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Sample records for adolescent service system

  1. Soliciting stakeholders’ views on the organization of child and adolescent mental health services: a system in trouble

    PubMed Central

    2013-01-01

    Background Despite a high prevalence of mental health problems among children and adolescents Belgium, like many other Western countries, does not have a clear strategy for the organization of child and adolescent mental healthcare services (CAMHS). Methods This paper describes stakeholders’ views on the organization of CAMHS based on a qualitative study. Ten in-depth interviews with high profile stakeholders were complemented by roundtable discussions (n = 30). Results This diagnostic analysis illustrated that the system is in serious trouble characterized by fragmentation and compartmentalization. Conclusion The findings create a sense of urgency that should be used to initiate a system reform of the Belgian CAMHS system. PMID:24359535

  2. Adolescent Services & the TC. Chapter 6.

    ERIC Educational Resources Information Center

    Acampora, Alfonso P., Ed.; Nebelkopf, Ethan, Ed.

    This document contains seven papers from the ninth World Conference of Therapeutic Communities (TCs) that deal with adolescent clients and TCs. Papers include: (1) Preliminary Consideration on "Adolescence and the TC" (David Deitch); (2) "Daytop's Full Service Adolescent Treatment Program" (Charles Devlin and Lois Morris); (3) "Adolescent…

  3. Child and adolescent mental health emergency services in Macedonia.

    PubMed

    Releva, M; Boskovska, M; Apceva, A; Polazarevska, M; Novotni, A; Bonevski, D; Sargent, J

    2001-01-01

    This paper describes the development of child and adolescent mental health emergency services in Macedonia since 1993. The evolution of services through the Mental Crisis Centre for Children and Adolescents, funded by the Open Society Institute, and located in six cities is outlined. The paper also defines traditional services, the nature of child mental health emergencies, the evaluation process, follow-up care and training and supervision. It concludes with concern that the mental health emergency system is not sufficient to meet the needs of the child and adolescent population, particularly in the face of the Kosovar refugee crisis. Recommendations for the future are made. PMID:11508566

  4. Chinese adolescent student service quality and experience in an international tertiary education system.

    PubMed

    Peng, Ching-Huai

    2008-01-01

    After the 2008 Olympics is concluded and commentators and journalists internationally begin the process of evaluating Beijing's performance as the host city, one of the primary elements to be analyzed will be the quality of visitor service provided by more than 70,000 volunteers. Given the large number Chinese students who have chosen a Western tertiary education over the past ten years, it is reasonable to assume that many of these students will volunteer their services, bringing a perspective on Western standards of service quality gained through exposure to the models of their host high school and university. This study uses both qualitative and quantitative approaches to examine the experiences of 160 Chinese students at an Australian tertiary institution, and concludes that their impressions of quality are formed by a range of service dimensions. Analysis of the scope, scale, and importance of the these dimensions is used to generate a portfolio of quality indicators that are likely feature strongly in the 2008 Beijing Olympics model of volunteer service delivery. PMID:19086677

  5. Mental Health Services for Children and Adolescents.

    ERIC Educational Resources Information Center

    Rotheram-Borus, Mary Jane

    This article reviews the progress made in meeting United States' existing mental health goals for adolescents, and identifies issues that will have to be considered in setting new goals. The article examines the substantial need for child mental health services, particularly among young, socioeconomically disadvantaged youth. The unmet need for…

  6. Child and Adolescent Service System Program Technical Assistance Research Meeting: Summary of Proceedings (Washington, DC, May 1-2, 1990).

    ERIC Educational Resources Information Center

    Stroul, Beth A.

    Proceedings are presented from a meeting designed to encourage and assist university-based researchers and public policy-makers in the formation of meaningful, long-term collaborations that would ultimately increase chances of competing successfully for research grants on the efficacy of services and systems of care for children and adolescents…

  7. Immunization Services for Adolescents within Comprehensive School Health Programs.

    ERIC Educational Resources Information Center

    Vernon, Mary E.; Bryan, Gloria; Hunt, Pete; Allensworth, Diane; Bradley, Beverly

    1997-01-01

    Discusses school health services, adolescent immunization, current school immunization practices, and support for school-based immunization programs. Children and adolescents can receive preventive health services, including immunizations and monitoring of immunization levels. Expanding school health services could improve the immunization levels…

  8. The Dynamics and Correlates of Religious Service Attendance in Adolescence

    ERIC Educational Resources Information Center

    Hardie, Jessica Halliday; Pearce, Lisa D.; Denton, Melinda Lundquist

    2016-01-01

    This study examines changes in religious service attendance over time for a contemporary cohort of adolescents moving from middle to late adolescence. We use two waves of a nationally representative panel survey of youth from the National Study of Youth and Religion (NSYR) to examine the dynamics of religious involvement during adolescence. We…

  9. Adolescent drug misuse treatment and use of medical care services.

    PubMed

    Freeborn, D K; Polen, M R; Mullooly, J P

    1995-05-01

    Research on adults has documented that use of medical services decreases after initiation of treatment for alcohol problems, but little is known about this relationship among adolescents. We studied utilization and costs of care following participation in the Adolescent Chemical Health Program (ACHP) of Kaiser Permanente, Northwest Region, in 1986-88. Three groups of adolescents (and their parents) were identified: adolescents who were assessed and initiated treatment in ACHP (n = 561), adolescents who were assessed and recommended for treatment but did not return for treatment (n = 278), and adolescents with no known substance use problems (n = 381). Medical records were reviewed for 1 year pre- and 1.5 years postassessment. After adjusting for preassessment medical visits, severity of alcohol and drug use, gender, and age, analyses suggested that substance user treatment was not associated with reduced use of medical services or costs by either adolescents or parents. PMID:7558471

  10. Pathways into and through Mental Health Services for Children and Adolescents.

    ERIC Educational Resources Information Center

    Farmer, Elizabeth M. Z.; Burns, Barbara J.; Phillips, Susan D.; Angold, Adrian; Costello, E. Jane

    2003-01-01

    Examined points of entry into mental health service system for children and adolescents and patterns of movement through five service sectors (specialty mental health services, education, general medicine, juvenile justice, child welfare). Education sector plays central role as point of entry. Interagency collaboration among education, specialty…

  11. Addressing diversity in adolescent sexual and reproductive health services.

    PubMed

    Laski, Laura; Wong, Sylvia

    2010-07-01

    The social, economic, and biological events that mark adolescence profoundly influence and shape future adult lives. Sexual and reproductive health (SRH) services, education, and other social programs are needed to support young people for a healthy start. As adolescents transition into adulthood, SRH programs and services that have skilled health providers, in combination with other social services including comprehensive sexuality education, can help prevent unwanted pregnancies, maternal mortality and morbidity, as well as sexually transmitted infections including HIV/AIDS. Programs and services can also provide counseling to prevent sexual violence and abuse and deal with its consequences. Adolescent SRH programs can be more effective if the demographic diversity of this age group is studied. Vulnerable adolescents should be targeted as priority recipients of youth-friendly SRH and other social support services. Data demonstrate that adolescent girls living in rural areas who are not in school and who are often married as children are vulnerable to maternal mortality and morbidity, unwanted pregnancies, unsafe abortion, HIV infection, and sexual violence and abuse. Building adolescent capacities and opportunities requires programs that support adolescent social, economic, and health assets so that they can contribute socially and economically to their societies. A healthy adolescent population is critical for low-resource countries, where a rising proportion of the population is under 24 years of age. Recommendations for strengthening the effectiveness of SRH programs detailed at the FIGO World Congress in 2009 are discussed. PMID:20423736

  12. The Dynamics and Correlates of Religious Service Attendance in Adolescence

    PubMed Central

    Hardie, Jessica Halliday; Pearce, Lisa D.; Denton, Melinda Lundquist

    2013-01-01

    This study examines changes in religious service attendance over time for a contemporary cohort of adolescents moving from middle to late adolescence. We use two waves of a nationally representative panel survey of youth from the National Study of Youth and Religion (NSYR) to examine the dynamics of religious involvement during adolescence. We then follow with an analysis of how demographic characteristics, family background, and life course transitions relate to changes in religious service attendance during adolescence. Our findings suggest that, on average, adolescent religious service attendance declines over time, related to major life course transitions such as becoming employed, leaving home, and initiating sexual activity. Parents’ affiliation and attendance, on the other hand, are protective factors against decreasing attendance. PMID:26900186

  13. Service Users' Experiences of a Brief Intervention Service for Children and Adolescents: A Service Evaluation

    ERIC Educational Resources Information Center

    Gallagher, Jen; Schlösser, Annette

    2015-01-01

    Ten per cent of young people experience mental health difficulties at any one time. Prevention and early intervention leads to better prognosis for young people's mental well-being in the short and long term. Child and Adolescent Mental Health Services (CAMHS) must be able to provide swift and effective interventions for a range of difficulties to…

  14. School Mental Health Resources and Adolescent Mental Health Service Use

    PubMed Central

    Green, Jennifer Greif; McLaughlin, Katie A.; Alegría, Margarita; Costello, E. Jane; Gruber, Michael J.; Hoagwood, Kimberly; Leaf, Philip J.; Olin, Serene; Sampson, Nancy A,; Kessler, Ronald C.

    2014-01-01

    Objective Although schools are identified as critical for detecting youth mental disorders, little is known about whether the number of mental health providers and types of resources they offer influence student mental health service use. Such information could inform the development and allocation of appropriate school-based resources to increase service use. This paper examines associations of school resources with past-year mental health service use among students with 12-month DSM-IV mental disorders. Method Data come from the U.S. National Comorbidity Survey Adolescent Supplement (NCS-A), a national survey of adolescent mental health that included 4,445 adolescent-parent pairs in 227 schools in which principals and mental health coordinators completed surveys about school resources-policies for addressing student emotional problems. Adolescents and parents completed the Composite International Diagnostic Interview and reported mental health service use across multiple sectors. Multilevel multivariate regression was used to examine associations of school mental health resources and individual-level service use. Results Roughly half (45.3%) of adolescents with a 12-month DSM-IV disorder received past-year mental health services. Substantial variation existed in school resources. Increased school engagement in early identification was significantly associated with mental health service use for adolescents with mild/moderate mental and behavior disorders. The ratio of students-to-mental health providers was not associated with overall service use, but was associated with sector of service use. Conclusions School mental health resources, particularly those related to early identification, may facilitate mental health service use and influence sector of service use for youths with DSM disorders. PMID:23622851

  15. Satellite services system overview

    NASA Technical Reports Server (NTRS)

    Rysavy, G.

    1982-01-01

    The benefits of a satellite services system and the basic needs of the Space Transportation System to have improved satellite service capability are identified. Specific required servicing equipment are discussed in terms of their technology development status and their operative functions. Concepts include maneuverable television systems, extravehicular maneuvering unit, orbiter exterior lighting, satellite holding and positioning aid, fluid transfer equipment, end effectors for the remote manipulator system, teleoperator maneuvering system, and hand and power tools.

  16. Comprehensive Adolescent Pregnancy Services: A Resource Guide.

    ERIC Educational Resources Information Center

    Holt, K. A., Ed.; Langlykke, K., Ed.

    This resource guide was compiled to assist state, county, and community personnel in developing comprehensive adolescent health programs which address adolescent pregnancy, prevention, and care. It includes a broad range of topics with materials suitable for both professionals and consumers and for use by regional, state, and local government…

  17. Service use among Mexico City adolescents with suicidality

    PubMed Central

    Borges, Guilherme; Benjet, Corina; Medina-Mora, Maria Elena; Orozco, Ricardo; Familiar, Itziar; Nock, Matthew K.; Wang, Philip S.

    2009-01-01

    Background We report the lifetime and 12-month prevalence and associations of mental health treatment among Mexican adolescents with suicide-related outcomes (SROs; including ideation, plans, gestures and attempts). Methods A representative multistage probability household survey of 3005 adolescents aged 12 to 17 years residing in the Mexico City Metropolitan Area was carried out in 2005. Discrete time survival analyses were used to assess the relationships between SROs and receiving treatment for emotional, alcohol, or drug problems. Results The prevalence of lifetime service use among respondents with SROs was 35% for those with ideation only, 44% for those with ideation and plan, 49% for those with gesture and 50% for those with attempt; the prevalence of 12-month service use was 10%, 24%, 6% and 21%, respectively. Timing between onset of SRO and receiving treatment for emotional, alcohol, or drug problems showed that about 50% of adolescents will have contact with a service provider before developing any SRO. Healthcare professionals were the most likely to be consulted, followed by school-based programs. Limitations This survey was limited to adolescents living in one of the largest metropolitan areas in the world and the analyses used data on retrospectively reported ages of onset that are subject to recall errors. Conclusions Most suicidal adolescents do not receive treatment, and many adolescents develop their suicidality in spite of prior contacts with service providers. Interventions to increase treatment, prevention, and monitoring are sorely needed for this vulnerable population. PMID:19411113

  18. Achieving Quality Health Services for Adolescents.

    PubMed

    2016-08-01

    This update of the 2008 statement from the American Academy of Pediatrics redirects the discussion of quality health care from the theoretical to the practical within the medical home. This statement reviews the evolution of the medical home concept and challenges the provision of quality adolescent health care within the patient-centered medical home. Areas of attention for quality adolescent health care are reviewed, including developmentally appropriate care, confidentiality, location of adolescent care, providers who offer such care, the role of research in advancing care, and the transition to adult care. PMID:27432849

  19. Adolescents' and parents' views of Child and Adolescent Mental Health Services (CAMHS) in Ireland.

    PubMed

    Coyne, I; McNamara, N; Healy, M; Gower, C; Sarkar, M; McNicholas, F

    2015-10-01

    Service user involvement is essential for quality care in the Child and Adolescent Mental Health Services (CAMHS). This study was conducted to explore adolescents' and parents' experiences of CAMHS in relation to accessibility, approachability and appropriateness. This study used a descriptive qualitative design, and focus groups and single interviews were conducted with adolescents (n = 15) and parents (n = 32) from three mental health clinics. Data were analysed using thematic analysis. Accessing mental health services was a challenging experience for many parents and adolescents due to knowledge deficit, lack of information and limited availability of specialist services. Some parents and adolescents reported positive experiences while others reported negative experiences. They expressed a need for more information, involvement in decision making, flexible scheduling of appointments, school support and parent support groups. The nature and quality of the relationship with staff was critical to positive experience with the service; therefore, frequent changes of medical staff was disruptive. Mental health nurses can play a vital role in ensuring continuity, assessing adolescents' participation preferences and advocating for their information needs with other members of the interdisciplinary team. PMID:25977175

  20. Service use after court involvement in a sample of serious adolescent offenders

    PubMed Central

    Mulvey, Edward P.; Schubert, Carol A.; Chung, He Len

    2009-01-01

    The juvenile justice system faces a difficult challenge when providing services to serious adolescent offenders, having to balance community safety concerns with hopes for successful intervention. Increasing the effectiveness of this system rests partially on having a clearer picture of the regularities of current service provision to these adolescents. This study describes the types of services received by a large (N=868) sample of adjudicated serious offenders from two metropolitan areas over a two-year follow-up period after adjudication in court, and examines whether indicators of need for services determine the types of services received in the juvenile justice system. Findings indicate that: 1) the level of specialized services received is rather low, 2) there is considerable site variability, 3) the service needs of adolescents sent to different types of settings appear to be generally equivalent, 4) state training schools appear to provide about the same level of services found in contracted provider settings, and 5) need is an inconsistent determinant of service provision. PMID:19907667

  1. Adolescents and Dual Diagnosis in a Psychiatric Emergency Service.

    PubMed

    Matali, José Luis; Andión, Oscar; Pardo, Marta; Iniesta, Raquel; Serrano, Eduard; San, Luis

    2016-01-01

    In recent years, both the prevalence of drug use and related child and adolescent psychiatric emergencies have risen sharply. There are few studies about the impact on child and adolescent emergency services. This study has a twofold aim. The first is to describe the prevalence of substance use disorders, mental disorders and dual diagnosis (substance use problems plus mental disorder) in adolescents in psychiatric emergency service. The second is to analyze clinical and healthcare differences between patients with dual diagnosis and patients with a mental disorder without substance use disorder.We retrospectively reviewed 4012 discharge forms for emergencies treated at the psychiatric emergency department during the period 2007-2009. We obtained a sample of 1795 visits. This sample was divided into two groups: the dual diagnosis group (n = 477) and the psychiatric disorder group (n = 1318).The dual diagnosis group accounted for 26.5% of psychiatric emergencies analyzed. Compared to the psychiatric disorder group,the dual diagnosis group had significantly more conduct disorders, social problems, involuntariness in the visit, less hospital admissions and less connection with the healthcare network.Adolescents with a dual diagnosis account for a high percentage of visits at child and adolescent psychiatric emergency services. This patient group requires specialized care both at emergency services and in specific units. Accordingly, these units should play a triple role when handling dual diagnosis: detection, brief treatment and referral to a specialised unit. PMID:26990268

  2. Racial disparities in mental health service use by adolescents who thought about or attempted suicide.

    PubMed

    Freedenthal, Stacey

    2007-02-01

    Differences in rates and predictors of mental health service use among 2,226 Black, Hispanic, and White adolescents (aged 12-17) who reported recent suicidal thoughts or an attempt were examined. Black adolescents were 65% (OR = .65, p < .05), and Hispanic adolescents were 55% (OR = .55, p < .001), as likely as White adolescents to report service use, even when controlling for need for care and ability to secure services. Suicide attempt and psychiatric symptoms each interacted with race to increase the odds of service use uniquely for White adolescents. Results indicate that racial disparities characterize adolescents' mental health service use even when suicide risk increases. PMID:17397277

  3. Hospital Emergency Services for Children and Adolescents

    PubMed Central

    Robinson, Geoffrey C.; Klonoff, Harry

    1967-01-01

    The records of visits of children and adolescents to the emergency department of the Vancouver General Hospital were reviewed during the period July 1, 1965, to June 30, 1966, and the diagnostic and disposal data recorded. One-quarter of all visits were made by children and adolescents. Three-quarters of the visits were made for surgical conditions. There were more males than females in both surgical and medical groups, and the peaks in attendance were of those in the early preschool and late adolescent age groups. Three-quarters of the patients were referred to the family doctor and approximately one-sixth were admitted to the hospital. These findings suggested that while prompt medical attention was usually indicated, the majority of problems were not urgent and that the emergency department was becoming a substitute for the office of the family physician. PMID:6023997

  4. A Drug and Alcohol Aftercare Service: Linking Adolescents, Families and Schools.

    ERIC Educational Resources Information Center

    Fertman, Carl I.; Toca, Olivia A.

    1988-01-01

    Describes first-year service process and implementation evaluation of aftercare service for adolescents who had completed drug and alcohol treatment programs. Results showed that aftercare service, developed cooperatively by schools and community agencies to support and link adolescents, parents, and schools during adolescents' recovery, helped…

  5. Tailoring Clinical Services to Address the Unique Needs of Adolescents from the Pregnancy Test to Parenthood

    PubMed Central

    Daley, Alison Moriarty; Sadler, Lois S.; Reynolds, Heather Dawn

    2013-01-01

    Clinicians across disciplines and practice settings are likely to encounter adolescents who are at risk for a pregnancy. In 2010, 34.2/1000 15–19 year old teens had a live birth in the United States, many more will seek care for a pregnancy scare or options counseling. Teen mothers are also at risk for a second or higher order pregnancy during adolescence. This paper provides clinicians with adolescent-friendly clinical and counseling strategies for pregnancy prevention, pre- and post-pregnancy test counseling, pregnancy-related care, and a review of the developmental challenges encountered by teens in the transition to parenthood. Clinicians are in a better position to approach the developmental, health and mental health needs of adolescents related to pregnancy if they understand and appreciate the obstacles adolescents may face negotiating the health care system. In addition, when clinical services are specially tailored to the needs of the adolescent, fewer opportunities will be lost to prevent unintended pregnancies, assist teens into timely prenatal services, and improve outcomes for their pregnancies and the transition to parenthood. PMID:23522339

  6. Food Service System

    NASA Technical Reports Server (NTRS)

    1992-01-01

    The 3M Food Service System 2 employs a "cook/chill" concept for serving food in hospitals. The system allows staff to prepare food well in advance, maintain heat, visual appeal and nutritional value as well as reducing operating costs. The integral heating method, which keeps hot foods hot and cold foods cold, was developed by 3M for the Apollo Program. In the 1970s, the company commercialized the original system and in 1991, introduced Food Service System 2. Dishes are designed to resemble those used at home, and patient satisfaction has been high.

  7. Service Use and Costs of Care for Depressed Adolescents: Who Uses and Who Pays?

    ERIC Educational Resources Information Center

    Domino, Marisa Elena; Burns, Barbara J.; Mario, Jeremy; Reinecke, Mark A.; Vitiello, Benedetto; Weller, Elizabeth B.; Kratochvil, Christopher J.; May, Diane E.; Feeny, Norah C.; Robins, Michele; Hallin, Mary J.; Silva, Susan G.; March, John S.

    2009-01-01

    Major depressive disorder is common in adolescence and is associated with significant morbidity and family burden. Little is known about service use by depressed adolescents. The purpose of this article is to report the patterns of services use and costs for participants in the Treatment for Adolescents with Depression Study sample during the 3…

  8. Services for adolescent psychiatric disorders: 12-month data from the National Comorbidity Survey-Adolescent

    PubMed Central

    Costello, E. Jane; He, Jian-ping; Sampson, Nancy A; Kessler, Ronald C.; Merikangas, Kathleen Ries

    2014-01-01

    Objective This report examined data on 12-month rates of service use for adolescent mental, emotional, and behavioral disorders. Methods The National Comorbidity Survey Adolescent Supplement (NCS-A) is a national survey of DSM-IV mental, emotional, and behavioral disorders and service use among U.S. adolescents. Results In the 12 months up to the interview, 45% of adolescents with psychiatric disorders received some form of professional help. Youth with mood disorders were most likely to receive services (60.1%), and those with anxiety disorders least likely (41.4%). Services were more likely to be provided in a school setting (23.6% of those with disorders) or by specialty mental health providers (22.8%) than by general medical practitioners (10.1%). Juvenile justice (4.5%), complementary and alternative medicine (CAM) (5.3%), and human services (7.9%) also provided mental health care. Although pediatricians treated a higher proportion of youth with mood disorders than of those with behavior disorders, they were more likely to treat youth with behavior disorders because of the larger number of the latter (11.5% of 1,465 vs. 13.9% of 820). Black youth were significantly less likely than white youth to receive specialty mental health or pediatric services for mental disorders. Conclusions The 12-month findings from the NCS-A confirm those of earlier, smaller studies, that only a minority of youth with psychiatric disorders received recent treatment of any sort. Much of this treatment was provided in service settings in which few of the providers were likely to have specialist mental health training. PMID:24233052

  9. Adolescent health services and contraceptive use.

    PubMed

    Mudd, E H; Dickens, H O; García, C R; Rickels, K; Freeman, E; Huggins, G R; Logan, J J

    1978-07-01

    A pilot study of a health services program for never-pregnant high-school students, which stresses development of incentives for personal involvement in their own health care, reports a low incidence of unintended pregnancy among girls who requested contraceptives. The social and emotional characteristics of those who continued contraceptive use are compared with the small group who had uninteneded pregnancies. PMID:677283

  10. Prioritized service system behavior

    NASA Astrophysics Data System (ADS)

    Oliver, Huw

    2001-07-01

    Internet technology is becoming the infrastructure of the future for any information that can be transmitted digitally, including voice, audio, video and data services of all kinds. The trend to integrate voice and data traffic observed in the Internet is expected to continue until the full integration of all media types is achieved. At the same time it is obvious that the business model employed for current Internet usage is not sustainable for the creation of an infrastructure suitable to support a diverse and ever-increasing range of application services. Currently the Internet provides only a single class of best-effort service and prices are mainly built on flat-fee, access based schemes. We propose the use of pricing mechanisms for controlling demand for scarce resources, in order to improve the economic efficiency of the system. Standard results in economic theory suggest that increasing the value of the network services to the users is beneficial to both the users and the network operator (since he can charge them more and get back a bigger percentage of their surplus). Using pricing mechanisms helps in that respect. When demand is high, prices are being raised and hence deter the users with low valuation for the service to use it. This leaves resources to be available for the users that value them more, and hence are ready to pay more.

  11. Analytical Services Management System

    SciTech Connect

    Church, Shane; Nigbor, Mike; Hillman, Daniel

    2005-03-30

    Analytical Services Management System (ASMS) provides sample management services. Sample management includes sample planning for analytical requests, sample tracking for shipping and receiving by the laboratory, receipt of the analytical data deliverable, processing the deliverable and payment of the laboratory conducting the analyses. ASMS is a web based application that provides the ability to manage these activities at multiple locations for different customers. ASMS provides for the assignment of single to multiple samples for standard chemical and radiochemical analyses. ASMS is a flexible system which allows the users to request analyses by line item code. Line item codes are selected based on the Basic Ordering Agreement (BOA) format for contracting with participating laboratories. ASMS also allows contracting with non-BOA laboratories using a similar line item code contracting format for their services. ASMS allows sample and analysis tracking from sample planning and collection in the field through sample shipment, laboratory sample receipt, laboratory analysis and submittal of the requested analyses, electronic data transfer, and payment of the laboratories for the completed analyses. The software when in operation contains business sensitive material that is used as a principal portion of the Kaiser Analytical Management Services business model. The software version provided is the most recent version, however the copy of the application does not contain business sensitive data from the associated Oracle tables such as contract information or price per line item code.

  12. Analytical Services Management System

    2005-03-30

    Analytical Services Management System (ASMS) provides sample management services. Sample management includes sample planning for analytical requests, sample tracking for shipping and receiving by the laboratory, receipt of the analytical data deliverable, processing the deliverable and payment of the laboratory conducting the analyses. ASMS is a web based application that provides the ability to manage these activities at multiple locations for different customers. ASMS provides for the assignment of single to multiple samples for standardmore » chemical and radiochemical analyses. ASMS is a flexible system which allows the users to request analyses by line item code. Line item codes are selected based on the Basic Ordering Agreement (BOA) format for contracting with participating laboratories. ASMS also allows contracting with non-BOA laboratories using a similar line item code contracting format for their services. ASMS allows sample and analysis tracking from sample planning and collection in the field through sample shipment, laboratory sample receipt, laboratory analysis and submittal of the requested analyses, electronic data transfer, and payment of the laboratories for the completed analyses. The software when in operation contains business sensitive material that is used as a principal portion of the Kaiser Analytical Management Services business model. The software version provided is the most recent version, however the copy of the application does not contain business sensitive data from the associated Oracle tables such as contract information or price per line item code.« less

  13. Patterns of Service Use, Individual and Contextual Risk Factors, and Resilience among Adolescents Using Multiple Psychosocial Services

    ERIC Educational Resources Information Center

    Ungar, Michael; Liebenberg, Linda; Dudding, Peter; Armstrong, Mary; van de Vijver, Fons J. R.

    2013-01-01

    Background: Very little research has examined the relationship between resilience, risk, and the service use patterns of adolescents with complex needs who use multiple formal and mandated services such as child welfare, mental health, juvenile justice, and special educational supports. This article reports on a study of 497 adolescents in…

  14. Promoting Teen Health and Reducing Risks: A Look at Adolescent Health Services in New York City.

    ERIC Educational Resources Information Center

    Citizens' Committee for Children of New York, NY.

    This study examined data from focus groups with New York City adolescents and interviews with health care providers serving New York City adolescents (hospital based clinics, school based health centers, child health clinics, community health centers, and a multi-service adolescent center) in order to determine how to promote health and reduce…

  15. Exploring Social Service Providers' Perspectives on Barriers to Social Services for Early Adjustment of Immigrant Adolescents in South Korea.

    PubMed

    Yi, Jaehee; Kim, Min Ah; Kim, Kihyun; Hong, Jun Sung

    2016-10-01

    Recently arrived immigrant adolescents experience difficulties in adjusting to school in South Korea. However, the existing social services do not meet their psychosocial needs. This study investigates the perspectives of social service providers about challenges in providing services for immigrant adolescents early in their adjustments. We conducted qualitative, in-depth interviews with 27 South Korean social service providers. We identified barriers to social services, categorized into three themes: (1) Initial Contact Phase; (2) Service Delivery Phase; and (3) Structural Challenges. We suggest interventions concerning work-related stress for the social service providers, family-level involvement, diversity training, and integrated and collaborative immigration services. An examination of social service providers' challenges in working with immigrant adolescents is a necessary first step toward the development of programs and policies. PMID:27013328

  16. Age variation in use of a contraceptive service by adolescents.

    PubMed Central

    Philliber, S G; Namerow, P B; Jones, J E

    1985-01-01

    During the past decade, much has been written about adolescents' use of contraception and their experience of pregnancy. Few researchers, however, have distinguished between the experiences of older and younger adolescents. The purpose of this paper is to provide such a comparison. The data were collected during more than 7,000 visits made by 4,318 patients during almost 5 years of operation of an adolescent contraceptive service in the Washington Heights area of New York City. Characteristics of four groups--14 years and younger, 15-17 years, 18-19 years, and 20-21 years--were examined. The youngest teens initiated sexual intercourse 4 years earlier than the oldest group. Among those 14 or younger, 87 percent had never used contraception, and 9 percent had been pregnant. In the oldest group, more than two-thirds had used a contraceptive method, and three-fifths had already experienced a pregnancy. Results of multivariate analyses indicate that older teens are more likely to come to the clinic for contraception and to be consistent users of the first method of contraception that they select. On the other hand, younger teens are significantly more likely to revisit the clinic and to be pregnant at a second or later visit. PMID:3918321

  17. Barriers to Seeking Mental Health Services among Adolescents in Military Families

    PubMed Central

    Becker, Sara J.; Swenson, Rebecca; Esposito-Smythers, Christianne; Cataldo, Andrea; Spirito, Anthony

    2014-01-01

    Military families with adolescents experience high levels of stress associated with parental deployment, but many of these families do not seek or utilize mental health services. The current qualitative study was designed to better understand barriers to mental health treatment experienced by adolescents in military families. Focus groups and individual interviews were conducted with military adolescents (n = 13), military (non-enlisted) parents (n = 12), and mental health service providers who treat adolescents in military families (n = 20). Discussions primarily explored barriers to seeking treatment, with supplemental questions assessing the ideal elements of mental health services for this population. Seven barriers to engaging in mental health services were identified: four internal (confidentiality concerns, stigma, ethic of self-reliance, lack of perceived relevance) and three external (time and effort concerns, logistical concerns, financial concerns). Challenges engaging military adolescents in mental health services are discussed and several recommendations are offered for service providers attempting to work with this population. PMID:25574070

  18. Health Services for Adolescents with Impairment, Disability, and/or Handicap.

    ERIC Educational Resources Information Center

    Brunswick, Ann F.

    1985-01-01

    The paper proposes a health services model designed to prevent adolescents' impairments from becoming disabilities and handicaps. Environmental influence is emphasized at the macrosystem, exosystem, microsystem, and ontosystem (biophysical) levels. Indicators for monitoring services are also discussed. (CL)

  19. Scaling Up Child and Adolescent Mental Health Services in South Africa: Human Resource Requirements and Costs

    ERIC Educational Resources Information Center

    Lund, Crick; Boyce, Gerard; Flisher, Alan J.; Kafaar, Zuhayr; Dawes, Andrew

    2009-01-01

    Background: Children and adolescents with mental health problems have poor service cover in low- and middle-income countries. Little is known about the resources that would be required to provide child and adolescent mental health services (CAMHS) in these countries. The purpose of this study was to calculate the human resources and associated…

  20. "Not in the Middle Ages"?: Alan Garner's "The Owl Service" and the Literature of Adolescence.

    ERIC Educational Resources Information Center

    Hardwick, Paul

    2000-01-01

    Discusses connecting with the Middle Ages in adolescent fiction. Discusses how, in "The Owl Service," Garner addresses a relationship between adolescence in the late twentieth century and an aspect of the past--specifically the Middle Ages. Considers how "The Owl Service" is a story energized by myth, concerning the participation of successive…

  1. School-Based Required Community Service and Civic Development in Adolescents

    ERIC Educational Resources Information Center

    Reinders, Heinz; Youniss, James

    2006-01-01

    This study focused on the role of school-based required community service in promoting adolescents' prosocial behavior and intended future civic involvement when service is differentiated by types and by adolescents' perceived experience. A longitudinal data set of high school students (N = 603) was analyzed to investigate the developmental steps…

  2. Systems of care for treatment of adolescent substance use disorders: background, principles and opportunities.

    PubMed

    Nissen, Laura Burney; Hunt, Sharon R; Bullman, Stephanie; Marmo, Joseph; Smith, David

    2004-12-01

    Adolescent substance abuse is a serious social problem facing the United States. Despite numerous recent advances in the clinical effectiveness of treatment approaches for this population, not enough attention has been paid to the adolescent treatment and service delivery infrastructures. The right services must be delivered through carefully organized and systematic community partnerships among agencies that serve the youth and families most in need. This article provides a working definition for the systems of care approach, reviews the movement's history within children's mental health services, addresses the feasibility of using the systems of care model for adolescent substance use disorders, and discusses principles and elements essential for successfully implementing a system of care for treatment of adolescent substance use disorders. PMID:15751481

  3. Promoting Adolescent Health and Well-Being through School-Linked, Multi-Service, Family-Friendly Programs. Meeting Highlights and Background Briefing Report: Family Impact Seminars with COFO (Washington, D.C., July 12, 1991).

    ERIC Educational Resources Information Center

    American Association for Marriage and Family Therapy, Washington, DC. Research and Education Foundation.

    Increased attention to adolescent health and well-being has been stimulated by rising mortality rates and high morbidity rates among adolescents. Several national inquiries have found that the responses of medical and other service systems do not adequately meet the health-related needs of adolescents and that a different approach, involving…

  4. Preparedness of County Referral Health Facilities in Implementing Adolescent Friendly Health Services: A Case Study of Mama Lucy Kibaki Hosptal

    PubMed Central

    Owuondo, Pacific Akinyi; Mwaura-Tenembergen, Wanja; Adoyo, Maureen; Kiilu, Elizabeth M.

    2015-01-01

    Health service delivery is a key pillar of the health system management .The World Health Organization recently emphasized the need to develop adolescent -friendly health services to improve the care provided to young people throughout the world. However, there is limited peer reviewed literature on this subject therefore necessitating assessment of whether the existing health facilities are prepared to implement the adolescent friendly health services. Adolescent friendly health services remains a relatively new and sensitive area mainly due to restrictive norms and policies guiding the services. After International Conference on Population and Development in 1994, countries started implementing adolescent friendly health services. The Government of Kenya together with partners in an attempt to address the health challenges came up with the Adolescent package of care (APOC) in 2013 whose guidelines were finalized in November 2014 and released for use by service providers . Despite this package of care, there is still ineffective staff capacity in relation to skills and knowledge gap of health professionals, training needs, health resources as well as health system factors that can affect implementation of AFHS. The study explored ways of mitigating or addressing the barriers to implementation of these services. The study used both quantitative and qualitative approaches to collect data. The study utilized survey research adapting descriptive cross sectional design and semi-structured questionnaire to interview 348 health care providers and 472 adolescents in Mam Lucy Kibaki Hospital from 3rd May 2014 to 16 June 2014 .The key informants were mainly nurses, clinical officers and Medical doctors who were working at the health service delivery area at the time of study and were interviewed using an interview guide. The managers at the hospital were interviewed using an in-depth interview guide while the adolescents were interviewed through interview guide and focused

  5. Preparedness of County Referral Health Facilities in Implementing Adolescent Friendly Health Services: A Case Study of Mama Lucy Kibaki Hospital.

    PubMed

    Owuondo, Pacific Akinyi; Mwaura-Tenembergen, Wanja; Adoyo, Maureen; Kiilu, Elizabeth M

    2015-11-01

    Health service delivery is a key pillar of the health system management. The World Health Organization recently emphasized the need to develop adolescent -friendly health services to improve the care provided to young people throughout the world. However, there is limited peer reviewed literature on this subject therefore necessitating assessment of whether the existing health facilities are prepared to implement the adolescent friendly health services. Adolescent friendly health services remains a relatively new and sensitive area mainly due to restrictive norms and policies guiding the services. After International Conference on Population and Development in 1994, countries started implementing adolescent friendly health services. The Government of Kenya together with partners in an attempt to address the health challenges came up with the Adolescent package of care (APOC) in 2013 whose guidelines were finalized in November 2014 and released for use by service providers . Despite this package of care, there is still ineffective staff capacity in relation to skills and knowledge gap of health professionals, training needs, health resources as well as health system factors that can affect implementation of AFHS. The study explored ways of mitigating or addressing the barriers to implementation of these services. The study used both quantitative and qualitative approaches to collect data. The study utilized survey research adapting descriptive cross sectional design and semi-structured questionnaire to interview 348 health care providers and 472 adolescents in Mam Lucy Kibaki Hospital from 3rd May 2014 to 16 June 2014. The key informants were mainly nurses, clinical officers and Medical doctors who were working at the health service delivery area at the time of study and were interviewed using an interview guide. The managers at the hospital were interviewed using an in-depth interview guide while the adolescents were interviewed through interview guide and focused

  6. Teenagers at Risk: A National Perspective of State Level Services for Adolescents with Chronic Illness or Disability.

    ERIC Educational Resources Information Center

    Minnesota Univ., Minneapolis. National Center for Youth with Disabilities.

    This report presents the findings of a study which examined the service delivery system for adolescents with chronic illness, through a survey of 248 directors of public agencies and programs of the 50 states and the District of Columbia, with a 73 percent response rate. The seven programs surveyed within each state were Maternal and Child Health…

  7. Mechanisms for achieving adolescent-friendly services in Ecuador: a realist evaluation approach

    PubMed Central

    Goicolea, Isabel; Coe, Anna-Britt; Hurtig, Anna-Karin; San Sebastian, Miguel

    2012-01-01

    Background Despite evidence showing that adolescent-friendly health services (AFSs) increase young people's access to these services, health systems across the world are failing to integrate this approach. In Latin America, policies aimed at strengthening AFS abound. However, such services are offered only in a limited number of sites, and providers’ attitudes and respect for confidentiality have not been addressed to a sufficient extent. Methods The aim of this study was to explore the mechanisms that triggered the transformation of an ‘ordinary’ health care facility into an AFS in Ecuador. For this purpose, a realist evaluation approach was used in order to analyse three well-functioning AFSs. Information was gathered at the national level and from each of the settings including: (i) statistical information and unpublished reports; (ii) in-depth interviews and focus group discussions with policy makers, health care providers, users and adolescents participating in youth organisations and (iii) observations at the health care facilities. Thematic analysis was carried out, driven by the realist evaluation approach, namely exploring the connections between mechanisms, contexts and outcomes. Results The results highlighted that the development of the AFSs was mediated by four mechanisms: grounded self-confidence in trying new things, legitimacy, a transformative process and an integral approach to adolescents. Along this process, contextual factors at the national and institutional levels were further explored. Conclusion The Ministry of Health of Ecuador, based on the New Guidelines for Comprehensive Care of Adolescent Health, has started the scaling up of AFSs. Our research points towards the need to recognise and incorporate these mechanisms as part of the implementation strategy from the very beginning of the process. Although contextually limited to Ecuador, many mechanisms and good practices in these AFS may be relevant to the Latin American setting and

  8. Child and adolescent service experience (ChASE): measuring service quality and therapeutic process.

    PubMed

    Day, Crispin; Michelson, Daniel; Hassan, Imren

    2011-11-01

    OBJECTIVES. Dissatisfaction with services has been associated with poorer child mental health outcomes, early treatment termination as well as disagreements over the nature of mental health difficulties, reasons for referral and therapy goals. The development of straightforward, reliable, and accurate methods of eliciting service users' views is essential within child and adolescent mental health care. This paper describes the development of the child and adolescent service experience (ChASE), a tool to measure children and young people's service experience DESIGN. The study comprises a non-experimental, cross-sectional design. METHODS. Participants were 132 mental health service users aged 8-18 years. Participants and their main carer completed the ChASE, Parent Satisfaction Questionnaire (PSQ) (Stallard, 1996) and Strengths and Difficulties (SDQ) Impact Supplement. Clinicians completed the SDQ Impact Supplement and provided clinical activity data. A sub-sample of participants completed the ChASE on a second occasion, 6 weeks after the completion of the first questionnaire. RESULTS. Scrutiny of ChASE data indicated high levels of completion. Principal axis factoring identified three factors within the ChASE: Relationship, Privacy, and Session Activity. The ChASE has good internal consistency and test-retest reliability. Significant correlations were found between the ChASE and carer satisfaction, service use, and youth clinical outcomes. CONCLUSIONS. The ChASE is a short, psychometrically robust tool for routine measurement of children, and young people's experience of mental health services, which users can complete easily. The results underline the importance of alliance factors to children and young people and their association with clinical improvement as well as the potential for the ChASE to be used a measure of children's therapeutic progress and alliance. PMID:22003953

  9. Validation of the Spanish-language version of the Rapid Assessment for Adolescent Preventive Services among Colombian adolescents.

    PubMed

    Suárez-Pinto, Tatiana A; Blanco-Gómez, Argénida; Díaz-Martínez, Luis A

    2016-10-01

    Seventy percent of adolescent morbidity and mortality is related to six risky behaviors. The Rapid Assessment for Adolescent Preventive Services is a screening questionnaire consisting of 21 questions but there is not a validated Spanish-language version. The obj ective of this study was to validate the Spanish-language version of the Rapid Assessment for Adolescent Preventive Services in two Colombian cities: Bucaramanga and Medellin. The questionnaire was administered to 270 randomly selected adolescent students aged between 11 and 19 years old. Its internal consistency measured using Cronbach's alpha was 0.7207. The factor analysis showed that two factors accounted for 84.5% of variance, but factor loading indicates that only one of these is valid in Colombia: substance use (tobacco, alcohol, narcotics, and psychoactive substances). PMID:27606643

  10. Global services systems - Space communication

    NASA Technical Reports Server (NTRS)

    Shepphird, F. H.; Wolbers, H. L.

    1979-01-01

    The requirements projected to the year 2000 for space-based global service systems, including both personal communications and innovative services, are developed based on historic trends and anticipated worldwide demographic and economic growth patterns. The growing demands appear to be best satisfied by developing larger, more sophisticated space systems in order to reduce the size, complexity, and expense of ground terminals. The availability of low-cost ground terminals will, in turn, further stimulate the generation of new services and new customers.

  11. Racial Disparities in Mental Health Service Use by Adolescents Who Thought about or Attempted Suicide

    ERIC Educational Resources Information Center

    Freedenthal, Stacey

    2007-01-01

    Differences in rates and predictors of mental health service use among 2,226 Black, Hispanic, and White adolescents (aged 12-17) who reported recent suicidal thoughts or an attempt were examined. Black adolescents were 65% (OR = 0.65, p less than 0.05), and Hispanic adolescents were 55% (OR = 0.55, p less than 0.001), as likely as White…

  12. Canadian Rural/Remote Primary Care Physicians Perspectives on Child/Adolescent Mental Health Care Service Delivery

    PubMed Central

    Zayed, Richard; Davidson, Brenda; Nadeau, Lucie; Callanan, Terrence S.; Fleisher, William; Hope-Ross, Lindsay; Espinet, Stacey; Spenser, Helen R.; Lipton, Harold; Srivastava, Amresh; Lazier, Lorraine; Doey, Tamison; Khalid-Khan, Sarosh; McKerlie, Ann; Stretch, Neal; Flynn, Roberta; Abidi, Sabina; St. John, Kimberly; Auclair, Genevieve; Liashko, Vitaly; Fotti, Sarah; Quinn, Declan; Steele, Margaret

    2016-01-01

    Introduction: Primary Care Physicians (PCP) play a key role in the recognition and management of child/adolescent mental health struggles. In rural and under-serviced areas of Canada, there is a gap between child/adolescent mental health needs and service provision. Methods: From a Canadian national needs assessment survey, PCPs’ narrative comments were examined using quantitative and qualitative approaches. Using the phenomenological method, individual comments were drawn upon to illustrate the themes that emerged. These themes were further analyzed using chi-square to identify significant differences in the frequency in which they were reported. Results: Out of 909 PCPs completing the survey, 39.38% (n = 358) wrote comments. Major themes that emerged were: 1) psychiatrist access, including issues such as long waiting lists, no child/adolescent psychiatrists available, no direct access to child/adolescent psychiatrists; 2) poor communication/continuity, need for more systemized/transparent referral processes, and need to rely on adult psychiatrists; and, 3) referral of patients to other mental health professionals such as paediatricians, psychologists, and social workers. Conclusions: Concerns that emerged across sites primarily revolved around lack of access to care and systems issues that interfere with effective service delivery. These concerns suggest potential opportunities for future improvement of service delivery. Implications: Although the survey only had one comment box located at the end, PCPs wrote their comments throughout the survey. Further research focusing on PCPs’ expressed written concerns may give further insight into child/adolescent mental health care service delivery systems. A comparative study targeting urban versus rural regions in Canada may provide further valuable insights. PMID:27047554

  13. Serving the Cyberteen: Library Service for the 21st Century Adolescent.

    ERIC Educational Resources Information Center

    Amey, Larry; Elliott, Stephen

    1997-01-01

    Arguing that today's youth yearns for initiation into adult society, this article examines visions of the future of adolescence in Western Society by contrasting the films "Star Trek" and "Blade Runner," and questions the role of information technology. Discusses library services for adolescents and the role of librarians as "information…

  14. Rural Adolescent Health: The Importance of Prevention Services in the Rural Community

    ERIC Educational Resources Information Center

    Curtis, Alexa C.; Waters, Catherine M.; Brindis, Claire

    2011-01-01

    Context: Adolescence is a pivotal developmental period for the establishment of positive health and health practices. However, developmentally propelled risk behaviors coinciding with barriers to health services may increase the propensity for untoward health outcomes in adolescence. In addition, the sociocultural context of the rural environment…

  15. Children's Views Matter Too! A Pilot Project Assessing Children's and Adolescents' Experiences of Clinical Psychology Services

    ERIC Educational Resources Information Center

    Gordon, Michael; Russo, Kate

    2009-01-01

    This pilot study explored the experiences and understanding of clinical psychology practices and services of children and adolescents attending clinical psychology outpatient appointments. Fifteen young participants took part in the study. A content analysis indicated that young children and adolescents have an appropriate understanding of the…

  16. Racial/Ethnic Differences in Mental Health Service Use among Adolescents with Major Depression

    ERIC Educational Resources Information Center

    Cummings, Janet R.; Druss, Benjamin G.

    2011-01-01

    Objective: Little is known about racial/ethnic differences in the receipt of treatment for major depression in adolescents. This study examined differences in mental health service use in non-Hispanic white, black, Hispanic, and Asian adolescents who experienced an episode of major depression. Method: Five years of data (2004-2008) were pooled…

  17. Predictors of Service Disengagement in First-Admitted Adolescents with Psychosis

    ERIC Educational Resources Information Center

    Schimmelmann, Benno Graf; Conus, Philippe; Schacht, Melanie; McGorry, Patrick; Lambert, Martin

    2006-01-01

    Objective: To assess the risk and predictors of service disengagement in adolescents with first-episode psychosis (FEP) receiving their first treatment in a long-standing early intervention and prevention centre. Method: The Early Psychosis Prevention and Intervention Centre (EPPIC) in Australia admitted 157 adolescents, ages 15 to 18, with FEP…

  18. Mental Health Needs in Adolescents with Intellectual Disabilities: Cross-Sectional Survey of a Service Sample

    ERIC Educational Resources Information Center

    Hassiotis, A.; Turk, J.

    2012-01-01

    Background: Little research has been conducted on the mental health needs of adolescents with intellectual disability, despite the severity and rates of such needs being high throughout childhood and in adulthood. We have investigated the prevalence and predictors of mental health needs and service use in adolescents with intellectual…

  19. Availability of Reproductive Health Care Services at Schools and Subsequent Birth Outcomes among Adolescent Mothers

    ERIC Educational Resources Information Center

    Madkour, Aubrey S.; Xie, Yiqiong; Harville, Emily W.

    2016-01-01

    Background: Adverse birth outcomes are more common among adolescent versus adult mothers, but little is known about school-based services that may improve birth outcomes in this group. Methods: Data from Waves I and IV of the National Longitudinal Study of Adolescent Health were analyzed. Girls and women who gave birth to singleton live infants…

  20. Ethnicity and Adolescent Depression: Prevalence, Access to Services, and Promising Interventions

    ERIC Educational Resources Information Center

    Wagstaff, Amanda E.; Polo, Antonio J.

    2012-01-01

    Depression is more common among adolescents of ethnic minority backgrounds, who also are less likely to receive professional help. This article presents information about prevalence of depression and service use across ethnic groups, and then outlines several promising intervention programs that are designed for adolescents suffering from…

  1. Expert Systems in Reference Services.

    ERIC Educational Resources Information Center

    Roysdon, Christine, Ed.; White, Howard D., Ed.

    1989-01-01

    Eleven articles introduce expert systems applications in library and information science, and present design and implementation issues of system development for reference services. Topics covered include knowledge based systems, prototype development, the use of artificial intelligence to remedy current system inadequacies, and an expert system to…

  2. Systemic Lupus Erythematosus in Children and Adolescents

    PubMed Central

    Levy, Deborah M.; Kamphuis, Sylvia

    2012-01-01

    Synopsis Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease that can involve any organ system with a wide range of disease manifestations, and can lead to significant morbidity and even mortality. This article reviews the epidemiology, common clinical features, complications of disease, and briefly discusses the available treatment options. In addition, important medical and psychosocial issues relevant to the pediatrician caring for children and adolescents with SLE are discussed. PMID:22560574

  3. Filter service system

    DOEpatents

    Sellers, Cheryl L.; Nordyke, Daniel S.; Crandell, Richard A.; Tomlins, Gregory; Fei, Dong; Panov, Alexander; Lane, William H.; Habeger, Craig F.

    2008-12-09

    According to an exemplary embodiment of the present disclosure, a system for removing matter from a filtering device includes a gas pressurization assembly. An element of the assembly is removably attachable to a first orifice of the filtering device. The system also includes a vacuum source fluidly connected to a second orifice of the filtering device.

  4. Work values system development during adolescence

    PubMed Central

    Porfeli, Erik J.

    2006-01-01

    Work values stability, change, and development can be appreciably reduced to a living system model (Ford, 1994). This theoretical model includes discrepancy-reducing and cohesion-amplifying mechanisms that interact to govern the change in standard- and goal-oriented work values over time (Boldero & Francis, 2002). Employing longitudinal data from a sample of adolescents (n = 1010) spanning the 9th through the 12th grades, the results demonstrate that the value system develops in a theoretically predictable fashion during the adolescent period. Discrepancy reduction and cohesion mechanisms interact to either maintain or increase the integrity of and harmony between standard-oriented values associated with high school part-time work experiences and goal-oriented work values related to anticipated career-oriented work during adulthood. Exploratory analyses suggest that adolescents’ educational expectations influence the relative salience of standard- and goal-oriented work values and the discrepancy reduction process linking the two over time. PMID:17387373

  5. Accessibility of Catering Service Venues and Adolescent Drinking in Beijing, China.

    PubMed

    Lu, Shijun; Du, Songming; Ren, Zhoupeng; Zhao, Jing; Chambers, Christina; Wang, Jinfeng; Ma, Guansheng

    2015-07-01

    This study assessed the association between accessibility of catering service venues and adolescents' alcohol use over the previous 30 days. The data were collected from cross-sectional surveys conducted in 2014, 2223 students at 27 high schools in Chaoyang and Xicheng districts, Beijing using self-administered questionnaires to collect the adolescents information on socio-demographic characteristics and recent alcohol experiences. The accessibility of, and proximity to, catering service venues were summarized by weights, which were calculated by multiplication of the type-weight and the distance-weight. All sampled schools were categorized into three subgroups (low, middle, and high geographic density) based on the tertile of nearby catering service venues, and a multi-level logistic regression analysis was performed to explore variance between the school levels. Considering the setting characteristics, the catering service venues weighted value was found to account for 8.6% of the school level variance of adolescent alcohol use. The odds ratios (OR) and 95% confidence intervals (CI) of drinking over the past 30-days among adolescents with medium and high accessibility of catering service venues were 1.17 (0.86, 1.57) and 1.47 (1.06, 2.02), respectively (p < 0.001 for trend test). This study addressed a gap in the adolescent drinking influence by the catering service venues around schools in China. Results suggest that the greater accessibility of catering service venues around schools is associated with a growing risk of recent drinking. PMID:26132475

  6. Adolescents' Use of School-Based Health Clinics for Reproductive Health Services: Data from the National Longitudinal Study of Adolescent Health.

