Army Corps (WAC) officers and officer candidates who are taking their first course in leadership. It is divided into four major parts. Following the introduction in Chapter 1, Chapter 2 considers the topic of women. The importance of societal traditions is emphasized because of their relationship to…

Rules for the Provision of Special Education to Special Education Students. Chapter 392-172 WAC.

ERIC Educational Resources Information Center

Washington Office of the State Superintendent of Public Instruction, Olympia.

This handbook provides state legal regulations for Washington State special education services and programs for students with disabilities. It includes requirements that address the following areas: (1) general authority and purpose of the requirements; (2) students' rights; (3) general definitions; (4) child find; (5) evaluation procedures; (6)…

Selection of Technical Communication Concepts for Integration into an Accounting Information Systems Course: A WAC Case Study.

ERIC Educational Resources Information Center

Gelinas, Ulric J., Jr.; Rama, D. V.; Skelton, Terrance M.

1997-01-01

Profiles a writing-across-the-curriculum project in an accountancy program. Notes that the team's collaborative process produced three critical planning decisions: (1) establishing "fitness-for-use" for evaluating student communications; (2) selecting only those forms of communication used in accountancy; and (3) teaching only those…

Characterization of previously unidentified lunar pyroclastic deposits using Lunar Reconnaissance Orbiter Camera (LROC) data

USGS Publications Warehouse

Gustafson, J. Olaf; Bell, James F.; Gaddis, Lisa R.R.; Hawke, B. Ray Ray; Giguere, Thomas A.

2012-01-01

We used a Lunar Reconnaissance Orbiter Camera (LROC) global monochrome Wide-angle Camera (WAC) mosaic to conduct a survey of the Moon to search for previously unidentified pyroclastic deposits. Promising locations were examined in detail using LROC multispectral WAC mosaics, high-resolution LROC Narrow Angle Camera (NAC) images, and Clementine multispectral (ultraviolet-visible or UVVIS) data. Out of 47 potential deposits chosen for closer examination, 12 were selected as probable newly identified pyroclastic deposits. Potential pyroclastic deposits were generally found in settings similar to previously identified deposits, including areas within or near mare deposits adjacent to highlands, within floor-fractured craters, and along fissures in mare deposits. However, a significant new finding is the discovery of localized pyroclastic deposits within floor-fractured craters Anderson E and F on the lunar farside, isolated from other known similar deposits. Our search confirms that most major regional and localized low-albedo pyroclastic deposits have been identified on the Moon down to ~100 m/pix resolution, and that additional newly identified deposits are likely to be either isolated small deposits or additional portions of discontinuous, patchy deposits.

Reconciliation of international administrative coding systems for comparison of colorectal surgery outcome.

PubMed

Munasinghe, A; Chang, D; Mamidanna, R; Middleton, S; Joy, M; Penninckx, F; Darzi, A; Livingston, E; Faiz, O

2014-07-01

Significant variation in colorectal surgery outcomes exists between different countries. Better understanding of the sources of variable outcomes using administrative data requires alignment of differing clinical coding systems. We aimed to map similar diagnoses and procedures across administrative coding systems used in different countries. Administrative data were collected in a central database as part of the Global Comparators (GC) Project. In order to unify these data, a systematic translation of diagnostic and procedural codes was undertaken. Codes for colorectal diagnoses, resections, operative complications and reoperative interventions were mapped across the respective national healthcare administrative coding systems. Discharge data from January 2006 to June 2011 for patients who had undergone colorectal surgical resections were analysed to generate risk-adjusted models for mortality, length of stay, readmissions and reoperations. In all, 52 544 case records were collated from 31 institutions in five countries. Mapping of all the coding systems was achieved so that diagnosis and procedures from the participant countries could be compared. Using the aligned coding systems to develop risk-adjusted models, the 30-day mortality rate for colorectal surgery was 3.95% (95% CI 0.86-7.54), the 30-day readmission rate was 11.05% (5.67-17.61), the 28-day reoperation rate was 6.13% (3.68-9.66) and the mean length of stay was 14 (7.65-46.76) days. The linkage of international hospital administrative data that we developed enabled comparison of documented surgical outcomes between countries. This methodology may facilitate international benchmarking. Colorectal Disease © 2014 The Association of Coloproctology of Great Britain and Ireland.

Nevada Administrative Code for Special Education Programs.

ERIC Educational Resources Information Center

Nevada State Dept. of Education, Carson City. Special Education Branch.

This document presents excerpts from Chapter 388 of the Nevada Administrative Code, which concerns definitions, eligibility, and programs for students who are disabled or gifted/talented. The first section gathers together 36 relevant definitions from the Code for such concepts as "adaptive behavior,""autism,""gifted and…

Transmittal of the Calculation Package that Supports the Analysis of Performance of the Environmental Management Waste Management Facility Oak Ridge, Tennessee (Based 5-Cell Design Issued 8/14/09)

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

Williams M.J.

2009-09-14

This document presents the results of an assessment of the performance of a build-out of the Environmental Management Waste Management Facility (EMWMF). The EMWMF configuration that was assessed includes the as-constructed Cells 1 through 4, with a groundwater underdrain that was installed beneath Cell 3 during the winter of 2003-2004, and Cell 5, whose proposed design is an Addendum to Remedial Design Report for the Disposal of Oak Ridge Reservation Comprehensive Environmental Response, Compensation, and Liability Act of 1980 Waste, Oak Ridge, Tennessee, DOE/OR/01-1873&D2/A5/R1. The total capacity of the EMWMF with 5 cells is about 1.7 million cubic yards. Thismore » assessment was conducted to determine the conditions under which the approved Waste Acceptance Criteria (WAC) for the EMWMF found in the Attainment Plan for Risk/Toxicity-Based Waste Acceptance Criteria at the Oak Ridge Reservation, Oak Ridge, Tennessee [U.S. Department of Energy (DOE) 2001a], as revised for constituents added up to October 2008, would remain protective of public health and safety for a five-cell disposal facility. For consistency, the methods of analyses and the exposure scenario used to predict the performance of a five-cell disposal facility were identical to those used in the Remedial Investigation and Feasibility Study (RI/FS) and its addendum (DOE 1998a, DOE 1998b) to develop the approved WAC. To take advantage of new information and design changes departing from the conceptual design, the modeling domain and model calibration were upaded from those used in the RI/FS and its addendum. It should be noted that this analysis is not intended to justify or propose a change in the approved WAC.« less

Photometric Characteristics of Lunar Terrains

NASA Astrophysics Data System (ADS)

Sato, Hiroyuki; Hapke, Bruce W.; Denevi, Brett W.; Robinson, Mark

2016-10-01

The photometric properties of the lunar depend on albedo, surface roughness, porosity, and the internal/external structure of particles. Hapke parameter maps derived using a bidirectional reflectance model [Hapke, 2012] from Lunar Reconnaissance Orbiter Camera (LROC) Wide Angle Camera (WAC) images demonstrated the spatial and spectral variation of the photometric properties of the Moon [Sato et al., 2014]. Using the same methodology, here we present the photometric characteristics of typical lunar terrains, which were not systematically analyzed in the previous study.We selected five representative terrain types: mare, highland, swirls, and two Copernican (fresh) crater ejecta (one mare and one highlands example). As for the datasets, we used ~39 months of WAC repeated observations, and for each image pixel, we computed latitude, longitude, incidence, emission, and phase angles using the WAC GLD100 stereo DTM [Scholten et al., 2012]. To obtain similar phase and incidence angle ranges, all sampling sites are near the equator and in the vicinity of Reiner Gamma. Three free Hapke parameters (single scattering albedo: w, HG2 phase function parameter: c, and angular width of SHOE: hs) were then calculated for the seven bands (321-689 nm). The remaining parameters were fixed by simplifying the model [Sato et al., 2014].The highlands, highland ejecta, and swirl (Reiner Gamma) showed clearly higher w than the mare and mare ejecta. The derived c values were lower (less backscattering) for the swirl and higher (more backscattering) for the highlands (and ejecta) relative to the other sites. Forward scattering materials such as unconsolidated transparent crystalline materials might be relatively enriched in the swirl. In the highlands, anorthositic agglutinates with dense internal scattering could be responsible for the strong backscattering. The mare and mare ejecta showed continuously decreasing c from UV to visible wavelengths. This might be caused by the FeO-rich pyroxene and glass in the mare becoming more translucent at longer wavelengths.

Effects of Regolith Properties on UV/VIS Spectra and Implications for Lunar Remote Sensing

NASA Astrophysics Data System (ADS)

Coman, Ecaterina Oana

Lunar regolith chemistry, mineralogy, various maturation factors, and grain size dominate the reflectance of the lunar surface at ultraviolet (UV) to visible (VIS) wavelengths. These regolith properties leave unique fingerprints on reflectance spectra in the form of varied spectral shapes, reflectance intensity values, and absorption bands. With the addition of returned lunar soils from the Apollo and Luna missions as ground truth, these spectral fingerprints can be used to derive maps of global lunar chemistry or mineralogy to analyze the range of basalt types on the Moon, their spatial distribution, and source regions for clues to lunar formation history and evolution. The Lunar Reconnaissance Orbiter Camera (LROC) Wide Angle Camera (WAC) is the first lunar imager to detect bands at UV wavelengths (321 and 360 nm) in addition to visible bands (415, 566, 604, 643, and 689 nm). This dissertation uses a combination of laboratory and remote sensing studies to examine the relation between TiO2 concentration and WAC UV/VIS spectral ratios and to test the effects of variations in lunar chemistry, mineralogy, and soil maturity on ultraviolet and visible wavelength reflectance. Chapter 1 presents an introduction to the dissertation that includes some background in lunar mineralogy and remote sensing. Chapter 2 covers coordinated analyses of returned lunar soils using UV-VIS spectroscopy, X-ray diffraction, and micro X-ray fluorescence. Chapter 3 contains comparisons of local and global remote sensing observations of the Moon using LROC WAC and Clementine UVVIS TiO2 detection algorithms and Lunar Prospector (LP) Gamma Ray Spectrometer (GRS)-derived FeO and TiO2 concentrations. While the data shows effects from maturity and FeO on the UV/VIS detection algorithm, a UV/VIS relationship remains a simple yet accurate method for TiO2 detection on the Moon.

Occurrence and Magnitude of High Reflectance Materials on the Moon

NASA Astrophysics Data System (ADS)

Nuno, R. G.; Boyd, A. K.; Robinson, M. S.

2013-12-01

We utilize a Lunar Reconnaissance Orbiter (LRO) Wide Angle Camera (WAC) 643 nm photometrically normalized (30°, 0°, 30°; i, e, g) reflectance map to investigate the occurrence and origin of high reflectance materials on the Moon. Compositional differences (mainly iron and titanium content) and maturity state (e.g. Copernican crater rays and swirls) are the predominant factors affecting reflectance variations observed on the Moon. Therefore, comparing reflectance values of different regions yields insight into the composition and relative exposure age of lunar materials. But an accurate comparison requires precise reflectance values normalized across every region being investigated. The WAC [1] obtains monthly near-global ground coverage, each month's observations acquired with different lighting conditions. Boyd et al. [2] utilized a geologically homogeneous subset [0°N to 90°N, 146°E to 148°E] of the WAC observations to determine an equation that describes how viewing and lighting angles affect reflectance values. A normalized global reflectance map was generated by applying the local empirical solution globally, with photometric angles derived from the WAC Global Lunar Digital Terrain Model (DTM)(GLD100) [3]. The GLD100 enables accurate correction of reflectance differences caused by local topographic undulations at the scale of 300 meters. We compare reflectance values across the Moon within 80°S to 80°N latitude. The features with the highest reflectance are steep crater walls within Copernican aged craters, such as the walls of Giordano Bruno, which have normalized reflectance values up to 0.35. Near-impact ejecta of some craters have high reflectance values, such as Virtanen (0.22). There are also broad relatively flat features with high reflectance, such as the 900-km Thales-Compton region (0.24) and the 600-km extent of Anaxagoras (Copernican age) ejecta (0.20). Since the interior of Anaxagoras contains occurrences of pure anorthosite [4], the high reflectance of its ray system may be due to both composition and maturity. Some relatively small isolated features exhibit high reflectance, such as the Compton-Belkovich Volcanic Complex (0.24) and rilles in the floor of Compton crater (0.27). Features associated with pure anorthosite [4] are also found to have high reflectance values, such as occurrences in Mare Orientale (0.22). Since the photometric normalization accounted for topography up to the 300-m horizontal spatial scale, uncertainties remain for steep crater walls. We are currently reducing these uncertainties for selected craters with high resolution (15 meter baseline) stereo-based NAC DTMs. References: [1] Robinson et al. (2010), Space Sci. Rev. [2] Boyd et al. (2013) AGU, this conference. [3] Scholten et al. (2012) JGR. [4] Ohtake et al. (2009) Nature.

Neoproterozoic tectonic evolution of the Jebel Saghro and Bou Azzer - El Graara inliers, eastern and central Anti-Atlas, Morocco

USGS Publications Warehouse

Walsh, Gregory J.; Aleinikoff, John N.; Harrison, Richard W.; Burton, William C.; Quick, James E.; Benziane, Foudad; Yazidi, Abdelaziz; Saadane, Abderrahim

2012-01-01

New mapping, geochemistry, and 17 U–Pb SHRIMP zircon ages from rocks of the Sirwa, Bou Azzer–El Graara, and Jebel Saghro inliers constrain the Neoproterozoic evolution of the eastern Anti-Atlas during Pan-African orogenesis. In the Sirwa inlier, Tonian quartzite from the pre Pan-African passive margin deposits of the Mimount Formation contains detrital zircon derived entirely from the West African Craton (WAC), with most grains yielding Eburnean Paleoproterozoic ages of about 2050 Ma. Cryogenian Pan-African orogenic activity (PA1) from about 760 to 660 Ma included northward-dipping subduction to produce a volcanic arc, followed by ophiolite obduction onto the WAC. In the Bou Azzer–El Graara inlier, calc-alkaline granodiorite and quartz diorite, dated at 650–646 Ma, are syn- to post-tectonic with respect to the second period of Pan-African orogenesis (PA2), arc-continent accretion, and related greenschist facies metamorphism. Slab break-off and lithospheric delimination may have provided the source for the supra-subduction calc-alkaline plutons. At about 646 Ma, quartz diorite intruded the Tiddiline formation placing an upper limit on molassic deposition. Widespread Ediacaran high-K calc-alkaline to shoshonitic plutonism and volcanism during the final stage of Pan-African orogenesis (PA3) occurred in a setting related to either modification of the margin of the WAC or formation of a continental volcanic arc above a short-lived southward-dipping subduction zone. In the Saghro inlier, eight plutonic rocks yield ages ranging from about 588 to 556 Ma. Sampled plutonic rocks previously considered to be Cryogenian yielded Ediacaran ages. Peraluminous rhyolitic volcanic rocks in the lower part of the Ouarzazate Supergroup, including ash-flow tuffs of the Oued Dar’a caldera, yield ages between about 574 and 571 Ma. The Oued Dar’a caldera developed in a pull-apart graben produced by a left-step in a northeast-trending, left-lateral strike-slip fault zone, and much of the lower Ouarzazate Supergroup volcanic rocks in the area are probably related to caldera out-flow facies and collapse. Late stage PA3 intrusive rocks include the Bouskour–Sidi Flah and Timijt rhyolitic dike swarms at about 563 Ma, the voluminous pink Isk-n-Alla granite (559 ± 5 Ma), and volumetrically minor gabbro of Tagmout (556 ± 5 Ma). Rhyolite flows from the upper part of the Ouarzazate Supergroup, above a regional angular unconformity, yielded ages of 558 ± 4 and 556 ± 4 Ma. The youngest ages place an upper limit on block faulting and weak folding during latest Pan-African tectonic activity (PA3), coincident with the departure of the Cadomian crustal fragment from the northern margin of the WAC.

Calibration of the Lunar Reconnaissance Orbiter Camera

NASA Astrophysics Data System (ADS)

Tschimmel, M.; Robinson, M. S.; Humm, D. C.; Denevi, B. W.; Lawrence, S. J.; Brylow, S.; Ravine, M.; Ghaemi, T.

2008-12-01

The Lunar Reconnaissance Orbiter Camera (LROC) onboard the NASA Lunar Reconnaissance Orbiter (LRO) spacecraft consists of three cameras: the Wide-Angle Camera (WAC) and two identical Narrow Angle Cameras (NAC-L, NAC-R). The WAC is push-frame imager with 5 visible wavelength filters (415 to 680 nm) at a spatial resolution of 100 m/pixel and 2 UV filters (315 and 360 nm) with a resolution of 400 m/pixel. In addition to the multicolor imaging the WAC can operate in monochrome mode to provide a global large- incidence angle basemap and a time-lapse movie of the illumination conditions at both poles. The WAC has a highly linear response, a read noise of 72 e- and a full well capacity of 47,200 e-. The signal-to-noise ratio in each band is 140 in the worst case. There are no out-of-band leaks and the spectral response of each filter is well characterized. Each NAC is a monochrome pushbroom scanner, providing images with a resolution of 50 cm/pixel from a 50-km orbit. A single NAC image has a swath width of 2.5 km and a length of up to 26 km. The NACs are mounted to acquire side-by-side imaging for a combined swath width of 5 km. The NAC is designed to fully characterize future human and robotic landing sites in terms of topography and hazard risks. The North and South poles will be mapped on a 1-meter-scale poleward of 85.5° latitude. Stereo coverage can be provided by pointing the NACs off-nadir. The NACs are also highly linear. Read noise is 71 e- for NAC-L and 74 e- for NAC-R and the full well capacity is 248,500 e- for NAC-L and 262,500 e- for NAC- R. The focal lengths are 699.6 mm for NAC-L and 701.6 mm for NAC-R; the system MTF is 28% for NAC-L and 26% for NAC-R. The signal-to-noise ratio is at least 46 (terminator scene) and can be higher than 200 (high sun scene). Both NACs exhibit a straylight feature, which is caused by out-of-field sources and is of a magnitude of 1-3%. However, as this feature is well understood it can be greatly reduced during ground processing. All three cameras were calibrated in the laboratory under ambient conditions. Future thermal vacuum tests will characterize critical behaviors across the full range of lunar operating temperatures. In-flight tests will check for changes in response after launch and provide key data for meeting the requirements of 1% relative and 10% absolute radiometric calibration.

Administrative database concerns: accuracy of International Classification of Diseases, Ninth Revision coding is poor for preoperative anemia in patients undergoing spinal fusion.

PubMed

Golinvaux, Nicholas S; Bohl, Daniel D; Basques, Bryce A; Grauer, Jonathan N

2014-11-15

Cross-sectional study. To objectively evaluate the ability of International Classification of Diseases, Ninth Revision (ICD-9) codes, which are used as the foundation for administratively coded national databases, to identify preoperative anemia in patients undergoing spinal fusion. National database research in spine surgery continues to rise. However, the validity of studies based on administratively coded data, such as the Nationwide Inpatient Sample, are dependent on the accuracy of ICD-9 coding. Such coding has previously been found to have poor sensitivity to conditions such as obesity and infection. A cross-sectional study was performed at an academic medical center. Hospital-reported anemia ICD-9 codes (those used for administratively coded databases) were directly compared with the chart-documented preoperative hematocrits (true laboratory values). A patient was deemed to have preoperative anemia if the preoperative hematocrit was less than the lower end of the normal range (36.0% for females and 41.0% for males). The study included 260 patients. Of these, 37 patients (14.2%) were anemic; however, only 10 patients (3.8%) received an "anemia" ICD-9 code. Of the 10 patients coded as anemic, 7 were anemic by definition, whereas 3 were not, and thus were miscoded. This equates to an ICD-9 code sensitivity of 0.19, with a specificity of 0.99, and positive and negative predictive values of 0.70 and 0.88, respectively. This study uses preoperative anemia to demonstrate the potential inaccuracies of ICD-9 coding. These results have implications for publications using databases that are compiled from ICD-9 coding data. Furthermore, the findings of the current investigation raise concerns regarding the accuracy of additional comorbidities. Although administrative databases are powerful resources that provide large sample sizes, it is crucial that we further consider the quality of the data source relative to its intended purpose.

Evaluation and implementation of a soil blending application

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

Honerlah, H.; Sendra, D.; Zafran, A.

2007-07-01

With the Nuclear Regulatory Commission (NRC) issuing guidance on the 'Use of Intentional Mixing of Contaminated Soil' (SECY-04-0035) dated 1 March 2004, an opportunity to blend higher level radiologically contaminated soils with that of lower activity from the Colonie Formerly Utilized Sites Remedial Action Program (FUSRAP) site became available. Shaw Environmental, under contract with United States Army Corps of Engineers (USACE) to remediate the Colonie site, was tasked to blend soils of higher radioactivity (> 6.29 Bq/g or 170 pCi/g) concentration with soils of lower radioactivity concentration (< 6.29 Bq/g or 170 pCi/g). A mass balance formula approach was usedmore » to determine the proper soil blending ratio. This blending process enabled soils to meet the Waste Acceptance Criteria (WAC) of a specific disposal facility. All blended waste streams were treated to stabilize lead, removing the hazardous waste code D008, and to meet appropriate Resource Conservation Recovery Act (RCRA) requirements and land disposal restrictions. The initial blending on-site was conducted with a 2,485 m{sup 3} (3,250 yd{sup 3}) stockpile of higher concentration soils being blended with lower concentration soils. The lower concentration soils were excavated, staged and sampled into 191 m{sup 3} (250 yd{sup 3}) stockpiles. The ratio for this blending was based on the average radiological concentration of the large stockpile being blended and average concentrations of the individual 191 m{sup 3} (250 yd{sup 3}) piles of lower radiological concentration using a mass balance approach. Once a new 191 m{sup 3} (250 yd{sup 3}) stockpile was created with blended soils it was sampled to insure it met the WAC of Facility A. After the large stockpile had been successfully blended and additional in-situ soils of higher concentration were excavated, they were blended using a similar mass balance approach. For the newly excavated soils, each of the individual piles radiological concentrations was used to determine the specific blending ratio. The blending process took place to lower the disposal costs for the project. By sending the soils to Facility A (RCRA part C permitted) vs. Facility B (Part 61 NRC licensed), a cost savings of over 1.56 million dollars was realized. Prior to commencing the blending of soils, USACE coordinated discussions with appropriate state and federal governmental organizations. (authors)« less

Can a senior house officer's time be used more effectively?

PubMed

Mitchell, J; Hayhurst, C; Robinson, S M

2004-09-01

To determine the amount of time senior house officers (SHO) spent performing tasks that could be delegated to a technician or administrative assistant and therefore to quantify the expected benefit that could be obtained by employing such physicians' assistants (PA). SHOs working in the emergency department were observed for one week by pre-clinical students who had been trained to code and time each task performed by SHOs. Activity was grouped into four categories (clinical, technical, administrative, and other). Those activities in the technical and administrative categories were those we believed could be performed by a PA. The SHOs worked 430 hours in total, of which only 25 hours were not coded due to lack of an observer. Of the 405 hours observed 86.2% of time was accounted for by the various codes. The process of taking a history and examining patients accounted for an average of 22% of coded time. Writing the patient's notes accounted for an average of 20% of coded time. Discussion with relatives and patients accounted for 4.7% of coded time and performing procedures accounted for 5.2% of coded time. On average across all shifts, 15% of coded time was spent doing either technical or administrative tasks. In this department an average of 15% of coded SHOs working time was spent performing administrative and technical tasks, rising to 17% of coded time during a night shift. This is equivalent to an average time of 78 minutes per 10 hour shift/SHO. Most tasks included in these categories could be performed by PAs thus potentially decreasing patient waiting times, improving risk management, allowing doctors to spend more time with their patients, and possibly improving doctors' training.

The WAC Glossary Project: Facilitating Conversations between Composition and WID Faculty in a Unified Writing Curriculum

ERIC Educational Resources Information Center

Bohr, Dennis J.; Rhoades, Georgia

2014-01-01

The Writing Across the Curriculum Program at Appalachian State University, founded in 2008, supports faculty instruction in a vertical writing curriculum which requires two courses in Composition and two in the disciplines, ensuring that students take a dedicated writing course in each year of undergraduate education. To address the challenges of…

A Model for Program-Wide Assessment of the Effectiveness of Writing Instruction in Science Laboratory Courses

ERIC Educational Resources Information Center

Saitta, Erin K.; Zemliansky, Pavel; Turner, Anna

2015-01-01

The authors present a model for program-wide assessment of the effectiveness of writing instruction in a chemistry laboratory course. This model, which involves collaboration between faculty from chemistry, the Writing Across the Curriculum (WAC) program, and the Faculty Center for Teaching and Learning, is based on several theories and…

Studying and Supporting Writing in Student Organizations as a High-Impact Practice

ERIC Educational Resources Information Center

Hendrickson, Brian

2016-01-01

Institutions of postsecondary education, and the field of writing across the curriculum and in the disciplines (WAC/WID) in particular, need to do more to trouble learning paradigms that employ writing only in service to particular disciplines, only in traditional learning environments, and only in particular languages, or in service to an overly…

Combined Heat & Power Using the Infinia Concentrated Solar - CHP PowerDish System

DTIC Science & Technology

2013-08-01

forward operating base FPSE Free Piston Stirling Engine GHG greenhouse gas IOU investor-owned utility kW kilowatt kWac kilowatt alternating...Free Piston Stirling Engine (FPSE) for military, commercial, and space applications for almost 30 years. As Infinia developed a commercial product...6 Figure 2. Free-piston Stirling generator. ................................................................................ 6 Figure 3

Ted's Writing across the Curriculum E-BOOK.

ERIC Educational Resources Information Center

Panitz, Theodore

The purpose of this paper is to provide a wide range of examples of writing across the curriculum (WAC) activities in order to encourage teachers to use writing in their classes regularly as a way of stimulating critical thinking in their students and providing variety in their teaching methods. The paper is presented in three sections. The first…

Familiarizing Postgraduate ESL Students with the Literature Review in a WAC/EAP Engineering Classroom

ERIC Educational Resources Information Center

Melles, Gavin

2005-01-01

The literature review is an academic genre that has a natural place in theses, dissertations, and other genres such as the lab report. The typical final (fourth) year project in the engineering curriculum is an example where such an extensive review can take place (Krishnan & Kathpalia 2002). Second language students may have special…

77 FR 18716 - Transportation Security Administration Postal Zip Code Change; Technical Amendment

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-28

... organizational changes and it has no substantive effect on the public. DATES: Effective March 28, 2012. FOR... No. 1572-9] Transportation Security Administration Postal Zip Code Change; Technical Amendment AGENCY: Transportation Security Administration, DHS. ACTION: Final rule. SUMMARY: This rule is a technical change to...

40 CFR 52.824 - Original identification of plan section.

Code of Federal Regulations, 2014 CFR

2014-07-01

... rules, “Iowa Administrative Code,” effective February 22, 1995. This revision approves new definitions... definition updates. (E) “Iowa Administrative Code,” section 567-31.1, effective February 22, 1995. This rule... Quality and replaced the Iowa air pollution control statute which appeared as Chapter 136B of the Code of...

40 CFR 52.824 - Original identification of plan section.

Code of Federal Regulations, 2011 CFR

2011-07-01

... rules, “Iowa Administrative Code,” effective February 22, 1995. This revision approves new definitions... definition updates. (E) “Iowa Administrative Code,” section 567-31.1, effective February 22, 1995. This rule... Quality and replaced the Iowa air pollution control statute which appeared as Chapter 136B of the Code of...

40 CFR 52.824 - Original identification of plan section.

Code of Federal Regulations, 2013 CFR

2013-07-01

... rules, “Iowa Administrative Code,” effective February 22, 1995. This revision approves new definitions... definition updates. (E) “Iowa Administrative Code,” section 567-31.1, effective February 22, 1995. This rule... Quality and replaced the Iowa air pollution control statute which appeared as Chapter 136B of the Code of...

40 CFR 52.824 - Original identification of plan section.

Code of Federal Regulations, 2012 CFR

2012-07-01

... rules, “Iowa Administrative Code,” effective February 22, 1995. This revision approves new definitions... definition updates. (E) “Iowa Administrative Code,” section 567-31.1, effective February 22, 1995. This rule... Quality and replaced the Iowa air pollution control statute which appeared as Chapter 136B of the Code of...

76 FR 12600 - Review of the Emergency Alert System

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-08

... appropriate, various administrative procedures for national tests, including test codes to be used and pre... administrative procedures for national tests, including test codes to be used and pre-test outreach. B. Summary... test codes to be used and pre-test outreach, the Commission has instructed the Bureau to factor in the...

Validity of Administrative Data in Identifying Cancer-related Events in Adolescents and Young Adults: A Population-based Study Using the IMPACT Cohort.

PubMed

Gupta, Sumit; Nathan, Paul C; Baxter, Nancy N; Lau, Cindy; Daly, Corinne; Pole, Jason D

2018-06-01

Despite the importance of estimating population level cancer outcomes, most registries do not collect critical events such as relapse. Attempts to use health administrative data to identify these events have focused on older adults and have been mostly unsuccessful. We developed and tested administrative data-based algorithms in a population-based cohort of adolescents and young adults with cancer. We identified all Ontario adolescents and young adults 15-21 years old diagnosed with leukemia, lymphoma, sarcoma, or testicular cancer between 1992-2012. Chart abstraction determined the end of initial treatment (EOIT) date and subsequent cancer-related events (progression, relapse, second cancer). Linkage to population-based administrative databases identified fee and procedure codes indicating cancer treatment or palliative care. Algorithms determining EOIT based on a time interval free of treatment-associated codes, and new cancer-related events based on billing codes, were compared with chart-abstracted data. The cohort comprised 1404 patients. Time periods free of treatment-associated codes did not validly identify EOIT dates; using subsequent codes to identify new cancer events was thus associated with low sensitivity (56.2%). However, using administrative data codes that occurred after the EOIT date based on chart abstraction, the first cancer-related event was identified with excellent validity (sensitivity, 87.0%; specificity, 93.3%; positive predictive value, 81.5%; negative predictive value, 95.5%). Although administrative data alone did not validly identify cancer-related events, administrative data in combination with chart collected EOIT dates was associated with excellent validity. The collection of EOIT dates by cancer registries would significantly expand the potential of administrative data linkage to assess cancer outcomes.

Energy Efficiency Program Administrators and Building Energy Codes

EPA Pesticide Factsheets

Explore how energy efficiency program administrators have helped advance building energy codes at federal, state, and local levels—using technical, institutional, financial, and other resources—and discusses potential next steps.

Using Modified-ISS Model to Evaluate Medication Administration Safety During Bar Code Medication Administration Implementation in Taiwan Regional Teaching Hospital.

PubMed

Ma, Pei-Luen; Jheng, Yan-Wun; Jheng, Bi-Wei; Hou, I-Ching

2017-01-01

Bar code medication administration (BCMA) could reduce medical errors and promote patient safety. This research uses modified information systems success model (M-ISS model) to evaluate nurses' acceptance to BCMA. The result showed moderate correlation between medication administration safety (MAS) to system quality, information quality, service quality, user satisfaction, and limited satisfaction.

Quality of data regarding diagnoses of spinal disorders in administrative databases. A multicenter study.

PubMed

Faciszewski, T; Broste, S K; Fardon, D

1997-10-01

The purpose of the present study was to evaluate the accuracy of data regarding diagnoses of spinal disorders in administrative databases at eight different institutions. The records of 189 patients who had been managed for a disorder of the lumbar spine were independently reviewed by a physician who assigned the appropriate diagnostic codes according to the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The age range of the 189 patients was seventeen to eighty-four years. The six major diagnostic categories studied were herniation of a lumbar disc, a previous operation on the lumbar spine, spinal stenosis, cauda equina syndrome, acquired spondylolisthesis, and congenital spondylolisthesis. The diagnostic codes assigned by the physician were compared with the codes that had been assigned during the ordinary course of events by personnel in the medical records department of each of the eight hospitals. The accuracy of coding was also compared among the eight hospitals, and it was found to vary depending on the diagnosis. Although there were both false-negative and false-positive codes at each institution, most errors were related to the low sensitivity of coding for previous spinal operations: only seventeen (28 per cent) of sixty-one such diagnoses were coded correctly. Other errors in coding were less frequent, but their implications for conclusions drawn from the information in administrative databases depend on the frequency of a diagnosis and its importance in an analysis. This study demonstrated that the accuracy of a diagnosis of a spinal disorder recorded in an administrative database varies according to the specific condition being evaluated. It is necessary to document the relative accuracy of specific ICD-9-CM diagnostic codes in order to improve the ability to validate the conclusions derived from investigations based on administrative databases.

Electroconvulsive therapy: administrative codes, legislation, and professional recommendations.

PubMed

Harris, Victoria

2006-01-01

Government regulatory involvement in electroconvulsive therapy (ECT) is due to several factors, including patient advocate groups, prior abuse by psychiatrists, and a general trend of state authority to move into areas traditionally governed by medical authorities. Regardless of the specific reasons, ECT is both highly effective in the treatment of many psychiatric disorders and heavily regulated by state administrative codes and legislation. The purpose of this article is to conduct a systematic review of the state administrative codes and legislation for the 50 states, the District of Columbia, and Puerto Rico and to compare the findings with professional recommendations for the administration of ECT.

18 CFR 410.1 - Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 18 Conservation of Power and Water Resources 2 2011-04-01 2011-04-01 false Basin regulations-Water Code and Administrative Manual-Part III Water Quality Regulations. 410.1 Section 410.1 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL BASIN REGULATIONS; WATER...

40 CFR 52.2479 - Contents of the federally approved, State submitted implementation plan.

Code of Federal Regulations, 2012 CFR

2012-07-01

...-087 Prevention of significant deterioration (PSD) [02/19/91] 173-405-091 Special studies [02/19/91] 2... deterioration (PSD) [02/19/91] 173-410-100 Special studies [02/19/91] 2.2.415 WAC 173-415 Primary Aluminum...] 173-415-051 Prevention of significant deterioration (PSD) [02/19/91] 173-415-060 Monitoring and...

40 CFR 52.2479 - Contents of the federally approved, State submitted implementation plan.

Code of Federal Regulations, 2010 CFR

2010-07-01

...-087 Prevention of significant deterioration (PSD) [02/19/91] 173-405-091 Special studies [02/19/91] 2... deterioration (PSD) [02/19/91] 173-410-100 Special studies [02/19/91] 2.2.415 WAC 173-415 Primary Aluminum...] 173-415-051 Prevention of significant deterioration (PSD) [02/19/91] 173-415-060 Monitoring and...

Performance of First-Tour WAC Enlisted Women: Data Base for the Performance Orientation of Women's Basic Training. Final Report.

ERIC Educational Resources Information Center

Boyd, H. Alton; And Others

The introduction of performance-oriented instructional procedures into Women's Basic Training (BT) at Fort McClellan and the revision of Army Training Program 21-121 to incorporate the philosophy and principles of performance-oriented training are described in the document. Results from a questionnaire regarding duties, activities, and attitudes…

One More Time: Transforming the Curriculum across the Disciplines through Technology-Based Faculty Development and Writing-Intensive Course Redesign

ERIC Educational Resources Information Center

Shea, Kelly A.; Balkun, Mary McAleer; Nolan, Susan A.; Saccoman, John T.; Wright, Joyce

2006-01-01

This article describes a writing-across-the-curriculum project that was born of one university's commitment to writing and ubiquitous computing. Faculty members across the disciplines, seeing an opportunity to re-introduce WAC on its campus through a curriculum development initiative funded out of an internal teaching, learning, and technology…

Sea Spray Aerosol Production over the North Atlantic

NASA Astrophysics Data System (ADS)

Bates, T. S.; Quinn, P.