    ERIC Educational Resources Information Center

    Crosby, Richard A.; St. Lawrence, Janet

    2000-01-01

    Describes adolescents' use of school-based health clinics (SBCs) for family planning and sexually transmitted disease (STD)-related services, using data from the National Longitudinal Study of Adolescent Health. Results indicated that 13 percent received family planning and 8.9 percent received STD-related services from SBCs. Factors affecting the…

  7. Psychiatric treatment and research unit for adolescent intensive care: the first adolescent forensic psychiatric service in Finland.

    PubMed

    Kahila, K; Kilkku, N; Kaltiala-Heino, R

    2004-04-01

    Finland does not have a history of providing forensic adolescent psychiatric units although the need for this kind of service has been established. According to legislation patients who are minors have to be treated separately from adults, however, this has not been possible in practice. Also, adolescent psychiatric wards have not always been able to admit the most severely ill patients, those with impulsive and aggressive behaviours, because of lack of staff resources, problems associated with protecting other vulnerable patients and a shortage of secure environments. A previous report demonstrated the significant increase in adolescent's involuntary treatment within adult psychiatric wards. Data from this report were acknowledged as an important starting point in the planning process for the psychiatric treatment and research unit for adolescent intensive care. This paper describes the background, development process, plan of action, tailor-made education programme and supporting evidence for the first Finnish adolescent forensic service opened in April 2003 in the Department of Psychiatry, Tampere University Hospital. The tool used for planning the unit's activities and staff education programme was the Balanced Score Card approach, the structure and development of which is also outlined within the paper. PMID:15009502

  8. A Meta-Systems Approach to Evidence-Based Practice for Children and Adolescents

    ERIC Educational Resources Information Center

    Kazak, Anne E.; Hoagwood, Kimberly; Weisz, John R.; Hood, Korey; Kratochwill, Thomas R.; Vargas, Luis A.; Banez, Gerard A.

    2010-01-01

    Improving outcomes for children and adolescents with mental health needs demands a broad meta-systemic orientation to overcome persistent problems in current service systems. Improving outcomes necessitates inclusion of current and emerging evidence about effective practices for the diverse population of youth and their families. Key components of…

  9. Developing an Internet-Based Support System for Adolescents with Depression

    PubMed Central

    Kurki, Marjo; Hätönen, Heli; Koivunen, Marita; Selander, Maarit; Saarijärvi, Simo; Anttila, Minna

    2012-01-01

    Background Depression is the most common mental health problem among adolescents. Despite policy guidance and governmental support to develop usable mental health services, there is still a lack of easily accessible and modern interventions available for adolescents in Finland’s majority official language. Objective Our objective was to develop a user-friendly and feasible Internet-based support system for adolescents with depression. Methods The Internet-based support system for adolescents with depression was developed. To create this new intervention, some examples of existing interventions were studied, the theoretical basis for the intervention was described, and the health needs of adolescents identified. As an outcome of the process, the results were combined and the content and delivery of a new intervention will be described here. Results Six individual weekly Internet-based support sessions were delivered by a tutor over a 6-week period of time and developed to form an intervention called Depis.Net. This was an Internet-based support system for adolescents with depression tailored to improve self-management skills and increase awareness of their own well-being and mental health. The intervention was accessible via an electronic platform, which was secured and password protected for users. The intervention on the Depis.Net website consisted of elements identifying adolescents’ needs, and offering self-monitoring, access to health information and self-reflective written exercises. An educated nurse tutor gave written feedback to each adolescent via the electronic platform. Conclusions An Internet-based support system for adolescents with depression was developed using a systematic approach with four steps. This was done to ensure that the intervention had a sound theoretical background and at the same time caters flexibly for the problems that adolescents commonly face in their daily lives. Its potential for adolescents visiting outpatient clinics will

  10. Introduction of Service Systems Implementation

    NASA Astrophysics Data System (ADS)

    Demirkan, Haluk; Spohrer, James C.; Krishna, Vikas

    Services systems can range from an individual to a firm to an entire nation. They can also be nested and composed of other service systems. They are configurations of people, information, technology and organizations to co-create value between a service customer and a provider (Maglio et al. 2006; Spohrer et al. 2007). While these configurations can take many, potentially infinite, forms, they can be optimized for the subject service to eliminate unnecessary costs in the forms of redundancies, over allocation, etc. So what is an ideal configuration that a provider and a customer might strive to achieve? As much as it would be nice to have a formula for such configurations, experiences that are result of engagement, are very different for each value co-creation configurations. The variances and dynamism of customer provider engagements result in potentially infinite types and numbers of configurations in today's global economy.

  11. The personal service gap: factors affecting adolescents' willingness to seek help.

    PubMed

    Raviv, Amiram; Raviv, Alona; Vago-Gefen, Idit; Fink, Abby Schachter

    2009-06-01

    The study explores adolescents' attitudes toward seeking help for emotional problems. The personal service gap is examined by asking adolescents about their willingness to refer themselves and others to formal (psychologists) and informal (friends) help sources, using a within-subjects design. The study included 662 Israeli adolescents in the 10th and 12th grades. The results indicate that adolescents refer peers more than themselves to a psychologist and to a friend. They are also more willing to refer themselves and peers to a friend rather than to a psychologist. Barriers to seeking psychological help are explored and significant correlations between perceptions of psychological benefit, problem severity and barriers to help seeking are described. Recommendations for increasing adolescents' awareness and use of help sources are suggested. PMID:18786722

  12. Reliability of the Services for Children and Adolescents-Parent Interview.

    ERIC Educational Resources Information Center

    Hoagwood, Kimberly Eaton; Jensen, Peter S.; Arnold, L. Eugene; Roper, Margaret; Severe, Joanne; Odbert, Carol; Molina, Brooke S.G.

    2004-01-01

    Objective: To describe the psychometric properties and test the reliability of a new instrument designed to measure mental health services use within pediatric clinical samples, the Services for Children and Adolescents-Parent Interview (SCAPI), which was developed by the National Institute of Mental Health Multimodal Treatment Study of Children…

  13. Perceptions of Early Intervention Services: Adolescent and Adult Mothers in Two States

    ERIC Educational Resources Information Center

    Thompson, Stacy D.; Bruns, Deborah A.

    2013-01-01

    Early intervention (EI) provides critical services to families with young children who have diagnosed disabilities, developmental delays, or who are at-risk for developmental delays. Very little is known about the experiences of adolescent mothers who have children who qualify for EI services. The authors investigated the perceptions of adolescent…

  14. Emergency Presentations to an Inner-City Psychiatric Service for Children and Adolescents

    ERIC Educational Resources Information Center

    Dil, L. M.; Vuijk, P. J.

    2012-01-01

    Psychiatric emergency services for children and adolescents vary in process, structure and outcome. There are few systematic studies on the type and prevalence of psychiatric problems encountered, related circumstances or resulting interventions. Evidence in these areas is important in evaluation of the function of mental health services in the…

  15. Bullying Experiences of Child and Adolescent Mental Health Service-Users: A Pilot Survey

    ERIC Educational Resources Information Center

    Dyer, Kevin; Teggart, Tom

    2007-01-01

    Victims and perpetrators of bullying experience a variety of psychological problems. The aim of the current pilot study was to explore the bullying experiences of Child and Adolescent Mental Health (CAMHS) service-users. The investigation was conducted as a cross-sectional survey at a community-based specialist CAMH service. A modified version of…

  16. Advanced information processing system: Local system services

    NASA Technical Reports Server (NTRS)

    Burkhardt, Laura; Alger, Linda; Whittredge, Roy; Stasiowski, Peter

    1989-01-01

    The Advanced Information Processing System (AIPS) is a multi-computer architecture composed of hardware and software building blocks that can be configured to meet a broad range of application requirements. The hardware building blocks are fault-tolerant, general-purpose computers, fault-and damage-tolerant networks (both computer and input/output), and interfaces between the networks and the computers. The software building blocks are the major software functions: local system services, input/output, system services, inter-computer system services, and the system manager. The foundation of the local system services is an operating system with the functions required for a traditional real-time multi-tasking computer, such as task scheduling, inter-task communication, memory management, interrupt handling, and time maintenance. Resting on this foundation are the redundancy management functions necessary in a redundant computer and the status reporting functions required for an operator interface. The functional requirements, functional design and detailed specifications for all the local system services are documented.

  17. Provision of Mental Health Services as a Quality Indicator for Adolescent Substance Use Treatment Facilities

    PubMed Central

    Ramchand, Rajeev; Griffin, Beth Ann; Hunter, Sarah B.; Booth, Marika Suttorp; McCaffrey, Daniel F.

    2015-01-01

    Objective We sought to test whether adolescents receiving substance use treatment at facilities offering full (can treat all psychiatric conditions) or partial (do not treat severe/persistent mental illness) mental health services have better 12-month substance use and mental health outcomes. Methods Data was collected from 3,235 adolescents served at one of 50 adolescent treatment facilities who were assessed at baseline and at 12-months. Propensity scores were applied to compare client outcomes from three types of facilities (full, partial, or no mental health services); weighted linear models were estimated to examine outcomes. Results Youths attending facilities offering full or partial mental health services had better substance use outcomes than youths attending facilities offering no such services. There was no evidence of a difference in substance use outcomes between facilities offering full versus partial services, nor evidence of differences on mental health outcomes. Conclusions These preliminary findings suggest that the availability of mental health services may be a useful quality indicator for adolescent substance use treatment facilities. More research is needed to examine specific types of mental health services offered at different facilities. PMID:25219932

  18. Accessibility of Catering Service Venues and Adolescent Drinking in Beijing, China

    PubMed Central

    Lu, Shijun; Du, Songming; Ren, Zhoupeng; Zhao, Jing; Chambers, Christina; Wang, Jinfeng; Ma, Guansheng

    2015-01-01

    This study assessed the association between accessibility of catering service venues and adolescents’ alcohol use over the previous 30 days. The data were collected from cross-sectional surveys conducted in 2014, 2223 students at 27 high schools in Chaoyang and Xicheng districts, Beijing using self-administered questionnaires to collect the adolescents information on socio-demographic characteristics and recent alcohol experiences. The accessibility of, and proximity to, catering service venues were summarized by weights, which were calculated by multiplication of the type-weight and the distance-weight. All sampled schools were categorized into three subgroups (low, middle, and high geographic density) based on the tertile of nearby catering service venues, and a multi-level logistic regression analysis was performed to explore variance between the school levels. Considering the setting characteristics, the catering service venues weighted value was found to account for 8.6% of the school level variance of adolescent alcohol use. The odds ratios (OR) and 95% confidence intervals (CI) of drinking over the past 30-days among adolescents with medium and high accessibility of catering service venues were 1.17 (0.86, 1.57) and 1.47 (1.06, 2.02), respectively (p < 0.001 for trend test). This study addressed a gap in the adolescent drinking influence by the catering service venues around schools in China. Results suggest that the greater accessibility of catering service venues around schools is associated with a growing risk of recent drinking. PMID:26132475

  19. When is Sessional Monitoring More Likely in Child and Adolescent Mental Health Services?

    PubMed

    Edbrooke-Childs, J H; Gondek, D; Deighton, J; Fonagy, P; Wolpert, M

    2016-05-01

    Sessional monitoring of patient progress or experience of therapy is an evidence-based intervention recommended by healthcare systems internationally. It is being rolled out across child and adolescent mental health services (CAMHS) in England to inform clinical practice and service evaluation. We explored whether patient demographic and case characteristics were associated with the likelihood of using sessional monitoring. Multilevel regressions were conducted on N = 2609 youths from a routinely collected dataset from 10 CAMHS. Girls (odds ratio, OR 1.26), older youths (OR 1.10), White youths (OR 1.35), and youths presenting with mood (OR 1.46) or anxiety problems (OR 1.59) were more likely to have sessional monitoring. In contrast, youths under state care (OR 0.20) or in need of social service input (OR 0.39) were less likely to have sessional monitoring. Findings of the present research may suggest that sessional monitoring is more likely with common problems such as mood and anxiety problems but less likely with more complex cases, such as those involving youths under state care or those in need of social service input. PMID:26894889

  20. Utilization of mental health services among adolescents in community-based substance abuse outpatient clinics.

    PubMed

    Chan, Ya-Fen; Godley, Mark D; Godley, Susan H; Dennis, Michael L

    2009-01-01

    This study examined the rates and correlates of self-reported receipt for mental health services among 1,190 adolescents, aged 12-19, who were admitted to community-based substance abuse outpatient clinics and had a co-occurring mental health problem. Utilization of mental health service was ascertained 3 months post-intake. About one third (35%) of adolescents with a co-occurring mental health problem identified at intake received mental health service in the 3 months after treatment entry. After holding other correlates constant, history of mental health treatment, suicidal behavior, family history of mental disorder and insurance coverage at intake were associated with mental health service utilization at the 3-month follow up. Predictors of service utilization varied by gender and racial/ethnic status. Implications for integrated substance use and mental health services are discussed. PMID:18157641

  1. Music Information Services System (MISS).

    ERIC Educational Resources Information Center

    Rao, Paladugu V.

    Music Information Services System (MISS) was developed at the Eastern Illinois University Library to manage the sound recording collection. Operating in a batch mode, MISS keeps track of the inventory of sound recordings, generates necessary catalogs to facilitate the use of the sound recordings, and provides specialized bibliographies of sound…

  2. Human Services Course Delivery Systems.

    ERIC Educational Resources Information Center

    Soong, Robert K.; And Others

    This paper deals with various teaching methods and techniques currently is use in junior colleges in the Chicago area including traditional as well as innovative methods. The basic assumption is that teaching and learning are both essential aspects of the same system. The human services field is defined as encompassing the basic area of social…

  3. Preparing Foster Adolescents for Self-Support: A New Challenge for Child Welfare Services.

    ERIC Educational Resources Information Center

    Mech, Edmund V.

    1988-01-01

    Discusses the situation of adolescents in the foster care system and the role of independent-living programs to help them adjust to life on their own. Provides an overview of the content of the November/December 1988 edition of CHILD WELFARE. This issue consists of articles pertaining to the preparation of at-risk adolescents for independent…

  4. Completed Suicides Among Quebec Adolescents Involved with Juvenile Justice and Child Welfare Services

    ERIC Educational Resources Information Center

    Farand, Lambert; Chagnon, Francois; Renaud, Johanne; Rivard, Michele

    2004-01-01

    In the Province of Quebec (Canada), adolescents involved with the child welfare and juvenile justice systems committed at least one third of all completed suicides in their age group in 1995 and 1996. Their risk of suicide, standardized for age and sex, was five times that of the general adolescent population, and female juvenile delinquents had…

  5. Adolescents with high periodontal risk in Public Dental Service.

    PubMed

    Jansson, Leif; Adler, Lottie; Jonés, Catarina

    2013-01-01

    The purpose of the present study was to investigate the prevalence of adolescents with high periodontal risk and to identify factors with influence on the decision to refer a patient to a specialist clinic of Periodontology, on compliance rate and on treatment outcome. The investigation was conducted as a retrospective study on adolescents at age 13-17. In total, clinical examinations and risk evaluations according to caries- and periodontal risk were performed on 50347 adolescents in general dentistry at ages 13, 15 and 17 in 2007. Individuals with a high periodontal risk were included in the present investigation. A high periodontal risk was defined as presence of sites with periodontal pocket depths >6mm and loss of periodontal tissue support. Multiple logistic regression analyses were adopted to calculate the influence of the potential predictors on the investigated dependent variables. In total, 0.5% of the adolescents were found to have high periodontal risk. The diagnosis local periodontitis and the number of periodontal pockets with probing depths >6 mm were positively and significantly correlated to referral to a periodontist. Eighteen percent dropped out before the treatment was completed. Smokers had a significantly lower compliance than non-smokers. The success rate was significantly lower for individuals with many periodontal pockets and for those with the diagnosis local periodontitis. The prevalence of adolescents classified as having high periodontal risk was low. A large frequency of subjects dropped out before the periodontal treatment was completed, especially at the specialist clinics. PMID:24620506

  6. Service delivery interventions to improve adolescents' linkage, retention and adherence to antiretroviral therapy and HIV care*

    PubMed Central

    MacPherson, Peter; Munthali, Chigomezgo; Ferguson, Jane; Armstrong, Alice; Kranzer, Katharina; Ferrand, Rashida A; Ross, David A

    2015-01-01

    Objectives Adolescents living with HIV face substantial difficulties in accessing HIV care services and have worse treatment outcomes than other age groups. The objective of this review was to evaluate the effectiveness of service delivery interventions to improve adolescents' linkage from HIV diagnosis to antiretroviral therapy (ART) initiation, retention in HIV care and adherence to ART. Methods We systematically searched the Medline, SCOPUS and Web of Sciences databases and conference abstracts from the International AIDS Conference and International Conference on AIDS and STIs in Africa (ICASA). Studies published in English between 1st January 2001 and 9th June 2014 were included. Two authors independently evaluated reports for eligibility, extracted data and assessed methodological quality using the Cochrane risk of bias tool and Newcastle–Ottawa Scale. Results Eleven studies from nine countries were eligible for review. Three studies were randomised controlled trials. Interventions assessed included individual and group counselling and education; peer support; directly observed therapy; financial incentives; and interventions to improve the adolescent-friendliness of clinics. Most studies were of low to moderate methodological quality. Conclusions This review identified limited evidence on the effectiveness of service delivery interventions to support adolescents' linkage from HIV diagnosis to ART initiation, retention on ART and adherence to ART. Although recommendations are qualified because of the small numbers of studies and limited methodological quality, offering individual and group education and counselling, financial incentives, increasing clinic accessibility and provision of specific adolescent-tailored services appear promising interventions and warrant further investigation. PMID:25877007

  7. Childhood ADHD Symptoms: Association with Parental Social Networks and Mental Health Service Use during Adolescence

    PubMed Central

    Bussing, Regina; Meyer, Johanna; Zima, Bonnie T.; Mason, Dana M.; Gary, Faye A.; Garvan, Cynthia Wilson

    2015-01-01

    Objective: This study examines the associations of childhood attention-deficit/hyperactivity disorder (ADHD) risk status with subsequent parental social network characteristics and caregiver strain in adolescence; and examines predictors of adolescent mental health service use. Methods: Baseline ADHD screening identified children at high risk (n = 207) and low risk (n = 167) for ADHD. At eight-year follow-up, parents reported their social network characteristics, caregiver strain, adolescents’ psychopathology and mental health service utilization, whereas adolescents self-reported their emotional status and ADHD stigma perceptions. Analyses were conducted using ANOVAs and nested logistic regression modeling. Results: Parents of youth with childhood ADHD reported support networks consisting of fewer spouses but more healthcare professionals, and lower levels of support than control parents. Caregiver strain increased with adolescent age and psychopathology. Increased parental network support, youth ADHD symptoms, and caregiver strain, but lower youth stigma perceptions were independently associated with increased service use. Conclusions: Raising children with ADHD appears to significantly impact parental social network experiences. Reduced spousal support and overall lower network support levels may contribute to high caregiver strain commonly reported among parents of ADHD youth. Parental social network experiences influence adolescent ADHD service use. With advances in social networking technology, further research is needed to elucidate ways to enhance caregiver support during ADHD care. PMID:26402692

  8. MSAT system and service description

    NASA Astrophysics Data System (ADS)

    Sward, D. J.; Lok, M. F.

    1986-09-01

    A satellite based mobile communications system known as MSAT, was developed in Canada. It will be used primarily in rural and remote regions where the wide-area coverage and extended range features are of greatest benefit. Applications can be found in trucking, mineral exploration, forestry, law enforcement, coastal and in-land shipping, light aircraft communications, national paging, environmental sensing, remote monitoring and control of utilities, and emergency relief. The services which are likely to be offered initially on MSAT include mobile radio, mobile telephone, mobile data, wide-area paging, supervisory control, and data collection. Maritime and aeronautical services can also be provided as well as conventional telephone service to locations which for technical and economic reasons cannot be served by the fixed terrestrial and satellite infrastructures.

  9. A Key Informant Survey To Assess Service Adequacy in California's Publicly Funded Alcohol and Other Drug Treatment System.

    ERIC Educational Resources Information Center

    Clapp, John D.; Hohman, Melinda M.

    2002-01-01

    Study examined administrators' perceptions of service adequacy, provision of services, and evaluation of services of publicly funded alcohol and other drug treatment systems in California. Administrators reported that systems adequately serve most populations; however some suggested that adolescents, elderly, and homeless were not as adequately…

  10. Treated Prevalence of and Mental Health Services Received by Children and Adolescents in 42 Low-and-Middle-Income Countries

    ERIC Educational Resources Information Center

    Morris, Jodi; Belfer, Myron; Daniels, Amy; Flisher, Alan; Ville, Liesbet; Lora, Antonio; Saxena, Shekhar

    2011-01-01

    Background: Little is known about the treated prevalence and services received by children and adolescents in low- and middle-income countries (LAMICs). The purpose of this study is to describe the characteristics and capacity of mental health services for children and adolescents in 42 LAMICs. Methods: The "World Health Organization Assessment…

  11. Child and family outreach services as an adjunct to child and adolescent mental health treatment.

    PubMed

    Stein, M B; Hyde, K L; Monopolis, S J

    1991-06-01

    Child and Family Outreach Services have been an important adjunct to urban community child and adolescent mental health treatment. The Child and Family Outreach Services Program was developed as an extension of a child and adolescent outpatient and child partial hospitalization program to provide a comprehensive continuum of treatment. The Child and Family Outreach Program generalizes and links traditional therapeutic services to the patient's and family's environment through in-home, in-school, and community intervention. The latter treatment model enables the mental health service provider comprehensively to treat and effect positive change with high-risk patients and their families. Outreach service involvement has increased treatment compliance and reduced out-of-home placements. PMID:10114458

  12. A stepped-care model of post-disaster child and adolescent mental health service provision

    PubMed Central

    McDermott, Brett M.; Cobham, Vanessa E.

    2014-01-01

    Background From a global perspective, natural disasters are common events. Published research highlights that a significant minority of exposed children and adolescents develop disaster-related mental health syndromes and associated functional impairment. Consistent with the considerable unmet need of children and adolescents with regard to psychopathology, there is strong evidence that many children and adolescents with post-disaster mental health presentations are not receiving adequate interventions. Objective To critique existing child and adolescent mental health services (CAMHS) models of care and the capacity of such models to deal with any post-disaster surge in clinical demand. Further, to detail an innovative service response; a child and adolescent stepped-care service provision model. Method A narrative review of traditional CAMHS is presented. Important elements of a disaster response – individual versus community recovery, public health approaches, capacity for promotion and prevention and service reach are discussed and compared with the CAMHS approach. Results Difficulties with traditional models of care are highlighted across all levels of intervention; from the ability to provide preventative initiatives to the capacity to provide intense specialised posttraumatic stress disorder interventions. In response, our over-arching stepped-care model is advocated. The general response is discussed and details of the three tiers of the model are provided: Tier 1 communication strategy, Tier 2 parent effectiveness and teacher training, and Tier 3 screening linked to trauma-focused cognitive behavioural therapy. Conclusion In this paper, we argue that traditional CAMHS are not an appropriate model of care to meet the clinical needs of this group in the post-disaster setting. We conclude with suggestions how improved post-disaster child and adolescent mental health outcomes can be achieved by applying an innovative service approach. PMID:25045422

  13. Resilience in Parentally Bereaved Children and Adolescents Seeking Preventive Services

    ERIC Educational Resources Information Center

    Lin, Kirk K.; Sandler, Irwin N.; Ayers, Tim S.; Wolchik, Sharlene A.; Luecken, Linda J.

    2004-01-01

    This study examined environmental stress, family, and child variables that differentiate resilient children and adolescents from those with mental health problems following the death of a primary caregiver. The community-based sample included 179 bereaved children ages 8 to 16 years and their surviving caregivers who completed a test battery of…

  14. In-Service Teachers' Perspectives on Adolescent ELL Writing Instruction

    ERIC Educational Resources Information Center

    Kibler, Amanda K.; Heny, Natasha A.; Andrei, Elena

    2016-01-01

    As writing has assumed increasing importance in discussions of pedagogy for diverse classrooms, attention to the contexts in which secondary teachers develop and implement writing instruction for adolescent English language learners (ELLs) is of great importance. Drawing on ecological language learning theories and situated teacher learning theory…

  15. Implications of Comprehensive Mental Health Services Embedded in an Adolescent Obstetric Medical Home.

    PubMed

    Ashby, Bethany; Ranadive, Nikhil; Alaniz, Veronica; St John-Larkin, Celeste; Scott, Stephen

    2016-06-01

    Purpose Mental health issues in perinatal adolescents are well documented and studies have shown high rates of depressive disorders among this population. Treatment is challenging because pregnant adolescents are poorly adherent with mental health services. We describe a novel integrated mental health care program for pregnant and parenting adolescent mothers and their children. Methods The Colorado Adolescent Maternity Program (CAMP) is a comprehensive, multidisciplinary teen pregnancy and parenting medical home program serving an ethnically diverse and low socioeconomic status population in the Denver metro area. We describe the Healthy Expectations Adolescent Response Team (HEART), an embedded mental health care program focused on improving identification of mental health symptoms and increasing rates mental health treatment in adolescent mothers. Results From January 1, 2011-January 16 2014, 894 pregnant adolescents were enrolled in CAMP and 885 patients were screened for mental health issues. Prior to HEART's inception, 20 % of patients were identified as having mood symptoms in the postpartum period. Successful referrals to community mental health facilities occurred in only 5 % of identified patients. Following the creation of HEART, 41 % of patients were identified as needing mental health services. Nearly half of the identified patients (47 %) engaged in mental health treatment with the psychologist. Demographic factors including age, parity, ethnicity, and parent and partner involvement did not have a significant impact on treatment engagement. Trauma history was associated with lower treatment engagement. Conclusion Our findings suggest that an embedded mental health program in an adolescent obstetric and pediatric medical home is successful in improving identification and engagement in mental health treatment. Key components of the program include universal screening, intensive social work and case management involvement, and ready access to onsite

  16. School-Based Health Center Model Within the Military Health System: The Role of the Adolescent Medicine Physician.

    PubMed

    Greene, Jeffery P; Dawson, Rachel

    2016-09-01

    Adolescents are less motivated to seek medical care for various reasons. Within the military health care system, access barriers, although less encountered, can still be a burden not only to the adolescent, but also the school system. This article describes the development of a school-based health center within a school district on a military installation. The school clinic was created by adolescent medicine specialists to maximize access to care. Students of adolescent age utilized the clinic for evaluation of acute and chronic conditions, preventative services, preparticipation evaluation, and other general complaints. After receiving signed consent forms, 30% of students were eligible for health care. There was minimal cost to initiate the service. Development of school-based health center programs at other military installations could potentially improve the status of the military health system during a time of high stress among military dependents. PMID:27612351

  17. The Financing of Mental Health Services for Children and Adolescents. National Institute of Mental Health and the Maternal and Child Health Bureau Workshop (Bethesda, Maryland, February 24-25, 1988).

    ERIC Educational Resources Information Center

    National Center for Education in Maternal and Child Health, Washington, DC.

    This collection consists of the technical papers presented at a federally sponsored workshop on financing of mental health services for children and adolescents. Individually, the papers reflect the fragmentation of the field--both the fragmented service delivery system and fragmented research on services and financing. Together, the papers form a…

  18. Why Adolescents Use a Computer-Based Health Information System.

    ERIC Educational Resources Information Center

    Hawkins, Robert P.; And Others

    The Body Awareness Resource Network (BARN) is a system of interactive computer programs designed to provide adolescents with confidential, nonjudgmental health information, behavior change strategies, and sources of referral. These programs cover five adolescent health areas: alcohol and other drugs, human sexuality, smoking prevention and…

  19. Brief Report: Development of the Adolescent Empathy and Systemizing Quotients

    ERIC Educational Resources Information Center

    Auyeung, Bonnie; Allison, Carrie; Wheelwright, Sally; Baron-Cohen, Simon

    2012-01-01

    Adolescent versions of the Empathy Quotient (EQ) and Systemizing Quotient (SQ) were developed and administered to n = 1,030 parents of typically developing adolescents, aged 12-16 years. Both measures showed good test-retest reliability and high internal consistency. Girls scored significantly higher on the EQ, and boys scored significantly higher…

  20. Information systems and services, user services

    NASA Technical Reports Server (NTRS)

    Landgrebe, D. A.

    1975-01-01

    The following topics were discussed: (1) data availability and distribution, (2) complete processing systems, (3) subsystems, (4) applications, (5) research for future technology, and (6) education, training opportunities, and materials. Evidence was given that remote sensing technology is being increasingly utilized. Therefore, it was concluded that a second stage of remote sensing technology should be developed.

  1. Satellite services system analysis study: Propellant transfer system

    NASA Technical Reports Server (NTRS)

    1982-01-01

    General servicing requirements, a servicing mission concept and scenario, overall servicing needs, basic servicing equipment, and a general servicing mission configuration layout are addressed. Servicing needs, equipment concepts, system requirements equipment specifications, preliminary designs, and resource requirements for flight hardware for the propellant transfer system are also addressed.

  2. Ensuring Quality Service-Learning Experiences for At-Risk Adolescents

    ERIC Educational Resources Information Center

    Nelson, Judith A.; Sneller, Susan

    2011-01-01

    Service-learning is one way of reconstructing educators' thinking about adolescents who demonstrate at-risk behaviors. It allows educators and others to involve youth considered to be "at risk" in talking about their concerns and interests, solving problems, and making decisions as they construct their own identities with the help and…

  3. Pregnant and Parenting Adolescents: Alternatives for Developing School-Based Programs and Services.

    ERIC Educational Resources Information Center

    Glosson, Linda R.; Lytle, Jacque R.

    This guide suggests ways to develop and implement school-based programs and services for pregnant and parenting adolescents. The guide is organized in 10 sections. The first section summarizes the problem of teen parenthood, with information on the causes and the consequences of early pregnancy. In the second section, teen parents' needs for…

  4. Enhancing Health Literacy through Accessing Health Information, Products, and Services: An Exercise for Children and Adolescents

    ERIC Educational Resources Information Center

    Brey, Rebecca A.; Clark, Susan E.; Wantz, Molly S.

    2007-01-01

    The second National Health Education Standard states the importance of student demonstration of the ability to access valid health information and services. The teaching technique presented in this article provides an opportunity for children and adolescents to develop their health literacy and advocacy skills by contributing to a class resource…

  5. Studies in Adolescent Health: Research to Improve Health Services for Mothers and Children.

    ERIC Educational Resources Information Center

    California Univ., Los Angeles. School of Public Health.

    This publication is one in a series summarizing final reports of research projects concerned with improving health services for mothers, children and physically handicapped youth. Topics of the 10 reports include: (1) ambulatory care patterns of urban adolescents in New York City, (2) selected parameters of school achievement among New York City…

  6. Development of Community-Based Health Services for Adolescents at Risk for Sociomedical Problems.

    ERIC Educational Resources Information Center

    Lear, Julia Graham; And Others

    1985-01-01

    In 1981 the Robert Wood Johnson Foundation provided funds to 20 teaching hospitals to support health services to high-risk adolescents (young people living in communities with high rates of pregnancy, drug abuse, alcohol abuse, accidents, homicide, suicide, and depression). The experiences of these institutions are described. (Author/MLW)

  7. Clinical Profile of Childhood Onset Depression Presenting to Child Adolescent and Family Services in Northampton

    ERIC Educational Resources Information Center

    Majumder, Pallab; Hammad, Hala

    2006-01-01

    Background: The clinical profile of depressive disorder in children and young people in Child Adolescent and Family Services (CAFS), Northampton was studied. Methods: Twenty-five patients who had attended the CAFS over a period of 2 years were analysed retrospectively. Results: The age range of subjects was 8 to 19 years. Majority of patients were…

  8. [The role of community-based public health services in child and adolescent health in Germany].

    PubMed

    Wegner, R E

    2005-10-01

    Children and adolescents increasingly show health-related problems which may not be considered as diseases to be treated but nevertheless severely affect academic performance and social behaviour. Regarding the consequences, e.g. from the PISA study, the significance of health problems and their negative impact on academic success are still not sufficiently taken into account. The tasks of paediatric public health services include: (1) health promotion in schools and kindergartens, (2) preventive and other medical checkups in kindergartens and schools to detect the individual needs of children and adolescents for support, (3) reducing the risk of long-term damage in handicapped or retarded children and adolescents by seeking out these children where necessary, and (4) advising the political decision makers by reporting on the population's health and social situation. The main aim is to provide children with special needs with what they need in order to prevent them, especially those whose parents cannot ensure this support themselves, developing a deeper disturbance, or to make sure that these young people are able to participate in social life and to integrate into society in spite of health problems or handicaps. To achieve these goals and to improve the health of children and adolescents, a community-based paediatric public health service has to cooperate with other institutions such as youth authorities, social welfare, education authorities, schools and other local institutions with an input into the health of children and adolescents. PMID:16179986

  9. Service Utilization for Lifetime Mental Disorders in U.S. Adolescents: Results of the National Comorbidity Survey Adolescent Supplement (NCS-A)

    PubMed Central

    Merikangas, Kathleen Ries; He, Jian-ping; Burstein, Marcy E.; Swendsen, Joel; Avenevoli, Shelli; Case, Brady; Georgiades, Katholiki; Heaton, Leanne; Swanson, Sonja; Olfson, Mark

    2013-01-01

    Objective Mental health policy for youth has been constrained by a paucity of nationally representative data concerning patterns and correlates of mental health service utilization in this segment of the population. The objectives of this investigation are to examine the rates and sociodemographic correlates of lifetime mental health service use by severity, type, and number of DSM-IV disorders in the National Comorbidity Survey-Adolescent Supplement (NCS-A). Method Face-to-face survey of mental disorders from 2002-2004 using a modified version of the fully-structured World Health Organization Composite International Diagnostic Interview in a nationally representative sample of 6,483 adolescents aged 13-18 years for whom information on service use was available from both an adolescent and a parent report. Both total and sector-specific mental health service use was also assessed. Results Approximately one-third of adolescents with mental disorders received services for their illness (36.2%). Although disorder severity was significantly associated with an increased likelihood of receiving treatment, half of adolescents with severely impairing mental disorders had never received mental health treatment for their symptoms. Service rates were highest among those with attention-deficit/hyperactivity disorder (59.8%) and behavior disorders (45.4%), but less than one in five affected adolescents received services for anxiety, eating, or substance use disorders. Comorbidity and severe impairment were strongly associated with service utilization, particularly among youth with behavior disorders. Hispanic and non-Hispanic black adolescents were less likely than their white counterparts to receive services for mood and anxiety disorders, even when such disorders were associated with severe impairment. Conclusions Despite advances in public awareness of mental disorders in youth, a substantial proportion of young people with severe mental disorders have never received

  10. Community-based adolescent health services in Israel: from theory to practice.

    PubMed

    Wilf-Miron, Rachel; Sikron, Fabienne; Glasser, Saralee; Barell, Vita

    2002-01-01

    Despite their engagement in health-risk behaviors and their health-related concerns, adolescents have the lowest rate of health service utilization of any age group. Time constraints during routine medical encounters generally leave little opportunity for professional screening for health-risk behaviors or for discussing psychosocial problems. In addition, providers express low levels of perceived competency in areas such as sexuality, eating disorders or drug abuse. To address these needs, a walk-in Adolescent Health Service was established by the Sheba Medical Center to provide diagnosis and short-term treatment for individual adolescents, as well as counseling and support for local care providers. A three-way model of cooperation and partnership was developed and implemented. A professional and financial partnership with local authorities were established to help define the particular needs of the community's youth and to improve the ability to reach youth with special health needs. The partnership along with the main medical provider (Kupat Holim Clalit) helped define local health needs, served as a referral source of patients with unmet health needs, and improved the continuity of care. The regional medical center (Sheba Medical Center) provided supervision and consultation for the medical staff of the service, as well as a referral center for patients. It was emphasized that the service staff was intended as a professional source for the primary physician and should not be considered a rival. The core staff included a specialist in adolescent medicine, gynecologist, mental health specialist and social worker. A structured intake procedure was developed for assessing health concerns and problems of adolescents in the context of a community clinic. Findings from the first years of services showed that the first 547 female adolescents demonstrated that a majority of adolescents presented with primary complaints of a somatic nature, while one third were diagnosed

  11. Batching System for Superior Service

    NASA Technical Reports Server (NTRS)

    2001-01-01

    Veridian's Portable Batch System (PBS) was the recipient of the 1997 NASA Space Act Award for outstanding software. A batch system is a set of processes for managing queues and jobs. Without a batch system, it is difficult to manage the workload of a computer system. By bundling the enterprise's computing resources, the PBS technology offers users a single coherent interface, resulting in efficient management of the batch services. Users choose which information to package into "containers" for system-wide use. PBS also provides detailed system usage data, a procedure not easily executed without this software. PBS operates on networked, multi-platform UNIX environments. Veridian's new version, PBS Pro,TM has additional features and enhancements, including support for additional operating systems. Veridian distributes the original version of PBS as Open Source software via the PBS website. Customers can register and download the software at no cost. PBS Pro is also available via the web and offers additional features such as increased stability, reliability, and fault tolerance.A company using PBS can expect a significant increase in the effective management of its computing resources. Tangible benefits include increased utilization of costly resources and enhanced understanding of computational requirements and user needs.

  12. Symposium: Special Education Services and Interagency Systems of Care in California.

    ERIC Educational Resources Information Center

    Willis, J., Ed.; Liberton, C., Ed.; Kutash, K., Ed.; Friedman, R., Ed.

    Two papers summarize a symposium on special education services and interagency systems of care for children and adolescents with severe emotional disturbance (SED) in California. The first paper, "Opening the Floodgates? The Influence of a System of Care on Referrals to Special Education" (Iris Zanglis, Michael J. Furlong, Michelle Wood, J. Manuel…

  13. Effecting Successful Community Re-Entry: Systems of Care Community Based Mental Health Services

    ERIC Educational Resources Information Center

    Estes, Rebecca I.; Fette, Claudette; Scaffa, Marjorie E.

    2005-01-01

    The need for system reform for child and adolescent mental health services, long recognized as a vital issue, continues to challenge mental health professionals. While past legislation has not adequately addressed the issues, the 2003 President's New Freedom Commission may begin to reorient mental health systems toward recovery. Supported by this…

  14. Assessing Caring in Young Adolescent Students Participating in Service Learning.

    ERIC Educational Resources Information Center

    Hecht, Deborah; Fusco, Dana; Schine, Joan; Berkson, Nancy

    Using as prompts scenarios of interaction at a preschool and senior center, this study examined student responses concerning the degree of caring exhibited. Data were collected from middle school students before and after participating in a service learning program involving service in a preschool, and from nonservice students. The service…

  15. Attitudes Toward Mental Health Services and Illness Perceptions Among Adolescents with Mood Disorders

    PubMed Central

    Floersch, Jerry E.; Townsend, Lisa

    2009-01-01

    The present study describes how adolescents perceive their mood disorders (MD; e.g., acute vs. chronic) and their attitudes toward mental health services. The study also explores the relationships between demographics, clinical characteristics, perceptions of illness and attitudes. Finally, we examine the psychometric properties of the Illness Perception Questionnaire-Revised (Moss-Morris et al. in Psychology & Health 17(1):1–16, 2002). Seventy adolescents were recruited from the greater Cleveland area. Structured interviews were conducted utilizing standardized instruments. Results show that adolescents with MD have fairly positive attitudes, with Caucasian youth reporting more positive attitudes than their nonwhite ounterparts. Illness perceptions were related to psychological openness and indifference to stigma. Implications are discussed. PMID:19834581

  16. Counseling Suicidal Adolescents within Family Systems: Ethical Issues

    ERIC Educational Resources Information Center

    Berg, Rachelle; Hendricks, Bret; Bradley, Loretta

    2009-01-01

    Major ethical considerations must be taken into account when providing counseling services to suicidal adolescents and their families. This article explores these ethical issues and the American Counseling Association and International Association of Marriage and Family Counselors ethical codes relevant to these issues. Related liability and…

  17. Mental Health Service and Drug Treatment Utilization: Adolescents with Substance Use/Mental Disorders and Dual Diagnosis

    ERIC Educational Resources Information Center

    Cheng, Tyrone C.; Lo, Celia C.

    2010-01-01

    This research is a secondary data analysis of the impact of adolescents' mental/substance-use disorders and dual diagnosis on their utilization of drug treatment and mental health services. By analyzing the same teenagers who participated in the NIMH Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) study, logistic…

  18. Provision of Reproductive Health Services for Adolescents--Report of a Study in Two Local Government Areas (LGAs) of Nigeria.

    ERIC Educational Resources Information Center

    Olukoya, Adepeju A.

    1996-01-01

    Studied adolescent reproductive health services in two Nigerian states. Found that adolescents use health facilities mostly for general health problems. Only 6.1% (south) and 31.8% (north) of cases involved reproductive health, the gap attributable to maternity cases of northern married women. Reproductive health problems such as abortion and…

  19. Improving the Quality of Health Care Services for Adolescents, Globally: A Standards-Driven Approach

    PubMed Central

    Nair, Manisha; Baltag, Valentina; Bose, Krishna; Boschi-Pinto, Cynthia; Lambrechts, Thierry; Mathai, Matthews

    2015-01-01

    Purpose The World Health Organization (WHO) undertook an extensive and elaborate process to develop eight Global Standards to improve quality of health care services for adolescents. The objectives of this article are to present the Global Standards and their method of development. Methods The Global Standards were developed through a four-stage process: (1) conducting needs assessment; (2) developing the Global Standards and their criteria; (3) expert consultations; and (4) assessing their usability. Needs assessment involved conducting a meta-review of systematic reviews and two online global surveys in 2013, one with primary health care providers and another with adolescents. The Global Standards were developed based on the needs assessment in conjunction with analysis of 26 national standards from 25 countries. The final document was reviewed by experts from the World Health Organization regional and country offices, governments, academia, nongovernmental organizations, and development partners. The standards were subsequently tested in Benin and in a regional expert consultation of Latin America and Caribbean countries for their usability. Results The process resulted in the development of eight Global Standards and 79 criteria for measuring them: (1) adolescents' health literacy; (2) community support; (3) appropriate package of services; (4) providers' competencies; (5) facility characteristics; (6) equity and nondiscrimination; (7) data and quality improvement; and (8) adolescents' participation. Conclusions The eight standards are intended to act as benchmarks against which quality of health care provided to adolescents could be compared. Health care services can use the standards as part of their internal quality assurance mechanisms or as part of an external accreditation process. PMID:26299556

  20. Connecting science and practice in child and adolescent mental health services research.

    PubMed

    Chambers, David A; Pringle, Beverly; Juliano-Bult, Denise

    2012-07-01

    Collaboration between researchers and stakeholder groups is a potentially powerful mechanism for strengthening the quality of mental health research and for amplifying its public health impact. For stakeholders, collaboration offers opportunities to help shape research questions; participate in data collection and interpretation; and improve local capacity to access and use research findings. For researchers, collaboration can build understanding of what stakeholders want and need from research; enhance capacity to frame research questions and findings in language and metrics of value to stakeholders; and provide opportunities to contribute science-backed knowledge to decision-making processes in real world settings. Key stakeholder groups can include the recipients and providers of care, public and private care systems, health plans, schools, family service and faith-based organizations, correctional systems, and employers providing mental health benefits. This commentary reflects on the path that NIMH has taken in fostering researcher-stakeholder collaboration, particularly regarding child and adolescent mental health research. It describes the goals that NIMH set out to achieve, steps taken to realize those goals, lessons learned from those efforts, and possible next steps. PMID:22271355

  1. A meta-systems approach to evidence-based practice for children and adolescents.

    PubMed

    Kazak, Anne E; Hoagwood, Kimberly; Weisz, John R; Hood, Korey; Kratochwill, Thomas R; Vargas, Luis A; Banez, Gerard A

    2010-01-01

    Improving outcomes for children and adolescents with mental health needs demands a broad meta-systemic orientation to overcome persistent problems in current service systems. Improving outcomes necessitates inclusion of current and emerging evidence about effective practices for the diverse population of youth and their families. Key components of the meta-system for children with emotional or behavioral needs include families, cultural norms and values, and service sectors such as schools, pediatric health centers, specialty mental health systems, juvenile justice systems, child protection services, and substance use treatment systems. We describe each component of the meta-system, noting challenges to the provision of evidence-based practice (EBP) and highlighting ways to optimize outcomes. Our focus is on the inclusion of evidence-based assessment and interventions, including prevention, within a developmentally driven and culturally responsive contextual model. Recommendations for addressing disparities in research funding and essential steps to foster communication and coordination of EBP across settings are provided. PMID:20141264

  2. Developing a service excellence system for ambulatory care pharmacy services.

    PubMed

    Craig, S; Crane, V S; Hayman, J N; Hoffman, R; Hatwig, C A

    2001-09-01

    A service excellence system for ambulatory care pharmacy services is described. An interview was designed to measure the needs, expectations, and priorities of a random sample of ambulatory care patients at a 964-bed county teaching hospital and its clinics to determine trends in patient service and satisfaction. The interviews were conducted by the same interviewers with the same script, and follow-up was continuous for two years. Information was summarized for each question and pharmacy site. In defining "service excellence" from a patient's perspective, it was determined that patients wanted a continuation of low-cost prescriptions, decreased waiting time, a friendlier, more caring staff, and environmental modifications. A service excellence system with key performance indicators was then designed and implemented. This effort included recruiting employees with behaviors that support service excellence, training employees to deliver service excellence, creating an environment that promotes patient satisfaction, and designing an ongoing monitoring system. Next, it was imperative to change the attitudes of staff and existing processes to meet or exceed patients' expectations. This phase addressed such issues as patient waiting time, staff-patient interaction, patients' environmental concerns, and staff ideas for service improvement. Finally, changes in service levels were measured. Overall patient satisfaction increased from 72% to 93% at the maincampus pharmacies. Satisfaction at the smaller sites rose from 85% to 95%, while turnaround time and number of pharmacist full-time-equivalents remained stable. A service excellence program was effective in addressing the service issues of ambulatory care patients at a large teaching hospital. PMID:11556653

  3. Preventing Adolescent Pregnancy: A Role for Social Work Services.

    ERIC Educational Resources Information Center

    Edelman, Marion Wright

    1988-01-01

    For poor and minority teenagers the lack of adequate life options may increase their desire for early pregnancy. Since teen mothers face probable poverty and single parenthood, it is imperative that schools and school social workers provide counseling, health services, and work preparation as well as academic skills training. (VM)

  4. School Mental Health Resources and Adolescent Mental Health Service Use

    ERIC Educational Resources Information Center

    Green, Jennifer Greif; McLaughlin, Katie A.; Alegria, Margarita; Costello, E. Jane; Gruber, Michael J.; Hoagwood, Kimberly; Leaf, Philip J.; Olin, Serene; Sampson, Nancy A.; Kessler, Ronald C.

    2013-01-01

    Objective: Although schools are identified as critical for detecting youth mental disorders, little is known about whether the number of mental health providers and types of resources that they offer influence student mental health service use. Such information could inform the development and allocation of appropriate school-based resources to…

  5. Innovation in Extraterrestrial Service Systems - A Challenge for Service Science

    NASA Technical Reports Server (NTRS)

    Bergner, David

    2010-01-01

    This presentation was prepared at the invitation of Professor Yukio Ohsawa, Department of Systems Innovation, School of Engineering, The University of Tokyo, for delivery at the International Workshop on Innovating Service Systems, sponsored by the Japanese Society of Artificial Intelligence (JSAI) as part of the JSAI Internation Symposium on AI, 2010. It offers several challenges for Service Science and Service Innovation. the goal of the presentation is to stimulate thinking about how service systems viII evolve in the future, as human society advances from its terrestrial base toward a permanent presence in space. First we will consider the complexity of the International Space Station (ISS) as it is today, with particular emphasis of its research facilities, and focus on a current challenge - to maximize the utilization of ISS research facilities for the benefit of society. After briefly reviewing the basic principles of Service Science, we will discuss the potential application of Service Innovation methodology to this challenge. Then we viII consider how game-changing technologies - in particular Synthetic Biology - could accelerate the pace of sociocultural evolution and consequently, the progression of human society into space. We will use this provocative vision to advance thinking about how the emerging field of Service Science, Management, and Engineering (SSME) might help us anticipate and better handle the challenges of this inevitable evolutionary process.

  6. Design, Implementation, and Evaluation of the Adolescents and Surveillance System for the Obesity Prevention Project.

    PubMed

    Tabacchi, Garden; Bianco, Antonino; Alessi, Nicola; Filippi, Anna Rita; Napoli, Giuseppe; Jemni, Monèm; Censi, Laura; Breda, João; Schumann, Nathali Lehmann; Firenze, Alberto; Vitale, Francesco; Mammina, Caterina

    2016-03-01

    The Adolescents Surveillance System for Obesity prevention (ASSO) Project aimed at developing standardized and web-based tools for collecting data on adolescents' obesity and its potential determinants. This has been implemented and piloted in the local area of Palermo city, Italy. The aim of the present study is to provide an overview of the Project's design, implementation, and evaluation, highlighting all the aspects for a potential scale-up of the surveillance system on the whole national territory and abroad, as a sustainable and effective source of data.The overall structure and management, the ASSO-toolkit, the ASSO-NutFit software, and all developed and used procedures for recruiting, training, and data collecting/analyzing are addressed. An interim evaluation has been performed through a feasibility study; a final Project evaluation has been performed reporting the Strengths, Weaknesses, Opportunities, and Threats (SWOT) and the attributes that a surveillance system should have.This article provides a detailed overview of the Project and highlights that ASSO can be considered a valid, logical, coherent, efficient, and sustainable surveillance system that is consistent with countries' needs and priorities.The system developed by the ASSO Project provides high-quality data and complies with several characteristics typical of a suitable surveillance system. It has a potential of being adopted within the National Health Service and other countries' Health Services for monitoring adolescents' obesity and its determinants, such as food intakes, behaviors, physical activity, and fitness profiles. PMID:27015195

  7. Health Service Access across Racial/Ethnic Groups of Children in the Child Welfare System

    ERIC Educational Resources Information Center

    Wells, Rebecca; Hillemeier, Marianne M.; Bai, Yu; Belue, Rhonda

    2009-01-01

    Objective: This study examined health service access among children of different racial/ethnic groups in the child welfare system in an attempt to identify and explain disparities. Methods: Data were from the National Survey of Child and Adolescent Well-Being (NSCAW). N for descriptive statistics = 2,505. N for multiple regression model = 537.…

  8. A review of generalist and specialist community health workers for delivering adolescent health services in sub-Saharan Africa

    PubMed Central

    2013-01-01

    Background The health of adolescents is increasingly seen as an important international priority because the world’s one point eight billion young people (aged 10 to 24 years) accounts for 15.5% of the global burden of disease and are disproportionately located in low- and middle-income countries (LMICs). Furthermore, an estimated 70% of premature adult deaths are attributable to unhealthy behaviors often initiated in adolescence (such as smoking, obesity, and physical inactivity). In order for health services to reach adolescents in LMICs, innovative service delivery models need to be explored and tested. This paper reviews the literature on generalist and specialist community health workers (CHWs) to assess their potential for strengthening the delivery of adolescent health services. Methods We reviewed the literature on CHWs using Medline (PubMed), EBSCO Global Health, and Global Health Archive. Search terms (n = 19) were sourced from various review articles and combined with subject heading ‘sub-Saharan Africa’ to identify English language abstracts of original research articles on generalist and specialist CHWs. Results A total of 106 articles, from 1985 to 2012, and representing 24 African countries, matched our search criteria. A single study in sub-Saharan Africa used CHWs to deliver adolescent health services with promising results. Though few comprehensive evaluations of large-scale CHW programs exist, we found mixed evidence to support the use of either generalist or specialist CHW models for delivering adolescent health services. Conclusions This review found that innovative service delivery approaches, such as those potentially offered by CHWs, for adolescents in sub-Saharan Africa are lacking, CHW programs have proliferated despite the absence of high quality evaluations, rigorous studies to establish the comparative effectiveness of generalist versus specialist CHW programs are needed, and further investigation of the role of CHWs in

  9. The Neuroendocrine Control of the Circadian System: Adolescent Chronotype

    PubMed Central

    Hagenauer, Megan Hastings; Lee, Theresa M.

    2012-01-01

    Scientists, public health and school officials are paying growing attention to the mechanism underlying the delayed sleep patterns common in human adolescents. Data suggest that a propensity towards evening chronotype develops during puberty, and may be caused by developmental alterations in internal daily timekeeping. New support for this theory has emerged from recent studies which show that pubertal changes in chronotype occur in many laboratory species similar to human adolescents. Using these species as models, we find that pubertal changes in chronotype differ by sex, are internally generated, and driven by reproductive hormones. These chronotype changes are accompanied by alterations in the fundamental properties of the circadian timekeeping system, including endogenous rhythm period and sensitivity to environmental time cues. After comparing the developmental progression of chronotype in different species, we propose a theory regarding the ecological relevance of adolescent chronotype, and provide suggestions for improving the sleep of human adolescents. PMID:22634481

  10. A Systems Approach to the Human Services.

    ERIC Educational Resources Information Center

    YMCA of Metropolitan Chicago, IL. Career Options Research and Development (CORD).

    This document demonstrates the impact of systems analysis on functional job analysis for occupations in human services. The first section discusses the goals and components, and data analysis techniques of the systems approach. In the next section, systems analysis is applied to the tasks performed in a variety of human services occupations. These…

  11. Organic management systems to enhance ecosystem services

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Organic grain cropping systems can enhance a number of ecosystem services compared to conventional tilled systems. Recent results from a limited number of long-term agricultural research (LTAR) studies suggest that organic grain cropping systems can also increase several ecosystem services relative...

  12. [Systemic approach in therapy and counselling with adolescents].

    PubMed

    Eggemann-Dann, Hans-Werner; Fryszer, Andreas

    2010-01-01

    To work with adolescents and their contexts usually means to face certain problems: Parents or teacher want the adolescent to do a counselling or a therapy, the adolescent is not motivated or does not have much of an idea what this means. The problem often causes conflicts between the adolescent and the persons of his context. Typical conflict communication develops that blocks good solution-finding and constructive developments and usually is re-enacted in the therapeutic or counselling session. The systemic methods presented are useful to block dysfunctional conflict communications. In a conflict-ridden situation, the members of the family usually try to form coalitions with the professional or at least try to find out witch party the counsellor might join. To avoid traps like these and enhance productive change there are a number of very useful methods developed or adapted by the authors. The use of these special methods in the communication with the adolescent or the adolescent and his system is discussed in the article. The Authors also describe which attitudes are useful in the role of a counsellor or a therapist. PMID:20345085

  13. Comparing service use and costs among adolescents with autism spectrum disorders, special needs and typical development.

    PubMed

    Barrett, Barbara; Mosweu, Iris; Jones, Catherine Rg; Charman, Tony; Baird, Gillian; Simonoff, Emily; Pickles, Andrew; Happé, Francesca; Byford, Sarah

    2015-07-01

    Autism spectrum disorder is a complex condition that requires specialised care. Knowledge of the costs of autism spectrum disorder, especially in comparison with other conditions, may be useful to galvanise policymakers and leverage investment in education and intervention to mitigate aspects of autism spectrum disorder that negatively impact individuals with the disorder and their families. This article describes the services and associated costs for four groups of individuals: adolescents with autistic disorder, adolescents with other autism spectrum disorders, adolescents with other special educational needs and typically developing adolescents using data from a large, well-characterised cohort assessed as part of the UK Special Needs and Autism Project at the age of 12 years. Average total costs per participant over 6 months were highest in the autistic disorder group (£11,029), followed by the special educational needs group (£9268), the broader autism spectrum disorder group (£8968) and the typically developing group (£2954). Specialised day or residential schooling accounted for the vast majority of costs. In regression analysis, lower age and lower adaptive functioning were associated with higher costs in the groups with an autism spectrum disorder. Sex, ethnicity, number of International Classification of Diseases (10th revision) symptoms, autism spectrum disorder symptom scores and levels of mental health difficulties were not associated with cost. PMID:24913778

  14. Satellite services system program plan

    NASA Technical Reports Server (NTRS)

    Hoffman, Stephen J.

    1985-01-01

    The purpose is to determine the potential for servicing from the Space Shuttle Orbiter and to assess NASA's role as the catalyst in bringing about routine on-orbit servicing. Specifically this study seeks to determine what requirements, in terms of both funds and time, are needed to make the Shuttle Orbiter not only a transporter of spacecraft but a servicing vehicle for those spacecraft as well. The scope of this effort is to focus on the near term development of a generic servicing capability. To make this capability truly generic and attractive requires that the customer's point of veiw be taken and transformed into a widely usable set of hardware. And to maintain a near term advent of this capability requires that a minimal reliance be made on advanced technology. With this background and scope, this study will proceed through three general phases to arrive at the desired program costs and schedule. The first step will be to determine the servicing requirements of the user community. This will provide the basis for the second phase which is to develop hardware concepts to meet these needs. Finally, a cost estimate will be made for each of the new hardware concepts and a phased hardware development plan will be established for the acquisition of these items based on the inputs obtained from the user community.

  15. Building Bridges: Supporting Families across Service Systems.

    ERIC Educational Resources Information Center

    Goetz, Kathy, Ed.

    1994-01-01

    This double issue of the journal "Report" focuses on the collaboration among seven social service systems that support and serve children and families. Each of the sections discusses one of the seven systems, presents an overview essay, and profiles programs that execute the service. The first section, on education, emphasizes linkages between…

  16. Future Library Systems and Services

    NASA Astrophysics Data System (ADS)

    Prasad, A. R. D.

    2010-10-01

    The paper attempts to provide brief answers to the questions: What will be the form of future libraries? Will there be libraries in the future? It presents an overview of the latest technologies such as digital libraries, metadata harvesters, SRU/SRW, and Web 2.0 along with some services provided by the Documentation Research and Training Centre of the Indian Statistical Institute. It also presents a brief sketch of future semantic web technology and the role of library and information professionals in providing web-based information services.

  17. Posttraumatic stress symptoms and mental health services utilization in adolescents with social anxiety disorder and experiences of victimization.

    PubMed

    Gren-Landell, Malin; Aho, Nikolas; Carlsson, Elisabeth; Jones, Annica; Svedin, Carl Göran

    2013-03-01

    Recent findings from studies on adults show similarities between social anxiety disorder (SAD) and posttraumatic stress in the form of recurrent memories and intrusive and distressing images of earlier aversive events. Further, treatment models for SAD in adults have been successfully developed by using transdiagnostic knowledge on posttraumatic stress symptoms (PTSS). Studies on adolescents are though missing. The present study aimed at exploring the association between PTSS and SAD in Swedish adolescents. A second aim was to study mental health services utilization in relation to these conditions. A total of 5,960 high-school students participated and reported on SAD, life time victimization, PTSS and mental health service utilization. Socially anxious adolescents reported significantly higher levels of PTSS than adolescents not reporting SAD and this difference was seen in victimized as well as non-victimized subjects. Contact with a school counselor was the most common mental health service utilization in subjects with SAD and those with elevated PTSS. In the prediction of contact with a CAP-clinic, significant odds ratios were found for a condition of SAD and elevated PTSS (OR = 4.88, 95% CI = 3.53-6.73) but not for SAD only. Screening of PTSS in adolescents with SAD is recommended. The service of school counselors is important in detecting and helping young people with SAD and elevated PTSS. Clinical studies on SAD and PTSS in adolescents could aid in modifying treatment models for SAD. PMID:23099817

  18. Understanding the Behavioral Determinants of Mental Health Service Use by Urban, Under-Resourced Black Youth: Adolescent and Caregiver Perspectives

    PubMed Central

    Chambers, Kerri; Pohle, Cara; Beall, Peggy; Lucksted, Alicia

    2012-01-01

    Black adolescents with mental health problems are less likely than non-Black adolescents with mental health problems to receive treatment, primarily for non-financial reasons including negative perceptions of services and providers, and self-stigma associated with experiencing mental health problems. To better understand these obstacles, 16 adolescents and 11 caregivers, recruited from two K-8th grade elementary-middle schools, participated in four focus groups guided by the unified theory of behavior to explore mental health help-seeking behaviors and perceptions of mental health services. In the focus groups, caregivers acknowledged more positive attitudes about seeking mental health services than adolescents, but both expected the experience of actually doing so to be negative. Adolescents and caregivers also acknowledged social norms that inhibit their mental health help-seeking. Therefore, we conclude that interventions targeting expectancies and social norms might increase the connection of urban, under-resourced Black adolescents and their families to mental health services, and be particularly important given the long-term consequences of untreated mental health problems for this group. PMID:23355768

  19. Mental Health Service Use among 18-Year-Old Adolescent Boys: A Prospective 10-Year Follow-Up Study.

    ERIC Educational Resources Information Center

    Sourander, Andre; Multimaki, Petteri; Santalahti, Paivi; Parkkola, Kai; Haavisto, Antti; Helenius, Hans; Nikolakaros, Georgios; Piha, Jorma; Tamminen, Tuula; Moilanen, Irma; Kumpulainen, Kirsti; Aronen, Eeva T.; Linna, Sirkka-Liisa; Puura, Kaija; Almqvist, Fredrik

    2004-01-01

    Objective: To study prevalence and factors associated with mental health service use among 18-year-old adolescent boys. Method: Predictors at age 8 and factors at age 18 associated with mental health service use during the preceding 12 months were studied in a general population sample of 2,316 Finnish boys born in 1981 attending military call-up…

  20. Behavioral Predictors of Outpatient Mental Health Service Utilization within 6 Months after Traumatic Brain Injury in Adolescents

    PubMed Central

    Kurowski, Brad G.; Wade, Shari L.; Kirkwood, Michael W.; Brown, Tanya M.; Stancin, Terry; Taylor, H. Gerry

    2013-01-01

    Objective To characterize utilization of mental health services and determine the ability of a behavior problem and clinical functioning assessment to predict utilization of such services within the first 6 months after moderate and severe traumatic brain injury (TBI) in a large cohort of adolescents. Design Multicenter cross-sectional study. Setting Outpatient setting of four tertiary pediatric hospitals, two tertiary general medical centers, and one specialized children's hospital. Participants Adolescents age 12-17 years (N=132), 1 to 6 months after moderate to severe TBI. Methods Logistic regression was used to determine the association of mental health service utilization with clinical functioning as assessed by the Child and Adolescent Functional Assessment Scale (CAFAS) and behavior problems assessed by the Child Behavioral Checklist (CBCL). Main Outcome Measure Mental health service utilization measured by the Service Assessment for Children and Adolescents (SACA). Results Behavioral or functional impairment occurred in 37 to 56%. Of the total study population, 24.2% reported receiving outpatient mental health services, 8.3% reported receiving school services, and 28.8% reported receiving any type of mental health service. Use of any (school or outpatient) mental health service was associated with borderline to impaired total CAFAS (OR [CI] = 3.50 [1.46, 8.40], p < 0.01) and CBCL total competence (OR [CI] = 5.08 (2.02, 12.76), p < 0.01). Conclusions A large proportion of participants had unmet mental health needs. Both the CAFAS and CBCL identified individuals who would likely benefit from mental health services in outpatient or school settings. Future research should focus on methods to ensure early identification by health care providers of adolescents with TBI in need of mental health services. PMID:23973505

  1. Enterprise Systems in a Service Science Context

    NASA Astrophysics Data System (ADS)

    Nilsson, Anders G.

    By enterprise systems we here refer to large integrated standard application packages that fully cover the provision of information required in a company. They are made up of extensive administrative solutions for management accounting, human resource management, production, logistics and sales control. Most of the enterprise systems on the market have traditionally been designed with a focus on manufacturing companies, but during the past years the supply of various enterprise systems for service-oriented business organizations has gradually increased. This fact raises the issue to study enterprise systems from a service management perspective. Service science is an emerging discipline that studies value creation through services from technical, behavioural and social perspectives. Within service science it is therefore possible to use and apply a wide spectrum of engineering tools for development of business services in organizations. In this sense, enterprise systems represent an efficient tool for service innovations. The research interest in this chapter is focussed on how we can study enterprise systems in a service science context.

  2. Implementing CBT for Traumatized Children and Adolescents after September 11: Lessons Learned from the Child and Adolescent Trauma Treatments and Services (CATS) Project

    ERIC Educational Resources Information Center

    Journal of Clinical Child and Adolescent Psychology, 2007

    2007-01-01

    The Child and Adolescent Trauma Treatments and Services Consortium (CATS) was the largest youth trauma project associated with the September 11 World Trade Center disaster. CATS was created as a collaborative project involving New York State policymakers; academic scientists; clinical treatment developers; and routine practicing clinicians,…

  3. Child and Adolescent Mental Health in Haiti: Developing Long-Term Mental Health Services After the 2010 Earthquake.

    PubMed

    Legha, Rupinder K; Solages, Martine

    2015-10-01

    This article presents an overview of child and adolescent mental health in Haiti, emphasizing the role of structural violence and the factors shaping child protection. The 2010 Haiti earthquake is discussed as an acute on chronic event that highlighted the lack of pre-existing formal biomedical mental health services and worsened the impact of structural violence. Considerations for long-term, sustainable, culturally relevant child and adolescent mental health care in Haiti are also provided. PMID:26346386

  4. Does Interpersonal Psychotherapy improve clinical care for adolescents with depression attending a rural child and adolescent mental health service? Study protocol for a cluster randomised feasibility trial

    PubMed Central

    Bearsley-Smith, Cate; Browne, Mark Oakley; Sellick, Ken; Villanueva, Elmer V; Chesters, Janice; Francis, Karen; Reddy, Prasuna

    2007-01-01

    Background Depression amongst adolescents is a costly societal problem. Little research documents the effectiveness of public mental health services in mapping this problem. Further, it is not clear whether usual care in such services can be improved via clinician training in a relevant evidence based intervention. One such intervention, found to be effective and easily learned amongst novice clinicians, is Interpersonal Psychotherapy (IPT). The study described in the current paper has two main objectives. First, it aims to investigate the impact on clinical care of implementing Interpersonal Psychotherapy for Adolescents for the treatment of adolescent depression within a rural mental health service compared with Treatment as Usual (TAU). The second objective is to record the process and challenges (i.e. feasibility, acceptability, sustainability) associated with implementing and evaluating an evidence-based intervention within a community service. This paper outlines the study rationale and design for this community based research trial. Methods/design The study involves a cluster randomisation trial to be conducted within a Child and Adolescent Mental Health Service in rural Australia. All clinicians in the service will be invited to participate. Participating clinicians will be randomised via block design at each of four sites to (a) training and delivery of IPT, or (b) TAU. The primary measure of impact on care will be a clinically significant change in depressive symptomatology, with secondary outcomes involving treatment satisfaction and changes in other symptomatology. Participating adolescents with significant depressive symptomatology, aged 12 to 18 years, will complete assessment measures at Weeks 0, 12 and 24 of treatment. They will also complete a depression inventory once a month during that period. This study aims to recruit 60 adolescent participants and their parent/guardian/s. A power analysis is not indicated as an intra-class correlation

  5. System Safety in an IT Service Organization

    NASA Astrophysics Data System (ADS)

    Parsons, Mike; Scutt, Simon

    Within Logica UK, over 30 IT service projects are considered safetyrelated. These include operational IT services for airports, railway infrastructure asset management, nationwide radiation monitoring and hospital medical records services. A recent internal audit examined the processes and documents used to manage system safety on these services and made a series of recommendations for improvement. This paper looks at the changes and the challenges to introducing them, especially where the service is provided by multiple units supporting both safety and non-safety related services from multiple locations around the world. The recommendations include improvements to service agreements, improved process definitions, routine safety assessment of changes, enhanced call logging, improved staff competency and training, and increased safety awareness. Progress is reported as of today, together with a road map for implementation of the improvements to the service safety management system. A proposal for service assurance levels (SALs) is discussed as a way forward to cover the wide variety of services and associated safety risks.

  6. Immune system dysregulation in adolescent major depressive disorder

    PubMed Central

    Gabbay, Vilma; Klein, Rachel G.; Alonso, Carmen M.; Babb, James S.; Nishawala, Melissa; De Jesus, Georgette; Hirsch, Glenn S.; Hottinger-Blanc, Pauline M.Z.; Gonzalez, Charles J.

    2009-01-01

    Background A large body of evidence suggests that immune system dysregulation is associated with Major Depressive Disorder (MDD) in adults. This study extends this work to adolescent MDD to examine the hypotheses of immune system dysregulation in adolescents with MDD, as manifested by significantly: (i) elevated plasma levels of cytokines (interferon [IFN]-γ, tumor necrosis factor-α, interleukin [IL]-6, IL-1β, and IL-4); and (ii) Th1/Th2 cytokine imbalance shifted toward Th1 as indexed by increased IFN-γ/IL-4. Method Thirty adolescents with MDD (19 females; 13 medication-free/naïve; ages 12–19) of at least 6 weeks duration and a minimum severity score of 40 on the Children’s Depression Rating Scale—Revised, and 15 healthy comparisons (8 females), group-matched for age, were enrolled. Plasma cytokines were examined using enzyme-linked immunosorbent assay. Mann–Whitney test was used to compare subjects with MDD and controls. Results Adolescents with MDD had significantly elevated plasma IFN-γ levels (3.38 ± 11.8 pg/ml versus 0.37 ± 0.64 pg/ml; p<0.003), and IFN-γ/IL-4 ratio (16.6 ± 56.5 versus 1.76 ± 2.28; p = 0.007). A trend for IL-6 to be elevated in the MDD group was also observed (1.52 ± 2.88 pg/ml versus 0.49 ± 0.90 pg/ml; p=0.09). Importantly, findings remained evident when medicated subjects were excluded. Conclusions Findings suggest that immune system dysregulation may be associated with adolescent MDD, with an imbalance of Th1/Th2 shifted toward Th1, as documented in adult MDD. Larger studies with medication-free adolescents should follow. PMID:18790541

  7. COMPREHENSIVE ADOLESCENT HEALTH PROGRAMS THAT INCLUDE SEXUAL AND REPRODUCTIVE HEALTH SERVICES: A SYSTEMATIC REVIEW

    PubMed Central

    Kågesten, Anna; Parekh, Jenita; Tunçalp, Özge; Turke, Shani; Blum, Robert Wm

    2015-01-01

    Objectives To describe the characteristics and evidence of comprehensive adolescent health (CAH) programs encompassing sexual and reproductive and other health services, educational and social support. Methods Systematic review of peer-reviewed and grey literature on CAH programs (1998-2013). Only programs with experimental, quasi-experimental or pre-post evaluations were included. Two independent reviewers screened 36,119 records and extracted articles using predefined criteria. Data was synthesised into descriptive characteristics; quality was assessed by evidence level (rigorous, strong, modest). Results Data was extracted on 46 programs (181 studies) of which 19 programs were defined as comprehensive; 9 were excluded due to insufficient evaluations. Ten CAH programs met all inclusion criteria. Most were US based; others were implemented in Egypt, Ethiopia and Mexico. Few programs (N=3) displayed rigorous evidence, 5 had strong and 2 had modest evidence. All programs with rigorous/strong evidence directly or indirectly influenced adolescent sexual and reproductive health. Common elements of these programs included: long-term commitment to adolescents, interpersonal connections, community mobilization, and skill-building elements. Conclusion The long term impact of many CAH programs cannot be proven due to insufficient evaluations. Evaluation approaches that take into account the complex operating conditions of many programs are needed to better understand mechanisms behind program effects. PMID:25320876

  8. QUANTITATIVE ASSESSMENT OF SOME PREVENTIVE HEALTH SERVICES PROVIDED FOR ADOLESCENT INDIVIDUALS IN DUBAI.

    PubMed

    Khansaheb, Hamda; Hussein, Ayman; Hamidi, Samer; Brown, David; Younis, Mustafa Z

    2016-01-01

    The United Arab Emirate (UAE) of Dubai, faces significant adolescent health problems. In 2009, evidence based clinical guidelines were developed for primary health care professionals in Dubai to help reduce adolescent health problems. This research study explores adolescents' self-reports about health education services received between 2008 and 2010. The sample consisted of 730 public high school students in grades 10 through 12 between the ages of 15 and 19. 357 (48.9%) of the sample were males and 373 (51.1%) were female. The major language spoken in the home was Arabic (77.4%). All students completed a 27-item survey in Arabic that was adapted from the Young Adult Health Care Survey (YAHCS). The YAHCS is a 56-item research instrument traditionally administered in English and Spanish. The sample reported they had received little or no health education from their health care providers. 94.2% reported receiving no information about using a helmet for bicycle and motorbike safety; 88.2% reported receiving no information about drug use; and 81.9% reported that they received no information about smoking. The instrument also explored the health education material students received within the last 12 months. 65.5% of the sample reported seeing and/or hearing safety tips; 84.9% reported hearing and/or seeing health information about healthy diet, physical activity and exercise; and 79.2% reported seeing and/or hearing information about the risks of smoking and substance abuse. PMID:27483976

  9. Pre-Service Mathematics Teachers' Belief Systems

    ERIC Educational Resources Information Center

    Haser, Cigdem; Dogan, Oguzhan

    2012-01-01

    The influence of mathematics teacher education programme courses on pre-service teachers' mathematics teaching belief systems before their field experience was initially investigated through a Likert-type scale. The impact of a third year general teaching methodologies course was then investigated through the responses pre-service teachers…

  10. The characteristics and activities of child and adolescent mental health services in Italy: a regional survey

    PubMed Central

    2012-01-01

    Background To date, no studies have assessed in detail the characteristics, organisation, and functioning of Child and Adolescent Mental Health Services (CAMHS). This information gap represents a major limitation for researchers and clinicians because most mental disorders have their onset in childhood or adolescence, and effective interventions can therefore represent a major factor in avoiding chronicity. Interventions and mental health care are delivered by and through services, and not by individual, private clinicians, and drawbacks or limitations of services generally translate in inappropriateness and ineffectiveness of treatments and interventions: therefore information about services is essential to improve the quality of care and ultimately the course and outcome of mental disorders in childhood and adolescence. The present paper reports the results of the first study aimed at providing detailed, updated and comprehensive data on CAMHS of a densely populated Italian region (over 4 million inhabitants) with a target population of 633,725 subjects aged 0-17 years. Methods Unit Chiefs of all the CAMHS filled in a structured 'Facility Form', with activity data referring to 2008 (data for inpatient facilities referred to 2009), which were then analysed in detail. Results Eleven CAMHS were operative, including 110 outpatient units, with a ratio of approximately 20 child psychiatrists and 23 psychologists per 100,000 inhabitants aged 0-17 years. All outpatient units were well equipped and organized and all granted free service access. In 2008, approximately 6% of the target population was in contact with outpatient CAMHS, showing substantial homogeneity across the eleven areas thereby. Most patients in contact in 2008 received a language disorder- or learning disability diagnosis (41%). First-ever contacts accounted for 30% of annual visits across all units. Hospital bed availability was 5 per 100,000 inhabitants aged 0-17 years. Conclusion The percentage of

  11. Activity and school attendance monitoring system for adolescents with sickle cell disease.

    PubMed

    Venugopalan, Janani; Brown, Clark; Cheng, Chihwen; Stokes, Todd H; Wang, May D

    2012-01-01

    Sickle cell disease, the most common hemoglobin disorder, affects major organ systems with symptoms of pain, anemia and a multitude of chronic conditions. For adolescents, the disease adversely affects school attendance, academic progress and social activity. To effectively study the relationship among school attendance and other factors like demographics and academic performance, studies have relied on self-reporting and school records, all of which have some bias. In this study we design and prototype a system, called SickleSAM (Sickle cell School attendance and Activity Monitoring system), for automatically monitoring school attendance and daily activity of adolescents with sickle cell disease. SickleSAM intends to remove human bias and inaccuracies. The system uses built-in GPS to collect data which will be recorded into a cloud database using Short Messaging Service technology. SickleSAM is developed by Georgia Institute of Technology in conjunction with Children's Healthcare of Atlanta (CHOA). System effectiveness is being evaluated using a trial of 10 adolescents with the disease. PMID:23366422

  12. Activity and School Attendance Monitoring System for Adolescents with Sickle Cell Disease

    PubMed Central

    Venugopalan, Janani; Brown, Clark; Cheng, Chihwen; Stokes, Todd H.; Wang, May D.

    2016-01-01

    Sickle cell disease, the most common hemoglobin disorder, affects major organ systems with symptoms of pain, anemia and a multitude of chronic conditions. For adolescents, the disease adversely affects school attendance, academic progress and social activity. To effectively study the relationship among school attendance and other factors like demographics and academic performance, studies have relied on self-reporting and school records, all of which have some bias. In this study we design and prototype a system, called SickleSAM (Sickle cell School attendance and Activity Monitoring system), for automatically monitoring school attendance and daily activity of adolescents with sickle cell disease. SickleSAM intends to remove human bias and inaccuracies. The system uses built-in GPS to collect data which will be recorded into a cloud database using Short Messaging Service technology. SickleSAM is developed by Georgia Institute of Technology in conjunction with Children's Healthcare of Atlanta (CHOA). System effectiveness is being evaluated using a trial of 10 adolescents with the disease. PMID:23366422

  13. Health services utilization by school going Omani adolescents and youths with DSM IV mental disorders and barriers to service use

    PubMed Central

    Al Riyami, Asya A; Al Adawi, Samir H; Al Kharusi, Hilal A; Morsi, Magdi M; Jaju, Sanjay S

    2009-01-01

    Background Recent corpus of research suggests that psychiatric disorders amongst adolescents and youths are an emerging global challenge, but there is paucity of studies exploring health services utilization by this age group in Arab region. Aim This study focus on the health services utilization and the barriers among school going adolescents and youths with DSM IV disorders in the country Oman, whose population is predominantly youthful. Methods Representative sample of secondary school Omani adolescents and youths were concurrently interviewed for the (i) presence of DSM IV mental disorders using the face-to-face interview, World Mental Health-Composite International Diagnostic Interview (WMH-CIDI), (ii) tendency for health care utilization and (iii) predictors of utilization with clinical and demographic background. Results The proportions of lifetime cases having ever made treatment contact are low, being 5.2% for any anxiety disorder and 13.2% for any mood disorder category. None of these anxiety cases made treatment contact in the year of onset of the disorder, and the median delay when they eventually made treatment contact is about 14 years. In any mood disorders category only 3.6% made contact within the 1st year of onset with the median delay in initial treatment contact is two years for the Bipolar disorder (broad), four years for Any Mood disorder and nine years for the Major Depressive Disorder group. Male gender is significantly associated with less likelihood of making treatment contact when suffering from Social phobia (p = 0.000), Major Depressive Disorder (p = 0.000) and Bipolar Disorder (p = 0.000). The younger cohorts of 14-16 years and 17-18 years of Social phobic made significantly less lifetime any treatment contact (p = 0.000). The 14-16 year olds were significantly less likely to make lifetime any treatment contact for Bipolar Mood disorder (p = 0.000), while the 17-18 group were 1.5 times more likely to do so. Over past 12 months only

  14. Servicer system demonstration plan and capability development

    NASA Technical Reports Server (NTRS)

    1987-01-01

    An orbital maneuvering vehicle (OMV) front end kit is defined which is capable of performing in-situ fluid resupply and modular maintenance of free flying spacecraft based on the integrated orbital servicing system (IOSS) concept. The compatibility of the IOSS to perform gas and fluid umbilical connect and disconnect functions utilizing connect systems currently available or in development is addressed. A series of tasks involving on-orbit servicing and the engineering test unit (ETU) of the on-orbit service were studied. The objective is the advancement of orbital servicing by expanding the Spacecraft Servicing Demonstration Plan (SSDP) to include detail demonstration planning using the Multimission Modular Spacecraft (MMS) and upgrading the ETU control.

  15. Psychotropic drug prescribing in an Australian specialist child and adolescent eating disorder service: a retrospective study

    PubMed Central

    2013-01-01

    Background To describe the rates, indications, and adverse effects of psychotropic drug prescription in a specialist tertiary hospital child and adolescent eating disorder service. Methods Retrospective case note study of all active eating disorder patients (N = 115) over the period of treatment from referral to time of study (M = 2 years), covering patient demographics, clinical characteristics, drug prescriptions, indications, and adverse effects. Results Psychotropic drugs were prescribed in 45% of cases, most commonly antidepressants (41%), followed by anxiolytics (29%) and antipsychotics (22%), with 8% initiated before referral to the specialist eating disorder program. Common indications were depressed mood, agitation, anxiety, and insomnia. Patient clinical severity and complexity was associated with prescribing. Adverse effects, mostly minor, were recorded in 23% of antidepressant prescriptions, 39% of antipsychotic prescriptions, and 13% of anxiolytic prescriptions. Second generation antipsychotic prescription was associated with subsequent new onset binge eating, in this preliminary observational study. Self-harm by overdose of psychotropics occurred in 11% of patients prescribed medication. Conclusions Psychotropic medications were frequently prescribed to adolescent eating disorder patients to treat distressing symptoms. Prospective randomised controlled trials to clarify efficacy and safety are needed. Given the difficulties of conducting clinical trials in this population, services are encouraged to monitor and audit medication safety and efficacy in everyday practice, and to report their findings. PMID:24999406

  16. Evolving capacity and decision-making in practice: adolescents' access to legal abortion services in Mexico City.

    PubMed

    Clyde, Jessie; Bain, Jennifer; Castagnaro, Kelly; Rueda, Marcela; Tatum, Carrie; Watson, Katherine

    2013-05-01

    The rights of adolescents and young people in international law and agreements have evolved significantly from a focus on protection to a recognition of "evolving capacities" and decision-making ability. Unclear policies and regulations and variations in actual practice may leave providers with little clarity on how to support adolescent decision-making and instead create unintended barriers. This study in Mexico City in 2009 explored whether regulations and clinical attitudes and practice were supporting or hindering the access of adolescent girls aged 12-17 to information regarding abortion and to abortion services. We surveyed abortion clinic directors and staff, and adolescents arranging or just having had an abortion, and sent mystery clients to clinics to ask for information. While providers were generally positive about adolescents' ability to decide on abortion, they had different understandings about the need for adult accompaniment and who that adult should be, and mystery clients seeking information were more likely to receive complete information if accompanied by an adult. Clarification of consent and accompaniment requirements is needed, and providers need to be made aware of them; adolescents should have access to information and counselling without accompaniment; and improvements in privacy and confidentiality in public sector clinics are also needed. These all support complementary concepts of protection and autonomy in adolescent decision-making on abortion. PMID:23684199

  17. Satellite services system analysis study. Volume 3: Service equipment requirements

    NASA Technical Reports Server (NTRS)

    1981-01-01

    Service equipment mission requirements are discussed. On-orbit operations, satellite classes, and reference missions are included. Service equipment usage and requirements are considered. Equipment identification methodology is discussed. Service equipment usage is analyzed, including initial launch, revisit, Earth return, and orbital storage. A summary of service requirements and equipment is presented, including service equipment status, even interaction, satellite features, and observations.

  18. The Social Context of Adolescent Smoking: A Systems Perspective

    PubMed Central

    Hipp, John R.; Timberlake, David S.

    2010-01-01

    We used a systems science perspective to examine adolescents' personal networks, school networks, and neighborhoods as a system through which emotional support and peer influence flow, and we sought to determine whether these flows affected past-month smoking at 2 time points, 1994–1995 and 1996. To test relationships, we employed structural equation modeling and used public-use data from the National Longitudinal Study of Adolescent Health (n = 6504). Personal network properties affected past-month smoking at both time points via the flow of emotional support. We observed a feedback loop from personal network properties to emotional support and then to past-month smoking. Past-month smoking at time 1 fed back to positively affect in-degree centrality (i.e., popularity). Findings suggest that networks and neighborhoods in this system positively affected past-month smoking via flows of emotional support. PMID:20466966

  19. Compatibility Issues Affecting Information Systems and Services.

    ERIC Educational Resources Information Center

    Lancaster, F. Wilfrid; Smith, Linda C.

    This UNISIST publication discusses issues related to the compatibility and standardization of bibliograpic records, index languages, software, hardware, and other information systems and services. Following an executive summary, definitions of terms, and other introductory material, existing information systems with common standards are briefly…

  20. Electrical Systems. FOS: Fundamentals of Service.

    ERIC Educational Resources Information Center

    John Deere Co., Moline, IL.

    This electrical systems manual is one of a series of power mechanics texts and visual aids for training in the servicing of electrical systems on mobile machines. Materials provide basic information and illustrations for use by vocational students and teachers as well as shop servicemen and laymen. The ten chapters focus on (1) Electricity: How It…

  1. Telecommunications: Systems and Services. [SITE 2002 Section].

    ERIC Educational Resources Information Center

    Abramson, Gertrude, Ed.

    This document contains the following papers on telecommunications systems and services from the SITE (Society for Information Technology & Teacher Education) 2002 conference: (1) "Using the Web To Provide Parent Progress Reports on Standards for All Students: Developing the System" (Kevin M. Anderson and Cindy L. Anderson); (2) "Computer and…

  2. 76 FR 54244 - Telecommunications Service Priority System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-31

    ... published this information collection request (ICR) in the Federal Register, 76 FR 2011-13953 (June 7, 2011... SECURITY Telecommunications Service Priority System AGENCY: National Protection and Programs Directorate... Directorate (NPPD), Office of Cybersecurity and Communications (CS&C), National Communications System...

  3. Systemic Action and Learning in Public Services

    ERIC Educational Resources Information Center

    Rigg, Clare

    2011-01-01

    Complex, systemic issues continue to challenge public services without respect for organisational and professional boundaries. In practice, collaborative working with others who have differing professional cultural norms and systems confront members with the need to learn about each other's values, priorities and practices. This paper explores the…

  4. Factors Associated with Homelessness of Adolescents under Supervision of the Youth Protection System

    ERIC Educational Resources Information Center

    Robert, Marie; Pauze, R.; Fournier, L.

    2005-01-01

    There are two factors that limit our knowledge of the risk factors associated with homelessness among runaway adolescents, namely (1) the samples used are often composed of youth homeless service users and/or youths living on the streets (visible homelessness), whereas most adolescents in fact use ''private'' resources (hidden homelessness), and…

  5. Effective strategies to provide adolescent sexual and reproductive health services and to increase demand and community support.

    PubMed

    Denno, Donna M; Hoopes, Andrea J; Chandra-Mouli, Venkatraman

    2015-01-01

    Access to youth friendly health services is vital for ensuring sexual and reproductive health (SRH) and well-being of adolescents. This study is a descriptive review of the effectiveness of initiatives to improve adolescent access to and utilization of sexual and reproductive health services (SRHS) in low- and middle-income countries. We examined four SRHS intervention types: (1) facility based, (2) out-of-facility based, (3) interventions to reach marginalized or vulnerable populations, (4) interventions to generate demand and/or community acceptance. Outcomes assessed across the four questions included uptake of SRHS or sexual and reproductive health commodities and sexual and reproductive health biologic outcomes. There is limited evidence to support the effectiveness of initiatives that simply provide adolescent friendliness training for health workers. Data are most ample (10 initiatives demonstrating weak but positive effects and one randomized controlled trial demonstrating strong positive results on some outcome measures) for approaches that use a combination of health worker training, adolescent-friendly facility improvements, and broad information dissemination via the community, schools, and mass media. We found a paucity of evidence on out-of-facility-based strategies, except for those delivered through mixed-use youth centers that demonstrated that SRHS in these centers are neither well used nor effective at improving SRH outcomes. There was an absence of studies or evaluations examining outcomes among vulnerable or marginalized adolescents. Findings from 17 of 21 initiatives assessing demand-generation activities demonstrated at least some association with adolescent SRHS use. Of 15 studies on parental and other community gatekeepers' approval of SRHS for adolescents, which assessed SRHS/commodity uptake and/or biologic outcomes, 11 showed positive results. Packages of interventions that train health workers, improve facility adolescent friendliness

  6. Fast-Food and Full-service Restaurant Consumption among Children and Adolescents: Impact on Energy, Beverage and Nutrient Intake

    PubMed Central

    Powell, Lisa M.; Nguyen, Binh T.

    2013-01-01

    Objective To examine the impact of fast-food and full-service restaurant consumption on total energy intake, dietary indicators and beverage consumption. Design Individual-level fixed effects estimation based on two non-consecutive 24-hour dietary recalls. Setting Nationally representative data from the 2003–2004, 2005–2006, and 2007–2008 National Health and Nutrition Examination Survey. Participants Children aged 2 to 11 (N=4717) and adolescents aged 12 to 19 (N=4699) Main Outcome Measures Daily total energy intake in kilocalories, intakes of grams of sugar, fat, saturated fat and protein and milligrams of sodium and total grams of sugar-sweetened beverages (SSBs), regular soda and milk consumed. Results Fast-food and full-service restaurant consumption, respectively, was associated with a net increase in daily total energy intake of 126 kcal and 160 kcal for children and 310 kcal and 267 kcal for adolescents and higher intakes of regular soda (+74g and +88g for children and +163g and +107g for adolescents) and SSBs generally. Fast-food consumption increased intakes of total fat (+7–8g), saturated fat (+2–5g) and sugar (+6–16g) for both age groups and sodium (+396mg) and protein (+8g) for adolescents. Full-service restaurant consumption was associated with increases in all nutrients examined. Additional key findings were 1) adverse impacts on diet were larger for lower-income children and adolescents; and, 2) among adolescents, increased soda intake was twice as large when fast food was consumed away from home than at home. Conclusions Fast-food and full-service restaurant consumption is associated with higher net total energy intake and poorer diet quality. PMID:23128151

  7. Factors that influence the preventive care offered to adolescents accessing Public Oral Health Services, NSW, Australia

    PubMed Central

    Masoe, Angela V; Blinkhorn, Anthony S; Taylor, Jane; Blinkhorn, Fiona A

    2015-01-01

    Background Many adolescents are at risk of dental caries and periodontal disease, which may be controlled through health education and clinical preventive interventions provided by oral health and dental therapists (therapists). Senior clinicians (SCs) can influence the focus of dental care in the New South Wales (NSW) Public Oral Health Services as their role is to provide clinical support and advice to therapists, advocate for their communities, and inform Local Health District (LHD) managers of areas for clinical quality improvement. The objective of this study was to record facilitating factors and strategies that are used by SCs to encourage therapists to provide preventive care and advice to adolescent patients. Methods In-depth, semistructured interviews were undertaken with 16 SCs from all of the 15 NSW LHDs (nine rural and six metropolitan). A framework matrix was used to systematically code data and enable key themes to be identified for analysis. Results All SCs from the 15 NSW Health LHDs participated in the study. Factors influencing SCs’ ability to integrate preventive care into clinical practice were: 1) clinical leadership and administrative support, 2) professional support network, 3) clinical and educational resources, 4) the clinician’s patient management aptitude, and 5) clinical governance processes. Clinical quality improvement and continuing professional development strategies equipped clinicians to manage and enhance adolescents’ confidence toward self-care. Conclusion This study shows that SCs have a clear understanding of strategies to enhance the therapist’s offer of scientific-based preventive care to adolescents. The problem they face is that currently, success is measured in terms of relief of pain activities, restorations placed, and extraction of teeth, which is an outdated concept. However, to improve clinical models of care will require the overarching administrative authority, NSW Health, to accept that the scientific

  8. Prior Victimization and Sexual and Contraceptive Self-Efficacy among Adolescent Females under Child Protective Services Care

    ERIC Educational Resources Information Center

    Hovsepian, S. Lory; Blais, Martin; Manseau, Helene; Otis, Joanne; Girard, Marie-Eve

    2010-01-01

    Adolescent females under Child Protective Services care in Quebec, Canada (n = 328) completed a questionnaire designed to explore associations between prior victimization (childhood sexual abuse and four forms of dating violence) and four dimensions of sexual and contraceptive self-efficacy. Five MANCOVAs were performed. In each model, a…

  9. Analysis of a Field Study: Programs, Services, and Approaches Toward the Reduction of Adolescent Pregnancy. Final Report.

    ERIC Educational Resources Information Center

    Moore, Audrey

    This field survey relative to adolescent pregnancy was undertaken through site visits and interviews. Data indicated that: (1) while many people are carrying out excellent programs and activities, the numbers are small compared to the need; (2) in some types of services the old tried-and-found-wanting approaches are perpetuated; (3) in some,…

  10. Use of Selected Nonmedication Mental Health Services by Adolescent Boys and Girls with Serious Emotional or Behavioral ....

    MedlinePlus

    ... nonmedication mental health services in the past 6 months. Figure 1. Adolescents aged 12–17 who received ... emotional or behavioral difficulties during the past 6 months, by sex: United States, 2010–2012 1 Significantly ...

  11. Acute systemic histoplasmosis associated with chorioretinitis in an immunocompetent adolescent

    PubMed Central

    Fowler, Brian; Shen, Christopher; Mastellone, Joseph; Chaum, Edward

    2011-01-01

    Summary Histoplasmosis is an endemic, systemic mycosis caused by the dimorphic fungus Histoplasma capsulatum. A minority of patients develop asymptomatic chorioretinitis known as presumed ocular histoplasmosis syndrome (POHS), which is typically associated with chorioretinal scarring and peripapillary atrophy and occasionally with choroidal neovascularization secondary to maculopathy. We report a case of acute severe bilateral chorioretinitis associated with disseminated H. capsulatum in an immunocompetent adolescent boy living in an endemic area. The chorioretinitis did not respond to systemic antifungal therapy, but both his systemic illness and ocular lesions resolved with the addition of systemic steroids. PMID:23362391

  12. The role of infrastructure in the transformation of child-adolescent mental health systems.

    PubMed

    Stelk, Wayne; Slaton, Elaine

    2010-03-01

    There is a widespread recognition that the mental health system is not effective in meeting the needs of the children, adolescents, and families who seek its services. In response to this recognition, researchers and policy makers are developing and implementing strategies to transform mental health systems. This paper suggests that transformational interventions should not proceed faster than our understanding of the complexities of a mental health system. In a complex system, all component parts are interactive and interdependent. Problems with one component cannot be solved in isolation from other components. The inter-relationships between problems create inter-dependencies; and changes in the balance of these inter-dependencies can cause dramatic shifts in policy priorities, such as when managers of mental health systems respond to budget reductions in a recessionary economy. This paper examines the problem domains in mental health systems that are affected by complexity dynamics, and proposes that a well-built infrastructure is a necessary foundation for structural change in a child-adolescent mental health system. The concept of metastructure is proposed to account for the rule-based processes that govern the actions of agents within a system. PMID:20151194

  13. 39 CFR 3055.5 - Changes to measurement systems, service standards, service goals, or reporting methodologies.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 39 Postal Service 1 2012-07-01 2012-07-01 false Changes to measurement systems, service standards, service goals, or reporting methodologies. 3055.5 Section 3055.5 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL SERVICE PERFORMANCE AND CUSTOMER SATISFACTION REPORTING Annual Reporting of Service Performance Achievements § 3055.5 Changes...

  14. An orbital service module systems concept

    NASA Technical Reports Server (NTRS)

    Craig, J. W.; Daros, C. J.

    1978-01-01

    An Orbital Service Module (OSM) system represents a concept for an evolutionary program that will provide utilities services such as electrical power, heat rejection, attitude control, and communications to support payload operations in both Shuttle-tended and untended (free-flyer) modes. The initial program step is a Space Transportation System (STS) power extension package (a solar array system carried by the Orbiter and deployed by the remote manipulator system). The power extension package (PEP) develops the major components of the more sophisticated OSM vehicles. Major objectives of such an approach are (1) the continuous matching of a capability to meet real needs while avoiding the pitfalls usually associated with the uncertainties inherent in long-range prediction of future requirements, and (2) the economies attendant with program continuity and hardware commonality. The initial Orbiter-carried PEP and several later OSM system growth options are discussed.

  15. School Mental Health Services: Signpost for Out-of-School Service Utilization in Adolescents with Mental Disorders? A Nationally Representative United States Cohort

    PubMed Central

    Tegethoff, Marion; Stalujanis, Esther; Belardi, Angelo; Meinlschmidt, Gunther

    2014-01-01

    Background School mental health services are important contact points for children and adolescents with mental disorders, but their ability to provide comprehensive treatment is limited. The main objective was to estimate in mentally disordered adolescents of a nationally representative United States cohort the role of school mental health services as guide to mental health care in different out-of-school service sectors. Methods Analyses are based on weighted data (N = 6483) from the United States National Comorbidity Survey Replication Adolescent Supplement (participants' age: 13–18 years). Lifetime DSM-IV mental disorders were assessed using the fully structured WHO CIDI interview, complemented by parent report. Adolescents and parents provided information on mental health service use across multiple sectors, based on the Service Assessment for Children and Adolescents. Results School mental health service use predicted subsequent out-of-school service utilization for mental disorders i) in the medical specialty sector, in adolescents with affective (hazard ratio (HR) = 3.01, confidence interval (CI) = 1.77–5.12), anxiety (HR = 3.87, CI = 1.97–7.64), behavior (HR = 2.49, CI = 1.62–3.82), substance use (HR = 4.12, CI = 1.87–9.04), and eating (HR = 10.72, CI = 2.31–49.70) disorders, and any mental disorder (HR = 2.97, CI = 1.94–4.54), and ii) in other service sectors, in adolescents with anxiety (HR = 3.15, CI = 2.17–4.56), behavior (HR = 1.99, CI = 1.29–3.06), and substance use (HR = 2.48, CI = 1.57–3.94) disorders, and any mental disorder (HR = 2.33, CI = 1.54–3.53), but iii) not in the mental health specialty sector. Conclusions Our findings indicate that in the United States, school mental health services may serve as guide to out-of-school service utilization for mental disorders especially in the medical specialty sector across various mental disorders

  16. Climate Model Diagnostic Analyzer Web Service System

    NASA Astrophysics Data System (ADS)

    Lee, S.; Pan, L.; Zhai, C.; Tang, B.; Kubar, T. L.; Li, J.; Zhang, J.; Wang, W.

    2015-12-01

    Both the National Research Council Decadal Survey and the latest Intergovernmental Panel on Climate Change Assessment Report stressed the need for the comprehensive and innovative evaluation of climate models with the synergistic use of global satellite observations in order to improve our weather and climate simulation and prediction capabilities. The abundance of satellite observations for fundamental climate parameters and the availability of coordinated model outputs from CMIP5 for the same parameters offer a great opportunity to understand and diagnose model biases in climate models. In addition, the Obs4MIPs efforts have created several key global observational datasets that are readily usable for model evaluations. However, a model diagnostic evaluation process requires physics-based multi-variable comparisons that typically involve large-volume and heterogeneous datasets, making them both computationally- and data-intensive. In response, we have developed a novel methodology to diagnose model biases in contemporary climate models and implementing the methodology as a web-service based, cloud-enabled, provenance-supported climate-model evaluation system. The evaluation system is named Climate Model Diagnostic Analyzer (CMDA), which is the product of the research and technology development investments of several current and past NASA ROSES programs. The current technologies and infrastructure of CMDA are designed and selected to address several technical challenges that the Earth science modeling and model analysis community faces in evaluating and diagnosing climate models. In particular, we have three key technology components: (1) diagnostic analysis methodology; (2) web-service based, cloud-enabled technology; (3) provenance-supported technology. The diagnostic analysis methodology includes random forest feature importance ranking, conditional probability distribution function, conditional sampling, and time-lagged correlation map. We have implemented the

  17. Interrogations, confessions, and adolescent offenders' perceptions of the legal system.

    PubMed

    Arndorfer, Andrea; Malloy, Lindsay C; Cauffman, Elizabeth

    2015-10-01

    The potential consequences of interrogations and false confessions have been discussed primarily in terms of the risk for wrongful conviction, especially among adolescents and other vulnerable populations. However, it is possible that such experiences influence adolescents' perceptions of the legal system more generally. In the present study, we examined whether incarcerated male juvenile offenders' (n = 193) perceptions of police and the courts were related to their confession and interrogation experiences. High-pressure interrogation experiences and self-reported false confessions to police were associated with more negative perceptions of police. However, self-reported true confessions were not significantly associated with youths' perceptions of the police. Neither interrogation nor confession experiences (true or false) were related to youths' perceptions of the courts. Results provide additional support for policy reform of interrogation practices with young suspects. A more developmentally appropriate approach to criminal interrogations with youth may simultaneously improve police-youth relations and protect vulnerable suspects in the interrogation room. PMID:26011040

  18. BrdsNBz: A mixed methods study exploring adolescents' use of a sexual health text message service

    NASA Astrophysics Data System (ADS)

    Willoughby, Jessica Fitts

    Sexual health text message services are becoming increasingly popular, but little is known about who uses such services and why. This project details the implementation of a campaign promoting a state-wide sexual health text message service that allows teens to text directly with a health educator and uses a mixed method design to assess who uses the service, what motivates use, and potential barriers to using the service. A theory of information seeking through text messaging is posited based on previous information seeking and communication theory and tested with adolescents. A social marketing campaign was created promoting a North Carolina sexual health text message service and conducted in six middle and high schools in the North Carolina Piedmont region in Fall 2012. More than 2000 students in four schools completed online questionnaires that assessed awareness of the service, perceptions, and use. Focus groups and in depth interviews were then conducted with middle and high school students. Results indicate teens who are sexually active and in relationships are more likely to use the service. A teens' level of uncertainty about sexual health influences affect, which in turn leads adolescents to assess various information options. Positive attitudes toward the service and credibility perceptions are direct predictors of intentions to use. Efficacy was found to be an indirect predictor, working through credibility perceptions to influence intentions to use. Although teens may have an interest in using the service, there are barriers associated with use. Survey findings and qualitative results indicate that teens are interested in using a sexual health text message service, but perceived costs, fear of parents finding out about service use, and a lack of understanding of how to use the service were barriers for some teens. This study has implications for sexual health text message services, especially those that allow teens to connect directly with a health

  19. Teaching Family Systems Theory through Service Learning

    ERIC Educational Resources Information Center

    Murray, Christine E.; Lampinen, Autumn; Kelley-Soderholm, Erin L.

    2006-01-01

    The authors present a rationale for incorporating service-learning projects into courses that teach family systems theory. A model program is presented to provide an example of the objectives, practical considerations, and student responses to such a project. Recommendations for counselor educators are made based on experience with the model…

  20. Telecommunications: Systems & Services. [SITE 2001 Section].

    ERIC Educational Resources Information Center

    Mumma, Polly, Ed.; Davis, Niki, Ed.

    This document contains the following papers on telecommunications systems and services from the SITE (Society for Information Technology & Teacher Education) 2001 Conference: (1) "Developing and Nurturing a Dynamic On-Line Learning Community" (Kathleen Bacer); (2) "A Lecture Generator in the Web" (Jorge Kinoshita); (3) "Internet Filtering vs.…

  1. Open Marriage: Implications for Human Service Systems

    ERIC Educational Resources Information Center

    O'Neill, Nena; O'Neill, George

    1973-01-01

    The authors of Open Marriage reiterate the meaning and possibilities of the open marriage concept and advance suggestions for change in the areas of residence, work, child care, and educational patterns. Human service systems must search out the universal values to be maintained in all human relationships. (Editor)

  2. Towards Web Service-Based Educational Systems

    ERIC Educational Resources Information Center

    Sampson, Demetrios G.

    2005-01-01

    The need for designing the next generation of web service-based educational systems with the ability of integrating components from different tools and platforms is now recognised as the major challenge in advanced learning technologies. In this paper, we discuss this issue and we present the conceptual design of such environment, referred to as…

  3. Advanced Protection & Service Restoration for FREEDM Systems

    NASA Astrophysics Data System (ADS)

    Singh, Urvir

    A smart electric power distribution system (FREEDM system) that incorporates DERs (Distributed Energy Resources), SSTs (Solid State Transformers - that can limit the fault current to two times of the rated current) & RSC (Reliable & Secure Communication) capabilities has been studied in this work in order to develop its appropriate protection & service restoration techniques. First, a solution is proposed that can make conventional protective devices be able to provide effective protection for FREEDM systems. Results show that although this scheme can provide required protection but it can be quite slow. Using the FREEDM system's communication capabilities, a communication assisted Overcurrent (O/C) protection scheme is proposed & results show that by using communication (blocking signals) very fast operating times are achieved thereby, mitigating the problem of conventional O/C scheme. Using the FREEDM System's DGI (Distributed Grid Intelligence) capability, an automated FLISR (Fault Location, Isolation & Service Restoration) scheme is proposed that is based on the concept of 'software agents' & uses lesser data (than conventional centralized approaches). Test results illustrated that this scheme is able to provide a global optimal system reconfiguration for service restoration.

  4. 47 CFR 22.946 - Service commencement and construction systems.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Service commencement and construction systems. 22.946 Section 22.946 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES PUBLIC MOBILE SERVICES Cellular Radiotelephone Service § 22.946 Service commencement and construction systems. (a) Commencement of...

  5. Work Values System Development during Adolescence

    ERIC Educational Resources Information Center

    Porfeli, Erik J.