2017-12-01

Breaking waves on the ocean surface generate air bubbles that scavenge organic matter from the surrounding seawater. When injected into the atmosphere, these bubbles burst, yielding sea spray aerosol (SSA), a mixture of organic and inorganic compounds with the organic matter enriched relative to seawater. SSA mass is well documented as the dominant component of aerosol light scattering over the remote oceans. The importance of SSA number to marine boundary layer cloud condensation nuclei (CCN) is much less certain. During the Western Atlantic Climate Study cruises (WACS-1 - August 2012 and WACS-2 - May-June 2014) and the North Atlantic Aerosols and Marine Ecosystem Study cruises (NAAMES-1 - November 2015, NAAMES-2 - May 2016, and NAAMES-3 - September 2017), we generated and measured freshly emitted SSA using the Sea Sweep SSA generator. During the 2017 cruise we also generated SSA with a Marine Aerosol Reference Tank (MART). Using the data generated on these 5 cruises and a large database of remote marine boundary layer aerosol measurements we will address three questions during this presentation: 1 - Do phytoplankton ecosystems affect the organic enrichment of freshly emitted SSA?, 2 - Do plankton ecosystems affect the number production flux of SSA?, and 3 - Is SSA a significant source of atmospheric CCN?

All About That Basin

NASA Image and Video Library

2015-02-25

This mosaic of Caloris basin is an enhanced-color composite overlain on a monochrome mosaic featured in a previous post. The color mosaic is made up of WAC images obtained when both the spacecraft and the Sun were overhead, conditions best for discerning variations in albedo, or brightness. The monochrome mosaic is made up of WAC and NAC images obtained at off-vertical Sun angles (i.e., high incidence angles) and with visible shadows so as to reveal clearly the topographic form of geologic features. The combination of the two datasets allows the correlation of geologic features with their color properties. In portions of the scene, color differences from image to image are apparent. Ongoing calibration efforts by the MESSENGER team strive to minimize these differences. Caloris basin has been flooded by lavas that appear orange in this mosaic. Post-flooding craters have excavated material from beneath the surface. The larger of these craters have exposed low-reflectance material (blue in this mosaic) from beneath the surface lavas, likely giving a glimpse of the original basin floor material. Analysis of these craters yields an estimate of the thickness of the volcanic layer: 2.5-3.5 km (1.6-2.2 mi.). http://photojournal.jpl.nasa.gov/catalog/PIA19216

Biomass properties and permeability in an immersed hollow fibre membrane bioreactor at high sludge concentrations.

PubMed

Wang, Z Z; Zsirai, T; Connery, K; Fabiyi, M; Larrea, A; Li, J; Judd, S J

2014-01-01

This study aimed to investigate the influence of biomass properties and high mixed liquor suspended solids (MLSS) concentrations on membrane permeability in a pilot-scale hollow fibre membrane bioreactor treating domestic wastewater. Auxiliary molasses solution was added to maintain system operation at constant food-to-microorganisms ratio (F/M = 0.13). Various physicochemical and biological biomass parameters were measured throughout the trial, comprising pre-thickening, thickening and post-thickening periods with reference to the sludge concentration and with aerobic biotreatment continuing throughout. Correlations between dynamic changes in biomass characteristics and membrane permeability decline as well as permeability recovery were further assessed by statistical analyses. Results showed the MLSS concentration to exert the greatest influence on sustainable membrane permeability, with a weaker correlation with particle size distribution. The strong dependence of absolute recovered permeability on wet accumulated solids (WACS) concentration, or clogging propensity, revealed clogging to deleteriously affect membrane permeability decline and recovery (from mechanical declogging and chemical cleaning), with WACS levels increasing with increasing MLSS. Evidence from the study indicated clogging may permanently reduce membrane permeability post declogging and chemical cleaning, corroborating previously reported findings.

Preliminary calibration results of the wide angle camera of the imaging instrument OSIRIS for the Rosetta mission

NASA Astrophysics Data System (ADS)

Da Deppo, V.; Naletto, G.; Nicolosi, P.; Zambolin, P.; De Cecco, M.; Debei, S.; Parzianello, G.; Ramous, P.; Zaccariotto, M.; Fornasier, S.; Verani, S.; Thomas, N.; Barthol, P.; Hviid, S. F.; Sebastian, I.; Meller, R.; Sierks, H.; Keller, H. U.; Barbieri, C.; Angrilli, F.; Lamy, P.; Rodrigo, R.; Rickman, H.; Wenzel, K. P.

2017-11-01

Rosetta is one of the cornerstone missions of the European Space Agency for having a rendezvous with the comet 67P/Churyumov-Gerasimenko in 2014. The imaging instrument on board the satellite is OSIRIS (Optical, Spectroscopic and Infrared Remote Imaging System), a cooperation among several European institutes, which consists of two cameras: a Narrow (NAC) and a Wide Angle Camera (WAC). The WAC optical design is an innovative one: it adopts an all reflecting, unvignetted and unobstructed two mirror configuration which allows to cover a 12° × 12° field of view with an F/5.6 aperture and gives a nominal contrast ratio of about 10-4. The flight model of this camera has been successfully integrated and tested in our laboratories, and finally has been integrated on the satellite which is now waiting to be launched in February 2004. In this paper we are going to describe the optical characteristics of the camera, and to summarize the results so far obtained with the preliminary calibration data. The analysis of the optical performance of this model shows a good agreement between theoretical performance and experimental results.

The Impact of Bar Code Medication Administration Technology on Reported Medication Errors

ERIC Educational Resources Information Center

Holecek, Andrea

2011-01-01

The use of bar-code medication administration technology is on the rise in acute care facilities in the United States. The technology is purported to decrease medication errors that occur at the point of administration. How significantly this technology affects actual rate and severity of error is unknown. This descriptive, longitudinal research…

Improved accuracy of co-morbidity coding over time after the introduction of ICD-10 administrative data

PubMed Central

2011-01-01

Background Co-morbidity information derived from administrative data needs to be validated to allow its regular use. We assessed evolution in the accuracy of coding for Charlson and Elixhauser co-morbidities at three time points over a 5-year period, following the introduction of the International Classification of Diseases, 10th Revision (ICD-10), coding of hospital discharges. Methods Cross-sectional time trend evaluation study of coding accuracy using hospital chart data of 3'499 randomly selected patients who were discharged in 1999, 2001 and 2003, from two teaching and one non-teaching hospital in Switzerland. We measured sensitivity, positive predictive and Kappa values for agreement between administrative data coded with ICD-10 and chart data as the 'reference standard' for recording 36 co-morbidities. Results For the 17 the Charlson co-morbidities, the sensitivity - median (min-max) - was 36.5% (17.4-64.1) in 1999, 42.5% (22.2-64.6) in 2001 and 42.8% (8.4-75.6) in 2003. For the 29 Elixhauser co-morbidities, the sensitivity was 34.2% (1.9-64.1) in 1999, 38.6% (10.5-66.5) in 2001 and 41.6% (5.1-76.5) in 2003. Between 1999 and 2003, sensitivity estimates increased for 30 co-morbidities and decreased for 6 co-morbidities. The increase in sensitivities was statistically significant for six conditions and the decrease significant for one. Kappa values were increased for 29 co-morbidities and decreased for seven. Conclusions Accuracy of administrative data in recording clinical conditions improved slightly between 1999 and 2003. These findings are of relevance to all jurisdictions introducing new coding systems, because they demonstrate a phenomenon of improved administrative data accuracy that may relate to a coding 'learning curve' with the new coding system. PMID:21849089

Improved accuracy of co-morbidity coding over time after the introduction of ICD-10 administrative data.

PubMed

Januel, Jean-Marie; Luthi, Jean-Christophe; Quan, Hude; Borst, François; Taffé, Patrick; Ghali, William A; Burnand, Bernard

2011-08-18

Co-morbidity information derived from administrative data needs to be validated to allow its regular use. We assessed evolution in the accuracy of coding for Charlson and Elixhauser co-morbidities at three time points over a 5-year period, following the introduction of the International Classification of Diseases, 10th Revision (ICD-10), coding of hospital discharges. Cross-sectional time trend evaluation study of coding accuracy using hospital chart data of 3'499 randomly selected patients who were discharged in 1999, 2001 and 2003, from two teaching and one non-teaching hospital in Switzerland. We measured sensitivity, positive predictive and Kappa values for agreement between administrative data coded with ICD-10 and chart data as the 'reference standard' for recording 36 co-morbidities. For the 17 the Charlson co-morbidities, the sensitivity - median (min-max) - was 36.5% (17.4-64.1) in 1999, 42.5% (22.2-64.6) in 2001 and 42.8% (8.4-75.6) in 2003. For the 29 Elixhauser co-morbidities, the sensitivity was 34.2% (1.9-64.1) in 1999, 38.6% (10.5-66.5) in 2001 and 41.6% (5.1-76.5) in 2003. Between 1999 and 2003, sensitivity estimates increased for 30 co-morbidities and decreased for 6 co-morbidities. The increase in sensitivities was statistically significant for six conditions and the decrease significant for one. Kappa values were increased for 29 co-morbidities and decreased for seven. Accuracy of administrative data in recording clinical conditions improved slightly between 1999 and 2003. These findings are of relevance to all jurisdictions introducing new coding systems, because they demonstrate a phenomenon of improved administrative data accuracy that may relate to a coding 'learning curve' with the new coding system.

Time trend of injection drug errors before and after implementation of bar-code verification system.

PubMed

Sakushima, Ken; Umeki, Reona; Endoh, Akira; Ito, Yoichi M; Nasuhara, Yasuyuki

2015-01-01

Bar-code technology, used for verification of patients and their medication, could prevent medication errors in clinical practice. Retrospective analysis of electronically stored medical error reports was conducted in a university hospital. The number of reported medication errors of injected drugs, including wrong drug administration and administration to the wrong patient, was compared before and after implementation of the bar-code verification system for inpatient care. A total of 2867 error reports associated with injection drugs were extracted. Wrong patient errors decreased significantly after implementation of the bar-code verification system (17.4/year vs. 4.5/year, p< 0.05), although wrong drug errors did not decrease sufficiently (24.2/year vs. 20.3/year). The source of medication errors due to wrong drugs was drug preparation in hospital wards. Bar-code medication administration is effective for prevention of wrong patient errors. However, ordinary bar-code verification systems are limited in their ability to prevent incorrect drug preparation in hospital wards.

Accuracy of ICD-10 Coding System for Identifying Comorbidities and Infectious Conditions Using Data from a Thai University Hospital Administrative Database.

PubMed

Rattanaumpawan, Pinyo; Wongkamhla, Thanyarak; Thamlikitkul, Visanu

2016-04-01

To determine the accuracy of International Statistical Classification of Disease and Related Health Problems, 10th Revision (ICD-10) coding system in identifying comorbidities and infectious conditions using data from a Thai university hospital administrative database. A retrospective cross-sectional study was conducted among patients hospitalized in six general medicine wards at Siriraj Hospital. ICD-10 code data was identified and retrieved directly from the hospital administrative database. Patient comorbidities were captured using the ICD-10 coding algorithm for the Charlson comorbidity index. Infectious conditions were captured using the groups of ICD-10 diagnostic codes that were carefully prepared by two independent infectious disease specialists. Accuracy of ICD-10 codes combined with microbiological dataf or diagnosis of urinary tract infection (UTI) and bloodstream infection (BSI) was evaluated. Clinical data gathered from chart review was considered the gold standard in this study. Between February 1 and May 31, 2013, a chart review of 546 hospitalization records was conducted. The mean age of hospitalized patients was 62.8 ± 17.8 years and 65.9% of patients were female. Median length of stay [range] was 10.0 [1.0-353.0] days and hospital mortality was 21.8%. Conditions with ICD-10 codes that had good sensitivity (90% or higher) were diabetes mellitus and HIV infection. Conditions with ICD-10 codes that had good specificity (90% or higher) were cerebrovascular disease, chronic lung disease, diabetes mellitus, cancer HIV infection, and all infectious conditions. By combining ICD-10 codes with microbiological results, sensitivity increased from 49.5 to 66%for UTI and from 78.3 to 92.8%for BS. The ICD-10 coding algorithm is reliable only in some selected conditions, including underlying diabetes mellitus and HIV infection. Combining microbiological results with ICD-10 codes increased sensitivity of ICD-10 codes for identifying BSI. Future research is needed to improve the accuracy of hospital administrative coding system in Thailand.

Analyzing Ethics in the Administration of Interscholastic Sports: Three Key Gender-Related Ethical Dilemmas Faced by Educational Leaders

ERIC Educational Resources Information Center

Whisenant, Warren A.; Pedersen, Paul M.; Clavio, Galen

2010-01-01

Athletic administrators and decision makers within interscholastic athletics are expected to embrace a code of ethics that serves as a set of rules to guide their professional behavior. Included within this code are areas of controversy that present gender-related ethical dilemmas for administrators. Three specific ethical dilemmas involve (1)…

Final Engineering Report for Computer, Weapon Aiming CP-1444/A.

DTIC Science & Technology

1982-06-01

computes the required lead angle based upon the stored ballistic constants for the ADEN 30 MM gun and transmits the azimuth and elevation position of the...If PERFORMANCE LE VEL , IM I 11111LUlIൕ.25 g ras OVERALL .10 ....... I7 I KI I 3 03 w o FRQECY-H 18 I 1.6 CONCLUSIONS 1.6.1 The WAC

Plagiarism across the Curriculum: How Academic Communities Can Meet the Challenge of the Undocumented Writer

ERIC Educational Resources Information Center

Hall, Jonathan

2005-01-01

Student plagiarism occurs in all academic disciplines, and so, for those of us involved with Writing Across the Curriculum and Writing In the Disciplines programs, the first thing we have to admit is: yes, it is our problem. It's everybody's problem, at bottom, of course, but WAC/WID directors are ideally positioned to offer both new conceptual…

Propellant Expulsion in Unmanned Spacecraft

DTIC Science & Technology

1966-07-01

29 19. Experimental WAC Corporal piston tank .. ......... . 33 20. Three piston tank designs used in the Corporal program ..... 34 21...propellant. The only universal F. Filling seal at this writing is a metal bellows. Usually, piston tank assemblies are filled by a vacuum technique...externally gener- Piston tank assemblies are subjected to essentially the ated loads due to shock and vibration may be the sever- same tests as bladders. 31

Writing through Modeling: Using Various Scholarship Enhancement Programs and Activities To Build Writing Interest and Skill.

ERIC Educational Resources Information Center

Brown, Les M.

This paper focuses on the efforts at Gardner-Webb University in North Carolina to extend the writing efforts of a writing across the curriculum (WAC) retreat into a greater matrix of scholarly activity, not only in the classroom but outside as well. Noting that the initial idea was that an intensive year of emphasizing scholastic activity could…

The Europa Imaging System (EIS): High-Resolution, 3-D Insight into Europa's Geology, Ice Shell, and Potential for Current Activity

NASA Astrophysics Data System (ADS)

Turtle, E. P.; McEwen, A. S.; Collins, G. C.; Fletcher, L. N.; Hansen, C. J.; Hayes, A.; Hurford, T., Jr.; Kirk, R. L.; Barr, A.; Nimmo, F.; Patterson, G.; Quick, L. C.; Soderblom, J. M.; Thomas, N.

2015-12-01

The Europa Imaging System will transform our understanding of Europa through global decameter-scale coverage, three-dimensional maps, and unprecedented meter-scale imaging. EIS combines narrow-angle and wide-angle cameras (NAC and WAC) designed to address high-priority Europa science and reconnaissance goals. It will: (A) Characterize the ice shell by constraining its thickness and correlating surface features with subsurface structures detected by ice penetrating radar; (B) Constrain formation processes of surface features and the potential for current activity by characterizing endogenic structures, surface units, global cross-cutting relationships, and relationships to Europa's subsurface structure, and by searching for evidence of recent activity, including potential plumes; and (C) Characterize scientifically compelling landing sites and hazards by determining the nature of the surface at scales relevant to a potential lander. The NAC provides very high-resolution, stereo reconnaissance, generating 2-km-wide swaths at 0.5-m pixel scale from 50-km altitude, and uses a gimbal to enable independent targeting. NAC observations also include: near-global (>95%) mapping of Europa at ≤50-m pixel scale (to date, only ~14% of Europa has been imaged at ≤500 m/pixel, with best pixel scale 6 m); regional and high-resolution stereo imaging at <1-m/pixel; and high-phase-angle observations for plume searches. The WAC is designed to acquire pushbroom stereo swaths along flyby ground-tracks, generating digital topographic models with 32-m spatial scale and 4-m vertical precision from 50-km altitude. These data support characterization of cross-track clutter for radar sounding. The WAC also performs pushbroom color imaging with 6 broadband filters (350-1050 nm) to map surface units and correlations with geologic features and topography. EIS will provide comprehensive data sets essential to fulfilling the goal of exploring Europa to investigate its habitability and perform collaborative science with other investigations, including cartographic and geologic maps, regional and high-resolution digital topography, GIS products, color and photometric data products, a geodetic control network tied to radar altimetry, and a database of plume-search observations.

Lunar textural analysis based on WAC-derived kilometer-scale roughness and entropy maps

NASA Astrophysics Data System (ADS)

Li, Bo; Wang, XueQiang; Zhang, Jiang; Chen, Jian; Ling, Zongcheng

2016-06-01

In general, textures are thought to be some complicated repeated patterns formed by elements, or primitives which are sorted in certain rules. Lunar surfaces record the interactions between its outside environment and itself, thus, based on high-resolution DEM model or image data, there are some topographic features which have different roughness and entropy values or signatures on lunar surfaces. Textures of lunar surfaces can help us to concentrate on typical topographic and photometric variations and reveal the relationships between obvious features (craters, impact basins, sinuous rilles (SRs) and ridges) with resurfacing processes on the Moon. In this paper, the term surface roughness is an expression of the variability of a topographic or photometric surface at kilometer scale, and the term entropy can characterize the variability inherent in a geological and topographic unit and evaluate the uncertainty of predictions made by a given geological process. We use the statistical moments of gray-level histograms in different-sized neighborhoods (e.g., 3, 5, 10, 20, 40 and 80 pixels) to compute the kilometer-scale roughness and entropy values, using the mosaic image from 70°N to 70°S obtained by Lunar Reconnaissance Orbiter (LRO) Wide Angle Camera (WAC). Large roughness and entropy signatures were only found in the larger scale maps, while the smallest 3-pixel scale map had more disorderly and unsystematic textures. According to the entropy values in 10-pixel scale entropy map, we made a frequency curve and categorized lunar surfaces into three types, shadow effects, maria and highlands. A 2D scatter plot of entropy versus roughness values was produced and we found that there were two point clusters corresponding to the highlands and maria, respectively. In the last, we compared the topographic and photometric signatures derived from Lunar Orbiter Laser Altimeter (LOLA) data and WAC mosaic image. On the lunar surfaces, the ridges have obvious multilevel topographic textures which are sensitive to the topographic changes, while the ejecta deposits of fresh craters appear obvious photometric textures which are sensitive to the brightness variations.

Practical guide to bar coding for patient medication safety.

PubMed

Neuenschwander, Mark; Cohen, Michael R; Vaida, Allen J; Patchett, Jeffrey A; Kelly, Jamie; Trohimovich, Barbara

2003-04-15

Bar coding for the medication administration step of the drug-use process is discussed. FDA will propose a rule in 2003 that would require bar-code labels on all human drugs and biologicals. Even with an FDA mandate, manufacturer procrastination and possible shifts in product availability are likely to slow progress. Such delays should not preclude health systems from adopting bar-code-enabled point-of-care (BPOC) systems to achieve gains in patient safety. Bar-code technology is a replacement for traditional keyboard data entry. The elements of bar coding are content, which determines the meaning; data format, which refers to the embedded data and symbology, which describes the "font" in which the machine-readable code is written. For a BPOC system to deliver an acceptable level of patient protection, the hospital must first establish reliable processes for a patient identification band, caregiver badge, and medication bar coding. Medications can have either drug-specific or patient-specific bar codes. Both varieties result in the desired code that supports patient's five rights of drug administration. When medications are not available from the manufacturer in immediate-container bar-coded packaging, other means of applying the bar code must be devised, including the use of repackaging equipment, overwrapping, manual bar coding, and outsourcing. Virtually all medications should be bar coded, the bar code on the label should be easily readable, and appropriate policies, procedures, and checks should be in place. Bar coding has the potential to be not only cost-effective but to produce a return on investment. By bar coding patient identification tags, caregiver badges, and immediate-container medications, health systems can substantially increase patient safety during medication administration.

Validation of key behaviourally based mental health diagnoses in administrative data: suicide attempt, alcohol abuse, illicit drug abuse and tobacco use.

PubMed

Kim, Hyungjin Myra; Smith, Eric G; Stano, Claire M; Ganoczy, Dara; Zivin, Kara; Walters, Heather; Valenstein, Marcia

2012-01-23

Observational research frequently uses administrative codes for mental health or substance use diagnoses and for important behaviours such as suicide attempts. We sought to validate codes (International Classification of Diseases, 9th edition, clinical modification diagnostic and E-codes) entered in Veterans Health Administration administrative data for patients with depression versus a gold standard of electronic medical record text ("chart notation"). Three random samples of patients were selected, each stratified by geographic region, gender, and year of cohort entry, from a VHA depression treatment cohort from April 1, 1999 to September 30, 2004. The first sample was selected from patients who died by suicide, the second from patients who remained alive on the date of death of suicide cases, and the third from patients with a new start of a commonly used antidepressant medication. Four variables were assessed using administrative codes in the year prior to the index date: suicide attempt, alcohol abuse/dependence, drug abuse/dependence and tobacco use. Specificity was high (≥ 90%) for all four administrative codes, regardless of the sample. Sensitivity was ≤75% and was particularly low for suicide attempt (≤ 17%). Positive predictive values for alcohol dependence/abuse and tobacco use were high, but barely better than flipping a coin for illicit drug abuse/dependence. Sensitivity differed across the three samples, but was highest in the suicide death sample. Administrative data-based diagnoses among VHA records have high specificity, but low sensitivity. The accuracy level varies by different diagnosis and by different patient subgroup.

48 CFR 501.105-1 - Publication and code arrangement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Publication and code arrangement. 501.105-1 Section 501.105-1 Federal Acquisition Regulations System GENERAL SERVICES ADMINISTRATION GENERAL GENERAL SERVICES ADMINISTRATION ACQUISITION REGULATION SYSTEM Purpose, Authority, Issuance...

Hanford Facility Dangerous Waste Closure Plan - Plutonium Finishing Plant Treatment Unit Glovebox HA-20MB

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

PRIGNANO, A.L.

2003-06-25

This closure plan describes the planned activities and performance standards for closing the Plutonium Finishing Plant (PFP) glovebox HA-20MB that housed an interim status ''Resource Conservation and Recovery Act'' (RCRA) of 1976 treatment unit. This closure plan is certified and submitted to Ecology for incorporation into the Hanford Facility RCRA Permit (HF RCRA Permit) in accordance with Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement; TPA) Milestone M-83-30 requiring submittal of a certified closure plan for ''glovebox HA-20MB'' by July 31, 2003. Glovebox HA-20MB is located within the 231-5Z Building in the 200 West Area of the Hanford Facility.more » Currently glovebox HA-20MB is being used for non-RCRA analytical purposes. The schedule of closure activities under this plan supports completion of TPA Milestone M-83-44 to deactivate and prepare for dismantlement the above grade portions of the 234-5Z and ZA, 243-Z, and 291-Z and 291-Z-1 stack buildings by September 30, 2015. Under this closure plan, glovebox HA-20MB will undergo clean closure to the performance standards of Washington Administrative Code (WAC) 173-303-610 with respect to all dangerous waste contamination from glovebox HA-20MB RCRA operations. Because the intention is to clean close the PFP treatment unit, postclosure activities are not applicable to this closure plan. To clean close the unit, it will be demonstrated that dangerous waste has not been left at levels above the closure performance standard for removal and decontamination. If it is determined that clean closure is not possible or is environmentally impractical, the closure plan will be modified to address required postclosure activities. Because dangerous waste does not include source, special nuclear, and by-product material components of mixed waste, radionuclides are not within the scope of this documentation. Any information on radionuclides is provided only for general knowledge. Clearance form only sent to RHA.« less

Construction integrity assessment report (ETN-98-0005) S-Farm overground transfer (OGT) system valve pit 241-S-B to valve pit 241-S-D

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

HICKS, D.F.

1999-08-12

The S-Farm overground transfer (OGT) line will bypass the existing line(s), between valve pits 241-S-B and 241-S-D that no longer meet system requirements. The new OGT line will provide a waste transfer pipeline between these valve pits in support of saltwell pumping activities. The length of the OGT line is approximately 180 ft from pit to pit. The primary pipe is nominal 1-in. diameter stainless steel (SST) braided Ethylene-propylene Diene Monomer (EPDM) hose. The encasement pipe is a nominal 3-in., flanged, SST pipe made up of several different length pipe spool pieces (drawing H-2-829564, sh. 1 and sh. 2). Themore » OGT line slopes from valve pit 241-S-B toward valve pit 241-S-D. At each end, the primary and encasement pipe connect to a pit entry spool piece. The pit entry spool pieces are constructed of prefabricated SST materials. These spool pieces allow for the separation of the primary and encasement pipelines after the pipes have entered the valve pits (drawing H-2-818280, sh. 2). The pit entry spool pieces also allow for leak detection of the encasement pipe at each end (drawing H-2-829564, sh. 2). The OGT encasement pipeline is supported above ground by adjustable height unistrut brackets and precast concrete bases (drawing H-2-829654, sh. 1). The pipeline is heat-traced and insulated. The heat tracing and insulation supply and retain latent heat that prevents waste solidification during transfers and provides freeze protection. The total length of the pipeline is above ground, thereby negating the need for cathodic corrosion protection. This Construction Integrity Assessment Report (CIAR) is prepared by Fluor Daniel Northwest for Numatec Hanford Corporation/Lockheed Martin Hanford Corporation, the operations contractor, and the U. S. Department of Energy, the system owner. The CIAR is intended to verify that construction was performed in accordance with the provisions of Washington Administrative Code, WAC-173-303-640 (3) (c), (e), (f) and (h).« less

Coding of obesity in administrative hospital discharge abstract data: accuracy and impact for future research studies.

PubMed

Martin, Billie-Jean; Chen, Guanmin; Graham, Michelle; Quan, Hude

2014-02-13

Obesity is a pervasive problem and a popular subject of academic assessment. The ability to take advantage of existing data, such as administrative databases, to study obesity is appealing. The objective of our study was to assess the validity of obesity coding in an administrative database and compare the association between obesity and outcomes in an administrative database versus registry. This study was conducted using a coronary catheterization registry and an administrative database (Discharge Abstract Database (DAD)). A Body Mass Index (BMI) ≥30 kg/m2 within the registry defined obesity. In the DAD obesity was defined by diagnosis codes E65-E68 (ICD-10). The sensitivity, specificity, negative predictive value (NPV) and positive predictive value (PPV) of an obesity diagnosis in the DAD was determined using obesity diagnosis in the registry as the referent. The association between obesity and outcomes was assessed. The study population of 17380 subjects was largely male (68.8%) with a mean BMI of 27.0 kg/m2. Obesity prevalence was lower in the DAD than registry (2.4% vs. 20.3%). A diagnosis of obesity in the DAD had a sensitivity 7.75%, specificity 98.98%, NPV 80.84% and PPV 65.94%. Obesity was associated with decreased risk of death or re-hospitalization, though non-significantly within the DAD. Obesity was significantly associated with an increased risk of cardiac procedure in both databases. Overall, obesity was poorly coded in the DAD. However, when coded, it was coded accurately. Administrative databases are not an optimal datasource for obesity prevalence and incidence surveillance but could be used to define obese cohorts for follow-up.

28 CFR 36.608 - Guidance concerning model codes.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Guidance concerning model codes. 36.608... Codes § 36.608 Guidance concerning model codes. Upon application by an authorized representative of a... relevant model code and issue guidance concerning whether and in what respects the model code is consistent...

Medicaid provider reimbursement policy for adult immunizations☆

PubMed Central

Stewart, Alexandra M.; Lindley, Megan C.; Cox, Marisa A.

2015-01-01

Background State Medicaid programs establish provider reimbursement policy for adult immunizations based on: costs, private insurance payments, and percentage of Medicare payments for equivalent services. Each program determines provider eligibility, payment amount, and permissible settings for administration. Total reimbursement consists of different combinations of Current Procedural Terminology codes: vaccine, vaccine administration, and visit. Objective Determine how Medicaid programs in the 50 states and the District of Columbia approach provider reimbursement for adult immunizations. Design Observational analysis using document review and a survey. Setting and participants Medicaid administrators in 50 states and the District of Columbia. Measurements Whether fee-for-service programs reimburse providers for: vaccines; their administration; and/or office visits when provided to adult enrollees. We assessed whether adult vaccination services are reimbursed when administered by a wide range of providers in a wide range of settings. Results Medicaid programs use one of 4 payment methods for adults: (1) a vaccine and an administration code; (2) a vaccine and visit code; (3) a vaccine code; and (4) a vaccine, visit, and administration code. Limitations Study results do not reflect any changes related to implementation of national health reform. Nine of fifty one programs did not respond to the survey or declined to participate, limiting the information available to researchers. Conclusions Medicaid reimbursement policy for adult vaccines impacts provider participation and enrollee access and uptake. While programs have generally increased reimbursement levels since 2003, each program could assess whether current policies reflect the most effective approach to encourage providers to increase vaccination services. PMID:26403369

Medicaid provider reimbursement policy for adult immunizations.

PubMed

Stewart, Alexandra M; Lindley, Megan C; Cox, Marisa A

2015-10-26

State Medicaid programs establish provider reimbursement policy for adult immunizations based on: costs, private insurance payments, and percentage of Medicare payments for equivalent services. Each program determines provider eligibility, payment amount, and permissible settings for administration. Total reimbursement consists of different combinations of Current Procedural Terminology codes: vaccine, vaccine administration, and visit. Determine how Medicaid programs in the 50 states and the District of Columbia approach provider reimbursement for adult immunizations. Observational analysis using document review and a survey. Medicaid administrators in 50 states and the District of Columbia. Whether fee-for-service programs reimburse providers for: vaccines; their administration; and/or office visits when provided to adult enrollees. We assessed whether adult vaccination services are reimbursed when administered by a wide range of providers in a wide range of settings. Medicaid programs use one of 4 payment methods for adults: (1) a vaccine and an administration code; (2) a vaccine and visit code; (3) a vaccine code; and (4) a vaccine, visit, and administration code. Study results do not reflect any changes related to implementation of national health reform. Nine of fifty one programs did not respond to the survey or declined to participate, limiting the information available to researchers. Medicaid reimbursement policy for adult vaccines impacts provider participation and enrollee access and uptake. While programs have generally increased reimbursement levels since 2003, each program could assess whether current policies reflect the most effective approach to encourage providers to increase vaccination services. Copyright © 2015 Elsevier Ltd. All rights reserved.

Barriers to data quality resulting from the process of coding health information to administrative data: a qualitative study.

PubMed

Lucyk, Kelsey; Tang, Karen; Quan, Hude

2017-11-22

Administrative health data are increasingly used for research and surveillance to inform decision-making because of its large sample sizes, geographic coverage, comprehensivity, and possibility for longitudinal follow-up. Within Canadian provinces, individuals are assigned unique personal health numbers that allow for linkage of administrative health records in that jurisdiction. It is therefore necessary to ensure that these data are of high quality, and that chart information is accurately coded to meet this end. Our objective is to explore the potential barriers that exist for high quality data coding through qualitative inquiry into the roles and responsibilities of medical chart coders. We conducted semi-structured interviews with 28 medical chart coders from Alberta, Canada. We used thematic analysis and open-coded each transcript to understand the process of administrative health data generation and identify barriers to its quality. The process of generating administrative health data is highly complex and involves a diverse workforce. As such, there are multiple points in this process that introduce challenges for high quality data. For coders, the main barriers to data quality occurred around chart documentation, variability in the interpretation of chart information, and high quota expectations. This study illustrates the complex nature of barriers to high quality coding, in the context of administrative data generation. The findings from this study may be of use to data users, researchers, and decision-makers who wish to better understand the limitations of their data or pursue interventions to improve data quality.

Tradeoffs of Using Administrative Claims and Medical Records to Identify the Use of Personalized Medicine for Patients with Breast Cancer

PubMed Central

Liang, Su-Ying; Phillips, Kathryn A.; Wang, Grace; Keohane, Carol; Armstrong, Joanne; Morris, William M.; Haas, Jennifer S.

2012-01-01

Background Administrative claims and medical records are important data sources to examine healthcare utilization and outcomes. Little is known about identifying personalized medicine technologies in these sources. Objectives To describe agreement, sensitivity, and specificity of administrative claims compared to medical records for two pairs of targeted tests and treatments for breast cancer. Research Design Retrospective analysis of medical records linked to administrative claims from a large health plan. We examined whether agreement varied by factors that facilitate tracking in claims (coding and cost) and that enhance medical record completeness (records from multiple providers). Subjects Women (35 – 65 years) with incident breast cancer diagnosed in 2006–2007 (n=775). Measures Use of human epidermal growth factor receptor 2 (HER2) and gene expression profiling (GEP) testing, trastuzumab and adjuvant chemotherapy in claims and medical records. Results Agreement between claims and records was substantial for GEP, trastuzumab, and chemotherapy, and lowest for HER2 tests. GEP, an expensive test with unique billing codes, had higher agreement (91.6% vs. 75.2%), sensitivity (94.9% vs. 76.7%), and specificity (90.1% vs. 29.2%) than HER2, a test without unique billing codes. Trastuzumab, a treatment with unique billing codes, had slightly higher agreement (95.1% vs. 90%) and sensitivity (98.1% vs. 87.9%) than adjuvant chemotherapy. Conclusions Higher agreement and specificity were associated with services that had unique billing codes and high cost. Administrative claims may be sufficient for examining services with unique billing codes. Medical records provide better data for identifying tests lacking specific codes and for research requiring detailed clinical information. PMID:21422962

40 CFR 147.1450 - State-administered program.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) Nevada Administrative Code [NAC], Underground Injection Control Regulations, Sections 1 through 96.1, Inclusive. July 22, 1987, revised September 3, 1987 (amending NAC Chapter 445). (5) Nevada Administrative Code [NAC], Regulations and Rules of Practice and Procedure adopted Pursuant to NRS 534A, Sections 1...

40 CFR 147.1450 - State-administered program.

Code of Federal Regulations, 2011 CFR

2011-07-01

...) Nevada Administrative Code [NAC], Underground Injection Control Regulations, Sections 1 through 96.1, Inclusive. July 22, 1987, revised September 3, 1987 (amending NAC Chapter 445). (5) Nevada Administrative Code [NAC], Regulations and Rules of Practice and Procedure adopted Pursuant to NRS 534A, Sections 1...

Validity of administrative coding in identifying patients with upper urinary tract calculi.

PubMed

Semins, Michelle J; Trock, Bruce J; Matlaga, Brian R

2010-07-01

Administrative databases are increasingly used for epidemiological investigations. We performed a study to assess the validity of ICD-9 codes for upper urinary tract stone disease in an administrative database. We retrieved the records of all inpatients and outpatients at Johns Hopkins Hospital between November 2007 and October 2008 with an ICD-9 code of 592, 592.0, 592.1 or 592.9 as one of the first 3 diagnosis codes. A random number generator selected 100 encounters for further review. We considered a patient to have a true diagnosis of an upper tract stone if the medical records specifically referenced a kidney stone event, or included current or past treatment for a kidney stone. Descriptive and comparative analyses were performed. A total of 8,245 encounters coded as upper tract calculus were identified and 100 were randomly selected for review. Two patients could not be identified within the electronic medical record and were excluded from the study. The positive predictive value of using all ICD-9 codes for an upper tract calculus (592, 592.0, 592.1) to identify subjects with renal or ureteral stones was 95.9%. For 592.0 only the positive predictive value was 85%. However, although the positive predictive value for 592.1 only was 100%, 26 subjects (76%) with a ureteral stone were not appropriately billed with this code. ICD-9 coding for urinary calculi is likely to be sufficiently valid to be useful in studies using administrative data to analyze stone disease. However, ICD-9 coding is not a reliable means to distinguish between subjects with renal and ureteral calculi. Copyright (c) 2010 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

7 CFR 4274.337 - Other regulatory requirements.

Code of Federal Regulations, 2012 CFR

2012-01-01

... with the seismic provisions of one of the following model building codes or the latest edition of that...) Uniform Building Code; (ii) 1993 Building Officials and Code Administrators International, Inc. (BOCA) National Building Code; or (iii) 1992 Amendments to the Southern Building Code Congress International...

7 CFR 4274.337 - Other regulatory requirements.

Code of Federal Regulations, 2013 CFR

2013-01-01

... with the seismic provisions of one of the following model building codes or the latest edition of that...) Uniform Building Code; (ii) 1993 Building Officials and Code Administrators International, Inc. (BOCA) National Building Code; or (iii) 1992 Amendments to the Southern Building Code Congress International...

41 CFR 128-1.8005 - Seismic safety standards.

Code of Federal Regulations, 2013 CFR

2013-07-01

... the model building codes that the Interagency Committee on Seismic Safety in Construction (ICSSC...) Uniform Building Code (UBC); (2) The 1992 Supplement to the Building Officials and Code Administrators International (BOCA) National Building Code (NBC); and (3) The 1992 Amendments to the Southern Building Code...

7 CFR 4274.337 - Other regulatory requirements.

Code of Federal Regulations, 2014 CFR

2014-01-01

... with the seismic provisions of one of the following model building codes or the latest edition of that...) Uniform Building Code; (ii) 1993 Building Officials and Code Administrators International, Inc. (BOCA) National Building Code; or (iii) 1992 Amendments to the Southern Building Code Congress International...

41 CFR 128-1.8005 - Seismic safety standards.

Code of Federal Regulations, 2012 CFR

2012-01-01

... the model building codes that the Interagency Committee on Seismic Safety in Construction (ICSSC...) Uniform Building Code (UBC); (2) The 1992 Supplement to the Building Officials and Code Administrators International (BOCA) National Building Code (NBC); and (3) The 1992 Amendments to the Southern Building Code...

41 CFR 128-1.8005 - Seismic safety standards.

Code of Federal Regulations, 2014 CFR

2014-01-01

... the model building codes that the Interagency Committee on Seismic Safety in Construction (ICSSC...) Uniform Building Code (UBC); (2) The 1992 Supplement to the Building Officials and Code Administrators International (BOCA) National Building Code (NBC); and (3) The 1992 Amendments to the Southern Building Code...

41 CFR 128-1.8005 - Seismic safety standards.

Code of Federal Regulations, 2011 CFR

2011-01-01

... the model building codes that the Interagency Committee on Seismic Safety in Construction (ICSSC...) Uniform Building Code (UBC); (2) The 1992 Supplement to the Building Officials and Code Administrators International (BOCA) National Building Code (NBC); and (3) The 1992 Amendments to the Southern Building Code...

78 FR 664 - Establishment of Drug Codes for 26 Substances

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-04

... DEPARTMENT OF JUSTICE Drug Enforcement Administration 21 CFR Part 1308 [Docket No. DEA-368] Establishment of Drug Codes for 26 Substances AGENCY: Drug Enforcement Administration (DEA), Department of Justice. ACTION: Final rule. SUMMARY: On July 9, 2012, the President signed into law the Synthetic Drug...

5 CFR 550.103 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PAY ADMINISTRATION (GENERAL... subchapter V of chapter 55 of title 5, United States Code. Basic workweek, for full-time employees, means the... Foreign Service primary skill code of 2501; (4) Who is a special agent in the Diplomatic Security Service...

Interpersonal Stance in L1 and L2 Students' Argumentative Writing in Economics: Implications for Faculty Development in WAC/WID Programs

ERIC Educational Resources Information Center

Lancaster, Zak

2011-01-01

This article offers a linguistic analysis of interpersonal stancetaking in four argumentative term papers written in an upper-level undergraduate course in economics. Two of the papers were written by English L2 writers who experienced particular difficulty with the assignment and two by English L1 writers who received the highest grades among the…

Wind for Schools: Developing Educational Programs to Train a New Workforce and the Next Generation of Wind Energy Experts (Poster)

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

Flowers, L.; Baring-Gould, I.

2010-04-01

As the United States dramatically expands wind energy deployment, the industry is challenged with developing a skilled workforce and addressing public resistance. Wind Powering America's Wind for Schools project addresses these issues by: Developing Wind Application Centers (WACs) at universities; installing small wind turbines at community "host" schools; and implementing teacher training with interactive curricula at each host school.

Sea Spray Aerosol Production in the North Atlantic: A Comparison from 4 Cruises in 3 Seasons

NASA Astrophysics Data System (ADS)

Bates, T. S.; Quinn, P.

2016-12-01

Breaking waves on the ocean surface generate air bubbles that scavenge organic matter from the surrounding seawater. When injected into the atmosphere, these bubbles burst, yielding sea spray aerosol (SSA), a mixture of organic and inorganic compounds with the organic matter enriched relative to seawater. SSA mass is well documented as the dominant component of aerosol light scattering over the remote oceans. The importance of SSA number to marine boundary layer cloud condensation nuclei (CCN) is much less certain. During the Western Atlantic Climate Study cruises (WACS-1 - August 2012 and WACS-2 - May-June 2014) and the North Atlantic Aerosols and Marine Ecosystem Study cruises (NAAMES-1 - November 2015, NAAMES-2 - May 2016, and NAAMES-3 - September 2017), we generated and measured freshly emitted SSA using the Sea Sweep SSA generator. During the 2017 cruise we also generated SSA with a Marine Aerosol Reference Tank (MART). Using the data generated on these 5 cruises and a large database of remote marine boundary layer aerosol measurements we will address three questions during this presentation: 1 - Do phytoplankton ecosystems affect the organic enrichment of freshly emitted SSA?, 2 - Do plankton ecosystems affect the number production flux of SSA?, and 3 - Is SSA a significant source of atmospheric CCN?

Physical properties of extruded products from three Mexican common beans (Phaseolus vulgaris L.) cultivars.

PubMed

Rocha-Guzman, N E; Gallegos-Infante, J A; Gonzalez-Laredo, R F; Bello-Perez, A; Delgado-Licon, E; Ochoa-Martinez, A; Prado-Ortiz, M J

2008-09-01

The physical properties of extruded products from three Mexican common bean cultivars were investigated. Common bean cultivars Flor de Mayo, Pinto Villa and Bayo Victoria from the same harvesting season (2006) were used in this work. Beans were milled and the flour was hydrated to 24, 26 and 28 g of water/100 g of dry weight. Two temperatures, 130 degrees C and 165 degrees C at the end of the extruder barrel without die, were experimented. Common bean flour extrudates were evaluated for water absorption index (WAI), water absorption capacity (WAC), oil absorption capacity (OAC), and emulsifying capacity (EC). Flor de Mayo extrudates showed the highest WAC and WAI values. Thus starch from Flor de Mayo beans showed minor restricted water availability. In all cases, the OAC of extruded products was lower than the crude bean flour. The EC for Bayo Victoria flour increased as a consequence of the extrusion process. The EC for Flor de Mayo was higher at lower temperature and lower moisture content than Pinto Villa and Bayo Victoria beans. EC behavior of Pinto Villa was similar to Bayo cultivar. These results indicate that it is possible to produce new extruded products with good physical properties from these common bean cultivars.

Identifying Vasopressor and Inotrope Use for Health Services Research

PubMed Central

Fawzy, Ashraf; Bradford, Mark; Lindenauer, Peter K.

2016-01-01

Rationale: Identifying vasopressor and inotrope (vasopressor) use from administrative claims data may provide an important resource to study the epidemiology of shock. Objectives: Determine accuracy of identifying vasopressor use using International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) coding. Methods: Using administrative data enriched with pharmacy billing files (Premier, Inc., Charlotte, NC), we identified two cohorts: adult patients admitted with a diagnosis of sepsis from 2010 to 2013 or pulmonary embolism (PE) from 2008 to 2011. Vasopressor administration was obtained using pharmacy billing files (dopamine, dobutamine, epinephrine, milrinone, norepinephrine, phenylephrine, vasopressin) and compared with ICD-9-CM procedure code for vasopressor administration (00.17). We estimated performance characteristics of the ICD-9-CM code and compared patients’ characteristics and mortality rates according to vasopressor identification method. Measurements and Main Results: Using either pharmacy data or the ICD-9-CM procedure code, 29% of 541,144 patients in the sepsis cohort and 5% of 81,588 patients in the PE cohort were identified as receiving a vasopressor. In the sepsis cohort, the ICD-9-CM procedure code had low sensitivity (9.4%; 95% confidence interval, 9.2–9.5), which increased over time. Results were similar in the PE cohort (sensitivity, 5.8%; 95% confidence interval, 5.1–6.6). The ICD-9-CM code exhibited high specificity in the sepsis (99.8%) and PE (100%) cohorts. However, patients identified as receiving vasopressors by ICD-9-CM code had significantly higher unadjusted in-hospital mortality, had more acute organ failures, and were more likely hospitalized in the Northeast and West. Conclusions: The ICD-9-CM procedure code for vasopressor administration has low sensitivity and selects for higher severity of illness in studies of shock. Temporal changes in sensitivity would likely make longitudinal shock surveillance using ICD-9-CM inaccurate. PMID:26653145

24 CFR 200.925c - Model codes.

Code of Federal Regulations, 2011 CFR

2011-04-01

... DEVELOPMENT GENERAL INTRODUCTION TO FHA PROGRAMS Minimum Property Standards § 200.925c Model codes. (a... Plumbing Code, 1993 Edition, and the BOCA National Mechanical Code, 1993 Edition, excluding Chapter I, Administration, for the Building, Plumbing and Mechanical Codes and the references to fire retardant treated wood...

24 CFR 200.925c - Model codes.

Code of Federal Regulations, 2010 CFR

2010-04-01

... DEVELOPMENT GENERAL INTRODUCTION TO FHA PROGRAMS Minimum Property Standards § 200.925c Model codes. (a... Plumbing Code, 1993 Edition, and the BOCA National Mechanical Code, 1993 Edition, excluding Chapter I, Administration, for the Building, Plumbing and Mechanical Codes and the references to fire retardant treated wood...

75 FR 8246 - Approval and Promulgation of Air Quality Implementation Plans; Indiana; Volatile Organic Compound...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-24

...)(2).) List of Subjects in 40 CFR Part 52 Environmental protection, Air pollution control...) Incorporation by reference. (A) Indiana Administrative Code Title 326: Air Pollution Control Board, Article 8..., 2009 (DIN: 20091202-IR-326090220FRA). (B) Indiana Administrative Code Title 326: Air Pollution Control...

21 CFR 201.25 - Bar code label requirements.

Code of Federal Regulations, 2011 CFR

2011-04-01

... and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Silver Spring, MD...-600), Center for Biologics Evaluation and Research, Food and Drug Administration, 1401 Rockville Pike... 21 Food and Drugs 4 2011-04-01 2011-04-01 false Bar code label requirements. 201.25 Section 201.25...

21 CFR 201.25 - Bar code label requirements.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Evaluation and Research, Food and Drug Administration, 5600 Fishers Lane, Rockville, MD 20857 (requests... Biologics Evaluation and Research, Food and Drug Administration, 1401 Rockville Pike, Rockville, MD 20852... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Bar code label requirements. 201.25 Section 201.25...

78 FR 38270 - Endangered and Threatened Wildlife; Proposed Rule To Revise the Code of Federal Regulations for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-26

... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration 50 CFR Parts 223 and 224... the Code of Federal Regulations for Species Under the Jurisdiction of the National Marine Fisheries Service AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration...

Optimizing administrative datasets to examine acute kidney injury in the era of big data: workgroup statement from the 15(th) ADQI Consensus Conference.

PubMed

Siew, Edward D; Basu, Rajit K; Wunsch, Hannah; Shaw, Andrew D; Goldstein, Stuart L; Ronco, Claudio; Kellum, John A; Bagshaw, Sean M

2016-01-01

The purpose of this review is to report how administrative data have been used to study AKI, identify current limitations, and suggest how these data sources might be enhanced to address knowledge gaps in the field. 1) To review the existing evidence-base on how AKI is coded across administrative datasets, 2) To identify limitations, gaps in knowledge, and major barriers to scientific progress in AKI related to coding in administrative data, 3) To discuss how administrative data for AKI might be enhanced to enable "communication" and "translation" within and across administrative jurisdictions, and 4) To suggest how administrative databases might be configured to inform 'registry-based' pragmatic studies. Literature review of English language articles through PubMed search for relevant AKI literature focusing on the validation of AKI in administrative data or used administrative data to describe the epidemiology of AKI. Acute Dialysis Quality Initiative (ADQI) Consensus Conference September 6-7(th), 2015, Banff, Canada. Hospitalized patients with AKI. The coding structure for AKI in many administrative datasets limits understanding of true disease burden (especially less severe AKI), its temporal trends, and clinical phenotyping. Important opportunities exist to improve the quality and coding of AKI data to better address critical knowledge gaps in AKI and improve care. A modified Delphi consensus building process consisting of review of the literature and summary statements were developed through a series of alternating breakout and plenary sessions. Administrative codes for AKI are limited by poor sensitivity, lack of standardization to classify severity, and poor contextual phenotyping. These limitations are further hampered by reduced awareness of AKI among providers and the subjective nature of reporting. While an idealized definition of AKI may be difficult to implement, improving standardization of reporting by using laboratory-based definitions and providing complementary information on the context in which AKI occurs are possible. Administrative databases may also help enhance the conduct of and inform clinical or registry-based pragmatic studies. Data sources largely restricted to North American and Europe. Administrative data are rapidly growing and evolving, and represent an unprecedented opportunity to address knowledge gaps in AKI. Progress will require continued efforts to improve awareness of the impact of AKI on public health, engage key stakeholders, and develop tangible strategies to reconfigure infrastructure to improve the reporting and phenotyping of AKI. WHY IS THIS REVIEW IMPORTANT?: Rapid growth in the size and availability of administrative data has enhanced the clinical study of acute kidney injury (AKI). However, significant limitations exist in coding that hinder our ability to better understand its epidemiology and address knowledge gaps. The following consensus-based review discusses how administrative data have been used to study AKI, identify current limitations, and suggest how these data sources might be enhanced to improve the future study of this disease. WHAT ARE THE KEY MESSAGES?: The current coding structure of administrative data is hindered by a lack of sensitivity, standardization to properly classify severity, and limited clinical phenotyping. These limitations combined with reduced awareness of AKI and the subjective nature of reporting limit understanding of disease burden across settings and time periods. As administrative data become more sophisticated and complex, important opportunities to employ more objective criteria to diagnose and stage AKI as well as improve contextual phenotyping exist that can help address knowledge gaps and improve care.

24 CFR 200.925c - Model codes.

Code of Federal Regulations, 2012 CFR

2012-04-01

... below. (1) Model Building Codes—(i) The BOCA National Building Code, 1993 Edition, The BOCA National..., Administration, for the Building, Plumbing and Mechanical Codes and the references to fire retardant treated wood... number 2 (Chapter 7) of the Building Code, but including the Appendices of the Code. Available from...

24 CFR 200.925c - Model codes.

Code of Federal Regulations, 2013 CFR

2013-04-01

... below. (1) Model Building Codes—(i) The BOCA National Building Code, 1993 Edition, The BOCA National..., Administration, for the Building, Plumbing and Mechanical Codes and the references to fire retardant treated wood... number 2 (Chapter 7) of the Building Code, but including the Appendices of the Code. Available from...

24 CFR 200.925c - Model codes.

Code of Federal Regulations, 2014 CFR

2014-04-01

... below. (1) Model Building Codes—(i) The BOCA National Building Code, 1993 Edition, The BOCA National..., Administration, for the Building, Plumbing and Mechanical Codes and the references to fire retardant treated wood... number 2 (Chapter 7) of the Building Code, but including the Appendices of the Code. Available from...

Coding algorithms for identifying patients with cirrhosis and hepatitis B or C virus using administrative data.

PubMed

Niu, Bolin; Forde, Kimberly A; Goldberg, David S

2015-01-01

Despite the use of administrative data to perform epidemiological and cost-effectiveness research on patients with hepatitis B or C virus (HBV, HCV), there are no data outside of the Veterans Health Administration validating whether International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) codes can accurately identify cirrhotic patients with HBV or HCV. The validation of such algorithms is necessary for future epidemiological studies. We evaluated the positive predictive value (PPV) of ICD-9-CM codes for identifying chronic HBV or HCV among cirrhotic patients within the University of Pennsylvania Health System, a large network that includes a tertiary care referral center, a community-based hospital, and multiple outpatient practices across southeastern Pennsylvania and southern New Jersey. We reviewed a random sample of 200 cirrhotic patients with ICD-9-CM codes for HCV and 150 cirrhotic patients with ICD-9-CM codes for HBV. The PPV of 1 inpatient or 2 outpatient HCV codes was 88.0% (168/191, 95% CI: 82.5-92.2%), while the PPV of 1 inpatient or 2 outpatient HBV codes was 81.3% (113/139, 95% CI: 73.8-87.4%). Several variations of the primary coding algorithm were evaluated to determine if different combinations of inpatient and/or outpatient ICD-9-CM codes could increase the PPV of the coding algorithm. ICD-9-CM codes can identify chronic HBV or HCV in cirrhotic patients with a high PPV and can be used in future epidemiologic studies to examine disease burden and the proper allocation of resources. Copyright © 2014 John Wiley & Sons, Ltd.

Validating abortion procedure coding in Canadian administrative databases.

PubMed

Samiedaluie, Saied; Peterson, Sandra; Brant, Rollin; Kaczorowski, Janusz; Norman, Wendy V

2016-07-12

The British Columbia (BC) Ministry of Health collects abortion procedure data in the Medical Services Plan (MSP) physician billings database and in the hospital information Discharge Abstracts Database (DAD). Our study seeks to validate abortion procedure coding in these databases. Two randomized controlled trials enrolled a cohort of 1031 women undergoing abortion. The researcher collected database includes both enrollment and follow up chart review data. The study cohort was linked to MSP and DAD data to identify all abortions events captured in the administrative databases. We compared clinical chart data on abortion procedures with health administrative data. We considered a match to occur if an abortion related code was found in administrative data within 30 days of the date of the same event documented in a clinical chart. Among 1158 abortion events performed during enrollment and follow-up period, 99.1 % were found in at least one of the administrative data sources. The sensitivities for the two databases, evaluated using a gold standard, were 97.7 % (95 % confidence interval (CI): 96.6-98.5) for the MSP database and 91.9 % (95 % CI: 90.0-93.4) for the DAD. Abortion events coded in the BC health administrative databases are highly accurate. Single-payer health administrative databases at the provincial level in Canada have the potential to offer valid data reflecting abortion events. ClinicalTrials.gov Identifier NCT01174225 , Current Controlled Trials ISRCTN19506752 .

Comparison of ICD code-based diagnosis of obesity with measured obesity in children and the implications for health care cost estimates.

PubMed

Kuhle, Stefan; Kirk, Sara F L; Ohinmaa, Arto; Veugelers, Paul J

2011-12-21

Administrative health databases are a valuable research tool to assess health care utilization at the population level. However, their use in obesity research limited due to the lack of data on body weight. A potential workaround is to use the ICD code of obesity to identify obese individuals. The objective of the current study was to investigate the sensitivity and specificity of an ICD code-based diagnosis of obesity from administrative health data relative to the gold standard measured BMI. Linkage of a population-based survey with anthropometric measures in elementary school children in 2003 with longitudinal administrative health data (physician visits and hospital discharges 1992-2006) from the Canadian province of Nova Scotia. Measured obesity was defined based on the CDC cut-offs applied to the measured BMI. An ICD code-based diagnosis obesity was defined as one or more ICD-9 (278) or ICD-10 code (E66-E68) of obesity from a physician visit or a hospital stay. Sensitivity and specificity were calculated and health care cost estimates based on measured obesity and ICD-based obesity were compared. The sensitivity of an ICD code-based obesity diagnosis was 7.4% using ICD codes between 2002 and 2004. Those correctly identified had a higher BMI and had higher health care utilization and costs. An ICD diagnosis of obesity in Canadian administrative health data grossly underestimates the true prevalence of childhood obesity and overestimates the health care cost differential between obese and non-obese children.

Design Considerations for the ORION Satellite: Structure, Propulsion and Attitude Control Subsystems for a Small, General Purpose Spacecraft.

DTIC Science & Technology

1988-03-01

i~- .i-~-.-.-~’Y~..~w zmxmz- .,- PITN LI FIL &13EE AI BED O FL 11.8 GA O UHIGPSO 46.26 PISTON STROKE Fiur, 45 Experimental WAC CORPORAL Piston ... Tank (JPL TR 32-899, 1966, P. .3 361 c~’V spaced na’fles wnhch use the forces due to propellant fluid surface tension w position a portion of the liquid

The Roles of Women in the Army and Their Impact on Military Operations and Organizations

DTIC Science & Technology

1975-05-23

the Equal Rights Amendment; deployability; and peculiar requirements unique to women such as pregnancy , abortion, child care, and assignment of... pregnancy , abortion, child care, and I assignment of military couples. Policies as expressed by the Secretary of Defense, Secretary of the Army, Chief...the Army 12 Attrition Rate 14 Pregnancy Policy 14 ROTC 14 WAC Monitoring Office 15 Training 16 Staff Interviews 18 Variety of Views

Disease-Specific Trends of Comorbidity Coding and Implications for Risk Adjustment in Hospital Administrative Data.

PubMed

Nimptsch, Ulrike

2016-06-01

To investigate changes in comorbidity coding after the introduction of diagnosis related groups (DRGs) based prospective payment and whether trends differ regarding specific comorbidities. Nationwide administrative data (DRG statistics) from German acute care hospitals from 2005 to 2012. Observational study to analyze trends in comorbidity coding in patients hospitalized for common primary diseases and the effects on comorbidity-related risk of in-hospital death. Comorbidity coding was operationalized by Elixhauser diagnosis groups. The analyses focused on adult patients hospitalized for the primary diseases of heart failure, stroke, and pneumonia, as well as hip fracture. When focusing the total frequency of diagnosis groups per record, an increase in depth of coding was observed. Between-hospital variations in depth of coding were present throughout the observation period. Specific comorbidity increases were observed in 15 of the 31 diagnosis groups, and decreases in comorbidity were observed for 11 groups. In patients hospitalized for heart failure, shifts of comorbidity-related risk of in-hospital death occurred in nine diagnosis groups, in which eight groups were directed toward the null. Comorbidity-adjusted outcomes in longitudinal administrative data analyses may be biased by nonconstant risk over time, changes in completeness of coding, and between-hospital variations in coding. Accounting for such issues is important when the respective observation period coincides with changes in the reimbursement system or other conditions that are likely to alter clinical coding practice. © Health Research and Educational Trust.

Incidence and trends of central line associated pneumothorax using radiograph report text search versus administrative database codes.

PubMed

Reeson, Marc; Forster, Alan; van Walraven, Carl

2018-05-25

Central line associated pneumothorax (CLAP) could be a good quality of care indicator because they are objectively measured, clearly undesirable and possibly avoidable. We measured the incidence and trends of CLAP using radiograph report text search with manual review and compared them with measures using routinely collected health administrative data. For each hospitalisation to a tertiary care teaching hospital between 2002 and 2015, we searched all chest radiography reports for a central line with a sensitive computer algorithm. Screen positive reports were manually reviewed to confirm central lines. The index and subsequent chest radiography reports were screened for pneumothorax followed by manual confirmation. Diagnostic and procedural codes were used to identify CLAP in administrative data. In 685 044 hospitalisations, 10 819 underwent central line insertion (1.6%) with CLAP occurring 181 times (1.7%). CLAP risk did not change over time. Codes for CLAP were inaccurate (sensitivity 13.8%, positive predictive value 6.6%). However, overall code-based CLAP risk (1.8%) was almost identical to actual values possibly because patient strata with inflated CLAP risk were balanced by more common strata having underestimated CLAP risk. Code-based methods inflated central line incidence 2.2 times and erroneously concluded that CLAP risk decreased significantly over time. Using valid methods, CLAP incidence was similar to those in the literature but has not changed over time. Although administrative database codes for CLAP were very inaccurate, they generated CLAP risks very similar to actual values because of offsetting errors. In contrast to those from radiograph report text search with manual review, CLAP trends decreased significantly using administrative data. Hospital CLAP risk should not be measured using administrative data. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Identifying Homelessness among Veterans Using VA Administrative Data: Opportunities to Expand Detection Criteria.

PubMed

Peterson, Rachel; Gundlapalli, Adi V; Metraux, Stephen; Carter, Marjorie E; Palmer, Miland; Redd, Andrew; Samore, Matthew H; Fargo, Jamison D

2015-01-01

Researchers at the U.S. Department of Veterans Affairs (VA) have used administrative criteria to identify homelessness among U.S. Veterans. Our objective was to explore the use of these codes in VA health care facilities. We examined VA health records (2002-2012) of Veterans recently separated from the military and identified as homeless using VA conventional identification criteria (ICD-9-CM code V60.0, VA specific codes for homeless services), plus closely allied V60 codes indicating housing instability. Logistic regression analyses examined differences between Veterans who received these codes. Health care services and co-morbidities were analyzed in the 90 days post-identification of homelessness. VA conventional criteria identified 21,021 homeless Veterans from Operations Enduring Freedom, Iraqi Freedom, and New Dawn (rate 2.5%). Adding allied V60 codes increased that to 31,260 (rate 3.3%). While certain demographic differences were noted, Veterans identified as homeless using conventional or allied codes were similar with regards to utilization of homeless, mental health, and substance abuse services, as well as co-morbidities. Differences were noted in the pattern of usage of homelessness-related diagnostic codes in VA facilities nation-wide. Creating an official VA case definition for homelessness, which would include additional ICD-9-CM and other administrative codes for VA homeless services, would likely allow improved identification of homeless and at-risk Veterans. This also presents an opportunity for encouraging uniformity in applying these codes in VA facilities nationwide as well as in other large health care organizations.

Identifying Homelessness among Veterans Using VA Administrative Data: Opportunities to Expand Detection Criteria

PubMed Central

Peterson, Rachel; Gundlapalli, Adi V.; Metraux, Stephen; Carter, Marjorie E.; Palmer, Miland; Redd, Andrew; Samore, Matthew H.; Fargo, Jamison D.

2015-01-01

Researchers at the U.S. Department of Veterans Affairs (VA) have used administrative criteria to identify homelessness among U.S. Veterans. Our objective was to explore the use of these codes in VA health care facilities. We examined VA health records (2002-2012) of Veterans recently separated from the military and identified as homeless using VA conventional identification criteria (ICD-9-CM code V60.0, VA specific codes for homeless services), plus closely allied V60 codes indicating housing instability. Logistic regression analyses examined differences between Veterans who received these codes. Health care services and co-morbidities were analyzed in the 90 days post-identification of homelessness. VA conventional criteria identified 21,021 homeless Veterans from Operations Enduring Freedom, Iraqi Freedom, and New Dawn (rate 2.5%). Adding allied V60 codes increased that to 31,260 (rate 3.3%). While certain demographic differences were noted, Veterans identified as homeless using conventional or allied codes were similar with regards to utilization of homeless, mental health, and substance abuse services, as well as co-morbidities. Differences were noted in the pattern of usage of homelessness-related diagnostic codes in VA facilities nation-wide. Creating an official VA case definition for homelessness, which would include additional ICD-9-CM and other administrative codes for VA homeless services, would likely allow improved identification of homeless and at-risk Veterans. This also presents an opportunity for encouraging uniformity in applying these codes in VA facilities nationwide as well as in other large health care organizations. PMID:26172386

Validity of administrative database code algorithms to identify vascular access placement, surgical revisions, and secondary patency.

PubMed

Al-Jaishi, Ahmed A; Moist, Louise M; Oliver, Matthew J; Nash, Danielle M; Fleet, Jamie L; Garg, Amit X; Lok, Charmaine E

2018-03-01

We assessed the validity of physician billing codes and hospital admission using International Classification of Diseases 10th revision codes to identify vascular access placement, secondary patency, and surgical revisions in administrative data. We included adults (≥18 years) with a vascular access placed between 1 April 2004 and 31 March 2013 at the University Health Network, Toronto. Our reference standard was a prospective vascular access database (VASPRO) that contains information on vascular access type and dates of placement, dates for failure, and any revisions. We used VASPRO to assess the validity of different administrative coding algorithms by calculating the sensitivity, specificity, and positive predictive values of vascular access events. The sensitivity (95% confidence interval) of the best performing algorithm to identify arteriovenous access placement was 86% (83%, 89%) and specificity was 92% (89%, 93%). The corresponding numbers to identify catheter insertion were 84% (82%, 86%) and 84% (80%, 87%), respectively. The sensitivity of the best performing coding algorithm to identify arteriovenous access surgical revisions was 81% (67%, 90%) and specificity was 89% (87%, 90%). The algorithm capturing arteriovenous access placement and catheter insertion had a positive predictive value greater than 90% and arteriovenous access surgical revisions had a positive predictive value of 20%. The duration of arteriovenous access secondary patency was on average 578 (553, 603) days in VASPRO and 555 (530, 580) days in administrative databases. Administrative data algorithms have fair to good operating characteristics to identify vascular access placement and arteriovenous access secondary patency. Low positive predictive values for surgical revisions algorithm suggest that administrative data should only be used to rule out the occurrence of an event.

28 CFR 36.607 - Guidance concerning model codes.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 28 Judicial Administration 1 2013-07-01 2013-07-01 false Guidance concerning model codes. 36.607... BY PUBLIC ACCOMMODATIONS AND IN COMMERCIAL FACILITIES Certification of State Laws or Local Building Codes § 36.607 Guidance concerning model codes. Upon application by an authorized representative of a...

28 CFR 36.607 - Guidance concerning model codes.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 28 Judicial Administration 1 2014-07-01 2014-07-01 false Guidance concerning model codes. 36.607... BY PUBLIC ACCOMMODATIONS AND IN COMMERCIAL FACILITIES Certification of State Laws or Local Building Codes § 36.607 Guidance concerning model codes. Upon application by an authorized representative of a...

28 CFR 36.607 - Guidance concerning model codes.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 28 Judicial Administration 1 2012-07-01 2012-07-01 false Guidance concerning model codes. 36.607... BY PUBLIC ACCOMMODATIONS AND IN COMMERCIAL FACILITIES Certification of State Laws or Local Building Codes § 36.607 Guidance concerning model codes. Upon application by an authorized representative of a...

28 CFR 36.607 - Guidance concerning model codes.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 28 Judicial Administration 1 2011-07-01 2011-07-01 false Guidance concerning model codes. 36.607... BY PUBLIC ACCOMMODATIONS AND IN COMMERCIAL FACILITIES Certification of State Laws or Local Building Codes § 36.607 Guidance concerning model codes. Upon application by an authorized representative of a...

Coding algorithms for identifying patients with cirrhosis and hepatitis B or C virus using administrative data

PubMed Central

Niu, Bolin; Forde, Kimberly A; Goldberg, David S.

2014-01-01

Background & Aims Despite the use of administrative data to perform epidemiological and cost-effectiveness research on patients with hepatitis B or C virus (HBV, HCV), there are no data outside of the Veterans Health Administration validating whether International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) codes can accurately identify cirrhotic patients with HBV or HCV. The validation of such algorithms is necessary for future epidemiological studies. Methods We evaluated the positive predictive value (PPV) of ICD-9-CM codes for identifying chronic HBV or HCV among cirrhotic patients within the University of Pennsylvania Health System, a large network that includes a tertiary care referral center, a community-based hospital, and multiple outpatient practices across southeastern Pennsylvania and southern New Jersey. We reviewed a random sample of 200 cirrhotic patients with ICD-9-CM codes for HCV and 150 cirrhotic patients with ICD-9-CM codes for HBV. Results The PPV of 1 inpatient or 2 outpatient HCV codes was 88.0% (168/191, 95% CI: 82.5–92.2%), while the PPV of 1 inpatient or 2 outpatient HBV codes was 81.3% (113/139, 95% CI: 73.8–87.4%). Several variations of the primary coding algorithm were evaluated to determine if different combinations of inpatient and/or outpatient ICD-9-CM codes could increase the PPV of the coding algorithm. Conclusions ICD-9-CM codes can identify chronic HBV or HCV in cirrhotic patients with a high PPV, and can be used in future epidemiologic studies to examine disease burden and the proper allocation of resources. PMID:25335773

First NAC Image Obtained in Mercury Orbit

NASA Image and Video Library

2017-12-08

NASA image acquired: March 29, 2011 This is the first image of Mercury taken from orbit with MESSENGER’s Narrow Angle Camera (NAC). MESSENGER’s camera system, the Mercury Dual Imaging System (MDIS), has two cameras: the Narrow Angle Camera and the Wide Angle Camera (WAC). Comparison of this image with MESSENGER’s first WAC image of the same region shows the substantial difference between the fields of view of the two cameras. At 1.5°, the field of view of the NAC is seven times smaller than the 10.5° field of view of the WAC. This image was taken using MDIS’s pivot. MDIS is mounted on a pivoting platform and is the only instrument in MESSENGER’s payload capable of movement independent of the spacecraft. The other instruments are fixed in place, and most point down the spacecraft’s boresight at all times, relying solely on the guidance and control system for pointing. The 90° range of motion of the pivot gives MDIS a much-needed extra degree of freedom, allowing MDIS to image the planet’s surface at times when spacecraft geometry would normally prevent it from doing so. The pivot also gives MDIS additional imaging opportunities by allowing it to view more of the surface than that at which the boresight-aligned instruments are pointed at any given time. On March 17, 2011 (March 18, 2011, UTC), MESSENGER became the first spacecraft ever to orbit the planet Mercury. The mission is currently in the commissioning phase, during which spacecraft and instrument performance are verified through a series of specially designed checkout activities. In the course of the one-year primary mission, the spacecraft's seven scientific instruments and radio science investigation will unravel the history and evolution of the Solar System's innermost planet. Visit the Why Mercury? section of this website to learn more about the science questions that the MESSENGER mission has set out to answer. Credit: NASA/Johns Hopkins University Applied Physics Laboratory/Carnegie Institution of Washington NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Join us on Facebook

Modelling of the outburst on July 29th , 2015 observed with OSIRIS in the southern hemisphere of comet 67P/Churyumov-Gerasimenko

NASA Astrophysics Data System (ADS)

Gicquel, Adeline; Vincent, Jean-Baptiste; Sierks, Holger; Rose, Martin; Agarwal, Jessica; Deller, Jakob; Guettler, Carsten; Hoefner, Sebastian; Hofmann, Marc; Hu, Xuanyu; Kovacs, Gabor; Oklay Vincent, Nilda; Shi, Xian; Tubiana, Cecilia; Barbieri, Cesare; Lamy, Phylippe; Rodrigo, Rafael; Koschny, Detlef; Rickman, Hans; OSIRIS Team

2016-10-01

Images of the nucleus and the coma (gas and dust) of comet 67P/Churyumov- Gerasimenko have been acquired by the OSIRIS (Optical, Spectroscopic, and Infrared Remote Imaging System) cameras system since March 2014 using both the wide angle camera (WAC) and the narrow angle camera (NAC). We are using the NAC camera to study the bright outburst observed on July 29th, 2015 in the southern hemisphere. The NAC camera's wavelength ranges between 250-1000 nm with a combination of 12 filters. The high spatial resolution is needed to localize the source point of the outburst on the surface of the nucleus. At the time of the observations, the heliocentric distance was 1.25AU and the distance between the spacecraft and the comet was 126 km. We aim to understand the physics leading to such outgassing: Is the jet associated to the outbursts controlled by the micro-topography? Or by ice suddenly exposed? We are using the Direct Simulation Monte Carlo (DSMC) method to study the gas flow close to the nucleus. The goal of the DSMC code is to reproduce the opening angle of the jet, and constrain the outgassing ratio between outburst source and local region. The results of this model will be compared to the images obtained with the NAC camera.

45 CFR 162.1002 - Medical data code sets.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Terminology, Fourth Edition (CPT-4), as maintained and distributed by the American Medical Association, for... 45 Public Welfare 1 2012-10-01 2012-10-01 false Medical data code sets. 162.1002 Section 162.1002... REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1002 Medical data code sets. The Secretary adopts the...

45 CFR 162.1002 - Medical data code sets.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Terminology, Fourth Edition (CPT-4), as maintained and distributed by the American Medical Association, for... 45 Public Welfare 1 2014-10-01 2014-10-01 false Medical data code sets. 162.1002 Section 162.1002... REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1002 Medical data code sets. The Secretary adopts the...

45 CFR 162.1002 - Medical data code sets.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Terminology, Fourth Edition (CPT-4), as maintained and distributed by the American Medical Association, for... 45 Public Welfare 1 2013-10-01 2013-10-01 false Medical data code sets. 162.1002 Section 162.1002... REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1002 Medical data code sets. The Secretary adopts the...