    2007-01-01

    Work values stability, change, and development can be appreciably reduced to a living system model [Ford, D. H. (1994). "Humans as self-constructing living systems: A developmental perspective on behavior and personality" (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates]. This theoretical model includes discrepancy-reducing and…

  6. CORBA security services for health information systems.

    PubMed

    Blobel, B; Holena, M

    1998-01-01

    The structure of healthcare systems in developed countries is changing to 'shared care', enforced by economic constraints and caused by a change in the basic conditions of care. That development results in co-operative health information systems across the boundaries of organisational, technological, and policy domains. Increasingly, these distributed and, as far as their domains are concerned, heterogeneous systems are based on middleware approaches, such as CORBA. Regarding the sensitivity of personal and medical data, such open, distributed, and heterogeneous health information systems require a high level of data protection and data security, both with respect to patient information and with respect to users. This paper, relying on experience gained through our activities in CORBAmed, describes the possibilities the CORBA middleware provides to achieve application and communication security. On the background of the overall CORBA architecture, it outlines the different security services previewed in the adopted CORBA specifications which are discussed in the context of the security requirements of healthcare information systems. Security services required in the healthcare domain but not available at the moment are mentioned. A solution is proposed, which on the one hand allows to make use of the available CORBA security services and additional ones, on the other hand remains open to other middleware approaches, such as DHE or HL7. PMID:9848400

  7. Barriers and facilitators adolescent females living with HIV face in accessing contraceptive services: a qualitative assessment of providers’ perceptions in western Kenya

    PubMed Central

    Hagey, Jill M; Akama, Eliud; Ayieko, James; Bukusi, Elizabeth A; Cohen, Craig R; Patel, Rena C

    2015-01-01

    Introduction Avoiding unintended pregnancies is important for the health of adolescents living with HIV and has the additional benefit of preventing potential vertical HIV transmission. Health facility providers represent an untapped resource in understanding the barriers and facilitators adolescents living with HIV face when accessing contraception. By understanding these barriers and facilitators to contraceptive use among adolescent females living with HIV, this study aimed to understand how best to promote contraception within this marginalized population. Methods We conducted structured in-depth interviews with 40 providers at 21 Family AIDS Care & Education Services - supported clinics in Homabay, Kisumu and Migori counties in western Kenya from July to August 2014. Our interview guide explored the providers’ perspectives on contraceptive service provision to adolescent females living with HIV with the following specific domains: contraception screening and counselling, service provision, commodity security and clinic structure. Transcripts from the interviews were analyzed using inductive content analysis. Results According to providers, interpersonal factors dominated the barriers adolescent females living with HIV face in accessing contraception. Providers felt that adolescent females fear disclosing their sexual activity to parents, peers and providers, because of repercussions of perceived promiscuity. Furthermore, providers mentioned that adolescents find seeking contraceptive services without a male partner challenging, because some providers and community members view adolescents unaccompanied by their partners as not being serious about their relationships or having multiple concurrent relationships. On the other hand, providers noted that institutional factors best facilitated contraception for these adolescents. Integration of contraception and HIV care allows easier access to contraceptives by removing the stigma of coming to a clinic solely for

  8. Characteristics of Children and Adolescents in the Dutch National in- and Outpatient Mental Health Service for Deaf and Hard of Hearing Youth over a Period of 15 Years

    ERIC Educational Resources Information Center

    van Gent, Tiejo; Goedhart, Arnold W.; Treffers, Philip D. A.

    2012-01-01

    In this study socio-demographic, deafness-related and diagnostic characteristics of hearing impaired children and adolescents referred to a national mental health service for deaf and hard of hearing children and adolescents were examined. Socio-demographic and diagnostic characteristics were compared to corresponding characteristics of hearing…

  9. 39 CFR 3055.5 - Changes to measurement systems, service standards, service goals, or reporting methodologies.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., service goals, or reporting methodologies. 3055.5 Section 3055.5 Postal Service POSTAL REGULATORY... reporting methodologies. The Postal Service shall file notice with the Commission describing all changes to measurement systems, service standards, service goals or reporting methodologies, including the use of...

  10. 39 CFR 3055.5 - Changes to measurement systems, service standards, service goals, or reporting methodologies.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 39 Postal Service 1 2014-07-01 2014-07-01 false Changes to measurement systems, service standards, service goals, or reporting methodologies. 3055.5 Section 3055.5 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL SERVICE PERFORMANCE AND CUSTOMER SATISFACTION REPORTING Annual Reporting of...

  11. 39 CFR 3055.5 - Changes to measurement systems, service standards, service goals, or reporting methodologies.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 39 Postal Service 1 2013-07-01 2013-07-01 false Changes to measurement systems, service standards, service goals, or reporting methodologies. 3055.5 Section 3055.5 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL SERVICE PERFORMANCE AND CUSTOMER SATISFACTION REPORTING Annual Reporting of...

  12. Puzzling Findings in Studying the Outcome of “Real World” Adolescent Mental Health Services: The TRAILS Study

    PubMed Central

    Jörg, Frederike; Ormel, Johan; Reijneveld, Sijmen A.; Jansen, Daniëlle E. M. C.; Verhulst, Frank C.; Oldehinkel, Albertine J.

    2012-01-01

    Background The increased use and costs of specialist child and adolescent mental health services (MHS) urge us to assess the effectiveness of these services. The aim of this paper is to compare the course of emotional and behavioural problems in adolescents with and without MHS use in a naturalistic setting. Method and Findings Participants are 2230 (pre)adolescents that enrolled in a prospective cohort study, the TRacking Adolescents' Individual Lives Survey (TRAILS). Response rate was 76%, mean age at baseline 11.09 (SD 0.56), 50.8% girls. We used data from the first three assessment waves, covering a six year period. Multiple linear regression analysis, propensity score matching, and data validation were used to compare the course of emotional and behavioural problems of adolescents with and without MHS use. The association between MHS and follow-up problem score (β 0.20, SE 0.03, p-value<0.001) was not confounded by baseline severity, markers of adolescent vulnerability or resilience nor stressful life events. The propensity score matching strategy revealed that follow-up problem scores of non-MHS-users decreased while the problem scores of MHS users remained high. When taking into account future MHS (non)use, it appeared that problem scores decreased with limited MHS use, albeit not as much as without any MHS use, and that problem scores with continuous MHS use remained high. Data validation showed that using a different outcome measure, multiple assessment waves and multiple imputation of missing values did not alter the results. A limitation of the study is that, although we know what type of MHS participants used, and during which period, we lack information on the duration of the treatment. Conclusions The benefits of MHS are questionable. Replication studies should reveal whether a critical examination of everyday care is necessary or an artefact is responsible for these results. PMID:23028584

  13. The Prevalence of Mental Disorders Among Children and Adolescents in the Child Welfare System

    PubMed Central

    Bronsard, Guillaume; Alessandrini, Marine; Fond, Guillaume; Loundou, Anderson; Auquier, Pascal; Tordjman, Sylvie; Boyer, Laurent

    2016-01-01

    Abstract It remains unclear whether children and adolescents in the child welfare system (CWS) exhibit a higher prevalence of mental disorders compared with the general population. The objective of this study was to perform a systematic review and meta-analysis to assess the prevalence of mental disorders in the CWS. All of the epidemiological surveys assessing the prevalence of mental disorders in children and adolescents in the CWS were included. The pooled prevalence was estimated with random effect models. Potential sources of heterogeneity were explored using meta-regression analyses. Eight studies provided prevalence estimates that were obtained from 3104 children and adolescents. Nearly 1 child or adolescent of every 2 (49%; 95% confidence interval (CI) 43–54) was identified as meeting criteria for a current mental disorder. The most common mental disorder was disruptive disorder (27%; 95% CI 20–34), including conduct disorder (20%; 95% CI 13–27) and oppositional defiant disorder (12%; 95% CI 10–14). The prevalence of attention-deficit/hyperactivity disorder was estimated to be 11% (95% CI 6–15). The prevalence estimates of anxiety and depressive disorders were 18% (95% CI 12–24) and 11% (95% CI 7–15). Posttraumatic stress disorder had the lowest prevalence (4%; 95% CI 2–6). High prevalences of mental disorders in the CWS were reported, which highlights the need for the provision of qualified service. The substantial heterogeneity of our findings is indicative of the need for accurate epidemiological data to effectively guide public policy. PMID:26886603

  14. A lot of mental illness starts in adolescence. Therefore should we shift some of the spending from adult to adolescent mental health services?

    PubMed

    Neal, David

    2015-09-01

    In May 2015 the UK elected a new government. In election campaigns, health is one of the most important areas of debate and over the preceding 12 months, the state of child and adolescent mental health services (CAMHS) had held a particularly high profile in the media and in political debate. Many had suggested that the rate of mental illness starting in adolescence is increasing and that service provision is not of sufficient quality or scale to meet this need. A brief review of the sources for these statistics reveals that whilst this may be true, there is a dearth of accurate and up to date data on the scale of the need for CAMHS or the extent to which it is being met. Nonetheless, members of all parties claimed to support improvements in mental health service provision for children and adolescents through increases in funding. A key question for policy makers has therefore become, from where any additional funding might be derived. One suggestion has been that funding be transferred from spending on adult mental health services. The exact practical nature of such a policy is yet to be explored in detail by government or stakeholders. The primary purpose of the present discussion is therefore to consider the possible ethical implications of such a policy in principle. The discussion forms part of a wider and evolving political and professional discourse on society's and government's attitude towards mental illness, towards the balance of individual and societal needs and towards the balance between preventative and supportive interventions to improve health. PMID:26417740

  15. Advanced information processing system: Input/output system services

    NASA Technical Reports Server (NTRS)

    Masotto, Tom; Alger, Linda

    1989-01-01

    The functional requirements and detailed specifications for the Input/Output (I/O) Systems Services of the Advanced Information Processing System (AIPS) are discussed. The introductory section is provided to outline the overall architecture and functional requirements of the AIPS system. Section 1.1 gives a brief overview of the AIPS architecture as well as a detailed description of the AIPS fault tolerant network architecture, while section 1.2 provides an introduction to the AIPS systems software. Sections 2 and 3 describe the functional requirements and design and detailed specifications of the I/O User Interface and Communications Management modules of the I/O System Services, respectively. Section 4 illustrates the use of the I/O System Services, while Section 5 concludes with a summary of results and suggestions for future work in this area.

  16. Do Emotional Appeals in Public Service Advertisements Influence Adolescents' Intention to Reduce Consumption of Sugar-Sweetened Beverages?

    PubMed

    Bleakley, Amy; Jordan, Amy B; Hennessy, Michael; Glanz, Karen; Strasser, Andrew; Vaala, Sarah

    2015-08-01

    Mass media campaigns are a commonly used approach to reduce sugary drink consumption, which is linked to obesity in children and adolescents. The present study investigated the direct and mediated effects of emotional appeals in public service advertisements (PSAs) that aired between 2010 and 2012 on adolescents' intention to reduce their sugar-sweetened beverage (SSB) consumption. An online randomized experiment was conducted with a national sample of adolescent respondents ages 13 to 17 years old (N = 805). Participants were randomly assigned to 1 of 4 conditions. Three experimental conditions represented PSAs with different emotional appeals: humor, fear, and nurturance, plus a fourth control condition. The outcome was adolescents' intention to cut back on SSBs. The direct effect of fear appeals on intention was mediated through adolescents' perception of the PSAs' argument strength; perceived argument strength was also the key mediator for the indirect effects of humor and nurturance on intention. Several hypothesized mediators influenced by the appeals were not associated with intention. This is the first study to test the effect of persuasive emotional appeals used in SSB-related PSAs. The perceived strength of the PSAs' arguments is important to consider in the communication of messages designed to reduce SSB consumption. PMID:26054656

  17. Alcoholism treatment service systems: a health services research perspective.

    PubMed Central

    Wallen, J

    1988-01-01

    This article examines the role of health services research in alcoholism treatment. Alcoholism services research has only recently emerged as a self-defined discipline. Alcoholism services research can be grouped into five classifications: a) descriptive studies of resources for alcoholism treatment and of the use or cost of these services, b) estimates of the need or demand for alcohol services in the population or in particular subpopulations, c) studies of the costs or cost-effectiveness of alcoholism treatment or of alternative treatments, d) studies of the possible "cost-offsets" of treating alcoholism, and e) studies that examine strategies for financing and reimbursement for alcoholism treatment. Research is needed to determine how alcoholism treatment services are now delivered, who uses these services, how treatment setting and organization affect service delivery, who pays for alcoholism treatment, and how reimbursement policies affect the delivery of alcoholism services. Research on large-scale social issues is also needed, such as the effects of warning labels appearing on alcoholic beverage containers or estimates of the overall cost to society of alcohol abuse. PMID:3141954

  18. Patterns and predictors of health service utilization in adolescents with pain: comparison between a community and a clinical pain sample

    PubMed Central

    Toliver-Sokol, Marisol; Murray, Caitlin B.; Wilson, Anna C.; Lewandowski, Amy; Palermo, Tonya M.

    2011-01-01

    There is limited research describing the patterns of healthcare utilization in adolescents with chronic pain. This study describes healthcare utilization in a clinical chronic pain sample, and compares the patterns of service use of this group to a community sample with intermittent pain complaints. We also investigated demographic and clinical factors that predicted healthcare visits and medication use in the clinical sample. Data on 117 adolescents (aged 12-18; n=59 clinical pain sample, n=58 community) were collected. Caregivers and adolescents reported on sociodemographics, medical visits, current medications, pain, activity limitations, and depression. As hypothesized, the clinical pain sample had higher rates of healthcare consultation on all types of medical visits (general, specialty care, complementary medicine, mental health, OT/PT), and higher medication use compared to the community sample. Regression analyses revealed that higher annual income, greater pain frequency, and higher levels of caregiver reported activity limitations were associated with a greater number of healthcare visits for the total sample. Within the clinical pain sample, higher pain frequency and greater activity limitations (caregiver-report) predicted more specialty care visits. Additionally, higher income and greater levels of depressive symptoms predicted a higher number of prescribed medications. Perspective This study contributes to the limited available data on health service and medication use in a clinical chronic pain sample versus a community sample of adolescents. We also identify clinical factors (pain frequency, parent-reported activity limitations, depressive symptoms) and demographic factors (gender, income) associated with healthcare utilization. PMID:21481647

  19. Adaptive multisatellite systems for aeronautical services.

    NASA Technical Reports Server (NTRS)

    Bisaga, J. J.; Redisch, W. N.

    1971-01-01

    The use of satellite systems to provide operational communications and ATC services to aircraft flying the oceanic routes has been the subject of considerable interest recently. Since most of the link factors are functions of geometry and the aircraft traffic density varies with time, the satellite power needed to meet the communication demand varies considerably in an oceanic area as a function of both location and time. An adaptive system that tailors the use of system resources to the needs of the user can result in an additional system capacity improvement by a factor of between two and three. Results of studies conducted to date indicate that simple implementation of adaptive techniques in aeronautical satellite systems is feasible. Study is continuing in this area and on the application of satellite multibeam techniques to gain even further increase in capacity.

  20. Long-term effects of adolescent marijuana use prevention on adult mental health services utilization: the midwestern prevention project.

    PubMed

    Riggs, Nathaniel R; Pentz, Mary Ann

    2009-01-01

    Evaluated were effects of a drug abuse(1) prevention program, previously shown to prevent marijuana use in adolescence, on adulthood mental health service use. Analyses were conducted on 961 6th (41%) and 7th (59%) grade participants randomly assigned to intervention or control groups at baseline in 1984. These participants were followed-up through 2003 representing 15 waves of data collection. Eighty-five percent of participants were Caucasian and 56% were female. The hypothesis was that direct program effects on early adulthood mental health service use would be mediated by program effects on high school marijuana use trajectories. Structural equation models, imputing for missing data, demonstrated that MPP (Midwestern Prevention Project) program effects on mental health were mediated by the marijuana use growth curve intercept. Findings support the role of early adolescent drug use prevention programs in impacting later mental health problems. The study's limitations are noted. PMID:19360536

  1. Development of the GABAergic system from birth to adolescence.

    PubMed

    Kilb, Werner

    2012-12-01

    The neurotransmitter GABA (γ-aminobutyric acid), acting via inotropic GABA(A) and metabotropic GABA(B) receptors, plays an essential role in a variety of distinct neuronal processes, including regulation of neuronal excitability, determination of temporal aspects of spike trains, control of the size and propagation of neuronal assemblies, generation of oscillatory activity, and neuronal plasticity. Although the developmental switch between excitatory and inhibitory GABA(A) receptor-mediated responses is widely appreciated, the fact that the postnatal maturation of the GABAergic system lasts until late adolescence is not so persuasively promoted. This review summarizes recent knowledge of the maturation of various aspects of the GABAergic systems, like functional expression of GABA synthesizing/degrading enzymes and transporters, density of GABAergic synapses, GABAergic projection patterns, GABA receptor subunit composition, and properties of GABAergic interneurons, with an emphasis on the late developmental alterations. In addition, some aspects of the development of mental capabilities during adolescence and their relation the delayed maturation of the GABAergic system are presented. PMID:21952258

  2. Adolescent Sexual and Reproductive Health Services and Implications for the Provision of Voluntary Medical Male Circumcision: Results of a Systematic Literature Review

    PubMed Central

    Van Lith, Lynn M.; Mallalieu, Elizabeth C.; Waxman, Aliza; Hatzhold, Karin; Marcell, Arik V.; Kasedde, Susan; Lija, Gissenge; Hasen, Nina; Ncube, Gertrude; Samuelson, Julia L.; Bonnecwe, Collen; Seifert-Ahanda, Kim; Njeuhmeli, Emmanuel; Tobian, Aaron A. R.

    2016-01-01

    Background Voluntary medical male circumcision (VMMC) is a critical HIV prevention tool. Since 2007, sub-Saharan African countries with the highest prevalence of HIV have been mobilizing resources to make VMMC available. While implementers initially targeted adult men, demand has been highest for boys under age 18. It is important to understand how male adolescents can best be served by quality VMMC services. Methods and Findings A systematic literature review was performed to synthesize the evidence on best practices in adolescent health service delivery specific to males in sub-Saharan Africa. PubMed, Scopus, and JSTOR databases were searched for literature published between January 1990 and March 2014. The review revealed a general absence of health services addressing the specific needs of male adolescents, resulting in knowledge gaps that could diminish the benefits of VMMC programming for this population. Articles focused specifically on VMMC contained little information on the adolescent subgroup. The review revealed barriers to and gaps in sexual and reproductive health and VMMC service provision to adolescents, including structural factors, imposed feelings of shame, endorsement of traditional gender roles, negative interactions with providers, violations of privacy, fear of pain associated with the VMMC procedure, and a desire for elements of traditional non-medical circumcision methods to be integrated into medical procedures. Factors linked to effective adolescent-focused services included the engagement of parents and the community, an adolescent-friendly service environment, and VMMC counseling messages sufficiently understood by young males. Conclusions VMMC presents an opportune time for early involvement of male adolescents in HIV prevention and sexual and reproductive health programming. However, more research is needed to determine how to align VMMC services with the unique needs of this population. PMID:26938639

  3. Birth Order and Sibling Sex Ratio of Children and Adolescents Referred to a Gender Identity Service

    PubMed Central

    VanderLaan, Doug P.; Blanchard, Ray; Wood, Hayley; Zucker, Kenneth J.

    2014-01-01

    In adult male samples, homosexuality is associated with a preponderance of older brothers (i.e., the fraternal birth order effect). In several studies comparing gender dysphoric youth, who are likely to be homosexual in adulthood, to clinical or non-clinical control groups, the findings have been consistent with the fraternal birth order effect in males; however, less is known about unique sibship characteristics of gender dysphoric females. The current study investigated birth order and sibling sex ratio in a large sample of children and adolescents referred to the same Gender Identity Service (N = 768). Probands were classified as heterosexual males, homosexual males, or homosexual females based on clinical diagnostic information. Groups differed significantly in age and sibship size, and homosexual females were significantly more likely to be only children. Subsequent analyses controlled for age and for sibship size. Compared to heterosexual males, homosexual males had a significant preponderance of older brothers and homosexual females had a significant preponderance of older sisters. Similarly, the older sibling sex ratio of homosexual males showed a significant excess of brothers whereas that of homosexual females showed a significant excess of sisters. Like previous studies of gender dysphoric youth and adults, these findings were consistent with the fraternal birth order effect. In addition, the greater frequency of only children and elevated numbers of older sisters among the homosexual female group adds to a small literature on sibship characteristics of potential relevance to the development of gender identity and sexual orientation in females. PMID:24651045

  4. Birth order and sibling sex ratio of children and adolescents referred to a gender identity service.

    PubMed

    Vanderlaan, Doug P; Blanchard, Ray; Wood, Hayley; Zucker, Kenneth J

    2014-01-01

    In adult male samples, homosexuality is associated with a preponderance of older brothers (i.e., the fraternal birth order effect). In several studies comparing gender dysphoric youth, who are likely to be homosexual in adulthood, to clinical or non-clinical control groups, the findings have been consistent with the fraternal birth order effect in males; however, less is known about unique sibship characteristics of gender dysphoric females. The current study investigated birth order and sibling sex ratio in a large sample of children and adolescents referred to the same Gender Identity Service (N = 768). Probands were classified as heterosexual males, homosexual males, or homosexual females based on clinical diagnostic information. Groups differed significantly in age and sibship size, and homosexual females were significantly more likely to be only children. Subsequent analyses controlled for age and for sibship size. Compared to heterosexual males, homosexual males had a significant preponderance of older brothers and homosexual females had a significant preponderance of older sisters. Similarly, the older sibling sex ratio of homosexual males showed a significant excess of brothers whereas that of homosexual females showed a significant excess of sisters. Like previous studies of gender dysphoric youth and adults, these findings were consistent with the fraternal birth order effect. In addition, the greater frequency of only children and elevated numbers of older sisters among the homosexual female group adds to a small literature on sibship characteristics of potential relevance to the development of gender identity and sexual orientation in females. PMID:24651045

  5. Information Service System For Small Forestowners

    NASA Astrophysics Data System (ADS)

    Zhang, Shaochen; Li, Yun

    Individual owned forests have boomed in the last decade in China. Hundreds of millions of private forest owners have emerged since years of afforestation practice and collective forest ownership reform. Most of those private forest owners are former peasants living in afforestation areas. They thirst for forestry information, such as technique knowledge, forestry policies, finance, marketing, etc. Unfortunately the ways they could get certain information are very limit. Before internet time, Local governments are the main channel they search helps for useful information and technique supports. State and local governments have paid much attention to provide necessary forestry technique supports to those small forest owners and provided varies training projects, issued official forestry information through their websites. While, as state government expands household contract system in the management of collective forestry land, the number of individual forest owners is bumping up in future 5 years. There is still a gap between supplying ability and requirement of forestry information. To construct an effective forestry information service system in next 3-5 year can bridge the gap. This paper discusses the framework of such an information service system.

  6. Health-risk behaviors in young adolescents in the child welfare system

    PubMed Central

    Leslie, Laurel K.; James, Sigrid; Monn, Amy; Kauten, Milena C.; Zhang, Jinjin; Aarons, Gregory

    2010-01-01

    Objective To examine rates and patterns of health-risk behavior (e.g. sexuality, depression/suicidality, substance use, delinquency) among a national probability sample of youth active to the child welfare/child protective services system. Recent federal legislation, P.L. 110–351, encourages child welfare systems, Medicaid, and pediatric experts to collaborate to assure youth entering foster care receive comprehensive health examinations. Methods Analysis of baseline caregiver, caseworker and child interviews, and assessment data for a subsample (n=993) of youth, ages 11–15 years, from the National Survey of Child and Adolescent Well-Being, a national probability sample of children and adolescents undergoing investigation for abuse or neglect. Results Almost half of the sample (46.3%) endorsed at least one health-risk behavior. On Poisson multivariate regression modeling, factors related to higher rates of health-risk behaviors included older age, female gender, abuse history, deviant peers, limited caregiver monitoring, and poor school engagement. Conclusion Given the heightened vulnerability of this population, early screening for health-risk behaviors must be prioritized. Further research should explore specific subpopulations at risk for health-risk behaviors and possible interventions to change these youths’ trajectories. PMID:20547289

  7. CORSET: Service-Oriented Resource Management System in Linux

    NASA Astrophysics Data System (ADS)

    Kang, Dong-Jae; Kim, Chei-Yol; Jung, Sung-In

    Generally, system resources are not enough for many running services and applications in a system. And services are more important than single process in real world and they have different priority or importance. So each service should be treated with discrimination in aspect of system resources. But administrator can't guarantee the specific service has proper resources in unsettled workload situation because many processes are in race condition. So, we suppose the service-oriented resource management subsystem to resolve upper problems. It guarantees the performance or QoS of the specific service in changeable workload situation by satisfying the minimum resource requirement for the service.

  8. [Factors associated with the demand for health services by Brazilian adolescents: the National School Health Survey (PeNSE), 2012].

    PubMed

    Oliveira, Max Moura de; Andrade, Silvânia Suely Caribé de Araújo; Campos, Maryane Oliveira; Malta, Deborah Carvalho

    2015-08-01

    The objectives of this study were to describe the demand for health services by adolescents and to identify associated factors. The study analyzed data from the National School Health Survey 2012 and calculated prevalence rates and 95% confidence intervals (95%CI). Data analysis used age-adjusted logistic regression. Half of all students required health services and the proportion was higher in girls. Factors associated with demand for health services were white skin color, enrollment in private school, maternal schooling ≥ 12 years, sexual activity, injuries, toothache, attempts to maintain, lose, or gain weight, wheezing, appropriate hygiene, and parents knowing what their children did in their free time. The highest demand for health services was mainly by girls, and demand was associated with socio-demographic characteristics, symptoms, and health risk/protective behaviors. PMID:26375640

  9. School-Based Mental Health Services for Adolescents: School Psychology in Contemporary Society

    ERIC Educational Resources Information Center

    Crespi, Tony D.; Hughes, Tammy L.

    2004-01-01

    Adolescents are in crisis in school, home, and in the community. With an increasing array of problems, from alcohol and drug addiction to teenage pregnancy, the nation's youth are facing difficult challenges. In particular, family problems experienced by adolescents alone can seem daunting, with such issues as divorce, abuse, and discord changing…

  10. Dynamic changes of the endogenous cannabinoid and opioid mesocorticolimbic systems during adolescence: THC effects

    PubMed Central

    Ellgren, M.; Artmann, A.; Tkalych, O.; Gupta, A.; Hansen, H.S.; Hansen, S.H.; Devi, L.A.; Hurd, Y.L.

    2008-01-01

    Adolescence is a critical phase of active brain development often characterized by the initiation of marijuana (Cannabis sativa) use. Limited information is known regarding the endogenous cannabinoid system of the adolescent brain as well as related neurotransmitters that appear sensitive to cannabis exposure. We recently observed that adult rats pre-exposed to Δ-9-tetrahydrocannabinol (THC) during adolescence self-administered higher amounts of heroin and had selective impairments of the enkephalin opioid system within the nucleus accumbens (NAc) implicated in reward-related behavior. To explore the ontogeny of the cannabinoid and opioid neuronal systems in association with adolescence THC exposure, rats were examined at different adolescent stages during an intermittent THC paradigm (1.5 mg/kg i.p. every third day) from postnatal days (PNDs) 28–49. Rat brains were examined 24 hours after injection at PND 29 (early adolescence), PND 38 (mid adolescence) and PND 50 (late adolescence) and analyzed for endocannabinoids (anandamide and 2-arachidonoylglycerol), Met-enkephalin, cannabinoid CB1 receptors and µ opioid receptors (µOR) in the NAc, caudate-putamen and prefrontal cortex (PFC). Of the markers studied, the endocannabinoid levels had the most robust alterations throughout adolescence and were specific to the PFC and NAc. Normal correlations between anandamide and 2-arachidonoylglycerol concentrations in the NAc (positive) and PFC (negative) were reversed by THC. Other significant THC-induced effects were confined to the NAc — increased anandamide, decreased Met-enkephalin and decreased µORs. These findings emphasize the dynamic nature of the mesocorticolimbic endocannabinoid system during adolescence and the selective mesocorticolimbic disturbance as a consequence of adolescent cannabis exposure. PMID:18674887

  11. Climate Model Diagnostic Analyzer Web Service System

    NASA Astrophysics Data System (ADS)

    Lee, S.; Pan, L.; Zhai, C.; Tang, B.; Jiang, J. H.

    2014-12-01

    We have developed a cloud-enabled web-service system that empowers physics-based, multi-variable model performance evaluations and diagnoses through the comprehensive and synergistic use of multiple observational data, reanalysis data, and model outputs. We have developed a methodology to transform an existing science application code into a web service using a Python wrapper interface and Python web service frameworks. The web-service system, called Climate Model Diagnostic Analyzer (CMDA), currently supports (1) all the observational datasets from Obs4MIPs and a few ocean datasets from NOAA and Argo, which can serve as observation-based reference data for model evaluation, (2) many of CMIP5 model outputs covering a broad range of atmosphere, ocean, and land variables from the CMIP5 specific historical runs and AMIP runs, and (3) ECMWF reanalysis outputs for several environmental variables in order to supplement observational datasets. Analysis capabilities currently supported by CMDA are (1) the calculation of annual and seasonal means of physical variables, (2) the calculation of time evolution of the means in any specified geographical region, (3) the calculation of correlation between two variables, (4) the calculation of difference between two variables, and (5) the conditional sampling of one physical variable with respect to another variable. A web user interface is chosen for CMDA because it not only lowers the learning curve and removes the adoption barrier of the tool but also enables instantaneous use, avoiding the hassle of local software installation and environment incompatibility. CMDA will be used as an educational tool for the summer school organized by JPL's Center for Climate Science in 2014. In order to support 30+ simultaneous users during the school, we have deployed CMDA to the Amazon cloud environment. The cloud-enabled CMDA will provide each student with a virtual machine while the user interaction with the system will remain the same

  12. Understanding African American Adolescents' Identity Development: A Relational Developmental Systems Perspective

    ERIC Educational Resources Information Center

    Brittian, Aerika S.

    2012-01-01

    This article examines the development of African American adolescents' identity using a relational developmental systems theory framework, which led to the expectation that identity development is linked to both the reduction of risk behaviors and the promotion of African American adolescents' healthy development. Different personological theories…

  13. Unheard and Unseen: How Housing Insecure African American Adolescents Experience the Education System

    ERIC Educational Resources Information Center

    Ellis, Addie Lucille; Geller, Kathy D.

    2016-01-01

    This narrative study is based on stories told by African American adolescents experiencing homelessness. It offers insights into their lived experiences and describes the challenges faced in negotiating the urban education system. African American youth are disproportionately represented in the adolescent homeless demographic. "Unheard and…

  14. Neurocognitive and Temperamental Systems of Self-Regulation and Early Adolescents' Social and Academic Outcomes

    ERIC Educational Resources Information Center

    Checa, Purificacion; Rodriguez-Bailon, Rosa; Rueda, M. Rosario

    2008-01-01

    The aim of the current study was to examine the role of individual differences in neurocognitive and temperamental systems of self-regulation in early adolescents' social and academic competence. Measures used in the study included the Attention Network Test, the Early Adolescence Temperament Questionnaire, a peer-reported Social Status…

  15. An Appeals System for Fines Received by Adolescents in a Token Economy.

    ERIC Educational Resources Information Center

    Miller, Robert P.; Cosgrove, Jean M.

    1989-01-01

    Describes system wherein adolescents participating in token economy at state hospital could appeal fines received from staff. Although almost half of fines were upheld by review board, complaints of unfairness from adolescents and denials of responsibility declined drastically. Number of residents appealing fines fell from four per week to less…

  16. Apollo Command and Service Module Propulsion Systems Overview

    NASA Technical Reports Server (NTRS)

    Interbartolo, Michael A.

    2009-01-01

    An overview of the Apollo Command and Service Module (CSM) propulsion systems is provided. The systems for CSM propulsion and control are defined, the times during the mission when each system is used are listed, and, the basic components and operation of the service propulsion system, SM reaction control system and CM reaction control system are described.

  17. If It Walks like a Duck and Quacks like a Duck then Must It Be a Rabbit? Programs, Systems and a Cumulative Science of Children's Mental Health Services

    ERIC Educational Resources Information Center

    Rosenblatt, Abram

    2010-01-01

    The system of care approach as a strategy for serving children and adolescents with serious emotional disturbance (SED) is by any measure a success with one exception: there is controversy regarding the scientific evidence documenting that the services provided through systems of care improve the symptomatic and functional outcomes of the youth…

  18. Climate Model Diagnostic Analyzer Web Service System

    NASA Astrophysics Data System (ADS)

    Lee, S.; Pan, L.; Zhai, C.; Tang, B.; Jiang, J. H.

    2013-12-01

    The latest Intergovernmental Panel on Climate Change (IPCC) Fourth Assessment Report stressed the need for the comprehensive and innovative evaluation of climate models with newly available global observations. The traditional approach to climate model evaluation, which compares a single parameter at a time, identifies symptomatic model biases and errors but fails to diagnose the model problems. The model diagnosis process requires physics-based multi-variable comparisons that typically involve large-volume and heterogeneous datasets, making them both computationally- and data-intensive. To address these challenges, we are developing a parallel, distributed web-service system that enables the physics-based multi-variable model performance evaluations and diagnoses through the comprehensive and synergistic use of multiple observational data, reanalysis data, and model outputs. We have developed a methodology to transform an existing science application code into a web service using a Python wrapper interface and Python web service frameworks (i.e., Flask, Gunicorn, and Tornado). The web-service system, called Climate Model Diagnostic Analyzer (CMDA), currently supports (1) all the datasets from Obs4MIPs and a few ocean datasets from NOAA and Argo, which can serve as observation-based reference data for model evaluation and (2) many of CMIP5 model outputs covering a broad range of atmosphere, ocean, and land variables from the CMIP5 specific historical runs and AMIP runs. Analysis capabilities currently supported by CMDA are (1) the calculation of annual and seasonal means of physical variables, (2) the calculation of time evolution of the means in any specified geographical region, (3) the calculation of correlation between two variables, and (4) the calculation of difference between two variables. A web user interface is chosen for CMDA because it not only lowers the learning curve and removes the adoption barrier of the tool but also enables instantaneous use

  19. The Astrophysics Data System Web Services

    NASA Astrophysics Data System (ADS)

    Eichhorn, G.; Accomazzi, A.; Demleitner, M.; Grant, C. S.; Kurtz, M. J.; Murray, S. S.

    1999-12-01

    The Astrophysics Data System is a central part of the Distributed Digital Library for Astronomy. It provides access to most of the astronomical literature, as well as links to many different on-line information sources. The ADS Abstract Service provides a search interface to over 1.5 million references. The ADS Article Service provides access to the full journal articles for all major and most smaller journals, most of them back to volume 1. Links to on-line catalogs, electronic articles, astronomical object information and other data allow the user to quickly find on-line information. A reference and citation database provides information about article citations. We are currently working on greatly expanding the reference/citations database by including reference lists from the journals and by OCRing scanned reference lists. Between reference lists from the publishers and OCRd reference lists we have recently added almost 1 million reference-citation pairs to the database. OCRing of the abstracts from scanned journal article allowed us to include over 20,000 abstracts to the searchable database. Both these efforts will continue to add more data to our database. In the near future we will scan microfilms of publications from astronomical observatories, produced by a preservation project at the Harvard Library. This will provide unrestricted access to a large part of the 19th century astronomical literature.

  20. "Why are you here?" Seeking children's accounts of their presentation to Child and Adolescent Mental Health Service (CAMHS).

    PubMed

    Stafford, Victoria; Hutchby, Ian; Karim, Khalid; O'Reilly, Michelle

    2016-01-01

    The area of child mental health has a developing evidence base, with much of this focused on outcomes and a growing recognition for the value of process research. Despite this growth, however, there has still been little work conducted on first assessments in spite of their importance in establishing therapeutic rapport and engagement with services. We explore naturally occurring first assessments in a Child and Adolescent Mental Health Service (CAMHS) to explore the beliefs that children hold regarding their reasons for attendance and the implications this has for the trajectory of the appointment and later engagement with interventions. It was found that when children were asked for their reasons they either offered explanations using diagnostic labels or used lay descriptions, or they claimed to not know the reasons for attending the assessment. This has broader implications regarding the nature and type of information children may require in preparing them for service visits. PMID:25062687

  1. A Transactional Systems Model of Autism Services

    PubMed Central

    Cuvo, Anthony J; Vallelunga, Lori R

    2007-01-01

    There has been an escalation in the number of children identified with autism spectrum disorders in recent years. To increase the likelihood that treatments for these children are effective, interventions should be derived from sound theory and research evidence. Absent this supportive foundation, intervention programs could be inconsequential if not harmful. Although atypical, the development of children with autism should be considered initially from the perspective of the same variables that affect the development of typical children. In addition, the developmental deviations that characterize autism must be considered when developing intervention programs. Behavioral systems models describe both typical and atypical development and emphasize dynamic multidirectional person–environment transactions. The environment is viewed as having multiple levels, from the individuals with autism themselves, to larger societal and cultural levels. Behavioral systems models of human development can be generalized to a transactional systems model of services for children with autism. This model is the foundational theoretical position of the Southern Illinois University Center for Autism Spectrum Disorders. The center's programs are described to illustrate the application of the model to multiple levels of the social ecology. PMID:22478495

  2. The Alcohol Services Reporting System (ASRS) Revision Study.

    ERIC Educational Resources Information Center

    Borkman, Thomasina

    This document reports a revision study of the California Alcohol Services Reporting System (ASRS), a system which consists of a structure of definitions and categories of services, a budget form of planned alcohol services, instructions for the county plan, and the report of expenditures. The study problem is that the ASRS structure of…

  3. 49 CFR 570.59 - Service brake system.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 6 2013-10-01 2013-10-01 false Service brake system. 570.59 Section 570.59... 10,000 Pounds § 570.59 Service brake system. (a) Service brake performance. Compliance with any one... dimension or the rotor is embossed with a minimum safe thickness dimension, the drum or disc shall be...

  4. Adolescent Substance Abuse and HIV/AIDS: Linking the Systems.

    ERIC Educational Resources Information Center

    Berger, Janice M.; Levin, Saul M.

    1993-01-01

    Notes that substance abuse and sexual activity among adolescents place them at significant risk for human immunodeficiency virus (HIV) infection. Discusses epidemiology of adolescents and HIV infection and examines health care reform aspects of linking and integrating substance abuse, mental health, primary care, and HIV/Acquired Immune Deficiency…

  5. Parent Behavior and Adolescents' Self-System Processes: Predictors of Behavior to Siblings and Friends Problem Behavior.

    ERIC Educational Resources Information Center

    Repinski, Daniel J.; Shonk, Susan M.

    This study examined the degree to which adolescent self-system processes (self-efficacy, emotional reactivity) and reports of mothers' and fathers' behavior (warmth/support, hostility) predict adolescents' behavior toward siblings and their friends' problem behavior. Subjects were 76 seventh-grade adolescents who provided self-reports of parent…

  6. Nutrition: Intervention Guidance for Service Providers and Families. Connecticut Birth to Three System, Service Guideline 6.

    ERIC Educational Resources Information Center

    Connecticut Birth to Three System, Hartford.

    This guide was developed to assist families and service providers in Connecticut with nutrition services for infants and toddlers with disabilities. Individual sections provide information about the following topics: laws and regulations related to nutrition services; eligibility for the Connecticut Birth to Three System and nutrition; nutrition…

  7. Remote information service access system based on a client-server-service model

    DOEpatents

    Konrad, Allan M.

    1999-01-01

    A local host computing system, a remote host computing system as connected by a network, and service functionalities: a human interface service functionality, a starter service functionality, and a desired utility service functionality, and a Client-Server-Service (CSS) model is imposed on each service functionality. In one embodiment, this results in nine logical components and three physical components (a local host, a remote host, and an intervening network), where two of the logical components are integrated into one Remote Object Client component, and that Remote Object Client component and the other seven logical components are deployed among the local host and remote host in a manner which eases compatibility and upgrade problems, and provides an illusion to a user that a desired utility service supported on a remote host resides locally on the user's local host, thereby providing ease of use and minimal software maintenance for users of that remote service.

  8. Remote information service access system based on a client-server-service model

    DOEpatents

    Konrad, A.M.

    1997-12-09

    A local host computing system, a remote host computing system as connected by a network, and service functionalities: a human interface service functionality, a starter service functionality, and a desired utility service functionality, and a Client-Server-Service (CSS) model is imposed on each service functionality. In one embodiment, this results in nine logical components and three physical components (a local host, a remote host, and an intervening network), where two of the logical components are integrated into one Remote Object Client component, and that Remote Object Client component and the other seven logical components are deployed among the local host and remote host in a manner which eases compatibility and upgrade problems, and provides an illusion to a user that a desired utility service supported on a remote host resides locally on the user`s local host, thereby providing ease of use and minimal software maintenance for users of that remote service. 16 figs.

  9. Remote information service access system based on a client-server-service model

    DOEpatents

    Konrad, Allan M.

    1997-01-01

    A local host computing system, a remote host computing system as connected by a network, and service functionalities: a human interface service functionality, a starter service functionality, and a desired utility service functionality, and a Client-Server-Service (CSS) model is imposed on each service functionality. In one embodiment, this results in nine logical components and three physical components (a local host, a remote host, and an intervening network), where two of the logical components are integrated into one Remote Object Client component, and that Remote Object Client component and the other seven logical components are deployed among the local host and remote host in a manner which eases compatibility and upgrade problems, and provides an illusion to a user that a desired utility service supported on a remote host resides locally on the user's local host, thereby providing ease of use and minimal software maintenance for users of that remote service.

  10. Remote information service access system based on a client-server-service model

    DOEpatents

    Konrad, Allan M.

    1996-01-01

    A local host computing system, a remote host computing system as connected by a network, and service functionalities: a human interface service functionality, a starter service functionality, and a desired utility service functionality, and a Client-Server-Service (CSS) model is imposed on each service functionality. In one embodiment, this results in nine logical components and three physical components (a local host, a remote host, and an intervening network), where two of the logical components are integrated into one Remote Object Client component, and that Remote Object Client component and the other seven logical components are deployed among the local host and remote host in a manner which eases compatibility and upgrade problems, and provides an illusion to a user that a desired utility service supported on a remote host resides locally on the user's local host, thereby providing ease of use and minimal software maintenance for users of that remote service.

  11. Remote information service access system based on a client-server-service model

    DOEpatents

    Konrad, A.M.

    1996-08-06

    A local host computing system, a remote host computing system as connected by a network, and service functionalities: a human interface service functionality, a starter service functionality, and a desired utility service functionality, and a Client-Server-Service (CSS) model is imposed on each service functionality. In one embodiment, this results in nine logical components and three physical components (a local host, a remote host, and an intervening network), where two of the logical components are integrated into one Remote Object Client component, and that Remote Object Client component and the other seven logical components are deployed among the local host and remote host in a manner which eases compatibility and upgrade problems, and provides an illusion to a user that a desired utility service supported on a remote host resides locally on the user`s local host, thereby providing ease of use and minimal software maintenance for users of that remote service. 16 figs.

  12. Leadership Dynamics Promoting Systemic Reform for Inclusive Service Delivery

    ERIC Educational Resources Information Center

    Scanlan, Martin

    2009-01-01

    This article presents a multicase study of two systems of schools striving to reform service delivery systems for students with special needs. Considering these systems as institutional actors, the study examines what promotes the understanding and implementation of special education service delivery within a system of schools in a manner that…

  13. Does the use of health care and special school services, prior to admission for psychiatric inpatient treatment, differ between adolescents housed by child welfare services and those living with their biological parent(s)?

    PubMed

    Laukkanen, Matti; Hakko, Helinä; Räsänen, Pirkko; Riala, Kaisa

    2013-10-01

    We examined whether the use of health care and special school services, prior to admission for psychiatric inpatient treatment, differed between adolescents from child welfare units and those living at their parental home. 208 boys and 300 girls aged 12-17 years were admitted for psychiatric hospital between 2001 and 2006. Child welfare adolescents had used more health services/treatments prior to psychiatric hospital admission than adolescents living with their biological family. The best discriminating factors between study groups for both genders, were previous psychiatric hospitalizations, unemployed parents, use of special school services and self-perceived serious anxiety/tension or trouble controlling violent behavior. Repeated school grades and previous use of psychotropic medications were discriminating factors only in girls. Adolescents in child welfare deserve adequate mental health evaluations at an early stage, with referral to appropriate adolescent psychiatric services if required. Appropriate service provision and properly planned treatments may reduce the amount of intensive and sometimes unnecessary psychiatric inpatient treatments. PMID:23392732

  14. Teenagers and Texting: Use of a Youth Ecological Momentary Assessment System in Trajectory Health Research With Latina Adolescents

    PubMed Central

    Hardeman, Rachel R; Kwon, Gyu; Lando-King, Elizabeth; Zhang, Lei; Genis, Therese; Brady, Sonya S; Kinder, Elizabeth

    2014-01-01

    Background Adolescent females send and receive more text messages than any others, with an average of 4050 texts a month. Despite this technological inroad among adolescents, few researchers are utilizing text messaging technology to collect real time, contextualized data. Temporal variables (ie, mood) collected regularly over a period of time could yield useful insights, particularly for evaluating health intervention outcomes. Use of text messaging technology has multiple benefits, including capacity of researchers to immediately act in response to texted information. Objective The objective of our study was to custom build a short messaging service (SMS) or text messaging assessment delivery system for use with adolescents. The Youth Ecological Momentary Assessment System (YEMAS) was developed to collect automated texted reports of daily activities, behaviors, and attitudes among adolescents, and to examine the feasibility of YEMAS. This system was created to collect and transfer real time data about individual- and social-level factors that influence physical, mental, emotional, and social well-being. Methods YEMAS is a custom designed system that interfaces with a cloud-based communication system to automate scheduled delivery of survey questions via text messaging; we designed this university-based system to meet data security and management standards. This was a two-phase study that included development of YEMAS and a feasibility pilot with Latino adolescent females. Relative homogeneity of participants was desired for the feasibility pilot study; adolescent Latina youth were sought because they represent the largest and fastest growing ethnic minority group in the United States. Females were targeted because they demonstrate the highest rate of text messaging and were expected to be interested in participating. Phase I involved development of YEMAS and Phase II involved piloting of the system with Latina adolescents. Girls were eligible to participate if

  15. Sexual Health Behaviors, Preferences for Care, and Use of Health Services Among Adolescents in Pediatric Emergency Departments

    PubMed Central

    Miller, Melissa K.; Pickett, Michelle; Leisner, Kelsee; Sherman, Ashley K.; Humiston, Sharon G.

    2014-01-01

    Objectives To describe sexual health behaviors, as well as prior use of and preferences for sexual health services among adolescents in the pediatric Emergency Department (ED). Methods In this cross-sectional study, subjects aged 14-19 years who presented to an urban or suburban ED from a single Midwestern area completed a written survey. The survey included questions on previous sexual activity (PSA), high-risk behaviors (1st sex before age 15, no condom at last sex, substance use at last sex, >3 partners in past 3 months, and >4 lifetime partners) and sexual health service use and preferences. Comparisons of responses between subgroups were analyzed using Chi-square test. Multiple logistic regression was used to identify factors associated with high-risk behaviors. Care preferences were scored using a four-point Likert scale; mean scores were ranked. Results Subjects included 306 adolescents (85% of approached). The mean age was 15.5 years. Almost half (45%) reported PSA and, of those, 63% reported ≥1 high-risk behavior (most commonly 1st sex before age 15 [43%] and no condom at last sex [29%]). Almost all wanted to prevent pregnancy, but only one-third received birth control counseling before sexual debut and 14% reported no contraception at last sex. Younger age was associated with ≥1 high-risk behavior (odds ratio = 3.7; confidence interval = 1.39-9.84). Preferences for care included caring, knowledgeable providers and low/no cost. Conclusions Due to high prevalence of high-risk behaviors among adolescents presenting in the ED, strategies should be developed to link these patients to comprehensive sexual health care. PMID:23903671

  16. Electrical Systems Specialist. Teacher Edition. Automotive Service Series.

    ERIC Educational Resources Information Center

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

    This curriculum guide is one of a series of automotive service specialty publications that continues students' training in the automotive service trade by providing instruction in the electrical systems speciality. It is based on the National Institute of Automotive Service Excellence tasks lists. It contains nine units. Each unit includes some or…

  17. 47 CFR 22.946 - Service commencement and construction systems.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 2 2011-10-01 2011-10-01 false Service commencement and construction systems... construction systems. (a) Commencement of service. New cellular systems must be at least partially constructed... telephone calls to and receive telephone calls from wireline telephones through the PSTN. (c)...

  18. Personal Reflections on the Development of an Integrated Service Delivery for Child and Adolescent Mental Health Services

    ERIC Educational Resources Information Center

    Allison, Sam; Gilliland, David; Mayhew, Kathy; Wilson, Richard

    2007-01-01

    This paper explores the issue of how to develop a greater level of integration across the continuum services to young people with mental health difficulties. Reference is made to the strategic guidance offered by key documents and a pilot project is described, which attempted to link services across providers including a specialist Child and…

  19. The final analysis Little Leo: A system and service overview

    SciTech Connect

    Fatig, M.

    1997-01-01

    There is an emerging commercial space industry consisting of constellations of low earth orbiting satellites to that will provide global telecommunications services. Within the set of proposed low earth orbiting satellite systems, there exists two distinct classes. One class provides high bandwidth digital voice and data services, and the other provides narrowband store and forward digital data services. The digital data service systems are called Little LEOs or Infosats. These systems will provide a variety of personal, business, environmental, and industrial digital data services on a global scale. Infosat systems provide a niche telecommunications infrastructure that benefit industries and governments of the world whether developing or industrialized; geographically homogeneous or diverse; or low, middle, or high income. The flexible nature of the service allows it to be applied in many ways to meet changing needs. This paper provides an overview of the Final Analysis Infosat system. {copyright} {ital 1997 American Institute of Physics.}

  20. Addiction as a Systems Failure: Focus on Adolescence and Smoking

    PubMed Central

    Baler, Ruben D.; Volkow, Nora D.

    2011-01-01

    Objective Scientific advances in the field of addiction have forever debunked the notion that addiction reflects a character flaw under voluntary control, demonstrating instead that it is a bona fide disease of the brain. The aim of this review is to go beyond this consensus understanding and explore the most current evidence regarding the vast number of genetic, developmental, and environmental factors whose complex interactions modulate addiction risk and trajectory. Method Focusing on childhood and adolescent smoking as a paradigm, we review the important risk factors for the development of addictions, starting at the level of genetics and closing with a focus on sociocultural and policy factors. Results A critical review of the pertinent literature provides a detailed view of the cumulative power of risk and protection factors across different phenomenological levels to modulate the risk of undesirable outcomes, particularly for young people. The result represents a compelling argument for the need to engage in comprehensive, multilevel approaches to promoting health. Conclusions Today, the field of medicine understands more about disease than about health; however it need not be that way. The view of drug addiction as a systems failure should help refocus our general approach to developing dynamic models and early comprehensive interventions that optimize the ways in which we prevent and treat a complex, developmental disorder such as drug addiction. PMID:21421173

  1. Two Low-Cost Measures of Child and Adolescent Functioning for Services Research.

    ERIC Educational Resources Information Center

    Bickman, L.; Lambert, E. W.; Karver, K.; Andrade, A. R.

    1998-01-01

    The Parent and Youth Vanderbilt Functioning Indexes are functioning problem indexes for children and adolescents that require neither clinicians nor trained raters. Their low cost of administration permits adequate sample sizes in outcome evaluations of large numbers of students. The development of these instruments is described. (SLD)

  2. Adolescent Substance Abuse and Mental Health: Problem Co-Occurrence and Access to Services

    ERIC Educational Resources Information Center

    Winstanley, Erin L.; Steinwachs, Donald M.; Stitzer, Maxine L.; Fishman, Marc J.

    2012-01-01

    The purpose of this study is to identify factors associated with adolescent alcohol or drug (AOD) abuse/dependence, mental health and co-occurring problems, as well as factors associated with access to treatment. This is a secondary analysis of data from the National Survey on Drug Use and Health (NSDUH) 2000. The 12-month prevalence rate of…

  3. Associations of Personality with Alcohol Use Behaviour and Alcohol Problems in Adolescents Receiving Child Welfare Services

    ERIC Educational Resources Information Center

    Stewart, Sherry Heather; McGonnell, Melissa; Wekerle, Christine; Adlaf, Ed

    2011-01-01

    Four specific personality factors have been theorized to put adolescents at risk for alcohol abuse: hopelessness (HOP), anxiety sensitivity (AS), sensation seeking (SS), and impulsivity (IMP). We examined relations of these personality factors to various alcohol-related indices in a sample at high risk for alcohol problems--specifically, a child…

  4. Research in Adolescent Suicide: Implications for Training, Service Delivery, and Public Policy.

    ERIC Educational Resources Information Center

    Brent, David A.; Perper, Joshua A.