45 CFR 162.1002 - Medical data code sets.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Terminology, Fourth Edition (CPT-4), as maintained and distributed by the American Medical Association, for... 45 Public Welfare 1 2011-10-01 2011-10-01 false Medical data code sets. 162.1002 Section 162.1002... REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1002 Medical data code sets. The Secretary adopts the...

45 CFR 162.1002 - Medical data code sets.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Terminology, Fourth Edition (CPT-4), as maintained and distributed by the American Medical Association, for... 45 Public Welfare 1 2010-10-01 2010-10-01 false Medical data code sets. 162.1002 Section 162.1002... REQUIREMENTS ADMINISTRATIVE REQUIREMENTS Code Sets § 162.1002 Medical data code sets. The Secretary adopts the...

Phase II evaluation of clinical coding schemes: completeness, taxonomy, mapping, definitions, and clarity. CPRI Work Group on Codes and Structures.

PubMed

Campbell, J R; Carpenter, P; Sneiderman, C; Cohn, S; Chute, C G; Warren, J

1997-01-01

To compare three potential sources of controlled clinical terminology (READ codes version 3.1, SNOMED International, and Unified Medical Language System (UMLS) version 1.6) relative to attributes of completeness, clinical taxonomy, administrative mapping, term definitions and clarity (duplicate coding rate). The authors assembled 1929 source concept records from a variety of clinical information taken from four medical centers across the United States. The source data included medical as well as ample nursing terminology. The source records were coded in each scheme by an investigator and checked by the coding scheme owner. The codings were then scored by an independent panel of clinicians for acceptability. Codes were checked for definitions provided with the scheme. Codes for a random sample of source records were analyzed by an investigator for "parent" and "child" codes within the scheme. Parent and child pairs were scored by an independent panel of medical informatics specialists for clinical acceptability. Administrative and billing code mapping from the published scheme were reviewed for all coded records and analyzed by independent reviewers for accuracy. The investigator for each scheme exhaustively searched a sample of coded records for duplications. SNOMED was judged to be significantly more complete in coding the source material than the other schemes (SNOMED* 70%; READ 57%; UMLS 50%; *p < .00001). SNOMED also had a richer clinical taxonomy judged by the number of acceptable first-degree relatives per coded concept (SNOMED* 4.56, UMLS 3.17; READ 2.14, *p < .005). Only the UMLS provided any definitions; these were found for 49% of records which had a coding assignment. READ and UMLS had better administrative mappings (composite score: READ* 40.6%; UMLS* 36.1%; SNOMED 20.7%, *p < .00001), and SNOMED had substantially more duplications of coding assignments (duplication rate: READ 0%; UMLS 4.2%; SNOMED* 13.9%, *p < .004) associated with a loss of clarity. No major terminology source can lay claim to being the ideal resource for a computer-based patient record. However, based upon this analysis of releases for April 1995, SNOMED International is considerably more complete, has a compositional nature and a richer taxonomy. Is suffers from less clarity, resulting from a lack of syntax and evolutionary changes in its coding scheme. READ has greater clarity and better mapping to administrative schemes (ICD-10 and OPCS-4), is rapidly changing and is less complete. UMLS is a rich lexical resource, with mappings to many source vocabularies. It provides definitions for many of its terms. However, due to the varying granularities and purposes of its source schemes, it has limitations for representation of clinical concepts within a computer-based patient record.

Technical Report for the Period 1 January 1963 to 30 June 1963

DTIC Science & Technology

1963-08-23

mixed mononitrates with periodic acid to remove glycerol 1 -nitrate; glycerol 2-nitrate di-4-nitrobenzoate, m.p. 1520C, has been prepared. Nitration of...Based on Phenazine Preparation of polymers from dibasic acids (e.g. adipic and terephthalic) and dihydrophenazine by various methods was attempted but...L.J. Hydrogen Bonding in WAC and Pace, R.J. Carboxylic Acids - 142/031 I. Oxalic Acids Spectrochim. Acta, 1963, 19, 435 Bellamy, L.J., - ditto - Luke

Ternary Magnesium-Lithium Base Constitution Diagrams and Magnesium Alloys of Low Alloy Additions

DTIC Science & Technology

1951-03-01

progress In eperimental development of mgmesiu-bease &alls with low alloy additions. The primry purpose of this investiptiU is to obtain alloys baving a...Casting Magnesium-Lithium Base Ternary Alloys Melting and Castirg Technigue The design , construction and operation of equipment for melting and...protection during heat treatment were: 1. Design and construction of a specimen container to hold a number of specimens in an inert atmosphere in order to WAC

Women Content in the Army - REFORGER 77 (REF WAC 77)

DTIC Science & Technology

1978-05-30

dsrbtoWnimtd T.TlNC𔃾CISFTEfl ICUITv CLASSIFICATION OF THIS PAGZMImm Data i-hiraM Since some support units on both sides of the REFORGER 77 exercise contained...whether performance during an extended field exercise was \\\\ affected by fatigue and stress more adversely in units containing women than in all-male...units. \\ Results support a conclusion that 10% women has negligible impact on unit performance in a 10 day field exercise for the types of companies

Performance of First-Tour WAC Enlisted Women: Data Base for the Performance Orientation of Women’s Basic Training

DTIC Science & Technology

1975-08-01

Virginia Ztioy U MONlTQItlNG «GFNCV NAME * AOORCSV/r llftmrrr: ttoai ~ i.lfl’lnt OUlr») US Army Research Instifite...regarding their own Army experience, (4; iuive oml idence in their supervisors, (5) report low frequency oi use of Bf-taugnt...generally reported low frequency of use of BT-taught knowledge and tasks in their first duty assignments. b. The majority of first-tour

Magnetic properties of a new obsidian source, west Antelope Creek, Grant County, New Mexico

NASA Astrophysics Data System (ADS)

Sternberg, R. S.; Samuels, R.; Feinberg, J. M.; Shackley, M. S.

2013-12-01

This work is part of a Keck Geology Consortium project on characterizing obsidian sources in New Mexico using magnetic and geochemical properties. We collected over 3,000 samples, many of which were georeferenced, from 10 obsidian sources at three locales - Mule creek, Mt. Taylor, and Valles Caldera. One of the Mule Creek sources, herein called the west Antelope Creek (wAC) source, was previously unknown. The 143 samples collected at this source covered about 1 km2, but were not individually georeferenced. We plan to characterize the magnetic and chemical properties of this source to see if it is distinguishable from other nearby sources and useful for provenancing archaeological obsidians. Initial measurements on 34 specimens from 20 samples show NRM values range from 1-80 Am2/kg, and low-field susceptibilities range from 1.2-96 x 10-8 mass specific SI units. When there were two specimens from the same sample, results were in good agreement. The measurements define a rather broad field in NRM-susceptibility space compared to other Southwestern sources examined to date, and a considerably larger field than from the nearby Antelope Creek (AC) source. The previously measured NRM and susceptibility values from AC are all in the high end on both dimensions of the wAC field, so that these fields overlap but in many cases could be distinguished.

Application of classification methods for mapping Mercury's surface composition: analysis on Rudaki's Area

NASA Astrophysics Data System (ADS)

Zambon, F.; De Sanctis, M. C.; Capaccioni, F.; Filacchione, G.; Carli, C.; Ammanito, E.; Friggeri, A.

2011-10-01

During the first two MESSENGER flybys (14th January 2008 and 6th October 2008) the Mercury Dual Imaging System (MDIS) has extended the coverage of the Mercury surface, obtained by Mariner 10 and now we have images of about 90% of the Mercury surface [1]. MDIS is equipped with a Narrow Angle Camera (NAC) and a Wide Angle Camera (WAC). The NAC uses an off-axis reflective design with a 1.5° field of view (FOV) centered at 747 nm. The WAC has a re- fractive design with a 10.5° FOV and 12-position filters that cover a 395-1040 nm spectral range [2]. The color images can be used to infer information on the surface composition and classification meth- ods are an interesting technique for multispectral image analysis which can be applied to the study of the planetary surfaces. Classification methods are based on clustering algorithms and they can be divided in two categories: unsupervised and supervised. The unsupervised classifiers do not require the analyst feedback, and the algorithm automatically organizes pixels values into classes. In the supervised method, instead, the analyst must choose the "training area" that define the pixels value of a given class [3]. Here we will describe the classification in different compositional units of the region near the Rudaki Crater on Mercury.

Accuracy of external cause-of-injury coding in VA polytrauma patient discharge records.

PubMed

Carlson, Kathleen F; Nugent, Sean M; Grill, Joseph; Sayer, Nina A

2010-01-01

Valid and efficient methods of identifying the etiology of treated injuries are critical for characterizing patient populations and developing prevention and rehabilitation strategies. We examined the accuracy of external cause-of-injury codes (E-codes) in Veterans Health Administration (VHA) administrative data for a population of injured patients. Chart notes and E-codes were extracted for 566 patients treated at any one of four VHA Polytrauma Rehabilitation Center sites between 2001 and 2006. Two expert coders, blinded to VHA E-codes, used chart notes to assign "gold standard" E-codes to injured patients. The accuracy of VHA E-coding was examined based on these gold standard E-codes. Only 382 of 517 (74%) injured patients were assigned E-codes in VHA records. Sensitivity of VHA E-codes varied significantly by site (range: 59%-91%, p < 0.001). Sensitivity was highest for combat-related injuries (81%) and lowest for fall-related injuries (60%). Overall specificity of E-codes was high (92%). E-coding accuracy was markedly higher when we restricted analyses to records that had been assigned VHA E-codes. E-codes may not be valid for ascertaining source-of-injury data for all injuries among VHA rehabilitation inpatients at this time. Enhanced training and policies may ensure more widespread, standardized use and accuracy of E-codes for injured veterans treated in the VHA.

ICD-10 codes used to identify adverse drug events in administrative data: a systematic review.

PubMed

Hohl, Corinne M; Karpov, Andrei; Reddekopp, Lisa; Doyle-Waters, Mimi; Stausberg, Jürgen

2014-01-01

Adverse drug events, the unintended and harmful effects of medications, are important outcome measures in health services research. Yet no universally accepted set of International Classification of Diseases (ICD) revision 10 codes or coding algorithms exists to ensure their consistent identification in administrative data. Our objective was to synthesize a comprehensive set of ICD-10 codes used to identify adverse drug events. We developed a systematic search strategy and applied it to five electronic reference databases. We searched relevant medical journals, conference proceedings, electronic grey literature and bibliographies of relevant studies, and contacted content experts for unpublished studies. One author reviewed the titles and abstracts for inclusion and exclusion criteria. Two authors reviewed eligible full-text articles and abstracted data in duplicate. Data were synthesized in a qualitative manner. Of 4241 titles identified, 41 were included. We found a total of 827 ICD-10 codes that have been used in the medical literature to identify adverse drug events. The median number of codes used to search for adverse drug events was 190 (IQR 156-289) with a large degree of variability between studies in the numbers and types of codes used. Authors commonly used external injury (Y40.0-59.9) and disease manifestation codes. Only two papers reported on the sensitivity of their code set. Substantial variability exists in the methods used to identify adverse drug events in administrative data. Our work may serve as a point of reference for future research and consensus building in this area.

ICD-10 codes used to identify adverse drug events in administrative data: a systematic review

PubMed Central

Hohl, Corinne M; Karpov, Andrei; Reddekopp, Lisa; Stausberg, Jürgen

2014-01-01

Background Adverse drug events, the unintended and harmful effects of medications, are important outcome measures in health services research. Yet no universally accepted set of International Classification of Diseases (ICD) revision 10 codes or coding algorithms exists to ensure their consistent identification in administrative data. Our objective was to synthesize a comprehensive set of ICD-10 codes used to identify adverse drug events. Methods We developed a systematic search strategy and applied it to five electronic reference databases. We searched relevant medical journals, conference proceedings, electronic grey literature and bibliographies of relevant studies, and contacted content experts for unpublished studies. One author reviewed the titles and abstracts for inclusion and exclusion criteria. Two authors reviewed eligible full-text articles and abstracted data in duplicate. Data were synthesized in a qualitative manner. Results Of 4241 titles identified, 41 were included. We found a total of 827 ICD-10 codes that have been used in the medical literature to identify adverse drug events. The median number of codes used to search for adverse drug events was 190 (IQR 156–289) with a large degree of variability between studies in the numbers and types of codes used. Authors commonly used external injury (Y40.0–59.9) and disease manifestation codes. Only two papers reported on the sensitivity of their code set. Conclusions Substantial variability exists in the methods used to identify adverse drug events in administrative data. Our work may serve as a point of reference for future research and consensus building in this area. PMID:24222671

77 FR 64837 - Federal Aviation Administration

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-23

... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Fourth Meeting: RTCA Special Committee 227, Standards of Navigation Performance AGENCY: Federal Aviation Administration (FAA), U.S... Operations Group, Federal Aviation Administration. [FR Doc. 2012-26034 Filed 10-22-12; 8:45 am] BILLING CODE...

78 FR 41183 - Federal Aviation Administration

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-09

... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Meeting: RTCA Program Management Committee AGENCY: Federal Aviation Administration (FAA), U.S. Department of Transportation (DOT). ACTION... Operations Group, Federal Aviation Administration. [FR Doc. 2013-16464 Filed 7-8-13; 8:45 am] BILLING CODE...

Problems, solutions and recommendations for implementing CODES (Crash Outcome Data Evaluation System)

DOT National Transportation Integrated Search

2001-02-01

Problems, solutions and recommendations for implementation have been contributed by 16 of the 27 CODES states and organized as appropriate under the administrative, linkage and application requirements for a Crash Outcome Data Evaluation System (CODE...

A systematic review of validated methods for identifying acute respiratory failure using administrative and claims data.

PubMed

Jones, Natalie; Schneider, Gary; Kachroo, Sumesh; Rotella, Philip; Avetisyan, Ruzan; Reynolds, Matthew W

2012-01-01

The Food and Drug Administration's (FDA) Mini-Sentinel pilot program initially aims to conduct active surveillance to refine safety signals that emerge for marketed medical products. A key facet of this surveillance is to develop and understand the validity of algorithms for identifying health outcomes of interest (HOIs) from administrative and claims data. This paper summarizes the process and findings of the algorithm review of acute respiratory failure (ARF). PubMed and Iowa Drug Information Service searches were conducted to identify citations applicable to the anaphylaxis HOI. Level 1 abstract reviews and Level 2 full-text reviews were conducted to find articles using administrative and claims data to identify ARF, including validation estimates of the coding algorithms. Our search revealed a deficiency of literature focusing on ARF algorithms and validation estimates. Only two studies provided codes for ARF, each using related yet different ICD-9 codes (i.e., ICD-9 codes 518.8, "other diseases of lung," and 518.81, "acute respiratory failure"). Neither study provided validation estimates. Research needs to be conducted on designing validation studies to test ARF algorithms and estimating their predictive power, sensitivity, and specificity. Copyright © 2012 John Wiley & Sons, Ltd.

Phase II Evaluation of Clinical Coding Schemes

PubMed Central

Campbell, James R.; Carpenter, Paul; Sneiderman, Charles; Cohn, Simon; Chute, Christopher G.; Warren, Judith

1997-01-01

Abstract Objective: To compare three potential sources of controlled clinical terminology (READ codes version 3.1, SNOMED International, and Unified Medical Language System (UMLS) version 1.6) relative to attributes of completeness, clinical taxonomy, administrative mapping, term definitions and clarity (duplicate coding rate). Methods: The authors assembled 1929 source concept records from a variety of clinical information taken from four medical centers across the United States. The source data included medical as well as ample nursing terminology. The source records were coded in each scheme by an investigator and checked by the coding scheme owner. The codings were then scored by an independent panel of clinicians for acceptability. Codes were checked for definitions provided with the scheme. Codes for a random sample of source records were analyzed by an investigator for “parent” and “child” codes within the scheme. Parent and child pairs were scored by an independent panel of medical informatics specialists for clinical acceptability. Administrative and billing code mapping from the published scheme were reviewed for all coded records and analyzed by independent reviewers for accuracy. The investigator for each scheme exhaustively searched a sample of coded records for duplications. Results: SNOMED was judged to be significantly more complete in coding the source material than the other schemes (SNOMED* 70%; READ 57%; UMLS 50%; *p <.00001). SNOMED also had a richer clinical taxonomy judged by the number of acceptable first-degree relatives per coded concept (SNOMED* 4.56; UMLS 3.17; READ 2.14, *p <.005). Only the UMLS provided any definitions; these were found for 49% of records which had a coding assignment. READ and UMLS had better administrative mappings (composite score: READ* 40.6%; UMLS* 36.1%; SNOMED 20.7%, *p <. 00001), and SNOMED had substantially more duplications of coding assignments (duplication rate: READ 0%; UMLS 4.2%; SNOMED* 13.9%, *p <. 004) associated with a loss of clarity. Conclusion: No major terminology source can lay claim to being the ideal resource for a computer-based patient record. However, based upon this analysis of releases for April 1995, SNOMED International is considerably more complete, has a compositional nature and a richer taxonomy. It suffers from less clarity, resulting from a lack of syntax and evolutionary changes in its coding scheme. READ has greater clarity and better mapping to administrative schemes (ICD-10 and OPCS-4), is rapidly changing and is less complete. UMLS is a rich lexical resource, with mappings to many source vocabularies. It provides definitions for many of its terms. However, due to the varying granularities and purposes of its source schemes, it has limitations for representation of clinical concepts within a computer-based patient record. PMID:9147343

Coding in Stroke and Other Cerebrovascular Diseases.

PubMed

Korb, Pearce J; Jones, William

2017-02-01

Accurate coding is critical for clinical practice and research. Ongoing changes to diagnostic and billing codes require the clinician to stay abreast of coding updates. Payment for health care services, data sets for health services research, and reporting for medical quality improvement all require accurate administrative coding. This article provides an overview of coding principles for patients with strokes and other cerebrovascular diseases and includes an illustrative case as a review of coding principles in a patient with acute stroke.

The ExoMars PanCam Instrument

NASA Astrophysics Data System (ADS)

Griffiths, Andrew; Coates, Andrew; Muller, Jan-Peter; Jaumann, Ralf; Josset, Jean-Luc; Paar, Gerhard; Barnes, David

2010-05-01

The ExoMars mission has evolved into a joint European-US mission to deliver a trace gas orbiter and a pair of rovers to Mars in 2016 and 2018 respectively. The European rover will carry the Pasteur exobiology payload including the 1.56 kg Panoramic Camera. PanCam will provide multispectral stereo images with 34 deg horizontal field-of-view (580 microrad/pixel) Wide-Angle Cameras (WAC) and (83 microrad/pixel) colour monoscopic "zoom" images with 5 deg horizontal field-of-view High Resolution Camera (HRC). The stereo Wide Angle Cameras (WAC) are based on Beagle 2 Stereo Camera System heritage [1]. Integrated with the WACs and HRC into the PanCam optical bench (which helps the instrument meet its planetary protection requirements) is the PanCam interface unit (PIU); which provides image storage, a Spacewire interface to the rover and DC-DC power conversion. The Panoramic Camera instrument is designed to fulfil the digital terrain mapping requirements of the mission [2] as well as providing multispectral geological imaging, colour and stereo panoramic images and solar images for water vapour abundance and dust optical depth measurements. The High Resolution Camera (HRC) can be used for high resolution imaging of interesting targets detected in the WAC panoramas and of inaccessible locations on crater or valley walls. Additionally HRC will be used to observe retrieved subsurface samples before ingestion into the rest of the Pasteur payload. In short, PanCam provides the overview and context for the ExoMars experiment locations, required to enable the exobiology aims of the mission. In addition to these baseline capabilities further enhancements are possible to PanCam to enhance it's effectiveness for astrobiology and planetary exploration: 1. Rover Inspection Mirror (RIM) 2. Organics Detection by Fluorescence Excitation (ODFE) LEDs [3-6] 3. UVIS broadband UV Flux and Opacity Determination (UVFOD) photodiode This paper will discuss the scientific objectives and resource impacts of these enhancements. References: 1. Griffiths, A.D., Coates, A.J., Josset, J.-L., Paar, G., Hofmann, B., Pullan, D., Ruffer, P., Sims, M.R., Pillinger, C.T., The Beagle 2 stereo camera system, Planet. Space Sci. 53, 1466-1488, 2005. 2. Paar, G., Oberst, J., Barnes, D.P., Griffiths, A.D., Jaumann, R., Coates, A.J., Muller, J.P., Gao, Y., Li, R., 2007, Requirements and Solutions for ExoMars Rover Panoramic Camera 3d Vision Processing, abstract submitted to EGU meeting, Vienna, 2007. 3. Storrie-Lombardi, M.C., Hug, W.F., McDonald, G.D., Tsapin, A.I., and Nealson, K.H. 2001. Hollow cathode ion lasers for deep ultraviolet Raman spectroscopy and fluorescence imaging. Rev. Sci. Ins., 72 (12), 4452-4459. 4. Nealson, K.H., Tsapin, A., and Storrie-Lombardi, M. 2002. Searching for life in the universe: unconventional methods for an unconventional problem. International Microbiology, 5, 223-230. 5. Mormile, M.R. and Storrie-Lombardi, M.C. 2005. The use of ultraviolet excitation of native fluorescence for identifying biomarkers in halite crystals. Astrobiology and Planetary Missions (R. B. Hoover, G. V. Levin and A. Y. Rozanov, Eds.), Proc. SPIE, 5906, 246-253. 6. Storrie-Lombardi, M.C. 2005. Post-Bayesian strategies to optimize astrobiology instrument suites: lessons from Antarctica and the Pilbara. Astrobiology and Planetary Missions (R. B. Hoover, G. V. Levin and A. Y. Rozanov, Eds.), Proc. SPIE, 5906, 288-301.

Identifying Neck and Back Pain in Administrative Data: Defining the right cohort

PubMed Central

Siroka, Andrew M.; Shane, Andrea C.; Trafton, Jodie A.; Wagner, Todd H.

2017-01-01

Structured Abstract Study design We reviewed existing methods for identifying patients with neck and back pain in administrative data. We compared these methods using data from the Department of Veterans Affairs. Objective To answer the following questions: 1) what diagnosis codes should be used to identify patients with neck and back pain in administrative data; 2) because the majority of complaints are characterized as non-specific or mechanical, what diagnosis codes should be used to identify patients with non-specific or mechanical problems in administrative data; and 3) what procedure and surgical codes should be used to identify patients who have undergone a surgical procedure on the neck or back. Summary of background data Musculoskeletal neck and back pain are pervasive problems, associated with chronic pain, disability, and high rates of healthcare utilization. Administrative data have been widely used in formative research which has largely relied on the original work of Volinn, Cherkin, Deyo and Einstadter and the Back Pain Patient Outcomes Assessment Team first published in 1992. Significant variation in reports of incidence, prevalence, and morbidity associated with these problems may be due to non standard or conflicting methods to define study cohorts. Methods A literature review produced seven methods for identifying neck and back pain in administrative data. These code lists were used to search VA data for patients with back and neck problems, and to further categorize each case by spinal segment involved, as non- specific/mechanical and as surgical or not. Results There is considerable overlap in most algorithms. However, gaps remain. Conclusions Gaps are evident in existing methods and a new framework to identify patients with neck and back pain in administrative data is proposed. PMID:22127268

28 CFR 522.12 - Relationship between existing criminal sentences imposed under the U.S. or D.C. Code and new...

Code of Federal Regulations, 2010 CFR

2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Relationship between existing criminal sentences imposed under the U.S. or D.C. Code and new civil contempt commitment orders. 522.12 Section 522.12 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INMATE ADMISSION, CLASSIFICATION, AND TRANSFER ADMISSION TO INSTITUTION Civi...

76 FR 65183 - National Oceanic and Atmospheric Administration

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-20

... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration National Climate Assessment... Oceanic and Atmospheric Administration (NOAA), Department of Commerce (DOC). ACTION: Notice of open..., National Oceanic and Atmospheric Administration. [FR Doc. 2011-27113 Filed 10-19-11; 8:45 am] BILLING CODE...

45 CFR 162.1000 - General requirements.

Code of Federal Regulations, 2014 CFR

2014-10-01

... sets. Use the applicable medical data code sets described in § 162.1002 as specified in the...) Nonmedical data code sets. Use the nonmedical data code sets as described in the implementation... Public Welfare Department of Health and Human Services ADMINISTRATIVE DATA STANDARDS AND RELATED...

45 CFR 162.1000 - General requirements.

Code of Federal Regulations, 2012 CFR

2012-10-01

... sets. Use the applicable medical data code sets described in § 162.1002 as specified in the...) Nonmedical data code sets. Use the nonmedical data code sets as described in the implementation... Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED...

45 CFR 162.1000 - General requirements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... sets. Use the applicable medical data code sets described in § 162.1002 as specified in the...) Nonmedical data code sets. Use the nonmedical data code sets as described in the implementation... Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED...

45 CFR 162.1000 - General requirements.

Code of Federal Regulations, 2011 CFR

2011-10-01

... sets. Use the applicable medical data code sets described in § 162.1002 as specified in the...) Nonmedical data code sets. Use the nonmedical data code sets as described in the implementation... Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED...

45 CFR 162.1000 - General requirements.

Code of Federal Regulations, 2013 CFR

2013-10-01

... sets. Use the applicable medical data code sets described in § 162.1002 as specified in the...) Nonmedical data code sets. Use the nonmedical data code sets as described in the implementation... Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED...

Calculation Package for the Analysis of Performance of Cells 1-6, with Underdrain, of the Environmental Management Waste Management Facility Oak Ridge, Tennessee

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

Gonzales D.

2010-03-30

This calculation package presents the results of an assessment of the performance of the 6 cell design of the Environmental Management Waste Management Facility (EMWMF). The calculations show that the new cell 6 design at the EMWMF meets the current WAC requirement. QA/QC steps were taken to verify the input/output data for the risk model and data transfer from modeling output files to tables and calculation.

Photographic copy of photograph, view of rail launcher used for ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Photographic copy of photograph, view of rail launcher used for 'Baby Corporal E' missiles on 6 and 7 May 1946 at JPL-Muroc Army Air Base (later Edwards Air Force Base) (This launcher was also used for 'Baby WAC' missiles at Goldstone, Fort Irwin, California in 1945). Photocopy of 35mm photograph made in December 1994, looking west with Test Stand 'A' immediately behind the rail launcher. - Jet Propulsion Laboratory Edwards Facility, Edwards Air Force Base, Boron, Kern County, CA

Women Content in Units: Force Development Test (MAX WAC)

DTIC Science & Technology

1977-10-03

ARTEPs, the positive nature of the responses to th"se questions suggests that it is -alikely that gros& errors would be made.usin& the ARTEP as a basis...companies, while the second ARTEP was conducted solely for the purpose& of the project. The unofficial nature of the second ARTEP was alto true for the...been excluded from this section of the report due to its voluminous and, in some cases, draft style nature . All refrences are available for inspection

State Waste Discharge Permit application for industrial discharge to land: 200 East Area W-252 streams

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

Not Available

This document constitutes the WAC 173-216 State Waste Discharge Permit application for six W-252 liquid effluent streams at the Hanford Site. Appendices B through H correspond to Section B through H in the permit application form. Within each appendix, sections correspond directly to the respective questions on the application form. The appendices include: Product or service information; Plant operational characteristics; Water consumption and waterloss; Wastewater information; Stormwater; Other information; and Site assessment.

An Evaluation and Comparison of Several Measures of Image Quality for Television Displays

DTIC Science & Technology

1979-01-01

vehicles, buildings, or faces , or they may be artificial much as trn-bar patterns, rectangles, or sine waves. The typical objective image quality assessment...Snyder (1974b) wac able to obtain very good correlations with reaction time and correct responses for a face recognition task. Display quality was varied...recognition versus log JUDA for the target recognition study of Chapter 4, 5) graph of angle oubtended by target at recognitio , versus log JNDA for the

West Adriatic Coastal Water Excursions into the East Adriatic

DTIC Science & Technology

2009-01-15

anticyclonic eddies in the Gulf of Manfredonia which can form in the lee of the WAC flow around Cape Gargano (Burrage et al., 2009-this issue), although the...caused it to remain trapped in the lee of Cape Gargano. In the presence of stepwise bathymetry only (SW2 runs, Fig. 16), the initial flow was generally...L., Wang, J.D., Lee , T.N., 1996. The fate of river discharge on the continental shelf: 1. Modeling the river plume and the inner shelf coastal

The accuracy of International Classification of Diseases coding for dental problems not associated with trauma in a hospital emergency department.

PubMed

Figueiredo, Rafael L F; Singhal, Sonica; Dempster, Laura; Hwang, Stephen W; Quinonez, Carlos

2015-01-01

Emergency department (ED) visits for nontraumatic dental conditions (NTDCs) may be a sign of unmet need for dental care. The objective of this study was to determine the accuracy of the International Classification of Diseases codes (ICD-10-CA) for ED visits for NTDC. ED visits in 2008-2099 at one hospital in Toronto were identified if the discharge diagnosis in the administrative database system was an ICD-10-CA code for a NTDC (K00-K14). A random sample of 100 visits was selected, and the medical records for these visits were reviewed by a dentist. The description of the clinical signs and symptoms were evaluated, and a diagnosis was assigned. This diagnosis was compared with the diagnosis assigned by the physician and the code assigned to the visit. The 100 ED visits reviewed were associated with 16 different ICD-10-CA codes for NTDC. Only 2 percent of these visits were clearly caused by trauma. The code K0887 (toothache) was the most frequent diagnostic code (31 percent). We found 43.3 percent disagreement on the discharge diagnosis reported by the physician, and 58.0 percent disagreement on the code in the administrative database assigned by the abstractor, compared with what it was suggested by the dentist reviewing the chart. There are substantial discrepancies between the ICD-10-CA diagnosis assigned in administrative databases and the diagnosis assigned by a dentist reviewing the chart retrospectively. However, ICD-10-CA codes can be used to accurately identify ED visits for NTDC. © 2015 American Association of Public Health Dentistry.

Administrative Databases Can Yield False Conclusions-An Example of Obesity in Total Joint Arthroplasty.

PubMed

George, Jaiben; Newman, Jared M; Ramanathan, Deepak; Klika, Alison K; Higuera, Carlos A; Barsoum, Wael K

2017-09-01

Research using large administrative databases has substantially increased in recent years. Accuracy with which comorbidities are represented in these databases has been questioned. The purpose of this study was to evaluate the extent of errors in obesity coding and its impact on arthroplasty research. Eighteen thousand thirty primary total knee arthroplasties (TKAs) and 10,475 total hip arthroplasties (THAs) performed at a single healthcare system from 2004-2014 were included. Patients were classified as obese or nonobese using 2 methods: (1) body mass index (BMI) ≥30 kg/m 2 and (2) international classification of disease, 9th edition codes. Length of stay, operative time, and 90-day complications were collected. Effect of obesity on various outcomes was analyzed separately for both BMI- and coding-based obesity. From 2004 to 2014, the prevalence of BMI-based obesity increased from 54% to 63% and 40% to 45% in TKA and THA, respectively. The prevalence of coding-based obesity increased from 15% to 28% and 8% to 17% in TKA and THA, respectively. Coding overestimated the growth of obesity in TKA and THA by 5.6 and 8.4 times, respectively. When obesity was defined by coding, obesity was falsely shown to be a significant risk factor for deep vein thrombosis (TKA), pulmonary embolism (THA), and longer hospital stay (TKA and THA). The growth in obesity observed in administrative databases may be an artifact because of improvements in coding over the years. Obesity defined by coding can overestimate the actual effect of obesity on complications after arthroplasty. Therefore, studies using large databases should be interpreted with caution, especially when variables prone to coding errors are involved. Copyright © 2017 Elsevier Inc. All rights reserved.

Using Administrative Mental Health Indicators in Heart Failure Outcomes Research: Comparison of Clinical Records and International Classification of Disease Coding.

PubMed

Bender, Miriam; Smith, Tyler C

2016-01-01

Use of mental indication in health outcomes research is of growing interest to researchers. This study, as part of a larger research program, quantified agreement between administrative International Classification of Disease (ICD-9) coding for, and "gold standard" clinician documentation of, mental health issues (MHIs) in hospitalized heart failure (HF) patients to determine the validity of mental health administrative data for use in HF outcomes research. A 13% random sample (n = 504) was selected from all unique patients (n = 3,769) hospitalized with a primary HF diagnosis at 4 San Diego County community hospitals during 2009-2012. MHI was defined as ICD-9 discharge diagnostic coding 290-319. Records were audited for clinician documentation of MHI. A total of 43% (n = 216) had mental health clinician documentation; 33% (n = 164) had ICD-9 coding for MHI. ICD-9 code bundle 290-319 had 0.70 sensitivity, 0.97 specificity, and kappa 0.69 (95% confidence interval 0.61-0.79). More specific ICD-9 MHI code bundles had kappas ranging from 0.44 to 0.82 and sensitivities ranging from 42% to 82%. Agreement between ICD-9 coding and clinician documentation for a broadly defined MHI is substantial, and can validly "rule in" MHI for hospitalized patients with heart failure. More specific MHI code bundles had fair to almost perfect agreement, with a wide range of sensitivities for identifying patients with an MHI. Copyright © 2016 Elsevier Inc. All rights reserved.

49 CFR Appendix C to Part 215 - FRA Freight Car Standards Defect Code

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 4 2013-10-01 2013-10-01 false FRA Freight Car Standards Defect Code C Appendix C... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD FREIGHT CAR SAFETY STANDARDS Pt. 215, App. C Appendix C to Part 215—FRA Freight Car Standards Defect Code The following defect code has been established for use...

49 CFR Appendix C to Part 215 - FRA Freight Car Standards Defect Code

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 4 2014-10-01 2014-10-01 false FRA Freight Car Standards Defect Code C Appendix C... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD FREIGHT CAR SAFETY STANDARDS Pt. 215, App. C Appendix C to Part 215—FRA Freight Car Standards Defect Code The following defect code has been established for use...

49 CFR Appendix C to Part 215 - FRA Freight Car Standards Defect Code

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 4 2012-10-01 2012-10-01 false FRA Freight Car Standards Defect Code C Appendix C... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD FREIGHT CAR SAFETY STANDARDS Pt. 215, App. C Appendix C to Part 215—FRA Freight Car Standards Defect Code The following defect code has been established for use...

49 CFR Appendix C to Part 215 - FRA Freight Car Standards Defect Code

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 4 2011-10-01 2011-10-01 false FRA Freight Car Standards Defect Code C Appendix C... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD FREIGHT CAR SAFETY STANDARDS Pt. 215, App. C Appendix C to Part 215—FRA Freight Car Standards Defect Code The following defect code has been established for use...

Accuracy of Administrative Codes for Distinguishing Positive Pressure Ventilation from High-Flow Nasal Cannula.

PubMed

Good, Ryan J; Leroue, Matthew K; Czaja, Angela S

2018-06-07

Noninvasive positive pressure ventilation (NIPPV) is increasingly used in critically ill pediatric patients, despite limited data on safety and efficacy. Administrative data may be a good resource for observational studies. Therefore, we sought to assess the performance of the International Classification of Diseases, Ninth Revision procedure code for NIPPV. Patients admitted to the PICU requiring NIPPV or heated high-flow nasal cannula (HHFNC) over the 11-month study period were identified from the Virtual PICU System database. The gold standard was manual review of the electronic health record to verify the use of NIPPV or HHFNC among the cohort. The presence or absence of a NIPPV procedure code was determined by using administrative data. Test characteristics with 95% confidence intervals (CIs) were generated, comparing administrative data with the gold standard. Among the cohort ( n = 562), the majority were younger than 5 years, and the most common primary diagnosis was bronchiolitis. Most (82%) required NIPPV, whereas 18% required only HHFNC. The NIPPV code had a sensitivity of 91.1% (95% CI: 88.2%-93.6%) and a specificity of 57.6% (95% CI: 47.2%-67.5%), with a positive likelihood ratio of 2.15 (95% CI: 1.70-2.71) and negative likelihood ratio of 0.15 (95% CI: 0.11-0.22). Among our critically ill pediatric cohort, NIPPV procedure codes had high sensitivity but only moderate specificity. On the basis of our study results, there is a risk of misclassification, specifically failure to identify children who require NIPPV, when using administrative data to study the use of NIPPV in this population. Copyright © 2018 by the American Academy of Pediatrics.