    1995-01-01

    Reviews four domains of research in adolescent suicide: (1) the role of psychopathology; (2) family history of psychopathology; (3) mental health treatments; and (4) firearms in homes. Recommendations include: better training for professionals, better delivery of mental health treatments, policy changes of better mental health screening and…

  5. P2MP MPLS-Based Hierarchical Service Management System

    NASA Astrophysics Data System (ADS)

    Kumaki, Kenji; Nakagawa, Ikuo; Nagami, Kenichi; Ogishi, Tomohiko; Ano, Shigehiro

    This paper proposes a point-to-multipoint (P2MP) Multi-Protocol Label Switching (MPLS) based hierarchical service management system. Traditionally, general management systems deployed in some service providers control MPLS Label Switched Paths (LSPs) (e.g., RSVP-TE and LDP) and services (e.g., L2VPN, L3VPN and IP) separately. In order for dedicated management systems for MPLS LSPs and services to cooperate with each other automatically, a hierarchical service management system has been proposed with the main focus on point-to-point (P2P) TE LSPs in MPLS path management. In the case where P2MP TE LSPs and services are deployed in MPLS networks, the dedicated management systems for P2MP TE LSPs and services must work together automatically. Therefore, this paper proposes a new algorithm that uses a correlation between P2MP TE LSPs and multicast VPN services based on a P2MP MPLS-based hierarchical service management architecture. Also, the capacity and performance of the proposed algorithm are evaluated by simulations, which are actually based on certain real MPLS production networks, and are compared to that of the algorithm for P2P TE LSPs. Results show this system is very scalable within real MPLS production networks. This system, with the automatic correlation, appears to be deployable in real MPLS production networks.

  6. A qualitative process evaluation of electronic session-by-session outcome measurement in child and adolescent mental health services

    PubMed Central

    2014-01-01

    Background Regular monitoring of patient progress is important to assess the clinical effectiveness of an intervention. Recently, initiatives within UK child and adolescent mental health services (CAMHS) have advocated the use of session-by-session monitoring to continually evaluate the patient’s outcome throughout the course of the intervention. However, the feasibility and acceptability of such regular monitoring is unknown. Method Semi-structured qualitative interviews were conducted with clinicians (n = 10), administrative staff (n = 8) and families (n = 15) who participated in a feasibility study of an electronic session-by-session outcome monitoring tool, (SxS), which is based on the Strengths and Difficulties Questionnaire (SDQ). This study took place in three CAMHS clinics in Nottinghamshire. The interview transcripts were thematically analysed. Results We found clinicians accepted the need to complete outcome measures, particularly valuing those completed by the patient. However, there were some difficulties with engaging clinicians in this practice and in the training offered. Generally, patients were supportive of completing SxS in the waiting room prior to the clinic session and assistance with the process from administrative staff was seen to be a key factor. Clinicians and families found the feedback reports created from SxS to be helpful for tracking progress, facilitating communication and engagement, and as a point of reflection. The use of technology was considered positively, although some technological difficulties hindered the completion of SxS. Clinicians and families appreciated the brevity of SxS, but some were concerned that a short questionnaire could not adequately encapsulate the complexity of the patient’s issues. Conclusions The findings show the need for appropriate infrastructure, mandatory training, and support to enable an effective system of session-by-session monitoring. Our findings indicate that clinicians

  7. A product-service system approach to telehealth application design.

    PubMed

    Flores-Vaquero, Paul; Tiwari, Ashutosh; Alcock, Jeffrey; Hutabarat, Windo; Turner, Chris

    2016-06-01

    A considerable proportion of current point-of-care devices do not offer a wide enough set of capabilities if they are to function in any telehealth system. There is a need for intermediate devices that lie between healthcare devices and service networks. The development of an application is suggested that allows for a smartphone to take the role of an intermediate device. This research seeks to identify the telehealth service requirements for long-term condition management using a product-service system approach. The use of product-service system has proven to be a suitable methodology for the design and development of telehealth smartphone applications. PMID:25466775

  8. Neuroimaging of the Dopamine/Reward System in Adolescent Drug Use

    PubMed Central

    Ernst, Monique; Luciana, Monica

    2015-01-01

    Adolescence is characterized by heightened risk-taking, including substance misuse. These behavioral patterns are influenced by ontogenic changes in neurotransmitter systems, particularly the dopamine system, which is fundamentally involved in the neural coding of reward and motivated approach behavior. During adolescence, this system evidences a peak in activity. At the same time, the dopamine system is neuroplastically altered by substance abuse, impacting subsequent function. Here, we describe properties of the dopamine system that change with typical adolescent development and that are altered with substance abuse. Much of this work has been gleaned from animal models due to limitations in measuring dopamine in pediatric samples. Structural and functional neuroimaging techniques have been used to examine structures that are heavily DA-innervated; they measure morphological and functional changes with age and with drug exposure. Presenting marijuana abuse as an exemplar, we consider recent findings that support an adolescent peak in DA-driven reward-seeking behavior and related deviations in motivational systems that are associated with marijuana abuse/dependence. Clinicians are advised that (1) chronic adolescent marijuana use may lead to deficiencies in incentive motivation, (2) that this state is due to marijuana’s interactions with the developing DA system, and (3) that treatment strategies should be directed to remediating resultant deficiencies in goal-directed activity. PMID:26095977

  9. Intelligent Document Gateway: A Service System Case Study and Analysis

    NASA Astrophysics Data System (ADS)

    Krishna, Vikas; Lelescu, Ana

    In today's fast paced world, it is necessary to process business ­documents expediently, accurately, and diligently. In other words, processing has to be fast, errors must be prevented (or caught and corrected quickly), and documents cannot be lost or misplaced. The failure to meet these criteria, depending on the type and purpose of the documents, can have serious business, legal, or safety consequences. In this paper, we evaluated a B2B order placement service system that allows clients to place orders for products and services over a network. We describe the order placement service before and after deploying the Intelligent Document Gateway (IDG), a document-centric business process automation technology from IBM Research. Using service science perspective and service systems frameworks, we provide an analysis of how IDG improved the value proposition for both the service providers and service clients.

  10. Leisure Services: The Organized Recreation and Park System. Fifth Edition.

    ERIC Educational Resources Information Center

    Sessoms, H. Douglas; And Others

    Following an introductory historical review, this book describes the functions, services, and resources of park and recreation systems. This survey emphasizes the social aspects of the park and recreation system and how the government meets these needs. Attention is given to minority groups and to the nature of financing services for the…

  11. 46 CFR 128.410 - Ship's service refrigeration systems.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Ship's service refrigeration systems. 128.410 Section 128.410 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS... service refrigeration systems. No self-contained unit either for air-conditioning or for...

  12. 46 CFR 128.410 - Ship's service refrigeration systems.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Ship's service refrigeration systems. 128.410 Section 128.410 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS... service refrigeration systems. No self-contained unit either for air-conditioning or for...

  13. 46 CFR 128.410 - Ship's service refrigeration systems.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Ship's service refrigeration systems. 128.410 Section 128.410 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS... service refrigeration systems. No self-contained unit either for air-conditioning or for...

  14. 46 CFR 128.410 - Ship's service refrigeration systems.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Ship's service refrigeration systems. 128.410 Section 128.410 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS... service refrigeration systems. No self-contained unit either for air-conditioning or for...

  15. 46 CFR 128.410 - Ship's service refrigeration systems.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Ship's service refrigeration systems. 128.410 Section 128.410 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS... service refrigeration systems. No self-contained unit either for air-conditioning or for...

  16. Optimal Service Distribution in WSN Service System Subject to Data Security Constraints

    PubMed Central

    Wu, Zhao; Xiong, Naixue; Huang, Yannong; Gu, Qiong

    2014-01-01

    Services composition technology provides a flexible approach to building Wireless Sensor Network (WSN) Service Applications (WSA) in a service oriented tasking system for WSN. Maintaining the data security of WSA is one of the most important goals in sensor network research. In this paper, we consider a WSN service oriented tasking system in which the WSN Services Broker (WSB), as the resource management center, can map the service request from user into a set of atom-services (AS) and send them to some independent sensor nodes (SN) for parallel execution. The distribution of ASs among these SNs affects the data security as well as the reliability and performance of WSA because these SNs can be of different and independent specifications. By the optimal service partition into the ASs and their distribution among SNs, the WSB can provide the maximum possible service reliability and/or expected performance subject to data security constraints. This paper proposes an algorithm of optimal service partition and distribution based on the universal generating function (UGF) and the genetic algorithm (GA) approach. The experimental analysis is presented to demonstrate the feasibility of the suggested algorithm. PMID:25093346

  17. Optimal service distribution in WSN service system subject to data security constraints.

    PubMed

    Wu, Zhao; Xiong, Naixue; Huang, Yannong; Gu, Qiong

    2014-01-01

    Services composition technology provides a flexible approach to building Wireless Sensor Network (WSN) Service Applications (WSA) in a service oriented tasking system for WSN. Maintaining the data security of WSA is one of the most important goals in sensor network research. In this paper, we consider a WSN service oriented tasking system in which the WSN Services Broker (WSB), as the resource management center, can map the service request from user into a set of atom-services (AS) and send them to some independent sensor nodes (SN) for parallel execution. The distribution of ASs among these SNs affects the data security as well as the reliability and performance of WSA because these SNs can be of different and independent specifications. By the optimal service partition into the ASs and their distribution among SNs, the WSB can provide the maximum possible service reliability and/or expected performance subject to data security constraints. This paper proposes an algorithm of optimal service partition and distribution based on the universal generating function (UGF) and the genetic algorithm (GA) approach. The experimental analysis is presented to demonstrate the feasibility of the suggested algorithm. PMID:25093346

  18. Effects of an Adolescent Sexual and Reproductive Health Intervention on Health Service Usage by Young People in Northern Ghana: A Community-Randomised Trial

    PubMed Central

    Aninanya, Gifty Apiung; Debpuur, Cornelius Y.; Awine, Timothy; Williams, John E.; Hodgson, Abraham; Howard, Natasha

    2015-01-01

    Background While many Ghanaian adolescents encounter sexual and reproductive health problems, their usage of services remains low. A social learning intervention, incorporating environment, motivation, education, and self-efficacy to change behaviour, was implemented in a low-income district of northern Ghana to increase adolescent services usage. This study aimed to assess the impact of this intervention on usage of sexual and reproductive health services by young people. Methods Twenty-six communities were randomly allocated to (i) an intervention consisting of school-based curriculum, out-of-school outreach, community mobilisation, and health-worker training in youth-friendly health services, or (ii) comparison consisting of community mobilisation and youth-friendly health services training only. Outcome measures were usage of sexually-transmitted infections (STIs) management, HIV counselling and testing, antenatal care or perinatal services in the past year and reported service satisfaction. Data was collected, at baseline and three years after, from a cohort of 2,664 adolescents aged 15–17 at baseline. Results Exposure was associated with over twice the odds of using STI services (AOR 2.47; 95%CI 1.78–3.42), 89% greater odds of using perinatal services (AOR 1.89; 95%CI 1.37–2.60) and 56% greater odds of using antenatal services (AOR 1.56; 95%CI 1.10–2.20) among participants in intervention versus comparison communities, after adjustment for baseline differences. Conclusions The addition of targeted school-based and outreach activities increased service usage by young people more than community mobilisation and training providers in youth-friendly services provision alone. PMID:25928562

  19. Class of service in the high performance storage system

    SciTech Connect

    Louis, S.; Teaff, D.

    1995-01-10

    Quality of service capabilities are commonly deployed in archival mass storage systems as one or more client-specified parameters to influence physical location of data in multi-level device hierarchies for performance or cost reasons. The capabilities of new high-performance storage architectures and the needs of data-intensive applications require better quality of service models for modern storage systems. HPSS, a new distributed, high-performance, scalable, storage system, uses a Class of Service (COS) structure to influence system behavior. The authors summarize the design objectives and functionality of HPSS and describes how COS defines a set of performance, media, and residency attributes assigned to storage objects managed by HPSS servers. COS definitions are used to provide appropriate behavior and service levels as requested (or demanded) by storage system clients. They compare the HPSS COS approach with other quality of service concepts and discuss alignment possibilities.

  20. A reference model for space data system interconnection services

    NASA Astrophysics Data System (ADS)

    Pietras, John; Theis, Gerhard

    1993-03-01

    The widespread adoption of standard packet-based data communication protocols and services for spaceflight missions provides the foundation for other standard space data handling services. These space data handling services can be defined as increasingly sophisticated processing of data or information received from lower-level services, using a layering approach made famous in the International Organization for Standardization (ISO) Open System Interconnection Reference Model (OSI-RM). The Space Data System Interconnection Reference Model (SDSI-RM) incorporates the conventions of the OSIRM to provide a framework within which a complete set of space data handling services can be defined. The use of the SDSI-RM is illustrated through its application to data handling services and protocols that have been defined by, or are under consideration by, the Consultative Committee for Space Data Systems (CCSDS).

  1. A reference model for space data system interconnection services

    NASA Technical Reports Server (NTRS)

    Pietras, John; Theis, Gerhard

    1993-01-01

    The widespread adoption of standard packet-based data communication protocols and services for spaceflight missions provides the foundation for other standard space data handling services. These space data handling services can be defined as increasingly sophisticated processing of data or information received from lower-level services, using a layering approach made famous in the International Organization for Standardization (ISO) Open System Interconnection Reference Model (OSI-RM). The Space Data System Interconnection Reference Model (SDSI-RM) incorporates the conventions of the OSIRM to provide a framework within which a complete set of space data handling services can be defined. The use of the SDSI-RM is illustrated through its application to data handling services and protocols that have been defined by, or are under consideration by, the Consultative Committee for Space Data Systems (CCSDS).

  2. Building Better Human Service Systems: Integrating Services for Income Support and Related Programs.

    ERIC Educational Resources Information Center

    Ragan, Mark

    Service integration attempts to provide coordinated service delivery systems for the uncoordinated mix of programs such as income support programs (food stamps, Medicaid, and Temporary Assistance for Needy Families) and employment, child care, child welfare, and training programs that exist at the local level throughout the United States by…

  3. Using the World Health Organization's 4S-Framework to Strengthen National Strategies, Policies and Services to Address Mental Health Problems in Adolescents in Resource-Constrained Settings

    PubMed Central

    2011-01-01

    Background Most adolescents live in resource-constrained countries and their mental health has been less well recognised than other aspects of their health. The World Health Organization's 4-S Framework provides a structure for national initiatives to improve adolescent health through: gathering and using strategic information; developing evidence-informed policies; scaling up provision and use of health services; and strengthening linkages with other government sectors. The aim of this paper is to discuss how the findings of a recent systematic review of mental health problems in adolescents in resource-constrained settings might be applied using the 4-S Framework. Method Analysis of the implications of the findings of a systematic search of the English-language literature for national strategies, policies, services and cross-sectoral linkages to improve the mental health of adolescents in resource-constrained settings. Results Data are available for only 33/112 [29%] resource-constrained countries, but in all where data are available, non-psychotic mental health problems in adolescents are identifiable, prevalent and associated with reduced quality of life, impaired participation and compromised development. In the absence of evidence about effective interventions in these settings expert opinion is that a broad public policy response which addresses direct strategies for prevention, early intervention and treatment; health service and health workforce requirements; social inclusion of marginalised groups of adolescents; and specific education is required. Specific endorsed strategies include public education, parent education, training for teachers and primary healthcare workers, psycho-educational curricula, identification through periodic screening of the most vulnerable and referral for care, and the availability of counsellors or other identified trained staff members in schools from whom adolescents can seek assistance for personal, peer and family

  4. Characteristics and Co-Occurrence of Adolescent Non-Suicidal Self-Injury and Suicidal Behaviours in Pediatric Emergency Crisis Services

    ERIC Educational Resources Information Center

    Cloutier, Paula; Martin, Jodi; Kennedy, Allison; Nixon, Mary K.; Muehlenkamp, Jennifer J.

    2010-01-01

    During the potentially tumultuous adolescent period, non-suicidal self-injury (NSSI) and suicide attempts are relatively common, particularly amongst youth who present to mental health services. These phenomena frequently co-occur but their relationship is unclear. This study evaluated clinical data from 468 youth between the ages of 12 and 17…

  5. Changes in Use of Alcohol, Marijuana, and Services by Adolescents with Serious Emotional Disturbance: A Parallel-Process Growth Mixture Model

    ERIC Educational Resources Information Center

    Greenbaum, Paul E.; Dedrick, Robert F.

    2007-01-01

    For the study reported here, the authors used growth mixture modeling to analyze changes in alcohol and marijuana use and the use of drug and alcohol treatment services for a sample of 180 adolescents with serious emotional disturbance (ages 12-14 years at the beginning of the 7-year longitudinal study). Three latent classes of substance users…

  6. Service-Learning in Early Adolescence: Results of a School-Based Curriculum

    ERIC Educational Resources Information Center

    Richards, Maryse H.; Sanderson, Rebecca Cornelli; Celio, Christine I.; Grant, Jane E.; Choi, Inhe; George, Christine C.; Deane, Kyle

    2013-01-01

    Over the past few decades, service-learning has surged in popularity. Although most programs are implemented in high school and college classrooms, service-learning has the potential for great impact in middle school. The present article evaluates a pilot service-learning program for fifth- and seventh-grade (N = 86) children in a large, urban,…

  7. Gender Disparities in Mental Health Service Use of Puerto Rican Children and Adolescents

    ERIC Educational Resources Information Center

    Cabiya, Jose J.; Canino, Glorisa; Chavez, Ligra; Ramirez, Rafael; Alegria, Margenta; Shrout, Patrick; Hohman, Ann; Bravo, Milagros; Bauermeister, Jose J.; Maritinez-Taboas, Alfonso

    2006-01-01

    Background: Differences in service utilization indicating that boys use more mental health services than girls were analyzed to see if they could be explained by known correlates of service use. These correlates were arranged into individual (severe emotional disturbance, level of impairment and externalizing disorders), family (parental…

  8. An Evaluation of a School Counselling Service with Direct Links to Child and Adolescent Mental Health (CAMH) Services

    ERIC Educational Resources Information Center

    McKenzie, Karen; Murray, George C.; Prior, Seamus; Stark, Lynda

    2011-01-01

    An evaluation of a Scottish secondary school-based counselling service for students aged 11 to 18 is presented. Improvement in student emotional well-being was measured using the Young Persons Clinical Outcomes for Routine Evaluation (YP CORE) questionnaire and participant questionnaires which were developed for the study. Significant improvements…

  9. A framework for implementing data services in multi-service mobile satellite systems

    NASA Technical Reports Server (NTRS)

    Ali, Mohammed O.; Leung, Victor C. M.; Spolsky, Andrew I.

    1988-01-01

    Mobile satellite systems being planned for introduction in the early 1990s are expected to be invariably of the multi-service type. Mobile Telephone Service (MTS), Mobile Radio Service (MRS), and Mobile Data Service (MDS) are the major classifications used to categorize the many user applications to be supported. The MTS and MRS services encompass circuit-switched voice communication applications, and may be efficiently implemented using a centralized Demand-Assigned Multiple Access (DAMA) scheme. Applications under the MDS category are, on the other hand, message-oriented and expected to vary widely in characteristics; from simplex mode short messaging applications to long duration, full-duplex interactive data communication and large file transfer applications. For some applications under this service category, the conventional circuit-based DAMA scheme may prove highly inefficient due to the long time required to set up and establish communication links relative to the actual message transmission time. It is proposed that by defining a set of basic bearer services to be supported in MDS and optimizing their transmission and access schemes independent of the MTS and MRS services, the MDS applications can be more efficiently integrated into the multi-service design of mobile satellite systems.

  10. School Psychologists' Report of School-Based Mental Health Service Programs across Pennsylvania School Systems

    ERIC Educational Resources Information Center

    Cross, Ajani Yanea

    2013-01-01

    This study explored the mental health needs and services of children and adolescents within Pennsylvania school communities; this included a focus upon evidence-based counseling approaches. Relationships were analyzed between population density, SES status, grade level and the type of mental health issues serviced. Survey data from 314 respondents…

  11. Servicers system demonstration plan and capability development

    NASA Technical Reports Server (NTRS)

    Bulboaca, M. A.; Cuseo, J. A.; Derocher, W. L., Jr.; Maples, R. W.; Reynolds, P. C.; Sterrett, R. A.

    1985-01-01

    A plan for the demonstration of the exchange of Multi-Mission Modular Spacecraft (MMS) modules using the servicer mechanism Engineering Test Unit (ETU) was prepared and executed. The plan included: establishment of requirements, conceptual design, selection of MMS spacecraft mockup configuration, selection of MMS module mockup configuration, evaluation of adequacy of ETU load capability, and selection of a stowage rack arrangement. The MMS module exchange demonstration mockup equipment was designed, fabricated, checked out, shipped, installed, and demonstrated.

  12. Combined Global Navigation Satellite Systems in the Space Service Volume

    NASA Technical Reports Server (NTRS)

    Force, Dale A.; Miller, James J.

    2015-01-01

    Besides providing position, navigation, and timing (PNT) services to traditional terrestrial and airborne users, GPS is also being increasingly used as a tool to enable precision orbit determination, precise time synchronization, real-time spacecraft navigation, and three-axis attitude control of Earth orbiting satellites. With additional Global Navigation Satellite System (GNSS) constellations being replenished and coming into service (GLONASS, Beidou, and Galileo), it will become possible to benefit from greater signal availability and robustness by using evolving multi-constellation receivers. The paper, "GPS in the Space Service Volume," presented at the ION GNSS 19th International Technical Meeting in 2006 (Ref. 1), defined the Space Service Volume, and analyzed the performance of GPS out to seventy thousand kilometers. This paper will report a similar analysis of the signal coverage of GPS in the space domain; however, the analyses will also consider signal coverage from each of the additional GNSS constellations noted earlier to specifically demonstrate the expected benefits to be derived from using GPS in conjunction with other foreign systems. The Space Service Volume is formally defined as the volume of space between three thousand kilometers altitude and geosynchronous altitude circa 36,000 km, as compared with the Terrestrial Service Volume between 3,000 km and the surface of the Earth. In the Terrestrial Service Volume, GNSS performance is the same as on or near the Earth's surface due to satellite vehicle availability and geometry similarities. The core GPS system has thereby established signal requirements for the Space Service Volume as part of technical Capability Development Documentation (CDD) that specifies system performance. Besides the technical discussion, we also present diplomatic efforts to extend the GPS Space Service Volume concept to other PNT service providers in an effort to assure that all space users will benefit from the enhanced

  13. A ‘Mystery Client’ Evaluation of Adolescent Sexual and Reproductive Health services in Health Facilities from Two Regions in Tanzania

    PubMed Central

    Mchome, Zaina; Richards, Esther; Nnko, Soori; Dusabe, John; Mapella, Elizabeth; Obasi, Angela

    2015-01-01

    Unwelcoming behaviours and judgemental attitudes have long been recognised as a barrier to young people’s access to reproductive health services. Over the last decade youth friendly reproductive health services have been promoted and implemented world-wide. However, long term evidence of the impact of these programmes is lacking. We report the results of a large mystery client evaluation of adolescent sexual and reproductive health services in Tanzania, a country that has had a long established youth friendly policy. Forty-eight visits made to thirty-three health facilities were conducted by twelve young people (six in each region) trained to perform three different scripted scenarios (i.e., condom request, information on sexually transmitted infections and family planning). The study revealed barriers in relation to poor signage and reception for services. In addition health workers demonstrated paternalistic attitudes as well as lack of knowledge about adolescent sexual and reproductive health services. In some cases, health workers discouraged young people from using services such as condoms and family planning methods. Lack of confidentiality and privacy were also noted to be common challenges for the young people involved. Intervention strategies that focus on changing health workers’ mind-set in relation to adolescent sexual and reproductive health are crucial for ensuring quality provision of sexual and reproductive health services to young people. The study identified the importance of reception or signs at the health units, as this can facilitate young people’s efforts in seeking sexual and reproductive health services. Likewise, improvement of health workers knowledge of existing policy and practice on sexual and reproductive health services and youth friendly services is much needed. PMID:25803689

  14. Adolescent Health Care Use: Investigating Related Determinants in Greece

    ERIC Educational Resources Information Center

    Giannakopoulos, George; Tzavara, Chara; Dimitrakaki, Christine; Ravens-Sieberer, Ulrike; Tountas, Yannis

    2010-01-01

    The frequency of health care use is crucial for adolescent well-being and health systems. The present study was the first to test a set of variables in a representative sample of Greek adolescents in order to identify factors that predict health care use and contribute to improving health service planning. Questionnaires were administered to a…

  15. The implementation of TDM service in EPON system

    NASA Astrophysics Data System (ADS)

    Wu, Guangsheng; Liu, Deming; Chang, Yuguang; Zhang, Chuanhao

    2007-11-01

    A main issue to be resoled urgently in multi-service supported EPON system is to find a reasonable solution for TDM service access. This paper introduces a suitable TDM access scheme which is the combination of VoIP and CESoP technology. In our EPON system design, VoIP and CESoP technology are applied respectively to deal with two main kind of TDM service - Voice and Leased line(such as E1/T1). The scheme has been implemented in our EPON system and has achieved good results in some triple-play pilot projects.

  16. The SUN Service System. Complementary Learning in Action

    ERIC Educational Resources Information Center

    Goss, Claire Brown; Bouffard, Suzanne

    2007-01-01

    This report highlights Multnomah County's (Oregon) SUN Service System, an antipoverty and prevention effort that connects educational, social, health, and other services under one umbrella. The SUN model of combining educational, social, and health supports is rooted in a strong history of community involvement and partnerships in Multnomah…

  17. Three-Dimensional Extension of a Digital Library Service System

    ERIC Educational Resources Information Center

    Xiao, Long

    2010-01-01

    Purpose: The paper aims to provide an overall methodology and case study for the innovation and extension of a digital library, especially the service system. Design/methodology/approach: Based on the three-dimensional structure theory of the information service industry, this paper combines a comprehensive analysis with the practical experiences…

  18. Developing a Performance Measurement System for University Central Administrative Services

    ERIC Educational Resources Information Center

    Arena, Marika; Arnaboldi, Michela; Azzone, Giovanni; Carlucci, Paola

    2009-01-01

    Central administrative services have recently received increasing attention from practitioners and academics due to the challenging need to both manage scarce resources and provide high-quality services. In this context, performance measurement systems (PMSs) may assume a central role, although an unresolved debate remains on the claimed benefits…

  19. An economic systems analysis of land mobile radio telephone services

    NASA Technical Reports Server (NTRS)

    Leroy, B. E.; Stevenson, S. M.

    1980-01-01

    This paper deals with the economic interaction of the terrestrial and satellite land-mobile radio service systems. The cellular, trunked and satellite land-mobile systems are described. Parametric equations are formulated to allow examination of necessary user thresholds and growth rates as functions of system costs. Conversely, first order allowable systems costs are found as a function of user thresholds and growth rates. Transitions between satellite and terrestrial service systems are examined. User growth rate density (user/year/km squared) is shown to be a key parameter in the analysis of systems compatibility. The concept of system design matching the price demand curves is introduced and examples are given. The role of satellite systems is critically examined and the economic conditions necessary for the introduction of satellite service are identified.

  20. Individual Global Navigation Satellite Systems in the Space Service Volume

    NASA Technical Reports Server (NTRS)

    Force, Dale A.

    2015-01-01

    Besides providing position, navigation, and timing (PNT) to terrestrial users, GPS is currently used to provide for precision orbit determination, precise time synchronization, real-time spacecraft navigation, and three-axis control of Earth orbiting satellites. With additional Global Navigation Satellite Systems (GNSS) coming into service (GLONASS, Beidou, and Galileo), it will be possible to provide these services by using other GNSS constellations. The paper, "GPS in the Space Service Volume," presented at the ION GNSS 19th International Technical Meeting in 2006 (Ref. 1), defined the Space Service Volume, and analyzed the performance of GPS out to 70,000 km. This paper will report a similar analysis of the performance of each of the additional GNSS and compare them with GPS alone. The Space Service Volume, defined as the volume between 3,000 km altitude and geosynchronous altitude, as compared with the Terrestrial Service Volume between the surface and 3,000 km. In the Terrestrial Service Volume, GNSS performance will be similar to performance on the Earth's surface. The GPS system has established signal requirements for the Space Service Volume. A separate paper presented at the conference covers the use of multiple GNSS in the Space Service Volume.

  1. Rural Behavioral Health Services for Children and Adolescents: An Ecological and Community Psychology Analysis

    ERIC Educational Resources Information Center

    Heflinger, Craig Anne; Christens, Brian

    2006-01-01

    While psychology has tended to focus on urban issues in research and practice, rural areas have undergone a series of changes in recent years that have increased the need for behavioral health services. A variety of social and economic factors has contributed both to the increasing needs and to the inability of the existing services to meet them.…

  2. Creating Effective Civic Engagement Policy for Adolescents: Quantitative and Qualitative Evaluations of Compulsory Community Service

    ERIC Educational Resources Information Center

    Henderson, Ailsa; Pancer, S. Mark; Brown, Steven D.

    2014-01-01

    For high school community service programs to have a positive impact on subsequent civic engagement, students must volunteer in a sustained manner and must evaluate their volunteering experiences positively. Using a survey with 1,293 respondents and 100 semistructured interviews with past participants of the mandatory community service program…

  3. Service Learning for Youth Empowerment and Social Change. Adolescent Cultures, School, and Society, Volume 5.

    ERIC Educational Resources Information Center

    Claus, Jeff, Ed.; Ogden, Curtis, Ed.

    This book presents current thinking on the topic of community service programs for youth. Combining theory and research with descriptions of innovative programs and specific recommendations for program design, the volume outlines an approach to service learning that engages youth not only in helping others but also in critical reflection and the…

  4. Principles of Service Oriented Operating Systems

    NASA Astrophysics Data System (ADS)

    Schubert, Lutz; Kipp, Alexander

    Grid middleware support and the Web Services domain have advanced significantly over recent years, reaching a point where resource exposition and usage over the web has not only become feasible, but an actual commercial reality. Nonetheless, commercial uptake is still slow, and certainly not progressing the same way as other web developments have been taking place - this is mostly due to the fact that usage is still complicated and restrictive. This paper will discuss a new approach towards tackling grid-like networking across organisational boundaries and across different types of resources by moving main parts of the infrastructure to a lower (OS) level. This will allow more intuitive use of Grid infrastructures for current types of users.

  5. A proposed ecosystem services classification system to support green accounting

    EPA Science Inventory

    There are a multitude of actual or envisioned, complete or incomplete, ecosystem service classification systems being proposed to support Green Accounting. Green Accounting is generally thought to be the formal accounting attempt to factor environmental production into National ...

  6. Hotel shows health system keys to service excellence.

    PubMed

    2003-08-01

    Ritz-Carlton partnership part of broader program pursuing service excellence. Nearly 600 system leaders will participate in day-long seminars. GE, Harvard serve as strategic partners for ongoing educational efforts. PMID:12901319

  7. Developing collective customer knowledge and service climate: The interaction between service-oriented high-performance work systems and service leadership.

    PubMed

    Jiang, Kaifeng; Chuang, Chih-Hsun; Chiao, Yu-Ching

    2015-07-01

    This study theorized and examined the influence of the interaction between Service-Oriented high-performance work systems (HPWSs) and service leadership on collective customer knowledge and service climate. Using a sample of 569 employees and 142 managers in footwear retail stores, we found that Service-Oriented HPWSs and service leadership reduced the influences of one another on collective customer knowledge and service climate, such that the positive influence of service leadership on collective customer knowledge and service climate was stronger when Service-Oriented HPWSs were lower than when they were higher or the positive influence of Service-Oriented HPWSs on collective customer knowledge and service climate was stronger when service leadership was lower than when it was higher. We further proposed and found that collective customer knowledge and service climate were positively related to objective financial outcomes through service performance. Implications for the literature and managerial practices are discussed. PMID:25486260

  8. Solid Propulsion Systems, Subsystems, and Components Service Life Extension

    NASA Technical Reports Server (NTRS)

    Hundley, Nedra H.; Jones, Connor

    2011-01-01

    The service life extension of solid propulsion systems, subsystems, and components will be discussed based on the service life extension of the Space Transportation System Reusable Solid Rocket Motor (RSRM) and Booster Separation Motors (BSM). The RSRM is certified for an age life of five years. In the aftermath of the Columbia accident there were a number of motors that were approaching the end of their five year service life certification. The RSRM Project initiated an assessment to determine if the service life of these motors could be extended. With the advent of the Constellation Program, a flight test was proposed that would utilize one of the RSRMs which had been returned from the launch site due to the expiration of its five year service life certification and twelve surplus Chemical Systems Division BSMs which had exceeded their eight year service life. The RSRM age life tracking philosophy which establishes when the clock starts for age life tracking will be described. The role of the following activities in service life extension will be discussed: subscale testing, accelerated aging, dissecting full scale aged hardware, static testing full scale aged motors, data mining industry data, and using the fleet leader approach. The service life certification and extension of the BSMs will also be presented.

  9. Systems engineering implementation plan for the liquid effluents services program

    SciTech Connect

    Lowe, S.S.

    1995-01-01

    A graded approach is being taken by the Liquid Effluents Services Program in implementing systems engineering because of the advanced state of the program. The approach is cost-effective and takes credit for related work already completed, yet retains the benefits of systems engineering. This plan describes how the Liquid Effluents Services Program will implement systems engineering so there is a common understanding. Systems engineering work to be performed and the products of that work are identified. The relation to the current planning process and integration with the sitewide systems engineering effort is described.

  10. System services and architecture of the TMI satellite mobile data system

    NASA Technical Reports Server (NTRS)

    Gokhale, D.; Agarwal, A.; Guibord, A.

    1993-01-01

    The North American Mobile Satellite Service (MSS) system being developed by AMSC/TMI and scheduled to go into service in early 1995 will include the provision for real time packet switched services (mobile data service - MDS) and circuit switched services (mobile telephony service - MTS). These services will utilize geostationary satellites which provide access to mobile terminals (MT's) through L-band beams. The MDS system utilizes a star topology with a centralized data hub (DH) and will support a large number of mobile terminals. The DH, which accesses the satellite via a single Ku band beam, is responsible for satellite resource management, for providing mobile users with access to public and private data networks, and for comprehensive network management of the system. This paper describes the various MDS services available for the users, the ground segment elements involved in the provisioning of these services, and a summary description of the channel types, protocol architecture, and network management capabilities provided within the system.

  11. Satellite services system analysis study. Volume 5: Programmatics

    NASA Technical Reports Server (NTRS)

    1981-01-01

    The overall program and resources needed for development and operation of a Satellite Services System is reviewed. Program requirements covered system operations through 1993 and were completed in preliminary form. Program requirements were refined based on equipment preliminary design and analysis. Schedules, costs, equipment utilization, and facility/advanced technology requirements were included in the update. Equipment user charges were developed for each piece of equipment and for representative satellite servicing missions.

  12. [Pain syndrome of the musculoskeletal system in children and adolescents].

    PubMed

    Höfel, L; Draheim, N; Häfner, R; Haas, J P

    2016-04-01

    Chronic pain syndromes in children and adolescents are defined as continuous or recurrent pain without an underlying causative diagnosis and lasting for more than 3 months. It is estimated that every fourth child in Germany suffers from chronic pain with every twentieth suffering from extreme recurrent pain. The incidence of chronic pain in children and adolescents is increasing with headache, abdominal pain and musculoskeletal pain being the most frequent. The quality of life declines not only due to the pain but to relieving postural and psychological factors, such as fear and sadness. School attendance, social activities and hobbies are mostly affected. This review summarizes the background of chronic pain syndromes and introduces a multimodal therapeutic approach. PMID:26892925

  13. Enhancing Health-Care Services with Mixed Reality Systems

    NASA Astrophysics Data System (ADS)

    Stantchev, Vladimir

    This work presents a development approach for mixed reality systems in health care. Although health-care service costs account for 5-15% of GDP in developed countries the sector has been remarkably resistant to the introduction of technology-supported optimizations. Digitalization of data storing and processing in the form of electronic patient records (EPR) and hospital information systems (HIS) is a first necessary step. Contrary to typical business functions (e.g., accounting or CRM) a health-care service is characterized by a knowledge intensive decision process and usage of specialized devices ranging from stethoscopes to complex surgical systems. Mixed reality systems can help fill the gap between highly patient-specific health-care services that need a variety of technical resources on the one side and the streamlined process flow that typical process supporting information systems expect on the other side. To achieve this task, we present a development approach that includes an evaluation of existing tasks and processes within the health-care service and the information systems that currently support the service, as well as identification of decision paths and actions that can benefit from mixed reality systems. The result is a mixed reality system that allows a clinician to monitor the elements of the physical world and to blend them with virtual information provided by the systems. He or she can also plan and schedule treatments and operations in the digital world depending on status information from this mixed reality.

  14. International GPS (Global Positioning System) Service for Geodynamics

    NASA Technical Reports Server (NTRS)

    Zumberge, J. F. (Editor); Liu, R. (Editor); Neilan, R. E. (Editor)

    1995-01-01

    The International GPS (Global Positioning System) Service for Geodynamics (IGS) began formal operation on January 1, 1994. This first annual report is divided into sections, which mirror different aspects of the service. Section (1) contains general information, including the history of the IGS, its organization, and the global network of GPS tracking sites; (2) contains information on the Central Bureau Information System; (3) describes the International Earth Rotation Service (IERS); (4) details collecting and distributing IGS data in Data Center reports; (6) describes how the IGS Analysis Centers generate their products; (7) contains miscellaneous contributions from other organizations that share common interests with the IGS.

  15. The developing one door licensing service system based on RESTful oriented services and MVC framework

    NASA Astrophysics Data System (ADS)

    Widiyanto, Sigit; Setyawan, Aris Budi; Tarigan, Avinanta; Sussanto, Herry

    2016-02-01

    The increase of the number of business impact on the increasing service requirements for companies and Small Medium Enterprises (SMEs) in submitting their license request. The service system that is needed must be able to accommodate a large number of documents, various institutions, and time limitations of applicant. In addition, it is also required distributed applications which is able to be integrated each other. Service oriented application fits perfectly developed along client-server application which has been developed by the Government to digitalize submitted data. RESTful architecture and MVC framework are embedded in developing application. As a result, the application proves its capability in solving security, transaction speed, and data accuracy issues.

  16. European Mobile Satellite Services (EMSS): A regional system for Europe

    NASA Technical Reports Server (NTRS)

    Loisy, C.; Edin, P.; Benedicto, F. J.

    1995-01-01

    The European Space Agency is presently procuring two L-band payloads in order to promote a regional system for the provision of European Mobile Satellite Services (EMSS). These are the EMS payload on the Italsat I-F2 satellite and the LLM payload on the ARTEMIS satellite. Telecommunication system studies have been concentrating on mobile applications where full European geographical coverage is required. Potential applications include high priority Private Mobile Radio networks requiring national or European coverage, such as civil security, fire brigades, police and health services, as well as a dedicated system for provision of Air Traffic Services to the civil aviation community. A typical application is an intelligent road traffic management system combining a geographically selective traffic data collection service based on probe vehicles with a geographically selective traffic information broadcast service. Network architectures and bearer services have been developed both for data only and voice/data services. Vehicle mounted mobile transceivers using CDMA access techniques have been developed. The EMSS operational phase will start with the EMS payload in orbit in 1996 and continue with the LLM payload in 1997.

  17. Balancing Social Responsibility and Personal Autonomy: Adolescents' Reasoning About Community Service Programs.

    PubMed

    McNeil, Justin; Helwig, Charles C

    2015-01-01

    Many jurisdictions in North America have implemented mandatory community service programs in high schools. However, little research exists examining the reasoning of youth themselves about such programs. This study examined how youth reason about community service programs, and how they balance the prosocial goals of these programs against their personal autonomy. Seventy-two participants between 10 and 18 years old evaluated voluntary community service along with 4 hypothetical mandatory programs that varied according to whether students or the government decided the areas in which students would serve, and whether a structured reflection component was included. The findings reveal that youth are not simply self-focused but rather balance and coordinate considerations of autonomy and community in their judgments and reasoning about community service. PMID:26287579

  18. Flight Support System (FSS) docking and umbilical services systems

    NASA Technical Reports Server (NTRS)

    Falkenhayn, Edward

    1991-01-01

    The Satellite Servicing Project at GSFC in the early 80's developed a facility for servicing observatories in orbit when docked on the shuttle. The facility includes a three point docking ring and one or two umbilicals to provide power, data and command capability to docked payloads. This facility was used in the 1984 repair of the Solar Maximum satellite. It will be used for the Hubble repair mission in 1993, and it is planned to be used on the Explorer Platform retrieval mission in 1995 and for servicing AXAF in the late 90's. The basic three point docking mechanisms and umbilical interfaces were adopted by the OMU Project for that vehicle's remote rendezvous and docking mission capability. This would have assured a common interface for a serviceable payload for either shuttle based or remote servicing, i.e., HST. For OMU remote servicing, quick reaction docking latches were under development when that Project was cancelled. Although there is no remote servicing capability being funded at present, the EOS spacecraft configuration does include three pins compatible with the FSS latches as a contingency planning measure.

  19. Barriers to asymptomatic screening and other STD services for adolescents and young adults: focus group discussions

    PubMed Central

    Tilson, Elizabeth C; Sanchez, Victoria; Ford, Chandra L; Smurzynski, Marlene; Leone, Peter A; Fox, Kimberley K; Irwin, Kathleen; Miller, William C

    2004-01-01

    Background Sexually transmitted diseases (STDs) are a major public health problem among young people and can lead to the spread of HIV. Previous studies have primarily addressed barriers to STD care for symptomatic patients. The purpose of our study was to identify perceptions about existing barriers to and ideal services for STDs, especially asymptomatic screening, among young people in a southeastern community. Methods Eight focus group discussions including 53 White, African American, and Latino youth (age 14–24) were conducted. Results Perceived barriers to care included lack of knowledge of STDs and available services, cost, shame associated with seeking services, long clinic waiting times, discrimination, and urethral specimen collection methods. Perceived features of ideal STD services included locations close to familiar places, extended hours, and urine-based screening. Television was perceived as the most effective route of disseminating STD information. Conclusions Further research is warranted to evaluate improving convenience, efficiency, and privacy of existing services; adding urine-based screening and new services closer to neighborhoods; and using mass media to disseminate STD information as strategies to increase STD screening. PMID:15189565

  20. Forecasting the Future Food Service World of Work. Final Report. Volume II. Centralized Food Service Systems. Service Management Reports.

    ERIC Educational Resources Information Center

    Powers, Thomas F., Ed.; Swinton, John R., Ed.

    Volume II of a three-volume study on the future of the food service industry considers the effects that centralized food production will have on the future of food production systems. Based on information from the Fair Acres Project and the Michigan State University Vegetable Processing Center, the authors describe the operations of a centralized…

  1. Brief Report: Parent-Adolescent Informant Discrepancies of Social Skill Importance and Social Skill Engagement for Higher-Functioning Adolescents with Autism Spectrum Disorder

    ERIC Educational Resources Information Center

    McMahon, Camilla M.; Solomon, Marjorie

    2015-01-01

    Parent- and adolescent-report of social skill importance and social skill engagement on the Social Skills Rating System (Gresham and Elliott in The social skills rating system, American Guidance Service, Circle Pines, 1990) were assessed in higher-functioning adolescents with Autism Spectrum Disorder (ASD). Compared to parents, adolescents…

  2. DDBJ new system and service refactoring

    PubMed Central

    Ogasawara, Osamu; Mashima, Jun; Kodama, Yuichi; Kaminuma, Eli; Nakamura, Yasukazu; Okubo, Kousaku; Takagi, Toshihisa

    2013-01-01

    The DNA data bank of Japan (DDBJ, http://www.ddbj.nig.ac.jp) maintains a primary nucleotide sequence database and provides analytical resources for biological information to researchers. This database content is exchanged with the US National Center for Biotechnology Information (NCBI) and the European Bioinformatics Institute (EBI) within the framework of the International Nucleotide Sequence Database Collaboration (INSDC). Resources provided by the DDBJ include traditional nucleotide sequence data released in the form of 27 316 452 entries or 16 876 791 557 base pairs (as of June 2012), and raw reads of new generation sequencers in the sequence read archive (SRA). A Japanese researcher published his own genome sequence via DDBJ-SRA on 31 July 2012. To cope with the ongoing genomic data deluge, in March 2012, our computer previous system was totally replaced by a commodity cluster-based system that boasts 122.5 TFlops of CPU capacity and 5 PB of storage space. During this upgrade, it was considered crucial to replace and refactor substantial portions of the DDBJ software systems as well. As a result of the replacement process, which took more than 2 years to perform, we have achieved significant improvements in system performance. PMID:23180790

  3. Customer Service in a Youth Development System.

    ERIC Educational Resources Information Center

    Tetro, Charles G.

    The Training and Development Corporation (TDC) began the redesign of its youth development system with the belief that the center of effort would be local and success would ultimately turn on the capacity of individuals and organizations to transform themselves. TDC's first generation Career Advancement Center (CAC) prototype was in place by 1986.…

  4. Intimate Relationships among Adolescent Romantic Partners and Same-Sex Friends: Individual and Systemic Perspectives.

    ERIC Educational Resources Information Center

    Shulman, Shmuel; Levy-Shiff, Rachel; Kedem, Peri; Alon, Eiton

    1997-01-01

    Examined adolescent intimacy in close friendships and romantic relationships from a systemic perspective. Found qualitative sex-related differences in how partners balance closeness and individuality in the two types of close friendships. Development of an intimate romantic relationship was also found to require greater commitment for males than…

  5. A Phenomenological Study of Gifted Adolescents and Their Engagement with One On-Line Learning System

    ERIC Educational Resources Information Center

    Swicord, Barbara

    2010-01-01

    Little research exists on the nature of the interactions between gifted students and the use of technology. Furthermore, no research has investigated the phenomenon of gifted adolescents using one internet-based program, the Renzulli Learning System (RLS). Renzulli Learning is an on-line educational profile with a matching database that provides…

  6. Longitudinal Changes in Behavioral Approach System Sensitivity and Brain Structures Involved in Reward Processing during Adolescence

    ERIC Educational Resources Information Center

    Urosevic, Snezana; Collins, Paul; Muetzel, Ryan; Lim, Kelvin; Luciana, Monica

    2012-01-01

    Adolescence is a period of radical normative changes and increased risk for substance use, mood disorders, and physical injury. Researchers have proposed that increases in reward sensitivity (i.e., sensitivity of the behavioral approach system [BAS]) and/or increases in reactivity to all emotional stimuli (i.e., reward and threat sensitivities)…

  7. Here We Go Again: A Dynamic Systems Perspective on Emotional Rigidity across Parent-Adolescent Conflicts

    ERIC Educational Resources Information Center

    Lichtwarck-Aschoff, Anna; Kunnen, Saskia E.; van Geert, Paul L. C.

    2009-01-01

    The authors used a dynamic systems theoretical approach to examine intraindividual variability in emotional responses during the transitional period of adolescence. Longitudinal diary data were collected regarding conflicts between 17 teenage girls and their mothers over a period of a year. The results revealed a reversed u-shaped relation between…

  8. Restructuring public mental health and substance abuse service systems.

    PubMed

    Godbole, A; Temkin, T; Cradock, C

    1998-01-01

    The authors originally circulated the concepts in this proposal during May 1995. The purpose was to support an open, public dialogue regarding the restructuring of the mental health and substance abuse services in Illinois in anticipation of Medicaid funding changes. Restructuring mental health and substance abuse service systems should follow certain key principles. These principles are applicable to other states, particularly those large in territory and population. The authors propose the temporary use of multiple managed care companies serving as administrative services only (ASO) organizations, each of whom would have responsibility for a given geographic portion of a state. The role of the ASOs would be to organize providers into networks on a regional basis and transfer managed care expertise in financing and clinical management to the relevant state departments and provider groups. Changes in the service delivery system would be phased in over time with reorganization of key components of the system during each phase. Where the provision of mental health, substance abuse, and social services is split among multiple state agencies, these agencies would be merged to achieve unified funding and administrative efficiency. Patients and advocacy organizations would play a key role in overseeing and shaping system restructuring at all levels, including a governmental board reporting to the governor, overseeing ASO organizations' operations and assuring quality and access at the provider level. The authors propose funding of public behavioral health services through use of a tiered, integrated funding model. PMID:9502053

  9. Shaking Up the System: The Role of Change in Maternal-Adolescent Communication Quality and Adolescent Weight Loss

    PubMed Central

    McCullough, Mary Beth; Rancourt, Diana; Barker, David; Jelalian, Elissa

    2015-01-01

    Objective The association between directly observed mother–adolescent weight-related communication quality and adolescent percent overweight within the context of an adolescent weight control study was examined. Methods As part of a larger study examining the impact of a behavioral weight control intervention that included attention to parent–adolescent communication (Standard Behavioral Treatment + Enhanced Parenting, SBT + EP) compared with an efficacious Standard Behavioral Treatment (SBT), 38 mother–adolescent dyads participated in a weight-related videotaped discussion. Discussions were taped and collected pre- and postintervention. Results No significant differences emerged in the quality of mother–adolescent communication between SBT (n = 19) and SBT + EP (n = 19) participants, nor was baseline mother–adolescent communication quality associated with adolescents’ weight loss in either condition. However, a decline in communication quality was associated with better outcomes for adolescents participating in the SBT group. Conclusions This study provides preliminary evidence that a change in mother–adolescent communication is associated with successful weight loss among adolescents. PMID:25214645

  10. Exploring unintended consequences of policy initiatives in mental health: the example of Child and Adolescent Mental Health Services (CAMHS) in England

    PubMed Central

    Foreman, David M

    2016-01-01

    Objectives The impact of policy and funding on Child and Adolescent Mental Health Service (CAMHS) activity and capacity, from 2003 to 2012, was assessed. The focus was on preschool children (aged 0–4 years), as current and 2003 policy initiatives stressed the importance of ‘early intervention’. Settings National service capacity from English CAMHS mapping was obtained from 2003 to 2008 inclusive. English Hospital Episode Statistics (HES) for English CAMHS was obtained from 2003 to 2012. The Child and Adolescent Faculty of the Royal College of Psychiatrists surveyed its members about comparative 0–4-year service activity and attitudes in 2012. Participants CAMHS services in England provided HES and CAMHS mapping data. The Child and Adolescent Faculty of the Royal College of Psychiatrists are child psychiatrists, including trainees. Outcome measures CAMHS mapping data provided national estimates of total numbers of CAMHS patients, whereas HES data counted appointments or episodes of inpatient care. The survey reported on Child Psychiatrists' informal estimates of service activity and attitudes towards children aged 0–4 years. Results The association between service capacity and service activity was moderated by an interaction between specified funding and age, the youngest children benefiting least from specified funding and suffering most when it was withdrawn (Pr=0.005). Policy review and significant differences between age-specific HES trends (Pr<0.001) suggested this reflected prioritisation of older children. Clinicians were unaware of this effect at local level, though it significantly influenced their attitudes to prioritising this group (Pr=0.02). Conclusions If the new policy initiative for CAMHS is to succeed, it will need to have time-limited priorities attached to sustained, specified funding, with planning for limits as well as expansion. Data collection for policy evaluation should include measures of capacity and activity. PMID:27496228

  11. Unmanned servicing of Earth observation systems in sunsynchronous orbits

    NASA Astrophysics Data System (ADS)

    Sliney, Jack; Robertson, Bill; Misencik, Tom; Lee, Jeannie

    This paper addresses the feasibility of servicing or reboosting Earth observation spacecraft that are in or near sunsynchronous orbits through the use of an unmanned servicing vehicle. The term sunsynchronous (SS) as used here pertains to any retrograde orbit which exhibits a nodal regression rate of 360° per year, so that the orbit plane maintains a constant angle to the sun. The paper addresses both quantitatively and qualitatively how future Earth observation systems in inclinations between 96 and 100° may be periodically serviced using a transfer vehicle and other components needed to carry out the support mission. Two operational concepts are considered for the employment of the transfer vehicle. In one case, the vehicle is based at a Space Based Support Platform (SBSP) which remains at a lower altitude and higher inclination than the assets to be serviced. Consideration is also given to servicing from a transfer vehicle which is a free flyer (i.e. not based at an SBSP). The design requirements of the servicer are discussed quantitiatively and sample calculations of ΔV and propellant expenditure are given. Consideration is given to the NASA developed Orbital Maneuvering Vehicle (OMV), and other transfer vehicles which use electrical or other advanced propulsion. In addition, a quantitative assessment is made of the subsystem redundancy requirements in the design for an Earth observation satellite that is periodically serviced as compared with design requirements for an unserviceable spacecraft. The benefits of servicing with respect to Pre-planned Product Improvements (P 3I) are discussed.