Administrative database code accuracy did not vary notably with changes in disease prevalence.

PubMed

van Walraven, Carl; English, Shane; Austin, Peter C

2016-11-01

Previous mathematical analyses of diagnostic tests based on the categorization of a continuous measure have found that test sensitivity and specificity varies significantly by disease prevalence. This study determined if the accuracy of diagnostic codes varied by disease prevalence. We used data from two previous studies in which the true status of renal disease and primary subarachnoid hemorrhage, respectively, had been determined. In multiple stratified random samples from the two previous studies having varying disease prevalence, we measured the accuracy of diagnostic codes for each disease using sensitivity, specificity, and positive and negative predictive value. Diagnostic code sensitivity and specificity did not change notably within clinically sensible disease prevalence. In contrast, positive and negative predictive values changed significantly with disease prevalence. Disease prevalence had no important influence on the sensitivity and specificity of diagnostic codes in administrative databases. Copyright © 2016 Elsevier Inc. All rights reserved.

Identifying injection drug use and estimating population size of people who inject drugs using healthcare administrative datasets.

PubMed

Janjua, Naveed Zafar; Islam, Nazrul; Kuo, Margot; Yu, Amanda; Wong, Stanley; Butt, Zahid A; Gilbert, Mark; Buxton, Jane; Chapinal, Nuria; Samji, Hasina; Chong, Mei; Alvarez, Maria; Wong, Jason; Tyndall, Mark W; Krajden, Mel

2018-05-01

Large linked healthcare administrative datasets could be used to monitor programs providing prevention and treatment services to people who inject drugs (PWID). However, diagnostic codes in administrative datasets do not differentiate non-injection from injection drug use (IDU). We validated algorithms based on diagnostic codes and prescription records representing IDU in administrative datasets against interview-based IDU data. The British Columbia Hepatitis Testers Cohort (BC-HTC) includes ∼1.7 million individuals tested for HCV/HIV or reported HBV/HCV/HIV/tuberculosis cases in BC from 1990 to 2015, linked to administrative datasets including physician visit, hospitalization and prescription drug records. IDU, assessed through interviews as part of enhanced surveillance at the time of HIV or HCV/HBV diagnosis from a subset of cases included in the BC-HTC (n = 6559), was used as the gold standard. ICD-9/ICD-10 codes for IDU and injecting-related infections (IRI) were grouped with records of opioid substitution therapy (OST) into multiple IDU algorithms in administrative datasets. We assessed the performance of IDU algorithms through calculation of sensitivity, specificity, positive predictive, and negative predictive values. Sensitivity was highest (90-94%), and specificity was lowest (42-73%) for algorithms based either on IDU or IRI and drug misuse codes. Algorithms requiring both drug misuse and IRI had lower sensitivity (57-60%) and higher specificity (90-92%). An optimal sensitivity and specificity combination was found with two medical visits or a single hospitalization for injectable drugs with (83%/82%) and without OST (78%/83%), respectively. Based on algorithms that included two medical visits, a single hospitalization or OST records, there were 41,358 (1.2% of 11-65 years individuals in BC) recent PWID in BC based on health encounters during 3- year period (2013-2015). Algorithms for identifying PWID using diagnostic codes in linked administrative data could be used for tracking the progress of programing aimed at PWID. With population-based datasets, this tool can be used to inform much needed estimates of PWID population size. Copyright © 2018 Elsevier B.V. All rights reserved.

Alternative Fuels Data Center: E85 Codes and Standards

Science.gov Websites

Development Equipment Options Equipment Installation Codes, Standards, & Safety Vehicles Laws & ; Incentives Ethanol Codes, Standards, and Safety The U.S. Environmental Protection Agency's (EPA) Office of -Gasoline Blends. The Occupational Safety and Health Administration (OSHA) regulates some fuel-dispensing

California Library Laws. 1977.

ERIC Educational Resources Information Center

Silver, Cy H.

This document contains selections from the California Administrative Code, Education Code, Government Code, and others relating to public libraries, county law libraries and the State Library. The first section presents legal developments in California from 1974 to 1976 which are of interest to librarians. Laws and regulations are presented under…

Estimated cost efficacy of systemic treatments that are approved by the US Food and Drug Administration for the treatment of moderate to severe psoriasis.

PubMed

D'Souza, Logan S; Payette, Michael J

2015-04-01

Newer psoriasis treatments tout higher efficacy but are generally more expensive. We sought to estimate the cost efficacy of systemic psoriasis treatments that have been approved by the US Food and Drug Administration (FDA). A literature review of systemic psoriasis treatments that have been approved by the FDA was performed for the primary end point of a 75% reduction in the Psoriasis Area and Severity Index score (PASI 75). Medication cost was referenced by wholesale acquisition cost (WAC), laboratory fees were obtained from the American Medical Association, and office visit fees are standard at our university. Total expenses were standardized by calculating cost per month of treatment considering the number needed to treat (NNT) to achieve PASI 75. Methotrexate ($794.05-1502.51) and cyclosporine ($1410.14-1843.55) had the lowest monthly costs per NNT to achieve PASI 75. The most costly therapies were infliximab ($8704.68-15,235.52) and ustekinumab 90 mg ($12,505.26-14,256.75). Monthly costs per NNT to achieve PASI 75 for other therapies were as follows: narrowband ultraviolet B light phototherapy ($2924.73), adalimumab ($3974.61-7678.78), acitretin ($4137.71-14,148.53), ustekinumab 45 mg ($7177.89-7263.99), psoralen plus ultraviolet A light phototherapy ($7499.46-8834.98), and etanercept ($8284.71-10,674.89). Drug rebates and incentives, potential adverse effects, comorbidity risk reduction, ambassador programs, and combination therapies were excluded. Our study provides meaningful cost efficacy data that may influence psoriasis treatment selection. Copyright © 2014 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

Validated methods for identifying tuberculosis patients in health administrative databases: systematic review.

PubMed

Ronald, L A; Ling, D I; FitzGerald, J M; Schwartzman, K; Bartlett-Esquilant, G; Boivin, J-F; Benedetti, A; Menzies, D

2017-05-01

An increasing number of studies are using health administrative databases for tuberculosis (TB) research. However, there are limitations to using such databases for identifying patients with TB. To summarise validated methods for identifying TB in health administrative databases. We conducted a systematic literature search in two databases (Ovid Medline and Embase, January 1980-January 2016). We limited the search to diagnostic accuracy studies assessing algorithms derived from drug prescription, International Classification of Diseases (ICD) diagnostic code and/or laboratory data for identifying patients with TB in health administrative databases. The search identified 2413 unique citations. Of the 40 full-text articles reviewed, we included 14 in our review. Algorithms and diagnostic accuracy outcomes to identify TB varied widely across studies, with positive predictive value ranging from 1.3% to 100% and sensitivity ranging from 20% to 100%. Diagnostic accuracy measures of algorithms using out-patient, in-patient and/or laboratory data to identify patients with TB in health administrative databases vary widely across studies. Use solely of ICD diagnostic codes to identify TB, particularly when using out-patient records, is likely to lead to incorrect estimates of case numbers, given the current limitations of ICD systems in coding TB.

A Conference on Spacecraft Charging Technology - 1978, held at U.S. Air Force Academy, Colorado Springs, Colorado, October 31 - November 2, 1978.

DTIC Science & Technology

1978-01-01

complex, applications of the code . NASCAP CODE DESCRIPTION The NASCAP code is a finite-element spacecraft-charging simulation that is written in FORTRAN ...transport code POEM (ref. 1), is applicable to arbitrary dielectrics, source spectra, and current time histories. The code calculations are illustrated by...iaxk ’. Vlbouced _DstributionL- 9TNA Availability Codes %ELECTEf Nationa Aeronautics and Dist. Spec al TAvalland/or. MAY 2 21980 Space Administration

Postoperative complications following colectomy for ulcerative colitis: A validation study

PubMed Central

2012-01-01

Background Ulcerative colitis (UC) patients failing medical management require colectomy. This study compares risk estimates for predictors of postoperative complication derived from administrative data against that of chart review and evaluates the accuracy of administrative coding for this population. Methods Hospital administrative databases were used to identify adults with UC undergoing colectomy from 1996–2007. Medical charts were reviewed and regression analyses comparing chart versus administrative data were performed to assess the effect of age, emergent operation, and Charlson comorbidities on the occurrence of postoperative complications. Sensitivity, specificity, and positive/negative predictive values of administrative coding for identifying the study population, Charlson comorbidities, and postoperative complications were assessed. Results Compared to chart review, administrative data estimated a higher magnitude of effect for emergent admission (OR 2.52 [95% CI: 1.80–3.52] versus 1.49 [1.06–2.09]) and Charlson comorbidities (OR 2.91 [1.86–4.56] versus 1.50 [1.05–2.15]) as predictors of postoperative complications. Administrative data correctly identified UC and colectomy in 85.9% of cases. The administrative database was 37% sensitive in identifying patients with ≥ 1Charlson comorbidity. Restricting analysis to active comorbidities increased the sensitivity to 63%. The sensitivity of identifying patients with at least one postoperative complication was 68%; restricting analysis to more severe complications improved the sensitivity to 84%. Conclusions Administrative data identified the same risk factors for postoperative complications as chart review, but overestimated the magnitude of risk. This discrepancy may be explained by coding inaccuracies that selectively identifying the most serious complications and comorbidities. PMID:22943760

Exercise Administrator Administrative Instructions for Age Classes 1, 2 & 3. Year 11, October 1979-May 1980.

ERIC Educational Resources Information Center

Research Triangle Inst., Durham, NC.

This manual for Exercise Administrators of the National Assessment of Educational Progress; Second Literature Third Reading Assessment, consists of administrative instructions for use immediately preceding, during and after assessment sessions in schools. Definitions of racial/ethnic categories, associated codes, and guidelines for solicting…

Electrochemical Ion-Exchange Regeneration and Fluidized Bed Crystallization for Zero-Liquid-Discharge Water Softening.

PubMed

Chen, Yingying; Davis, Jake R; Nguyen, Chi H; Baygents, James C; Farrell, James

2016-06-07

This research investigated the use of an electrochemical system for regenerating ion-exchange media and for promoting the crystallization of hardness minerals in a fluidized bed crystallization reactor (FBCR). The closed-loop process eliminates the creation of waste brine solutions that are normally produced when regenerating ion-exchange media. A bipolar membrane electrodialysis stack was used to generate acids and bases from 100 mM salt solutions. The acid was used to regenerate weak acid cation (WAC) ion-exchange media used for water softening. The base solutions were used to absorb CO2 gas and to provide a source of alkalinity for removing noncarbonate hardness by WAC media operated in H(+) form. The base solutions were also used to promote the crystallization of CaCO3 and Mg(OH)2 in a FBCR. The overall process removes hardness ions from the water being softened and replaces them with H(+) ions, slightly decreasing the pH value of the softened water. The current utilization efficiency for acid and base production was ∼75% over the operational range of interest, and the energy costs for producing acids and bases were an order of magnitude lower than the costs for purchasing acid and base in bulk quantities. Ion balances indicate that the closed-loop system will accumulate SO4(2-), Cl(-), and alkali metal ions. Acid and base balances indicate that for a typical water, small amounts of base will be accumulated.

21 CFR 610.67 - Bar code label requirements.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 7 2011-04-01 2010-04-01 true Bar code label requirements. 610.67 Section 610.67 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) BIOLOGICS GENERAL BIOLOGICAL PRODUCTS STANDARDS Labeling Standards § 610.67 Bar code label requirements...

21 CFR 610.67 - Bar code label requirements.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 7 2010-04-01 2010-04-01 false Bar code label requirements. 610.67 Section 610.67 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) BIOLOGICS GENERAL BIOLOGICAL PRODUCTS STANDARDS Labeling Standards § 610.67 Bar code label requirements...

Validation of Living Donor Nephrectomy Codes

PubMed Central

Lam, Ngan N.; Lentine, Krista L.; Klarenbach, Scott; Sood, Manish M.; Kuwornu, Paul J.; Naylor, Kyla L.; Knoll, Gregory A.; Kim, S. Joseph; Young, Ann; Garg, Amit X.

2018-01-01

Background: Use of administrative data for outcomes assessment in living kidney donors is increasing given the rarity of complications and challenges with loss to follow-up. Objective: To assess the validity of living donor nephrectomy in health care administrative databases compared with the reference standard of manual chart review. Design: Retrospective cohort study. Setting: 5 major transplant centers in Ontario, Canada. Patients: Living kidney donors between 2003 and 2010. Measurements: Sensitivity and positive predictive value (PPV). Methods: Using administrative databases, we conducted a retrospective study to determine the validity of diagnostic and procedural codes for living donor nephrectomies. The reference standard was living donor nephrectomies identified through the province’s tissue and organ procurement agency, with verification by manual chart review. Operating characteristics (sensitivity and PPV) of various algorithms using diagnostic, procedural, and physician billing codes were calculated. Results: During the study period, there were a total of 1199 living donor nephrectomies. Overall, the best algorithm for identifying living kidney donors was the presence of 1 diagnostic code for kidney donor (ICD-10 Z52.4) and 1 procedural code for kidney procurement/excision (1PC58, 1PC89, 1PC91). Compared with the reference standard, this algorithm had a sensitivity of 97% and a PPV of 90%. The diagnostic and procedural codes performed better than the physician billing codes (sensitivity 60%, PPV 78%). Limitations: The donor chart review and validation study was performed in Ontario and may not be generalizable to other regions. Conclusions: An algorithm consisting of 1 diagnostic and 1 procedural code can be reliably used to conduct health services research that requires the accurate determination of living kidney donors at the population level. PMID:29662679

A systems engineering initiative for NASA's space communications

NASA Technical Reports Server (NTRS)

Hornstein, Rhoda S.; Hei, Donald J., Jr.; Kelly, Angelita C.; Lightfoot, Patricia C.; Bell, Holland T.; Cureton-Snead, Izeller E.; Hurd, William J.; Scales, Charles H.

1993-01-01

In addition to but separate from the Red and Blue Teams commissioned by the NASA Administrator, NASA's Associate Administrator for Space Communications commissioned a Blue Team to review the Office of Space Communications (Code O) Core Program and determine how the program could be conducted faster, better, and cheaper, without compromising safety. Since there was no corresponding Red Team for the Code O Blue Team, the Blue Team assumed a Red Team independent attitude and challenged the status quo. The Blue Team process and results are summarized. The Associate Administrator for Space Communications subsequently convened a special management session to discuss the significance and implications of the Blue Team's report and to lay the groundwork and teamwork for the next steps, including the transition from engineering systems to systems engineering. The methodology and progress toward realizing the Code O Family vision and accomplishing the systems engineering initiative for NASA's space communications are presented.

Patient safety with blood products administration using wireless and bar-code technology.

PubMed

Porcella, Aleta; Walker, Kristy

2005-01-01

Supported by a grant from the Agency for Healthcare Research and Quality, a University of Iowa Hospitals and Clinics interdisciplinary research team created an online data-capture-response tool utilizing wireless mobile devices and bar code technology to track and improve blood products administration process. The tool captures 1) sample collection, 2) sample arrival in the blood bank, 3) blood product dispense from blood bank, and 4) administration. At each step, the scanned patient wristband ID bar code is automatically compared to scanned identification barcode on requisition, sample, and/or product, and the system presents either a confirmation or an error message to the user. Following an eight-month, 5 unit, staged pilot, a 'big bang,' hospital-wide implementation occurred on February 7, 2005. Preliminary results from pilot data indicate that the new barcode process captures errors 3 to 10 times better than the old manual process.

Using Procedure Codes to Define Radiation Toxicity in Administrative Data: The Devil is in the Details.

PubMed

Meyer, Anne-Marie; Kuo, Tzy-Mey; Chang, YunKyung; Carpenter, William R; Chen, Ronald C; Sturmer, Til

2017-05-01

Systematic coding systems are used to define clinically meaningful outcomes when leveraging administrative claims data for research. How and when these codes are applied within a research study can have implications for the study validity and their specificity can vary significantly depending on treatment received. Data are from the Surveillance, Epidemiology, and End Results-Medicare linked dataset. We use propensity score methods in a retrospective cohort of prostate cancer patients first examined in a recently published radiation oncology comparative effectiveness study. With the narrowly defined outcome definition, the toxicity event outcome rate ratio was 0.88 per 100 person-years (95% confidence interval, 0.71-1.08). With the broadly defined outcome, the rate ratio was comparable, with 0.89 per 100 person-years (95% confidence interval, 0.76-1.04), although individual event rates were doubled. Some evidence of surveillance bias was suggested by a higher rate of endoscopic procedures the first year of follow-up in patients who received proton therapy compared with those receiving intensity-modulated radiation treatment (11.15 vs. 8.90, respectively). This study demonstrates the risk of introducing bias through subjective application of procedure codes. Careful consideration is required when using procedure codes to define outcomes in administrative data.

Usefulness of Canadian Public Health Insurance Administrative Databases to Assess Breast and Ovarian Cancer Screening Imaging Technologies for BRCA1/2 Mutation Carriers.

PubMed

Larouche, Geneviève; Chiquette, Jocelyne; Plante, Marie; Pelletier, Sylvie; Simard, Jacques; Dorval, Michel

2016-11-01

In Canada, recommendations for clinical management of hereditary breast and ovarian cancer among individuals carrying a deleterious BRCA1 or BRCA2 mutation have been available since 2007. Eight years later, very little is known about the uptake of screening and risk-reduction measures in this population. Because Canada's public health care system falls under provincial jurisdictions, using provincial health care administrative databases appears a valuable option to assess management of BRCA1/2 mutation carriers. The objective was to explore the usefulness of public health insurance administrative databases in British Columbia, Ontario, and Quebec to assess management after BRCA1/2 genetic testing. Official public health insurance documents were considered potentially useful if they had specific procedure codes, and pertained to procedures performed in the public and private health care systems. All 3 administrative databases have specific procedures codes for mammography and breast ultrasounds. Only Quebec and Ontario have a specific procedure code for breast magnetic resonance imaging. It is impossible to assess, on an individual basis, the frequency of others screening exams, with the exception of CA-125 testing in British Columbia. Screenings done in private practice are excluded from the administrative databases unless covered by special agreements for reimbursement, such as all breast imaging exams in Ontario and mammograms in British Columbia and Quebec. There are no specific procedure codes for risk-reduction surgeries for breast and ovarian cancer. Population-based assessment of breast and ovarian cancer risk management strategies other than mammographic screening, using only administrative data, is currently challenging in the 3 Canadian provinces studied. Copyright © 2016 Canadian Association of Radiologists. Published by Elsevier Inc. All rights reserved.

Alternative Fuels Data Center

Science.gov Websites

Texas Commission on Environmental Quality (TCEQ). Exemptions apply for the following: vehicles with a idling. (Reference Texas Statutes, Health and Safety Code 382.0191; and Texas Administrative Code

The Europa Imaging System (EIS): Investigating Europa's geology, ice shell, and current activity

NASA Astrophysics Data System (ADS)

Turtle, Elizabeth; Thomas, Nicolas; Fletcher, Leigh; Hayes, Alexander; Ernst, Carolyn; Collins, Geoffrey; Hansen, Candice; Kirk, Randolph L.; Nimmo, Francis; McEwen, Alfred; Hurford, Terry; Barr Mlinar, Amy; Quick, Lynnae; Patterson, Wes; Soderblom, Jason

2016-07-01

NASA's Europa Mission, planned for launch in 2022, will perform more than 40 flybys of Europa with altitudes at closest approach as low as 25 km. The instrument payload includes the Europa Imaging System (EIS), a camera suite designed to transform our understanding of Europa through global decameter-scale coverage, topographic and color mapping, and unprecedented sub- meter-scale imaging. EIS combines narrow-angle and wide-angle cameras to address these science goals: • Constrain the formation processes of surface features by characterizing endogenic geologic structures, surface units, global cross-cutting relationships, and relationships to Europa's subsurface structure and potential near-surface water. • Search for evidence of recent or current activity, including potential plumes. • Characterize the ice shell by constraining its thickness and correlating surface features with subsurface structures detected by ice penetrating radar. • Characterize scientifically compelling landing sites and hazards by determining the nature of the surface at scales relevant to a potential lander. EIS Narrow-angle Camera (NAC): The NAC, with a 2.3°° x 1.2°° field of view (FOV) and a 10-μμrad instantaneous FOV (IFOV), achieves 0.5-m pixel scale over a 2-km-wide swath from 50-km altitude. A 2-axis gimbal enables independent targeting, allowing very high-resolution stereo imaging to generate digital topographic models (DTMs) with 4-m spatial scale and 0.5-m vertical precision over the 2-km swath from 50-km altitude. The gimbal also makes near-global (>95%) mapping of Europa possible at ≤50-m pixel scale, as well as regional stereo imaging. The NAC will also perform high-phase-angle observations to search for potential plumes. EIS Wide-angle Camera (WAC): The WAC has a 48°° x 24°° FOV, with a 218-μμrad IFOV, and is designed to acquire pushbroom stereo swaths along flyby ground-tracks. From an altitude of 50 km, the WAC achieves 11-m pixel scale over a 44-km-wide swath, generating DTMs with 32-m spatial scale and 4-m vertical precision. These data also support characterization of surface clutter for interpretation of radar deep and shallow sounding modes. Detectors: The cameras have identical rapid-readout, radiation-hard 4k x 2k CMOS detectors and can image in both pushbroom and framing modes. Color observations are acquired by pushbroom imaging using six broadband filters (~300-1050 nm), allowing mapping of surface units for correlation with geologic structures, topography, and compositional units from other instruments.

Asteroid (21) Lutetia: Disk-resolved photometric analysis of Baetica region

NASA Astrophysics Data System (ADS)

Hasselmann, P. H.; Barucci, M. A.; Fornasier, S.; Leyrat, C.; Carvano, J. M.; Lazzaro, D.; Sierks, H.

2016-03-01

(21) Lutetia has been visited by Rosetta mission on July 2010 and observed with a phase angle ranging from 0.15° to 156.8°. The Baetica region, located at the north pole has been extensively observed by OSIRIS cameras system. Baetica encompass a region called North Pole Crater Cluster (NPCC), shows a cluster of superposed craters which presents signs of variegation at the small phase angle images. For studying the location, we used 187 images distributed throughout 14 filter recorded by the NAC (Narrow Angle Camera) and WAC (Wide Angle Camera) of the OSIRIS system on-board Rosetta taken during the fly-by. Then, we photometrically modeled the region using Minnaert disk-function and Akimov phase function to obtain a resolved spectral slope map at phase angles of 5 ° and 20 ° . We observed a dichotomy between Gallicum and Danuvius-Sarnus Labes in the NPCC, but no significant phase reddening (- 0.04 ± 0.045 % μm-1deg-1). In the next step, we applied the Hapke (Hapke, B. [2008]. Icarus 195, 918-926; Hapke, B. [2012]. Theory of Reflectance and Emittance Spectroscopy, second ed. Cambridge University Press) model for the NAC F82+F22 (649.2 nm), WAC F13 (375 nm) and WAC F17 (631.6 nm) and we obtained normal albedo maps and Hapke parameter maps for NAC F82+F22. On Baetica, at 649.2 nm, the geometric albedo is 0.205 ± 0.005 , the average single-scattering albedo is 0.181 ± 0.005 , the average asymmetric factor is - 0.342 ± 0.003 , the average shadow-hiding opposition effect amplitude and width are 0.824 ± 0.002 and 0.040 ± 0.0007 , the average roughness slope is 11.45 ° ± 3 ° and the average porosity is 0.85 ± 0.002 . We are unable to confirm the presence of coherent-backscattering mechanism. In the NPCC, the normal albedo variegation among the craters walls reach 8% brighter for Gallicum Labes and 2% fainter for Danuvius Labes. The Hapke parameter maps also show a dichotomy at the opposition effect coefficients, single-scattering albedo and asymmetric factor, that may be attributed to the maturation degree of the regolith or to compositonal variation. In addition, we compared the Hapke (Hapke, B. [2008]. Icarus 195, 918-926; Hapke, B. [2012]. Theory of Reflectance and Emittance Spectroscopy, second ed. Cambridge University Press) and Hapke (Hapke, B. [1993]. Theory of Reflectance and Emittance Spectroscopy) parameters with laboratory samples and other small Solar System bodies visited by space missions.

A cost-effectiveness analysis to illustrate the impact of cost definitions on results, interpretations and comparability of pharmacoeconomic studies in the US.

PubMed

Tunis, Sandra L

2009-01-01

There is a lack of a uniform proxy for defining direct medical costs in the US. This potentially important source of variation in modelling and other types of economic studies is often overlooked. The extent to which increased expenditures for an intervention can be offset by reductions in subsequent service costs can be directly related to the choice of cost definitions. To demonstrate how different cost definitions for direct medical costs can impact results and interpretations of a cost-effectiveness analysis. The IMS-CORE Diabetes Model was used to project the lifetime (35-year) cost effectiveness in the US of one pharmacological intervention 'medication A' compared with a second 'medication B' (both unspecified) for type 2 diabetes mellitus. The complications modelled included cardiovascular disease, renal disease, eye disease and neuropathy. The model had a Markov structure with Monte Carlo simulations. Utility values were derived from the published literature. Complication costs were obtained from a retrospective database study that extracted anonymous patient-level data from (primarily private payer) adjudicated medical and pharmaceutical claims. Costs for pharmacy services, outpatient services and inpatient hospitalizations were included. Cost definitions for complications included charged, allowed and paid amounts, and for medications included both wholesale acquisition cost (WAC) and average wholesale price (AWP). Costs were reported in year 2007 values. The cost-effectiveness results differed according to the particular combination of cost definitions employed. The use of charges greatly increased costs for complications. When the analysis incorporated WAC medication prices with charged amounts for complication costs, the incremental cost-effectiveness ratio (ICER) for medication A versus medication B was $US6337 per QALY. When AWP prices were used with charged amounts, medication A became a dominant treatment strategy, i.e. lower costs with greater effectiveness than medication B. For both allowed and paid scenarios, there was a difference in the ICER of over $US10,300 per QALY when medication prices were defined by WAC versus AWP. Ratios of medication costs to cardiovascular complication costs ranged from under 0.45 to over 1.7, depending upon the combination of costing definitions. Explicitly addressing the cost-definition issue can help provide meaningful cost-effectiveness data to payers for policy development and management of healthcare expenditures. It can also help move the pharmacoeconomics and outcomes research fields forward in terms of both methodology and practical application.

Identifying Pediatric Severe Sepsis and Septic Shock: Accuracy of Diagnosis Codes.

PubMed

Balamuth, Fran; Weiss, Scott L; Hall, Matt; Neuman, Mark I; Scott, Halden; Brady, Patrick W; Paul, Raina; Farris, Reid W D; McClead, Richard; Centkowski, Sierra; Baumer-Mouradian, Shannon; Weiser, Jason; Hayes, Katie; Shah, Samir S; Alpern, Elizabeth R

2015-12-01

To evaluate accuracy of 2 established administrative methods of identifying children with sepsis using a medical record review reference standard. Multicenter retrospective study at 6 US children's hospitals. Subjects were children >60 days to <19 years of age and identified in 4 groups based on International Classification of Diseases, Ninth Revision, Clinical Modification codes: (1) severe sepsis/septic shock (sepsis codes); (2) infection plus organ dysfunction (combination codes); (3) subjects without codes for infection, organ dysfunction, or severe sepsis; and (4) infection but not severe sepsis or organ dysfunction. Combination codes were allowed, but not required within the sepsis codes group. We determined the presence of reference standard severe sepsis according to consensus criteria. Logistic regression was performed to determine whether addition of codes for sepsis therapies improved case identification. A total of 130 out of 432 subjects met reference SD of severe sepsis. Sepsis codes had sensitivity 73% (95% CI 70-86), specificity 92% (95% CI 87-95), and positive predictive value 79% (95% CI 70-86). Combination codes had sensitivity 15% (95% CI 9-22), specificity 71% (95% CI 65-76), and positive predictive value 18% (95% CI 11-27). Slight improvements in model characteristics were observed when codes for vasoactive medications and endotracheal intubation were added to sepsis codes (c-statistic 0.83 vs 0.87, P = .008). Sepsis specific International Classification of Diseases, Ninth Revision, Clinical Modification codes identify pediatric patients with severe sepsis in administrative data more accurately than a combination of codes for infection plus organ dysfunction. Copyright © 2015 Elsevier Inc. All rights reserved.

47 CFR 52.15 - Central office code administration.

Code of Federal Regulations, 2011 CFR

2011-10-01

... assignment databases; (3) Conducting the Numbering Resource Utilization and Forecast (NRUF) data collection... telecommunications carrier that receives numbering resources from the NANPA, a Pooling Administrator or another... Administrator. (2) State commissions may investigate and determine whether service providers have activated...

47 CFR 52.15 - Central office code administration.

Code of Federal Regulations, 2014 CFR

2014-10-01

... assignment databases; (3) Conducting the Numbering Resource Utilization and Forecast (NRUF) data collection... telecommunications carrier that receives numbering resources from the NANPA, a Pooling Administrator or another... Administrator. (2) State commissions may investigate and determine whether service providers have activated...

47 CFR 52.15 - Central office code administration.

Code of Federal Regulations, 2013 CFR

2013-10-01

... assignment databases; (3) Conducting the Numbering Resource Utilization and Forecast (NRUF) data collection... telecommunications carrier that receives numbering resources from the NANPA, a Pooling Administrator or another... Administrator. (2) State commissions may investigate and determine whether service providers have activated...

Impact of School Uniforms on Student Discipline and the Learning Climate: A Comparative Case Study of Two Middle Schools with Uniform Dress Codes and Two Middle Schools without Uniform Dress Codes

ERIC Educational Resources Information Center

Dulin, Charles Dewitt

2016-01-01

The purpose of this research is to evaluate the impact of uniform dress codes on a school's climate for student behavior and learning in four middle schools in North Carolina. The research will compare the perceptions of parents, teachers, and administrators in schools with uniform dress codes against schools without uniform dress codes. This…

Panoramic 3d Vision on the ExoMars Rover

NASA Astrophysics Data System (ADS)

Paar, G.; Griffiths, A. D.; Barnes, D. P.; Coates, A. J.; Jaumann, R.; Oberst, J.; Gao, Y.; Ellery, A.; Li, R.

The Pasteur payload on the ESA ExoMars Rover 2011/2013 is designed to search for evidence of extant or extinct life either on or up to ˜2 m below the surface of Mars. The rover will be equipped by a panoramic imaging system to be developed by a UK, German, Austrian, Swiss, Italian and French team for visual characterization of the rover's surroundings and (in conjunction with an infrared imaging spectrometer) remote detection of potential sample sites. The Panoramic Camera system consists of a wide angle multispectral stereo pair with 65° field-of-view (WAC; 1.1 mrad/pixel) and a high resolution monoscopic camera (HRC; current design having 59.7 µrad/pixel with 3.5° field-of-view) . Its scientific goals and operational requirements can be summarized as follows: • Determination of objects to be investigated in situ by other instruments for operations planning • Backup and Support for the rover visual navigation system (path planning, determination of subsequent rover positions and orientation/tilt within the 3d environment), and localization of the landing site (by stellar navigation or by combination of orbiter and ground panoramic images) • Geological characterization (using narrow band geology filters) and cartography of the local environments (local Digital Terrain Model or DTM). • Study of atmospheric properties and variable phenomena near the Martian surface (e.g. aerosol opacity, water vapour column density, clouds, dust devils, meteors, surface frosts,) 1 • Geodetic studies (observations of Sun, bright stars, Phobos/Deimos). The performance of 3d data processing is a key element of mission planning and scientific data analysis. The 3d Vision Team within the Panoramic Camera development Consortium reports on the current status of development, consisting of the following items: • Hardware Layout & Engineering: The geometric setup of the system (location on the mast & viewing angles, mutual mounting between WAC and HRC) needs to be optimized w.r.t. fields of view, ranging capability (distance measurement capability), data rate, necessity of calibration targets, hardware & data interfaces to other subsystems (e.g. navigation) as well as accuracy impacts of sensor design and compression ratio. • Geometric Calibration: The geometric properties of the individual cameras including various spectral filters, their mutual relations and the dynamic geometrical relation between rover frame and cameras - with the mast in between - are precisely described by a calibration process. During surface operations these relations will be continuously checked and updated by photogrammetric means, environmental influences such as temperature, pressure and the Mars gravity will be taken into account. • Surface Mapping: Stereo imaging using the WAC stereo pair is used for the 3d reconstruction of the rover vicinity to identify, locate and characterize potentially interesting spots (3-10 for an experimental cycle to be performed within approx. 10-30 sols). The HRC is used for high resolution imagery of these regions of interest to be overlaid on the 3d reconstruction and potentially refined by shape-from-shading techniques. A quick processing result is crucial for time critical operations planning, therefore emphasis is laid on the automatic behaviour and intrinsic error detection mechanisms. The mapping results will be continuously fused, updated and synchronized with the map used by the navigation system. The surface representation needs to take into account the different resolutions of HRC and WAC as well as uncommon or even unexpected image acquisition modes such as long range, wide baseline stereo from different rover positions or escape strategies in the case of loss of one of the stereo camera heads. • Panorama Mosaicking: The production of a high resolution stereoscopic panorama nowadays is state-of-art in computer vision. However, certain 2 challenges such as the need for access to accurate spherical coordinates, maintenance of radiometric & spectral response in various spectral bands, fusion between HRC and WAC, super resolution, and again the requirement of quick yet robust processing will add some complexity to the ground processing system. • Visualization for Operations Planning: Efficient operations planning is directly related to an ergonomic and well performing visualization. It is intended to adapt existing tools to an integrated visualization solution for the purpose of scientific site characterization, view planning and reachability mapping/instrument placement of pointing sensors (including the panoramic imaging system itself), and selection of regions of interest. The main interfaces between the individual components as well as the first version of a user requirement document are currently under definition. Beside the support for sensor layout and calibration the 3d vision system will consist of 2-3 main modules to be used during ground processing & utilization of the ExoMars Rover panoramic imaging system. 3

Validation of administrative data used for the diagnosis of upper gastrointestinal events following nonsteroidal anti-inflammatory drug prescription.

PubMed

Abraham, N S; Cohen, D C; Rivers, B; Richardson, P

2006-07-15

To validate veterans affairs (VA) administrative data for the diagnosis of nonsteroidal anti-inflammatory drug (NSAID)-related upper gastrointestinal events (UGIE) and to develop a diagnostic algorithm. A retrospective study of veterans prescribed an NSAID as identified from the national pharmacy database merged with in-patient and out-patient data, followed by primary chart abstraction. Contingency tables were constructed to allow comparison with a random sample of patients prescribed an NSAID, but without UGIE. Multivariable logistic regression analysis was used to derive a predictive algorithm. Once derived, the algorithm was validated in a separate cohort of veterans. Of 906 patients, 606 had a diagnostic code for UGIE; 300 were a random subsample of 11 744 patients (control). Only 161 had a confirmed UGIE. The positive predictive value (PPV) of diagnostic codes was poor, but improved from 27% to 51% with the addition of endoscopic procedural codes. The strongest predictors of UGIE were an in-patient ICD-9 code for gastric ulcer, duodenal ulcer and haemorrhage combined with upper endoscopy. This algorithm had a PPV of 73% when limited to patients >or=65 years (c-statistic 0.79). Validation of the algorithm revealed a PPV of 80% among patients with an overlapping NSAID prescription. NSAID-related UGIE can be assessed using VA administrative data. The optimal algorithm includes an in-patient ICD-9 code for gastric or duodenal ulcer and gastrointestinal bleeding combined with a procedural code for upper endoscopy.

1 CFR 11.3 - Code of Federal Regulations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 1 General Provisions 1 2010-01-01 2010-01-01 false Code of Federal Regulations. 11.3 Section 11.3 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER AVAILABILITY OF OFFICE OF THE FEDERAL... complete set of the Code of Federal Regulations is $1,019 per year for the bound, paper edition, or $247...

1 CFR 5.5 - Supplement to the Code of Federal Regulations.

Code of Federal Regulations, 2010 CFR

2010-01-01

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1 CFR 5.5 - Supplement to the Code of Federal Regulations.