  12. Business Systems Branch Abilities, Capabilities, and Services Web Page

    NASA Technical Reports Server (NTRS)

    Cortes-Pena, Aida Yoguely

    2009-01-01

    During the INSPIRE summer internship I acted as the Business Systems Branch Capability Owner for the Kennedy Web-based Initiative for Communicating Capabilities System (KWICC), with the responsibility of creating a portal that describes the services provided by this Branch. This project will help others achieve a clear view ofthe services that the Business System Branch provides to NASA and the Kennedy Space Center. After collecting the data through the interviews with subject matter experts and the literature in Business World and other web sites I identified discrepancies, made the necessary corrections to the sites and placed the information from the report into the KWICC web page.

  13. Grey matter connectivity within and between auditory, language and visual systems in prelingually deaf adolescents

    PubMed Central

    Li, Wenjing; Li, Jianhong; Wang, Zhenchang; Li, Yong; Liu, Zhaohui; Yan, Fei; Xian, Junfang; He, Huiguang

    2015-01-01

    Abstract Purpose: Previous studies have shown brain reorganizations after early deprivation of auditory sensory. However, changes of grey matter connectivity have not been investigated in prelingually deaf adolescents yet. In the present study, we aimed to investigate changes of grey matter connectivity within and between auditory, language and visual systems in prelingually deaf adolescents. Methods: We recruited 16 prelingually deaf adolescents and 16 age-and gender-matched normal controls, and extracted the grey matter volume as the structural characteristic from 14 regions of interest involved in auditory, language or visual processing to investigate the changes of grey matter connectivity within and between auditory, language and visual systems. Sparse inverse covariance estimation (SICE) was utilized to construct grey matter connectivity between these brain regions. Results: The results show that prelingually deaf adolescents present weaker grey matter connectivity within auditory and visual systems, and connectivity between language and visual systems declined. Notably, significantly increased brain connectivity was found between auditory and visual systems in prelingually deaf adolescents. Conclusions: Our results indicate “cross-modal” plasticity after deprivation of the auditory input in prelingually deaf adolescents, especially between auditory and visual systems. Besides, auditory deprivation and visual deficits might affect the connectivity pattern within language and visual systems in prelingually deaf adolescents. PMID:25698109

  14. Trempealeau County Kellogg Project: A Rural Telecommunications Service System.

    ERIC Educational Resources Information Center

    Szymanski, Ray

    The Western Wisconsin Communications Cooperative (WWCC) was established in 1973 to develop and implement a county-wide, multi-service, broadband, interactive, telecommunications system to enhance the quality of rural life. Eight school districts adopted the system's concept and signed a 15 year lease agreement with WWCC. Funds were procured from…

  15. Chemical Abstracts Service Chemical Registry System: History, Scope, and Impacts.

    ERIC Educational Resources Information Center

    Weisgerber, David W.

    1997-01-01

    Describes the history, scope, and applications of the Chemical Abstracts Service Chemical Registry System, a computerized database that uniquely identifies chemical substances on the basis of their molecular structures. Explains searching the system is and discusses its use as an international resource. (66 references) (Author/LRW)

  16. The Role of Quality Service Systems in Involving Families in Mental Health Treatment for Children with Severe Emotional Disturbances

    PubMed Central

    Mayberry, Lindsay Satterwhite; Heflinger, Craig Anne

    2016-01-01

    Family involvement in the planning and execution of mental health treatment has been shown to positively influence child outcomes; however, there is wide variability in the levels of involvement by families. The current study investigated the influence of child, family caregiver, service system, and community factors on the level of family involvement in the mental health treatment of children with severe emotional disturbances (SED). While prior work in this area has primarily focused on family and child characteristics, the current study adds to the knowledge base by also exploring factors associated with the quality of service delivery that may influence levels of family involvement. The current study is a secondary analysis of existing data from the Impact Study of Medicaid in Mississippi and Tennessee (Brannan & Heflinger, 2006) that used in-depth interviews with parents and case review ratings. One hundred thirty-six children and adolescents who received Medicaid coverage for mental health treatment in Mississippi and Tennessee were the focus of this study that assessed child and caregiver characteristics at the beginning of the study and rated service system factors six-month after the study began. Results of the multiple regression analysis revealed the quality of the service delivery system had the most influence on level of family involvement. Results suggest that levels of family involvement may have less to do with caregiver health, or other family characteristics, and more to do with the quality of the service delivery system. PMID:27307690

  17. An economics systems analysis of land mobile radio telephone services

    NASA Technical Reports Server (NTRS)

    Leroy, B. E.; Stevenson, S. M.

    1980-01-01

    The economic interaction of the terrestrial and satellite systems is considered. Parametric equations are formulated to allow examination of necessary user thresholds and growth rates as a function of system costs. Conversely, first order allowable systems costs are found as a function of user thresholds and growth rates. Transitions between satellite and terrestrial service systems are examined. User growth rate density (user/year/sq km) is shown to be a key parameter in the analysis of systems compatibility. The concept of system design matching the price/demand curves is introduced and examples are given. The role of satellite systems is critically examined and the economic conditions necessary for the introduction of satellite service are identified.

  18. The Services for Children and Adolescents-Parent Interview: Development and Performance Characteristics.

    ERIC Educational Resources Information Center

    Jensen, Peter S.; Hoagwood, Kimberly Eaton; Roper, Margaret; Arnold, L. Eugene; Odbert, Caroi; Crowe, Maura; Molina, Brooke S.G.; Hechtman, Lily; Hinshaw, Stephen P.; Hoza, Betsy; Newcorn, Jeffrey; Swanson, James; Wells, Karen

    2004-01-01

    Objective: To date, no instrument has been developed that captures children's services use across primary care, specialty mental health, and other settings, including setting, treatment type, provider discipline, and length and intensity of specific interventions over varying follow-up periods. The authors developed a highly structured services…

  19. Strong Community Service Learning: Philosophical Perspectives. Adolescent Cultures, School, and Society, Volume 53

    ERIC Educational Resources Information Center

    Sheffield, Eric C.

    2011-01-01

    Community Service Learning (CSL) is, potentially, the most powerful and far-reaching educational reform movement in recent memory. Yet, that potential has yet to be realized. One major reason for CSL's limited success is found in its runaway conceptual confusion: in becoming everything to everyone, CSL has lost its philosophical bearings and, not…

  20. Requirements and applications for robotic servicing of military space systems

    NASA Technical Reports Server (NTRS)

    Ledford, Otto C., Jr.; Bennett, Rodney G.

    1992-01-01

    The utility of on-orbit servicing of spacecraft has been demonstrated by NASA several times using shuttle-based astronaut EVA. There has been interest in utilizing on-orbit servicing for military space systems as well. This interest has been driven by the increasing reliance of all branches of the military upon space-based assets, the growing numbers, complexity, and cost of those assets, and a desire to normalize support policies for space-based operations. Many military satellites are placed in orbits which are unduly hostile for astronaut operations and/or cannot be reached by the shuttle. In addition, some of the projected tasks may involve hazardous operations. This has led to a focus on robotic systems, instead of astronauts, for the basis of projected servicing systems. This paper describes studies and activities which will hopefully lead to on-orbit servicing being one of the tools available to military space systems designers and operators. The utility of various forms of servicing has been evaluated for present and projected systems, critical technologies have been identified, and strategies for the development and insertion of this technology into operational systems have been developed. Many of the projected plans have been adversely affected by budgetary restrictions and evolving architectures, but the fundamental benefits and requirements are well understood. A method of introducing servicing capabilities in a manner which has a low impact on the system designer and does not require the prior development of an expensive infrastructure is discussed. This can potentially lead to an evolutionary implementation of the full technology.

  1. Practice-Based Evidence for Children and Adolescents: Advancing the Research Agenda in Schools

    ERIC Educational Resources Information Center

    Kratochwill, Thomas R.; Hoagwood, Kimberly Eaton; Kazak, Anne E.; Weisz, John R.; Hood, Korey; Vargas, Luis A.; Banez, Gerard A.

    2012-01-01

    The American Psychological Association Task Force on Evidence- Based Practice for Children and Adolescents (2008) recommended a systems approach to enhancing care in order to improve outcomes for children and adolescents with mental health needs and redress persistent systemic problems with the structure of services. Recommendations for enhancing…

  2. Services oriented architecture (SOA)-based persistent ISR simulation system

    NASA Astrophysics Data System (ADS)

    Chen, Genshe; Blasch, Erik; Shen, Dan; Chen, Huimin; Pham, Khanh

    2010-04-01

    In the modern networked battlefield, network centric warfare (NCW) scenarios need to interoperate between shared resources and data assets such as sensors, UAVs, satellites, ground vehicles, and command and control (C2/C4I) systems. By linking and fusing platform routing information, sensor exploitation results, and databases (e.g. Geospatial Information Systems [GIS]), the shared situation awareness and mission effectiveness will be improved. Within the information fusion community, various research efforts are looking at open standard approaches to composing the heterogeneous network components under one framework for future modeling and simulation applications. By utilizing the open source services oriented architecture (SOA) based sensor web services, and GIS visualization services, we propose a framework that ensures the fast prototyping of intelligence, surveillance, and reconnaissance (ISR) system simulations to determine an asset mix for a desired mission effectiveness, performance modeling for sensor management and prediction, and user testing of various scenarios.

  3. NEW APPROACHES TO PHARMACOTHERAPY OF TUMORS OF THE NERVOUS SYSTEM DURING CHILDHOOD AND ADOLESCENCE

    PubMed Central

    Schor, Nina F.

    2009-01-01

    Tumors of the nervous system are among the most common and most chemoresistant neoplasms of childhood and adolescence. Malignant tumors of the brain collectively account for 21% of all cancers and 24% of all cancer-related deaths in this age group. Neuroblastoma, a peripheral nervous system tumor, is the most common extracranial solid tumor of childhood, and 65% of children with this tumor have only a 10 or 15% chance of living 5 years beyond the time of initial diagnosis. Novel pharmacological approaches to nervous system tumors are urgently needed. This review presents the role of and current challenges to pharmacotherapy of malignant tumors of the nervous system during childhood and adolescence and discusses novel approaches aimed at overcoming these challenges. PMID:19318043

  4. Associations between evidence-based practice and mental health outcomes in child and adolescent mental health services.

    PubMed

    Deighton, Jessica; Argent, Rachel; De Francesco, Davide; Edbrooke-Childs, Julian; Jacob, Jenna; Fleming, Isobel; Ford, Tamsin; Wolpert, Miranda

    2016-04-01

    The effectiveness of evidence-based practice in the treatment of children with conduct disorder (n = 186) or emotional disorders (n = 490) in routine care was examined using naturalistic, previously collected data from 30 child and adolescent mental health services. Repeated measures analysis of covariance was used to compare the outcomes of children who received parent training for conduct disorder and cognitive behavioural therapy for emotional disorders (evidence-based practice) with children who did not receive these treatments (non-evidence-based practice). There was a relatively low occurrence of evidence-based practice, particularly for children with conduct disorder. Both the evidence-based practice and non-evidence-based practice groups improve over time, with moderate effect sizes, and there were greater improvements associated with evidence-based practice for children with emotional disorders, based on child self-reported symptoms but not on parent report. In the present sample, significant differences were not found for conduct disorder. Findings provide tentative support for evidence-based practice for the treatment of emotional disorders in routine care settings. PMID:26071258

  5. Comprehensive Community-Based Services for Offenders Information Pak. Part 3: A System for Delivering Comprehensive Services to Offenders.

    ERIC Educational Resources Information Center

    Schroeder, Paul E.

    This paper describing a system for delivering comprehensive services to offenders is the third of the five-part Comprehensive Community-Based Services for Offenders Information PAK that provides guidelines for developing a system to improve exoffender service delivery. (Parts 1 and 2, which also contain printed information, are available…

  6. Cancer and Anorexia Nervosa in the Adolescence: A Family-Based Systemic Intervention

    PubMed Central

    De Benedetta, Gabriella; Bolognini, Ida; D'Ovidio, Silvia; Pinto, Antonello

    2011-01-01

    Objective. Anorexia nervosa is difficult to diagnose in cancer patients since weight loss, aversion for food, and eating disturbances are frequent in patients undergoing chemotherapy and radiotherapy. Nevertheless, efforts are mandatory to recognize and manage this condition which may occur also in cancer patients with a special regard to adolescents. Methods. Through the clinical history of Anna, a 15-year-old adolescent with advanced cancer, we describe the effectiveness of a family-based systemic intervention to manage anorexia nervosa occurring in concomitance to osteosarcoma. Results. Through a two-year psychotherapy period involving different techniques applied to the whole family such as family genogram, family collage, and sculpture of family time, Anna was relieved from her condition. Conclusions. Upon early diagnosis and appropriate treatment, anorexia nervosa can be effectively approached in adolescent cancer patients. The presence of a life-threatening medical condition such as cancer may provide motivation for a patient to control disordered eating behavior in the context of an appropriate family-based systemic intervention. The general frame of anorexia occurring in cancer-bearing adolescents is reviewed and discussed. PMID:22295193

  7. Plume Impingement Analysis for the European Service Module Propulsion System

    NASA Technical Reports Server (NTRS)

    Yim, John Tamin; Sibe, Fabien; Ierardo, Nicola

    2014-01-01

    Plume impingement analyses were performed for the European Service Module (ESM) propulsion system Orbital Maneuvering System engine (OMS-E), auxiliary engines, and reaction control system (RCS) engines. The heat flux from plume impingement on the solar arrays and other surfaces are evaluated. This information is used to provide inputs for the ESM thermal analyses and help determine the optimal configuration for the RCS engines.

  8. Eligibility for College Learning Disabilities Services: A System-Wide Approach.

    ERIC Educational Resources Information Center

    Gregg, Noel; And Others

    1996-01-01

    This article describes criteria developed by the three Georgia Learning Disorder Centers to determine eligibility for services of college students with learning disabilities. Five definitions for learning disability in adolescents and adults are compared. The specific criteria used by the centers are detailed, as are criteria for accepting outside…

  9. Laminar Flow Control Leading Edge Systems in Simulated Airline Service

    NASA Technical Reports Server (NTRS)

    Wagner, R. D.; Maddalon, D. V.; Fisher, D. F.

    1988-01-01

    Achieving laminar flow on the wings of a commercial transport involves difficult problems associated with the wing leading edge. The NASA Leading Edge Flight Test Program has made major progress toward the solution of these problems. The effectiveness and practicality of candidate laminar flow leading edge systems were proven under representative airline service conditions. This was accomplished in a series of simulated airline service flights by modifying a JetStar aircraft with laminar flow leading edge systems and operating it out of three commercial airports in the United States. The aircraft was operated as an airliner would under actual air traffic conditions, in bad weather, and in insect infested environments.

  10. The Formation of the Emergency Medical Services System

    PubMed Central

    Shah, Manish N.

    2006-01-01

    The evolution of the emergency medical services system in the United States accelerated rapidly between 1960 and 1973 as a result of a number of medical, historical, and social forces. Current emergency medical services researchers, policy advocates, and administrators must acknowledge these forces and their limitations and work to modify the system into one that provides uniformly high-quality acute care to all patients, improves the overall public health through injury control and disease prevention programs, participates as a full partner in disease surveillance, and is prepared to address new community needs of all types. PMID:16449600

  11. Health services system for seafarers and fishermen in Iran.

    PubMed

    Ali Hasanzadeh, Mohammad; Azizabadi, Ebrahim; Allah Alipour, Nosrat

    2005-01-01

    The maritime health services system is presented in this review article. The national Iranian shipping line IRISL owns the largest commercial fleet in the Middle East and it operates 137 ships. This company and several other national shipping companies employ over 5900 seafarers. There are 11,000 fishing ships and boats and the number of Iranian fishermen reaches 124,000. Seafarers and fishermen are regularly medically examined and issued health certificates, according to the national regulations. The health services system for them is linked to the port authorities throughout the country. Observations, data and relevant statistics on the health problems of the national maritime workers have been regularly collected. PMID:16532596

  12. The Core Services of the European Plate Observing System (EPOS)

    NASA Astrophysics Data System (ADS)

    Hoffmann, T. L.; Euteneuer, F. H.; Lauterjung, J.

    2013-12-01

    The ESFRI project European Plate Observing System (EPOS) was launched in November 2010 and has now completed its year 3 of the four-year preparatory phase. EPOS will create a single sustainable, permanent observation infrastructure, integrating existing geophysical monitoring networks, local observatories and experimental laboratories in Europe and adjacent regions. EPOS' technical Work Package 6 has developed a three layer architectural model for the construction of the EPOS Core Services (CS) during the subsequent implementation phase. The Poster will present and detail on these three layers, consisting of the EPOS Integrated Core Services (ICS), the Thematic Core Services (TCS) and the existing National Research Infrastructures & Data Centers. The basic layer of the architecture is established by the National Research Infrastructures (RIs) & Data Centers, which generate data and information and are responsible for the operation of the instrumentation. National RIs will provide their data to the Thematic Cores Services. The Thematic Core Services constitute the community layer of EPOS architecture and they will: 1) consist of existing (e.g. ORFEUS, EMSC), developing (e.g. EUREF/GNSS) or still to be developed Service Providers for specific thematic communities, as represented within EPOS through the technical EPOS Working Groups (e.g., seismology, volcanology, geodesy, geology, analytic labs for rock physics, geomagnetism, geo-resources ... and many others), 2) provide data services to specific communities, 3) link the National Research Infrastructures to the EPOS Integrated Services, 4) include Service Providers (e.g. OneGeology+, Intermagnet) that may be merely linked or partially integrated and 5) consist of Integrated Laboratories and RIs spanning multiple EPOS disciplines and taking advantage of other existing Thematic Services. The EPOS Integrated Services constitute the ICT layer of the EPOS portal and they will: 1) provide access to multidisciplinary data

  13. Space Mission Operations Ground Systems Integration Customer Service

    NASA Technical Reports Server (NTRS)

    Roth, Karl

    2014-01-01

    , and cultural differences, to ensure an efficient response to customer issues using a small Customer Service Team (CST) and adaptability, constant communication with customers, technical expertise and knowledge of services, and dedication to customer service. The HOSC Customer Support Team has implemented a variety of processes, and procedures that help to mitigate the potential problems that arise when integrating ground system services for a variety of complex missions and the lessons learned from this experience will lead the future of customer service in the space operations industry.

  14. Options for pricing ancillary services in a deregulated power system

    NASA Astrophysics Data System (ADS)

    Yamin, Hatim Yahya

    2001-07-01

    GENCOs in restructured systems are compensated for selling energy in the market. In a restructured market, a mechanism is required to entice participants in the market to provide ancillary services and to ensure adequate compensation that would guarantee its economic viability. The ISO controls the dispatch of generation, manages the reliability of the transmission grid, provides open access to the transmission, buys and provides ancillary services as required, coordinates day-ahead, hour-ahead schedules and performs real time balancing of load and generation, settles real time imbalances and ancillary services sales and purchases. The ISO, also, administers congestion management protocols for the transmission grid. Since the ISO does not own any generating units it must ensure that there is enough reserves for maintaining reliability according to FERC regulations, and sufficient unloaded generating capacity for balancing services in a real-time market. The ISO could meet these requirements by creating a competitive market for ancillary services, which are metered and remain unbundled to provide an accurate compensation for each supplier and cost to each consumer, In this study, we give an overview for restructuring and ancillary services in a restructured power marketplace. Also, we discuss the effect of GENCOs' actions in the competitive energy and ancillary service markets. In addition, we propose an auction market design for hedging ancillary service costs in California market. Furthermore, we show how to include the n-1 and voltage contingencies in security constrained unit commitment. Finally, we present two approaches for GENCOs' unit commitment in a restructured power market; one is based on game theory and the other is based on market price forecasting. In each of the two GENCOs' unit commitment approaches, we discuss the GENCOs' optimal bidding strategies in energy and ancillary service markets to maximize the GENCOs' profit.

  15. Adolescent Neurodevelopment

    PubMed Central

    Spear, Linda Patia

    2012-01-01

    Purpose The purpose of this paper is to outline notable alterations occurring in the adolescent brain, and consider potential ramifications of these developmental transformations for public policy and programs involving adolescents. Methods Developmental changes in the adolescent brain obtained from human imaging work are reviewed, along with results of basic science studies. Results Adolescent brain transformations include both progressive and regressive changes that are regionally specific and serve to refine brain functional connectivity. Along with still maturing inhibitory control systems that can be overcome under emotional circumstances, the adolescent brain is associated with sometimes elevated activation of reward-relevant brain regions, whereas sensitivity to aversive stimuli may be attenuated. At this time, the developmental shift from greater brain plasticity early in life to the relative stability of the mature brain is still tilted more towards plasticity than seen in adulthood, perhaps providing an opportunity for some experience-influenced sculpting of the adolescent brain. Conclusions Normal developmental transformations in brain reward/aversive systems, areas critical for inhibitory control, and regions activated by emotional, exciting and stressful stimuli may promote some normative degree of adolescent risk-taking. These findings have a number of potential implications for public policies and programs focused on adolescent health and well-being. PMID:23332574

  16. Combined Global Navigation Satellite Systems in the Space Service Volume

    NASA Technical Reports Server (NTRS)

    Force, Dale A.; Miller, James J.

    2013-01-01

    Besides providing position, velocity, and timing (PVT) for terrestrial users, the Global Positioning System (GPS) is also being used to provide PVT information for earth orbiting satellites. In 2006, F. H. Bauer, et. al., defined the Space Service Volume in the paper GPS in the Space Service Volume , presented at ION s 19th international Technical Meeting of the Satellite Division, and looked at GPS coverage for orbiting satellites. With GLONASS already operational, and the first satellites of the Galileo and Beidou/COMPASS constellations already in orbit, it is time to look at the use of the new Global Navigation Satellite Systems (GNSS) coming into service to provide PVT information for earth orbiting satellites. This presentation extends GPS in the Space Service Volume by examining the coverage capability of combinations of the new constellations with GPS GPS was first explored as a system for refining the position, velocity, and timing of other spacecraft equipped with GPS receivers in the early eighties. Because of this, a new GPS utility developed beyond the original purpose of providing position, velocity, and timing services for land, maritime, and aerial applications. GPS signals are now received and processed by spacecraft both above and below the GPS constellation, including signals that spill over the limb of the earth. Support of GPS space applications is now part of the system plan for GPS, and support of the Space Service Volume by other GNSS providers has been proposed to the UN International Committee on GNSS (ICG). GPS has been demonstrated to provide decimeter level position accuracy in real-time for satellites in low Earth orbit (centimeter level in non-real-time applications). GPS has been proven useful for satellites in geosynchronous orbit, and also for satellites in highly elliptical orbits. Depending on how many satellites are in view, one can keep time locked to the GNSS standard, and through that to Universal Time as long as at least one

  17. Adolescent sexual assault victims and the legal system: building community relationships to improve prosecution rates.

    PubMed

    Campbell, Rebecca; Greeson, Megan R; Bybee, Deborah; Fehler-Cabral, Giannina

    2012-09-01

    Adolescents are at high risk for sexual assault, but few of these crimes are reported to the police and prosecuted by the criminal justice system. To address this problem, communities throughout the United States have implemented multidisciplinary interventions to improve post-assault care for victims and increase prosecution rates. The two most commonly implemented interventions are Sexual Assault Nurse Examiner (SANE) Programs and Sexual Assault Response Teams (SARTs). The purpose of this study was to determine whether community-level context (i.e., stakeholder engagement and collaboration) was predictive of adolescent legal case outcomes, after accounting for "standard" factors that affect prosecution success (i.e., victim, assault, and evidence characteristics). Overall, 40% of the adolescent cases from these two SANE-SART programs (over a 10-year period) were successfully prosecuted. Cases were more likely to be prosecuted for younger victims, those with disabilities, those who knew their offenders, and instances in which the rape evidence collection kit was submitted by police for analysis. After accounting for these influences, multi-level modeling results revealed that in one site decreased allocation of community resources to adolescent sexual assault cases had a significant negative effect on prosecution case outcomes. Results are explained in terms of Wolff's (Am J Community Psychol 29:173-191, 2001) concept of "over-coalitioned" communities and Kelly's (1968) ecological principles. PMID:22124620

  18. Wireless health care service system for elderly with dementia.

    PubMed

    Lin, Chung-Chih; Chiu, Ming-Jang; Hsiao, Chin-Chieh; Lee, Ren-Guey; Tsai, Yuh-Show

    2006-10-01

    The purpose of this paper is to integrate the technologies of radio frequency identification, global positioning system, global system for mobile communications, and geographic information system (GIS) to construct a stray prevention system for elderly persons suffering from dementia without interfering with their activities of daily livings. We also aim to improve the passive and manpowered way of searching the missing patient with the help of the information technology. Our system provides four monitoring schemes, including indoor residence monitoring, outdoor activity area monitoring, emergency rescue, and remote monitoring modes, and we have developed a service platform to implement these monitoring schemes. The platform consists of a web service server, a database server, a message controller server, and a health-GIS (H-GIS) server. Family members or volunteer workers can identify the real-time positions of missing elderly using mobile phone, PDA, Notebook PC, and various mobile devices through the service platform. System performance and reliability is analyzed. Experiments performed on four different time slots, from three locations, through three mobile telecommunication companies show that the overall transaction time is 34 s and the average deviation of the geographical location is about 8 m. A questionnaire surveyed by 11 users show that eight users are satisfied with the system stability and 10 users would like to carry the locating device themselves, or recommend it to their family members. PMID:17044403

  19. Organizational Climate, Services, and Outcomes in Child Welfare Systems

    ERIC Educational Resources Information Center

    Glisson, Charles; Green, Philip

    2011-01-01

    Objective: This study examines the association of organizational climate, casework services, and youth outcomes in child welfare systems. Building on preliminary findings linking organizational climate to youth outcomes over a 3-year follow-up period, the current study extends the follow-up period to 7 years and tests main, moderating and…

  20. 7. Unit 3 Service Water System Valves, view to the ...

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

    7. Unit 3 Service Water System Valves, view to the east. These pipes and valves supply water from the draft chest for cooling the generator barrels. - Washington Water Power Clark Fork River Cabinet Gorge Hydroelectric Development, Powerhouse, North Bank of Clark Fork River at Cabinet Gorge, Cabinet, Bonner County, ID

  1. National Plant Germplasm System: Critical Role of Customer Service

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The National Plant Germplasm System (NPGS) conserves plant genetic resources, not only for use by future generations, but for immediate use by scientists and educators around the world. With a great deal of interaction between genebank curators and users of plant genetic resources, customer service...

  2. Behavioral Systems Analysis in Health and Human Services

    ERIC Educational Resources Information Center

    McGee, Heather M.; Diener, Lori H.

    2010-01-01

    This article provides a behavioral systems approach to improve operational performance in health and human service organizations. This article provides six performance truths that are relevant to any organization and a case study from a community mental health network of agencies. A comprehensive analysis, as described here, will help health and…

  3. Master Plan for the Virginia Community College System Computing Services.

    ERIC Educational Resources Information Center

    Virginia State Dept. of Community Colleges, Richmond.

    This master plan sets forth a general strategy for providing administrative and academic computing services and satisfying the data processing requirements for the Virginia Community College System (VCCS) during the 1980's. Following an executive summary, chapter 1 sets forth the purpose of the plan and outlines the planning processes used.…

  4. Payment Services for Global Online Systems Including Internet.

    ERIC Educational Resources Information Center

    Seebeck, Bill; And Others

    1995-01-01

    A panel of four conference presenters address issues related to paying for services provided through online systems. Discussion includes the following topics: metering devices; electronic/digital cash; working within existing banking/credit card structures; provision of payment mechanisms in countries without extensive credit card usage; and…

  5. 49 CFR 570.5 - Service brake system.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... CFR 571.105, on every new passenger car manufactured on or after January 1, 1968, and on other types... 49 Transportation 6 2013-10-01 2013-10-01 false Service brake system. 570.5 Section 570.5... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION VEHICLE IN USE INSPECTION STANDARDS Vehicles With GVWR of...

  6. 76 FR 32241 - Civil Service Retirement System; Present Value Factors

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-03

    ...The Office of Personnel Management (OPM) is providing notice of adjusted present value factors applicable to retirees under the Civil Service Retirement System (CSRS) who elect to provide survivor annuity benefits to a spouse based on post-retirement marriage and to retiring employees who elect the alternative form of annuity, owe certain redeposits based on refunds of contributions for......

  7. Creating a Liveable City - Eco-services, Systems and Place

    NASA Astrophysics Data System (ADS)

    Hamilton, R. J.; Dean, M.; Birtles, P. J.; Hore, J.; Dahlenburg, J.

    2014-12-01

    The use of an ecosystem service framework for natural resource management has gained increasing traction in the public sector. This is of especial interest in cities as residual ecosystems - typically located along creeks and estuaries, or remaining in scattered pockets throughout the urban area - offer some of the highest value social and economic returns per capita for the land area they occupy, yet are often impractical to manage from more traditional approaches to conservation. We posit that the well-being of humans and other species is the outcome of healthy, functioning ecosystems, and that, from a policy perspective, it is essential to consider services in this context. We arrange ecosystem services into three categories: life-enabling, life-sustaining and life-fulfilling, in a modification to the categories of the Millennium Ecosystem Assessment, and identify additional eco-services unique to urban areas. At local scale, these contribute to the well-being of city residents and positively affect quality of life, forming essential elements of urban liveability. However, dynamics of co-located built and natural environments challenge the capacity of ecosystems to function and provide their full suite of services. Using Sydney as an example, we outline a modular framework of socio-ecological systems and places to show how eco-services supporting liveability can be considered in conceptual and physical space. At a policy level, framing systems-based management objectives that protect, improve and re-discover desirable ecosystem services within the city (as opposed to further increasing the environmental footprint outside), will allow for unique, positive, socially-enabling outcomes for urban centres, in Australia, and globally.

  8. A novel governance system for enterprise information services.

    PubMed

    Shabot, M M; Polaschek, J X; Duncan, R G; Langberg, M L; Jones, D T

    1999-01-01

    The authors created a novel system for governing the enterprise information services (IS) of a large health care system. The governance organization is comprised of key members of the attending medical staff, hospital and health system administration, and the IS department. A method for defining the requirements and business case for proposed new systems was developed for use by departments requesting new or expanded information services. A Technology Architecture Guideline document was developed and approved to provide a framework for supported hardware and software technologies. IS policies are approved by the main governance council. All project proposals are reviewed by specialized governance committees and, if approved, are launched for further development. Fully developed proposals are reviewed, approved and prioritized for funding by the governance council. This novel organization provides the methodology and structure for enlightened peer review and funding for well developed IS project proposals. PMID:10566433

  9. An intelligent robotic aid system for human services

    NASA Technical Reports Server (NTRS)

    Kawamura, K.; Bagchi, S.; Iskarous, M.; Pack, R. T.; Saad, A.

    1994-01-01

    The long term goal of our research at the Intelligent Robotic Laboratory at Vanderbilt University is to develop advanced intelligent robotic aid systems for human services. As a first step toward our goal, the current thrusts of our R&D are centered on the development of an intelligent robotic aid called the ISAC (Intelligent Soft Arm Control). In this paper, we describe the overall system architecture and current activities in intelligent control, adaptive/interactive control and task learning.

  10. Towards Meeting the Needs of Adolescents: An Assessment of Federally Funded Adolescent Health Programs and Initiatives within the Department of Health and Human Services

    ERIC Educational Resources Information Center

    Brindis, Claire; Hair, Elizabeth; Valderrama, L. Teresa; Cleveland, Kevin; Park, Jane; Cochran, Stephanie

    2005-01-01

    The overall goal of this project is to better understand the types of youth programs available that may influence the health measures presented in the U.S. Chartbook where American adolescents fare differently--sometimes better, sometimes worse--than their counterparts in other countries. In an effort to do so, the authors reviewed the existing…

  11. Nursing Services Delivery Theory: an open system approach

    PubMed Central

    Meyer, Raquel M; O’Brien-Pallas, Linda L

    2010-01-01

    meyer r.m. & o’brien-pallas l.l. (2010)Nursing services delivery theory: an open system approach. Journal of Advanced Nursing66(12), 2828–2838. Aim This paper is a discussion of the derivation of the Nursing Services Delivery Theory from the application of open system theory to large-scale organizations. Background The underlying mechanisms by which staffing indicators influence outcomes remain under-theorized and unmeasured, resulting in a ‘black box’ that masks the nature and organization of nursing work. Theory linking nursing work, staffing, work environments, and outcomes in different settings is urgently needed to inform management decisions about the allocation of nurse staffing resources in organizations. Data sources A search of CINAHL and Business Source Premier for the years 1980–2008 was conducted using the following terms: theory, models, organization, organizational structure, management, administration, nursing units, and nursing. Seminal works were included. Discussion The healthcare organization is conceptualized as an open system characterized by energy transformation, a dynamic steady state, negative entropy, event cycles, negative feedback, differentiation, integration and coordination, and equifinality. The Nursing Services Delivery Theory proposes that input, throughput, and output factors interact dynamically to influence the global work demands placed on nursing work groups at the point of care in production subsystems. Implications for nursing The Nursing Services Delivery Theory can be applied to varied settings, cultures, and countries and supports the study of multi-level phenomena and cross-level effects. Conclusion The Nursing Services Delivery Theory gives a relational structure for reconciling disparate streams of research related to nursing work, staffing, and work environments. The theory can guide future research and the management of nursing services in large-scale healthcare organizations. PMID:20831573

  12. Adolescent Prostitution.

    ERIC Educational Resources Information Center

    Schaffer, Bernie; DeBlassie, Richard R.

    1984-01-01

    Explores the conditions which lead to teenagers' becoming prostitutes, including alienation, abuse, lack of education and employment, and family problems. Discusses the role of the justice system and institutions and the need for improving adolescents' self-image. (JAC)

  13. A practical system for regional mobile satellite services

    NASA Technical Reports Server (NTRS)

    Glein, Randall; Leverson, Denis; Olmstead, Dean

    1993-01-01

    The Regional Mobile Satellite (MSAT) concept proposes a worldwide, interconnected mobile satellite service (MSS) network in which MSAT-type satellites provide the space segment services to separate regions (i.e., one or a few countries). Using this concept, mobile communications users across entire continents can now be served by a handful of regionally controlled satellites in geostationary earth orbit (GEO). All requirements, including hand-held telephone capabilities, can be cost-effectively provided using proven technologies. While other concepts of regional or global mobile communications continue to be explored, the Hughes Regional MSAT system demonstrates the near-term viability of the GEO approach.

  14. 47 CFR 80.383 - Vessel Traffic Services (VTS) system frequencies.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 5 2011-10-01 2011-10-01 false Vessel Traffic Services (VTS) system frequencies. 80.383 Section 80.383 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Frequencies Vessel Traffic Services System (vts) § 80.383 Vessel Traffic Services...

  15. A brief history and some current dimensions of adolescent treatment in the United States.

    PubMed

    Godley, Mark D; White, William L

    2005-01-01

    Resources for the treatment of adolescent substance use disorders have increased over the past century in tandem with the increased visibility and cultural alarm regarding adolescent substance-related problems. The United States now has a multi-branched and growing system of adolescent treatment services that spans public and private sectors and offers services in both specialty and non-specialty service settings. Most adolescents are entering treatment due to alcohol and/or cannabis-related problems (and, to a lesser degree, other illicit drugs), but present with a wide array of co-occurring problems and obstacles to recovery. Multiple levels of specialized care are available but most adolescents being treated via outpatient counseling. The number and methodological rigor of adolescent treatment outcome studies have increased dramatically in recent years. The findings of these studies suggest the need for earlier systems of problem identification and intervention, a model of sustained recovery support for adolescents presenting with high problem severity and complexity, and sustained interventions with the adolescent's post-treatment family and social environment. In the opening decade of the twenty-first century, the treatment of adolescent substance use disorders is itself maturing into a professionalized and science-guided service arena. PMID:15789876

  16. Service Life Extension of the ISS Propulsion System Elements

    NASA Technical Reports Server (NTRS)

    Kamath, Ulhas; Grant, Gregory; Kuznetsov, Sergei; Shaevich, Sergey; Spencer, Victor

    2014-01-01

    The International Space Station (ISS) is a result of international collaboration in building a sophisticated laboratory of an unprecedented scale in Low Earth Orbit. After a complex assembly sequence spanning over a decade, some of the early modules launched at the beginning of the program would reach the end of their certified lives, while the newer modules were just being commissioned into operation. To maximize the return on global investments in this one-of-a-kind orbiting platform that was initially conceived for a service life until 2016, it is essential for the cutting edge research on ISS to continue as long as the station can be sustained safely in orbit. ISS Program is assessing individual modules in detail to extend the service life of the ISS to 2024, and possibly to 2028. Without life extension, Functional Cargo Block (known by its Russian acronym as FGB) and the Service Module (SM), two of the early modules on the Russian Segment, would reach the end of their certified lives in 2013 and 2015 respectively. Both FGB and SM are critical for the propulsive function of the ISS. This paper describes the approach used for the service life extension of the FGB propulsion system. Also presented is an overview of the system description along with the process adopted for developing the life test plans based on considerations of system failure modes, fault tolerance and safety provisions. Tests and analyses performed, important findings and life estimates are summarized. Based on the life extension data, FGB propulsion system, in general, is considered ready for a service life until 2028.

  17. Service Life Extension of the ISS Propulsion System Elements

    NASA Technical Reports Server (NTRS)

    Kamath, Ulhas; Grant, Gregory; Kuznetsov, Sergei; Shaevich, Sergey; Spencer, Victor

    2015-01-01

    The International Space Station (ISS) is a result of international collaboration in building a sophisticated laboratory of an unprecedented scale in Low Earth Orbit. After a complex assembly sequence spanning over a decade, some of the early modules launched at the beginning of the program would reach the end of their certified lives, while the newer modules were just being commissioned into operation. To maximize the return on global investments in this one-of-a-kind orbiting platform that was initially conceived for a service life until 2016, it is essential for the cutting edge research on ISS to continue as long as the station can be sustained safely in orbit. ISS Program is assessing individual modules in detail to extend the service life of the ISS to 2024, and possibly to 2028. Without life extension, Functional Cargo Block (known by its Russian acronym as FGB) and the Service Module (SM), two of the early modules on the Russian Segment, would reach the end of their certified lives in 2013 and 2015 respectively. Both FGB and SM are critical for the propulsive function of the ISS. This paper describes the approach used for the service life extension of the FGB propulsion system. Also presented is an overview of the system description along with the process adopted for developing the life test plans based on considerations of system failure modes, fault tolerance and safety provisions. Tests and analyses performed, important findings and life estimates are summarized. Based on the life extension data, FGB propulsion system, in general, is considered ready for a service life until 2028.

  18. Services Systems to Leverage Innovators' Knowledge: The Telecoms Industry Case

    NASA Astrophysics Data System (ADS)

    Bugeaud, Florie; Soulier, Eddie

    Today, telecoms operators have to prove their innovation capacity. They address corporate customers which are involved in collaborative value networks. They implement a process of new services research in order to create adapted solutions. This process is linked to a collaborative and complex practice between diverse innovators. However there is no structured method to leverage this community’s knowledge. Based on the SSME discussions, we suggest enriching the telecoms innovation approaches by the representation and the simulation of "services systems". This paper also proposes the development of a collaborative tool to support this suggestion and the innovators’ practices. Our approach is currently tested on a specific telecom service in the e-health domain which presents an interesting business ecosystem.

  19. Modeling the Impact of School-Based Universal Depression Screening on Additional Service Capacity Needs: A System Dynamics Approach.

    PubMed

    Lyon, Aaron R; Maras, Melissa A; Pate, Christina M; Igusa, Takeru; Vander Stoep, Ann

    2016-03-01

    Although it is widely known that the occurrence of depression increases over the course of adolescence, symptoms of mood disorders frequently go undetected. While schools are viable settings for conducting universal screening to systematically identify students in need of services for common health conditions, particularly those that adversely affect school performance, few school districts routinely screen their students for depression. Among the most commonly referenced barriers are concerns that the number of students identified may exceed schools' service delivery capacities, but few studies have evaluated this concern systematically. System dynamics (SD) modeling may prove a useful approach for answering questions of this sort. The goal of the current paper is therefore to demonstrate how SD modeling can be applied to inform implementation decisions in communities. In our demonstration, we used SD modeling to estimate the additional service demand generated by universal depression screening in a typical high school. We then simulated the effects of implementing "compensatory approaches" designed to address anticipated increases in service need through (1) the allocation of additional staff time and (2) improvements in the effectiveness of mental health interventions. Results support the ability of screening to facilitate more rapid entry into services and suggest that improving the effectiveness of mental health services for students with depression via the implementation of an evidence-based treatment protocol may have a limited impact on overall recovery rates and service availability. In our example, the SD approach proved useful in informing systems' decision-making about the adoption of a new school mental health service. PMID:25601192

  20. A service based adaptive U-learning system using UX.

    PubMed

    Jeong, Hwa-Young; Yi, Gangman

    2014-01-01

    In recent years, traditional development techniques for e-learning systems have been changing to become more convenient and efficient. One new technology in the development of application systems includes both cloud and ubiquitous computing. Cloud computing can support learning system processes by using services while ubiquitous computing can provide system operation and management via a high performance technical process and network. In the cloud computing environment, a learning service application can provide a business module or process to the user via the internet. This research focuses on providing the learning material and processes of courses by learning units using the services in a ubiquitous computing environment. And we also investigate functions that support users' tailored materials according to their learning style. That is, we analyzed the user's data and their characteristics in accordance with their user experience. We subsequently applied the learning process to fit on their learning performance and preferences. Finally, we demonstrate how the proposed system outperforms learning effects to learners better than existing techniques. PMID:25147832

  1. A Service Based Adaptive U-Learning System Using UX

    PubMed Central

    Jeong, Hwa-Young

    2014-01-01

    In recent years, traditional development techniques for e-learning systems have been changing to become more convenient and efficient. One new technology in the development of application systems includes both cloud and ubiquitous computing. Cloud computing can support learning system processes by using services while ubiquitous computing can provide system operation and management via a high performance technical process and network. In the cloud computing environment, a learning service application can provide a business module or process to the user via the internet. This research focuses on providing the learning material and processes of courses by learning units using the services in a ubiquitous computing environment. And we also investigate functions that support users' tailored materials according to their learning style. That is, we analyzed the user's data and their characteristics in accordance with their user experience. We subsequently applied the learning process to fit on their learning performance and preferences. Finally, we demonstrate how the proposed system outperforms learning effects to learners better than existing techniques. PMID:25147832

  2. Family systems and adolescent development: shared and nonshared risk and protective factors in nondivorced and remarried families.

    PubMed

    O'Connor, T G; Hetherington, E M; Reiss, D

    1998-01-01

    The primary goal of this research is to increase the goodness-of-fit between the theoretical tenets of family systems theory and quantitative methods used to test systems hypotheses. A family systems perspective is applied to two specific research questions concerning family influences on adolescent development: To what extent are familial risk and protective factors for psychopathology and competence shared or not shared by siblings and are different family relationship patterns associated with optimal adolescent adjustment in nondivorced and remarried families? Multirater and multimethod data from a national sample of 516 nondivorced and remarried families from the Nonshared Environment and Adolescent Development (NEAD) project were examined using a combination of cluster, factor, and regression analyses. Results indicated that the effects of an individual relationship on adolescent adjustment is moderated by the larger network of relationships in which it is embedded. Evidence for nonshared familial processes in predicting adolescent psychopathology was also found but only in a subset of families, and the mechanisms of influence were neither main effects nor linear, as has been assumed by research to date. Results are discussed in light of family systems models of relationship influence on development. These results illustrate how family systems theory provides a specific example of contextualism as regards the development of psychopathology in adolescence. PMID:9635228

  3. A Crisis Mental Health Intervention Service: An Innovative Model for Working Intensively with Young People on the Edge of Care

    ERIC Educational Resources Information Center

    Witkon, Yael

    2012-01-01

    This paper describes the setting up and the first year of running of an innovative outreach service for adolescents on the edge of care that aimed at redressing family breakdown and preventing placements in the care system. It was a collaborative endeavour between social services and a child and adolescent mental health provision to facilitate the…

  4. Adolescent Health: Present Status and Its Related Programmes in India. Are We in the Right Direction?

    PubMed Central

    Sivagurunathan, C; Umadevi, R.; Rama, R.

    2015-01-01

    Adolescence is a phase of rapid growth and development during which physical, physiological and behavioural changes occur. They constitute more than 1.2 billion worldwide, and about 21% of Indian population. Morbidity and mortality occurring in this age group is mostly due to preventable causes. Young and growing children have poor knowledge and lack of awareness about physical and psychological changes that occurs during adolescence and the ill health affecting them. Existing Adolescent health programmes focus on rendering services like immunization, health education for sexual and reproductive health, nutritional education and supplementation, anemia control measures and counseling. Adolescent health programmes are fragmentary at present and there is no comprehensive programme addressing all the needs of adolescents. Access and availability of health care services are severely limited. Lack of accurate information, absence of proper guidance, parent’s ignorance, lack of skills and insufficient services from health care delivery system are the major barriers. Interventions should focus on providing psychological and mental health services and behaviour change communication towards leading a healthy lifestyle, restricting advertisement related to junk food products, awareness creation about reproductive and sexual health, educating parents to prevent early marriage, teenage pregnancy and to counsel their children on nutrition and reproductive health. Universal coverage of Adolescent friendly clinics is highly recommended. To be cost effective, all health services addressing adolescent should come under single programme. This review is intended to create awareness among the stakeholders about the importance of strengthening adolescent health services in order to meet their felt needs. PMID:25964884

  5. Adolescent health: present status and its related programmes in India. Are we in the right direction?

    PubMed

    Sivagurunathan, C; Umadevi, R; Rama, R; Gopalakrishnan, S

    2015-03-01

    Adolescence is a phase of rapid growth and development during which physical, physiological and behavioural changes occur. They constitute more than 1.2 billion worldwide, and about 21% of Indian population. Morbidity and mortality occurring in this age group is mostly due to preventable causes. Young and growing children have poor knowledge and lack of awareness about physical and psychological changes that occurs during adolescence and the ill health affecting them. Existing Adolescent health programmes focus on rendering services like immunization, health education for sexual and reproductive health, nutritional education and supplementation, anemia control measures and counseling. Adolescent health programmes are fragmentary at present and there is no comprehensive programme addressing all the needs of adolescents. Access and availability of health care services are severely limited. Lack of accurate information, absence of proper guidance, parent's ignorance, lack of skills and insufficient services from health care delivery system are the major barriers. Interventions should focus on providing psychological and mental health services and behaviour change communication towards leading a healthy lifestyle, restricting advertisement related to junk food products, awareness creation about reproductive and sexual health, educating parents to prevent early marriage, teenage pregnancy and to counsel their children on nutrition and reproductive health. Universal coverage of Adolescent friendly clinics is highly recommended. To be cost effective, all health services addressing adolescent should come under single programme. This review is intended to create awareness among the stakeholders about the importance of strengthening adolescent health services in order to meet their felt needs. PMID:25964884

  6. Integrated modelling of ecosystem services and energy systems research

    NASA Astrophysics Data System (ADS)

    Agarwala, Matthew; Lovett, Andrew; Bateman, Ian; Day, Brett; Agnolucci, Paolo; Ziv, Guy

    2016-04-01

    The UK Government is formally committed to reducing carbon emissions and protecting and improving natural capital and the environment. However, actually delivering on these objectives requires an integrated approach to addressing two parallel challenges: de-carbonising future energy system pathways; and safeguarding natural capital to ensure the continued flow of ecosystem services. Although both emphasise benefiting from natural resources, efforts to connect natural capital and energy systems research have been limited, meaning opportunities to improve management of natural resources and meet society's energy needs could be missed. The ecosystem services paradigm provides a consistent conceptual framework that applies in multiple disciplines across the natural and economic sciences, and facilitates collaboration between them. At the forefront of the field, integrated ecosystem service - economy models have guided public- and private-sector decision making at all levels. Models vary in sophistication from simple spreadsheet tools to complex software packages integrating biophysical, GIS and economic models and draw upon many fields, including ecology, hydrology, geography, systems theory, economics and the social sciences. They also differ in their ability to value changes in natural capital and ecosystem services at various spatial and temporal scales. Despite these differences, current models share a common feature: their treatment of energy systems is superficial at best. In contrast, energy systems research has no widely adopted, unifying conceptual framework that organises thinking about key system components and interactions. Instead, the literature is organised around modelling approaches, including life cycle analyses, econometric investigations, linear programming and computable general equilibrium models. However, some consistencies do emerge. First, often contain a linear set of steps, from exploration to resource supply, fuel processing, conversion

  7. Access to Treatment for Adolescents with Substance Use and Co-Occurring Disorders: Challenges and Opportunities

    ERIC Educational Resources Information Center

    Sterling, Stacy; Weisner, Constance; Hinman, Agatha; Parthasarathy, Sujaya

    2010-01-01

    Objective: To review the research on economic and systemic barriers faced by adolescents needing treatment for alcohol and drug problems, particularly those with co-occurring conditions. Method: We reviewed the literature on adolescent access to alcohol and drug services, including early intervention, and integrated and specialty mental health…

  8. Interactive Forecasting with the National Weather Service River Forecast System

    NASA Technical Reports Server (NTRS)

    Smith, George F.; Page, Donna

    1993-01-01

    The National Weather Service River Forecast System (NWSRFS) consists of several major hydrometeorologic subcomponents to model the physics of the flow of water through the hydrologic cycle. The entire NWSRFS currently runs in both mainframe and minicomputer environments, using command oriented text input to control the system computations. As computationally powerful and graphically sophisticated scientific workstations became available, the National Weather Service (NWS) recognized that a graphically based, interactive environment would enhance the accuracy and timeliness of NWS river and flood forecasts. Consequently, the operational forecasting portion of the NWSRFS has been ported to run under a UNIX operating system, with X windows as the display environment on a system of networked scientific workstations. In addition, the NWSRFS Interactive Forecast Program was developed to provide a graphical user interface to allow the forecaster to control NWSRFS program flow and to make adjustments to forecasts as necessary. The potential market for water resources forecasting is immense and largely untapped. Any private company able to market the river forecasting technologies currently developed by the NWS Office of Hydrology could provide benefits to many information users and profit from providing these services.

  9. Towards Self-adaptation for Dependable Service-Oriented Systems

    NASA Astrophysics Data System (ADS)

    Cardellini, Valeria; Casalicchio, Emiliano; Grassi, Vincenzo; Lo Presti, Francesco; Mirandola, Raffaela

    Increasingly complex information systems operating in dynamic environments ask for management policies able to deal intelligently and autonomously with problems and tasks. An attempt to deal with these aspects can be found in the Service-Oriented Architecture (SOA) paradigm that foresees the creation of business applications from independently developed services, where services and applications build up complex dependencies. Therefore the dependability of SOA systems strongly depends on their ability to self-manage and adapt themselves to cope with changes in the operating conditions and to meet the required dependability with a minimum of resources. In this paper we propose a model-based approach to the realization of self-adaptable SOA systems, aimed at the fulfillment of dependability requirements. Specifically, we provide a methodology driving the system adaptation and we discuss the architectural issues related to its implementation. To bring this approach to fruition, we developed a prototype tool and we show the results that can be achieved with a simple example.

  10. Measuring Racial/Ethnic Disparities in Mental Health Service Use Among Children Referred to the Child Welfare System.

    PubMed

    Kim, Minseop; Garcia, Antonio R

    2016-08-01

    This study aims to compare different approaches to measuring racial/ethnic disparities in mental health (MH) service use among a nationwide representative sample of children referred to the child welfare system and compare the magnitude and direction of potential disparities in MH service use over time. Using data from the National Survey of Child and Adolescent Well-Being, six summary measures of disparity were implemented to quantify racial/ethnic disparities in MH service use. This study found that youth of color were less likely than their White counterparts to receive MH services. This racial/ethnic disparity was found to increase over time; however, the magnitude of the increase varied considerably across disparity measures. In addition, the estimated increases in disparity were even greater when the sample was limited to youth in need of MH services. This study shows that the same data may produce different magnitudes of disparity, depending on which metric is implemented and whether MH need is accounted for. A greater understanding of and justification for selection of methods to examine MH disparities among child welfare researchers and policy makers is warranted. PMID:27402724

  11. [Childhood and adolescent obesity--consequences for the locomotor system and treatment options. Musculoskeletal complications of overweight children and adolescents].