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2011-01-01

... 1 General Provisions 1 2011-01-01 2011-01-01 false Supplement to the Code of Federal Regulations. 5.5 Section 5.5 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER THE FEDERAL REGISTER GENERAL § 5.5 Supplement to the Code of Federal Regulations. The Federal Register serves as a...

1 CFR 11.3 - Code of Federal Regulations.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 1 General Provisions 1 2011-01-01 2011-01-01 false Code of Federal Regulations. 11.3 Section 11.3 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER AVAILABILITY OF OFFICE OF THE FEDERAL... complete set of the Code of Federal Regulations is $1,019 per year for the bound, paper edition, or $247...

21 CFR 20.115 - Product codes for manufacturing or sales dates.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Product codes for manufacturing or sales dates. 20.115 Section 20.115 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PUBLIC INFORMATION Availability of Specific Categories of Records § 20.115 Product codes...

40 CFR 52.1570 - Identification of plan.

Code of Federal Regulations, 2012 CFR

2012-07-01

... regulation, section 7:1-3.1 of New Jersey Air Pollution Control Code, submitted on November 20, 1973, by the... regulation, section 7:27-2.1 of the New Jersey Air Pollution Control Code, submitted on November 19, 1975, by... and Prohibition of Air Pollution by Volatile Organic Substances,” New Jersey Administrative Code (N.J...

40 CFR 52.1570 - Identification of plan.

Code of Federal Regulations, 2014 CFR

2014-07-01

... regulation, section 7:1-3.1 of New Jersey Air Pollution Control Code, submitted on November 20, 1973, by the... regulation, section 7:27-2.1 of the New Jersey Air Pollution Control Code, submitted on November 19, 1975, by... and Prohibition of Air Pollution by Volatile Organic Substances,” New Jersey Administrative Code (N.J...

40 CFR 52.1570 - Identification of plan.

Code of Federal Regulations, 2013 CFR

2013-07-01

... regulation, section 7:1-3.1 of New Jersey Air Pollution Control Code, submitted on November 20, 1973, by the... regulation, section 7:27-2.1 of the New Jersey Air Pollution Control Code, submitted on November 19, 1975, by... and Prohibition of Air Pollution by Volatile Organic Substances,” New Jersey Administrative Code (N.J...

1 CFR 5.5 - Supplement to the Code of Federal Regulations.

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2014-01-01

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1 CFR 5.5 - Supplement to the Code of Federal Regulations.

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2013-01-01

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1 CFR 11.3 - Code of Federal Regulations.

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2012-01-01

... 1 General Provisions 1 2012-01-01 2012-01-01 false Code of Federal Regulations. 11.3 Section 11.3 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER AVAILABILITY OF OFFICE OF THE FEDERAL... complete set of the Code of Federal Regulations is $1,019 per year for the bound, paper edition, or $247...

1 CFR 5.5 - Supplement to the Code of Federal Regulations.

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2012-01-01

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75 FR 61552 - Federal Railroad Administration

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-05

... DEPARTMENT OF TRANSPORTATION Federal Railroad Administration Notice of Informational Filing In accordance with Section 236.913 of Title 49 of the Code of Federal Regulations (CFR), notice is hereby given that the Federal Railroad Administration (FRA) has received an informational filing from the Northeast...

Validation of an algorithm to identify children with biopsy-proven celiac disease from within health administrative data: An assessment of health services utilization patterns in Ontario, Canada

PubMed Central

Chan, Jason; Mack, David R.; Manuel, Douglas G.; Mojaverian, Nassim; de Nanassy, Joseph

2017-01-01

Importance Celiac disease (CD) is a common pediatric illness, and awareness of gluten-related disorders including CD is growing. Health administrative data represents a unique opportunity to conduct population-based surveillance of this chronic condition and assess the impact of caring for children with CD on the health system. Objective The objective of the study was to validate an algorithm based on health administrative data diagnostic codes to accurately identify children with biopsy-proven CD. We also evaluated trends over time in the use of health services related to CD by children in Ontario, Canada. Study design and setting We conducted a retrospective cohort study and validation study of population-based health administrative data in Ontario, Canada. All cases of biopsy-proven CD diagnosed 2005–2011 in Ottawa were identified through chart review from a large pediatric health care center, and linked to the Ontario health administrative data to serve as positive reference standard. All other children living within Ottawa served as the negative reference standard. Case-identifying algorithms based on outpatient physician visits with associated ICD-9 code for CD plus endoscopy billing code were constructed and tested. Sensitivity, specificity, PPV and NPV were tested for each algorithm (with 95% CI). Poisson regression, adjusting for sex and age at diagnosis, was used to explore the trend in outpatient visits associated with a CD diagnostic code from 1995–2011. Results The best algorithm to identify CD consisted of an endoscopy billing claim follow by 1 or more adult or pediatric gastroenterologist encounters after the endoscopic procedure. The sensitivity, specificity, PPV, and NPV for the algorithm were: 70.4% (95% CI 61.1–78.4%), >99.9% (95% CI >99.9->99.9%), 53.3% (95% CI 45.1–61.4%) and >99.9% (95% CI >99.9->99.9%) respectively. It identified 1289 suspected CD cases from Ontario-wide administrative data. There was a 9% annual increase in the use of this combination of CD-associated diagnostic codes in physician billing data (RR 1.09, 95% CI 1.07–1.10, P<0.001). Conclusions With its current structure and variables Ontario health administrative data is not suitable in identifying incident pediatric CD cases. The tested algorithms suffer from poor sensitivity and/or poor PPV, which increase the risk of case misclassification that could lead to biased estimation of CD incidence rate. This study reinforced the importance of validating the codes used to identify cohorts or outcomes when conducting research using health administrative data. PMID:28662204

ISS mapped from ICD-9-CM by a novel freeware versus traditional coding: a comparative study.

PubMed

Di Bartolomeo, Stefano; Tillati, Silvia; Valent, Francesca; Zanier, Loris; Barbone, Fabio

2010-03-31

Injury severity measures are based either on the Abbreviated Injury Scale (AIS) or the International Classification of diseases (ICD). The latter is more convenient because routinely collected by clinicians for administrative reasons. To exploit this advantage, a proprietary program that maps ICD-9-CM into AIS codes has been used for many years. Recently, a program called ICDPIC trauma and developed in the USA has become available free of charge for registered STATA users. We compared the ICDPIC calculated Injury Severity Score (ISS) with the one from direct, prospective AIS coding by expert trauma registrars (dAIS). The administrative records of the 289 major trauma cases admitted to the hospital of Udine-Italy from 1 July 2004 to 30 June 2005 and enrolled in the Italian Trauma Registry were retrieved and ICDPIC-ISS was calculated. The agreement between ICDPIC-ISS and dAIS-ISS was assessed by Cohen's Kappa and Bland-Altman charts. We then plotted the differences between the 2 scores against the ratio between the number of traumatic ICD-9-CM codes and the number of dAIS codes for each patient (DIARATIO). We also compared the absolute differences in ISS among 3 groups identified by DIARATIO. The discriminative power for survival of both scores was finally calculated by ROC curves. The scores matched in 33/272 patients (12.1%, k 0.07) and, when categorized, in 80/272 (22.4%, k 0.09). The Bland-Altman average difference was 6.36 (limits: minus 22.0 to plus 34.7). ICDPIC-ISS of 75 was particularly unreliable. The differences increased (p < 0.01) as DIARATIO increased indicating incomplete administrative coding as a cause of the differences. The area under the curve of ICDPIC-ISS was lower (0.63 vs. 0.76, p = 0.02). Despite its great potential convenience, ICPIC-ISS agreed poorly with its conventionally calculated counterpart. Its discriminative power for survival was also significantly lower. Incomplete ICD-9-CM coding was a main cause of these findings. Because this quality of coding is standard in Italy and probably in other European countries, its effects on the performances of other trauma scores based on ICD administrative data deserve further research. Mapping ICD-9-CM code 862.8 to AIS of 6 is an overestimation.

The usefulness of administrative databases for identifying disease cohorts is increased with a multivariate model.

PubMed

van Walraven, Carl; Austin, Peter C; Manuel, Douglas; Knoll, Greg; Jennings, Allison; Forster, Alan J

2010-12-01

Administrative databases commonly use codes to indicate diagnoses. These codes alone are often inadequate to accurately identify patients with particular conditions. In this study, we determined whether we could quantify the probability that a person has a particular disease-in this case renal failure-using other routinely collected information available in an administrative data set. This would allow the accurate identification of a disease cohort in an administrative database. We determined whether patients in a randomly selected 100,000 hospitalizations had kidney disease (defined as two or more sequential serum creatinines or the single admission creatinine indicating a calculated glomerular filtration rate less than 60 mL/min/1.73 m²). The independent association of patient- and hospitalization-level variables with renal failure was measured using a multivariate logistic regression model in a random 50% sample of the patients. The model was validated in the remaining patients. Twenty thousand seven hundred thirteen patients had kidney disease (20.7%). A diagnostic code of kidney disease was strongly associated with kidney disease (relative risk: 34.4), but the accuracy of the code was poor (sensitivity: 37.9%; specificity: 98.9%). Twenty-nine patient- and hospitalization-level variables entered the kidney disease model. This model had excellent discrimination (c-statistic: 90.1%) and accurately predicted the probability of true renal failure. The probability threshold that maximized sensitivity and specificity for the identification of true kidney disease was 21.3% (sensitivity: 80.0%; specificity: 82.2%). Multiple variables available in administrative databases can be combined to quantify the probability that a person has a particular disease. This process permits accurate identification of a disease cohort in an administrative database. These methods may be extended to other diagnoses or procedures and could both facilitate and clarify the use of administrative databases for research and quality improvement. Copyright © 2010 Elsevier Inc. All rights reserved.

Lack of agreement in pediatric emergency department discharge diagnoses from clinical and administrative data sources.

PubMed

Gorelick, Marc H; Knight, Stacey; Alessandrini, Evaline A; Stanley, Rachel M; Chamberlain, James M; Kuppermann, Nathan; Alpern, Elizabeth R

2007-07-01

Diagnosis information from existing data sources is used commonly for epidemiologic, administrative, and research purposes. The quality of such data for emergency department (ED) visits is unknown. To determine the agreement on final diagnoses between two sources, electronic administrative sources and manually abstracted medical records, for pediatric ED visits, in a multicenter network. This was a cross sectional study at 19 EDs nationwide. The authors obtained data from two sources at each ED during a three-month period in 2003: administrative sources for all visits and abstracted records for randomly selected visits during ten days over the study period. Records were matched using unique identifiers and probabilistic linkage. The authors recorded up to three diagnoses from each abstracted medical record and up to ten for the administrative data source. Diagnoses were grouped into 104 groups using a modification of the Clinical Classification System. A total of 8,860 abstracted records had at least one valid diagnosis code (with a total of 12,895 diagnoses) and were successfully matched to records in the administrative source. Overall, 67% (95% confidence interval = 66% to 68%) of diagnoses from the administrative and abstracted sources were within the same diagnosis group. Agreement varied by site, ranging from 54% to 77%. Agreement varied substantially by diagnosis group; there was no difference by method of linkage. Clustering clinically similar diagnosis groups improved agreement between administrative and abstracted data sources. ED diagnoses retrieved from electronic administrative sources and manual chart review frequently disagree, even if similar diagnosis codes are grouped. Agreement varies by institution and by diagnosis. Further work is needed to improve the accuracy of diagnosis coding; development of a grouping system specific to pediatric emergency care may be beneficial.

Waste certification program plan for Oak Ridge National Laboratory. Revision 2

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

Not Available

1997-09-01

This document defines the waste certification program (WCP) developed for implementation at Oak Ridge National Laboratory (ORNL). The document describes the program structure, logic, and methodology for certification of ORNL wastes. The purpose of the WCP is to provide assurance that wastes are properly characterized and that the Waste Acceptance Criteria (WAC) for receiving facilities are met. The program meets the waste certification requirements for mixed (both radioactive and hazardous) and hazardous [including polychlorinated biphenyls (PCB)] waste. Program activities will be conducted according to ORNL Level 1 document requirements.

Establishment of a New Drug Code for Marihuana Extract. Final rule.

PubMed

2016-12-14

The Drug Enforcement Administration is creating a new Administration Controlled Substances Code Number for "Marihuana Extract." This code number will allow DEA and DEA-registered entities to track quantities of this material separately from quantities of marihuana. This, in turn, will aid in complying with relevant treaty provisions. Under international drug control treaties administered by the United Nations, some differences exist between the regulatory controls pertaining to marihuana extract versus those for marihuana and tetrahydrocannabinols. The DEA has previously established separate code numbers for marihuana and for tetrahydrocannabinols, but not for marihuana extract. To better track these materials and comply with treaty provisions, DEA is creating a separate code number for marihuana extract with the following definition: "Meaning an extract containing one or more cannabinoids that has been derived from any plant of the genus Cannabis, other than the separated resin (whether crude or purified) obtained from the plant." Extracts of marihuana will continue to be treated as Schedule I controlled substances.

Administrative data measured surgical site infection probability within 30 days of surgery in elderly patients.

PubMed

van Walraven, Carl; Jackson, Timothy D; Daneman, Nick

2016-09-01

Elderly patients are inordinately affected by surgical site infections (SSIs). This study derived and internally validated a model that used routinely collected health administrative data to measure the probability of SSI in elderly patients within 30 days of surgery. All people exceeding 65 years undergoing surgery from two hospitals with known SSI status were linked to population-based administrative data sets in Ontario, Canada. We used bootstrap methods to create a multivariate model that used health administrative data to predict the probability of SSI. Of 3,436 patients, 177 (5.1%) had an SSI. The Elderly SSI Risk Model included six covariates: number of distinct physician fee codes within 30 days of surgery; presence or absence of a postdischarge prescription for an antibiotic; presence or absence of three diagnostic codes; and a previously derived score that gauged SSI risk based on procedure codes. The model was highly explanatory (Nagelkerke's R 2 , 0.458), strongly discriminative (C statistic, 0.918), and well calibrated (calibration slope, 1). Health administrative data can effectively determine 30-day risk of SSI risk in elderly patients undergoing a broad assortment of surgeries. External validation is necessary before this can be routinely used to monitor SSIs in the elderly. Copyright © 2016 Elsevier Inc. All rights reserved.

Results from the Veterans Health Administration ICD-10-CM/PCS Coding Pilot Study.

PubMed

Weems, Shelley; Heller, Pamela; Fenton, Susan H

2015-01-01

The Veterans Health Administration (VHA) of the US Department of Veterans Affairs has been preparing for the October 1, 2015, conversion to the International Classification of Diseases, Tenth Revision, Clinical Modification and Procedural Coding System (ICD-10-CM/PCS) for more than four years. The VHA's Office of Informatics and Analytics ICD-10 Program Management Office established an ICD-10 Learning Lab to explore expected operational challenges. This study was conducted to determine the effects of the classification system conversion on coding productivity. ICD codes are integral to VHA business processes and are used for purposes such as clinical studies, performance measurement, workload capture, cost determination, Veterans Equitable Resource Allocation (VERA) determination, morbidity and mortality classification, indexing of hospital records by disease and operations, data storage and retrieval, research purposes, and reimbursement. The data collection for this study occurred in multiple VHA sites across several months using standardized methods. It is commonly accepted that coding productivity will decrease with the implementation of ICD-10-CM/PCS. The findings of this study suggest that the decrease will be more significant for inpatient coding productivity (64.5 percent productivity decrease) than for ambulatory care coding productivity (6.7 percent productivity decrease). This study reveals the following important points regarding ICD-10-CM/PCS coding productivity: 1. Ambulatory care ICD-10-CM coding productivity is not expected to decrease as significantly as inpatient ICD-10-CM/PCS coding productivity. 2. Coder training and type of record (inpatient versus outpatient) affect coding productivity. 3. Inpatient coding productivity is decreased when a procedure requiring ICD-10-PCS coding is present. It is highly recommended that organizations perform their own analyses to determine the effects of ICD-10-CM/PCS implementation on coding productivity.

Results from the Veterans Health Administration ICD-10-CM/PCS Coding Pilot Study

PubMed Central

Weems, Shelley; Heller, Pamela; Fenton, Susan H.

2015-01-01

The Veterans Health Administration (VHA) of the US Department of Veterans Affairs has been preparing for the October 1, 2015, conversion to the International Classification of Diseases, Tenth Revision, Clinical Modification and Procedural Coding System (ICD-10-CM/PCS) for more than four years. The VHA's Office of Informatics and Analytics ICD-10 Program Management Office established an ICD-10 Learning Lab to explore expected operational challenges. This study was conducted to determine the effects of the classification system conversion on coding productivity. ICD codes are integral to VHA business processes and are used for purposes such as clinical studies, performance measurement, workload capture, cost determination, Veterans Equitable Resource Allocation (VERA) determination, morbidity and mortality classification, indexing of hospital records by disease and operations, data storage and retrieval, research purposes, and reimbursement. The data collection for this study occurred in multiple VHA sites across several months using standardized methods. It is commonly accepted that coding productivity will decrease with the implementation of ICD-10-CM/PCS. The findings of this study suggest that the decrease will be more significant for inpatient coding productivity (64.5 percent productivity decrease) than for ambulatory care coding productivity (6.7 percent productivity decrease). This study reveals the following important points regarding ICD-10-CM/PCS coding productivity: Ambulatory care ICD-10-CM coding productivity is not expected to decrease as significantly as inpatient ICD-10-CM/PCS coding productivity.Coder training and type of record (inpatient versus outpatient) affect coding productivity.Inpatient coding productivity is decreased when a procedure requiring ICD-10-PCS coding is present. It is highly recommended that organizations perform their own analyses to determine the effects of ICD-10-CM/PCS implementation on coding productivity. PMID:26396553

25 CFR 11.705 - Removal of executor or administrator.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Removal of executor or administrator. 11.705 Section 11... OFFENSES AND LAW AND ORDER CODE Probate Proceedings § 11.705 Removal of executor or administrator. The Court of Indian Offenses may order the executor or administrator to show cause why he or she should not...

A systematic review of validated methods for identifying transfusion-related ABO incompatibility reactions using administrative and claims data.

PubMed

Carnahan, Ryan M; Kee, Vicki R

2012-01-01

This paper aimed to systematically review algorithms to identify transfusion-related ABO incompatibility reactions in administrative data, with a focus on studies that have examined the validity of the algorithms. A literature search was conducted using PubMed, Iowa Drug Information Service database, and Embase. A Google Scholar search was also conducted because of the difficulty identifying relevant studies. Reviews were conducted by two investigators to identify studies using data sources from the USA or Canada because these data sources were most likely to reflect the coding practices of Mini-Sentinel data sources. One study was found that validated International Classification of Diseases (ICD-9-CM) codes representing transfusion reactions. None of these cases were ABO incompatibility reactions. Several studies consistently used ICD-9-CM code 999.6, which represents ABO incompatibility reactions, and a technical report identified the ICD-10 code for these reactions. One study included the E-code E8760 for mismatched blood in transfusion in the algorithm. Another study reported finding no ABO incompatibility reaction codes in the Healthcare Cost and Utilization Project Nationwide Inpatient Sample database, which contains data of 2.23 million patients who received transfusions, raising questions about the sensitivity of administrative data for identifying such reactions. Two studies reported perfect specificity, with sensitivity ranging from 21% to 83%, for the code identifying allogeneic red blood cell transfusions in hospitalized patients. There is no information to assess the validity of algorithms to identify transfusion-related ABO incompatibility reactions. Further information on the validity of algorithms to identify transfusions would also be useful. Copyright © 2012 John Wiley & Sons, Ltd.

Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework.

PubMed

Kelly, Kandace; Harrington, Linda; Matos, Pat; Turner, Barbara; Johnson, Constance

2016-01-01

Bar-code medication administration (BCMA) effectiveness is contingent upon compliance with best-practice protocols. We developed a 4-phased BCMA evaluation program to evaluate the degree of integration of current evidence into BCMA policies, procedures, and practices; identify barriers to best-practice BCMA use; and modify BCMA practice in concert with changes to the practice environment. This program provides an infrastructure for frontline nurses to partner with hospital leaders to continually evaluate and improve BCMA using a systematic process.

21 CFR 201.2 - Drugs and devices; National Drug Code numbers.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 21 Food and Drugs 4 2014-04-01 2014-04-01 false Drugs and devices; National Drug Code numbers. 201.2 Section 201.2 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL LABELING General Labeling Provisions § 201.2 Drugs and devices; National Drug Code...

21 CFR 201.2 - Drugs and devices; National Drug Code numbers.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 4 2012-04-01 2012-04-01 false Drugs and devices; National Drug Code numbers. 201.2 Section 201.2 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL LABELING General Labeling Provisions § 201.2 Drugs and devices; National Drug Code...

21 CFR 201.2 - Drugs and devices; National Drug Code numbers.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 4 2011-04-01 2011-04-01 false Drugs and devices; National Drug Code numbers. 201.2 Section 201.2 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL LABELING General Labeling Provisions § 201.2 Drugs and devices; National Drug Code...

21 CFR 201.2 - Drugs and devices; National Drug Code numbers.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 4 2013-04-01 2013-04-01 false Drugs and devices; National Drug Code numbers. 201.2 Section 201.2 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL LABELING General Labeling Provisions § 201.2 Drugs and devices; National Drug Code...

21 CFR 201.2 - Drugs and devices; National Drug Code numbers.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Drugs and devices; National Drug Code numbers. 201.2 Section 201.2 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL LABELING General Labeling Provisions § 201.2 Drugs and devices; National Drug Code...

Hateful Help--A Practical Look at the Issue of Hate Speech.

ERIC Educational Resources Information Center

Shelton, Michael W.

Many college and university administrators have responded to the recent increase in hateful incidents on campus by putting hate speech codes into place. The establishment of speech codes has sparked a heated debate over the impact that such codes have upon free speech and First Amendment values. Some commentators have suggested that viewing hate…

21 CFR 19.6 - Code of ethics for government service.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 1 2011-04-01 2011-04-01 false Code of ethics for government service. 19.6 Section 19.6 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL STANDARDS OF CONDUCT AND CONFLICTS OF INTEREST General Provisions § 19.6 Code of ethics for government...

21 CFR 19.6 - Code of ethics for government service.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 1 2012-04-01 2012-04-01 false Code of ethics for government service. 19.6 Section 19.6 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL STANDARDS OF CONDUCT AND CONFLICTS OF INTEREST General Provisions § 19.6 Code of ethics for government...

21 CFR 19.6 - Code of ethics for government service.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 21 Food and Drugs 1 2014-04-01 2014-04-01 false Code of ethics for government service. 19.6 Section 19.6 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL STANDARDS OF CONDUCT AND CONFLICTS OF INTEREST General Provisions § 19.6 Code of ethics for government...

21 CFR 19.6 - Code of ethics for government service.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 1 2013-04-01 2013-04-01 false Code of ethics for government service. 19.6 Section 19.6 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL STANDARDS OF CONDUCT AND CONFLICTS OF INTEREST General Provisions § 19.6 Code of ethics for government...

75 FR 33992 - Interest and Penalty Suspension Provisions Under Section 6404(g) of the Internal Revenue Code

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-16

... Interest and Penalty Suspension Provisions Under Section 6404(g) of the Internal Revenue Code AGENCY.... SUMMARY: This document contains final regulations under section 6404(g)(2)(E) of the Internal Revenue Code... Procedure and Administration Regulations (26 CFR part 301) by adding rules under section 6404(g) relating to...

28 CFR 16.48 - Preservation of records.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Preservation of records. 16.48 Section 16.48 Judicial Administration DEPARTMENT OF JUSTICE PRODUCTION OR DISCLOSURE OF MATERIAL OR INFORMATION... authorized by title 44 of the United States Code or the National Archives and Records Administration's...

28 CFR 16.10 - Preservation of records.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Preservation of records. 16.10 Section 16.10 Judicial Administration DEPARTMENT OF JUSTICE PRODUCTION OR DISCLOSURE OF MATERIAL OR INFORMATION... title 44 of the United States Code or the National Archives and Records Administration's General Records...

Reference Materials and Subject Matter Knowledge Codes for Airman Knowledge Testing

DOT National Transportation Integrated Search

2004-06-08

The listings of reference materials and subject matter knowledge codes have been : prepared by the Federal Aviation Administration (FAA) to establish specific : references for all knowledge standards. The listings contain reference materials : to be ...

A validated case definition for chronic rhinosinusitis in administrative data: a Canadian perspective.

PubMed

Rudmik, Luke; Xu, Yuan; Kukec, Edward; Liu, Mingfu; Dean, Stafford; Quan, Hude

2016-11-01

Pharmacoepidemiological research using administrative databases has become increasingly popular for chronic rhinosinusitis (CRS); however, without a validated case definition the cohort evaluated may be inaccurate resulting in biased and incorrect outcomes. The objective of this study was to develop and validate a generalizable administrative database case definition for CRS using International Classification of Diseases, 9th edition (ICD-9)-coded claims. A random sample of 100 patients with a guideline-based diagnosis of CRS and 100 control patients were selected and then linked to a Canadian physician claims database from March 31, 2010, to March 31, 2015. The proportion of CRS ICD-9-coded claims (473.x and 471.x) for each of these 200 patients were reviewed and the validity of 7 different ICD-9-based coding algorithms was evaluated. The CRS case definition of ≥2 claims with a CRS ICD-9 code (471.x or 473.x) within 2 years of the reference case provides a balanced validity with a sensitivity of 77% and specificity of 79%. Applying this CRS case definition to the claims database produced a CRS cohort of 51,000 patients with characteristics that were consistent with published demographics and rates of comorbid asthma, allergic rhinitis, and depression. This study has validated several coding algorithms; based on the results a case definition of ≥2 physician claims of CRS (ICD-9 of 471.x or 473.x) within 2 years provides an optimal level of validity. Future studies will need to validate this administrative case definition from different health system perspectives and using larger retrospective chart reviews from multiple providers. © 2016 ARS-AAOA, LLC.

Transition to international classification of disease version 10, clinical modification: the impact on internal medicine and internal medicine subspecialties.

PubMed

Caskey, Rachel N; Abutahoun, Angelos; Polick, Anne; Barnes, Michelle; Srivastava, Pavan; Boyd, Andrew D

2018-05-04

The US health care system uses diagnostic codes for billing and reimbursement as well as quality assessment and measuring clinical outcomes. The US transitioned to the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) on October, 2015. Little is known about the impact of ICD-10-CM on internal medicine and medicine subspecialists. We used a state-wide data set from Illinois Medicaid specified for Internal Medicine providers and subspecialists. A total of 3191 ICD-9-CM codes were used for 51,078 patient encounters, for a total cost of US $26,022,022 for all internal medicine. We categorized all of the ICD-9-CM codes based on the complexity of mapping to ICD-10-CM as codes with complex mapping could result in billing or administrative errors during the transition. Codes found to have complex mapping and frequently used codes (n = 295) were analyzed for clinical accuracy of mapping to ICD-10-CM. Each subspecialty was analyzed for complexity of codes used and proportion of reimbursement associated with complex codes. Twenty-five percent of internal medicine codes have convoluted mapping to ICD-10-CM, which represent 22% of Illinois Medicaid patients, and 30% of reimbursements. Rheumatology and Endocrinology had the greatest proportion of visits and reimbursement associated with complex codes. We found 14.5% of ICD-9-CM codes used by internists, when mapped to ICD-10-CM, resulted in potential clinical inaccuracies. We identified that 43% of diagnostic codes evaluated and used by internists and that account for 14% of internal medicine reimbursements are associated with codes which could result in administrative errors.

78 FR 75446 - Notice of Availability of Draft Guidance on the Application of United States Code to Corridor...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-11

... DEPARTMENT OF TRANSPORTATION Federal Transit Administration [Docket Number: FTA-2013-0019] Notice... and Request for Comment AGENCY: Federal Transit Administration (FTA), DOT. ACTION: Notice of availability; request for comment. SUMMARY: The Federal Transit Administration (FTA) announces the availability...

77 FR 23291 - Investigations Regarding Certifications of Eligibility To Apply for Worker Adjustment Assistance

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-18

.... Credentialing Administration (Company). [FR Doc. 2012-9247 Filed 4-17-12; 8:45 am] BILLING CODE 4510-FN-P ... DEPARTMENT OF LABOR Employment and Training Administration Investigations Regarding Certifications... Assistance, Employment and Training Administration, has instituted investigations pursuant to Section 221 (a...

4 CFR 5.4 - Pay administration.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 4 Accounts 1 2010-01-01 2010-01-01 false Pay administration. 5.4 Section 5.4 Accounts GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL SYSTEM COMPENSATION § 5.4 Pay administration. The provisions of chapter 55 of title 5, U.S. Code and the Office of Personnel Management implementing regulations apply to Government...

The neural correlates of volitional attention: A combined fMRI and ERP study.

PubMed

Bengson, Jesse J; Kelley, Todd A; Mangun, George R

2015-07-01

Studies of visual-spatial attention typically use instructional cues to direct attention to a relevant location, but in everyday vision, attention is often focused volitionally, in the absence of external signals. Although investigations of cued attention comprise hundreds of behavioral and physiological studies, remarkably few studies of voluntary attention have addressed the challenging question of how spatial attention is initiated and controlled in the absence of external instructions, which we refer to as willed attention. To explore this question, we employed a trial-by-trial spatial attention task using electroencephalography and functional magnetic resonance imaging (fMRI). The fMRI results reveal a unique network of brain regions for willed attention that includes the anterior cingulate cortex, left middle frontal gyrus (MFG), and the left and right anterior insula (AI). We also observed two event-related potentials (ERPs) associated with willed attention; one with a frontal distribution occurring 250-350 ms postdecision cue onset (EWAC: Early Willed Attention Component), and another occurring between 400 and 800 ms postdecision-cue onset (WAC: Willed Attention Component). In addition, each ERP component uniquely correlated across subjects with different willed attention-specific sites of BOLD activation. The EWAC was correlated with the willed attention-specific left AI and left MFG activations and the later WAC was correlated only with left AI. These results offer a comprehensive and novel view of the electrophysiological and anatomical profile of willed attention and further illustrate the relationship between scalp-recorded ERPs and the BOLD response. © 2015 Wiley Periodicals, Inc.

The Absolute Reflectance and New Calibration Site of the Moon

NASA Astrophysics Data System (ADS)

Wu, Yunzhao; Wang, Zhenchao; Cai, Wei; Lu, Yu

2018-05-01

How bright the Moon is forms a simple but fundamental and important question. Although numerous efforts have been made to answer this question such as use of sophisticated electro-optical measurements and suggestions for calibration sites, the answer is still debated. An in situ measurement with a calibration panel on the surface of the Moon is crucial for obtaining the accurate absolute reflectance and resolving the debate. China’s Chang’E-3 (CE-3) “Yutu” rover accomplished this type of measurement using the Visible-Near Infrared Spectrometer (VNIS). The measurements of the VNIS, which were at large emission and phase angles, complement existing measurements for the range of photometric geometry. The in situ reflectance shows that the CE-3 landing site is very dark with an average reflectance of 3.86% in the visible bands. The results are compared with recent mission instruments: the Lunar Reconnaissance Orbiter Camera (LROC) Wide Angle Camera (WAC), the Spectral Profiler (SP) on board the SELENE, the Moon Mineralogy Mapper (M3) on board the Chandrayaan-1, and the Chang’E-1 Interference Imaging Spectrometer (IIM). The differences in the measurements of these instruments are very large and indicate inherent differences in their absolute calibration. The M3 and IIM measurements are smaller than LROC WAC and SP, and the VNIS measurement falls between these two pairs. When using the Moon as a radiance source for the on-orbit calibration of spacecraft instruments, one should be cautious about the data. We propose that the CE-3 landing site, a young and homogeneous surface, should serve as the new calibration site.

Some physical and functional properties of finger millet (Eleusine coracana) obtained in sub-Saharan Africa.

PubMed

Ramashia, S E; Gwata, E T; Meddows-Taylor, S; Anyasi, T A; Jideani, A I O

2018-02-01

The study determined the physical properties of finger millet (FM) (Eluesine coracana) grains and the functional properties of FM flour. Physical properties such as colour attributes, sample weight, bulk density, true density, porosity, surface area, sample volume, aspect ratio, sphericity, dimensional properties and moisture content of grain cultivars were determined. Water absorption capacity (WAC), bulk density (BD), dispersibility, viscosity and micro-structure of FM flours were also evaluated. Data collected were analyzed using SPSS statistical software version 23.0. Results showed that milky cream cultivar was significantly higher (p<0.05) than other samples in sample weight, bulk density, true density, aspect ratio and sphericity. However, pearl millet, used as a control, was significantly different from FM flour on all dimensional properties. Moisture content of milky cream showed higher significant difference for both grains and flours as compared to brown and black grain/flours. Milky cream cultivar was significantly different in L*, b*, C*, H* values, WAC, BD and dispersibility for both FM grains and flours. Data showed that brown flour was significantly higher in viscosity than in milky and black flours. Microstructure results revealed that starch granules of raw FM flours had oval/spherical and smooth surface. The study is important for agricultural and food engineers, designers, scientists and processors in the design of equipment for FM grain processing. Results are likely to be useful in assessing the quality of grains used to fortify FM flour. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Spectral methods to detect cometary minerals with OSIRIS on board Rosetta

NASA Astrophysics Data System (ADS)

Oklay, N.; Vincent, J.-B.; Sierks, H.

2013-09-01

Comet 67P/Churyumov-Gerasimenko is going to be observed by the OSIRIS scientific imager (Keller et al. 2007) on board ESA's spacecraft Rosetta in the wavelength range of 250-1000 nm with a combination of 12 filters for the narrow angle camera (NAC) and 14 combination of 12 filters for the narrow angle camera (NAC) and 14 filters in the wavelength range of 240-720 nm for the wide angle camera (WAC). NAC filters are suitable to surface composition studies, while WAC filters are designed for gas and radical emission studies. In order to investigate the composition of the comet surface from the observed images, we need to understand how to detect different minerals and which compositional information can be derived from the NAC filters. Therefore, the most common cometary silicates e.g. enstatite, forsterite are investigated with two hydrated silicates (serpentine and smectite) for the determina- tion of the spectral methods. Laboratory data of those selected minerals are collected from RELAB database (http://www.planetary.brown.edu/relabdocs/relab.htm) and absolute spectra of the minerals observed by OSIRIS NAC filters are calculated. Due to the limited spectral range of the laboratory data, Far-UV and Neutral density filters of NAC are excluded from this analysis. Considered NAC filters in this study are represented in Table 1 and the number of collected laboratory data are presented in Table 2. Detection and separation of the minerals will not only allow us to study the surface composition but also to study observed composition changes due to the cometary activity during the mission.

Sublimation of icy aggregates in the coma of comet 67P/Churyumov-Gerasimenko detected with the OSIRIS cameras on board Rosetta

NASA Astrophysics Data System (ADS)

Gicquel, A.; Vincent, J.-B.; Agarwal, J.; A'Hearn, M. F.; Bertini, I.; Bodewits, D.; Sierks, H.; Lin, Z.-Y.; Barbieri, C.; Lamy, P. L.; Rodrigo, R.; Koschny, D.; Rickman, H.; Keller, H. U.; Barucci, M. A.; Bertaux, J.-L.; Besse, S.; Cremonese, G.; Da Deppo, V.; Davidsson, B.; Debei, S.; Deller, J.; De Cecco, M.; Frattin, E.; El-Maarry, M. R.; Fornasier, S.; Fulle, M.; Groussin, O.; Gutiérrez, P. J.; Gutiérrez-Marquez, P.; Güttler, C.; Höfner, S.; Hofmann, M.; Hu, X.; Hviid, S. F.; Ip, W.-H.; Jorda, L.; Knollenberg, J.; Kovacs, G.; Kramm, J.-R.; Kührt, E.; Küppers, M.; Lara, L. M.; Lazzarin, M.; Moreno, J. J. Lopez; Lowry, S.; Marzari, F.; Masoumzadeh, N.; Massironi, M.; Moreno, F.; Mottola, S.; Naletto, G.; Oklay, N.; Pajola, M.; Pommerol, A.; Preusker, F.; Scholten, F.; Shi, X.; Thomas, N.; Toth, I.; Tubiana, C.