    PubMed

    Schönau, E

    2013-04-01

    The aim of this article is to present the most relevant musculoskeletal complications known to be associated with being overweight or obese in childhood and adolescence in order to help the clinicians and physiotherapists in the diagnostic and management of these patients. Various musculoskeletal problems like slipped capital femoral epiphysis and Blount disease are well-known complications. More recent studies describe the effects of overweight on musculoskeletal pain and controversial influences on fracture rates. Reduced physical activity is a contributing factor in obesity, but also effects bone mineral accrual. Reduced postural stability and increased falls may be the reason for increased fracture rates. Furthermore these data show relevant changes of locomotion studied by gait analysis. Longitudinal kinematic studies may be needed to understand the entire aspect of gait development in overweight children. Obesity is still a serious health problem and has a relevant impact on the development of a child's musculoskeletal system. Obesity affects the locomotor sytem both functionally and structurally. Future studies are necessary to help us better understand the pathophysiology and development of optimal therapeutic strategies. PMID:23529598

  12. The Influence of Clinical, Treatment, and Healthcare System Characteristics on Psychiatric Readmission of Adolescents

    PubMed Central

    Fontanella, Cynthia A.

    2008-01-01

    This study examined predictors of readmission for a sample of 522 adolescents enrolled in Medicaid and admitted to three inpatient psychiatric hospitals in Maryland. Comprehensive data on clinical, treatment, and health care system characteristics were collected from archival sources (medical records, Medicaid claims, and Area Resource File). Predictors of readmission were examined with bivariate (Kaplan Meier) and multivariate (Cox Regression) survival techniques. One year readmission rates were 38% with the majority occurring within 3 months after discharge. Adolescent demographic (age and gender), clinical (severity of symptoms, comorbidity, suicidality) and family characteristics (level of family risk) were associated with readmission. However, treatment factors including type of aftercare, post-discharge living environment, medication noncompliance, and hospital provider were among the strongest predictors of readmission. Study findings underscore the importance of careful discharge planning and linkage to appropriate aftercare. The differing rates of readmission across hospitals also suggest that organizational level factors may play a vital role in determining treatment outcomes. PMID:18954182

  13. Testing an Individual Systems Model of Response Evaluation and Decision (RED) and Antisocial Behavior Across Adolescence

    PubMed Central

    Fontaine, Reid Griffith; Yang, Chongming; Dodge, Kenneth A.; Bates, John E.; Pettit, Gregory S.

    2012-01-01

    This study examined the bidirectional development of aggressive response evaluation and decision (RED) and antisocial behavior across five time points in adolescence. Participants (n = 522) were asked to imagine themselves behaving aggressively while viewing videotaped ambiguous provocations and answered a set of RED questions following each aggressive retaliation (administered at Grades 8 and 11 [13 and 16 years, respectively]). Self- and mother reports of antisocial behavior were collected at Grades 7, 9/10, and 12 (12, 14/15, and 17 years, respectively). Using structural equation modeling, the study found a partial mediating effect at each hypothesized mediational path despite high stability of antisocial behavior across adolescence. Findings are consistent with an individual systems perspective by which adolescents’ antisocial conduct influences how they evaluate aggressive interpersonal behaviors, which affects their future antisocial conduct. PMID:18366434

  14. Lithium attenuates the proconvulsant effect of adolescent social isolation stress via involvement of the nitrergic system.

    PubMed

    Amiri, Shayan; Haj-Mirzaian, Arya; Amini-Khoei, Hossein; Shirzadian, Armin; Rahimi-Balaei, Maryam; Razmi, Ali; Bergen, Hugo; Rastegar, Mojgan; Kordjazy, Nastaran; Haj-Mirzaian, Arvin; Ejtemai-Mehr, Shahram; Dehpour, Ahmad Reza

    2016-08-01

    In this study, we tested whether acute administration of lithium mitigates the deleterious effect of adolescent social isolation stress (SIS) on seizure susceptibility. In comparison with socially conditioned (SC) mice, isolated conditioned (IC) mice exhibited an increase in seizure susceptibility to pentylenetetrazole. Acute administration of lithium (10mg/kg) reversed the proconvulsant effect of SIS in IC mice, but this effect was not observed in SC mice. Coadministration of subthreshold doses of lithium (3mg/kg) with nitric oxide synthase (NOS) inhibitors reversed the effect of SIS on seizure susceptibility and decreased hippocampal nitrite levels in IC animals. In addition, a subthreshold dose of a nitric oxide precursor reduced the protective effect of lithium on seizure susceptibility and increased nitrite levels in the hippocampus of IC mice. These results suggest that lithium exerts a protective influence against the proconvulsant effect of adolescent SIS via a nitrergic system that includes activation of neuronal NOS in the hippocampus. PMID:27232376

  15. Spatial service delivery system for smart licensing & enforcement management

    NASA Astrophysics Data System (ADS)

    Wahap, N. A.; Ismail, N. M.; Nor, N. M.; Ahmad, N.; Omar, M. F.; Termizi, A. A. A.; Zainal, D.; Noordin, N. M.; Mansor, S.

    2016-06-01

    Spatial information has introduced a new sense of urgency for a better understanding of the public needs in term of what, when and where they need services and through which devices, platform or physical locations they need them. The objective of this project is to value- add existing license management process for business premises which comes under the responsibility of Local Authority (PBT). Manipulation of geospatial and tracing technology via mobile platform allows enforcement officers to work in real-time, use a standardized system, improve service delivery, and optimize operation management. This paper will augment the scope and capabilities of proposed concept namely, Smart Licensing/Enforcement Management (SLEm). It will review the current licensing and enforcement practice of selected PBT in comparison to the enhanced method. As a result, the new enhanced system is expected to offer a total solution for licensing/enforcement management whilst increasing efficiency and transparency for smart city management and governance.

  16. Repeated alcohol administration during adolescence causes changes in the mesolimbic dopaminergic and glutamatergic systems and promotes alcohol intake in the adult rat.

    PubMed

    Pascual, Maria; Boix, Jordi; Felipo, Vicente; Guerri, Consuelo

    2009-02-01

    Adolescence is a developmental period which the risk of drug and alcohol abuse increases. Since mesolimbic dopaminergic system undergoes developmental changes during adolescence, and this system is involved in rewarding effects of drugs of abuse, we addressed the hypothesis that ethanol exposure during juvenile/adolescent period over-activates mesolimbic dopaminergic system inducing adaptations which can trigger long-term enduring behavioural effects of alcohol abuse. We treated juvenile/adolescent or adult rats with ethanol (3 g/kg) for two-consecutive days at 48-h intervals over 14-day period. Here we show that intermittent ethanol treatment during the juvenile/adolescence period alters subsequent ethanol intake. In vivo microdialysis demonstrates that ethanol elicits a similar prolonged dopamine response in the nucleus accumbens of both adolescent and adult animals pre-treated with multiple doses of ethanol, although the basal dopamine levels were higher in ethanol-treated adolescents than in adult-treated animals. Repeated ethanol administration also down-regulates the expression of DRD2 and NMDAR2B phosphorylation in prefrontal cortex of adolescent animals, but not of adult rats. Finally, ethanol treatment during adolescence changes the acetylation of histones H3 and H4 in frontal cortex, nucleus accumbens and striatum, suggesting chromatin remodelling changes. In summary, our findings demonstrate the sensitivity of adolescent brain to ethanol effects on dopaminergic and glutamatergic neurotransmission, and suggest that abnormal plasticity in reward-related processes and epigenetic mechanisms could contribute to the vulnerability of adolescents to alcohol addiction. PMID:19077056

  17. Patient care outcomes: implications for the Military Health Services System.

    PubMed

    Jennings, B M

    1993-05-01

    Policy makers are targeting patient outcomes and the effectiveness of interventions as possible ways to curb spiraling health care costs. Quality assurance/improvement programs are focusing on patient outcomes as a way to evaluate and improve care delivery. Consequently, members of the Military Health Services System need a solid understanding of the current emphasis on the outcomes of care to be knowledgeable participants in the health care changes precipitated by highlighting patient outcomes. PMID:8502389

  18. Adoption of Clinical Information Systems in Health Services Organizations

    PubMed Central

    Austin, Charles J.; Holland, Gloria J.

    1988-01-01

    This paper presents a conceptual model of factors which influence organizational decisions to invest in the installation of clinical information systems. Using results of previous research as a framework, the relative influence of clinical, fiscal, and strategic-institutional decision structures are examined. These adoption decisions are important in health services organizations because clinical information is essential for managing demand and allocating resources, managing quality of care, and controlling costs.

  19. Transformation of legacy network management system to service oriented architecture

    NASA Astrophysics Data System (ADS)

    Sathyan, Jithesh; Shenoy, Krishnananda

    2007-09-01

    Service providers today are facing the challenge of operating and maintaining multiple networks, based on multiple technologies. Network Management System (NMS) solutions are being used to manage these networks. However the NMS is tightly coupled with Element or the Core network components. Hence there are multiple NMS solutions for heterogeneous networks. Current network management solutions are targeted at a variety of independent networks. The wide spread popularity of IP Multimedia Subsystem (IMS) is a clear indication that all of these independent networks will be integrated into a single IP-based infrastructure referred to as Next Generation Networks (NGN) in the near future. The services, network architectures and traffic pattern in NGN will dramatically differ from the current networks. The heterogeneity and complexity in NGN including concepts like Fixed Mobile Convergence will bring a number of challenges to network management. The high degree of complexity accompanying the network element technology necessitates network management systems (NMS) which can utilize this technology to provide more service interfaces while hiding the inherent complexity. As operators begin to add new networks and expand existing networks to support new technologies and products, the necessity of scalable, flexible and functionally rich NMS systems arises. Another important factor influencing NMS architecture is mergers and acquisitions among the key vendors. Ease of integration is a key impediment in the traditional hierarchical NMS architecture. These requirements trigger the need for an architectural framework that will address the NGNM (Next Generation Network Management) issues seamlessly. This paper presents a unique perspective of bringing service orientated architecture (SOA) to legacy network management systems (NMS). It advocates a staged approach in transforming a legacy NMS to SOA. The architecture at each stage is detailed along with the technical advantages and

  20. Satellite services system analysis study. Volume 2: Satellite and services user model

    NASA Technical Reports Server (NTRS)

    1981-01-01

    Satellite services needs are analyzed. Topics include methodology: a satellite user model; representative servicing scenarios; potential service needs; manned, remote, and automated involvement; and inactive satellites/debris. Satellite and services user model development is considered. Groundrules and assumptions, servicing, events, and sensitivity analysis are included. Selection of references satellites is also discussed.

  1. Cultural Implications for Public Health Policy for Pregnant Hispanic Adolescents.

    ERIC Educational Resources Information Center

    Smith, Peggy B.; Weinman, Maxine L.

    1995-01-01

    Examines cultural factors associated with pregnancy among Hispanic adolescents, highlighting policy areas within the health care delivery system that must be addressed. The paper discusses migratory patterns and service needs, acculturation and pregnancy, valuing of children, access to health services, the role of the health practitioner, and…

  2. Oceanic satellite data service system based on web

    NASA Astrophysics Data System (ADS)

    Kang, Yan; Pan, Delu; He, Xianqiang; Wang, Difeng; Chen, Jianyu; Chen, Xiaoyan

    2011-11-01

    The ocean satellite observation is more and more important to study the global change, protect ocean resource and implement ocean engineering for their large area cover and high frequency observation, which have already given us a global view of ocean environment parameters, including the sea surface temperature, ocean color, wind, wave, sea level and sea ice, etc... China has made great progress in ocean environment remote sensing over the last couple of years. These data are widely used for a variety of applications in ocean environment studies, coastal water quality monitoring environmental, fishery resources protection, development and utilization of fishery resources, coastal engineering and oceanography. But the data are no online information access and dissemination, no online visualization & browsing, no online query and analyze capability. To facilitate the application of the data and to help disseminating the data, a web-service system has developed. The system provides capabilities of online oceanic satellite information access, query, visualize and analyze. It disseminates oceanic satellite data to the users via real time retrieval, processing and publishing through standards-based geospatial web services. A region of interest can also be exported directly to Google Earth for displaying or downloaded. This web service system greatly improves accessibility, interoperability, usability, and visualization of oceanic satellite data without any client-side software installation.

  3. The 30/20 GHz fixed communications systems service demand assessment. Volume 3: Appendices

    NASA Technical Reports Server (NTRS)

    Gabriszeski, T.; Reiner, P.; Rogers, J.; Terbo, W.

    1979-01-01

    The market analysis of voice, video, and data 18/30 GHz communications systems services and satellite transmission services is discussed. Detail calculations, computer displays of traffic, survey questionnaires, and detailed service forecasts are presented.

  4. 42 CFR 413.217 - Items and services included in the ESRD prospective payment system.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... services are included in the ESRD prospective payment system effective January 1, 2011: (a) Renal dialysis services as defined in § 413.171; and (b) Home dialysis services, support, and equipment as identified...

  5. 42 CFR 413.217 - Items and services included in the ESRD prospective payment system.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... services are included in the ESRD prospective payment system effective January 1, 2011: (a) Renal dialysis services as defined in § 413.171; and (b) Home dialysis services, support, and equipment as identified...

  6. 42 CFR 413.217 - Items and services included in the ESRD prospective payment system.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... services are included in the ESRD prospective payment system effective January 1, 2011: (a) Renal dialysis services as defined in § 413.171; and (b) Home dialysis services, support, and equipment as identified...

  7. 42 CFR 413.217 - Items and services included in the ESRD prospective payment system.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... services are included in the ESRD prospective payment system effective January 1, 2011: (a) Renal dialysis services as defined in § 413.171; and (b) Home dialysis services, support, and equipment as identified...

  8. 42 CFR 413.217 - Items and services included in the ESRD prospective payment system.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... services are included in the ESRD prospective payment system effective January 1, 2011: (a) Renal dialysis services as defined in § 413.171; and (b) Home dialysis services, support, and equipment as identified...

  9. Satellite services system analysis study. Volume 1: Executive summary

    NASA Technical Reports Server (NTRS)

    1981-01-01

    Service requirements are considered. Topics include development of on-orbit operations scenarios, service equipment summary, crew interaction, and satellite features facilitating servicing. Service equipment concepts are considered. Topics include payload deployment, close proximity retrieval, on-orbit servicing, backup/contingency, delivery/retrieval of high energy payloads, Earth return, optional service, and advanced capabilities. Program requirements are assessed.

  10. Adolescents and consent to treatment.

    PubMed

    Dickens, B M; Cook, R J

    2005-05-01

    Adolescents, defined by WHO as 10 to 19 years old, can give independent consent for reproductive health services if their capacities for understanding have sufficiently evolved. The international Convention on the Rights of the Child, almost universally ratified, limits parental powers, and duties, by adolescents' "evolving capacities" for self-determination. Legal systems may recognize "mature minors" as enjoying adult rights of medical consent, even when consent to sexual relations does not absolve partners of criminal liability; their consent does not make the adolescents offenders. There is usually no chronological "age of consent" for medical care, but a condition of consent, meaning capacity for understanding. Like adults, mature minors enjoy confidentiality and the right to treatment according to their wishes rather than their best interests. Minors incapable of self-determination may grant or deny assent to treatment for which guardians provide consent. Emancipated minors' self-determination may also be recognized, for instance on marriage or default of adults' guardianship. PMID:15847892

  11. Laminar flow control leading edge systems in simulated airline service

    NASA Technical Reports Server (NTRS)

    Wagner, R. D.; Maddalon, D. V.; Fisher, D. F.

    1988-01-01

    The feasibility of two candidate leading-edge flow laminarization systems applicable to airline service was tested using representative airline operational conditions with respect to air traffic, weather, and airport insect infestation. One of the systems involved a perforated Ti alloy suction surface with about 1 million 0.0025-in. diameter holes drilled by electron beam, as well as a Krueger-type flap that offered protective shielding against insect impingement; the other supplied surface suction through a slotted Ti alloy skin with 27 spanwise slots on the upper and lower surface.

  12. Standards-Based, Web Services for Interoperable Geosciences Data Systems

    NASA Astrophysics Data System (ADS)

    Domenico, B.; Nativi, S.; Bigagli, L.; Caron, J.

    2005-12-01

    Disparate, "stove-pipe" data systems are among the main impediments to many interdisciplinary research projects in the geosciences. The solid earth disciplines and hydrology tend to use Geographic Information Systems (GIS) which enable them to store and interact with data representing as discrete features on or near the surface of the earth. Studies of the oceans and atmosphere on the other hand involve systems that represent data as discrete points in the continuous function space of fluid dynamics. Attempts to understand the nature of severe precipitation and flooding events are hampered by the difficulty of integrating data such as streamflows from hydrological data systems with radar data and precipitation forecasts from atmospheric science data systems. An effort is underway to address some of these issues with an interoperability experiment within the framework of the Open Geospatial Consortium (OGC). The experiment is called GALEON (Geo-interface to Atmosphere, Land, Earth, Ocean NetCDF). Teams at the Unidata Program Center and University of Florence are working with a number of international partners to implement a web services interface to traditional atmospheric and oceanographic datasets currently stored in netCDF form or served via the OPeNDAP protocol . The project will result in a gateway service using Web Coverage Service (WCS) specification of the OGC. Underneath the WCS interface will be a combination of technologies including THREDDS (THematic Real-time Environmental Distributed Data Services) and HDF5 (Heirarchical Data Format) in addition to netCDF and OPeNDAP. A key component of the project is to develop mechanisms for explicit encoding of coordinate system information in the form of Coordinate System extensions to NcML (the netCDF Markup Language), directly in the data files themselves and in the form of GML (Geography Markup Language) extensions to NcML. These extensions, called NcML-GML, include a subset profile of the standard GML which is

  13. The Effects of Using the International Versus Comprehensive System Rorschach Norms For Children, Adolescents, and Adults.

    PubMed

    Viglione, Donald J; Giromini, Luciano

    2016-01-01

    Currently, there is some debate about whether to use Comprehensive System norms (CS; Exner, 2003 ) or the Composite International Reference Values (CIRV; Meyer, Erdberg, & Shaffer, 2007 ) when interpreting Rorschach Inkblot Method (RIM; Rorschach, 1921 ) protocols administered with the CS method. The goal of this study is to assist clinicians in making this decision by providing information about the effects of choosing one option or the other. Accordingly, this research evaluates the effects of using the CS versus CIRV norms with children, adolescents, and adults. First, we identified 43 variables for which the CS and the CIRV for children and adolescents differ from each other by at least a Cohen's d value of .50. Next, we evaluated whether these divergent variables are the same as those previously identified as divergent for the adult population. Results showed that for both children and adolescents, as well as for adults, relying on CS norms versus CIRV would result in interpretations that are more pathological in terms of (a) perception and thinking, (b) psychological resources and cognitive and emotional abilities, and (c) representations of human relationships. A discussion on the clinical effects of using one versus the other set of norms follows. PMID:26829463

  14. The renin–angiotensin–aldosterone system in adolescent offspring born prematurely to mothers with preeclampsia

    PubMed Central

    Washburn, Lisa K; Brosnihan, K Bridget; Chappell, Mark C; Diz, Debra I; Gwathmey, TanYa M; Nixon, Patricia A; Russell, Gregory B; Snively, Beverly M; O’Shea, T Michael

    2014-01-01

    Hypothesis/introduction Preeclampsia is associated with alterations in the maternal renin–angiotensin–aldosterone system (RAAS), increased blood pressure (BP), and cardiovascular risk in the offspring. We hypothesized that preeclampsia is associated with alterations in the RAAS in the offspring that persist into adolescence. Materials and methods We compared components of the circulating (n = 111) and renal (n = 160) RAAS in adolescents born prematurely with very low birth weight (VLBW) of preeclamptic (PreE) and normotensive (NoHTN) pregnancies. Multivariable linear regression was used to evaluate potential confounding and intermediate variables. Analyses were stratified by sex. Results Adjusting for race and antenatal steroid exposure, male offspring of PreE mothers had higher circulating aldosterone than those of NoHTN mothers (adjusted mean difference = 109; 95% confidence limits: −9, 227 pmol/L). Further adjustment for current BMI attenuated this difference (adjusted mean difference: 93; 95% confidence limits: −30, 215 pmol/L). Conclusion Among male preterm VLBW infants, maternal preeclampsia is associated with increased circulating aldosterone level in adolescence, which appears to be mediated in part by higher BMI. PMID:24737639

  15. A pilot test of a tailored mobile and web-based diabetes messaging system for adolescents.

    PubMed

    Mulvaney, Shelagh A; Anders, Shilo; Smith, Annie K; Pittel, Eric J; Johnson, Kevin B

    2012-03-01

    We conducted a pilot trial of a new mobile and web-based intervention to improve diabetes adherence. The text messaging system was designed to motivate and remind adolescents about diabetes self-care tasks. Text messages were tailored according to individually-reported barriers to diabetes self-care. A total of 23 adolescents with type 1 diabetes used the system for a period of three months. On average, they received 10 text messages per week (range 8-12). A matched historical control group from the same clinic was used for comparison. After three months, system users rated the content, usability and experiences with the system, which were very favourable. Comparison of the intervention and control groups indicated a significant interaction between group and time. Both groups had similar HbA(1c) levels at baseline. After three months, the mean HbA(1c) level in the intervention group was unchanged (8.8%), but the mean level in the control group was significantly higher (9.9%), P = 0.006. The results demonstrate the feasibility of the messaging system, user acceptance and a promising effect on glycaemic control. Integrating this type of messaging system with online educational programming could prove to be beneficial. PMID:22383802

  16. Testing the theory of holism: A study of family systems and adolescent health.

    PubMed

    Michaelson, Valerie; Pickett, William; King, Nathan; Davison, Colleen

    2016-12-01

    Holism is an ancient theory that can be applied contemporarily to adolescent health and its determinants. This theory suggests that there is value in considering factors that influence health together as integrated wholes, in addition to consideration of individual components. Characteristics of families are fundamental determinants of health and provide opportunity for exploration of this theory. In a "proof-of-concept" analysis we therefore: (1) developed a multidimensional, composite (holistic) measure to be used to characterize family systems; and (2) related this measure and its individual components to adolescent health outcomes, in order to test the theory of holism. Cross-sectional analyses of survey reports from the 2014 Canadian Health Behaviour in School-aged Children study (weighted n = 19,333) were performed. Factor analysis was used to confirm the psychometric properties of the holistic measure to describe a family system (the "holistic measure"). Associations between this holistic measure, its individual components, and various indicators of health were examined descriptively and using binomial regression. The holistic measure (4 items, α = 0.62; RMSEA = .04; SRMR = 0.01; AGFI = 0.99) included components describing family: material wealth, meal practices, neighbourhood social capital, and social connections. It was consistently associated with various health behaviours, and social and emotional health outcomes. In 22/24 comparisons, this holistic measure related to positive health outcomes more strongly than did its individual components; for negative health outcomes this occurred in 20/24 comparisons. Study findings suggest that it is possible to assess family systems holistically. Such systems are strongly associated with adolescent health outcomes, and there is etiological and theoretical value in considering family systems as integrated wholes. PMID:27486561

  17. Unit billed services for HANDI 2000 business management system

    SciTech Connect

    Wilson, D.

    1998-08-24

    Unit billed services are those services provided internally by project to other projects, except for those services furnished by Lockheed Martin Services,Inc., an Enterprise Company. These services are billed when the actual work is performed, based on a published rate for the service. Examples of this would be crane and rigging, duplicating, or lab analysis. The providers of these services collect their costs in a pool. The pool is then liquidated by the billings.

  18. Residential Treatment of Substance Abusing Adolescents: Trends in the Post-Managed Care Era

    ERIC Educational Resources Information Center

    MacMaster, Samuel A.; Ellis, Rodney A.; Cooper, Lyle

    2005-01-01

    This paper explores historical and recent trends in the delivery of residential adolescent substance abuse treatment, looking specifically at the impact of managed care on the service delivery system. Three historical eras are conceptualized by the authors: (1) an era prior to managed care in which services were provided on a fee for service basis…

  19. Axillary vein thrombosis in adolescent onset systemic sclerosis.

    PubMed Central

    Leak, A; Patel, K J; Tuddenham, E G; Pearson, J D; Woo, P

    1990-01-01

    A 16 year old girl with a two year history of systemic sclerosis developed left axillary vein thrombosis. Prolonged euglobulin clot lysis time, anti-endothelial cell antibodies, and raised von Willebrand factor antigen were shown. Images PMID:2383084

  20. Adolescent health in Asia: insights from Singapore.

    PubMed

    Oh, Jean-Yin; Rajasegaran, Kumudhini

    2016-08-01

    The introduction of adolescent medicine as a medical subspecialty in Singapore was a welcome in an evolving health care system that is unique in terms of both efficiency, in financing and the results achieved in community health outcomes. The Ministry of Health (MOH) already recognized the need to accommodate the health care concerns related to adolescent psychosocial health risk behaviors and an increased prevalence of young people living with chronic illness. The challenge for the pioneer team of physicians trained in adolescent medicine was to develop and sustain a model of care that integrated (i) core clinical services that include quality measures of care to adolescents; (ii) professional development and capacity building needing an expansive teaching agenda at every level of health education; (iii) strong inter-sectorial collaborations within hospital and community partners; and (iv) robust research and evaluation strategies that keep clinical practice relevant and evidence based. PMID:26115501

  1. On domain modelling of the service system with its application to enterprise information systems

    NASA Astrophysics Data System (ADS)

    Wang, J. W.; Wang, H. F.; Ding, J. L.; Furuta, K.; Kanno, T.; Ip, W. H.; Zhang, W. J.

    2016-01-01

    Information systems are a kind of service systems and they are throughout every element of a modern industrial and business system, much like blood in our body. Types of information systems are heterogeneous because of extreme uncertainty in changes in modern industrial and business systems. To effectively manage information systems, modelling of the work domain (or domain) of information systems is necessary. In this paper, a domain modelling framework for the service system is proposed and its application to the enterprise information system is outlined. The framework is defined based on application of a general domain modelling tool called function-context-behaviour-principle-state-structure (FCBPSS). The FCBPSS is based on a set of core concepts, namely: function, context, behaviour, principle, state and structure and system decomposition. Different from many other applications of FCBPSS in systems engineering, the FCBPSS is applied to both infrastructure and substance systems, which is novel and effective to modelling of service systems including enterprise information systems. It is to be noted that domain modelling of systems (e.g. enterprise information systems) is a key to integration of heterogeneous systems and to coping with unanticipated situations facing to systems.

  2. Adding Data Management Services to Parallel File Systems

    SciTech Connect

    Brandt, Scott

    2015-03-04

    The objective of this project, called DAMASC for “Data Management in Scientific Computing”, is to coalesce data management with parallel file system management to present a declarative interface to scientists for managing, querying, and analyzing extremely large data sets efficiently and predictably. Managing extremely large data sets is a key challenge of exascale computing. The overhead, energy, and cost of moving massive volumes of data demand designs where computation is close to storage. In current architectures, compute/analysis clusters access data in a physically separate parallel file system and largely leave it scientist to reduce data movement. Over the past decades the high-end computing community has adopted middleware with multiple layers of abstractions and specialized file formats such as NetCDF-4 and HDF5. These abstractions provide a limited set of high-level data processing functions, but have inherent functionality and performance limitations: middleware that provides access to the highly structured contents of scientific data files stored in the (unstructured) file systems can only optimize to the extent that file system interfaces permit; the highly structured formats of these files often impedes native file system performance optimizations. We are developing Damasc, an enhanced high-performance file system with native rich data management services. Damasc will enable efficient queries and updates over files stored in their native byte-stream format while retaining the inherent performance of file system data storage via declarative queries and updates over views of underlying files. Damasc has four key benefits for the development of data-intensive scientific code: (1) applications can use important data-management services, such as declarative queries, views, and provenance tracking, that are currently available only within database systems; (2) the use of these services becomes easier, as they are provided within a familiar file

  3. NASA's Astrophysics Data System: new abstract service and article service features.

    NASA Astrophysics Data System (ADS)

    Eichhorn, G.; Accomazzi, A.; Grant, C. S.; Kurtz, M. J.

    1997-09-01

    The NASA Astrophysics Data System provides access to about 1 million abstracts and 50,000 journal articles. This service is funded by NASA and is accessible world-wide through the World Wide Web free without restrictions at: http://adswww.harvard.edu The ADS abstract service allows the searching of a database of abstracts. The abstracts can be searched through a sophisticated search engine by author, astronomical object, title, and text. Various logical combinations of the search terms can be selected. Search results can be filtered by journal, publication date, and other criteria. The search returns a list of references with titles, author lists, and scores that indicate how closely the reference matches the query. The returned references also include hyperlinks to other information where available (e.g. abstracts, full journal articles, data tables, electronic on-line publications, references, citations, lists of astronomical objects, etc.) The ADS article service provides access to full journal articles for all major and many smaller journals. We scan the journals that give us permission at a resolution of 600 dpi. The scans can then be retrieved either for viewing on-screen in gif format, or for printing in Postscript or PCL format. We currently have articles back to 1975 on-line. We plan to eventually scan most of the historical astronomical literature as well. We have recently included the preprints from the Los Alamos preprint server. they are available in a separate database through the same search engine as the other abstracts. Preprints are kept on-line for 6 months. The American Astronomical Society has purchased citation information for 100,000 articles from the Institute for Scientific Information (ISI). This allows us to include links to lists of references and citations in our results page for articles in this set. In order to improve access times for non-US users, we are mirroring the abstract service. We currently have mirrors at the CDS in

  4. Service Utilization for Lifetime Mental Disorders in U.S. Adolescents: Results of the National Comorbidity Survey-Adolescent Supplement (NCS-A)

    ERIC Educational Resources Information Center

    Merikangas, Kathleen Ries; He, Jian-ping; Burstein, Marcy; Swendsen, Joel; Avenevoli, Shelli; Case, Brady; Georgiades, Katholiki; Heaton, Leanne; Swanson, Sonja; Olfson, Mark

    2011-01-01

    Objective: Mental health policy for youth has been constrained by a paucity of nationally representative data concerning patterns and correlates of mental health service utilization in this segment of the population. The objectives of this investigation were to examine the rates and sociodemographic correlates of lifetime mental health service use…

  5. Mediterranean monitoring and forecasting operational system for Copernicus Marine Service

    NASA Astrophysics Data System (ADS)

    Coppini, Giovanni; Drudi, Massimiliano; Korres, Gerasimos; Fratianni, Claudia; Salon, Stefano; Cossarini, Gianpiero; Clementi, Emanuela; Zacharioudaki, Anna; Grandi, Alessandro; Delrosso, Damiano; Pistoia, Jenny; Solidoro, Cosimo; Pinardi, Nadia; Lecci, Rita; Agostini, Paola; Cretì, Sergio; Turrisi, Giuseppe; Palermo, Francesco; Konstantinidou, Anna; Storto, Andrea; Simoncelli, Simona; Di Pietro, Pier Luigi; Masina, Simona; Ciliberti, Stefania Angela; Ravdas, Michalis; Mancini, Marco; Aloisio, Giovanni; Fiore, Sandro; Buonocore, Mauro

    2016-04-01

    The MEDiterranean Monitoring and Forecasting Center (Med-MFC) is part of the Copernicus Marine Environment Monitoring Service (CMEMS, http://marine.copernicus.eu/), provided on an operational mode by Mercator Ocean in agreement with the European Commission. Specifically, Med MFC system provides regular and systematic information about the physical state of the ocean and marine ecosystems for the Mediterranean Sea. The Med-MFC service started in May 2015 from the pre-operational system developed during the MyOcean projects, consolidating the understanding of regional Mediterranean Sea dynamics, from currents to biogeochemistry to waves, interfacing with local data collection networks and guaranteeing an efficient link with other Centers in Copernicus network. The Med-MFC products include analyses, 10 days forecasts and reanalysis, describing currents, temperature, salinity, sea level and pelagic biogeochemistry. Waves products will be available in MED-MFC version in 2017. The consortium, composed of INGV (Italy), HCMR (Greece) and OGS (Italy) and coordinated by the Euro-Mediterranean Centre on Climate Change (CMCC, Italy), performs advanced R&D activities and manages the service delivery. The Med-MFC infrastructure consists of 3 Production Units (PU), for Physics, Biogechemistry and Waves, a unique Dissemination Unit (DU) and Archiving Unit (AU) and Backup Units (BU) for all principal components, guaranteeing a resilient configuration of the service and providing and efficient and robust solution for the maintenance of the service and delivery. The Med-MFC includes also an evolution plan, both in terms of research and operational activities, oriented to increase the spatial resolution of products, to start wave products dissemination, to increase temporal extent of the reanalysis products and improving ocean physical modeling for delivering new products. The scientific activities carried out in 2015 concerned some improvements in the physical, biogeochemical and

  6. Demystifying the Adolescent Brain

    ERIC Educational Resources Information Center

    Steinberg, Laurence

    2011-01-01

    Understanding the nature of brain development in adolescence helps explain why adolescents can vacillate so often between mature and immature behavior. Early and middle adolescence, in particular, are times of heightened vulnerability to risky and reckless behavior because the brain's reward center is easily aroused, but the systems that control…

  7. Extravehicular Crewman Work System (ECWS) study program. Volume 3: Satellite service

    NASA Technical Reports Server (NTRS)

    Wilde, R. C.

    1980-01-01

    The satellite service portion of the Extravehicular Crewman Work System Study defines requirements and service equipment concepts for performing satellite service from the space shuttle orbiter. Both normal and contingency orbital satellite service is required. Service oriented satellite design practices are required to provide on orbit satellite service capability for the wide variety of satellites at the subsystem level. Development of additional satellite service equipment is required. The existing space transportation system provides a limited capability for performing satellite service tasks in the shuttle payload bay area.

  8. "You have to make a judgment call".--Morals, judgments and the provision of quality sexual and reproductive health services for adolescents in South Africa.

    PubMed

    Müller, Alexandra; Röhrs, Stefanie; Hoffman-Wanderer, Yonina; Moult, Kelley

    2016-01-01

    South Africa's legal framework on sexual and reproductive health (SRH) care for teenagers is complex. On the one hand, the law protects their right to make decisions regarding reproduction--e.g. giving girls of any age the right to terminate a pregnancy, and allowing adolescents to consent to receive contraception from age 12. On the other hand, the Sexual Offences Act sets the age of consent to sex at 16 years, and requires mandatory reporting of anyone younger. These contradictory obligations mean that nurses, doctors and counsellors are expected to provide care, and counsel teenagers about their choices, but also report and enforce the law. They must therefore make judgments about inherently moral issues: should teenagers be having sex, and what services should they receive? Based on in-depth interviews at 28 healthcare facilities conducted in 2012, and data from workshops on the 'conflicting laws' held in 2014, the paper uses the theoretical framework of street-level bureaucracy to understand barriers to nurses providing SRH care for teenagers in South Africa, and the implication that this has for adolescents' SRH. The paper argues that nurses' adaptation of the law is a response to significant structural constraints, moral discomfort, and poor understanding of the law--all taken against an ethical framework that emphasizes quality, responsive patient care. The result is uneven implementation that undermines SRH information, access to services, and ultimately increases risks for teens. PMID:26688551

  9. Adolescent preventive services.

    PubMed

    Reif, C J; Elster, A B

    1998-03-01

    Today, there are significant risks to the health of teenagers. Drugs (tobacco, alcohol, steroids and others), sex (pregnancy, STDs, date rape), nutrition (obesity and eating disorders), and violence (abuse, fighting) are unfortunately a part of many teens' lives. These risks increase throughout the teen years. Since each risk has a strong behavioral component, we hope to modify the behavior and minimize the risk. Prevention and health promotion are an important part of health care for teens. Primary care providers, such as family physicians, are in an excellent position to provide teen preventative care that is comprehensive and specific to the needs of each teen. PMID:9469914

  10. Online self-service processing system of ZY-3 satellite: a prospective study of image cloud services

    NASA Astrophysics Data System (ADS)

    Wang, Hongyan; Wang, Huabin; Shi, Shaoyu

    2015-12-01

    The strong demands for satellite images are increasing not only in professional fields, but also in the non-professionals. But the online map services with up-to-date satellite images can serve few demands. One challenge is how to provide online processing service, which need to handle real-time online data-intensive geospatial computation and visualization. Under the background of the development of cloud computing technology, the problem can be figured out partly. The other challenge is how to implement user-customized online processing without professional background and knowledge. An online self-service processing system of ZY-3 Satellite images is designed to implement an on-demand service mode in this paper. It will work with only some simple parameters being set up for the non-professionals without having to care about the specific processing steps. And the professionals can assemble the basic processing services to a service chain, which can work out a more complex processing and a better result. This intelligent self-service online system for satellite images processing, which is called the prototype of satellite image cloud service in this paper, is accelerated under the development of cloud computing technology and researches on data-intensive computing. To realize the goal, the service mode and framework of the online self-service processing system of ZY-3 Satellite images are figured out in this paper. The details of key technologies are also discussed, including user space virtualization management, algorithm-level parallel image processing, image service chain construction, etc. And the experimental system is built up as a prospective study of image cloud services.

  11. Stereoscopic contents authoring system for 3D DMB data service

    NASA Astrophysics Data System (ADS)

    Lee, BongHo; Yun, Kugjin; Hur, Namho; Kim, Jinwoong; Lee, SooIn

    2009-02-01

    This paper presents a stereoscopic contents authoring system that covers the creation and editing of stereoscopic multimedia contents for the 3D DMB (Digital Multimedia Broadcasting) data services. The main concept of 3D DMB data service is that, instead of full 3D video, partial stereoscopic objects (stereoscopic JPEG, PNG and MNG) are stereoscopically displayed on the 2D background video plane. In order to provide stereoscopic objects, we design and implement a 3D DMB content authoring system which provides the convenient and straightforward contents creation and editing functionalities. For the creation of stereoscopic contents, we mainly focused on two methods: CG (Computer Graphics) based creation and real image based creation. In the CG based creation scenario where the generated CG data from the conventional MAYA or 3DS MAX tool is rendered to generate the stereoscopic images by applying the suitable disparity and camera parameters, we use X-file for the direct conversion to stereoscopic objects, so called 3D DMB objects. In the case of real image based creation, the chroma-key method is applied to real video sequences to acquire the alpha-mapped images which are in turn directly converted to stereoscopic objects. The stereoscopic content editing module includes the timeline editor for both the stereoscopic video and stereoscopic objects. For the verification of created stereoscopic contents, we implemented the content verification module to verify and modify the contents by adjusting the disparity. The proposed system will leverage the power of stereoscopic contents creation for mobile 3D data service especially targeted for T-DMB with the capabilities of CG and real image based contents creation, timeline editing and content verification.

  12. Multilevel assessment of the neurobiological threat system in depressed adolescents: Interplay between the limbic system and hypothalamic–pituitary–adrenal axis

    PubMed Central

    KLIMES-DOUGAN, BONNIE; EBERLY, LYNN E.; SCHREINER, MELINDA WESTLUND; KURKIEWICZ, PATRICK; HOURI, ALAA; SCHLESINGER, AMANDA; THOMAS, KATHLEEN M.; MUELLER, BRYON A.; LIM, KELVIN O.; CULLEN, KATHRYN R.

    2015-01-01

    Integrative, multilevel approaches investigating neurobiological systems relevant to threat detection promise to advance understanding of the pathophysiology of major depressive disorder (MDD). In this study we considered key neuronal and hormonal systems in adolescents with MDD and healthy controls (HC). The goals of this study were to identify group differences and to examine the association of neuronal and hormonal systems. MDD and HC adolescents (N = 79) aged 12–19 years were enrolled. Key brain measures included amygdala volume and amygdala activation to an emotion face-viewing task. Key hormone measures included cortisol levels during a social stress task and during the brain scan. MDD and HC adolescents showed group differences on amygdala functioning and patterns of cortisol levels. Amygdala activation in response to emotional stimuli was positively associated with cortisol responses. In addition, amygdala volume was correlated with cortisol responses, but the pattern differed in depressed versus healthy adolescents, most notably for unmedicated MDD adolescents. The findings highlight the value of using multilevel assessment strategies to enhance understanding of pathophysiology of adolescent MDD, particularly regarding how closely related biological threat systems function together while undergoing significant developmental shifts. PMID:25422964

  13. Geoclima: A geographic information system for climate services

    NASA Astrophysics Data System (ADS)

    Feidas, Haralambos; Zanis, Prodromos; Melas, Dimitris; Vaitis, Mihalis; Anadranistakis, Emmanouil; Symeonidis, Panayotis; Pantelopoulos, Stelios

    2014-05-01

    Geoclima is an integrated web-based Geographic Information System (GIS) providing climate services to manage, analyze and visualize the information which is directly or indirectly related to climate and its future projections in Greece. It is an innovative information technology application, serving as a tool for the study of the climate and climate change in Greece and providing combined information related to the climate regime and variability with high spatial resolution over Greece. Geoclima is based on conventional in-situ and satellite measurements, climate model (RCM) simulations, as well as geographic and socioeconomic data related to climate change. The system was developed in five steps: a) climate and environmental related information was collected and homogenized, b) future climate projections were assessed based on existing regional climate model (RCM) simulations for Europe and a supplementary transient high resolution (10 km x 10 km) simulation for Greece over the period 1961-2100 using RegCM3, c) a geographic database was implemented, managing all descriptive and geospatial data that was collected or produced d) climate data was mapped and thematic web map services were created, and e) the integrated GIS was developed. The final product is an interactive open access webGIS application, through which users are able to analyze, visualize and disseminate the climate information. This paper provides an overview of the research efforts to develop the system and demonstrates the results.

  14. Defining Information Needs for Public Health Systems and Services Research

    PubMed Central

    Buehler, James W.

    2014-01-01

    Background: People who lead or manage public health agencies have multiple needs for information in order to do their jobs effectively. In seeking to investigate “what works” in public health practice, investigators in the field of public health systems and services research (PHSSR) have largely overlapping information needs but often require a greater detail, specificity, or comprehensiveness than is routinely available in public health data systems. PHSSR Data Needs Meeting: On April 24, 2014, the PHSSR Center of the University of Kentucky and AcademyHealth convened a 1-day meeting of public health practitioners and PHSSR investigators to identify PHSSR information needs. Meeting participants considered data needs for three PHSSR domains: the organization of public health agencies and services, the use of rapidly evolving health information technologies, and the financing and economic evaluation of public health activities. Future Data Needs: Identifying data needs in these and other PHSSR domains requires clarification of research questions, consideration of research methods, a balance of imagination and practicality, and investments to extend the information captured in existing administrative, financial, and population health monitoring systems. PMID:25848628

  15. A Framework for the Design of Service Systems

    NASA Astrophysics Data System (ADS)

    Tan, Yao-Hua; Hofman, Wout; Gordijn, Jaap; Hulstijn, Joris

    We propose a framework for the design and implementation of service systems, especially to design controls for long-term sustainable value co-creation. The framework is based on the software support tool e3-control. To illustrate the framework we use a large-scale case study, the Beer Living Lab, for simplification of customs procedures in international trade. The BeerLL shows how value co-creation can be achieved by reduction of administrative burden in international beer export due to electronic customs. Participants in the BeerLL are Heineken, IBM and Dutch Tax & Customs.

  16. A Modular, Data Driven System: Architecture for GSFC Ground Systems: GSFC's Mission Services Evolution Center (GMSEC)

    NASA Technical Reports Server (NTRS)

    Cary, Everett; Smith, Danford

    2004-01-01

    The GSFC Mission Services Evolution Center (GMSEC) was established in 2001 to coordinate ground and flight data systems development and services at NASA's Goddard Space Flight Center (GSFC). GMSEC system architecture represents a new way to build the next generation systems to be used for a variety of missions for years to come. The old approach was to find or build the best products available and integrate them into a reusable system to meet everyone's needs. The new approach assumes that needs, products, and technology will change.

  17. [Psychological aspects of diet therapy of children and adolescents suffering from digestive system diseases].

    PubMed

    Skumin, V A

    1987-01-01

    Clinicopsychological investigations of 361 patients, aged from 6 to 17 years, suffering from diseases of the gastrointestinal tract, have revealed in 60.7% of them negative psychological attitude to the dietotherapy they received. Among children and adolescents with concomitant neurotic disorders such attitude was noted in 79.6%. A system of special measures has been developed including three main elements: 1) psychotherapeutic mediation of dietotherapy before its administration and in the process of the therapy; 2) creation of the psychologic attitude to the diet adherence; 3) alteration of the patient's taste stereotype. Realization of such measures has been conducive to higher effectiveness of the dietotherapy. PMID:3439083

  18. A Quality Improvement Customer Service Process and CSS [Customer Service System]. Burlington County College Employee Development Series, Volumes I & II.

    ERIC Educational Resources Information Center

    Burlington County Coll., Pemberton, NJ.

    Prepared for use by staff in development workshops at Burlington County College (BCC), in New Jersey, this handbook offers college-wide guidelines for improving the quality of service provided to internal and external customers, and reviews key elements of BCC's Customer Service System (CSS), a computerized method of recording and following-up on…

  19. Design and implementation of GGEarth spatial data service application system

    NASA Astrophysics Data System (ADS)

    Chen, Jianhua; Miao, Fang; Wang, Weihong; Wang, Huajun

    2009-06-01

    The digital earth concept has aroused strong repercussions and been arousing researches boom both at home and abroad once it is proposed. Many digital earth prototype systems have been researched and distributed in worldwide, and the Google Earth is more typical. The booming development of digital earth's research and its prototype's development bring about G/S mode timely, a novel spatial information distributing access, and organization software architecture mode. Based on native GML spatial database system and Google Earth, with G/S mode as its architecture, and combination with GML/KML compressive transport and transformation, this paper proposed and designed the software architecture of GGEarth spatial data service application system, the research content and key implementation technologies were given. This system provides functions of data presentation, query, update and spatial analysis, which uses native GML spatial database (and GML, KML documents) as the standard data center, and the client based on Google Earth COM API as the front-end. This system can be applied in fields of digital city, digital tourism and traditional Web GIS. The authors developed the GGEarth experimental system and ran it with the data of '5.12' Wenchuan earthquake timing and the model data of digital Jiuzhaigou virtual tourism. Some running screenshots are also given.

  20. Cosis: cost of service information system. Model-simulation

    SciTech Connect

    Not Available

    1982-05-10

    The Cost of Service Information System of models (COSIS) is an integrated, electric utility strategic planning system. This system of five models, written in FORTRAN, provides a framework for the examination of a wide range of utility strategics or environmental conditions. The five models are: (1) LAm which derives projected load duration curves for up to 30 years on a system level to serve as input to capacity expansion and production simulating models. (2) PCS (Production Cost Simulation) which projects energy production by generating unit as a function of the unit's equivalent availability, capacity, loading position, and the energy supply demands on the system. (3) FRED which calculates the monthly average profile at the system level from the historical or reference year. (4) RAm (Regulatory Analysis Model) which performs up to 30 years of financial statements for an electric utility. (5) ACE which performs cost allocations based on financial projections from ths RAm model. The models are written in Fortran for implementation on UNIVAC 1100/84 computers operating under OS.

  1. Evolving the Land Information System into a Cloud Computing Service

    SciTech Connect

    Houser, Paul R.

    2015-02-17

    The Land Information System (LIS) was developed to use advanced flexible land surface modeling and data assimilation frameworks to integrate extremely large satellite- and ground-based observations with advanced land surface models to produce continuous high-resolution fields of land surface states and fluxes. The resulting fields are extremely useful for drought and flood assessment, agricultural planning, disaster management, weather and climate forecasting, water resources assessment, and the like. We envisioned transforming the LIS modeling system into a scientific cloud computing-aware web and data service that would allow clients to easily setup and configure for use in addressing large water management issues. The focus of this Phase 1 project was to determine the scientific, technical, commercial merit and feasibility of the proposed LIS-cloud innovations that are currently barriers to broad LIS applicability. We (a) quantified the barriers to broad LIS utility and commercialization (high performance computing, big data, user interface, and licensing issues); (b) designed the proposed LIS-cloud web service, model-data interface, database services, and user interfaces; (c) constructed a prototype LIS user interface including abstractions for simulation control, visualization, and data interaction, (d) used the prototype to conduct a market analysis and survey to determine potential market size and competition, (e) identified LIS software licensing and copyright limitations and developed solutions, and (f) developed a business plan for development and marketing of the LIS-cloud innovation. While some significant feasibility issues were found in the LIS licensing, overall a high degree of LIS-cloud technical feasibility was found.

  2. The proposed planning method as a parallel element to a real service system for dynamic sharing of service lines.

    PubMed

    Klampfer, Saša; Chowdhury, Amor

    2015-07-01

    This paper presents a solution to the bottleneck problem with dynamic sharing or leasing of service capacities. From this perspective the use of the proposed method as a parallel element in service capacities sharing is very important, because it enables minimization of the number of interfaces, and consequently of the number of leased lines, with a combination of two service systems with time-opposite peak loads. In this paper we present a new approach, methodology, models and algorithms which solve the problems of dynamic leasing and sharing of service capacities. PMID:25792516

  3. Development of an Accelerometer-Linked Online Intervention System to Promote Physical Activity in Adolescents

    PubMed Central

    Guthrie, Nicole; Bradlyn, Andrew; Thompson, Sharon K.; Yen, Sophia; Haritatos, Jana; Dillon, Fred; Cole, Steve W.

    2015-01-01

    Most adolescents do not achieve the recommended levels of moderate-to-vigorous physical activity (MVPA), placing them at increased risk for a diverse array of chronic diseases in adulthood. There is a great need for scalable and effective interventions that can increase MVPA in adolescents. Here we report the results of a measurement validation study and a preliminary proof-of-concept experiment testing the impact of Zamzee, an accelerometer-linked online intervention system that combines proximal performance feedback and incentive motivation features to promote MVPA. In a calibration study that parametrically varied levels of physical activity in 31 12-14 year-old children, the Zamzee activity meter was shown to provide a valid measure of MVPA (sensitivity in detecting MVPA = 85.9%, specificity = 97.5%, and r = .94 correspondence with the benchmark RT3 accelerometer system; all p < .0001). In a subsequent randomized controlled multi-site experiment involving 182 middle school-aged children assessed for MVPA over 6 wks, intent-to-treat analyses found that those who received access to the Zamzee intervention had average MVPA levels 54% greater than those of a passive control group (p < 0.0001) and 68% greater than those of an active control group that received access to a commercially available active videogame (p < .0001). Zamzee’s effects on MVPA did not diminish significantly over the course of the 6-wk study period, and were statistically significant in both females and males, and in normal- vs. high-BMI subgroups. These results provide promising initial indications that combining the Zamzee activity meter with online proximal performance feedback and incentive motivation features can positively impact MVPA levels in adolescents. PMID:26010359

  4. School Social Workers' Needs in Supporting Adolescents with Disabilities toward Dating and Sexual Health: A Qualitative Study

    ERIC Educational Resources Information Center

    Adams Rueda, Heidi; Linton, Kristen F.; Williams, Lela Rankin

    2014-01-01

    School social workers approach their direct practice from ecological systems and justice-oriented perspectives. As such, they may hold a critical role in providing needed sexual health and dating education and services to adolescents with disabilities. Thirteen high school social workers who work closely with adolescents with disabilities were…

  5. The Challenge of Holistic Student Support: Investigating Urban Adolescents' Constructions of Support in the Context of School

    ERIC Educational Resources Information Center

    Brion-Meisels, Gretchen

    2014-01-01

    In this piece, Gretchen Brion-Meisels investigates how adolescents conceptualize support in the context of school. Student support systems have become a permanent structure in most U.S. public schools, responsible for ensuring equal access to support services. Unfortunately, little is known about how adolescents make meaning of school-based…

  6. British Asian families and the use of child and adolescent mental health services: a qualitative study of a hard to reach group.

    PubMed

    Bradby, Hannah; Varyani, Maya; Oglethorpe, Rachel; Raine, Wendy; White, Ishbel; Helen, Minnis

    2007-12-01

    We explored attitudes to and experiences of Child and Adolescent Mental Health Services (CAMHS) among families of South Asian origin who are underrepresented as service-users in an area of a Scottish city with a high concentration of people of South Asian origin. Six community focus groups were conducted, followed by semi-structured interviews with families who had used CAMHS and with CAMHS professionals involved in those families' cases. Lastly, parents of children who had problems usually referred to CAMHS but who had not used the service were interviewed. Qualitative analysis of transcripts and notes was undertaken using thematic and logical methods. Participants consisted of 35 adults who identified themselves as Asian and had children; 7 parents and/or the young service users him-herself; 7 health care professionals involved in the young person's care plus 5 carers of 6 young people who had not been referred to CAMHS, despite having suitable problems. Focus groups identified the stigma of mental illness and the fear of gossip as strong disincentives to use CAMHS. Families who had been in contact with CAMHS sought to minimise the stigma they suffered by emphasising that mental illness was not madness and could be cured. Families whose children had complex emotional and behavioural problems said that discrimination by health, education and social care professionals exacerbated their child's difficulties. Families of children with severe and enduring mental illness described tolerating culturally inappropriate services. Fear of gossip about children's 'madness' constituted a major barrier to service use for Asian families in this city. Given the widespread nature of the concern over the stigma of children's mental illness, it should be considered in designing culturally competent services for children's mental health. PMID:17766019

  7. Man's role in a remote orbital servicing system

    NASA Technical Reports Server (NTRS)

    Pennington, J. E.; Hankins, W. W., III

    1983-01-01

    The Remote Orbital Servicing System (ROSS), a focal point for NASA research in automation and robotics, is discussed in terms of the role of man in such a system. In the supervisory control mode, the ROSS operator inputs high-level goals to a strategic (nonreal-time) planner which then passes the plan or series of actions to a tactical (real-time) planner which executes the plan. Using directed control, man makes more specific commands to perform strategic planning with or without the use of the automated strategic planner. Shared computer/manual control will require a multifunction interactive display. At the teleoperator control level, a hand controller is used to command the ROSS manipulator and end effectors.

  8. A National Medical Information System for Senegal: Architecture and Services.

    PubMed

    Camara, Gaoussou; Diallo, Al Hassim; Lo, Moussa; Tendeng, Jacques-Noël; Lo, Seynabou

    2016-01-01

    In Senegal, great amounts of data are daily generated by medical activities such as consultation, hospitalization, blood test, x-ray, birth, death, etc. These data are still recorded in register, printed images, audios and movies which are manually processed. However, some medical organizations have their own software for non-standardized patient record management, appointment, wages, etc. without any possibility of sharing these data or communicating with other medical structures. This leads to lots of limitations in reusing or sharing these data because of their possible structural and semantic heterogeneity. To overcome these problems we have proposed a National Medical Information System for Senegal (SIMENS). As an integrated platform, SIMENS provides an EHR system that supports healthcare activities, a mobile version and a web portal. The SIMENS architecture proposes also a data and application integration services for supporting interoperability and decision making. PMID:27577338

  9. 28 CFR 16.99 - Exemption of the Immigration and Naturalization Service Systems-limited access.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Naturalization Service Systems-limited access. 16.99 Section 16.99 Judicial Administration DEPARTMENT OF JUSTICE... Naturalization Service Alien File (A-File) and Central Index System (CIS), JUSTICE/INS-001A. (2) The Immigration and Naturalization Service Index System, JUSTICE/INS-001 which consists of the following...

  10. 28 CFR 16.99 - Exemption of the Immigration and Naturalization Service Systems-limited access.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Naturalization Service Systems-limited access. 16.99 Section 16.99 Judicial Administration DEPARTMENT OF JUSTICE... Naturalization Service Alien File (A-File) and Central Index System (CIS), JUSTICE/INS-001A. (2) The Immigration and Naturalization Service Index System, JUSTICE/INS-001 which consists of the following...

  11. 28 CFR 16.99 - Exemption of the Immigration and Naturalization Service Systems-limited access.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Naturalization Service Systems-limited access. 16.99 Section 16.99 Judicial Administration DEPARTMENT OF JUSTICE... Naturalization Service Alien File (A-File) and Central Index System (CIS), JUSTICE/INS-001A. (2) The Immigration and Naturalization Service Index System, JUSTICE/INS-001 which consists of the following...

  12. 28 CFR 16.99 - Exemption of the Immigration and Naturalization Service Systems-limited access.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Naturalization Service Systems-limited access. 16.99 Section 16.99 Judicial Administration DEPARTMENT OF JUSTICE... Naturalization Service Alien File (A-File) and Central Index System (CIS), JUSTICE/INS-001A. (2) The Immigration and Naturalization Service Index System, JUSTICE/INS-001 which consists of the following...

  13. 28 CFR 16.99 - Exemption of the Immigration and Naturalization Service Systems-limited access.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Naturalization Service Systems-limited access. 16.99 Section 16.99 Judicial Administration DEPARTMENT OF JUSTICE... Naturalization Service Alien File (A-File) and Central Index System (CIS), JUSTICE/INS-001A. (2) The Immigration and Naturalization Service Index System, JUSTICE/INS-001 which consists of the following...

  14. 48 CFR 51.204 - Use of interagency fleet management system (IFMS) vehicles and related services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... management system (IFMS) vehicles and related services. 51.204 Section 51.204 Federal Acquisition Regulations... system (IFMS) vehicles and related services. Contractors authorized to use interagency fleet management system (IFMS) vehicles and related services shall comply with the requirements of 41 CFR 101-39 and...

  15. 48 CFR 51.204 - Use of interagency fleet management system (IFMS) vehicles and related services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... management system (IFMS) vehicles and related services. 51.204 Section 51.204 Federal Acquisition Regulations... system (IFMS) vehicles and related services. Contractors authorized to use interagency fleet management system (IFMS) vehicles and related services shall comply with the requirements of 41 CFR 101-39 and...

  16. 48 CFR 51.204 - Use of interagency fleet management system (IFMS) vehicles and related services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... management system (IFMS) vehicles and related services. 51.204 Section 51.204 Federal Acquisition Regulations... system (IFMS) vehicles and related services. Contractors authorized to use interagency fleet management system (IFMS) vehicles and related services shall comply with the requirements of 41 CFR 101-39 and...

  17. Mental Health Service Delivery Systems and Perceived Qualifications of Mental Health Service Providers in School Settings

    ERIC Educational Resources Information Center

    Dixon, Decia Nicole

    2009-01-01

    Latest research on the mental health status of children indicates that schools are key providers of mental health services (U.S. Department of Health and Human Services, 2003). The push for school mental health services has only increased as stakeholders have begun to recognize the significance of sound mental health as an essential part of…

  18. Satellite services system analysis study. Volume 3A: Service equipment requirements, appendix

    NASA Technical Reports Server (NTRS)

    1981-01-01

    Spacecraft descriptions and mission sequences, mission and servicing operations functional analyses, servicing requirements, and servicing equipment are discussed for five reference satellites: the X-ray Timing Explorer, the Upper Atmospheric Research Satellite, the Advanced X-ray Astrophysics Facility, the Earth Gravity Field Survey Mission, and the Orbiting Astronomical Observatory.

  19. Linking systemic arterial stiffness among adolescents to adverse childhood experiences.

    PubMed

    Klassen, Stephen A; Chirico, Daniele; O'Leary, Deborah D; Cairney, John; Wade, Terrance J

    2016-06-01

    Adverse childhood experiences (ACEs) have been linked with cardiovascular disease and early mortality among adults. Most research examines this relationship retrospectively. Examining the association between ACEs and children's cardiovascular health is required to understand the time course of this association. We examined the relationship between ACEs exposure and ECG-to-toe pulse wave velocity (PWV), a measure of systemic arterial stiffness that is strongly related to cardiovascular mortality among adults. PWV (distance/transit time; m/s) was calculated using transit times from the ECG R-wave to the pulse wave contour at the toe. Transit times were collected over 15 heartbeats and the distance from the sternal notch to the left middle toe was used. A total of 221 children (119 females) aged 10-14 years participated in data collection of PWV, hemodynamic and anthropometric variables. Parents of these children completed a modified inventory of ACEs taken from the Childhood Trust Events Survey. Multivariable regression assessed the relationship between ACEs group (<4 ACEs versus ≥4 ACEs) and PWV. Analyses yielded an ACEs group by sex interaction, with males who experienced four or more ACEs having higher PWV (p<0.01). This association was independent of hemodynamic, anthropometric and sociodemographic variables (R(2)=0.346; p<0.01). Four or more ACEs is associated with greater arterial stiffness in male children aged 10-14 years. Addressing stress and trauma exposure in childhood is an important target for public health interventions to reduce early cardiovascular risk. PMID:27107504

  20. High Penetration PV Deployment in the Arizona Public Service System

    SciTech Connect

    Narang, D.; Hambrick, J.

    2011-01-01

    In an effort to better understand the impacts of high penetrations of photovoltaic (PV) generators on distribution systems, Arizona Public Service (APS) and its partners have begun work on a multi-year project to develop the tools and knowledgebase needed to safely and reliably integrate high penetrations of utility and residential scale PV. Building upon the APS Community Power Project - Flagstaff Pilot, this project will analyze the impact of PV on a representative feeder in northeast Flagstaff. To quantify and catalog the effects of the estimated 1.5 MW of PV that will be installed on the feeder (both smaller units at homes as well as large, centrally located systems), high-speed weather and electrical data acquisition systems and digital 'smart' meters are being designed and installed to facilitate monitoring and to build and validate comprehensive, high-resolution models of the distribution system. These models will be used to analyze the impacts of the PV on distribution circuit protection systems (including anti-islanding), predict voltage regulation and phase balance issues, and develop volt/var control schemes. The goal of this paper is to provide insight and lessons learned on the early stages of high penetration PV deployment. Primarily focusing on modeling and data acquisition, this paper describes the overall project, early results, and plans for future phases of the project.

  1. [The influence of perinatal hypoxic-ischemic disorders of central nervous system on adolescent academic achievements and behavioural deviations].

    PubMed

    Ukleba, K O; Pavlenishvili, I V; Zurabashvili, D Z

    2013-05-01

    The objective of our research was to study long-term influence of hypoxic-ischemic disorders of central nervous system on adolescent academic achievements and behavioural deviations. It was found that perinatal pathologies highly determine the deviant behaviour. The conducted research revealed law intellectual capacity (IQ) in youth with perinatal pathology--2.26. The majority of youths involved in adolescent antisocial behavior suffered from hypoxic-ischemic disorders of central nervous system during perinatal period (76%--tend to narcotic and toxic substance addictions; 82%--to criminal behaviour). PMID:23787509

  2. Apollo experience report: Guidance and control systems: CSM service propulsion system gimbal actuators

    NASA Technical Reports Server (NTRS)

    Mcmahon, W. A.

    1975-01-01

    The service propulsion system gimbal actuators of the Apollo command and service module were developed, modified, and qualified between February 1962 and April 1968. The development of these actuators is described as the result of extensive testing, retesting, and modification of the initial design. Successful completion of each mission without anomalies attributable to the actuators indicated that the particular configuration (modification) in use was adequate for the flight profile imposed.

  3. Apollo experience report. Guidance and control systems: Command and service module stabilization and control system

    NASA Technical Reports Server (NTRS)

    Littleton, O. P.

    1974-01-01

    The concepts, design, development, testing, and flight results of the command and service module stabilization and control system are discussed. The period of time covered was from November 1961 to December 1972. Also included are a functional description of the system, a discussion of the major problems, and recommendations for future programs.

  4. Adolescents' Status Expectations in a Formally Stratified System of Secondary Schools.

    ERIC Educational Resources Information Center

    Hurrelmann, Klaus; And Others

    A study analyzed the school plans and status expectations of West German adolescents. The study was based on (1) an analysis of official statistical documents, (2) a standardized questionnaire survey of 1,717 adolescents aged 12-17 years, and (3) a longitudinal qualitative analysis of interviews carried out with 40 adolescents over a period of 8…

  5. Providing Contraception to Adolescents.

    PubMed

    Raidoo, Shandhini; Kaneshiro, Bliss

    2015-12-01

    Adolescents have high rates of unintended pregnancy and face unique reproductive health challenges. Providing confidential contraceptive services to adolescents is important in reducing the rate of unintended pregnancy. Long-acting contraception such as the intrauterine device and contraceptive implant are recommended as first-line contraceptives for adolescents because they are highly effective with few side effects. The use of barrier methods to prevent sexually transmitted infections should be encouraged. Adolescents have limited knowledge of reproductive health and contraceptive options, and their sources of information are often unreliable. Access to contraception is available through a variety of resources that continue to expand. PMID:26598305

  6. Adolescent development

    MedlinePlus

    Development - adolescent; Growth and development - adolescent ... During adolescence, children develop the ability to: Understand abstract ideas. These include grasping higher math concepts, and developing moral ...

  7. Adolescent development

    MedlinePlus

    Development - adolescent; Growth and development - adolescent ... rights and privileges. Establish and maintain satisfying relationships. Adolescents will learn to share intimacy without feeling worried ...

  8. Guide for the School Psychologist: A System for the Promotion of Diversified Psychological Services in Schools.

    ERIC Educational Resources Information Center

    American Psychological Association, Washington, DC.

    Psychologists who work in schools are prepared to provide a broad range of services. However, some school systems do not avail themselves of the myriad services which psychologists can competently deliver. Direct services, which incorporate assessment for special education, counseling, and other forms of therapy services, occupy the major time of…

  9. Tractor Mechanics: Maintaining and Servicing the Fuel System. Learning Activity Packages 20-33.

    ERIC Educational Resources Information Center

    Clemson Univ., SC. Vocational Education Media Center.

    Learning activity packages are presented for instruction in tractor mechanics. The packages deal with the duties involved in maintaining the fuel system. The following fourteen learning activity packages are included: servicing fuel and air filters, servicing fuel tanks and lines, adjusting a carburetor, servicing a carburetor, servicing the…

  10. System and Individual Outcomes and Their Predictors in Services and Support for People with IDD

    ERIC Educational Resources Information Center

    Ticha, Renata; Hewitt, Amy; Nord, Derek; Larson, Sherri

    2013-01-01

    The growth and advancement of community-based services for people with intellectual and developmental disabilities (IDD) have resulted in vast changes in the long-term services and support landscape as well as in expected outcomes of service systems for service recipients. Investments in IDD research have been made to provide a deeper…

  11. Self-Service Charge Systems: Current Technological Applications and Their Implications for the Future Library.

    ERIC Educational Resources Information Center

    Mardikian, Jackie

    1995-01-01

    Discusses a possible shift to self-service check-out systems for academic library patrons. Provides an annotated bibliography of 51 items that discuss the impact of self-service technology on the quality of service and customer satisfaction in libraries, service sectors, banking, and the vending industry. (LRW)

  12. DOE Hanford request for services for HANDI 2000 business management system

    SciTech Connect

    Wilson, D.

    1998-08-24

    This work includes services provided by PHMC which are defined by DOE-RL with support from FDH Accounting. Services include: Site wide information system support; Site infrastructure including occupancy; Utilities; Fleet services; Printing and reproduction services; Training; Supplies and material, etc.

  13. Adolescents' functional numeracy is predicted by their school entry number system knowledge.

    PubMed

    Geary, David C; Hoard, Mary K; Nugent, Lara; Bailey, Drew H

    2013-01-01

    One in five adults in the United States is functionally innumerate; they do not possess the mathematical competencies needed for many modern jobs. We administered functional numeracy measures used in studies of young adults' employability and wages to 180 thirteen-year-olds. The adolescents began the study in kindergarten and participated in multiple assessments of intelligence, working memory, mathematical cognition, achievement, and in-class attentive behavior. Their number system knowledge at the beginning of first grade was defined by measures that assessed knowledge of the systematic relations among Arabic numerals and skill at using this knowledge to solve arithmetic problems. Early number system knowledge predicted functional numeracy more than six years later (ß = 0.195, p = .0014) controlling for intelligence, working memory, in-class attentive behavior, mathematical achievement, demographic and other factors, but skill at using counting procedures to solve arithmetic problems did not. In all, we identified specific beginning of schooling numerical knowledge that contributes to individual differences in adolescents' functional numeracy and demonstrated that performance on mathematical achievement tests underestimates the importance of this early knowledge. PMID:23382934

  14. Japanese system of family planning and MCH services.

    PubMed

    1985-03-01

    The Japanese Family Planning (FP)/Maternal and Child Health (MCH) programs can be devided into 2 major categories: 1) health services or preventive and health promotion programs, and 2) medical care services or curative programs. Health examinations of pregnant women are performed throughout pregnancy. After birth, each child is screened for inbornn metabolism defects. Vaccination programs covers both women and children. Additionally, health promotion services such as health guidance, including guidance for various groups as well as counselling for individuals, are carried out. The FP/MCH programs are conducted under the auspices of the Ministry of Health and Welfare. This division supervises the FP/MCH programs in 47 prefectures and 54 specially-selected cities and wards, makes policy, provides financial aid and oversees administration. The prefectures and wards independently plan and execute family planning and health administration. There are 856 health centers and 3271 local governments directly in charge of executing the programs. Population per prefecture ranges from 600,000 to 12 million for Tokyo. Population per health center varies from 10,000 to 750,000 with an average of about 140,000. Center staff includes doctors, public health nurses, veterinarians, pharmacists, x-ray specialists, nutritionists, hygiene inspectors and specialists in inspecting environmental contamination. Local governments coordinate programs with the centers to prevent program overlap. The Maternal and Child Health Promoter System, established in 1971, links public health nurses with families and is staffed by housewife volunteers appointed by local government heads. They play an especially important role in spreading family planning. PMID:12279991

  15. Does Mandated Treatment Benefit Youth? A Prospective Investigation of Adolescent Justice System Involvement, Treatment Motivation, and Substance Use Outcomes

    PubMed Central

    Yeterian, Julie D.; Greene, M. Claire; Bergman, Brandon G.; Kelly, John F.

    2013-01-01

    Background The majority of adolescents treated for substance use disorder (SUD) in the United States are now referred by the criminal justice system. Little is known, however, regarding how justice-system involvement relates to adolescent community treatment outcomes. Controversy exists, also, over the extent to which justice system involvement reflects a lack of intrinsic motivation for treatment. This study examined the relation between justice system referral and reported reason for treatment entry and tested the extent to which each predicted treatment response and outcome. Method Adolescent outpatients (N = 127; M age = 16.7, 24% female) with varying levels of justice-system involvement (i.e., no justice system involvement [No-JSI; n = 63], justice-system involved [JSI; n = 40], justice system involved-mandated [JSI-M; n = 24]) and motivation levels (i.e., self-motivated [n = 40], externally-motivated [n = 87]) were compared at treatment intake. Multilevel mixed models tested these groups’ effects on percent days abstinent (PDA) and odds of heavy drinking (HD) over 12 months. Results JSI-M were less likely to be self-motivated compared to No-JSI or JSI (p = 0.009). JSI-M had higher PDA overall, but with significant declines over time, relative to no-JSI. Self-motivated patients did not differ from externally-motivated patients on PDA or HD. Conclusions Mandated adolescent outpatients were substantially less likely to report self-motivated treatment entry. Despite the notion that self-motivated treatment entry would be likely to produce better outcomes, a judicial mandate appears to predict an initially stronger treatment response, although this diminishes over time. Ongoing monitoring and/or treatment may be necessary to help maintain treatment gains for justice system-involved adolescents. PMID:24159252

  16. Mobile Messaging Services-Based Personal Electrocardiogram Monitoring System

    PubMed Central

    Tahat, Ashraf A.

    2009-01-01

    A mobile monitoring system utilizing Bluetooth and mobile messaging services (MMS/SMSs) with low-cost hardware equipment is proposed. A proof of concept prototype has been developed and implemented to enable transmission of an Electrocardiogram (ECG) signal and body temperature of a patient, which can be expanded to include other vital signs. Communication between a mobile smart-phone and the ECG and temperature acquisition apparatus is implemented using the popular personal area network standard specification Bluetooth. When utilizing MMS for transmission, the mobile phone plots the received ECG signal and displays the temperature using special application software running on the client mobile phone itself, where the plot can be captured and saved as an image before transmission. Alternatively, SMS can be selected as a transmission means, where in this scenario, dedicated application software is required at the receiving device. The experimental setup can be operated for monitoring from anywhere in the globe covered by a cellular network that offers data services. PMID:19707531

  17. Developing a Service Platform Definition to Promote Evidence-Based Planning and Funding of the Mental Health Service System

    PubMed Central

    Lee, Yong Yi; Meurk, Carla S.; Harris, Meredith G.; Diminic, Sandra; Scheurer, Roman W.; Whiteford, Harvey A.

    2014-01-01

    Ensuring that a mental health system provides ‘value for money’ requires policy makers to allocate resources to the most cost-effective interventions. Organizing cost-effective interventions into a service delivery framework will require a concept that can guide the mapping of evidence regarding disorder-level interventions to aggregations of services that are meaningful for policy makers. The ‘service platform’ is an emerging concept that could be used to this end, however no explicit definition currently exists in the literature. The aim of this study was to develop a service platform definition that is consistent with how policy makers conceptualize the major elements of the mental health service system and to test the validity and utility of this definition through consultation with mental health policy makers. We derived a provisional definition informed by existing literature and consultation with experienced mental health researchers. Using a modified Delphi method, we obtained feedback from nine Australian policy makers. Respondents provided written answers to a questionnaire eliciting their views on the acceptability, comprehensibility and usefulness of a service platform definition which was subject to qualitative analysis. Overall, respondents understood the definition and found it both acceptable and useful, subject to certain conditions. They also provided suggestions for its improvement. Our findings suggest that the service platform concept could be a useful way of aggregating mental health services as a means for presenting priority setting evidence to policy makers in mental health. However, further development and testing of the concept is required. PMID:25431877

  18. Tractor Mechanics. Maintaining and Servicing the Cooling System, Learning Activity Packages 34-40; Maintaining and Servicing Hydraulic Systems, Learning Activity Packages 41-48.

    ERIC Educational Resources Information Center

    Clemson Univ., SC. Vocational Education Media Center.

    This series of learning activity packages focuses on two areas of tractor mechanics: (1) maintaining and servicing the cooling system and (2) maintaining and servicing hydraulic systems. Each of the fifteen illustrated learning activity packages follows a typical format: introduction, directions, objectives, learning activities, tools and…

  19. BrdsNBz: A Mixed Methods Study Exploring Adolescents' Use of a Sexual Health Text Message Service

    ERIC Educational Resources Information Center

    Willoughby, Jessica Fitts

    2013-01-01

    Sexual health text message services are becoming increasingly popular, but little is known about who uses such services and why. This project details the implementation of a campaign promoting a state-wide sexual health text message service that allows teens to text directly with a health educator and uses a mixed method design to assess who uses…

  20. A robust signalling system for land mobile satellite services

    NASA Technical Reports Server (NTRS)

    Irish, Dale; Shmith, Gary; Hart, Nick; Wines, Marie

    1989-01-01

    Presented here is a signalling system optimized to ensure expedient call set-up for satellite telephony services in a land mobile environment. In a land mobile environment, the satellite to mobile link is subject to impairments from multipath and shadowing phenomena, which result in signal amplitude and phase variations. Multipath, caused by signal scattering and reflections, results in sufficient link margin to compensate for these variations. Direct signal attenuation caused by shadowing due to buildings and vegetation may result in attenuation values in excess of 10 dB and commonly up to 20 dB. It is not practical to provide a link with sufficient margin to enable communication when the signal is blocked. When a moving vehicle passes these obstacles, the link will experience rapid changes in signal strength due to shadowing. Using statistical models of attenuation as a function of distance travelled, a communication strategy has been defined for the land mobile environment.

  1. Advanced information processing system: Inter-computer communication services

    NASA Technical Reports Server (NTRS)

    Burkhardt, Laura; Masotto, Tom; Sims, J. Terry; Whittredge, Roy; Alger, Linda S.

    1991-01-01

    The purpose is to document the functional requirements and detailed specifications for the Inter-Computer Communications Services (ICCS) of the Advanced Information Processing System (AIPS). An introductory section is provided to outline the overall architecture and functional requirements of the AIPS and to present an overview of the ICCS. An overview of the AIPS architecture as well as a brief description of the AIPS software is given. The guarantees of the ICCS are provided, and the ICCS is described as a seven-layered International Standards Organization (ISO) Model. The ICCS functional requirements, functional design, and detailed specifications as well as each layer of the ICCS are also described. A summary of results and suggestions for future work are presented.

  2. Mental Health Services for Children and Adolescents with Learning Disabilities: A Review of Research on Experiences of Service Users and Providers

    ERIC Educational Resources Information Center

    Jacobs, Myrthe; Downie, Helen; Kidd, Gill; Fitzsimmons, Lorna; Gibbs, Susie; Melville, Craig

    2016-01-01

    Background: Children and young people with learning disabilities experience high rates of mental health problems. Methods: The present study reviewed the literature on mental health services for children with learning disabilities, to identify known models of service provision and what has been experienced as effective or challenging in providing…

  3. A Framework and Improvements of the Korea Cloud Services Certification System

    PubMed Central

    Jeon, Hangoo

    2015-01-01

    Cloud computing service is an evolving paradigm that affects a large part of the ICT industry and provides new opportunities for ICT service providers such as the deployment of new business models and the realization of economies of scale by increasing efficiency of resource utilization. However, despite benefits of cloud services, there are some obstacles to adopt such as lack of assessing and comparing the service quality of cloud services regarding availability, security, and reliability. In order to adopt the successful cloud service and activate it, it is necessary to establish the cloud service certification system to ensure service quality and performance of cloud services. This paper proposes a framework and improvements of the Korea certification system of cloud service. In order to develop it, the critical issues related to service quality, performance, and certification of cloud service are identified and the systematic framework for the certification system of cloud services and service provider domains are developed. Improvements of the developed Korea certification system of cloud services are also proposed. PMID:26125049

  4. A Framework and Improvements of the Korea Cloud Services Certification System.

    PubMed

    Jeon, Hangoo; Seo, Kwang-Kyu

    2015-01-01

    Cloud computing service is an evolving paradigm that affects a large part of the ICT industry and provides new opportunities for ICT service providers such as the deployment of new business models and the realization of economies of scale by increasing efficiency of resource utilization. However, despite benefits of cloud services, there are some obstacles to adopt such as lack of assessing and comparing the service quality of cloud services regarding availability, security, and reliability. In order to adopt the successful cloud service and activate it, it is necessary to establish the cloud service certification system to ensure service quality and performance of cloud services. This paper proposes a framework and improvements of the Korea certification system of cloud service. In order to develop it, the critical issues related to service quality, performance, and certification of cloud service are identified and the systematic framework for the certification system of cloud services and service provider domains are developed. Improvements of the developed Korea certification system of cloud services are also proposed. PMID:26125049

  5. The appropriateness of gatekeeping in the provision of reproductive health care for adolescents in Lithuania:the general practice perspective

    PubMed Central

    Jaruseviciene, Lina; Levasseur, Gwenola

    2006-01-01

    Background Adolescents' consultation of primary health care services remains problematic despite their accessibility. The reproductive health service seeking behavior of adolescents is the object of much research but little is known about how this behavior is influenced by the gatekeeping system. This study aimed to explore general practitioners' perceptions of the appropriateness of gatekeeping in adolescent reproductive health care. Methods Twenty in-depth interviews regarding factors affecting adolescent reproductive health care were carried out on a diverse sample of general practitioners and analyzed using grounded theory. Results The analysis identified several factors that shaped GPs' negative attitude to gatekeeping in adolescent reproductive health care. Its appropriateness in this field was questionable due to a lack of willingness on the part of GPs to provide reproductive health services for teenagers, their insufficient training, inadequately equipped surgeries and low perceived support for reproductive health service provision. Conclusion Since factors for improving adolescent reproductive health concern not only physicians but also the health system and policy levels, complex measures should be designed to overcome these barriers. Discussion of a flexible model of gatekeeping, encompassing both co-ordination of care provided by GPs and the possibility of patients' self-referral, should be included in the political agenda. Adolescents tend to under-use rather than over-use reproductive health services and every effort should be made to facilitate the accessibility of such services. PMID:16536876

  6. Design and Implementation of Service-Oriented Learning Resource Grid Demonstration System

    NASA Astrophysics Data System (ADS)

    Zhong, Luo; Yang, Li; Zhu, Bo; Song, Huazhu

    Combined the technology of service-oriented with learning resource grid, this paper proposed its solution of demonstration system. Firstly, the architecture of learning demonstration system was given, and the services in the system were discussed. Then the learning resource grid demonstration system was designed from the data supporting layer and visualization layer in detail. Finally, the implemented system not only showed the service invocation process visually, but also let learners or users get a deeper understanding about grid.

  7. 47 CFR 73.758 - System specifications for digitally modulated emissions in the HF broadcasting service.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 4 2013-10-01 2013-10-01 false System specifications for digitally modulated emissions in the HF broadcasting service. 73.758 Section 73.758 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES International Broadcast Stations § 73.758 System specifications...

  8. 47 CFR 73.758 - System specifications for digitally modulated emissions in the HF broadcasting service.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 4 2012-10-01 2012-10-01 false System specifications for digitally modulated emissions in the HF broadcasting service. 73.758 Section 73.758 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES International Broadcast Stations § 73.758 System specifications...

  9. 42 CFR 419.21 - Hospital outpatient services subject to the outpatient prospective payment system.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Hospital outpatient services subject to the outpatient prospective payment system. 419.21 Section 419.21 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM PROSPECTIVE PAYMENT SYSTEM FOR HOSPITAL OUTPATIENT DEPARTMENT...

  10. A Methodological Approach to Encourage the Service-Oriented Learning Systems Development

    ERIC Educational Resources Information Center

    Diez, David; Malizia, Alessio; Aedo, Ignacio; Diaz, Paloma; Fernandez, Camino; Dodero, Juan-Manuel

    2009-01-01

    The basic idea of service-oriented learning is that a learning environment should be conceived as a set of independent units of learning packaged as learning services. The design, development and deployment of a learning system based on integrating different learning services needs both a technological platform to support the system as well as a…

  11. 47 CFR 80.475 - Scope of service of the Automated Maritime Telecommunications System (AMTS).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Scope of service of the Automated Maritime... Automated Systems § 80.475 Scope of service of the Automated Maritime Telecommunications System (AMTS). (a... correspondence service. However, such communications may be provided only to stations whose licensees...

  12. 47 CFR 80.475 - Scope of service of the Automated Maritime Telecommunications System (AMTS).

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 5 2014-10-01 2014-10-01 false Scope of service of the Automated Maritime... Automated Systems § 80.475 Scope of service of the Automated Maritime Telecommunications System (AMTS). (a... correspondence service. However, such communications may be provided only to stations whose licensees...

  13. 47 CFR 80.475 - Scope of service of the Automated Maritime Telecommunications System (AMTS).

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 5 2013-10-01 2013-10-01 false Scope of service of the Automated Maritime... Automated Systems § 80.475 Scope of service of the Automated Maritime Telecommunications System (AMTS). (a... correspondence service. However, such communications may be provided only to stations whose licensees...

  14. 47 CFR 80.475 - Scope of service of the Automated Maritime Telecommunications System (AMTS).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 5 2011-10-01 2011-10-01 false Scope of service of the Automated Maritime... Automated Systems § 80.475 Scope of service of the Automated Maritime Telecommunications System (AMTS). (a... correspondence service. However, such communications may be provided only to stations whose licensees...

  15. 47 CFR 80.475 - Scope of service of the Automated Maritime Telecommunications System (AMTS).

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 5 2012-10-01 2012-10-01 false Scope of service of the Automated Maritime... Automated Systems § 80.475 Scope of service of the Automated Maritime Telecommunications System (AMTS). (a... correspondence service. However, such communications may be provided only to stations whose licensees...

  16. [Contraception in adolescents].

    PubMed

    1992-12-01

    The proportion of women aged 15-19 in Colombia who are mothers declined from 14% in 1985 to 10% in 1990, but the actual number of cases increased due to population growth. Some 1,780,000 adolescents who have had children or are pregnant require family planning services. An additional, unknown number of adolescent pregnancies are terminated by abortion. It is estimated that 95% of adolescent pregnancies diagnosed or followed by PROFAMILIA's center for young people were unwanted. Reasons for making family planning services available to adolescents include the ever young age at initiation of sexual activity, the very low rates of contraceptive usage among sexually active adolescents, the lack of information of adolescents concerning reproduction and contraception, and their fear and guilt surrounding their sexual activity and contraceptive usage. Obstetrical services appear reluctant to furnish adolescent mothers with information on contraception, and the pharmacists and their employees who provide such information may not be aware of contraindications for this age group or whether adolescents are adequately instructed in use of the method. The rising age at marriage increases the span of time that adolescents are at risk of unwanted pregnancy. Adolescents who are well informed about sexuality and contraception and trained in decision making, self-esteem, and responsible parenthood are likely to postpone sexual activity. Information on contraception and family planning services needs to be made available to adolescents in a way that will actually motivate use. Information on sex and contraception should be made available at puberty and should include the form of use, contraindications, and advantages and disadvantages of all methods appropriate to adolescents. Orientation and assistance in selecting the best method should be individually tailored and should be provided in schools or other places accessible to young people, in a language they can understand. Rhythm and

  17. Web-Based Self-Service Systems for Managed IT Support: Service Provider Perspectives of Stakeholder-Based Issues

    NASA Astrophysics Data System (ADS)

    Cooper, Vanessa A.; Lichtenstein, Sharman; Smith, Ross

    This chapter explores the provision of after-sales information technology (IT) support services using Web-based self-service systems (WSSs) in a business-to-business (B2B) context. A recent study conducted at six large multi-national IT support organisations revealed a number of critical success factors (CSFs) and stakeholder-based issues. To better identify and understand these important enablers and barriers, we explain how WSSs should be considered within a complex network of service providers, business partners and customer firms. The CSFs and stakeholder-based issues are discussed. The chapter highlights that for more successful service provision using WSSs, IT service providers should collaborate more effectively with enterprise customers and business partners and should better integrate their WSSs.

  18. Longitudinal Changes in Behavioral Approach System Sensitivity and Brain Structures Involved in Reward Processing during Adolescence

    PubMed Central

    Urošević, Snežana; Collins, Paul; Muetzel, Ryan; Lim, Kelvin; Luciana, Monica

    2012-01-01

    Adolescence is a period of radical normative changes and increased risk for substance use, mood disorders, and physical injury. Researchers have proposed that increases in reward sensitivity, i.e., sensitivity of the behavioral approach system (BAS), and/or increases in reactivity to all emotional stimuli (i.e., reward and threat sensitivities) lead to these phenomena. The present study is the first longitudinal investigation of changes in reward (i.e., BAS) sensitivity in 9 to 23-year-olds across a two-year follow-up. We found support for increased reward sensitivity from early to late adolescence and evidence for decline in the early twenties. This decline is combined with a decrease in left nucleus accumbens (Nacc) volume, a key structure for reward processing, from the late teens into the early twenties. Furthermore, we found longitudinal increases in sensitivity to reward to be predicted by individual differences in the Nacc and medial OFC volumes at baseline in this developmental sample. Similarly, increases in sensitivity to threat (i.e., BIS sensitivity) were qualified by sex, with only females experiencing this increase, and predicted by individual differences in lateral OFC volumes at baseline. PMID:22390662

  19. Approach for Service Life Extension of Explosive Devices for Aircraft Escape Systems

    NASA Technical Reports Server (NTRS)

    Bement, L. J.; Schimmel, M. L.

    1985-01-01

    The service life evaluation of explosive devices used in a wide variety of aircraft escape systems is described. The purpose was to develop a service extension approach, supported by tests on candidate devices, to evaluate the effects of service, age, and degradation, and allow responsible, conservative, service life determinations. An overview is given on the recommended approach and experimental procedures for accurate service evaluations with test results on rigid and flexible explosive transfer lines, one-way transfers, and flexible linear shaped charges.

  20. Negative emotionality and cortisol during adolescent pregnancy and its effects on infant health and autonomic nervous system reactivity.

    PubMed

    Ponirakis, A; Susman, E J; Stifter, C A

    1998-09-01

    This research examined the relations among maternal emotionality, biology, and infant outcome and autonomic nervous system reactivity (cardiac vagal tone). The sample consisted of 27 pregnant adolescents and their 3-week-old infants. Measures of anxiety, depression, anger, and saliva cortisol were obtained from the adolescents both pre- and postnatally. Infant outcome measures consisted of gestational age at delivery, birth weight, number of risk factors at birth and at 24 hr, Apgar score at 1 and 5 min, abnormalities on newborn physical exam, number of resuscitation measures used on the infant, and cardiac vagal tone. Significant relations were found among the adolescent's emotionality, infant physical outcomes, and cardiac vagal tone. Higher concentrations of adolescent cortisol were associated with lower infant Apgar scores and an increased need for resuscitation measures performed on the infant. The positive association between negative emotions and better infant outcomes also was found and may reflect the sensitivity of the adolescents to their feelings and needs during pregnancy. Social support during pregnancy mediated the effects of maternal negative emotionality and infant cardiac vagal tone. PMID:9742411

  1. An impetus to move the field forward: a look at child and adolescent mental health services participants' views of the prospects for change.

    PubMed

    Haynes, Katherine Taylor

    2010-03-01

    In September 2009 key stakeholders convened for the invitation-only Child and Adolescent Mental Health Services (CAMHS): Issues and Solutions conference. This paper provides a brief synopsis of the key high points and issues in children's mental health (CMH) and describes the process by which participants collectively brainstormed the priorities and distilled the four key foci for the new action agenda, and summarizes the key outcomes. In addition, this paper offers participants' perspectives on the conference. Based on observation notes and post-conference qualitative interviews, this paper reports conference participants' feedback on the event, their views on the prospects for change generated by the conference and suggestions for follow-up. PMID:20186568

  2. Advanced Information Processing System (AIPS) proof-of-concept system functional design I/O network system services

    NASA Technical Reports Server (NTRS)

    1985-01-01

    The function design of the Input/Output (I/O) services for the Advanced Information Processing System (AIPS) proof of concept system is described. The data flow diagrams, which show the functional processes in I/O services and the data that flows among them, are contained. A complete list of the data identified on the data flow diagrams and in the process descriptions are provided.

  3. Advanced payload concepts and system architecture for emerging services in Indian National Satellite Systems

    NASA Astrophysics Data System (ADS)

    Balasubramanian, E. P.; Rao, N. Prahlad; Sarkar, S.; Singh, D. K.

    2008-07-01

    Over the past two decades Indian Space Research Organization (ISRO) has developed and operationalized satellites to generate a large capacity of transponders for telecommunication service use in INSAT system. More powerful on-board transmitters are built to usher-in direct-to-home broadcast services. These have transformed the Satcom application scenario in the country. With the proliferation of satellite technology, a shift in the Indian market is witnessed today in terms of demand for new services like Broadband Internet, Interactive Multimedia, etc. While it is imperative to pay attention to market trends, ISRO is also committed towards taking the benefits of technological advancement to all round growth of our population, 70% of which dwell in rural areas. The initiatives already taken in space application related to telemedicine, tele-education and Village Resource Centres are required to be taken to a greater height of efficiency. These targets pose technological challenges to build a large capacity and cost-effective satellite system. This paper addresses advanced payload concepts and system architecture along with the trade-off analysis on design parameters in proposing a new generation satellite system capable of extending the reach of the Indian broadband structure to individual users, educational and medical institutions and enterprises for interactive services. This will be a strategic step in the evolution of INSAT system to employ advanced technology to touch every human face of our population.

  4. Assessing Youth Participation in AA-Related Helping: Validity of the Service to Others in Sobriety (SOS) Questionnaire in an Adolescent Sample

    PubMed Central

    Pagano, Maria E.; Kelly, John F.; Scur, Michael D.; Ionescu, Rebecca A.; Stout, Robert L.; Post, Stephen G.

    2013-01-01

    Background and Objectives The positive outcomes derived from participation in Alcoholics Anonymous-related helping (AAH) found among adults has spurred study of AAH among minors with addiction. AAH includes acts of good citizenship in AA, formal service positions, public outreach, and transmitting personal experience to another fellow sufferer. Addiction research with adolescents is hindered by few validated assessments of 12-step activity among minors. This study provides psychometric findings of the “Service to Others in Sobriety (SOS)” questionnaire as completed by youths. Methods Multi-informant data was collected prospectively from youth self-reports, clinician-rated assessments, biomarkers, and medical chart records for youths (N = 195) after residential treatment. Results Few youths (7%) did not participate in any AAH during treatment. Results indicated the SOS as a unidimensional scale with adequate psychometric properties, including inter-informant reliability (r = .5), internal consistency (alpha = .90), and convergent validity (rs = −.3 to .3). Programmatic AAH activities distinguished abstinent youths in a random half-sample, and replicated on the other half-sample. The SOS cut-point of 40 indicated high AAH participation. Conclusions and Significance The SOS appears to be a valid measure of AAH, suggesting clinical utility for enhancing treatment and identifying service opportunities salient to sobriety. PMID:23398228

  5. The association between ethnicity and care pathway for children with emotional problems in routinely collected child and adolescent mental health services data.

    PubMed

    Edbrooke-Childs, Julian; Newman, Robbie; Fleming, Isobel; Deighton, Jessica; Wolpert, Miranda

    2016-05-01

    Adults from black and minority ethnic (BAME) backgrounds are less likely to access mental health services through voluntary care pathways and are more likely to access through compulsory ones. The aim of the present research was to explore the association between ethnicity and care pathway through child and adolescent mental health services (CAMHS), in terms of reason for referral and case closure, in children presenting with emotional problems. A sample of N = 11,592 children from 26 CAMHS was taken from a national routinely collected dataset (56 % female; 7 % aged 0-5 years, 40 % 6-12 years, 53 % 13-18 years, and <1 % 19-25 years). Multinomial logistic regressions showed that BAME children were consistently more likely to be referred to CAMHS through education, social, and other services than primary care, compared to White British children (odds ratio (OR) = 1.52-9.96, p < .001) and they were less likely to end treatment due to child and family non-attendance (OR = 0.59-0.79, p < .05). Similar to adults, children from BAME groups may be more likely to access CAMHS through compulsory than voluntary care pathways. PMID:26345326

  6. Challenges of Providing Confidential Care to Adolescents in Urban Primary Care: Clinician Perspectives

    PubMed Central

    McKee, M. Diane; Rubin, Susan E.; Campos, Giselle; O’Sullivan, Lucia F.

    2011-01-01

    PURPOSE Clinician time alone with an adolescent has a major impact on disclosure of risk behavior. This study sought to describe primary care clinicians’ patterns of delivering time alone, decision making about introducing time alone to adolescents and their parents, and experiences delivering confidential services. METHODS We undertook qualitative interviews with 18 primary care clinicians in urban health centers staffed by specialists in pediatrics, family medicine, and adolescent medicine. RESULTS The annual preventive care visit is the primary context for provision of time alone with adolescents; clinicians consider the parent-child dynamic and the nature of the chief complaint for including time alone during visits for other than preventive care. Time constraints are a major barrier to offering time alone more frequently. Clinicians perceive that parental discomfort with time alone is rare. Many clinicians wrestle with internal conflict about providing confidential services to adolescents with serious health threats and regard their role as facilitating adolescent-parent communication. Health systems factors can interfere with delivery of confidential services, such as inconsistent procedures for determining whether unaccompanied youth would be seen. CONCLUSION Despite competing time demands, clinicians report commitment to offering time alone during preventive care visits and infrequently offer it at other times. Experienced clinicians can gain skills in the art of managing complex relationships between adolescents and their parents. Office systems should be developed that enhance the consistency of delivery of confidential services. PMID:21242559

  7. Children and Adolescents with Autism Spectrum Disorders Compared to Typically Developing Controls on the Behavioral Assessment System for Children, Second Edition (BASC-2)

    ERIC Educational Resources Information Center

    Mahan, Sara; Matson, Johnny L.

    2011-01-01

    As the "Behavioral Assessment System for Children, Second Edition" ("BASC-2") is often used to aid in diagnosis it is important to discern how children and adolescents with Autism Spectrum Disorder (ASD) score on the "BASC-2" compared to typically developing controls. This study compared scores of typically developing children and adolescents to…

  8. Does Formal Integration between Child Welfare and Behavioral Health Agencies Result in Improved Placement Stability for Adolescents Engaged with Both Systems?

    ERIC Educational Resources Information Center

    Wells, Rebecca; Chuang, Emmeline

    2012-01-01

    National survey data were used to assess whether child welfare agency ties to behavioral health care providers improved placement stability for adolescents served by both systems. Adolescents initially at home who were later removed tended to have fewer moves when child welfare and behavioral health were in the same larger agency. Joint training…

  9. Adolescent Perceptions of Their Family System, Parents' Behavior, Self-Esteem, and Family Life Satisfaction in Relation to Their Substance Use

    ERIC Educational Resources Information Center

    Henry, Carolyn S.; Robinson, Linda C.; Wilson, Stephan M.

    2004-01-01

    A path model was utilized to determine the relationship of demographic, family system, adolescent perceptions of parental behavior, and youth characteristics to adolescent substance abuse. Self-report questionnaire data were collected from 214 high school students at two high schools in a southwestern state. Results showed direct positive…

  10. A Comparative Analysis Regarding Factors Related to 13- to 18-Year-Old African American Male Adolescents in Special Education and the Justice System

    ERIC Educational Resources Information Center

    Phipps, Jonathan Lanier

    2013-01-01

    This study was focused on the identification of selected risk factors seemingly present among African American male adolescents 13 to 18 years old who were participants in special education programs at their schools. Many of these male adolescents were also found to participate in the juvenile justice system under what was characterized as…

  11. Construct Validity of the Behavior Assessment System for Children (BASC) Self-Report of Personality: Evidence from Adolescents Referred to Residential Treatment

    ERIC Educational Resources Information Center

    Weis, Robert; Smenner, Lindsey

    2007-01-01

    The authors investigate the construct validity of the Behavior Assessment System for Children Self-Report of Personality (BASC-SRP; Reynolds & Kamphaus, 1998). A sample of 970 adolescents (16-18 years) with histories of disruptive behavior problems and truancy complete the SRP; a subsample of 290 adolescents also completed the Minnesota…

  12. The Factor Structure of the BASC-2 Behavioral and Emotional Screening System Teacher Form, Child/Adolescent

    ERIC Educational Resources Information Center

    Dever, Bridget V.; Mays, Kristen L.; Kamphaus, Randy W.; Dowdy, Erin

    2012-01-01

    The BASC-2 Behavioral and Emotional Screening System Teacher, Child/Adolescent Form (BESS Teacher Form C/A; Kamphaus & Reynolds, 2007) is a brief teacher-report rating scale designed to identify students who are at-risk for behavioral and emotional problems. The aim of this study was to describe the latent dimensions that underlie the responses to…

  13. Randomized, Controlled Trial of Behavioral Family Systems Therapy for Diabetes: Maintenance and Generalization of Effects on Parent-Adolescent Communication

    ERIC Educational Resources Information Center

    Wysocki, Tim; Harris, Michael A.; Buckloh, Lisa M.; Mertlich, Deborah; Lochrie, Amanda Sobel; Taylor, Alexandra; Sadler, Michelle; White, Neil H.

    2008-01-01

    We report a randomized trial of a revised Behavioral Family Systems Therapy for Diabetes (BFST-D) intervention. Families of 104 adolescents with diabetes were randomized to standard care (SC) or to 6 months of an educational support group (ES) or BFST-D. Family communication and problem-solving skills were assessed at 0, 6, 12, and 18 months by…

  14. A Behaviorally-Anchored Rating System to Monitor Treatment Integrity for Community Clinicians Using the Adolescent Community Reinforcement Approach

    ERIC Educational Resources Information Center

    Smith, Jane Ellen; Gianini, Loren M.; Garner, Bryan R.; Malek, Karen L.; Godley, Susan H.

    2014-01-01

    This study evaluated a process for training raters to reliably rate clinicians delivering the Adolescent Community Reinforcement Approach (A-CRA) in a national dissemination project. The unique A-CRA coding system uses specific behavioral anchors throughout its 73 procedure components. Five randomly selected raters each rated "passing"…

  15. Integrated orbital servicing study follow-on. Volume 2: Technical analysis and system design

    NASA Technical Reports Server (NTRS)

    1978-01-01

    In-orbit service functional and physical requirements to support both low and high Earth orbit servicing/maintenance operations were defined, an optimum servicing system configuration was developed and mockups and early prototype hardware were fabricated to demonstrate and validate the concepts selected. Significant issues addressed include criteria for concept selection; representative mission equipment and approaches to their design for serviceability; significant serviceable spacecraft design aspects; servicer mechanism operation in one-g; approaches for the demonstration/simulation; and service mechanism structure design approach.

  16. 42 CFR 412.20 - Hospital services subject to the prospective payment systems.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL... Operating Costs and Inpatient Capital-Related Costs § 412.20 Hospital services subject to the...

  17. Engineering youth service system infrastructure: Hawaii's continued efforts at large-scale implementation through knowledge management strategies.

    PubMed

    Nakamura, Brad J; Mueller, Charles W; Higa-McMillan, Charmaine; Okamura, Kelsie H; Chang, Jaime P; Slavin, Lesley; Shimabukuro, Scott

    2014-01-01

    Hawaii's Child and Adolescent Mental Health Division provides a unique illustration of a youth public mental health system with a long and successful history of large-scale quality improvement initiatives. Many advances are linked to flexibly organizing and applying knowledge gained from the scientific literature and move beyond installing a limited number of brand-named treatment approaches that might be directly relevant only to a small handful of system youth. This article takes a knowledge-to-action perspective and outlines five knowledge management strategies currently under way in Hawaii. Each strategy represents one component of a larger coordinated effort at engineering a service system focused on delivering both brand-named treatment approaches and complimentary strategies informed by the evidence base. The five knowledge management examples are (a) a set of modular-based professional training activities for currently practicing therapists, (b) an outreach initiative for supporting youth evidence-based practices training at Hawaii's mental health-related professional programs, (c) an effort to increase consumer knowledge of and demand for youth evidence-based practices, (d) a practice and progress agency performance feedback system, and (e) a sampling of system-level research studies focused on understanding treatment as usual. We end by outlining a small set of lessons learned and a longer term vision for embedding these efforts into the system's infrastructure. PMID:23819869

  18. Environmental Services from Agricultural Stormwater Detention Systems in Florida

    NASA Astrophysics Data System (ADS)

    Shukla, A.; Shukla, S.; Knowles, J. M.

    2011-12-01

    positive treatment efficiency. Several modifications were identified for the two ADAs to increase N and P treatment efficiencies. These modifications include increasing the travel time, available water storage, changing inflow locations, modifying outlet control structure and biomass harvesting. Biomass harvesting has the potential to make these systems play an important role in providing environmental services. The harvested biomass can not only remove N and P from the system but also acts as a source of bioenergy feedstock. Biomass N and P storage at ADA 2 suggested that harvesting of easily accessible biomass could account for removal of 157 kg from the ADA which accounts for 76% of the annual P retention. Biomass harvesting can become a potential source of additional income for producers for providing the environmental services of not only additional nutrient treatment but also bioenergy. The comparison between these two ADAs suggested that the P treatment by these systems can vary considerably depending on hydraulic, hydrologic, soil, and vegetation characteristics. Future research needs for making these systems provide additional environmental services such as increased P treatment, bioenergy, and carbon sequestration were identified.

  19. Information Retrieval System for Japanese Standard Disease-Code Master Using XML Web Service

    PubMed Central

    Hatano, Kenji; Ohe, Kazuhiko

    2003-01-01

    Information retrieval system of Japanese Standard Disease-Code Master Using XML Web Service is developed. XML Web Service is a new distributed processing system by standard internet technologies. With seamless remote method invocation of XML Web Service, users are able to get the latest disease code master information from their rich desktop applications or internet web sites, which refer to this service. PMID:14728364

  20. DPOI: Distributed software system development platform for ocean information service

    NASA Astrophysics Data System (ADS)

    Guo, Zhongwen; Hu, Keyong; Jiang, Yongguo; Sun, Zhaosui

    2015-02-01

    Ocean information management is of great importance as it has been employed in many areas of ocean science and technology. However, the developments of Ocean Information Systems (OISs) often suffer from low efficiency because of repetitive work and continuous modifications caused by dynamic requirements. In this paper, the basic requirements of OISs are analyzed first, and then a novel platform DPOI is proposed to improve development efficiency and enhance software quality of OISs by providing off-the-shelf resources. In the platform, the OIS is decomposed hierarchically into a set of modules, which can be reused in different system developments. These modules include the acquisition middleware and data loader that collect data from instruments and files respectively, the database that stores data consistently, the components that support fast application generation, the web services that make the data from distributed sources syntactical by use of predefined schemas and the configuration toolkit that enables software customization. With the assistance of the development platform, the software development needs no programming and the development procedure is thus accelerated greatly. We have applied the development platform in practical developments and evaluated its efficiency in several development practices and different development approaches. The results show that DPOI significantly improves development efficiency and software quality.