2016-11-01

Beginning in 2014 March, the OSIRIS (Optical, Spectroscopic, and Infrared Remote Imaging System) cameras began capturing images of the nucleus and coma (gas and dust) of comet 67P/Churyumov-Gerasimenko using both the wide angle camera (WAC) and the narrow angle camera (NAC). The many observations taken since July of 2014 have been used to study the morphology, location, and temporal variation of the comet's dust jets. We analysed the dust monitoring observations shortly after the southern vernal equinox on 2015 May 30 and 31 with the WAC at the heliocentric distance Rh = 1.53 AU, where it is possible to observe that the jet rotates with the nucleus. We found that the decline of brightness as a function of the distance of the jet is much steeper than the background coma, which is a first indication of sublimation. We adapted a model of sublimation of icy aggregates and studied the effect as a function of the physical properties of the aggregates (composition and size). The major finding of this paper was that through the sublimation of the aggregates of dirty grains (radius a between 5 and 50 μm) we were able to completely reproduce the radial brightness profile of a jet beyond 4 km from the nucleus. To reproduce the data, we needed to inject a number of aggregates between 8.5 × 1013 and 8.5 × 1010 for a = 5 and 50 μm, respectively, or an initial mass of H2O ice around 22 kg.

26 CFR 301.7701-17T - Collective-bargaining plans and agreements (temporary).

Code of Federal Regulations, 2010 CFR

2010-04-01

... TREASURY (CONTINUED) PROCEDURE AND ADMINISTRATION PROCEDURE AND ADMINISTRATION Definitions § 301.7701-17T... of 1984, the Internal Revenue Code provided no clear definition of an employee representative or...

Incidence of Appendicitis over Time: A Comparative Analysis of an Administrative Healthcare Database and a Pathology-Proven Appendicitis Registry

PubMed Central

Clement, Fiona; Zimmer, Scott; Dixon, Elijah; Ball, Chad G.; Heitman, Steven J.; Swain, Mark; Ghosh, Subrata

2016-01-01

Importance At the turn of the 21st century, studies evaluating the change in incidence of appendicitis over time have reported inconsistent findings. Objectives We compared the differences in the incidence of appendicitis derived from a pathology registry versus an administrative database in order to validate coding in administrative databases and establish temporal trends in the incidence of appendicitis. Design We conducted a population-based comparative cohort study to identify all individuals with appendicitis from 2000 to2008. Setting & Participants Two population-based data sources were used to identify cases of appendicitis: 1) a pathology registry (n = 8,822); and 2) a hospital discharge abstract database (n = 10,453). Intervention & Main Outcome The administrative database was compared to the pathology registry for the following a priori analyses: 1) to calculate the positive predictive value (PPV) of administrative codes; 2) to compare the annual incidence of appendicitis; and 3) to assess differences in temporal trends. Temporal trends were assessed using a generalized linear model that assumed a Poisson distribution and reported as an annual percent change (APC) with 95% confidence intervals (CI). Analyses were stratified by perforated and non-perforated appendicitis. Results The administrative database (PPV = 83.0%) overestimated the incidence of appendicitis (100.3 per 100,000) when compared to the pathology registry (84.2 per 100,000). Codes for perforated appendicitis were not reliable (PPV = 52.4%) leading to overestimation in the incidence of perforated appendicitis in the administrative database (34.8 per 100,000) as compared to the pathology registry (19.4 per 100,000). The incidence of appendicitis significantly increased over time in both the administrative database (APC = 2.1%; 95% CI: 1.3, 2.8) and pathology registry (APC = 4.1; 95% CI: 3.1, 5.0). Conclusion & Relevance The administrative database overestimated the incidence of appendicitis, particularly among perforated appendicitis. Therefore, studies utilizing administrative data to analyze perforated appendicitis should be interpreted cautiously. PMID:27820826

45 CFR Appendix B to Part 73 - Code of Ethics for Government Service

Code of Federal Regulations, 2013 CFR

2013-10-01

... 45 Public Welfare 1 2013-10-01 2013-10-01 false Code of Ethics for Government Service B Appendix B to Part 73 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION STANDARDS OF CONDUCT Pt. 73, App. B Appendix B to Part 73—Code of Ethics for Government Service Any person in...

45 CFR Appendix B to Part 73 - Code of Ethics for Government Service

Code of Federal Regulations, 2012 CFR

2012-10-01

... 45 Public Welfare 1 2012-10-01 2012-10-01 false Code of Ethics for Government Service B Appendix B to Part 73 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION STANDARDS OF CONDUCT Pt. 73, App. B Appendix B to Part 73—Code of Ethics for Government Service Any person in...

45 CFR Appendix B to Part 73 - Code of Ethics for Government Service

Code of Federal Regulations, 2014 CFR

2014-10-01

... 45 Public Welfare 1 2014-10-01 2014-10-01 false Code of Ethics for Government Service B Appendix B to Part 73 Public Welfare Department of Health and Human Services GENERAL ADMINISTRATION STANDARDS OF CONDUCT Pt. 73, App. B Appendix B to Part 73—Code of Ethics for Government Service Any person in...

45 CFR Appendix B to Part 73 - Code of Ethics for Government Service

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 Public Welfare 1 2011-10-01 2011-10-01 false Code of Ethics for Government Service B Appendix B to Part 73 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION STANDARDS OF CONDUCT Pt. 73, App. B Appendix B to Part 73—Code of Ethics for Government Service Any person in...

45 CFR Appendix B to Part 73 - Code of Ethics for Government Service

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Code of Ethics for Government Service B Appendix B to Part 73 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION STANDARDS OF CONDUCT Pt. 73, App. B Appendix B to Part 73—Code of Ethics for Government Service Any person in...

The diagnosis related groups enhanced electronic medical record.

PubMed

Müller, Marcel Lucas; Bürkle, Thomas; Irps, Sebastian; Roeder, Norbert; Prokosch, Hans-Ulrich

2003-07-01

The introduction of Diagnosis Related Groups as a basis for hospital payment in Germany announced essential changes in the hospital reimbursement practice. A hospital's economical survival will depend vitally on the accuracy and completeness of the documentation of DRG relevant data like diagnosis and procedure codes. In order to enhance physicians' coding compliance, an easy-to-use interface integrating coding tasks seamlessly into clinical routine had to be developed. A generic approach should access coding and clinical guidelines from different information sources. Within the Electronic Medical Record (EMR) a user interface ('DRG Control Center') for all DRG relevant clinical and administrative data has been built. A comprehensive DRG-related web site gives online access to DRG grouping software and an electronic coding expert. Both components are linked together using an application supporting bi-directional communication. Other web based services like a guideline search engine can be integrated as well. With the proposed method, the clinician gains quick access to context sensitive clinical guidelines for appropriate treatment of his/her patient and administrative guidelines for the adequate coding of the diagnoses and procedures. This paper describes the design and current implementation and discusses our experiences.

NAICS Sector 92: Public Administration

EPA Pesticide Factsheets

Find the public administration industries EPA regulations affect, with their North American Industry Classification System (NAICS) code. On those pages you can find a list of laws and regulations that affect your industry as well as compliance information

A systematic review of validated methods for identifying anaphylaxis, including anaphylactic shock and angioneurotic edema, using administrative and claims data.

PubMed

Schneider, Gary; Kachroo, Sumesh; Jones, Natalie; Crean, Sheila; Rotella, Philip; Avetisyan, Ruzan; Reynolds, Matthew W

2012-01-01

The Food and Drug Administration's Mini-Sentinel pilot program initially aims to conduct active surveillance to refine safety signals that emerge for marketed medical products. A key facet of this surveillance is to develop and understand the validity of algorithms for identifying health outcomes of interest from administrative and claims data. This article summarizes the process and findings of the algorithm review of anaphylaxis. PubMed and Iowa Drug Information Service searches were conducted to identify citations applicable to the anaphylaxis health outcome of interest. Level 1 abstract reviews and Level 2 full-text reviews were conducted to find articles using administrative and claims data to identify anaphylaxis and including validation estimates of the coding algorithms. Our search revealed limited literature focusing on anaphylaxis that provided administrative and claims data-based algorithms and validation estimates. Only four studies identified via literature searches provided validated algorithms; however, two additional studies were identified by Mini-Sentinel collaborators and were incorporated. The International Classification of Diseases, Ninth Revision, codes varied, as did the positive predictive value, depending on the cohort characteristics and the specific codes used to identify anaphylaxis. Research needs to be conducted on designing validation studies to test anaphylaxis algorithms and estimating their predictive power, sensitivity, and specificity. Copyright © 2012 John Wiley & Sons, Ltd.

Investigating at the Moon With new Eyes: The Lunar Reconnaissance Orbiter Mission Camera (LROC)

NASA Astrophysics Data System (ADS)

Hiesinger, H.; Robinson, M. S.; McEwen, A. S.; Turtle, E. P.; Eliason, E. M.; Jolliff, B. L.; Malin, M. C.; Thomas, P. C.

The Lunar Reconnaissance Orbiter Mission Camera (LROC) H. Hiesinger (1,2), M.S. Robinson (3), A.S. McEwen (4), E.P. Turtle (4), E.M. Eliason (4), B.L. Jolliff (5), M.C. Malin (6), and P.C. Thomas (7) (1) Brown Univ., Dept. of Geological Sciences, Providence RI 02912, Harald_Hiesinger@brown.edu, (2) Westfaelische Wilhelms-University, (3) Northwestern Univ., (4) LPL, Univ. of Arizona, (5) Washington Univ., (6) Malin Space Science Systems, (7) Cornell Univ. The Lunar Reconnaissance Orbiter (LRO) mission is scheduled for launch in October 2008 as a first step to return humans to the Moon by 2018. The main goals of the Lunar Reconnaissance Orbiter Camera (LROC) are to: 1) assess meter and smaller- scale features for safety analyses for potential lunar landing sites near polar resources, and elsewhere on the Moon; and 2) acquire multi-temporal images of the poles to characterize the polar illumination environment (100 m scale), identifying regions of permanent shadow and permanent or near permanent illumination over a full lunar year. In addition, LROC will return six high-value datasets such as 1) meter-scale maps of regions of permanent or near permanent illumination of polar massifs; 2) high resolution topography through stereogrammetric and photometric stereo analyses for potential landing sites; 3) a global multispectral map in 7 wavelengths (300-680 nm) to characterize lunar resources, in particular ilmenite; 4) a global 100-m/pixel basemap with incidence angles (60-80 degree) favorable for morphologic interpretations; 5) images of a variety of geologic units at sub-meter resolution to investigate physical properties and regolith variability; and 6) meter-scale coverage overlapping with Apollo Panoramic images (1-2 m/pixel) to document the number of small impacts since 1971-1972, to estimate hazards for future surface operations. LROC consists of two narrow-angle cameras (NACs) which will provide 0.5-m scale panchromatic images over a 5-km swath, a wide-angle camera (WAC) to acquire images at about 100 m/pixel in seven color bands over a 100-km swath, and a common Sequence and Compressor System (SCS). Each NAC has a 700-mm-focal-length optic that images onto a 5000-pixel CCD line-array, providing a cross-track field-of-view (FOV) of 2.86 degree. The NAC readout noise is better than 100 e- , and the data are sampled at 12 bits. Its internal buffer holds 256 MB of uncompressed data, enough for a full-swath image 25-km long or a 2x2 binned image 100-km long. The WAC has two 6-mm- focal-length lenses imaging onto the same 1000 x 1000 pixel, electronically shuttered CCD area-array, one imaging in the visible/near IR, and the other in the UV. Each has a cross-track FOV of 90 degree. From the nominal 50-km orbit, the WAC will have a resolution of 100 m/pixel in the visible, and a swath width of ˜100 km. The seven-band color capability of the WAC is achieved by color filters mounted directly 1 over the detector, providing different sections of the CCD with different filters [1]. The readout noise is less than 40 e- , and, as with the NAC, pixel values are digitized to 12-bits and may be subsequently converted to 8-bit values. The total mass of the LROC system is about 12 kg; the total LROC power consumption averages at 22 W (30 W peak). Assuming a downlink with lossless compression, LRO will produce a total of 20 TeraBytes (TB) of raw data. Production of higher-level data products will result in a total of 70 TB for Planetary Data System (PDS) archiving, 100 times larger than any previous missions. [1] Malin et al., JGR, 106, 17651-17672, 2001. 2

28 CFR 802.4 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Administration COURT SERVICES AND OFFENDER SUPERVISION AGENCY FOR THE DISTRICT OF COLUMBIA DISCLOSURE OF RECORDS... proprietary interest in the information. (e) Computer software means tools by which records are created, stored, and retrieved. Normally, computer software, including source code, object code, and listings of...

76 FR 12847 - Change of Address; Requests for Exemption From the Bar Code Label Requirements

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-09

... INFORMATION CONTACT: Rikin Mehta, Center for Drug Evaluation and Research, Food and Drug Administration, 10903... and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Silver Spring, MD... Evaluation and Research, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 51, Silver Spring, MD...

77 FR 65490 - Approval and Promulgation of Air Quality Implementation Plans; Virginia; Fredericksburg 8-Hour...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-29

..., authorization or approval.'' Virginia's Immunity law, Va. Code Sec. 10.1-1199, provides that ``[t]o the extent... administrative order is granted immunity from administrative or civil penalty. The Attorney General's January 12... Federally authorized programs, since ``no immunity could be afforded from administrative, civil, or criminal...

77 FR 75380 - Approval and Promulgation of Air Quality Implementation Plans; Virginia; Permits for Major...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-20

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76 FR 58116 - Approval and Promulgation of Air Quality Implementation Plans; District of Columbia, Maryland...

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2011-09-20

..., authorization or approval.'' Virginia's Immunity law, Va. Code Sec. 10.1-1199, provides that ``[t]o the extent... administrative order is granted immunity from administrative or civil penalty. The Attorney General's January 12... Federally authorized programs, since ``no immunity could be afforded from administrative, civil, or criminal...

77 FR 45304 - Approval and Promulgation of Air Quality Implementation Plans; Virginia; The 2002 Base Year...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-31

..., authorization or approval.'' Virginia's Immunity law, Va. Code Sec. 10.1-1199, provides that ``[t]o the extent... administrative order is granted immunity from administrative or civil penalty. The Attorney General's January 12... Federally authorized programs, since ``no immunity could be afforded from administrative, civil, or criminal...

78 FR 19421 - Approval and Promulgation of Air Quality Implementation Plans; Virginia; Transportation...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-01

..., authorization or approval.'' Virginia's Immunity law, Va. Code Sec. 10.1-1199, provides that ``[t]o the extent... administrative order is granted immunity from administrative or civil penalty. The Attorney General's January 12... Federally authorized programs, since ``no immunity could be afforded from administrative, civil, or criminal...

75 FR 11738 - Approval and Promulgation of Air Quality Implementation Plans; Virginia; Revision to Clean Air...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-12

..., authorization or approval.'' Virginia's Immunity law, Va. Code Section 10.1-1199, provides that ``[t]o the... administrative order is granted immunity from administrative or civil penalty. The Attorney General's January 12... enforcement of any Federally authorized programs, since ``no immunity could be afforded from administrative...

76 FR 13511 - Approval and Promulgation of Air Quality Implementation Plans; Virginia; Revisions to the Open...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-14

..., authorization or approval.'' Virginia's Immunity law, Va. Code Section 10.1-1199, provides that ``[t]o the... administrative order is granted immunity from administrative or civil penalty. The Attorney General's January 12... Federally authorized programs, since ``no immunity could be afforded from administrative, civil, or criminal...

76 FR 64823 - Approval and Promulgation of Air Quality Implementation Plans; Virginia; Transportation...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-19

..., authorization or approval.'' Virginia's Immunity law, Va. Code Sec. 10.1-1199, provides that ``[t]o the extent... administrative order is granted immunity from administrative or civil penalty. The Attorney General's January 12... Federally authorized programs, since ``no immunity could be afforded from administrative, civil, or criminal...

77 FR 44149 - Approval and Promulgation of Air Quality Implementation Plans; Virginia; Removal of...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-27

..., authorization or approval.'' Virginia's Immunity law, Va. Code Sec. 10.1-1199, provides that ``[t]o the extent... administrative order is granted immunity from administrative or civil penalty. The Attorney General's January 12... Federally authorized programs, since ``no immunity could be afforded from administrative, civil, or criminal...

An Examination of Differences in Consequences of Punishment among PK-12 School Administrators

ERIC Educational Resources Information Center

Randle, Dawn DuBose

2010-01-01

The purpose of this study was to examine the differences in the administering of punishment procedures for violations of a school district's Code of Student Conduct among school-based administrators. Specifically, this study was concerned with the impact of the socio-demographic variables of: gender, years of administrative experience,…

Validating administrative records in post-traumatic stress disorder.

PubMed

Abrams, Thad E; Vaughan-Sarrazin, Mary; Keane, Terence M; Richardson, Kelly

2016-03-01

There is insufficient data on the accuracy of administrative coding data (ACD) for post-traumatic stress disorder (PTSD). Medical records were reviewed for (1) a diagnosis of PTSD; (2) treatment for PTSD. The records were compared against the Veterans Health Administration (VHA) data in order to determine the positive predictive value (PPV) and negative predictive value (NPV) of three commonly used approaches. The PPV and NPV varied according to the ACD approach. Relative to a medical records review, the ACD approach of one or two PTSD coded outpatient encounters had a PPV of 78% and an NPV of 91%; whereas the PPV was 97% and the NPV was 98% for three or more PTSD codes. For pharmacotherapy, the ACD approach with one or two codes for PTSD had a PPV of 33% (NPV = 93%), whereas three or more PTSD coded encounters improved the PPV to 85% (NPV = 100%). When using VHA data, we recommend tailoring the identification strategy according to the research aims. An ACD approach identifying one or more PTSD outpatient encounters should be considered sufficient for a diagnosis of PTSD. Assessments for PTSD associated pharmacotherapy require using an ACD approach that identifies veterans with the presence ≥ 3 outpatient PTSD encounters. Published 2015. This article is a U.S. Government work and is in the public domain in the USA. Published 2015. This article is a U.S. Government work and is in the public domain in the USA.

Meeting the ambition of measuring the quality of hospitals' stroke care using routinely collected administrative data: a feasibility study.

PubMed

Palmer, William L; Bottle, Alex; Davie, Charlie; Vincent, Charles A; Aylin, Paul

2013-09-01

To examine the potential for using routinely collected administrative data to compare the quality and safety of stroke care at a hospital level, including evaluating any bias due to variations in coding practice. A retrospective cohort study of English hospitals' performance against six process and outcome indicators covering the acute care pathway. We used logistic regression to adjust the outcome measures for case mix. Hospitals in England. Stroke patients (ICD-10 I60-I64) admitted to English National Health Service public acute hospitals between April 2009 and March 2010, accounting for 91 936 admissions. The quality and safety were measured using six indicators spanning the hospital care pathway, from timely access to brain scans to emergency readmissions following discharge after stroke. There were 182 occurrences of hospitals performing statistically differently from the national average at the 99.8% significance level across the six indicators. Differences in coding practice appeared to only partially explain the variation. Hospital administrative data provide a practical and achievable method for evaluating aspects of stroke care across the acute pathway. However, without improvements in coding and further validation, it is unclear whether the cause of the variation is the quality of care or the result of different local care pathways and data coding accuracy.

Integrated Warfighter Biodefense Program (IWBP)

DTIC Science & Technology

2011-08-01

Distribution. Sincerely, Frank T. Abbott VP of Administration & Finance fta @quantumleap.us cc: Dr. Ganesh Vaidyanathan, Project Manager, Code 34...goals of IWBP. Areas of potential application include health care administration, clinical data analysis and health care research applications

76 FR 40765 - Texas Disaster #TX-00378

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-11

... Administrative declaration of a disaster for the State of Texas dated 07/05/2011. Incident: Dyer Mills Fire.... Karen G. Mills, Administrator. [FR Doc. 2011-17326 Filed 7-8-11; 8:45 am] BILLING CODE 8025-01-P ...

78 FR 51809 - Seventh Meeting: RTCA Special Committee 227, Standards of Navigation Performance

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-21

.../Administrative Remarks Agenda Overview Review Committee Status and Revised TORs Datacom Situation and..., Federal Aviation Administration. [FR Doc. 2013-20420 Filed 8-20-13; 8:45 am] BILLING CODE 4910-13-P ...

75 FR 25311 - Requested Administrative Waiver of the Coastwise Trade Laws

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-07

.... ACTION: Invitation for public comments on a requested administrative waiver of the Coastwise Trade Laws... Gurland, Secretary, Maritime Adminstration. [FR Doc. 2010-10903 Filed 5-6-10; 8:45 am] BILLING CODE 4910...

41 CFR 105-72.502 - Codes of conduct.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 41 Public Contracts and Property Management 3 2011-01-01 2011-01-01 false Codes of conduct. 105-72.502 Section 105-72.502 Public Contracts and Property Management Federal Property Management Regulations System (Continued) GENERAL SERVICES ADMINISTRATION Regional Offices-General Services...

41 CFR Appendix C to Chapter 301 - Standard Data Elements for Federal Travel [Traveler Identification

Code of Federal Regulations, 2014 CFR

2014-07-01

... education, in scientific, professional, technical, mechanical, trade, clerical, fiscal, administrative, or... Data Elements for Federal Travel [Accounting & Certification] Group name Data elements Description Accounting Classification Accounting Code Agency accounting code. Non-Federal Source Indicator Per Diem...

Further Analysis of Motorcycle Helmet Effectiveness Using CODES Linked Data

DOT National Transportation Integrated Search

1998-01-01

Linked data from the Crash Outcome Data Evaluation System (CODES) in seven : states was used by the National Highway Traffic Safety Administration as the : basis of a 1996 Report to Congress on the Benefits of Safety Belts and : Motorcycle Helmets (D...

Code of conduct for the International Space Station Crew. National Aeronautics and Space Administration (NASA). Interim final rule.

PubMed

2000-12-21

NASA is issuing new regulations entitled "International Space Station Crew," to implement certain provisions of the International Space Station (ISS) Intergovernmental Agreement (IGA) regarding ISS crewmembers' observance of an ISS Code of Conduct.

Thermodynamic and NMR Studies of Solvent Effect on Enantiomeric Recognition for a Chiral Organiz Ammonium Cation by Chiral Diketopyridino-18- Crown-6 Type Ligands at 25.0 deg C.

DTIC Science & Technology

1994-05-11

analyses, 1H NM&, and JR specPit oscopy. The purities were also determined quantitatively by a thermometric titration technique. 19 By titrting...enantiomers of NapEt with 18- crown-6 (SIGMA Chemical Company, its purity was 99.5% as determined by therm--ometric titration agtains a standard NaBr...isoperibol titration calorimetry at 25.0 - 0.1oC in CACi6CHOH solvent mixtures. The initial solution volume in the dewar was 20 mL Tne calorimeter (wac

NASA sounding rockets, 1958 - 1968: A historical summary

NASA Technical Reports Server (NTRS)

Corliss, W. R.

1971-01-01

The development and use of sounding rockets is traced from the Wac Corporal through the present generation of rockets. The Goddard Space Flight Center Sounding Rocket Program is discussed, and the use of sounding rockets during the IGY and the 1960's is described. Advantages of sounding rockets are identified as their simplicity and payload simplicity, low costs, payload recoverability, geographic flexibility, and temporal flexibility. The disadvantages are restricted time of observation, localized coverage, and payload limitations. Descriptions of major sounding rockets, trends in vehicle usage, and a compendium of NASA sounding rocket firings are also included.

Global Controlled Mosaic of Mercury from MESSENGER Orbital Images

NASA Astrophysics Data System (ADS)

Becker, K. J.; Weller, L. A.; Edmundson, K. L.; Becker, T. L.; Robinson, M. S.; Solomon, S. C.

2011-12-01

The MESSENGER spacecraft entered orbit around Mercury in March 2011. Since then, the Mercury Dual Imaging System (MDIS) has been steadily acquiring images from the monochrome, narrow-angle camera (NAC) and the multispectral, wide-angle camera (WAC). With these images, the U.S. Geological Survey (USGS) is constructing a global, controlled monochrome base map of the planet using the Integrated Software for Imagers and Spectrometers (ISIS3) [1]. Although the characterization of MESSENGER spacecraft's navigation and attitude data has proven to be reliable to date, an element of uncertainty in these parameters is unavoidable. This leads to registration offsets between images in the base map. To minimize these errors, images are controlled using a least-squares bundle adjustment that provides refined spacecraft attitude and position parameters plus triangulated ground coordinates of image tie points. As a first effort, 4542 images (2781 NAC, 1761 WAC G filter) have been controlled with a root mean squared error of 0.25 pixels in image space [2]. A preliminary digital elevation model (DEM) is also being produced from the large number of ground points (~ 47,000) triangulated in this adjustment. The region defined by these points ranges from 80°S to 86°N latitude and 158°E to 358°E longitude. A symmetric, unimodal distribution and a dynamic range of 10.5 km characterize the hypsometry of this area. Minimum, maximum, and mean elevations are -5.0, 5.5, and -0.2 km relative to the mean radius of Mercury (2440 km) as defined by the mission. The USGS will use the DEM and base map for the construction of a registered color (WAC) map of high spatial integrity essential for reliable scientific interpretation of the color data. Ongoing improvements to the base map will be made as new images from MDIS become available, providing continuity in resolution, illumination, and viewing conditions. Additional bundle adjustments will further improve spacecraft attitude. The results from further bundle adjustments will ultimately be provided to users in the form of a new, smithed (derived) CK SPICE [3] kernel (C-matrix subsystem dealing with orientation of spacecraft and rotating structures on the spacecraft), replacing the original reconstructed kernel (typically provided by the mission navigation team). The determination of updated attitude parameters for every image acquired by MDIS is a primary goal of the USGS. [1] Anderson, J. A., et al. (2004) Modernization of the Integrated Software for Imagers and Spectrometers, Lunar Planet. Sci. 35, abstract 2039. [2] Edmundson, K. L., et al. (2011), Preliminary photogrammetric control of MESSENGER orbital images of Mercury, GSA Annual Meeting, submitted. [3] Acton, C. H. (1966), Ancillary data services of NASA's Navigation and Ancillary Information Facility, Planet. Space Sci. 44, 65-70.

Accuracy of Canadian health administrative databases in identifying patients with rheumatoid arthritis: a validation study using the medical records of rheumatologists.

PubMed

Widdifield, Jessica; Bernatsky, Sasha; Paterson, J Michael; Tu, Karen; Ng, Ryan; Thorne, J Carter; Pope, Janet E; Bombardier, Claire

2013-10-01

Health administrative data can be a valuable tool for disease surveillance and research. Few studies have rigorously evaluated the accuracy of administrative databases for identifying rheumatoid arthritis (RA) patients. Our aim was to validate administrative data algorithms to identify RA patients in Ontario, Canada. We performed a retrospective review of a random sample of 450 patients from 18 rheumatology clinics. Using rheumatologist-reported diagnosis as the reference standard, we tested and validated different combinations of physician billing, hospitalization, and pharmacy data. One hundred forty-nine rheumatology patients were classified as having RA and 301 were classified as not having RA based on our reference standard definition (study RA prevalence 33%). Overall, algorithms that included physician billings had excellent sensitivity (range 94-100%). Specificity and positive predictive value (PPV) were modest to excellent and increased when algorithms included multiple physician claims or specialist claims. The addition of RA medications did not significantly improve algorithm performance. The algorithm of "(1 hospitalization RA code ever) OR (3 physician RA diagnosis codes [claims] with ≥1 by a specialist in a 2-year period)" had a sensitivity of 97%, specificity of 85%, PPV of 76%, and negative predictive value of 98%. Most RA patients (84%) had an RA diagnosis code present in the administrative data within ±1 year of a rheumatologist's documented diagnosis date. We demonstrated that administrative data can be used to identify RA patients with a high degree of accuracy. RA diagnosis date and disease duration are fairly well estimated from administrative data in jurisdictions of universal health care insurance. Copyright © 2013 by the American College of Rheumatology.

Exploration of association rule mining for coding consistency and completeness assessment in inpatient administrative health data.

PubMed

Peng, Mingkai; Sundararajan, Vijaya; Williamson, Tyler; Minty, Evan P; Smith, Tony C; Doktorchik, Chelsea T A; Quan, Hude

2018-03-01

Data quality assessment is a challenging facet for research using coded administrative health data. Current assessment approaches are time and resource intensive. We explored whether association rule mining (ARM) can be used to develop rules for assessing data quality. We extracted 2013 and 2014 records from the hospital discharge abstract database (DAD) for patients between the ages of 55 and 65 from five acute care hospitals in Alberta, Canada. The ARM was conducted using the 2013 DAD to extract rules with support ≥0.0019 and confidence ≥0.5 using the bootstrap technique, and tested in the 2014 DAD. The rules were compared against the method of coding frequency and assessed for their ability to detect error introduced by two kinds of data manipulation: random permutation and random deletion. The association rules generally had clear clinical meanings. Comparing 2014 data to 2013 data (both original), there were 3 rules with a confidence difference >0.1, while coding frequency difference of codes in the right hand of rules was less than 0.004. After random permutation of 50% of codes in the 2014 data, average rule confidence dropped from 0.72 to 0.27 while coding frequency remained unchanged. Rule confidence decreased with the increase of coding deletion, as expected. Rule confidence was more sensitive to code deletion compared to coding frequency, with slope of change ranging from 1.7 to 184.9 with a median of 9.1. The ARM is a promising technique to assess data quality. It offers a systematic way to derive coding association rules hidden in data, and potentially provides a sensitive and efficient method of assessing data quality compared to standard methods. Copyright © 2018 Elsevier Inc. All rights reserved.

Color-Coded Prefilled Medication Syringes Decrease Time to Delivery and Dosing Error in Simulated Emergency Department Pediatric Resuscitations.

PubMed

Moreira, Maria E; Hernandez, Caleb; Stevens, Allen D; Jones, Seth; Sande, Margaret; Blumen, Jason R; Hopkins, Emily; Bakes, Katherine; Haukoos, Jason S

2015-08-01

The Institute of Medicine has called on the US health care system to identify and reduce medical errors. Unfortunately, medication dosing errors remain commonplace and may result in potentially life-threatening outcomes, particularly for pediatric patients when dosing requires weight-based calculations. Novel medication delivery systems that may reduce dosing errors resonate with national health care priorities. Our goal was to evaluate novel, prefilled medication syringes labeled with color-coded volumes corresponding to the weight-based dosing of the Broselow Tape, compared with conventional medication administration, in simulated pediatric emergency department (ED) resuscitation scenarios. We performed a prospective, block-randomized, crossover study in which 10 emergency physician and nurse teams managed 2 simulated pediatric arrest scenarios in situ, using either prefilled, color-coded syringes (intervention) or conventional drug administration methods (control). The ED resuscitation room and the intravenous medication port were video recorded during the simulations. Data were extracted from video review by blinded, independent reviewers. Median time to delivery of all doses for the conventional and color-coded delivery groups was 47 seconds (95% confidence interval [CI] 40 to 53 seconds) and 19 seconds (95% CI 18 to 20 seconds), respectively (difference=27 seconds; 95% CI 21 to 33 seconds). With the conventional method, 118 doses were administered, with 20 critical dosing errors (17%); with the color-coded method, 123 doses were administered, with 0 critical dosing errors (difference=17%; 95% CI 4% to 30%). A novel color-coded, prefilled syringe decreased time to medication administration and significantly reduced critical dosing errors by emergency physician and nurse teams during simulated pediatric ED resuscitations. Copyright © 2015 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

Biases in detection of apparent “weekend effect” on outcome with administrative coding data: population based study of stroke

PubMed Central

Li, Linxin

2016-01-01

Objectives To determine the accuracy of coding of admissions for stroke on weekdays versus weekends and any impact on apparent outcome. Design Prospective population based stroke incidence study and a scoping review of previous studies of weekend effects in stroke. Setting Primary and secondary care of all individuals registered with nine general practices in Oxfordshire, United Kingdom (OXVASC, the Oxford Vascular Study). Participants All patients with clinically confirmed acute stroke in OXVASC identified with multiple overlapping methods of ascertainment in 2002-14 versus all acute stroke admissions identified by hospital diagnostic and mortality coding alone during the same period. Main outcomes measures Accuracy of administrative coding data for all patients with confirmed stroke admitted to hospital in OXVASC. Difference between rates of “false positive” or “false negative” coding for weekday and weekend admissions. Impact of inaccurate coding on apparent case fatality at 30 days in weekday versus weekend admissions. Weekend effects on outcomes in patients with confirmed stroke admitted to hospital in OXVASC and impacts of other potential biases compared with those in the scoping review. Results Among 92 728 study population, 2373 episodes of acute stroke were ascertained in OXVASC, of which 826 (34.8%) mainly minor events were managed without hospital admission, 60 (2.5%) occurred out of the area or abroad, and 195 (8.2%) occurred in hospital during an admission for a different reason. Of 1292 local hospital admissions for acute stroke, 973 (75.3%) were correctly identified by administrative coding. There was no bias in distribution of weekend versus weekday admission of the 319 strokes missed by coding. Of 1693 admissions for stroke identified by coding, 1055 (62.3%) were confirmed to be acute strokes after case adjudication. Among the 638 false positive coded cases, patients were more likely to be admitted on weekdays than at weekends (536 (41.0%) v 102 (26.5%); P<0.001), partly because of weekday elective admissions after previous stroke being miscoded as new stroke episodes (267 (49.8%) v 26 (25.5%); P<0.001). The 30 day case fatality after these elective admissions was lower than after confirmed acute stroke admissions (11 (3.8%) v 233 (22.1%); P<0.001). Consequently, relative 30 day case fatality for weekend versus weekday admissions differed (P<0.001) between correctly coded acute stroke admissions and false positive coding cases. Results were consistent when only the 1327 emergency cases identified by “admission method” from coding were included, with more false positive cases with low case fatality (35 (14.7%)) being included for weekday versus weekend admissions (190 (19.5%) v 48 (13.7%), P<0.02). Among all acute stroke admissions in OXVASC, there was no imbalance in baseline stroke severity for weekends versus weekdays and no difference in case fatality at 30 days (adjusted odds ratio 0.85, 95% confidence interval 0.63 to 1.15; P=0.30) or any adverse “weekend effect” on modified Rankin score at 30 days (0.78, 0.61 to 0.99; P=0.04) or one year (0.76, 0.59 to 0.98; P=0.03) among incident strokes. Conclusion Retrospective studies of UK administrative hospital coding data to determine “weekend effects” on outcome in acute medical conditions, such as stroke, can be undermined by inaccurate coding, which can introduce biases that cannot be reliably dealt with by adjustment for case mix. PMID:27185754

Dress Codes. Legal Brief.

ERIC Educational Resources Information Center

Zirkel, Perry A.

2000-01-01

As illustrated by two recent decisions, the courts in the past decade have demarcated wide boundaries for school officials considering dress codes, whether in the form of selective prohibitions or required uniforms. Administrators must warn the community, provide legitimate justification and reasonable clarity, and comply with state law. (MLH)

50 CFR Table 17 to Part 679 - Process Codes for Use With State of Alaska Commercial Operator's Annual Report (COAR)

Code of Federal Regulations, 2010 CFR

2010-10-01

... CONSERVATION AND MANAGEMENT, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE (CONTINUED) FISHERIES OF THE EXCLUSIVE ECONOMIC ZONE OFF ALASKA Pt. 679, Table 17 Table 17 to Part 679—Process Codes for...

1 CFR 21.52 - Statutory material.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 1 General Provisions 1 2010-01-01 2010-01-01 false Statutory material. 21.52 Section 21.52 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER PREPARATION, TRANSMITTAL, AND PROCESSING OF... material. (a) United States Code. All citations to statutory authority shall include a United States Code...

50 CFR Table 14c - At-sea Operation Type Codes To Be Used as Port Codes for Vessels Matching This Type of Operation

Code of Federal Regulations, 2010 CFR

2010-10-01

... CONSERVATION AND MANAGEMENT, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE (CONTINUED) FISHERIES OF THE EXCLUSIVE ECONOMIC ZONE OFF ALASKA Amendment 80 Program Economic data report (EDR) for the...

Synchronizing Defense Transportation System Reference Files

DTIC Science & Technology

1998-02-01

and Pressure Vessel Code Federal Specification Military Specification BS AWS DIN JIS Food and Drug Administration Therapeutic Equivalence...269 270 276 278 279 280 282 287 288 289 292 293 294 296 299 300 301 302 307 308 309 311 312 314 Code source title ASME Boiler

21 CFR 106.90 - Coding.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 2 2013-04-01 2013-04-01 false Coding. 106.90 Section 106.90 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION INFANT FORMULA QUALITY CONTROL PROCEDURES Quality Control Procedures for Assuring Nutrient Content...

21 CFR 106.90 - Coding.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 2 2011-04-01 2011-04-01 false Coding. 106.90 Section 106.90 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION INFANT FORMULA QUALITY CONTROL PROCEDURES Quality Control Procedures for Assuring Nutrient Content...

21 CFR 106.90 - Coding.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 2 2012-04-01 2012-04-01 false Coding. 106.90 Section 106.90 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION INFANT FORMULA QUALITY CONTROL PROCEDURES Quality Control Procedures for Assuring Nutrient Content...

1 CFR 21.52 - Statutory material.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 1 General Provisions 1 2014-01-01 2012-01-01 true Statutory material. 21.52 Section 21.52 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER PREPARATION, TRANSMITTAL, AND PROCESSING OF... material. (a) United States Code. All citations to statutory authority shall include a United States Code...

1 CFR 21.52 - Statutory material.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 1 General Provisions 1 2012-01-01 2012-01-01 false Statutory material. 21.52 Section 21.52 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER PREPARATION, TRANSMITTAL, AND PROCESSING OF... material. (a) United States Code. All citations to statutory authority shall include a United States Code...

Identifying Falls Risk Screenings Not Documented with Administrative Codes Using Natural Language Processing

PubMed Central

Zhu, Vivienne J; Walker, Tina D; Warren, Robert W; Jenny, Peggy B; Meystre, Stephane; Lenert, Leslie A

2017-01-01

Quality reporting that relies on coded administrative data alone may not completely and accurately depict providers’ performance. To assess this concern with a test case, we developed and evaluated a natural language processing (NLP) approach to identify falls risk screenings documented in clinical notes of patients without coded falls risk screening data. Extracting information from 1,558 clinical notes (mainly progress notes) from 144 eligible patients, we generated a lexicon of 38 keywords relevant to falls risk screening, 26 terms for pre-negation, and 35 terms for post-negation. The NLP algorithm identified 62 (out of the 144) patients who falls risk screening documented only in clinical notes and not coded. Manual review confirmed 59 patients as true positives and 77 patients as true negatives. Our NLP approach scored 0.92 for precision, 0.95 for recall, and 0.93 for F-measure. These results support the concept of utilizing NLP to enhance healthcare quality reporting. PMID:29854264

Deriving ICD-10 Codes for Patient Safety Indicators for Large-scale Surveillance Using Administrative Hospital Data.

PubMed

Southern, Danielle A; Burnand, Bernard; Droesler, Saskia E; Flemons, Ward; Forster, Alan J; Gurevich, Yana; Harrison, James; Quan, Hude; Pincus, Harold A; Romano, Patrick S; Sundararajan, Vijaya; Kostanjsek, Nenad; Ghali, William A

2017-03-01

Existing administrative data patient safety indicators (PSIs) have been limited by uncertainty around the timing of onset of included diagnoses. We undertook de novo PSI development through a data-driven approach that drew upon "diagnosis timing" information available in some countries' administrative hospital data. Administrative database analysis and modified Delphi rating process. All hospitalized adults in Canada in 2009. We queried all hospitalizations for ICD-10-CA diagnosis codes arising during hospital stay. We then undertook a modified Delphi panel process to rate the extent to which each of the identified diagnoses has a potential link to suboptimal quality of care. We grouped the identified quality/safety-related diagnoses into relevant clinical categories. Lastly, we queried Alberta hospital discharge data to assess the frequency of the newly defined PSI events. Among 2,416,413 national hospitalizations, we found 2590 unique ICD-10-CA codes flagged as having arisen after admission. Seven panelists evaluated these in a 2-round review process, and identified a listing of 640 ICD-10-CA diagnosis codes judged to be linked to suboptimal quality of care and thus appropriate for inclusion in PSIs. These were then grouped by patient safety experts into 18 clinically relevant PSI categories. We then analyzed data on 2,381,652 Alberta hospital discharges from 2005 through 2012, and found that 134,299 (5.2%) hospitalizations had at least 1 PSI diagnosis. The resulting work creates a foundation for a new set of PSIs for routine large-scale surveillance of hospital and health system performance.

Development and validation of a case definition for epilepsy for use with administrative health data.

PubMed

Reid, Aylin Y; St Germaine-Smith, Christine; Liu, Mingfu; Sadiq, Shahnaz; Quan, Hude; Wiebe, Samuel; Faris, Peter; Dean, Stafford; Jetté, Nathalie

2012-12-01

The objective of this study was to develop and validate coding algorithms for epilepsy using ICD-coded inpatient claims, physician claims, and emergency room (ER) visits. 720/2049 charts from 2003 and 1533/3252 charts from 2006 were randomly selected for review from 13 neurologists' practices as the "gold standard" for diagnosis. Epilepsy status in each chart was determined by 2 trained physicians. The optimal algorithm to identify epilepsy cases was developed by linking the reviewed charts with three administrative databases (ICD 9 and 10 data from 2000 to 2008) including hospital discharges, ER visits and physician claims in a Canadian health region. Accepting chart review data as the gold standard, we calculated sensitivity, specificity, positive, and negative predictive value for each ICD-9 and ICD-10 administrative data algorithm (case definitions). Of 18 algorithms assessed, the most accurate algorithm to identify epilepsy cases was "2 physician claims or 1 hospitalization in 2 years coded" (ICD-9 345 or G40/G41) and the most sensitive algorithm was "1 physician clam or 1 hospitalization or 1 ER visit in 2 years." Accurate and sensitive case definitions are available for research requiring the identification of epilepsy cases in administrative health data. Copyright © 2012 Elsevier B.V. All rights reserved.

Potential Projective Material on the Rorschach: Comparing Comprehensive System Protocols to Their Modeled R-Optimized Administration Counterparts.

PubMed

Pianowski, Giselle; Meyer, Gregory J; Villemor-Amaral, Anna Elisa de

2016-01-01

Exner ( 1989 ) and Weiner ( 2003 ) identified 3 types of Rorschach codes that are most likely to contain personally relevant projective material: Distortions, Movement, and Embellishments. We examine how often these types of codes occur in normative data and whether their frequency changes for the 1st, 2nd, 3rd, 4th, or last response to a card. We also examine the impact on these variables of the Rorschach Performance Assessment System's (R-PAS) statistical modeling procedures that convert the distribution of responses (R) from Comprehensive System (CS) administered protocols to match the distribution of R found in protocols obtained using R-optimized administration guidelines. In 2 normative reference databases, the results indicated that about 40% of responses (M = 39.25) have 1 type of code, 15% have 2 types, and 1.5% have all 3 types, with frequencies not changing by response number. In addition, there were no mean differences in the original CS and R-optimized modeled records (M Cohen's d = -0.04 in both databases). When considered alongside findings showing minimal differences between the protocols of people randomly assigned to CS or R-optimized administration, the data suggest R-optimized administration should not alter the extent to which potential projective material is present in a Rorschach protocol.

Validity of administrative data claim-based methods for identifying individuals with diabetes at a population level.

PubMed

Southern, Danielle A; Roberts, Barbara; Edwards, Alun; Dean, Stafford; Norton, Peter; Svenson, Lawrence W; Larsen, Erik; Sargious, Peter; Lau, David C W; Ghali, William A

2010-01-01

This study assessed the validity of a widely-accepted administrative data surveillance methodology for identifying individuals with diabetes relative to three laboratory data reference standard definitions for diabetes. We used a combination of linked regional data (hospital discharge abstracts and physician data) and laboratory data to test the validity of administrative data surveillance definitions for diabetes relative to a laboratory data reference standard. The administrative discharge data methodology includes two definitions for diabetes: a strict administrative data definition of one hospitalization code or two physician claims indicating diabetes; and a more liberal definition of one hospitalization code or a single physician claim. The laboratory data, meanwhile, produced three reference standard definitions based on glucose levels +/- HbA1c levels. Sensitivities ranged from 68.4% to 86.9% for the administrative data definitions tested relative to the three laboratory data reference standards. Sensitivities were higher for the more liberal administrative data definition. Positive predictive values (PPV), meanwhile, ranged from 53.0% to 88.3%, with the liberal administrative data definition producing lower PPVs. These findings demonstrate the trade-offs of sensitivity and PPV for selecting diabetes surveillance definitions. Centralized laboratory data may be of value to future surveillance initiatives that use combined data sources to optimize case detection.

78 FR 17744 - Social Security Ruling, SSR 13-2p; Titles II and XVI: Evaluating Cases Involving Drug Addiction...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-22

... SOCIAL SECURITY ADMINISTRATION [Docket No. SSA-2012-0006] Social Security Ruling, SSR 13-2p...: Social Security Administration. ACTION: Notice of Social Security Ruling; Correction. SUMMARY: The Social..., Social Security Administration. [FR Doc. 2013-06594 Filed 3-21-13; 8:45 am] BILLING CODE 4191-02-P ...

A Study of Clinical Coding Accuracy in Surgery: Implications for the Use of Administrative Big Data for Outcomes Management.

PubMed

Nouraei, S A R; Hudovsky, A; Frampton, A E; Mufti, U; White, N B; Wathen, C G; Sandhu, G S; Darzi, A

2015-06-01

Clinical coding is the translation of clinical activity into a coded language. Coded data drive hospital reimbursement and are used for audit and research, and benchmarking and outcomes management purposes. We undertook a 2-center audit of coding accuracy across surgery. Clinician-auditor multidisciplinary teams reviewed the coding of 30,127 patients and assessed accuracy at primary and secondary diagnosis and procedure levels, morbidity level, complications assignment, and financial variance. Postaudit data of a randomly selected sample of 400 cases were reaudited by an independent team. At least 1 coding change occurred in 15,402 patients (51%). There were 3911 (13%) and 3620 (12%) changes to primary diagnoses and procedures, respectively. In 5183 (17%) patients, the Health Resource Grouping changed, resulting in income variance of £3,974,544 (+6.2%). The morbidity level changed in 2116 (7%) patients (P < 0.001). The number of assigned complications rose from 2597 (8.6%) to 2979 (9.9%) (P < 0.001). Reaudit resulted in further primary diagnosis and procedure changes in 8.7% and 4.8% of patients, respectively. The coded data are a key engine for knowledge-driven health care provision. They are used, increasingly at individual surgeon level, to benchmark performance. Surgical clinical coding is prone to subjectivity, variability, and error (SVE). Having a specialty-by-specialty understanding of the nature and clinical significance of informatics variability and adopting strategies to reduce it, are necessary to allow accurate assumptions and informed decisions to be made concerning the scope and clinical applicability of administrative data in surgical outcomes improvement.

A Comparison of Mental Health Diagnoses Treated via Interactive Video and Face to Face in the Veterans Healthcare Administration.

PubMed

Grubbs, Kathleen M; Fortney, John C; Dean, Tisha; Williams, James S; Godleski, Linda

2015-07-01

This study compares the mental health diagnoses of encounters delivered face to face and via interactive video in the Veterans Healthcare Administration (VHA). We compiled 1 year of national-level VHA administrative data for Fiscal Year 2012 (FY12). Mental health encounters were those with both a VHA Mental Health Stop Code and a Mental Health Diagnosis (n=11,906,114). Interactive video encounters were identified as those with a Mental Health Stop Code, paired with a VHA Telehealth Secondary Stop Code. Primary diagnoses were grouped into posttraumatic stress disorder (PTSD), depression, anxiety, bipolar disorder, psychosis, drug use, alcohol use, and other. In FY12, 1.5% of all mental health encounters were delivered via interactive video. Compared with face-to-face encounters, a larger percentage of interactive video encounters was for PTSD, depression, and anxiety, whereas a smaller percentage was for alcohol use, drug use, or psychosis. Providers and patients may feel more comfortable treating depression and anxiety disorders than substance use or psychosis via interactive video.

Monitor Network Traffic with Packet Capture (pcap) on an Android Device

DTIC Science & Technology

2015-09-01

administrative privileges . Under the current design Android development requirement, an Android Graphical User Interface (GUI) application cannot directly...build an Android application to monitor network traffic using open source packet capture (pcap) libraries. 15. SUBJECT TERMS ELIDe, Android , pcap 16...Building Application with Native Codes 5 8.1 Calling Native Codes Using JNI 5 8.2 Calling Native Codes from an Android Application 8 9. Retrieve Live

Validity of Diagnostic Codes for Acute Stroke in Administrative Databases: A Systematic Review

PubMed Central

McCormick, Natalie; Bhole, Vidula; Lacaille, Diane; Avina-Zubieta, J. Antonio

2015-01-01

Objective To conduct a systematic review of studies reporting on the validity of International Classification of Diseases (ICD) codes for identifying stroke in administrative data. Methods MEDLINE and EMBASE were searched (inception to February 2015) for studies: (a) Using administrative data to identify stroke; or (b) Evaluating the validity of stroke codes in administrative data; and (c) Reporting validation statistics (sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), or Kappa scores) for stroke, or data sufficient for their calculation. Additional articles were located by hand search (up to February 2015) of original papers. Studies solely evaluating codes for transient ischaemic attack were excluded. Data were extracted by two independent reviewers; article quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies tool. Results Seventy-seven studies published from 1976–2015 were included. The sensitivity of ICD-9 430-438/ICD-10 I60-I69 for any cerebrovascular disease was ≥ 82% in most [≥ 50%] studies, and specificity and NPV were both ≥ 95%. The PPV of these codes for any cerebrovascular disease was ≥ 81% in most studies, while the PPV specifically for acute stroke was ≤ 68%. In at least 50% of studies, PPVs were ≥ 93% for subarachnoid haemorrhage (ICD-9 430/ICD-10 I60), 89% for intracerebral haemorrhage (ICD-9 431/ICD-10 I61), and 82% for ischaemic stroke (ICD-9 434/ICD-10 I63 or ICD-9 434&436). For in-hospital deaths, sensitivity was 55%. For cerebrovascular disease or acute stroke as a cause-of-death on death certificates, sensitivity was ≤ 71% in most studies while PPV was ≥ 87%. Conclusions While most cases of prevalent cerebrovascular disease can be detected using 430-438/I60-I69 collectively, acute stroke must be defined using more specific codes. Most in-hospital deaths and death certificates with stroke as a cause-of-death correspond to true stroke deaths. Linking vital statistics and hospitalization data may improve the ascertainment of fatal stroke. PMID:26292280

A systematic review of validated methods for identifying erythema multiforme major/minor/not otherwise specified, Stevens-Johnson Syndrome, or toxic epidermal necrolysis using administrative and claims data.

PubMed

Schneider, Gary; Kachroo, Sumesh; Jones, Natalie; Crean, Sheila; Rotella, Philip; Avetisyan, Ruzan; Reynolds, Matthew W

2012-01-01

The Food and Drug Administration's (FDA) Mini-Sentinel pilot program aims to conduct active surveillance to refine safety signals that emerge for marketed medical products. A key facet of this surveillance is to develop and understand the validity of algorithms for identifying health outcomes of interest (HOIs) from administrative and claims data. This paper summarizes the process and findings of the algorithm review of erythema multiforme and related conditions. PubMed and Iowa Drug Information Service searches were conducted to identify citations applicable to the erythema multiforme HOI. Level 1 abstract reviews and Level 2 full-text reviews were conducted to find articles that used administrative and claims data to identify erythema multiforme, Stevens-Johnson syndrome, or toxic epidermal necrolysis and that included validation estimates of the coding algorithms. Our search revealed limited literature focusing on erythema multiforme and related conditions that provided administrative and claims data-based algorithms and validation estimates. Only four studies provided validated algorithms and all studies used the same International Classification of Diseases code, 695.1. Approximately half of cases subjected to expert review were consistent with erythema multiforme and related conditions. Updated research needs to be conducted on designing validation studies that test algorithms for erythema multiforme and related conditions and that take into account recent changes in the diagnostic coding of these diseases. Copyright © 2012 John Wiley & Sons, Ltd.

22 CFR 226.42 - Codes of conduct.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ADMINISTRATION OF ASSISTANCE AWARDS TO U.S. NON-GOVERNMENTAL ORGANIZATIONS Post-award Requirements Procurement Standards § 226.42 Codes of conduct. The recipient shall... immediate family, his or her partner, or an organization which employs or is about to employ any of the...

48 CFR 2301.105-1 - Publication and code ar-rangement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Publication and code ar-rangement. 2301.105-1 Section 2301.105-1 Federal Acquisition Regulations System SOCIAL SECURITY ADMINISTRATION GENERAL SOCIAL SECURITY ACQUISITION REGULATION SYSTEM Purpose, Authority, Issuance 2301.105-1...

40 CFR 94.5 - Reference materials.

Code of Federal Regulations, 2012 CFR

2012-07-01

... available for inspection at the National Archives and Records Administration (NARA). For information on the.../code_of_federal_regulations/ibr_locations.html. In addition, these materials are available from the...-7611, or at http://www.imo.org. (1) Resolution 2—Technical Code on Control of Emission of Nitrogen...

40 CFR 94.5 - Reference materials.

Code of Federal Regulations, 2014 CFR

2014-07-01

... available for inspection at the National Archives and Records Administration (NARA). For information on the.../code_of_federal_regulations/ibr_locations.html. In addition, these materials are available from the...-7611, or at http://www.imo.org. (1) Resolution 2—Technical Code on Control of Emission of Nitrogen...

40 CFR 94.5 - Reference materials.

Code of Federal Regulations, 2013 CFR

2013-07-01

... available for inspection at the National Archives and Records Administration (NARA). For information on the.../code_of_federal_regulations/ibr_locations.html. In addition, these materials are available from the...-7611, or at http://www.imo.org. (1) Resolution 2—Technical Code on Control of Emission of Nitrogen...

75 FR 13802 - Small Business Size Standards: Waiver of the Nonmanufacturer Rule

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-23

...) code 325120 (Industrial Gases Manufacturing). According to the request, no small business manufacturers... for LPG, PSC 6830 (Compressed and Liquefied Gases), under NAICS code 325120 (Industrial Gases... for Liquid Propane Gas (LPG). SUMMARY: The U.S. Small Business Administration (SBA) is considering...

20 CFR 404.1001 - Introduction.

Code of Federal Regulations, 2010 CFR

2010-04-01

... work because of changes in the law. (c) The Social Security Act and the Internal Revenue Code (Code... Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950..., your social security benefits are based on your earnings that are on our records. (Subpart I of this...

49 CFR 1503.407 - Military personnel.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Transportation Other Regulations Relating to Transportation (Continued) TRANSPORTATION SECURITY ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY ADMINISTRATIVE AND PROCEDURAL RULES INVESTIGATIVE AND ENFORCEMENT PROCEDURES... the Department of Defense who is subject to the Uniform Code of Military Justice (10 U.S.C. chapter 47...

49 CFR 1503.407 - Military personnel.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Transportation Other Regulations Relating to Transportation (Continued) TRANSPORTATION SECURITY ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY ADMINISTRATIVE AND PROCEDURAL RULES INVESTIGATIVE AND ENFORCEMENT PROCEDURES... the Department of Defense who is subject to the Uniform Code of Military Justice (10 U.S.C. chapter 47...

49 CFR 1503.407 - Military personnel.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Transportation Other Regulations Relating to Transportation (Continued) TRANSPORTATION SECURITY ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY ADMINISTRATIVE AND PROCEDURAL RULES INVESTIGATIVE AND ENFORCEMENT PROCEDURES... the Department of Defense who is subject to the Uniform Code of Military Justice (10 U.S.C. chapter 47...

49 CFR 1503.407 - Military personnel.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Transportation Other Regulations Relating to Transportation (Continued) TRANSPORTATION SECURITY ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY ADMINISTRATIVE AND PROCEDURAL RULES INVESTIGATIVE AND ENFORCEMENT PROCEDURES... the Department of Defense who is subject to the Uniform Code of Military Justice (10 U.S.C. chapter 47...

49 CFR 1503.407 - Military personnel.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Transportation Other Regulations Relating to Transportation (Continued) TRANSPORTATION SECURITY ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY ADMINISTRATIVE AND PROCEDURAL RULES INVESTIGATIVE AND ENFORCEMENT PROCEDURES... the Department of Defense who is subject to the Uniform Code of Military Justice (10 U.S.C. chapter 47...

LROC Stereo Observations

NASA Astrophysics Data System (ADS)

Beyer, Ross A.; Archinal, B.; Li, R.; Mattson, S.; Moratto, Z.; McEwen, A.; Oberst, J.; Robinson, M.

2009-09-01

The Lunar Reconnaissance Orbiter Camera (LROC) will obtain two types of multiple overlapping coverage to derive terrain models of the lunar surface. LROC has two Narrow Angle Cameras (NACs), working jointly to provide a wider (in the cross-track direction) field of view, as well as a Wide Angle Camera (WAC). LRO's orbit precesses, and the same target can be viewed at different solar azimuth and incidence angles providing the opportunity to acquire `photometric stereo' in addition to traditional `geometric stereo' data. Geometric stereo refers to images acquired by LROC with two observations at different times. They must have different emission angles to provide a stereo convergence angle such that the resultant images have enough parallax for a reasonable stereo solution. The lighting at the target must not be radically different. If shadows move substantially between observations, it is very difficult to correlate the images. The majority of NAC geometric stereo will be acquired with one nadir and one off-pointed image (20 degree roll). Alternatively, pairs can be obtained with two spacecraft rolls (one to the left and one to the right) providing a stereo convergence angle up to 40 degrees. Overlapping WAC images from adjacent orbits can be used to generate topography of near-global coverage at kilometer-scale effective spatial resolution. Photometric stereo refers to multiple-look observations of the same target under different lighting conditions. LROC will acquire at least three (ideally five) observations of a target. These observations should have near identical emission angles, but with varying solar azimuth and incidence angles. These types of images can be processed via various methods to derive single pixel resolution topography and surface albedo. The LROC team will produce some topographic models, but stereo data collection is focused on acquiring the highest quality data so that such models can be generated later.

Characterization of a photometric anomaly in lunar Mare Nubium

NASA Astrophysics Data System (ADS)

Korokhin, Viktor; Shkuratov, Yuriy; Kaydash, Vadym; Basilevsky, Alexander; Rohachova, Larysa; Velikodsky, Yuri; Opanasenko, Nickolay; Videen, Gorden; Stankevich, Dmitry; Kaluhina, Olena

2016-03-01

A novel approach of constructing photometrically seamless mosaics of reflectance, color-ratios, and phase-curve slopes using LROC WAC images has been developed, which can be used to map the photometric parameters of the lunar surface. The approach takes into account both geometric corrections with data on local topography and photometric conjunctions using our simple photometric model. New mosaics obtained with the technique allow more reliable studies of structural and chemical characteristics of the lunar surface. This approach has been applied to analyze the photometric anomaly (21.6 S, 17.7 W, ~40 km in size) in Mare Nubium detected earlier with our Earth-based observations. For each point of the scene the parameters were calculated using the least-square method for several tens of source WAC images. Clementine mosaics also were used in the analysis, e.g., in order to estimate the parameter of maturity degree Is/FeO. The anomaly has low FeO and TiO2 abundance and reveals a higher slope of the phase function than surroundings. Thermal data from LRO Diviner measurements do not show anomalies in this region. We consider this area as a shallow flooding of an elevated formation of highland composition, the material of which could have been excavated and mixed up with upper layers of the lunar surface through meteoroid impacts. The anomalous behavior of the phase function can be explained by the difference of surface structure in the anomaly and surrounding regions on the scale of less than several centimeters. This may be due to larger quantities of small fragments of rocks and clumps on the surface and/or the presence of agglomerates having open structure.

The Effects of Environmental Factors on Marine Micro-Phytoplankton Community Composition in the Summertime Western North Atlantic Ocean During WACS II.

NASA Astrophysics Data System (ADS)

Stone, J. T.; Vaillancourt, R. D.

2016-02-01

Micro-phytoplankton community composition was determined along a section in the western North Atlantic Ocean between waters near Bermuda and the New England continental shelf during the Western Atlantic Climate Study II (WACS II) from May 18, 2014 to June 6, 2014. Seawater samples were collected from the underway line (z = 5 meters) of the RV Knorr and preserved in both Lugol's and formalin preservatives. The concentrations of centric diatoms, pennate diatoms, dinoflagellates and dictyophytes were determined using light microscopy of preserved samples settled in Utermöhl chambers. Cell abundance data were compared with the temperature and salinity of the surface seawater to determine statistical relationships between environmental factors and phytoplankton community composition. The micro-phytoplankton concentrations were lowest around the Sargasso Sea. Diatom concentrations varied along the transect from the Sargasso Sea. Dinoflagellates were the only group of micro-phytoplankton in this study to have a clear pattern in their distribution. Dinoflagellates were most numerous in the northern-most waters and were absent in the southern-most point of the study, in the Sargasso Sea. The most abundant species of diatoms observed were in the genera Pseudo-Nitzschia and Leptocylindrus. The most abundant species of dinoflagellate were of the genus Protoperidinium. Many of the samples with the highest species richness were closer to the coast and more northern than the samples with low species richness, however the Simpson's diversity indices varied amongst regions. While many of the samples were diverse, the lowest of which was in the Sargasso Sea, there was no clear pattern of species diversity with respect to the distance from the coast. Dinoflagellates, centric diatoms, pennate diatoms, dictyophytes and diversity indices were significantly weakly correlated with temperature, while dinoflagellates were significantly strongly correlated with salinity.

Bootstrap imputation with a disease probability model minimized bias from misclassification due to administrative database codes.

PubMed

van Walraven, Carl

2017-04-01

Diagnostic codes used in administrative databases cause bias due to misclassification of patient disease status. It is unclear which methods minimize this bias. Serum creatinine measures were used to determine severe renal failure status in 50,074 hospitalized patients. The true prevalence of severe renal failure and its association with covariates were measured. These were compared to results for which renal failure status was determined using surrogate measures including the following: (1) diagnostic codes; (2) categorization of probability estimates of renal failure determined from a previously validated model; or (3) bootstrap methods imputation of disease status using model-derived probability estimates. Bias in estimates of severe renal failure prevalence and its association with covariates were minimal when bootstrap methods were used to impute renal failure status from model-based probability estimates. In contrast, biases were extensive when renal failure status was determined using codes or methods in which model-based condition probability was categorized. Bias due to misclassification from inaccurate diagnostic codes can be minimized using bootstrap methods to impute condition status using multivariable model-derived probability estimates. Copyright © 2017 Elsevier Inc. All rights reserved.

1 CFR 8.1 - Policy.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 1 General Provisions 1 2010-01-01 2010-01-01 false Policy. 8.1 Section 8.1 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER CODE OF FEDERAL REGULATIONS § 8.1 Policy. (a) Pursuant to chapter 15 of title 44, United States Code, the Director of the...

1 CFR 8.4 - Indexes.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 1 General Provisions 1 2011-01-01 2011-01-01 false Indexes. 8.4 Section 8.4 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER CODE OF FEDERAL REGULATIONS § 8.4 Indexes. A subject index to the entire Code shall be annually revised and separately...

1 CFR 8.2 - Orderly development.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 1 General Provisions 1 2011-01-01 2011-01-01 false Orderly development. 8.2 Section 8.2 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER CODE OF FEDERAL REGULATIONS § 8.2 Orderly development. To assure orderly development of the Code of Federal...

1 CFR 8.1 - Policy.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 1 General Provisions 1 2011-01-01 2011-01-01 false Policy. 8.1 Section 8.1 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER CODE OF FEDERAL REGULATIONS § 8.1 Policy. (a) Pursuant to chapter 15 of title 44, United States Code, the Director of the...

1 CFR 8.4 - Indexes.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 1 General Provisions 1 2010-01-01 2010-01-01 false Indexes. 8.4 Section 8.4 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER CODE OF FEDERAL REGULATIONS § 8.4 Indexes. A subject index to the entire Code shall be annually revised and separately...

1 CFR 8.2 - Orderly development.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 1 General Provisions 1 2010-01-01 2010-01-01 false Orderly development. 8.2 Section 8.2 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER CODE OF FEDERAL REGULATIONS § 8.2 Orderly development. To assure orderly development of the Code of Federal...

15 CFR Appendix B to Part 30 - AES Filing Codes

Code of Federal Regulations, 2014 CFR

2014-01-01

... charity FS—Foreign Military Sales ZD—North American Free Trade Agreements (NAFTA) duty deferral shipments...—Validated End User Authorization C58CCD—Consumer Communication Devices C59STA—Strategic Trade Authorization Department of Energy/National Nuclear Security Administration (DOE/NNSA) Codes E01—DOE/NNSA Nuclear...

47 CFR 87.199 - Special requirements for 406.0-406.1 MHz ELTs.

Code of Federal Regulations, 2014 CFR

2014-10-01

... identification code, issued by the National Oceanic and Atmospheric Administration (NOAA), the United States... code addressed to: NOAA/SARSAT Beacon Registration, E/SP3, Federal Building 4, Room 3320, 5200 Auth..., type of aircraft, alternate emergency contact, and other information as required by NOAA. The...

47 CFR 87.199 - Special requirements for 406.0-406.1 MHz ELTs.

Code of Federal Regulations, 2013 CFR

2013-10-01

... identification code, issued by the National Oceanic and Atmospheric Administration (NOAA), the United States... code addressed to: NOAA/SARSAT Beacon Registration, E/SP3, Federal Building 4, Room 3320, 5200 Auth..., type of aircraft, alternate emergency contact, and other information as required by NOAA. The...

21 CFR 206.10 - Code imprint required.

Code of Federal Regulations, 2011 CFR

2011-04-01

... and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL IMPRINTING OF SOLID ORAL DOSAGE FORM DRUG PRODUCTS FOR HUMAN USE § 206.10 Code imprint required. (a) Unless exempted under § 206.7, no drug product in solid oral dosage form may be introduced or...

21 CFR 206.10 - Code imprint required.

Code of Federal Regulations, 2013 CFR

2013-04-01

... and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL IMPRINTING OF SOLID ORAL DOSAGE FORM DRUG PRODUCTS FOR HUMAN USE § 206.10 Code imprint required. (a) Unless exempted under § 206.7, no drug product in solid oral dosage form may be introduced or...

21 CFR 206.10 - Code imprint required.

Code of Federal Regulations, 2012 CFR

2012-04-01

... and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL IMPRINTING OF SOLID ORAL DOSAGE FORM DRUG PRODUCTS FOR HUMAN USE § 206.10 Code imprint required. (a) Unless exempted under § 206.7, no drug product in solid oral dosage form may be introduced or...

21 CFR 11.300 - Controls for identification codes/passwords.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 1 2011-04-01 2011-04-01 false Controls for identification codes/passwords. 11.300 Section 11.300 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN... attempts at their unauthorized use to the system security unit, and, as appropriate, to organizational...

21 CFR 11.300 - Controls for identification codes/passwords.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Controls for identification codes/passwords. 11.300 Section 11.300 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN... attempts at their unauthorized use to the system security unit, and, as appropriate, to organizational...

75 FR 56528 - EPA's Role in Advancing Sustainable Products

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-16

... services (NAICS code 72). Other services, except public administration (NAICS code 81). Public... Rm. 3334, EPA West Bldg., 1301 Constitution Ave., NW., Washington, DC. The EPA/DC Public Reading Room... holidays. The telephone number of the EPA/DC Public Reading Room is (202) 566-1744, and the telephone...

50 CFR Table 3a to Part 680 - Crab Delivery Condition Codes

Code of Federal Regulations, 2010 CFR

2010-10-01

... 50 Wildlife and Fisheries 9 2010-10-01 2010-10-01 false Crab Delivery Condition Codes 3a Table 3a to Part 680 Wildlife and Fisheries FISHERY CONSERVATION AND MANAGEMENT, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE (CONTINUED) SHELLFISH FISHERIES OF THE EXCLUSIVE ECONOMIC...

50 CFR Table 4 to Part 680 - Crab Process Codes

Code of Federal Regulations, 2010 CFR

2010-10-01

... 50 Wildlife and Fisheries 9 2010-10-01 2010-10-01 false Crab Process Codes 4 Table 4 to Part 680 Wildlife and Fisheries FISHERY CONSERVATION AND MANAGEMENT, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE (CONTINUED) SHELLFISH FISHERIES OF THE EXCLUSIVE ECONOMIC ZONE OFF ALASKA Pt. 680...

21 CFR 11.300 - Controls for identification codes/passwords.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 1 2012-04-01 2012-04-01 false Controls for identification codes/passwords. 11.300 Section 11.300 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ELECTRONIC RECORDS; ELECTRONIC SIGNATURES Electronic Signatures § 11.300 Controls for...

47 CFR 3.22 - Number of accounting authority identification codes per applicant.

Code of Federal Regulations, 2010 CFR

2010-10-01

... AUTHORIZATION AND ADMINISTRATION OF ACCOUNTING AUTHORITIES IN MARITIME AND MARITIME MOBILE-SATELLITE RADIO SERVICES Application Procedures § 3.22 Number of accounting authority identification codes per applicant... assign U.S. AAICs for entities settling accounts of U.S. licensed vessels in the maritime mobile and...

29 CFR 1910.35 - Compliance with alternate exit-route codes.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 1910.35 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR OCCUPATIONAL SAFETY AND HEALTH STANDARDS Exit Routes and Emergency Planning § 1910.35...-route provisions of NFPA 101, Life Safety Code, 2009 edition, or the exit-route provisions of the...

A Code of Ethics for Democratic Leadership

ERIC Educational Resources Information Center

Molina, Ricardo; Klinker, JoAnn Franklin

2012-01-01

Democratic leadership rests on sacred values, awareness, judgement, motivation and courage. Four turning points in a 38-year school administrator's career revealed decision-making in problematic moments stemmed from values in a personal and professional code of ethics. Reflection on practice and theory added vocabulary and understanding to make…

49 CFR Appendix C to Part 229 - FRA Locomotive Standards-Code of Defects

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 4 2013-10-01 2013-10-01 false FRA Locomotive Standards-Code of Defects C Appendix C to Part 229 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD LOCOMOTIVE SAFETY STANDARDS Pt. 229, App. C...

49 CFR Appendix C to Part 229 - FRA Locomotive Standards-Code of Defects

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 4 2014-10-01 2014-10-01 false FRA Locomotive Standards-Code of Defects C Appendix C to Part 229 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD LOCOMOTIVE SAFETY STANDARDS Pt. 229, App. C...

The Library Systems Act and Rules for Administering the Library Systems Act.

ERIC Educational Resources Information Center

Texas State Library, Austin. Library Development Div.

This document contains the Texas Library Systems Act and rules for administering the Library Systems Act. Specifically, it includes the following documents: Texas Library Systems Act; Summary of Codes;Texas Administrative Code: Service Complaints and Protest Procedure; Criteria For Texas Library System Membership; and Certification Requirements…

18 CFR Table 1 to Part 301 - Functionalization and Escalation Codes

Code of Federal Regulations, 2010 CFR

2010-04-01

... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Functionalization and Escalation Codes 1 Table 1 to Part 301 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS FOR FEDERAL POWER MARKETING ADMINISTRATIONS AVERAGE SYSTEM COST...

18 CFR Table 1 to Part 301 - Functionalization and Escalation Codes

Code of Federal Regulations, 2012 CFR

2012-04-01

... 18 Conservation of Power and Water Resources 1 2012-04-01 2012-04-01 false Functionalization and Escalation Codes 1 Table 1 to Part 301 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS FOR FEDERAL POWER MARKETING ADMINISTRATIONS AVERAGE SYSTEM COST...

18 CFR Table 1 to Part 301 - Functionalization and Escalation Codes

Code of Federal Regulations, 2013 CFR

2013-04-01

... 18 Conservation of Power and Water Resources 1 2013-04-01 2013-04-01 false Functionalization and Escalation Codes 1 Table 1 to Part 301 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS FOR FEDERAL POWER MARKETING ADMINISTRATIONS AVERAGE SYSTEM COST...